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063-130-003
63-13-03 15120 Dorrett Dr., Forest Ranch 63-13-03 1802-90B,P,E GRANTHAM, Barry & Cindy ANAL D 15120 Dorrett Dr, Forest Ranc (new-single_family)___ '63-13-03 (' Permit#2427-91B LED (1st renewal -/1802-90) 9 S 6 063-130-003 92-25 .GRANTHAM, Barry & Cindy NALED 15120 dorrett Dr, Forest Rch 2nd renewal/90-1802 063-130-003 93-20 ED 3RD RENEWAL/90-1802 V 063-130-003 PERMIT#94- GRANTHAM, BARRY & CINDY 15120 DORRETT DR.,.FOREST RANO) COMPLETE BP#90-1802 063-13-0-003 95-2010 B GRANTHUM, Barry & Cindy LED 15120 Dorrett Drive, Forest a•� (1st renewal/94-2320)SF 063-13-0-003 . 96-223 GRANTHAM, Barry & Cindy 15120 Dorret Drive, FR (complete 94-2320) 063-130-003 99-108AG BARRY & CINDY GRANTHAM 15120 DORRETT DRIVE, FOREST RANCH AGRICULTURAL EXEMPT PERMIT on3 � _ G� . � ,� F, BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO_ ©o ZONING OWNER PHONE NO. OWNER'6ADDRE39 LOCATION OF BUILDING USE OF BUILDING SIZE OF STRUCTURE QL",Z— ' Xo — ' = G SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) E OF SIDING RQQF COVERIN FL POR TYPE ESTIMATED COST ONSTRUCTION $ AG Buildings shall comply with the minimum front, side, and rearary d setback requirements of the applicable County Ordinances as follows: t ` FRONT 5��" SID L REAR �6 AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy,. _ n / _ Date- X/ X / Y y Signature of Owner oa,4 Permit Fee -590 The above described AG Building is exempt from a bui ing per PL(p6PAR P.D JROOF G I ISSU Receipt No. o?R Manager Building Division By Date ell 2, /f 7 White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant .."'4 �.i'k�"+'t�.Nir'r." _},if�+.•F.r�'7'Citi`�l.`41+"x+�],j��y��t�:.,j'1,�!`k-r�''�'tiiT'"�'(rj•�L'l,�: N"�i�r..,. r:"t`N��..�r . ..'«r...-:.�.= �: r. �i:i.ti,.-�..1,: .. ' ri�y ate. ii�t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER' ASSESSOR PARCEL NUMBER: C4 �3 ( b r� 3 Proposed Bui mg Use: Building Inspector: �%J� Date: -qj At time of permit applicatid, I was advised a following data must be submitted prior to permit processing and/or issuance: I Date Received By ❑ 1. All items have been submitted .---------------t----------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate.---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 0.20: Pre -inspection for required. Request to Building Inspector on (Date) 112 1. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner El) - -------------------------------------- 024. Letter of signature authorization.-------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement.--------------------------------------- E126. ------------------------------ -----`❑26. Letter of intent on building use.-------------------------------------------------------------------------: ❑27. Manufactured Home utility clearance.------------------------------------------------------------------. ❑28. Existing violations and/or expired permits. ------------------------------------------------------------- El 29. -----------------------------------------------------------.❑29. 1143 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ ------ 030. Other: When you issue the permit, process as followsXMail to owner, ❑Mail to contractor. ❑ Telephone and hold for pickup at o ❑ De er wi Kspector. xApplicana:-q- !kDate: U Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollu on ate: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By, 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by;; Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by:. Date: RESIDENTIAL- 63-13-03 GRANTHAM, Barry & Cindy ! 15120 Dorrett Dr, Forest Ranch .(new single family) w . U, 00 As CJr. f t, 0 46 cw, A /Ss '6-.�v-v3 D r I 0/� /3" . ( C"�' r- � 1--/ 6—t JOB FINALED (Date) r - Signature C- S t iA A Vv- OK O =Not OKNot. = 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. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Pians) 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 1- f <b 3 X' 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders an'd/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors) Shthg.-Rfg: Bracing I 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sits-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Hoofing 11. Ext.; Steps -Doors -Landings s, 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 ( : • r; i 1 n`. 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-Pane Iboa rds-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 ,�= Oi" K O=Not OK = Not Applicable = Nnt RPadv RESIDENTIAL (Single & Duplex) . 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors lator-Service Test 15. Insulation Date -x -qiD Card B-1 V JS ri Date 10 -/ 40 Card B-1 DateC/'/-%a Card B-1 UDQ✓ Date Card B-1 Date PLUMBING Permit OK except #'s 6. ater Htr., en cceMombust ion Air -Baffle 1 L_W9ter Pipe; T -Anchor -Nail Protection OP. est- fittings & Anchor -Nail Protection _ Zy-q 9. hower Pan; est irst Floor -Tub Access 2 ub & Shower, Second Floor -Tub Access 2 as Pipe; Size & Anchors , Date{ -Z7 •Q1 Card B-1 VS .. Date Card B-1 Date Jp *Jq q/ Card B-1 I* Date Card B-1 Date ELECT CAL (Permit) OK except #'s 2 fixture & Transformer Clears a -Ins. Protecti n 23: ec. Receptacles Sp -Lights & Swit s at Doors 24-etfe'-Boxes & No. of C ductors-Stapled .2E-1iomex Installed CI o Edge of Stutrs & C.J. 2¢. Equip. Ground made up w/Mech. Fastner and Gasr& Water Appliance Circuts in Kitchen & Cond gor Size/GFI eed ire Size ga. Cu or AI .C. ire Size / / ga. Cu or Al 2 e Circ. / /a C AI -Oven Circ. / / ga. Cu or Al. Insulated Neutra 0 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'? -?-7:!!!( Card B-1 Date Card B-1 CRte Card B-1 Date Card B-1 Date MECH ICAL (Permit) OK except #'s A.C. Ducts Insulation & Support {�� w�ent Fan Exhaust above insulation 3fscondensate Drain & Overflow; Size & Grade 37. Furn nce-Vent; Access -Comb. Air -Return Air Vent -115 outlet 3 tic Access & Platform if Furnance in Attic Date 9-Z-1-gJ Card B-1 U i Date Card B-1 Date Car" -1 Date Card B-1 Date FRA"G Plans) OK except #'s 39 -'SJ,. -,"Proper Material nchors Studs -N a g, Spacing & B g -Plates -Sound 41r'Bearing,Waills over Girders & Floor Nailing 42. op in Walls (rat proof) 4 . ire ops; Furred Ceilings -Stairs -Chases -Tub 4 aders & Beam -Size & Bearing Date FR MING (Continued) 4 an -Post Caps -Anchors -Connectors 4 In Joist-Rftr. ties-Purlin—ro Brac-Truss-Shthng.-Rfng. 4 . fireplace Ties or Type e -Fireplace Throat clearance 4 c Access; Size &Qem9Z_Protection-D ft Stop -In . Baffles r dow,spvES riting Door Hgt. &,Di nsions /G -3o jt arage Fire Prote�et n Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. tairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5&.,%kff—ng-Nailing Veneer r 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 5;-157azing Area -Glass Protection -Skylights -Plastic. 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date 47 7 7 O Cafd B-1 LAX.D Date// 33"`1/ Card B-1 Date o- Cil Card B-1 Date Card B-1 Date _5*14 (Plans) OK except #'s 6!� Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting G. . & Bath Fi aures & Tