Loading...
HomeMy WebLinkAbout063-040-042BUILDING WITHOUT PERMITS SPECIAL INSPECTION 67-89 I lu t 63-04-42 RICHARD TELFORD 1295,9 Doe Mill Rd, Forest Ranch ermit#520-87B(.addition•&-remodel/,c y 63-04-42 � EVANS, Mary E� 12959 Doe Mill Rd, Forest Ranch of—U4-4.-%� 417-91B EVANS, Mary 1 12959 Doe Mill Rd, Forest Rancoq Cont: Joe Mello (demo/sf) - - 63-04-42 ^ Perrrnit#3671-90P,E(util, MH) �. 63-04-42 Permit#244_, 2 9lB,PE,M r a (gar .conv'to liviing, & additior}) 63-04-42 9-2073BPEM- T# CG -X, Mary k ✓en/S12959 Doe Mill Rd, Forest nchconv storage to living 063-040-042 93 -25581ST RENEWAL/92-2073 063-040-042 PERMI94-232 \ 1\ .68X , MARY L% ✓�j/►�5 fj�f 12959 DOE MILL RD., FOREST RANCH 2ND RENEWAL BP#92-2073 `1 063-04-0-042 95-1867 B EVANS, Mary 12959 Doe Mill Road, Forest Ranc' (3rd renewral/92-2073) 063 040-042 PERMIT#96-1.60 EVANS; Lary 12959 Doe Mill'Rd., Forest nch i 4th Renewal BP#92-2073' L D643 nor 04 © cll� 0 1 is' 063-040-042 PERMIT#97-1448 EVANS, Mary 12959 Doe Mill Rd. , Forest Raqch 5th Renewal BP#92-2073 fa _ y - b it n u 4 9 �I n x (LID Insulation Certificate BUILDING OWNER: J-Yn e s BUILDING LOCATION: /,'L ���'9 Irv► ;/A T& BUILDING PERMIT # of /'i%i�l /Pal O, Z41 X 4/l /-ea eX70'- W AN2,1- -9 Description of Installation ROOF :�^�:3., ^ t ; ; r s -t:-',aFP ie: tj- , t t �c ; uxu ; •.'. r:, T : ,::, .. . Material ryt. Brand Name - Thickness (inches) - Thermal Resistance (R -Value)' ur, r,>' n :" : - s `. CEILING Batt or Blanket Type ✓ Brand Name ^ ,•Lo;e w, o , _ .. ,, Thickness (mehes) e " Thermal Resistance (R•Value) Loose Fill Type Brand Name 'WrMiA Contractor's minirittin installed weight/ft • lb . Minimum thickness. inches: ` _p Manufacuuer's installed weight per square foot w acheive Thermal Resistance (R -Value) EXTERIOR WALL Material - - Brand Name "'" _.0 _ Thickness (inches) Thermal Resistance (R -Value) /� - /,3 - /1- / 9 rr- RAISED FLOOR . :�.: t:; Maternal _._. _. _ - _.- -_ _.. - Brand NameThickness (inches) _ _ Therinal Resistance (R -Value)= f{ = j-9SLAB FLOOR -- �,,". t. _a- �,_. eYs•. -�1.' i' '-1 c !iii.• `.�.„ ��SL': Ii!••,•4 !+.3�`fi ;"+�:o'�:Jh'"tiA e:^_l "'&:.: ^r.9 w.�+ . Maternal `" Brand Name ,t'`1S sc4-va: .� w w•., Thickness (inches) Thermal Resistance (R -Value) Width (inches) FOUNDATION WALL ,t �rYs'.+r4" tn."f. ,•atY.try.`_''• _.. a..4 ..�y. Material — _. �� Brand Name Thickness (inches) Thermal Resistance (R•Value).'s tom% ~" .'�.•-,., Wit^ k .,. -a._r ?T•.� ..., it {':, t.:aGh 4t.Fuan 4.:,i a' Fv _ - '` "Ath • """ t tes•'s,—fir"--w �.:... � :d..Ai. Declaration-------_—._-,_ w ...._. ...." ._. ._. _..-�«....w. •? ......__. �. �...... .•..,r.a.ti..+...._nu.. ..�.«..... «•.. �_.... - :w..••+-"--•t---^---•.:.i ;.,r,. .+.��.'� ....,..._ ny• C Yw nom. I hereby certify tl= the above Insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in.Title 24 of the . California Administrative Cede.4f WZ4.-11 - �_ _.:E»..�+••+r:.x���^...�}: �tY a�:rn t:�r,gtr t��^i,�,iyc} tt�^�etac;t`+;,,�:•. , - .. .�C=u,. :'•!'r.i�:t•L•� !.?,4•�!$..}�`Zi:'a.:.tiLa.�iif :.: .» . Contr=tor (Buildent' �J License Number Signatatremid Tide Dam Sub-Conn=wr(butilatton lnsuUer) License Number Signature and Title Date ` r:, THIS CERTIFICATE MUST BE PROVIDED TO -111E BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. jILIUARY 1993 Installation Certificate: Residential CF -6R BUILDING OWNER: BUILDING PERMIT #: BUILDING LOCATION: An installation certificate is required to be posted at the building site prior to the issuance of the occupancy permit. This forth may be used to meet these requirements. All appliance categories listed below are the actual equipment installed. Note that the efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of Compliance (CF -1 R). This certificate (or its equivalent) shall be prepared and signed by the person(s) assuming overall responsibility for the appliance installation. ' 1, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, ( have verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted.to demonstrate compliance with the Energy Efficiency Standards for residential buildings: HVAC SYSTEMS Note: Hydronic boiler information is entered here. Other hydronic or combined hydronic equipment is listed under Water Heating Systems. Heating Equip. CEC Certified Actual Distributlon Duct or Heating Load Heating Type (furnace, Manuf. Make & Efficlency Type and Plping Before Curer- Equipment heat sumo etc) Model Number (AFUE. etc.) Location R -Value Sizing (Btuh) Capacity (Btuh) CEC Certified - Cooling Equip. Compressor Unit' Actual Distribution -Duct or. Type (air cond., Manuf. Make & Efficiency Typo and Piping heat ourno. etc.) Model Number (SEER) Location R=Value The building design heat loss and design heat gain rate have been determined using a method specified in Section 150(h) of the Energy Efficiency Standards, and are two of the criteria used for equipment sizing and selection. Signature Date HVAC Subonttactor (Co. Name) or General Contractor or Owner WATER HEATING SYSTEMS - - Energy' External Water Heating CEC Certified Rated' Tank Factor orTank _ ~ System Type Manuf. Make & Input (kW Capacity Recovery Standby' Insulation (storage gas etc.) Model Number or Btuh) (gallons) Efficiency Loss (%) R -Value 1. For small gas storage (rated input:s 75.000 Stiabr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated inout >75.000 Sttuhr), )ist Rated Input. Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Recovery Efficiency. For Instantaneous electric witter heaters. list Rated Inout FAUCETS S & SHOWER HEADS All faucets and showerheads installed are listed in the G-lmmission`s Directory of Cartified Faucets and Showerheacs. pursuant to Title 24, Part 6. Subcnapter 2. Sec:lon 111. Signature Z ate Plumoing Subcontractor (Co. Name) or General Contractor or Owner THIS CERTIFICATE MUST BE PROVIDED TO THE BLrILDI2iG DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE WILDING. JANUARY 1993 1 71A 6/ q Al P t� �,,�..�r 12- 9r/S-/-54 mom.c sv& I q 17 V6 . " — ' I , I ' q f, FA4 171r VE 7ENT1AL,,t,,.', 63-04-42 Mary 12-909, Doe Mill Rd, Forest conv storage to living A-1 H0.1 " b..� -77- �m-- q �- HY19 V5 .4A OFFICE COPY FF t. "�4 Address it GAS /�fJ/7 glcpp� l�/(, p� r - Meter By Date iv,u ELECTRIC Meter By Date PA/ if-j2n! I JOB FINALED (Date) Signature J OK 'lop Not Ready -Not Applicable = ' =NRESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except ft's Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils-Steel-Ele6. Grnd.-/ °/" Ftg. Depth 47, Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped---------- 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. .Slab; Steel -Wrapped 5 Ext •oors-One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel yfy�/' airs Width -Headroom -Rise -Run -Landing -Fire Protection 9. D: W. V.; Fall -Fitting -Test -2 Way C/O -Sewer Test-�TI " --- --"--- 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. 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _______--- 57. Glazing Area -Glass Protection -Skylights -Plastic _ 58. Shear Walls: Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59.- Insulation -Walls -Ceilings 15. Access & Ventilation---------- 60. Infiltration -Walls -Windows 16. Insulation "---------------------------- - Date Card B-1 Date Card B-1 ---- ----------------------- Date Card B-1 Date Card B-1 "--"------------------------------- Date PLUMBING (Permit),OK except a'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 Date Card B-1 Date Card B-1 ------------------------------ -- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 1. xt. Steps -Door & Sidelight Protection -Landings ----------- -- ------ -- moke Detector ------- ----------------- Ca3� urnace; Vents -Clearance -Comb. Air -Connector - I ge: bove Floor-Ducts-Mech. Protection ------------- 21. Gas Pipe; Size &Anchors Exiting 0..droom F.I. & Bath Fixtures & Tub Access -Spa --------------------------------------------------------- --------- - ----- - Date - - - Card B_1 --- Date - Card B_1 -- - - ec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 C. tairs &Rails rs Date ELECTRICAL (Permit) OK except ti's - 22. Fixture & Transformer Clearance --Ins. Protection ----------------- ------- ---------------- ---- - - 23. Elec. Receptacles Spacing -Lights & Switches at Doors -- 24. Size Boxes & No. of Conductors -Stapled - - ---------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ---------------------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------- ----------------------- 22 Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ---------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ----- - ------ - --- ------------------------- 31. Equip. -Clearances Panels- Motors- Mech. Equip_ ------------ 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector ------------------------------------------------------------------------------ --- Date Card B-1 Date Card -B-1 ------------------ ---------------------------------------------- ------------------ Date Cary B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's -------------34.-A.-C.-Ducts Insu-lation & -Support------------------------------------------------------------ 35. Vent Fan: Exhaust above insulation ------------------------------------ ----- - - ----- --- 36. Condensate Drain & Overflow: Size & Grade ------------------------------------ ------- - 37. Furnarce-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 exceptg's 39. Sils. Proper Material & Anchors ------- ---- - ------ ----------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----------------------------------------------------- --------------------------- 41. ---------- -------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ---- --- -- ------------ ------- ------------ ----------------- 42. Draft Stop in Walls (rat proof) --------------------------------- -------- ---------------- ----------------------- ------------- 43. -Fire-Stops: Furred Ceilings -Stairs -Chases -Tub -------------------- ------------------------------ 44. Headers & Beam -Size & Bearing -Fireplace or Stove: Clearances -Hearth -------------- EI Outlets at Wood Panel: Int. & Ext. tT it.Fixt. &Appliance; Grnd.-Air Gap -Cooking Clearance - Elec. Outlets & Receptacles at Kit. Counter ------------- -7-er Ga --ge--Door: Door; Swing -Landing -Closer -------- --------------- _.C. -Duct in -Garage -Damper in Garage -Damper 4. Wtr. Htr: Vents -Clearance -Comb. Air-Connector-P.R.V. . In Gar Above Floor-Mech. Protection Elec. & Mech. Equip. Listed for Location - jOiff e'c. Receptacles in Garage; (G.F.I.)-Romex Protection ---------------------------- ---------- -------------- lation-Foam-Looked in Attic ❑ Yes -- --------------------- -- uard Rails & Deck Construction -Post Caps ------------ -------------------------- dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ollowing instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No � il, toc Brown -Finish �dQ'7c . Unit: Disconnect. Electrical, Plumbing - - --- - ----- - - ---------------------- - - 8 Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings Water Well: Disconnect, Electrical, Plumbing xterior Elec. Trim; G.F.I. Receptacle -Underground --- - -- - - ----------------------------- - ---- ntilation Throughout House . - - - - - - - - - - - - - - --------- ------------------------- 8 ss Protection 8 rrections from Previous Inspections ------ ----- -- ---------------------------------------- 1- $ . as est -Meters Tagged: Gas -Electric - - ----------------------- - ------------ ter & Sew r Connected -C/O to Grade -HD Approval - ----- ----- - ------------------------ -- --- ne gy mpliance Certificate -Other Certificates ------ ---- - --------------- ---- - -- ------------------ -- --- -- Date 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: 4-- J=OK 'O =Not OK Not = Not Readyable 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas: Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card 8-1 Date Card Date -B-1 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. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card 6-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s I 1. Zoning Requirements -Setbacks -Easements 4. 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel f 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes- Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 • ..:.::.� � o..: •--•�i,,�.� .,ys--c�.�,..s� y.,�..y..v��+:a•a:�.:.�.....:r+,:...-�',,...._ .:-....�x...a'+,r•- ?ws+ 'F•�..+.v✓ ---s_ _i. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive i- Oroville, CA • (530) 538-7541 CORRECTION NOTICE IS41 1419 OWNER PERMIT NO. :a A routine inspection indicates that the following violations of butte county Ordinances exist at the above add ess and should be corrected. Please notice this office when correction of work is complete If ou have any questions pertaining to this matter, or need additional'explanation, please ontactythis office immediately. v " 1 rf rL .s (�. Q L OLT& o 2 eti A.zvc,of S 2 —n --d r4eolz v cvt 2 CL64A.1 Uy Cou If(Z W/ l2 I (//, .vr f2 Q u u -t ( L/Zi QL) 7`v 1 !'t /1 �s OylLD/ ,= 1 6. Date REV 10192 `7) 192oT xer 1zx7 ff2/a2 t w v �j /N sly LI CLh4tio� - 4 rzl�') J—C,w tle—g � -wv241s4 N I COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE 72- to73 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above ad ress and should be corrected. Please notify this office when correction of work is comple d. f you have any questions pertaining to this matter, or need additional explanation, please ntact this office immediately. G F i 1? 14 br -5/de or C� ro iZ��e,✓ Date C 01spector REV 10/92 I3 1y 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 q1 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 comp) ed. If you have any questions pertaining to this matter, or need additional explanation, please ontact this office immediately. Date, ' 1!� Inspector jj REV 10/92- 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 A t: CORRECTION NOTICE ►/� .1�5 / g 6 ? OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinan�cces exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. �ie G� Ivor- J" l9`P� 0,4,M,v AAhA_ J /Z (�fcPue�o t 13i1z (I V,J G O.�I Q LQ - d/'L ,i A, o T% c� /2r w Nr /.does C o-qdv4 e Date Q It Inspector REV 10/92y> COUNTY OF BUTTE . b t o 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 Cpl, ?C) 0 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, please contact this office immediately. M /jnk ( It C 5 Date 11)" 93 ) Inspector REV 10/92 l S' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 3 -t?2 PERMIT NO_ A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. n/ /-)/ -L_ J L. r nn t / A_ I w . A iC // Date ' S' a>1 Inspector L REV 11/81 f. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING VISION 7 County Center Drive - Oroville;-Cali%rnia 95965 - Telephone (916) 5 -7541 ll PE MIT NO (Rev. 12/96) APPLICATION AND PERMIT �- x ASSESSOR PARCEL NUMBERO 6 d O L/O - oy-L ZONINGBUILDING / © PERMIT OWNER ^ _ w ^ V � /� r TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS 0 ADDRESS `•i ' V CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ sZ-517 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS / R N led `y U Energy Plan Checking Fee $ 1�-Ae5v- RSC 4 $ PERMIT FEE $ 2. SZ7 LAT NO. SUBDIVISIONSNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFA Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _ ^ I t3 Go " q 2-- 7_0 73 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 LESS Main Service AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f r the following reason: l_., as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. BIDS. 3.5QFr. NEW CONS MULTI -OUTLET NON-RESID. C c @7.50 OWER APPARATUs a SINGLE OUTLET C1 R. Ex. Occup. OUTLET OR FIXTURES BAL @ 1.50 FIXED R Ex. Occup. OUTLETSPRESIDOEA 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, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the worker ' compensation provisions of section 3700 of the Labor Code, I shall forth I comply wi a provisions. Date Signature WApI414ault - caner ❑Contractor ❑ Age t-- An OSHA perm' is equiree for excavations over 5'0" deep and demolition or construction of structures o 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ co TT�IPE _3j�1 TOTAL FEE $ HAZ. I D. FEES IMP FLOOD CDF PARCEL PD HID 1 U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. y &" ate ate By ,/ �7 M PE MIT EXPIRES ON —� Date —T Receipt No. 2. T.37 I' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 • O.B.- I 1ii Bu. SIR ::gE. "..'O':::::::::. 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. r 1. I personally plan to provide the major labor and materials for construction of the proposed ro erty improvement: YESK NO[ ]. 2. I HAVEVJ HAVE NOT[ ] signed an application for a building permit for the proposed ork. 3. I have contracted with the followine person (firm) to nrnvide the nronmed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: / DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be. completed and returned to our office before we are permitted to issue the permit. May 1995 .2 .26 Dear Property Owner: An application for a building permit has been submitted it► 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. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Mav 1995' 2.27 r To: County of Butte . Department of Development Services Building Division I Mary E. Evans, owner/occupant of 12959 Doe Mill Road Forest Ranch, California also known as parcel #63-0442, authorize to convey all permits, including current permit #96-1860 92-2073, to James Douglas Smith, Jr. as of this day, August 20, 1997. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 5 41 RMIT NO. 38- APPLICATION AND PERMIT q �-`yP ASSESSOR PARCEL NUMBER 063-040-042 ZONING TM10 BUILDING PERMIT OWNER MARY EVANS TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 454 FOREST RANCH 95Q49-0454 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 52.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 19959 DOE MIII PERMITFEE $ 72.50 PLUMBING PERMIT Fling Fee 20.00 FOREST RANCH Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ]0 Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: 4TH RENEWAL /92-2073 (3RD RENEWAL — 95-1867 Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service E00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 I '/_7\1/h`/- 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 un �r penalty of perjury that I am exempt from the Contractors License L w for the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER SINGLE APPARATOUfLEr SUS ) 8 Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL .30 Ex. Occup. ( OUTLEE°Ts RES D.oEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby a&—under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth I h comply with t400se pro & ons. X Date E' — - ❑ Wner ❑ Contractor ❑ Agent nature f AAeqn An OSHA permitiredfor excavations over 5'0" deep and demolition or construction of structures ovories in height. Mobile Home Installation Fee 7T$ - Energy Inspection Fee Is VPE TOTAL FEE $ 72.50 HAZ. O. FEES IMP FLOOD 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 Date PERMITEXPIRESON 7/22/97 (Date) �y� Receipt No. SIG��.��! WHITE-D.D.S.-B.D. CANARY -ASS SOR PINK -INSPECTOR GOLDENROD -APPLICANT ..,'_ COUNTY OF BUTTE ' AUDITOR'S_CERTIFICATE;AND TREASURER'S RECEIPT 'ORdVILLE, CAM. _ .J.. ... il�....-n.i, ..- �-•-•'�.4... w.rrYhw :..�- - r+.Fr Nr.A•..3i�1... ,i. .. RECEIVED FROM TREAS41:....<' DATE 08 VIV .. .._ti ; ,ri�i'.i. �'.�, ' . �. k.:.:>v ...i�4..:_ � � ... ` r� _ �'Y{+�, r 7 �i�+�..,. .iaiiiia,+w:.. a...r• ." •-'',:+ DESCRIPTION ` INV# 4FUND FTITLE FUND :'DEPT . ``'ACCOUNT CAS f�"s. •J . t _.. i. ' CK#1005 AYERS'•'"' "-=PRIOR:SECURE :1001 r , :App'rove'd by -CONTROLLER .'AUDITOR B.y ; WDTTORf R IDEPUTY Page White=Treasurer "Pink -Auditor Canary=Depositor ;.Golden Rod=File TOTAL No. J67003 _ $-782.49 Y L4t Received „by: r ~'REAS RER BY TREASURER OR -DEPUTY 1 Of . M.6d g y /inn< MEMORANDUM TO: PU(�LlC_ VWof�-LS/ 0V ILD 10 C FROM:. COLLEEN BOTTINI, BUTTE COUNTY TREASURER SUBJECT: CREDIT DEPOSIT CHECK DATE: %-•')� \ I A check deposited by your department has been returned by the bank and cannot be redeposited. A copy of the check is enclosed. It will be charged back to you on a credit deposit with the next week. Within the next three working days, please provide the informa- tion as to which funds to charge. If we are not provided with the information from you, we will charge the check to the fund we feel is correct. You can then verify the credit deposit when received and if the fund is incorrect, process a transfer. The procedure has become necessary because of the lack of response to this memo by some departments and the time involved in making follow-up telephone calls. If you have any questions, please call me at (538-7576) ---------------------------------------------------------------- TO: COLLEEN BOTTINI--TREASURER'S OFFICE AMOUNT: MAKER: CHECK NO. FUND: NAME AND DEPARTMENT DATE: REV CODE: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT 6' /Y6 ASSESSOR PARCEL NUMBER 061-040-042 ZONING TM10 BUILDING PERMIT OWNER MARY EVANS TELIpHONE- 893-1260 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO 'RON 454, FOREST RANCH 95942-0454 CONTRACTOR'S NAME OWNER TELEPHONE 3RD KENEWAL CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee 1 FEE $ 52.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 12959 DOE MILL RD FOREST RANCH PERMITFEE $ 72.50 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF CK Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: 3RD RENEWAL/92-2073 (2ND RENEWAL/92-2073) Mobile Home I S I GI W 1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.'00 Main Service a OV OR LESS ( 2ooA OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 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 OCC" -SO. OR ADDNS. ( a ACC. BLDS. ) 3.52 Fr. NEW CONST.MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) BA2L 0 1.00 L SO Ex. Occup. ( OUTERPPLNS FIXED ) EA ) 5.00 ES D. Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing g 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 Vnf one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall ot 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 wor r compensation p3rovisions of section 3700 of the Labor Code, I shall fo I co ply witho e rovisions. bX _ _ Date _V — _ gnature o Are caner ❑ Contractor ❑ Agent An OSHA permit is req ired for excavations over 60" deep and dem (tion or construction of structures over ories in heigh 8S'� 'V)p71 S0 Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 72.50 HA2. 1 D. FEES I IMP I FLOOD CDF PARCEL PD HD I ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date v PERMITEXPIRESON 7-22-96 (Date) Receipt No. WHITE-D.D.S.-B.D. CANA Y -A SO PINK -INSPECTOR GOLDENROD -APPLICANT I Attention Property -Owner:- An 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 win. be issued until this verification is received. 1. I personally plan to provide the maj r 1 or and materials for construction of the proposed property improvement: YES, ]. 2. I HAVE HAVE NOT[ ] signed an application for a building permit for the proposed ork. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE:- CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ' ADDRESS PHONE TYPE OF WORK SIGNED: 1// - xPROPERTY OWNER: / SOCIAL SECURITY NUMBER: DATE: NOTE: This -owner -Builder Verification is required by Section 19831 and - 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear PropertyOwner: 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. SI cirrel Micha 1 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. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75PERMIT NO. APPLICATION AND PERMIT `� _"? ASSESSOR PARCEL NUMBER 063-040-042 TM -10 ZONING BUILDING PERMIT OWNER MARY COX TELEPHONE91260 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 454 FOREST RANCH 95942 2ND RE EWAL CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee 19 FEE$ 52-50 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 12959 DOE MILL RD PERMIT FEE $ 72.50 FOREST RANCH PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFXK Duplex Cl Mobilehome ❑ Other 2ND RENEWAL SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home _SJ G I W 1 @20.00 TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities ❑ Installation ❑ Other El Describe Work: 2ND RENEWAL OF 'R -P- 99-9073 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOVORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( a ACC. BLDS. ) SO. 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. �1 License No. Classification Ipli I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON•RESID. S ( BRANCH CIRCUIT ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20AL. @ 1.00 Ex. Occup.FIx ED APPWS. OR (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, • dgments, co ts, and expenses which may in any way accrue against said County onsequenc the nting of this permit. X Date Signature of A I nt - caner ❑ Contractor ❑ Agent An OSHA pe it is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 72.50 HAZ- D. FEES IMP FLOOD CDF PARCEL PO HD ISS 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. ,j� p' BY J��G�/ `7 Dae V (� PERMIT EXPIRES ON O 2� a lD.W Receipt No. / / � WHITE-D.D.S.-B.D. CA RY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE - OROVILLE,CALIFORNIA95965 -TELEPHONE (916)538-7541 PERMIT APPLICATION DATA SHEET OWNER A. P. No. W3 - Proposed Building Use 2 Building Inspector �_f Date fi:?' /% f At time of per it 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. . ....................................... . 72. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ................ t......................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements ' (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . Freanspeclonrequest 20. Pre -inspection for required. . to Building Inspedor (Date) 21. Contractor's license l"rmation. (No., Name Style, Classification) . .............. 't 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 . ....................................... . 2 6: `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. l 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pic p at office. Deliver with inspector. Other Parcel Creation Acreage Applicant ' Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air.Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required 'data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter 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 Denartmeni of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico. CA 95928 Ph: 916-891-2751 . OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement / -(yes or no) \L..e—'S . �12. 1(have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: 1 NOTE: Property Owner I , 1, Social Security Number Date Y— 1-7 -9 This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE DEFi`AR;TMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER - 063-040-042' - - ZONING' 7MI BUILDING PERMIT ` "Wry Cox TELEPHONE 893=12b0 so. FT. OCC. BUILDING VALUATIO OWNER'SMAILING ADDRESS P.O.' Box 454, Forest Ranch 95942 :- ST 'RF.151AL CONTRACTOR'S NAME Owner. ... TELEPHONE ;�. CONTRACTOR'S MAILING ADDRESS ,•, {,•t;, Fireplace CONSTRUCTION LENDER. UNKNO N•_ Total Valuation $ e•�`./ LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee 'Fee S v ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee - - a ' Energy Plan Checking Fee $ - ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee - $ �Sro PLUMBING. PERMIT Filing Fee -15.00 12959 Doe Mill Rd., Forest Ranch . ch rap - ; 5.00 e " I ar or heat pump':water heater 20.00 LOT NO. TSUBDIVISION NAME PARCE MAP Water piping 7.00 Each qas water heater or vent 7.00 =r = USE OF STRUCTURE nYt'_r rag® SF L:j-,'Duplex❑.' Mobilehome❑ Other to Living/Roof Fr ing SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK �New�V :Additii6nn ❑ Remodel ❑ Utilities ❑ Installation❑ " they ® u' :; >.� y at Renewal of B P #92-2073 4: ; Describe.°work:' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 a�;°� `T, i,; j •600V l . rs.r•.... - - kl.. OR LESS Main service = 18.50 r 2ooA OR LEss' CONTRACTORS LICENSE LAW' 1 declare under penalty ofperjury (check one): ±� ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force -and effect. 'License No. Classification )) LOU 1, as the owner, or my employees with wages as their. so l e.!compen- sation, will do the work, and the. structure is not intended"or offered for sale. (Sec. 7044) `40 ❑ I, as the owner, am exclusively contracting with Iicense'dlcontract- .�- ors. (Sec. 7044) ❑ I am exempt. under Sec. Business and Professions Code for this reason; "c• "E Main service 20GA.TO 1000At 37.50 NEW CONST. / DWELLING OCCUR a,) 3.60sa.tt. OR ADONS, l ACC. BLDGS. I NEW CONSTR. UL I -OUTLET NON-RESID BRANCH CIRC ITS 1 @ 5.00 (POWER APPARATUS sI SINGLE OUTLET CIR. Ex. Occup(ou TLETS OR FIXTURES F 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc.. Wiring 15.00 Permit Fee , 9 -1?� :WORKMEN'S COMPENSATION' INSURANCE: - I declare u�r der penalty of perjury (check one): �❑ The permit is for $100.00 (valuation) or less. <`,` ❑ I have placed on file. with the:County. of Butte Building, D' partment a Certificate of Workmen's Compensation Insurance or a.Certificate of Consent to Self -Insure. . • '11 E?' I shall not employ any person- " .iy. manner so as to beco m subject to the W. C. laws of•Calitornia. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply.'with such provisions or this permit shall be deemed revoked. :,y Contractor I MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee ; Contractor I certify that I have read this application and state that. the:-abovew.in#ormation is correct. I agree to comply to all County Ordinances and State..Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date V� •- Si nature of Applicant — owner 9 PP � Contractor ❑ Agent ❑ " i n OSHA permit is required for excavations over 5'0" deep and demolition or, -construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONSTT E TOTAL FEE $6.7,50 I HAz DFEES IMP I FLOOD CDF PARCEL I PO HD ISSU This permit is hereby issued under the applicable provi- sions of the -Butte County Code and/or resolutions to do , work indicated above for which fees have been ppid.! /bIRECTQWQF,—,PtJBLIC WORKS f I !` Date '! �! :, , PERMIT" -EXPIRES Date Receipt No. s1 ' ►;i _ ��` 341 WHITE-D.P.W.. YELLOW-ASDC730R. PINRk•I'NsPCcr0R. GOLDENROD -APPLICANT / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AD PERMIT PERMIT NO. 3— ASSESSOR PARCEL NUMBER 063-040-042 ZONING TM -10 BUILDING PERMIT `VM -y Cox TELEPHONE 893-1260 SQ. FT. OCC. BUILDING VALUATIO OWNER'S MAILING ADDRESS P.O. Box 454, Forest Ranch 95942 1ST RENEWAL CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee FT—Fee $ 52.50 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 67,50 PLUMBING PERMIT Filing Fee 15.00 Forest Ranch Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Convert torage SF EX Duplex❑ Mobilehome❑ Other to Living/Roof Framing SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G 1W @ 15.00 TYPE OF WORK New a Addition t__I Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: 1st Renewal of B.P. #92-2073 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200ATO1000AI 37.50 NTRACTORS LICENSE LAW I declare under peAtf perjury (check one): ❑ I am licensed under provisions of Cha7it. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for lh,ip reason NEW CONST. / DWELLING OCCUPM OR ADDNS. \ ACC. BLDGS. 3.60 sq.ft. NEw CONSTR ULT' -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 7RA FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.I EA .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — —JET—WORKMEN'S COMPENSATION INSURANCE I declare uvfler penalty of perjury check one): ❑ The permit is for $100.00 (va nation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against d Count in ns=nce the granting of this permit. Date O - 3— ! 3 Signature of Appli nt — Owner Co An OSHA permit i require or excevotions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 67,50 HAz 1 DFEES I IMP I FLOOD I CDF PARCEL I PD HD ISSU This permit is hereby issued under the sions of th utte County Code and/or `Mork in ca d abov .f r hich fee PIR P BLI BY PER PIKES Date applicable provi- re Iutionstodo h e been paid. KS 'Date Receipt No. y� 7GJ� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-338-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. ' Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no). �5 2. I. (have/have -not)` _ "-"•signed-an-appl cation- for a building permit' for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I --plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: C, Property Owner Social Security Number Date 5-3- 93 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. TO ' Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance V Owner . Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for. bedroom mobile home. Other NOTS sem• Sanitarian Date COUNTY OF BUTTE.,-DEARTMENT OF PUBLIC WORKS 7 County Center Drlde Orov'ille, California 95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT PERMIT NO. .ASSESSOR PARCEL NUM13EM 063-040-042 ZONING BUILDING PERMIT OWNER MARY COX TQELEPHONE �+ 3-1260 -SO. FT. OCC. BUILDING VALUATION 3 4 20 7,000 OWNER'S MAILING ADDRESS 80 OPEN 56 P.Q. BOX 454 FOREST RANCH 95942 CONTRACTOR'S NAME TELEPHONE nwNER C7 80 COVE 1,040 CONTRACTOR'S MAILING ADDRESS Fireplace "A." 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 105.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 52.50 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1 99S9 DOR KTT,T, ROAD FOREST RANCH 42 Permit fee $ 177.50 PLUMBING PERMIT Filing Fee 15.00 Each TrapMG@ 25.00 Solar or heat pump wat0 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping0 7.00 Each clas water heater USE OF STRUCTURE Gas piping system 1 - 0 Building sewer0 15.00 SFO Duplex❑ Mobilehome❑ Other Mobile Home S0 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Permit Fee $ 82.00 Describe work: CONVERT STORAGE TO LIVING t _ Contractor Rey(slw dF EDOF FekiwlllIja ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification NEW CONST. ( DWELLING OCCURM OR AODNS. ACC. BLDGS. / NEW CONSTFL ULT' -OUTLET NON.RESID BRANCH CIRC ITS POWER APPARATUS a (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 3.64sq.ft. t @ 5.00 20 @ 76 I, as the owner, or my employees with wages as their sole compen- Ex. Occup. OUTLETS (RESID )f2EAJ I 3.00 sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Temporary service Mobile Home Facilities IlVirin g 15.00 15.00Misc. 15.00 ❑ I am exempt under Sec. , Business and Professions Code SPP. ELECT 15.00 for this reason Permit Fee $ 41.30 — WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject Cooling g V C Hood 11.00 6.50 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Ventilation Permit Fee Contractor $ 35.00 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liab' ities, judgments, costs, and expenses which may in any way accrue again ai Co nt cons ce of the granting of this permit. X IF � -� {O` q?j Date Mobile Home Installation Fee $ Energy Inspection Fee $ 40.00 occ CONST TYPE TOTAL FEE $ 375.00 HAz DFEES IMP FLOOD CDF PARCEL PD HD Is vE ,/ This permit is hereby issued under the applicable provi- � Signature of A licant — Owner Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA ion of structur It Iver39 toriesar heigvhtions over S'0" deep and demolition or construct- work indic above for which fees have been paid. OF PUBLIC WORKS Receipt No. 11 918 .0 7 0 0 Date ZZ PERMIT EXPIRES Date %—ZZ –$ 3 WHITE-D.P.W., YELLOW-A59[Sg0 PINK -INSPECTOR, OOL EMROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle. California 95965 - Telephone: 916.'538-7541: APPLICATION AND PERMIT ASSESSOR PARCEL NU BER Z. zo! G BUILDING PERMIT OWNER Vx TELEPHONE SO. FT. OCC. BUILDING VALUATION A0 OWAILING ADO ESS _78 1prZ 9 CONT C O N /ter///'/Jr/ / TEL PH NE 15 �} / 'f -Q• CONTRACTORS MAILING ADDRESS Fireplace / CONSTRUCTION LENDER UNKNOWN Total Valuation $ / Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee V Z Energy Plan Checking Fee $ 20-m02.0' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 15.00 Each Trap 15 5.00 � Solar or he pump water heater 20.00 6)D - LOT LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 fO Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: �1 Permit Fee S Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO t000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ElI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y OR ADDNS. (ACC. BLDGS. 3.56sq.ft. NEW CONSTRESID. RANCHUL C. C. NO N.R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20X75 IIAL 464 FIXED APPLN5* Ex. Occup. OU LETS IRESID IK EA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 1 15.00 Misc. Wiring 9 15.00 Q Permit Fee s — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Heating Fee 15 0 CIL-D& Cooling g K ( r ou Hood 6.50 Ventilation PIFF Penult Fee Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Bu+te'ala'inst all liabilities, judgments, costs, and expenses which may �y way a rue agains s - ounty in consequence of the granting of thi arm .— X Dat ✓ �. Signature of Applicant — Owner ❑ Contractor ❑ Age t ❑ An OSHArequiredwork ion of structures t over 3 storiesinhe ghr ions er " de an o ' or construct- Mobile Home Installati ee Energy Inspection Fee f� s occ CONST TYPE TOTAL FEE HAz 0FEES IMP ['FLOOD COF PARCEL Po HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid/ DIRECTOR OF PUBLIC WORKS C/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER G o"k- A P �/ -(. -� Z Proposed Building Use �i/1/ %�d� �� Building Inspector Date rp Z - At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . .......... ............................ . 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and m nufactur is installation ' cogs_, 2 ets. .. . 1 ees of $ l �n...q h 9 G..�4............... 7 22 y2 I�ct) Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . lood elevation letter (100 year flood) by California Engineer. . 14.• Sanitation and plot plan approvals 14 / LD Health Department . ............ �(d 92 div 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... . 20. Pre -Inspection for to Building Ins Inspector required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner )....... .... . 24. Recorded copy of Agricultural Acknowledgement Statement . ................. . 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the qq mi , r cess as follows: Mail to owner. Mail to contractor. ✓ Telephonel5f J_Z&D and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant- Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Ai f,F'ollution Date Copy of plans sent Health Dept. Fire Dept. Other Date IN 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, des' ow�erwas advised of above required data by _ phone _ mail Counter by _ Date �O' %7' Contractor, esign , was advised of above required data by _ phone _ mai Counter by _ Date Plans checks per/ Date 7 '1. Plans approved by Date. R I Sets of plans o old_ in File cabinet AP folder Copy - Department of Public Works BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District _ _ _ Building Department No. A.P. Number —U7 Z""Jurisdiction city Count Property Owner Property Location/Address Subdivison Lot No. Residential Development � Sq. Footage No. of Living MHi Addition (Group R) Units Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) Building department R resentative Date (Floor Plans reviewed by School District Personnel) District Identification No. School District certifies that (Applicant) ,4e (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. _ '���GIU " �%� by payment of $ representing School District Representative square feet. 6 - Date Paid by Check Number _14- _ Remarks: `zu-eoJ 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 maybe subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) COUNTY.OF BUTTE - DEPARTMENT OF PUBLIC WORKS _ BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER A.P. NO PROPOSED BUILDING USE /�%�� DATE lv REC . # -DATE REC 1, School Distric Fees (paid at District Office) 2. Sheriff Fees - - (paid at Building Department) Residential .......... X unit amt.-,. Commercial(per sq.ft.) X _$ _ sq.ft. amt. 3. Urban Area Fees (paid at Building Department - Residential (per unit) X =$ # units amt. i Commerical(per sq.ft.) X `_$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) ,,,,,,,,,,,,,,,,,...+J 5. Drainage District Fees 1 (Contact Land Development) 6. Other 7-. Other - t,J At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE (f COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538_7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) Q % signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following.person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following. persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner . 44W Social Security Number Date �,` �,- q7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before.we are per- mitted to issue the permit. Owner ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE $I (Additions) E Permit # ' Floor, Area r u r-\, 1 Climate'Zone The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 16 APPLIES TO NEW AREA CEILING _ _ R-30� R-38. �WAhi �R=13�] R-19. FLOOR R-11 R-19 SLAB R-7 R-7, GLAZING U=.65`(DuaT) U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading'Coefficient WEST - .36 Shading Coefficient LOOSE FILL -INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING_16%_OF_AREA_PLUS–REMOVED_ GLAZING NEW HEATING, VENTILATING, -.AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS'SHOWN ON BACK OF THIS SHEET. OTHER 12/85 *1 HEATING, VENTILATING, AIR CONDITIONING *STE; (A) Hearing ❑ Central Gas Furnace 7. (brand and model number) SE Btu/hr (heating capacity). Q Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collecc4r brand and ft model number solar fraction collector area collector orientation collector tilt rated y-intercepc rated slope ❑ Other (describe) *1. (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) Q Electric Heat Pump . EER Btu/hr (cooling capacity at 95°F) Q Other (describe) DONMIC SLATER SYSTEM ❑ (A) Gas Only Gallons (brand and model number) (tank size) Q Heat Pump w/ElectricBackisp (brand and model number) Galloas 2 (tank size) ❑ * Active Solar (collector brand and model number) (rated y-intercepc) (rated slope) (solar fraction) 2 ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels Q other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Maoual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevacioo ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Su®er design temperature ', cooling load BTU *2 Submit T.I.P.S.E. chart -or ocher approved system (form #5) to documeat sizing of solar panels. ® DESIGN COMPLIANCE STATE[ENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California administration Code. SIGNATURE OF LNG DESIGNER0 APPLICANT _ ------------------__'-- . '' . | � . � � ----_-_'�-----_-__-_-'�� '� } -- _�-'_- �� `� ' �--__--_-_-_-_--_---- Zj TO 7 Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance % IMS 0,.#p IIJu ,, 63- ((- (,- Owner ZOmer Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Clearance for bedroom mobile home. Other NOTE * * * Water Supply _ JAI-/ 6 ^( Dat San tarian ' � as ,_,�.i�• '.� ,�, •i. Al ti ' vn,4 rs�,y6k a , t , r \t1oiCIS /�.�.OLO To. fi / tOAM (DDM j101 t K 'I` \ .. _ _ _sem / � � >• • =�a 1.r '�a F 00 In •, � o. a nuc } { ��... aj �'o �Ma i`11t 'VO 3`i} APPROVED Butte County Environmental Heolth ?i I?C ,, 2raftst 6v (015ymnw 1 v m9 Z ll'30152. Ff' We --o w ACC — N 6 rlA-M r o,J d; per. 70 SftjW ffo-O f(Ws LcOL!-. . CnCeID MPct COY P93YJ A6ICC-10 -RpC-�*5DN (,-6 (?- t-�M e-C-(kg(&J --fit I It k w kic, FeOU t eeYJ lz� 136, rKAg2.C.. PMPvnf- AcppAi nl `P T6Lo bt-�m 7b PUT C6KJT)KJU6vs @ 46 ``oc • AsLED V- w N- 6oNC- 11 -TO DN'6c.E 0 -m-ta: ft N'Pm (p Uv- I N - (-WO cv,-roti A im iD CO Krl NCC' -fYW(LfC- kp t �u 6 e pr �2t�,rn � �pc � � "rX'i S 14Cco7w�p l� T -� cAtC()LAn&6. I A(,s6 t -m itibeo Co*C 6v lttl� ��Cc -'il- 'l uE KJ600 A feAT64,m 6 D -e frM ONY W IlMQalkj Ib GD ALOAJ6 wins TNS C&cu(A 6NAS SU (ern i('S�0 b N W 'FP-P I tiCl PLML" S � IptYLSG DE's - 1JE�,�S j'J1.A►uCS Ue gkjN BV Ko fi rVo� 1wCL�ro� y wcNbcc,ut . r�r� _ we N ff-- P FD"" Pis f6 Y2- ON w WCOW uJ Pyre_ J- 13411 0 0- fOlneP UJAM f4OM f4wx- ftp X21 0192 15C-WeF (c 6J6�Q1, ��r i 2 � Q�yEs�t�6 z�GcNF_E72 Sa�YY� �r a cs - p -M j'�k is t- PJkq fi (CALC S BY:'( A `DATE: 11 - JOB I -JOB NO: 43-1'1 PAGE I OF I 4 NorthStar ENGINEERING Civil Engineers • Planners • Surveyors 20 DECLARATION DRIVE CHICO, CALIFORNIA 95926 916-893-1600 c=___-- Fo�ES T- c44�P l0 3 -'o¢ - 4-)- - )- - ,t.It►I�l o� - ,4 F _�a1,010) = 13.x., P5 ; _ ! ,T 1 11 pv'I (o, 0.c �13 •z PsF�\ 52 gK PAF -4401 i _ toq�llo I 7�o�ly 14 - _ Ir — - - i MI cc " MoX34257- R. C. E. 34257 ` I Reg. Expires 9-30-95 { - - - BUTTE COUATY 'BUILDING DEPARTMENT 1r0ED% COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 Mark & Mary Cox DATE December 8, 1992 -P.O. Box 454 Forest Ranch, CA 95942 _ RE: Revision of Permit #92-2073 A.P. # 063-040-042 With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. T— Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect: Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 1469 Humboldt Road, Chico 7 County Center Dr., Oroville Skyway & Elliott'Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy.of.agricultural.acknowledgement statement. 77 OTHER Engineering calculations submitted for revision to balloon framed wall requires framing details, drawn, signed and stamped by the engineer. Similarly, the calculations previously submitted for the bay window header and footing requires details, drawn, stamped, and signed by the engineer. Should you have any questions concerning the above, please contact Barbara Wilding of this office., between 3:00 and 5:00 pm weekdays. Yours very truly, William Cheff Director of Public Works J.F. Glander JFG/aj COUNTY OF BUTTE - DEPARTTMNT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 Nzy CM DATE 1:2, O BOX S4 _ RE:- f_:'E\J1Sl0N OT-- pz CM IT,# q2 2073 1=oeeoF e� 9 5942 A.P. #Q(Q3-OQO-042 With reference to the above subject: / / Attached is: L� Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans.and calcs.in by registered engineer or architect. Energy design including Street and drainage improvement pla6 approval from Land Development Section (DPW). sets of plans in accordance with the changes marked -.in -red. - Sanitation approval from Butte County Health bepartment at: 1469 Humboldt.Road, Chico. 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, . Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded, copy .of. agricultural_ acknowledgement statement.. _ (,(S►�,��'-�°. CkLC:ULAnn K Should you have any questions concerning the above, please contact of this office. Yours very truly, William Cheff Director of Public Works X..F. Glander JFG/aj Ij 95-*lz8'67-'B 063-04-0-042- ,EVANS, Mary 12959,Doe Mill Road, Forest Ranch Ord renewal/92-2073) I 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 . V5 Zy� /7,. ASSESSOR PARCEL NUMBER ZONING TM10 BUILDING PERMIT OWNER MARY EVANS TELEPHONE 891-1260 SO. FT. OCC. BUILDING VALUATION OWNERSMAHJNG ADDRESS 'Po BOX 454. FOREST RANCH 95942-0454 t CONTRACTOR'S NAME - 0W Tall TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee FEE $ 52.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 12959 DQE MILL RD, FOREST RANCH PERMITFEE $ 72.50 PLUMBING PERMIT Filing Fee 1 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL.,MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF CX Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 A. TYPE OF WORK y New ❑ Addition ❑ Remodel O Utilities ❑ Installation ❑ Other t` Describe Work: 3RD RENEWAL/92-2073 y, ; — - (2ND RENEWAL/922073) Mobile Home S I G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service / OOOV OR LESS 200. OR LESS ) 23.00 Main Service 200A To 1000A ) 46.00 �- LICENSED CONT R C.TOR'S EC RATION I hereby affirm under penalty of perj tat am ns under provisions of Chapter 9 (commencing with Section 7000) of Drvlsion 3 of the usiness and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for salet O 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 a ACC. ) SO. 3.5Q FT. CNS. -OUTBLDSLET NEW CONST. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS ) 97.50 EWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 ® 1.00 BAL .50 Ex. Occup. FIXED R ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code;- for the performance of the work for which this permit is issued. O 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: Carriertf . MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling .-• Hood 6.50 Ventilation ,>l � PERMITFEE S 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 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. ��_n_ Date D `? "— of Applic t -`f-Owner ❑ Contractor O 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 $ occ CONST. TYPE TOTAL FEE $ 72.50 -} HA2. I D. FEES IMP FLOOD I COF PARCEL PD HD I ISS 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 - dAA— 7-22-96 (Date) Receipt NO. WHITE-D.D.S.- .D. CANA Y -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • 1 - - Ff IDENTIALe •I 63-04- 42� C cJtS � 2442-91B,P,E,NI `�,`, tom, ,!A. � � ., , q COX, Mary ! 12959 Doe Mill Rd, Forest Ranch (gar conv to living, & addition) VOFF'I Cg r Address GAS • ' Meter By a ELECTRIC /� / Meter By— UL I t y 1 i 1 ' JOB FINALED (Date) i Signature �— 1 - ✓ =W)K»' ` •O =Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLO (PI OK except #'s 1. Zo tb ks- Ease men ts-Flood -Slope 2. F ., Ma' , Soils-Elec. )(Z 3., Ftg., c. Grnd.-/ /" Ftg. Depth <S;Ftg., or a Decks; Soils -Steel-/ /Ftg. Depth SlSfe-nwalls, Main; Steel -Bloc kouts-Wrapped 6. emwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; S el -Wrapped 8. Pi-Firepla Ftg.-Steel )2-3-flW.V.; Fitting- e 2 Way C/O -Sewer Test anchors - yard gas piping: size -test or -Regulator -Service Test T2. Electric; Underground 13"Pen arance- Mate ria l-Support- Ins. 114'. -Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Accessentilatio 16. Insulation Date [��O Card B-1 " Date 2 -3-q[ Card B-1 VSCZ� Date�{ Card B-1 �� Date Card B-1 Date_ PLUMBING (Permit).OK 4xcept a's 16. Water Htr.: Ven 17. Water Pioeffr Air -Baffle 18. D Fittings & chol-Nail Protection 19. er an; Te Fir t loor-Tub Access ----- T st Tub & r, Second Floor -Tub Access Gas Pipe; Size & Anchors ---------- ------------------------------------------------------ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B -t Date ELECTRICAL (Permit) OK except ti's 22. Fixture -& Transf mer Clearance -Ins. Protection -- - - 23. Elec. Receptacle Spacing=Lights & Switches at Doors 24. Size B es of Conduc s to led - ------------------------------ ---------------------- ------------- - ----------------------------- _ 25. Rome I led Close to -E g of Studs & C.J. ------- 26. Equip, r and made !Mech. Fastners-Bond Gas & Water -- - -------------- ----------------------------------------- 1, -- --- - -- - ----- 27. ppli nce Circ s i Itchen_&_Conductor Size!GFI 28 Abfeed Wire Si e / r ga Cu or AI-A.C.Wire Sizer ! ga _ _ u or AI - - ----e Circ-- - - -------------AI--------- Range Circ.. r ga Cu or AI -Oven Circ. / ! ga. Cu or AI. Insulated Neutral ❑ Yes ❑ No -- ---- - 30 Service -Riser Conductors & Ground -Main Disconnect--- -- -- ---------------------------------------------------------- 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 a ce t a's ----------- 34. -A. -C. -Ducts - Ducts Insulation & p rt t ---- ----- ----- - -r --------- -------------------- _ 35. Vent Fan: ove insulati n 36 Conde t a Overflow: rade 37 Furnan9b I :. Access- tr. ir-Return Air Vent 115 outlet ----------------------- - -- ----------------------------------- 38. - - Attic Access & Pla f urnance in Attic -------------- ------------------------------------------ -------------------------------------- Date Card B -t -----.--Date ------------- Card - 1----------- Date-------------ard B--------- -- Date Card B-1 Date Card B-1 Date FR NG (Plans) OK except H's 3 . Xs. Proper Material & Anchors - --- -Lool -------------------------------------- --------------- ------------- ----- 40. s Studs -Nailing. Spacing & Bracing -Plates -Sound --------------------------------------------------------- - -- 4 B ring Walls over Girders &Floor Nailing ------------ ---- - - --- - - - - -- -- - - - -- - - - ----- --- --- - - - --- - - -------- - ----- - - 42 ft Stop in Walls (rat proof) ------ ---------- ------------------------------------------- 4 Fire Stops: Furred Ceilings -Stairs -Chases -Tub ---------------------------------------- 4 ---- eaders & Beam -Size & Bearing Ingle & Duplex) &-1e FRAMING (Continued)- ��. 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits _---- - airs; W-a��Uv1ag - -Fi ' 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------------- - ng -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights- Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Dat Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Pla s) OK except k's 61.E . teps-Door & Sidelight Protection -Landings -- moke Detector ,[ 66. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ------------------- - - - om Exiting ____ __ Bro 6L-G-rl& Bath Fixtures & Tub Access -Spa __ 6�F.1�`rim & Sub anel; er Sizes & Labels --------- --------------------- 6A &tdlfs & Rails/ -------------------------- ------------- - 6 6 i VlEc. Outlets at Wood Panel: Int. & Ext. -- ----- - -- ---------- ----- ------ ---- 74Lixt. & Appliance: Grnd.-Air Gap -Cooking Clearance �ec. Outlets & Receptacles at Kit. Counter ------------ �- -- - -----------� -- 7 C. Du -c -t in Garage -Damper 74_.Al'r. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. _InnGGarage: Above Floor-Mech. Protection 7Z d Elec. & Mech._Equip. Listed for Location ------ -- 76-12,rek. Receptacles in Garage; (G.F.I.)-Romex Protection 7 I lation-Foam-Looked in Attic ❑ Yes 7kG,1'ard Rails & Deck -Const ruct ion- Post Caps 7 dn. Vents & Crawl Hole Door -Drainage & Wood -Earth _ Cle ranee Looked under Floor ❑ Yes AAR611owing instld. Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ----------------- - ------------------------ - - 8 own- oris BY�A C. Unit; Disconnect. Electrical, Plumbing 3 ents Above Roof; Plbg -Appliance-Fireplace.-Clearance to - Openings ape ---- d ter Well; -Disconnect. Electrical, Plumbing --- 85-Exte for Elec Trim G F.I. Receptacle -Underground 86-6en1 anon Throughout House - -'- - -- - - 87. aProtection _ - - - - - ------------------------------ ---- ------ "50, rections from ---Pr-e-v-iou=s- Inspections nspect-io- ns --- --------------------------------- ------------- 89. ---------------------------- 9D--W r ------- - _ & Sewer Connected -C/O to Grade -HD Approval - --_ Energy Compliance Certificate -Other Certificates Dat,,,It-&r B_t U - - - Date Card B-1 Date Card B-1 Date Card B-1 -- -------------------------------------------- - -- Date Card B-1 Date Card B-1 C------------------ omments at al_- ---- -- /tt Lit GL.t1`V r '✓ = OK O = Not OK = Not Applicable Not Ready 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat, or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 'N ` 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. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements `, 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Y .^ e..Y•yc., ft` M TELEPHONED PLEASE CALL I D.�1t,�.zUs ? y CAME TO SEEYOUEWILL�GALL 4*' f''/s'4 E. ¢ 3 AGAINx SO SEE YOU , ;WANTS m."�YFr gRUSH;i` h� y F RETURNEDfYOUR CAl L, SPECIALATTENTIONsM �: z MESSAGE Ak 12Q5a I(�l i 11 F7 SIGNS ` LITHO IN SAS - •TOPS *,F 3002S-' ' 4 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 .t 747 Elliott Road, Paradise— Phone: 872-6B07 t'•' CORRECTION NOTICE OWNER PERMIT NO. 3 A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office 4when correction o is completed. If you have any question pertaining to this matter, or additional explanation, pleasecontactthis office /immediately. XP_ I�.A .�� 0 Date—J/ � Inspector II E:1173C', I`rSTaLLATIC,r cE�7TFICATEE Building Owner ' , Building Permit T 2 qq7 q I Building Location IQq J -q � 0� Q DESC'.I?TIOY OF -MTSJL!LTI01T RC Cc Material Bra=d Name h:L=1=ess (inches) Ther? Res :stance (R value) ue) — j} E: RIOR WAL'r Brand vase Th.c:c=ess(inc�es) Thermal Resistance(R Value) CZE 7L. Z:TG Batt or Blar-kat ':�me Loose F:ll Type iic cess (laches) Area covered(ft. ) FLCOR, BT..:7= I= anal FLOOR, S'L.AB Material Thic:=ess(i=ches) width (itches ) r CUML A ZON -WALL ' - Bra=d Name Thermal Rasistance(R Value)_ Bra=d 1Taae . NZ L=:ber of Bags wt. per bag __lb. Thermal Resistance(?. Value)___ Brand Name Ther --al Ressta=ca(R Value) Bra=d Name .The^al Res sta=Ce(R Value)__ Mater=al Bra=d Name Thic_kmess(��ches) The: -..al Resistaace(R Value)__ i he_ eb? ca=ice that the above irsu?a tion vas i^stal_ad i= the above bu'-? d_=-, is consistent with approved building department plansandattac`ments'and forms with requirements of Chapter 2-53 of State of California Energy Requirement, Fr'4 :7E1`'�'lGW�iTcR S �:= COViR<,C_OR' S LIC: i4SG 170 , S.GZ73TD� OF I���LiT_ON 3PPZIC�OR DAi:. .i hereby certif7 the required features, devices, and equipment, .a5 shown on the aooroved Building Department plans and attac.°=ents have been installed and conform to the appli- ance standards and C:zapter 2-33 of the State of California Energy Lequirements. BUILDING CONTRACTOR/OWNER (Please Print) STATE CONT3ACTOR'S LICZ:4SE N0. ( FIE.*1 YAIIIE ) SIGNATURE OF BUILDING CONTRACTOR/OWN R HVAC FIRM NA!•LE/OWNL E3 (Please F-_nc) DATE STATE CONTRACTOR'S LICENSE 90. a,► . a. )4- SIGNA7dR£ OF MVAC CONTRACT WL4ZR DAin THIS CERT=: =CATE MUST BE ON FILE W17j THE 3UILDI'rG DEP1RT,-fE' 7 PRIOR TO. FINAL=N5?ECTIOIr aPPROv:.L I'MA COPY SHALLSE PCSLcD tJIT'dIV TTJE BUILDI?rG. c�Tj'='),IR�'7 YQCC COUNTY OF BUTTE - DEPAR PMENT OF PUBLIC WORKS 7 County Cenier Drive - Oroville, Califsrnia 95965 - Telephone: 916/538-7541 APPUOTIOW AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 63-04-42 ZO,'44NG ., TM -10 BUILDING PERMIT OWNER MARY COX TELEPHONE 893-1260 SO. FT. OCC. BUILDING VALUA ON 12 OWNER'S MA ING ADDRESS ® -54 16 MR 12,320 NTR R'S N AM B TELEPHONE TOR'S MAILING ADDRESS r" l0 Fireplace ,tA" 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 37,943 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 22 .00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 114.50 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 12959 DOE MILL ROAD FOREST RNCH Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5 00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New ❑ : Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: CONVERT M -R AND ADD NEW AREA OF 473 SQ F, Permit Fee $ 40 0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 0V OR LE 10000 AMP ORSLESS 10.00 0.0 Main service EA. ADO'L too AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 1PM� 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) OR ACDNS. ACC. BLDGS. yzQsgft 27.20 NEW NON.RESID R. BRANCH CIRCUITS 2.50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES AL20@@30 eALo FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 10.00 Mobile Home Facilities 15.00 Misc. H 9 15.00 Permit Fee $ 59.70 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIirig Fee 10.00 Heating WALL HEATER 6.00 Cooling g NONE Hood 3.00 3.00 Ventilation Permit it Fee $ 19.00 I Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabili les, judgments, costs, and expenses which may in any way accrue against d County ' onse nce of the granting of this per 't� X ! Date Signature of Ap cont - Owner Contractor ❑ Agent An OSHA permi is required for excavations over 5'0" deep and dem iti nor csiru t ion of structures over 3 stories in height.Lupo- v Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 occ CONST TYPE - TOT FEE $ 517.20 E HAz. cuA PARK scH FLo PAR Pq I Ho ISSUE This permit is hereby issued unaer the appiicabie provi- sions of the Butte County.Code and/or resolutions to do rk indicated abo for which fees have been paid. DI R LIC WORKS 0' B Date �^ PE IT EXPIRES Wate / / Receipt No. 96764 169.50 �IT/ ��cr_�3- p _WHITE-D.P.W.. YELLOW-ASBE330R. PINK -INSPECTOR. GOLDENROD-APFL ANToren-JI COUNTY OF BUTTE- D.EPARTMENjG OF,,,PUBLIC WORKS - BUILDINC. DIv-.I�ION cwt; 7 COUNTY CENTER DRIVE`OROVILJ_E, CALIFORNIA 95965 -TELEPHONE: 916/538-7541 Fig MIT APPI�,ICATION DATA SHEET Permit No. OWNER t�G A. P. No. 63 —cell— ZI Proposed Bui Icing UseL/_ f Z 6.(-: Building Inspector RoDate 4 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROV91D 1. All items have been submitted . .................................... _ 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. ,.5/Hazardous Material Form .......................................... y Energy Design Compliance and supporting documentation . Sif4N..t-oevn 5f 2-ct Statement of Intent for Non -Heated and AC Buildings .. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions — i"Fees of$7,.,��............................................ ?� J —�1/ (�j' 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ................................................. _ nk is U School District fees paid .............. 7— K, Sanitation approval from Ql iC-<9 Health Department City of Chico plumbing permit ..................................... 4 16. Plot plan and business license approval from City of ; (see City for other requirements) 17. Planning. approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for ��'� required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name -Style' classification) ... 22. Certificate of Workmans Compensation Insurance ................... 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization 26 ne 1- .� 7 34 9/ W 3d i/ 7. re- s ' tr When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at ?JEr office. Deliver w/inspector. Other urs Ca t +6 D -U, 2 s `ems S}i � Applicant .Date Co.py'of Hdz-Mat form sent Health Dept. Fire De Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By 1 The following data„mta * sub ed_ rior t permit issu (Circle new_4e olt.: lid• above).,, 1. Index permit for above items No. 2. Additional items required: .o oor9�Vt A �r—i'SnLKI1 10 eln i_S 1 •I•w f1 n t� y �h y Contractor, designer owner was advised of above required data by_phone---nail—counter by K. date _04,1/ Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by'YAA) Date 2S121 Plans Sets of plans on hold in. Copy—DPW File cabinet AP folder by %) Date TO BuiIflinaNDepartment FROM: Environmental Health SUBJECT: Sanitation Clearance 0Owner Location AP# Plan Approved for: Sewaqe Disposal Fold final for: Final clearance O.R. for: Clearance for bedroom mobile home. NOTE Other Water Supply Water Supply Water Supply Date San tarian COUNTY OF BUTTE = DtWARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telepnone: 916:"538-7541 APPLICATION AND PERMIT �[W PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT O WNERe TELEPHONE 893-1260 SO. FT. I OCC. BUILDING VALUATION OWNER'S MAILING AOORESS� P0 &ox 1-15 (ores- " Rfvch Ct SggZ 12 br& W-lez o CONTRACTOR'S NAME TONE W 0&6 CONTRpCTOR'3 MAILING lon ESS f e /1`T` Q 5� (V2_ iUNKNOWN Fireplace L OD CONSTRUCTION LENDER Total Valuation Is LENDER'S MAILING AOORESS ARCHITECT OR ENGINEER � LICENSE No. Filing Fee S 10.00 Permit Fee Plan Checking Fee $ � , Q $ O ARCHITECT OR ENGINEER'S MAILING AOORESS Energy Plan Checking Fee /is-. 00 Penalty S BUILOING AOORESS Permit fee $ 3 • 50 Jt-' Z PLUMBING PERMIT Filing Fee I 10.00 Each Trap s 2,00 &a Solar or heat pump water heater 20.00 LOT NO. ii SUBOIVISION NAME PARCEL MAP Water piping 55,00 s. 01) Each qas water heater or vent 5.00 S7.0() USE OF STRUCTURE SF Duplex[] Mobilehome[] Other SPECI FY Gas piping system 1 - 5 outlets 5,00 5-6() Building sewer 5.00 j 157,0 0 Mobile Home S I G I IN 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel jJ Utilities ❑ Installation❑ Other ❑ Describe work: &wee7- yl- R 4NO IW -6 J 1q25;4 0P L/7-3 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SS 6000 AMP OV OR R LESS Main service EA. AOO-L loo AMP 10.00 6r 00 1 2.50 9.0 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury p y p l y (check one): L_ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ElI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. Business and Professions Code for this reason New colvsT. (DWELLING o P.a' OR AOONS. ACC. SLOGS. I I2vz¢sgftl` r f, EW CONS TR. uL-l.ourL_T VON.RESIO BRANCH CIRC ITS 12.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) j Ex, Occup(OUTLe-rs OR FIXTURES j;; ;FIXE'° aj Ex. Occuo. OU LD TS PIRESIO 1REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee S WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becoe subject to the W. C. provisions of the Labor Code, you must forthwith complymwith such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FilingFee I 10.00 Heating d(L„ i Cooling N Hood 3,00 i3 Ventilation Permit Fee Contractor $ I I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Oate Signature of Applicant — Owner❑ Contractor C Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. -on of structures over 3 stones in heignt. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONS TrvPE TOTAL FEE S � �D i _UA i ~AHK ; ,C,,L ; FLo COF I I permit is hereby issued unser sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC 3v PERMIT EXPIRES Date the applicable prove- I resolutions to do have been paid. WORKS I Date S Receipt No. /6 76 Y% _ O/67,--" YELLOW- -58E330R. PiVx-9PLCT0 R, ; OLO[NROa-APPLA[ANr 91-02760. Return to DPW AGRICULTURAL.S AMMI�g OF ACKNOWLEDGEMENT '+ 1, FOR -RESSIDENTIAL "DEVELOPMENT Section 26-8.1 of the Butte County. Code requires this acknowledgement be recorded prior to issuance of a building permit. - The property described herein is adjacent 91-002760 :6, -Ree Fee 7.00 to land or included within an area zoned Check " 7.00 for agricultural purposes, and residents Recorded ; of this property may be subject to incon- Official Records ; veniences or discomfort arising from the County of use of agricultural chemicals, including, Butte but not limited to herbicides, pesticides, Candace J. Grubbs ; and fertilizers; and from the pursuit Recorder ; of agricultural operations including, 8:0,1am • 23 -Jan -91 VS 2 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All That real :property: -`situate in the County of Butte, State of California, described as follows: See description attached Date: La State of Calif. ) ) SS. County of Butte ) E2' OFFICIAL SEAL BARBARA EDGAR NOTARY PUBLIC - CALIFORNIA BUTTE COUNTY My Comm. Ex0eS Mar. 8,1991 PROPE Y OWNER l On this the 22 day of January , 19 91, before me, the undersigned Notary Public, personally appeared Mary E. Evans Personally known to me. [x Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. L/b Notary P.46lic DESCRIPTION 0 2 7 6-�.. w ORDER NO. BU -106353 MC ALL., THAT CERTAIN TE IN THE STATE OF AFOLLOWS CALIFORNIA, C OUId iY OFRBUTTEPRDESCRIBED AS ; PARCI:I, 1: R 'fill: 11012111fl-;Fs'1' QUi,1n.i:il UI' THE SOUTHEAST QUARTER OF ' c'P 418 FEET OF THENORTH418 FEET OF TILE EAST 627 FEET OF QUARTER OF SEC`i'IO14 8, 1't1E :;OU'1'111-J1::;'P QUARTER OF THE SOU'PIIEAST PO�Jtl;;tl II' 23 110R'I'H, i(ANGE 3 EAST, hi. U. B. & t1. PAGE 4 EWD OF DOCUMENT PAIM l:i,::l:,:l:l;'l' 1'Oii ItiGItI::SS AtlD t:G1:I::S.`� ANDI'OR PUBLIC UTILITIES All 1)E!;cI II11:1) AS FOI,I.O'�:`:;: R 'fill: 11012111fl-;Fs'1' QUi,1n.i:il UI' THE SOUTHEAST QUARTER OF 11012'1' 1 0�; OF "I:C"I'IUt! 1'01111: IIII' 23 t;Olt'I'ti, [tht:�i: 3 ;S'1', 11.0.11. & II., .At'JD MORE ti, { ,',It'I' IClJ1J+I:I,Y Uh::;CR1 fit:D AS F'OI.LOWS : A S'1'1: 1 1' U1' 1J�iJU 20-00 FEET Ill . WIDT11 LYING 10.00 FEET 014. EACH SIDE OF' '1'111: FOI.,L,()I•IItJG UI:SCItIBED CE14TERLIIIE: r COMMENCING AT THE SOUTIiEAST CORNER OF THE SOUTHWEST QUARTER OF CENTERLINE OF DOE ' THE SOUTHEASTQUARTER-OF SAID SECTION 8 IN THE NORTH 0 DEG.. 02' 30" ' MILL ROAD; TIIE14CE ALONG SAID CENTERLINE,. THE TRUE POINT OF BEGI14NING FOR THE $; i WEST, 1556.92 FEET TO HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF CENTERLINE BEGINNING AND ALONG THE CENTERLINE OF AN EXISTING' DRIVEWAY, SOUTH 51' 40" j..: 70 D.EG. 35' 35" WEST, • 156.17 FEET; THENCE .SOUTH 58 DEG. 06" 89.48 FEET; WEST,'94.28 FEET; THENCE 69 .DEG. 50' •WEST; 05' 22" WEST, 112.98 FEET; THENCE SOUTH 44 THENCE SOUTH 5.2 DEG. 06" WEST, 41.38 FEET TO THE SOUTH LINE OF THE NORTHWEST ,.: DEG. 36' QUARTER OF THE SOUTHEAST QUARTER OF SAID SECTION 8, AS' AN NORTH 418 FEET EASEMENT APPURTENANT TOTHE WEST 41.8 FEET OF THE SOUTHWEST QUARTER OF THE SOUTHEAST OF THE EAST 627 FEET OF TIIE 8,- TOWNSHIP 23 NORTH, RANGE 3 EAST, M.D.B. & (;::%• QUARTER OF SECTION MORE COMMONLY KNOWN AS 12959 DOE MILL ROAD, FOREST RANCH, J :+: M., CALIFORNIA, ASSESSORS PARCEL NUMBER 0G3-04-0-042-0, FOR PURPOSES WITH ALL OF A RIGHT OF WAY FOR INGRESS AND EGRESS TO FREELY PASS AS USED FOR MEANS OF CONVEYANCE AND FOR PUBLIC UTILITIES SO LONG 1•:. SAID PURPOSES. PAGE 4 EWD OF DOCUMENT ", I e � .. _ is -., ,y -r -. , •....,... Pr .?y{,�Y.,..,a,yi�ifi�3.,.:'`�a:tr'i�iiY�.,kf�,('"'t�`iy;�'•. ?I'�-r'r�]c'4�'4` �'r`r'�-.:rte`, .... .._ +r.-. r BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (Ome Form per Building) A.P. Number�/Building Department No.' School District C(/SfS / City D County Jurisdiction Property Owner /jA(Zy Project Location/Address -. Subdivision Lot Number Residential Development: a Sq. Footage /oro " # of iving MHI Addition (Group R) Units Commerca•1/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) ti Building Departmeint Representative Date (Floor Plans reviewed by School District Personnel) District Id No. 9a00S1P_ PCL al School District certifies that /V1 Dkur Applicant Name) (Phonel'*Number ) P 0, L �. eet ess '1 ,.(City) (State) (Zip Code) has complied with the requirement of Resolution No.. by the pay t of $ �f�. �iO ,representing VGVQ � square feet. ' r7l n lct� ScKool District Representative i Date PAID BY CHECK NO. ' . !� REMARKS: BANK NO This Certification is valid only upon the issuance •`' j of a Butte County/City of Chico Building Permit prior to 8/5/91. Building Permits issued on or after 8/5/91 are subject to re -certification and additional school fees of $1.00 per square foot of assessable space. � r department, pink—school district </003> -7,7 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, Cd 95965 PHONE: 916-538-75411 MARY COX P.O. BOX 454 FOREST'RNCH CA 95942 With reference to the above subject: / / Attached is: Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form OTHER DATE 8-6-91 RE: BUILDING PERMET APP. #2442-91 A.P. # 63-04-42 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in X Structural details in SEF RFT.OW Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. / X/ OTHER 9 f'.T.ARTFY THF STATFMFNT ON PLANS @ "RFVFRSF TS ONE 2 X 9-'X Ir+ `hR7 'TO FIT RETWEFN TIF SUPPORT AND RAFTER AND CONNECTED TO RAFTER WITH GALV. NAILING PLATE." PROVIDE TOP VIEW OF THIS AND SPECIFY "GALVANIZED NAILING PLATE" CONNECTION TO RAFTER AND CONNECTION TO WALL TOP PLATES. _ 3. PROVIDE_ ADDITIONAI._CROSS SECTION OF BEDROOM AREA IF ROOF FRAMING IS DIFFERENT FROM REVISION SUBMITTED (ie -IF 8' CEILING WILL BE USED) Should you have any questions concerning the above, please contact B. WILDING of this office. Yours very trul , William Cheff Director of Public Works J.F. Glander JFG/aj Chief Building Inspector FO R M 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner 1')AP-1( COY Climate Zone I) Permit # 24 h 0- 91 Floor Area 1()!a9 The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. ''Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 APPLIES TO NEW AREA SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE -FILL INSULATION (Density) ZONE 16 R-38 R-19 R-19 R-7 U-.65 (Dual) INFILTRATION CONTROL (Weatherstrip_.doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 IG_HTING KITCHEN-&-BATH-NOT LESS -THAN -25 LUMENS/WATT ftuoeEscoff sfca'o Fcg-- GeNErgA4L llGl TIQr, IMUM GLAZING_16%_OF A-REA P-L-U-S-R-EMOVED-GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 ICEILING R-3 WALL R-11 SLAB R-7 GLAZING U7.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE -FILL INSULATION (Density) ZONE 16 R-38 R-19 R-19 R-7 U-.65 (Dual) INFILTRATION CONTROL (Weatherstrip_.doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 IG_HTING KITCHEN-&-BATH-NOT LESS -THAN -25 LUMENS/WATT ftuoeEscoff sfca'o Fcg-- GeNErgA4L llGl TIQr, IMUM GLAZING_16%_OF A-REA P-L-U-S-R-EMOVED-GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 *','..'HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heating - - ❑ Central Gas. Furnace � 7< (brand and -model number) SE Btu/hr. (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept ❑ Other *1(describe) (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup . (brand and model number) Gallons 2 (tank size) j3* Active Solar (collector brand and model number) (ratedy-intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature _*,.elevation ', heating load BTU elevation factor x heating load a maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P.S.i chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE OF BUILDING DESIGNER OR APPLICANT MdF FOR M 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner (�� �%� Climate Zone Permit # Floor Area The following data.showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 16 APPLIES TO NEW AREA CEILING R-30 R-38 WALL R-11 R-19 FLOOR R-11 R-19 SLAB R-7 R-7 GLAZING U-.65 (Dual) U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip:.doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 *1 ., . HEATING, VENTILATING, AIR CONDITION_I_NG SYSTEM (A) Heating ❑ Central Gas Furnace (brand and model number) SE Btu/hr. (heating capacity) Q Heat Pump (brand and.model number) ACOP` Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) (B) (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑. • (A) Gas Only Gallons (brand and model number) . (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) Q * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load m maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: T_he above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE F BU LNG DESIGNER 0 APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. s Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit.• No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. )-1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5.- I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social SecMrit Number Date N, NOTE: This Owner -Builder Verification is sent to you as(required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner 'nn at2q [p)( Climate Zone Permit # 244-2- 91 Floor Area l089 The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house: moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. SHADING SOUTH - OPTIMUM OVERHANG or ZONE 11 ZONE 16 APPLIES TO NEW AREA WEST - .36 �CEII:ING R-30 R-38 WALL R-11 R-19 FLOOR R-1.1 R-19 SLAB R-7 R-7 GLAZING _ U-_65 (Dual) U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip -.doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN=& -BATH -NOT LESS THAN-2.5-LUMENS/WATT�F�UoeEsc�nrr �Eo'o MAXIMUM GLAZING PLUS REMOVED NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 0 *1 HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas.Furnace (brand and-model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y-intercept rated slope ❑ Other. (describe) *1. (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) p C,* Active Solar (collector brand and model number) (ratedy-intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels D Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperaturecooling load BTU *2 Submit T.I.P.S.E. chart"or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE OF BUILDING DESIGNER OR APPLICANT COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS 7 County Center Dr:,ve, Oroville, CA 95965 MARY COX P.O. BOX 454 FOREST RNCH CA 95942 With reference to the above subject: / / Attached is: PHONE: 916-7138-7:-1 DATE 8-6-91 RE: BUILDING PERMET APP. #2442-91 A.P. # 63-04-42 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: .Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in X Structural details in SF.F RRT,ow Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. / X/ OTHER 1 SUBMTT T)FTATT.(1F rnbJXPCTTpN nv RA TEP TT TO wn�s aun 9_ rT.ARTFY TRF. STATF.MFNT nN PLANS "RFVFRSF IS ONE 2 X 8 X 14 TRIMMED TO FIT _ RFTWFFN TTF STIPPORT AND RAFTER AND CONNECTED TO RAFTER WITH GALV. NAILING PLATF." PROVIDE TOP VIEW OF THIS AND SPECIFY "GALVANIZED NAILING PLATE" CONNECTION TO RAFTER AND CONNECTION TO WALL TOP PLATES. 3. PROVIDE ADDITIONAL CROSS SECTION OF BEDROOM AREA IF ROOF FRAMING IS DIFFERENT FROM REVISION SUBMITTED (ie -IF 8' CEILING WILL BE USED) Should you have any questions concerning the above, please contact B. WILDING of this office. MEOW M}; Yours very truly, William Cheff Director of Public Works J.F. Glander JFG/aj Chief Building Inspector 00 r 1 1vE: t,:�` 6C�r-nn(nS - --,t6 c , a u� r Z.. m 070-8 N m� I Pi a u� m Z.. m N m� I Pi PZ o.➢ L w N o ��t c II J► _ i I X s 4 m C u� m Z.. m N m� I N c Z O —I X s 4 m C SEP -10-1991 07:35 FROM NORTHSTAI ENG TO 1-53e2140 P.03 43rrl 0,_1 of P.,, -,F rF-.2; Ti F- rn- vjr-L� L, 14 r 7r- 14 U- T� ZA-r-TEr PPc F 7 t s, G)- oto ............ R. C. E. Re-- .,. Exp:.-cs 9-30-91 5,1 r -I FPS --t' (4 ,LAC.;-: "U4;T SF- T, I'Ly. '17 Gtr 7=lP .. ii c—T'Uc> WArt-L. C � f� Y 1 �t~� 2/ TOTAL P..03 SEF -10-1991 07:34 FROM Ni iRTHSTAR EHG TO 1-55Z,802140 P.02 i a r{ I' 1 R. C. E. "425 Reg. E.,T- 940-91 SEP -10-1991 07:35 FROM NORTHSTAF""ENG'­ 0 I OF R,.FrP-z I L; tp! oi-j, 1-5:382140 P.03 r- Z - r -4-- teal Pl ft F. r". E. !7--41�57 a IZ E TOTAL P.03 SEP -10-1991 07:34 FROM INCIRTHSTAR ENG 1-5382140 P.01 ENGINEERING Civil Engineers * Plannm - Surveyors FAX TRANSMITTAL SHEET nATF, J01; SEND T02 Marnp- F - J Company FAX # REGARDING: 2-1 0,6 4 FROM; Name f`'l K -- Company NORTHSTAR ENGINEERING Phone # (916) 893-1600 FAX # (916) 893-1-113 AttentiOn: NorthStar. Engineering The following transmission consists of this number of sheets, including this transmission sheet: letter size sheets legal size sheets 20 L)OAAHLA I 1UN UHIVE CHIM, CALIFORMA 95926 916-893.1600 f 0 w Ir,y'`b��y"v-at. �,.+`'y,•f�r'�fr�+lr � �:-;� 4'4,� ��� �w� ` ��r����*��*,t'Y�ft'.s��'v,G��+�v "y,�'� �"��" ""Lt"`�`�'v`''Z'H fry`_ '� ..,:t ♦ � i,,�,• :,. 7,.lf7 COUNTY OF BUTTE - DEPARTMEI OF PUBLIC WORKS 7 County Center Drive, Orovill-e, California 95965 Telephone: .538-7541 APPLICATION FOR SPECIAL INSPECTION i Owner ��� `�/V�Jn/J A.P. No. �3 - 0 `� - 0 `/Z Mailing Address �i ��� /�L� `ol�it'�f/ /Q,Rwi(Te1ephone No. g 5 3- ! Z 6® Applicant /,klR `/ /✓S Telephone No. Mailing Address p �� r y� �� �� tjC10— Building Location 2 5 / .46F ' i), )or 0/4FS r - �i9r✓C6/� I hereby request a special inspection of the following building: 1. Dwelling (if only a portion, specify) 0 2. Apartment House (if only a portion, specify) 3. Commercial (specify present occupancy) 4. • Other (specify) I,am requesting a special inspection for the purpose of: 0 1. Moving the building. 2. Financing (specify agency) Case No. 3. Change of occupancy to © 4. Other (specify)5�6�+r�}' �o.�o,iia�.IS _ �y� S�-�.�el�•ees� #0We*4LP ✓5 I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations ;,or' repairs required by the County of Butte, as a result of this inspec- tion, to comply wth'building and housing code requirements. I also certify that prior to the use. or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, -I wild complete the above required corrections, alterations, or repairs within 30 days. I certify that I have read and hereby- authorize repre: mentioned :14roperty fori nsp74 gnature'of Owner Fee Paid $ �,JQJ/ ci this application and state the above information is correct entatives';;-'of the County of Butte to enter upon the above - tion purposes. t .E 1st-DPW/2nd-Inspector/3rd-Applicant Date Receipt No. Mary Evans P.O. Box 454 Forest.Ranch, CA 95942 Dear Ms. Evans: December,28, 1989 REF-1Special Inspection #67-89 U.P.-.'463-04-42) With reference to the above subject and.your•request;,for inspection of the second,.story addition and the garage and,other•additions to the first floor constructed by you, also remodel of;the exist n$I dwelling unit by a previous owner, located at 12959 Doe Mill."Road, Forest Ranch, the inspection was made on'December.20, 1989. The first and second story additionand , garage are iri the process of being constructed at this time and..'are ncomplete,with numerous portions of the structural, plumbing,•electriedl and mechanical items missing. Both the addition and remodel were•constructed without permits and the required inspections during construction. We therefore made a reasonable visual inspection without going under the floor and. found that the addition and remodel appear to conform to, the intent of .the code with the execption of the following items which must be done or resolved: 1.) Obtain approval from the Environmental Health Department for. water.and sewage disposal systems. 2).. Provide structural changes referred .to in,the North Star Engineering letter dated December 12, 1989. 3.) Verify all building systems conform toyapproved building plans after plan check including structural, heating, plumbing, electrical and energy. 4) Verify woodburning stove and class "A" chimney installed per approved listing. 5.) Remove or rewire lighting fixtures in existing house remodel to remove open splices and open wiring. 6.) Provide ground fault interupter in existing bathroom remodel.. 7) Provide guard rails at outside deck over thirty inches above grade.. 0 File No. BUTTE COUNTY (For Action 1, 2, 3) Public Works De t. - n P (For Information ) Director } Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. � Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Tran sp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. �D 4 Letter of Mary Evans (RE: Special Inspection #67-8.9, A.P. #63-04-42•) Page 2 December .28, 1989, 8) Relocate service entrance.cabie to outside first -floor addition. This inspection made.by the County does not ac,t`'as a guarantee or warranty os .to the_internal_soundness of said building., It is now in order for you to submit complete,plans of the existing house and addition in duplicate to this office including,;p1`ot plans, floor plans and structural details, apply for the required permits and pay the appropriate fees and peanities. The',permit..must, be obtained and the above listed' ite.ms completed within thirty (30) days of the date of this letter. Should ,you have any questions concerning this matter, please call Rod Taylor at.(916) 538-7541. .. >..".; Yours. very',truly. William` Chef Director of Public Works JFG:ds J.F. Glander Chief Building Inspector. cc: Assessor ,+ Environmental Health Department Building Inspector, Chico BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number -LIQ ^1/ -",—Building Department No. School District (/�.� /� City = County _Jurisdiction Property Owner 66Aj2- VAII S Project Location/Address 2175 7 L) /� /�,.�„ /�Z> Subdivision Residential Development: # of Living MHI Units f _ Lot Number aSq. Footage AdditionGrou ( p ) Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) Buildi g Department Representative Date (Floor Plans reviewed by School District Personnel) t District Id No. C^Uo' p School-- District certifies that (Applicant Name (Street Address r,or,e4 n� K 1 Phone Number) qEG qa- (City) ( State ) (Zip Code ) has complied with the requirements of Resolution No. 41c7-9 V by the pa ment of $�� representing tp square feet. 7 6 as 0 School District Representative Date PAID BY CHECK NO. BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COUNT+�Y OF. BUTTE - DEPARTMENT OF PUBLIC WORKS' ..� 7 County Center Drive - Orovllle, Cellfornla 95985 - Telephone: 918/538.7541' APPLICATION AND- PERMIT -AMSMSS" RokRCKL. NUMBER 63-04-4& ZONING TM10 r BUILDING PERMIT OWNER Evan89 TELEPHONE T e HONE �12� SQ. FT. OCC. BUILDINQ VALUATION est /�/� 500 OWNER'S MAILING E95 P 0 Box 454 Foreat Ranch 95942 CONTRACTOR'SNAME Joe Mello TELEPHONE 343-7867 CONTRACTOR'S MAILING ADDRESS 9857 Lott Rd Durham 95938 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 10.00 ARCHITECT OR ENGINEER LICENSE N0. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 12959 Doe Permit fee $ 20.00 PLUMBING PERMIT Filing Fee N 10.00 _. Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION AM PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE`O ZTRUCTr RE SF Duplex obilehomor���11 1-41ir / SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea YIIrP-` OF WORK New ❑�(in� , emoct�_y,� Utilities ❑ Installation Other �7�'\ Describe work: demo Permit Fee $ Contractor Contractor , ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): p y p I Y \ ) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification, ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) Q I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING oCCUP..) OR ACDNS. ACC. / '/zQsgft (-OUT LET NEW CONST R. RANCH CIRCUITS) NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex.Occup(OUTLETSOR FIXTURES 2t eAL0LO3o FIXED APLNS. Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. EJI haverplaced on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Ishall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and her y authori to representatives of the County of Butte to enter upon the above me)Droperty for inspection purposes. 1 also agree to save, indemnify and ee ) hla+r►ib$s'th County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sa -County in -consequence of the granting of this permit. X ��` i �. I f C I ` 1 o ate Signature of Applicant - Owner' Contractor [:] �ent ❑ t t An OSHA permit i•s required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ - 20.00 HAL. I CUA I PARK SCHL FLD cDF I PAR PD 1 HD ISj7 '/ This permit is hereby issued under the sions or the Butte County. Code and/or work Indic ted above for which fees l �t lRECW , F PUBLIC,% B y PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. ARKS. g Date t!f9 9 � / Receipt NO. 81362 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -IN9P -INSPECTOR. GOLDENROD -APPLICANT Ok Inter -De art Ontal•�Memorandum ' .y :fro U 2{ • FROM: C di'i1 ✓ l r) e y ✓ L — �r/11 I/[ I;tz, /'/ZS✓�C %u SUBJECT: pY,� C�wClce doe DATE: (O — Ls- , 4 A C (e 4,a., c e ( C, �• �, e e oxo '!�. t `/l�o� e . C to rv,�a : s r 4vT13 D AT 11, S 7"v,� Q I�1P!!✓Pim 7'17. dk S 6YI-0 -c' 12 leJ P-07- 57 -UTSys -, . S t% e.� 1Jeg fed %l, �� !� L/ pu✓ � /"7 ke, �(/b��'fLr+ C(�(J�vi 2n COI�NG�.I ,�-d IFiLY1r �wNY% COUNTY OF BUTTE - DE15ARTMP-NT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMI NO. ASSESSOR PARCEL NUMBER 63-04-49m Z°NI" G. TM10 BUILDING PERMIT OWNERpp Maryvans TELEPHONE 893-1260 SQ.FT. OCC. BUILDING VALUATION est 500 OWNER'S MAILING ADDRESS P 0 Box 454 Forest Ranch 95942 CONTRACTOR'S NAME Joe Mello TELEPHONE 343-7867 CONTRACTOR'S MAILING ADDRESS 9857 Lott Rd Durham 95938 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 10.0® ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ 1 BUILDING ADDRESS 12959 Dop Mill Rond Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF MK Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W I h0-00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other 19 Describe work:— _ demo Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6011 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. I DWELLING OCCUP.ad OR AODNS. % ACG. BLDGS. , hQsgft NEW CONSTR.U U NO N•R ESID BRANNCCHH CIRCUITS) ITS 2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. EX. OCCU o p UTLETS OR FIXTURES 20®e/e .ALO 30 FIXED APPLINIS Ex. OCCUp. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Ishall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 9 Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against liabil' ies, judgmentsses which may in any way accrue agai s d Countyanting of this per it. XIC" Signature of App i ant — Owne Contractor ❑ Agent ❑ An OSHA permi s required for excavations over 5'0" deep and demolition or construct- ion of structures ver 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ [THAZ. CONST TYPE TOTAL FEE $ E 2000all cuA PARx scHL FLD PAR PD I -PUTT This permit is hereby issued under the sions of the Butte County. Code and/or work indic ted above for which fees IREC PUvloyate JJh Al W. BY&914 PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. RKS Receipt No. 83362 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916:`538-7541 APPLICATION,AND PERMIT E MIT NO, _q 9 ASS ESSO PARCEL NUM�BEJ� r OWNER -,� - ^ x/5 ZONING m ID TELEPHONE g) I, BUILDING PERMIT SO. FT. OCC.1 BUI DIN ALUATION OWNER MAI NG ADDRESS CONTgACTO NME TE PD� f_Vm HON CON bTOR'S MAILI GADDSS`5 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 10.00 Permit Fee Checking Fee $ /10106)Plan $ ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS Z -Dv� h4 / L (- 92D Energy Plan Checking Fee $ j Penalty Permit fee $ f $ U, PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO.TUBDIVISION NAME PARCEL MAP Water piping 500 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other //�� 7 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JTFG W 0.00 e TYPE OF WORK New Addition ❑ RReejmodeI Utilities Instaalllation❑ Other Describe work: v D`7 y�%2 Z SLZ -C% Permit Fee $ Contractor ELECTRICAL PERMIT ing Fee 10.00 Fil601 OR Main service 100 AMP ORSLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Cha t. 9, Div. 3 of the Business p and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.eI OR ADONS. ACC. BLDGS. ) /z¢sgit NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CI RC ITS 2.SOea POWER APPARATUS e) SINGLE OUTLET CIR. / EX. OCCUp\OUTLETS OR FIXTURES 20(950t e AL01 30C FIXED APPLES. OR EX. Occup. OUTLETS IRESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ e WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FilingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for•inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee occ CONST TYPE TOTAL FEE $ �Q� HAZ CUA PARK SCHL FLD PAR PO HO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS - Date _ Receipt No. F91-) (n2, WHITE-D.P.W., FELLOW-ASSCSSOR-- PINK -INSPECTOR. GOLDENROD -APPLICANT GJGa vi �� C�� ,� AWt,lc�� A-4 56, i �j Mary Evans P.O. Box 454 Forest Ranch, CA 95942 Suite Coun, LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE. CALIFORNIA 95965 Telephone: (916) 538-7541 December 28, 1989 RONALD D. McELROY Deputy Director RE'-: Special Inspection #67-89- (A.P. #63-04-42) Dear Ms. Evans: With reference to the above subject and your request for inspection of the second story addition and the garage and other additions to the first floor constructed by you, also remodel of the existing dwelling unit by a previous owner, located at 12959 Doe Mill Road, Forest Ranch, the inspection was made on December 20, 1989. The first and second story addition and garage are in the process of being -constructed at this time and are incomplete with numerous portions .,' of the structural, plumbing, electrical and mechanical items missing..... Both the addition and remodel were constructed without permits and.the required inspections during construction. We therefore made a reasonable visual inspection without going under the floor and found that*the addition and remodel appear to conform to the . intent of the code with the execption of the following items which must - -- be-done or resolved: , 1 Obtain approval from the Environmental Health -Department for �watand sewage disposal systems. Provide structural changes referred to in the -North Star Engineering let 'dated December 12, 1989. "3 Verify all building systems.conform to approved building plans after plan check including structural, heating, plumbing, electrical and energy. o urnin a anc c ass c imney installed per • �F i,-•, �`� l i cti n� 5) Remove or ng fixtures in exist ng house remodel to remove open splices and open wiring. ( ? 6 erupter in existing bathroom remodel. a outside ecc over thirty inches above grade. Letter of Mary Evans (RE: Special Inspection #67-89, A.P. #63-04-42.) Page 2 December 28, 1989. 8) Relocate service entrance.cable to outside first floor addition. This inspection made by the County does not act as a guarantee or warranty as to the internal soundness of said building. It is now in order for you to submit complete plans of the existing house and addition in duplicate to this office including plot plans, floor plans and structural details, apply for the required permits and pay the appropriate fees and peanities. The permit must be obtained and the.above listed items completed within thirty (30) days of the date of this letter. .. Should you have any questions concerning this matter, please call Rod Taylor at (916).538-7541. Yours.'very truly, William Cheff' Director of Public Works JFG:ds J.F. Glander - Chief Building Inspector - cc: Assessor -' Environmental Health • Department �i�d �4� 4a«1JQs#z� M- benu°zfi wna�as4orcme CLAIMANT: ADDRESS: . t. A eaud* q J3uue OROVILLE, CALIFORNIA GENERAL CLAIM Mary Evans P.O. Box 454 CITY & STATE: Forest Ranch, CA 95942-454 IMPORTANT: February 25, 1991 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner decided not to do work. Permit #242-90B, AP#63-04-42, Receipt #58550, dated 1/25/90. Total Permit Fees Paid -------------------------------- $35.00 Retain Building Permit Filing Fee--------------------- 10.00 TOTAL REFUND DUE-------------------------------------- 25.00 TOTAL $25 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have bee performed or delivered, and that this claim is true and correct as stated. Datedthis ........1.......... day of ............... ................ Calif. ............. ........ ..�.... .............................. Signet f Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specifie a ove have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Hoard Approval ❑ (Check one) for the same. Dated this ........ day of . February 19 91 at Oroville Calif. ........ ��e eed o�-..edl)epu�. DepExp Code 440-002 C oe 4210500 PAYABLE Const. rmits ....................................................................................................................................................................................... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY i DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO: INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSES OR PARCEL NUMBER ,© ZONING Q BUILDING PERMIT ow ME R �^ Ci TELEPHONE S0. FT. OCC.1 BUILDING VALUATION OW ER'5 MAILIN ADDRESS - 0. c,s-v ori S z ONTRACTOR'S NAME TEL PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 2s,r�d ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1 e Permit fee $ ,r© PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ OtheA Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 '}�- C'ST,�%—�Q Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license IS In full force and effect. License No. Classification Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) TK I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.e, OR A.D.S. ACC, BLDGS. 2Y20sqftNEW CONSTRMULTI-OUTLET NON•RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20@50C DAL@3o FIXED PR Ex. Occup. OUTLETS IRESIO.IEAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �l shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agre to save, indemnifyLkeep harmless the County of Butte against all I' b'li i s, judg en ostxpenses which may in any way accrueHAZ i C nt i ns q he granting of this permi . X ��7( Date Signature of Applico t Owner�j Contractor ❑ Agent ❑ An OSHA -permit is a uired for excavations over 5'0" deep and demolition or construct- ion of structures oveeJ' stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Dcc CONST TYPE ,pp�� TOTAL FEE $ . 0 6 CUA PARK SCHL FLD PAR PD HD Is uaga' Th;s permit is nereby issued under sions or the Butte County Code and/or work indicated above or which fees I ECTO OF BLIC By PERMIT EXPIRES Date _ the applicable pro vi - resolutions to io have been paid. WORKS Date —. ZS�—�! J—� Receipt No. �J� � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT - _rte„ .;� ' `s �`s`�A . \•' CLAIMANT: ADDRESS: eount$p. °f. Adte OROVILLE, CALIFORNIA GENERAL CLAIM Mary Cox (Evans) P.O. Box 454 CITY & STATE: Forest Ranch, CA 95942 IMPORTANT: Jul 19, 1991 SEE INSTRUCTIONS DATE OF CLAIM: y ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. BP#3671-90 MHU & 3672-90 MHI, AP 63-04-42 Receipt 74177 dated 10/19/90. Total Permit Fees Paid For BP;r3671-90--------------------- $97.50 Retain Plan Checking Fee ------------------------- $15.00 . Retain Plumbing Permit Filing Fee---------------- 10.00 Retain Electrical Permit Filing Fee-------------- 10.00 Total Permit ees etaine ------------------------------- 35.00 - TOTAL REFUND DUE ------------------------------------------ $62.50 I ------------------- Total Permit ees Paior 672-90 --------------------- $/U.UU Retain Retain Plan Checking Fee ------------------------- $15.00 e air building ermi i ing Fee---------------- iU.UU Total Permit Fees Retained-------------------------------- 25.00 I TOTAL REFUND DUE FOR BOTH PERMITS TOTAL $107 50 I, the undersigned, declare under penalty of perjury that the services or articles claim ha been rformed or delivered• and that this claim is true and correct as stated. , Dated this �=........................ day of ...;J' ��1. 19 ( at C�1fL�L (�, Calif. .......... • ......• ............................... ... ...... . ........ ... .......... ............................ Signature aim ant 1, the undersigned• hereby certify that. to the best of my knowledge, the services or articles specified e e have been performed or de- i livered and that there is a Budget Appropriation ❑ or Specific Board Approval E] (Check one) for&eame Dated this.........19th.........day of 1 91 Oroville`Jlll................ 9......,at .............................. . Cellf. ....................................................... Heed or Authorize eputy Dep`'440-002 4210500 Const Permits Code440-00.2 .................. Code ................................................PAYABLE FROM................................................................................. �' FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY j DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. fi�,,,�-d/ � �e �ve�=Fr � maw �� ia9s9 �6c/�,��� Z15��� ��� Gy- 959 TOP CHORD 2X4 FIR—LARCH #1 BBOT CHORD 2X4 FIR—LARCH #1 WEBS 2X4 FIR—LARCH STANDARD •'ONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH` REQUIREMENTS OF I.C.B.O. RESEARCH REPORT #2949. ALL PLATES ARE CENTERED ON JOINT UNLESS OTHERWISE INDICATED. .SEE ORWGS. 130 S 160/16OA—F FOR TYP. PLATE LOCATION DETAILS. NOTE: 2X4 J3 HEM—FIR OR BETTER CONTINUOUS LATERAL BOTTOM CHORD BRACING @ 72" MAX. O.C. REGUIREO. ATTACH WITH 2-164 NAILS. BRACING IS NOT REOUIRED IF A RIGID CEILING IS 10 TACHED DIRECTLY SUPPLIED AND.ATTACHEDTAT BOTDHENDSRTGMATERIALNG OIASUITABLE BE ISUPPORT BY ERECTION CONTRACTOR. 2.5X4 (F1 12. Km 1.5X4 4X4 'U rKum L.V(,t Vrr.n I --Yl 1tYr.VJ u YArL.•.J. �••�'_� TC X—L0C L—R: 0.29 4.57 6.99 13.46 n D BC X—LOC L—R: 0.29 4.57 8.99 13.46 N (U) BOTTOM CHORD CHECKED FOR 10 PSF LIVE LOAD. r TOP CHORD SHALL BE LATERALLY BRACED WITH PROPERLY CONNECTED PVHLINS SPACED AT A MAXIMUM OF 24" O.C. CONNECTOR PLATES DESIGNED FOR GREEN LUMBER PER NDS -u TABLE 8.1B. " . rn U) v 2.5X4 12.001 t 2-6-9 Q 6.00 6.00 12 6X6 1z x 2X4 w 0_ 0-8-0 8-11-14j4-9-2 z 8-11-14 4-9-2 13-9-0 OVER 2'SUPPORTS R-445: N- 5.50' R-4091 W- 5.50' 0= ,J,):T: TYP.-ALPINE SEON--163059 FURNISH A COPY OF THIS DESIGN TO ERECTION CONT ;4 Tlcot aLleLE ..t s[ouzm [nwm cut � o r= L= ooX*IMPORTANT**JMrttE�atsuF9f CYrAeIMfi+,auw. {IEcTlam em ('T)� O = O -t= RvlarltN I19t 71@ tfvFrJrIC•tl0rs V4 Yri OETI+t19L F 6MC7 .@ 91 pry F47L9E rV OUJLV Tri TOM IN t:9F0nHVCF Gf""O&ro ALO r�cpF"DAT194-+Toil. [F[ " " -/I_ -,�`L T .7 p t� C:7 O O t� TRIG 0[EITM WITH TK 'RWtTT %Ilse,tp t+F'16tr' H Ipl. ALPIt( C09ECTSIS M$ Ritt7i Fort R1aITJ9ML ?eC1N. IRtst►- �= C 1= p .R . Rmr&cr'mu I m" " %Aum my&"ll0 11TQL ►Ort 6wGri FC9fOr00yR. Htl[Stt QtriMW tAI M W"EV CA Cl =J aLPIN a OT1trMI[E vO+c rti fJr4 aCwIs<TtJrtS L► /sw i.re WYE A. STAR rm C Wo %ALL 6e tI rT.T[ rrlTn tT .TT,OEO rLTcoto seartlq . com TRUSS rJ SS YF►T ra-at*9rc >o tprc r•as ar uw rove uo DDw. IErart ■MING Yi A' rOPa XAL P&nd Dir OnSE SMM. OU1109 tN9V 1q TN RIGID ce1Up0 9r R+.Llri asla -r-p-as cawam nn- AMNAL[ -w-ma," 9 •s wmr2® w O[9ey. fD mi UK y -ii � .-tom +rot Jlto +TsI BCt1, Itc1Rt to TH rive KTNOW► "WAND Urecrt. 0 � / ' p G t= O CI •-. rvt •torics vtaTi 7nSrJTuT[, los . "ATI .-L tXSIW SKCI91CAII9r F9r -OCH C"TMCrltl• T= Ir. /ate i/ h REV 15.4.7 SCALE - 0.2500 DESIGN CRIT: UBC REF R427 --7087E TC LL 16.0 PSF DATE 06/ 18/91 TC DL 10.0 PSF DPWG CAUSR427 91169011 SC OL (U) 5.0 PSF CA—ENG t -;f ..4 TOT. u). 31 .0 PSF 0/A LEN. 13-9-0 DVR.FAC. 1.25 FIITCH 12.0 i2 SPACING 24.0" TYPE COMN-- I - ... COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - proville,'California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER '-6 3-0//-L/-2- 'IM-10BUILDING ZONING PERMIT OWNER Mary Evans TELEPHONE 893-1260 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 454, Forest Ranch 95942 , CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ AESS BuILDING 12959Doe Mill Road, Forest Ranch 95942 Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[g Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I GJWJ 0.00e 20.00 TYPE OF WORK New Addition Remodel El Utilities® Installation❑ Other ❑ Describe work: MHT1 Permit Fee $ 30,00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LE 0 AMP ORLESS10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM OR ADONS. ( ACC. BLDGS. I , 2/4sgft NEW CONSTR.MULTI-OUTLET NON•RESID BRANCH CIRC ITS 12.50 ea POWER APPARATUS &) -SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES 0ee0c ezAL(P30 Ex. Occup. FIXED APPLNS. OR OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 15.00 15.00 Permit Fee $ 52.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. )�I_I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 9 Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, c Sts, and expenses which may in any way accrueISSUE against s County i ;o uence of the granting of this permit. X Date 1G''( �i q r� Signature of Appl'c nt — Owner P Contractor ❑ Agent ❑ An OSHA permit i required for excavations over 5'0" deep and demolition or construct- ion of structures er 3 stories in height. Mobile Home Installation Fee $ Energy.l.nspection Fee $ occ CONST TYPE A TOTAL EE $ 97.50 .50 q pgRK FLD PA P HD This permit is hereby issued under sions of the Butte County Code and/or work indicated abo a for which fees DIRE OR UBLIC B CJ PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Zd Receipt No. 74177 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT fol: Building Department FROM: Encroachment Permit Section RE: 'Diiveway Clearance u� I1anS 2% "�-� ,Ua e Alld �,O- 2 owner location AP # Driveway permit /A,&ne 4edd has been issued for the above property. n b� ti/,'�,y ba w64 R -Z 7- sign/re sign re date TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance - VAS 2I" nue w";(I ". 4-?- Y-`� -- Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Final clearance O.K. for: Clearance for bedroom mobile home. NOTE * * * Other O Water Supply Water Supply San tarian Date �..�y�. ..r.1'r•'1l� . ...:3.,.;,..� •i'rttnii.,!;/� fr'�'f `i♦'r`�. e.:_. �!; r•'•'}F.�„1�..�...�-�i�!�:i�.--{4-yf4:^ti.�n :f �..,•'-+. �..i� �: �*" -i: *. " COUNTY OF BUTTE - 0,61PA•�R.eTME-NT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DIVE - OROVILL'E, CALIFORNIA 95965`- TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA;SHEET Permit No.� l/ ;-/ S t. OWNER A o / n Proposed Building Use /Y' V Building Inspector'' Date l Z At time of permit application, I was advised the following data must be submitted prior,to permit processing and/or issuance: / DATE RECEIVED APPROVED 1..AII items have been submitted. ........'.'........................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer.of plans 4. Complete engineered plans and calcs, with wet signature on plans .. —' . ��""► ���/�i`�"'t 5., Hazardous Material Form .. I ..` ..................................- •-6. Energy Design Compliance antd supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... ,/de 8. Engineered truss details and layout in duplicate (required prior to plan check) 0 I 9,. Mobilehome installation data including manufacturer's installation _ Instructions...........,..............:........................... lJCl�i/1 Ci !� 10. Fees of $ 11. Chico Urban Area fees paid ............` .................: 12." Park fees paid .......................... .................. ` 13- School District fees paid .........°:.... Sanitation approval from GH / G� Health Department 15. 'City of Chico plumbing permit .............................. 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... Improvements may be required. Contact Land Development Section DPW Driveway 1 - y permit (construction approval required prior to occupancy) t 20. Pre -Inspection for required Pre-Inspec.request to { Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance ................. . - =� T, Owner- BuiIder,Verification (Given to owner ❑, Mail to owner ❑) ..... i Recorded copy of Agricuk, ural Acknowledgment Statement ......... 25. Letter of signature authorization .... L L� 2 f w% � � �' o � E✓t When Vu issue the per i p e, s as follows: Ma,Lzt owner. Mail to contractor. �" '" Telephone and- hold for pickup at �- office. ) Deliver w. /inspector. Other �- Applicant / / .Date /o 1q Copy of Haz-Mat form sent Health Dept. Fire Dep _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. 11411 2. Additional items required:�A.A- . r T1 A0 Contractor, designer, owner, was advised of above required data by_phone--nail—counter by ..date Contractor, designer, owner, was advised of above required data•by_phone_mW_Date_��-�� unter by date Plans checked by Date Pans approved by ZSets of plans on hold in File cabinet AP folder Copy—DPW _COUNTY OF BUTTE.- Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-754.1 OWNER. -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. j 1. I personally plan to provide the major labor and materials for construction of / the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed wo . 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have.contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Nu ber Date l0' 1 V q'(7 H NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. w COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS V 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 - . APPLICATION AND PERMIT PERMIT NO. 3672-90 ASSESSOR PARCEL NUMBER -C ZONING TM10 BUILDING PERMIT OWNER TELEPHONE 8 3-1260 S0. FT. OCC. BUILDING VALUATION O N R' M I NG ADDRESS �nrpRt ()5942 "AnCh C N RAC OR'S NA E TELEPHONE N ACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 .Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 12959 Doe Mill Rd, Forest Ranch Permit tee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF SF Other [—I SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK rrYY New❑ Addition Remodel❑ Utilities❑ Installationt� Other❑ Describe work: MHT (MHU #3671-90) _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR01 OR LESS10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license Is In full force and effect. License No. Classification 1, as the Owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP.N OR ACDNS. (ACC. BLDGs. ) , 2/z¢sgft NEW CONSTRULTI.OUTLET NON•R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20@50C e ALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgmegr�t..� co , and expenses which may in any way accrue against s i County Ons a ce of the granting of this permit. Date 1 Signature of Appli -nt — Owner❑ Contractor ❑ Agent ❑ An OSHA permit required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 45.0 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 70.0 HAZ CUA PARK H FE PAR PD Ho IssuE .This This permit is hereby issued under of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 74177 WN1TE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC.WORKS - BUILDING DIVISION p,n ' 7 COUNTY CENTER DRIVE - OR�IILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 e ' o PERMIT APPLICATION DATA SHEET ^ Permit No. / OWNER /'� i/�,, V A,,/ C 6 A. o. -3��v� Z Proposed Building Use/ �l /� Building Inspector �1G Date 9d At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. .... .... .f ............ ........... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................... I............... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC"Buildings ... I............ Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation Instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ........................................ Park fees paid............................................f d .. C- 6/5 D School District fees paid ............. . Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement .........'' Letter of signature authorization . . . 7TH X O r % N �4!241)� W en you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. Other .� � /l�_ G' Applicant. GU "�I �, v(! .Date l' Copy of Haz-Mat form sent Health Dept. _Fire Dept. _Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above), 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by p ne__nall_counter by ..date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Plans approved by Date Sets of plans on,hold in File cabinet; AP folder Copy—DPW COUNTY OF BUTTE = Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-754.1 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. ` 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) S r 2. I (have/have not) signed an application for a building permit for the proposed word- 3. or c.3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. -I plan to provide portions of this work, but I have -hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the.work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date -J0 -/R' RO NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. CIO 'vAL, I a� NbrthStar 9WHREMMAWNROMM ENGINEERING Civil Engineers • Planners • Surveyors December 12, 1989 Mary Evans 12959 Doe Mill Road Forest Ranch, CA Ms. Evans: 6 3 - --) L( --v -L- Per Per your request, I performed an investigation of the structural integrity of your residence at 12959 Doe Mill Road. The inspection was performed on December 8, 1989, and consisted of approximately two hours of visual inspection and review of the building history. As best as I could tell, the original portion of the residence (the living room, kitchen, entry and bathroom) was not constructed under a building permit and does not meet current building code .requirements. In particular, the- foundation does not have proper clearance from the soil and there is -some damage to the underfloor framing from dryrot and possibly from termites. While the damage does not immediately threaten the structural integrity of the structure it has resulted in some differential settlement. This shows. up clearly in the uneven roof lines and floor. If this situation is not corrected, it could cause irreparable damage. I recommend that a new foundation meeting the current building department requirements be constructed for this portion of the residence. Some of the rafters in the original portion of the residence are rough, ungraded cedar poles that do not meet code requirements. Cedar is not typically used as structural lumber and these should be replaced. In addition, I do not think that the woodstove installation meets building department requirements and should be considered a hazard. As this is the only heat in the structure this renders the residence uninhabitable. The unfinished building addition (sunroom,_ master bedroom and upstairs) is structurally unsound and is in danger of collapse. It is my opinion that the residence is not safe for habitation unless substantial efforts are made to provide adequate bracing. It appears that the builder used portions of the existing structure to support the addition without adequately investigating whether or not this was physically possible. In so doing the integrity of the entire structure has been threatened as the added weight of. _20 DECLARATION DRIVE CHICO CALIFORNIA 95926 916-893-1600 A4 a'1 /L/<<8o3 c December 12, 1989 Page 2 of 2 the two-story addition is crushing the original building. The additional live load of a snowstorm could easily bring the structure down. Usually an addition of .this nature would be designed to stand alone without having to rely on the existing portion of the building. This is especially true with an existing structure that so obviously does not meet code requirements. .Unfortunately, there is not a simple solution to this problem. It will be necessary to construct additional footings, revise existing framing and provide adequate bearing (walls, posts, etc) to support the new addition where it meshes with the original structure. To properly assess the problems and prepare a salvage plan it will be necessary to remove wallcovering from some of the downstairs walls. This will require the assistance of a contractor as some bracing should be placed at the same time. The plan should be fairly complete so that you can get comprehensive bids from contractors and to gain approval from the.County Building Department. I must advise you to contact the Building Department as soon as possible. Not only is this dictated by law, but the Building Department can be a valuable source of advice and assistance. However, I would be willing to advise you on how best to install temporary bracing to stabilize the structure, without contacting the building department. I estimate that a complete salvage plan satisfactory to the Building Department will run approximately $2400.00 and the bracing assistance will be approximately $300.00. In addition to the major structural defects, the general condition of the construction is sloppy and poorly crafted and many code °violations are evident. Major bearing members in the addition have been installed with no support whatsoever, basic structural members are overspanned, etc. It is obvious that the builder did not have a firm concept.of basic building techniques and code requirements and, in my opinion, acted in a negligent and fraudulent manner. Please feel free to give me a call if you have any questions. cc: Kevin �O ?poFESS/p/,Q No. 034257 vl%t Sincerely, NORTHSTAR ENGINEERING Mark Adams RCE 34257 Exp 9-30-91 C,3— Alva July 27, 1990 Mary E. Evans P.O. Box 454 Forest Ranch, CA 95942 RE: Building Code Violations A.P. #: 63-04-42 129.59 Doe Mill Rd, Forest Ranch Dear Ms. Evans: This is a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows: Failure to obtain the required building permits and inspections for two story addition, garage addition and remodel. Failure to demolish illegal additions per pewit #242-90. Since permits and inspections are required for the above work, please contact this office within ten days of the date of this letter, submit two complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Please be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such compliance 'is not obtained. If voluntary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines, and the recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated. Should you have any questions concerning this matter, please contact Rod Taylor or Jim Glander of this office. Yours very truly, � vw, � _�J'A JFG:ds cc: Assessor Building Inspector William Cheff Director of Public Works J.F. Glander Chief Building Inspector File No. BUTTE COUNTY Q .; ,(.Fr Action 1, 2, 3) Public Works Dept. (For Information or ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards te_ Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub.B Pcl. Maps Permits Addr. ❑ Complaint -Date ❑ Other -Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT _ ZONING / /*� /0 Owner: M/4��lJr�S A. P. —'0�Z- Address: 2� � p�� «< 2'J �'U(Z�ij% WC A 'qJ��ZDate of Inspection Tenant: �� Inspector T�-YGv2 1 Building Location: j 2� � C( 001 14;1.4 R() Type of Inspection requested: 1. Housing 2. Financing J1 3. Change of Occupancy to 1� `. Work W/O Permit / / 5. Other (specify) Present use of building: 51,00 A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: WC2C-9D S70L"ft— 7. Natural light and ventilation: 8. Room and apace requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, Headroom, 1HR, Tolerance$,Handrails) 15. Comments: B. C. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof con 5. Fireplaces: 6. Elect_ 1. Service and ground: 2. Receptacles: , a- 440 f)V_ O 4(14k — Af O 3. Fusing: 4. Comments: C74 bmf Snl; C.h t t -V a 1 0 N /' �fZ�G C7"r} ADO, r1im- ( 04 4wo A -i M D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy; 7. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description); 3. What action recommended: �. A. Information only - file. B. Hold for ten days, then write letter. C. Write letter. D. Other: LAW OFFICES OF ALFRED W. DRISCOL. III 1339 ESPLANADE CHICO. CALIFORNIA 95926 (916) 345-8472 July 31, 1990 Butte County Department of Public Works 7 County Center Drive Oroville, CA 95965 RE: Building Code Violations A.P. #:63-04-42 12959 Doe Mill Rd., Forest Ranch Dear Mr. Glander: This letter will confirm our telephone conversation of July 31, 1990 wherein I advised of my efforts on behalf of Mary Evans concerning the above referenced residence. You have kindly agreed to defer any action pending conclusion of my current negotiations with her insurance carrier. I have.calendared this matter to my attention in thirty (30) days and will advise you of status at that time. Thank you very much for you courtesy and understanding of her difficult situation. Very my ours, l A DRISCOL, III AWD als cc: Mary Evans PRE -INSPECTION OWNER: co"X LOCATION: 129 5c) pp � HILL L F-0#10, Fn fzt 'F 11ZAtiCH DATE 7105-/9/ A. P. # (n 3 - d-4- 42 CONTRACTOR: ZONING -Tym - 10 PRE -INSPECTION FOR: 'TD � 4 C) u j M A U `1 1.1 U l u,6 O til l rc A-f_E div SITE DATE TO INSPECTOR -7a?9 Q PERMIT HISTORY: E NONE Ej AS FOLLOWS: i TYPE OF OCCUPANCY . C. FIELD - INFORMATION BUILDING USAGE: TENNANT: - M(l Lj cd . OCCUPIED n HAS ELECTRIC HAS GAS 1:::[ HAS SANITATION'FACILITIES u HEATED -COOLED PERSON CONTACTED OTHER COMMENTS: ACTION RECOMMENDED: ISSUE 0 HOLD FOR i� BY DATE __/ a / 9� Mary Evans P.O. Box 454 Forest Ranch, CA 95942 �ll fiZ Counh L A N D O F NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS . WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE. CALIFORNIA 95965 Telephone: (916) 538-7541 December 28, 1989 RONALD D. MCELROY Deputy Director REQ.. Special Inspection #67-89* (A.P. #63-04-42) Dear Ms. Evans: With reference to the above subject and your request for inspection of the second story addition and the garage and other additions to the first floor constructed by you, also remodel of the existing dwelling unit by a previous owner, located at 12959 Doe Mill Road, Forest Ranch, the inspection was made on December 20, 1989. The first and second story addition and garage are in the process of being constructed at this time and are incomplete with numerous portions of the structural, plumbing, electrical and mechanical items missing. Both the addition and remodel were constructed without permits and the .required inspections during construction. We therefore made a reasonable visual inspection without going under the floor and found that the addition and remodel appear to conform to the "intent of the code with the execption of the following items which must be done or resolved: , 1) Obtain approval from the Environmental Health -Department for water and sewage disposal systems. 2) Provide structural changes referred to in the North Star Engineering letter dated December 12, 1989. 3) Verify all building systems conform to approved building plans after plan check including structural, heating, plumbing, electrical and energy. 4) Verify woodburning stove and class "A" chimney installed per approved listing. 5) Remove or rewire lighting fixtures in existing house remodel to remove open splices and open wiring. 6) Provide ground fault interupter in existing bathroom remodel. 7) Provide guard rails at outside deck over thirty inches above grade. Letter of Mary Evans (RE: Special Inspection ;67-89, A.P. tt63-04-42) Page 2 December 28, 1989 8) Relocate service entrance cable to outside first floor addition. This inspection made by the County does not act as a guarantee or warranty as to the internal soundness of said building. It is now in order for .you to submit complete plans of the existing house and addition in duplicate to this office including plot plans, floor plans and structural details, apply for the required permits and pay the appropriate fees and peanities. The permit must be obtained and the above listed items completed within thirty (30) days of the date of this letter. Should you have any questions concerning this matter, please call Rod Taylor at (916).538-7541. Yours very truly, William Cheff Director of Public Works L�f:'a:ildi ��jf n:l 1,h .. JFG:ds J.F. Glander Chief Building Inspector cc: Assessor Environmental Health Department Q�._�61 SO or M�a - 11 LIP ou- vd 7 3cuis_14 �,,6t c�2fa�,,._m>e m..x_� m� cam cP �{,be�eG_tl�u.0 �,.� u�a_r�: InnA a -,nt U -U-� - ----_ 1 � , b . ' I I ,, � L � LU I r �i � � I ; `� � , 1 � � a a `� �� �� A � � - �� I �� ' �� � � ® `' � �A ` - ' � � i r i � 4 - r ,' f • i 1 ' 1 ., � •l - i _ ,, . � 1,' .- � � ', � � � � � i � ' ; �. . � .. t � .� . � � t � � _ � � . t 1 � •l - ', � � i. ' ; . � .. t � .� - �, � � .* � ' .. l � 'TI(I-O�CTMV C% C14.1 11"Y t - ) Vii' 12 9 S q v c -f-- " pq , A i . '. � cry'' _ 1 M��.,`�d-"'s' ► a�".�,. '''°-°� IF COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541. 0 Ric.katd`Telfotd ­..1;,� P.O. Box 461 �,' DATE November 9, 1987 Forest Ranch, CA 95942 RE: Permit application for resid, reroof & deck -dated 2/20/87. Dear Mr. Telford A.P. # 63-04-42 With reference to the above subject Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet 'En�r. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced O'1'HLR We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DP—W)' sets of plans in accordance with the changes marked in red. -- XX Sanitation approval from Butte County Health Department at: xy%x 196 Memorial Wa Chico County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. AXXL OTHER_ We cannot issueyour Dermit until the above clearance is obtained. The permit application expires 2/20/88 and cannot be issffued after that ate. Should you have any questions concerning �1 a� JFG/aj 1 the above, please contact this office. Yours very truly, William Cheff Director of Public Works F. Glander Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. d._ ASSESSO PARCEL NUMBER �y� ZO o BUILDING PERMIT ow R ' TV LE PPONE SQ. FT. OCC. BUILDING VALUATION AOW ' MAILING ADDRESS CONTRACTOR'S NAMlETTE ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS a � � Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 —Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 5.00 Mobile Home 1SFG W TYPE OF WORK New ❑ AdditionA Remodel®/ Utilities ❑ Installation❑ Other ❑ Describe work: ✓GC.c�Lr �� /� �L[�7 G�ii� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tr , OR ACDNS. ACC. BLDGS. /z¢sgft NEW CONSTR MULTI -OUTLET NON, ES BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 1ALOS30 FIXED APLNS. Ex. OCCUp. OUTLETS PRESID 1REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00.(valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. loll I shall not employ any person in any manner so as to become subject �l to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. ave, indemnify and keep harmless the County of Butte against 1 als2said all Iudgments, costs, and expenses which may in any way accrue ag 'ny in conse ce of the granting of this permit. Date �_ Si ature of Applicant — wner Contractor ❑ Agent An OSHA permit is required for ex ations over 5'0" deep and demolition or construct- '- Of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ fQ0-7,5- OCCUP, CONST.TYPEJ JFLQOOJPAJCWf IV PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ii pt No. 7 7 C-D.P.W.. YELLOW-A$8E990R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 - PERMIT APPLICATION DATA SHEET / Permit No. OWNER A. P. No. 4,:3 —0 a Proposed Building Use, " Building Inspector Date'2 oC>% At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. , 3. Completd plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , 9. Letter of signature authorization. . �10.. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking:- 12. arking: 12, -Certificate of Workmen's Compensation Insurance. . . . . . 13... Contractor's License Information (no., name style, classif.) 14.. Owner -Builder Verification (Given to owner, Mail to ownerE]). _15., Improvements may be required. , , , , , , , , , 16., Mobilehome Installation Data. . . . . . . . . . 17: Pre -Inspection for Pre-Inspec. request to (Date) Required, Buildin Ins ector 18. 19. 20. 21. 22. 9 P Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. Plot plan approval from city of When you issue the permit, process as follows: !t1 Mail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other ate a — c2O K, Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted p� to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer,/,6n, was advised of above required data by_phone ✓Jnail_counter by date 9�s✓ Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by �r ' date Plans checked by Date Plans approved by (Date Z Sets of plans on hold in File cabinet AP folder Copy—DPW — Flours: 10:00, a.m. - 3:00 p.m. b� COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for iny our name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not)4k-UIF signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name A ress Phone Type of Work ,,,Signed: Property Owner Social Sec y�rit Number Date x/20 /� 7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. This set of plans and specificOftnz MUST h1A kept on the job at all times and it is "ImAll 1;0% make any changes or alterations on same withqui wrifffe.n permission from the Department 6f MOO Works, County of Butte. Vt 14 P. A setback of Oft. from the property- lines and a setback of 50ft, from the road centerline shall be clear of structures orequipment excepi for a 2 ft. eave overhanq" x. (7 0 6UTTE -COUwy BUY -DING DEPARTMEN Pr V ED #7 03A Nddgyp! I tMPUbVd3® SNia-u s .noo 3.un£�E y93�i15>s ►,i._;, � a ly �' _1..31..101 yG � `Q.t� ` � i .. ._... I i apu '®P°J 10*V+aa13 lcuo'+lDN 9QP°J lD*luD4:)D I )8 6uigwnld '6wplm8 uuoj!un s ay A u w .asn pal loads ay+ JoJ pagijosaid A+ilonb c �o seoi+oajd s w POOE) paziu600a�l y+!M a�uapJooay,. 08 IMS d!ysugwljoM�'8 s1gIJ8+0W f 1 P , i J cel'{ ` ,- v j '/SZ 79S Z1�1'�ilyS Zt�i►1b3/N ..-Id/nolo dz'o�d �S�J 0 TYP. 111-11 T6 f% DI V1JAW1% nn rvr f CTUARDRAIL nrrVIII(_ 14"xf4`'MIN. F007/N6 4"x V _ `ju LZ X _ Ir_I _ _ ago T vI � ?Q FRMN G. -- CLIP_ > 2'x IT' STAIR STRINGER. 4$'a.c,. MAX. 7QP VIEW H A IPUIL NOT SHOWN FOP, CLNFW\Y LU 3/gl BOLT Uj 2x4 0 MOBILE HDME m J aaa g OR DEC,k MAX. N, MR. FRMU --- — — �•� CLIP (EA. S QE) ` 4% G„ 4"x 4" POST 2°x 12" #2fDF (2) 3/0" -' &IN, BOLTS GIRDER _ • WC 4'x 4" POST - ADFQUATE- DIAL, 0 N L BRACING. TYPICAL Rr"SIDFN7-i •91 Sr�Ps A�©/�DEcK COUNTY OF BUTTE —T DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 X OR �r'�DWooU F A7 • ; 1q��MfN. L {. \ Dur. .j _._._—,',(_.._.....i i--+- l�l% �� •C�. .. '�'�(� � 1 •R"�--' : ' 1 '� � � -.. \.tom _, .��_ �. --"` _."_� __ Lo t .. I S 4 {jam)^ .. .. � , � � � I � '\ � •\� `� �� , � _ . . ` � .. •. ^i/ tj: of • \ 1. _- � . VA 5 EVERGREEN DEVELOPMENT 1 - P.O. Box 453 Forest Rangh, CA 95942 (916) 994-5590 O S7cl 7G� j I �If. Fri rv' %m )1�1'�P.;I(14�`Wj 7777 i -u i: '�j F" , -41NI, RCE.V FQ UhID 'TON A�L,v DAT scrtz�: NTS f DATE., B`81 ,DljVC DEPABTVE'N7" _' o�rc WA4L2 7' 1 ap 9 TIIIIIIII. . . . . . . . . . . FT Fi II...... 66 .......... ...... TITI......... ....... IiIIIItoil IIV IIIIII... .. .. IIIIIoe. pe ITIIIIIIIIIIIIII19 Pv .4 IIIIIIII1, ill IIiITIIIIIIIIIPIV IIIIIIR , IIiIJAI I14 46 IIIitIR Ip, r IIITO IIIIIillrill IIiOlt r., lip, IIIIIIr II(� fi:WA IIIITth. op T7 IfIlIIIIITITITIIIIilIIIlI0;7 o IIIIIITIIIIIX !�4' IIIIlIIITIlk, II -,ft 44 IIItut IIIIIIIIIIf G IIllIIivy, IIIII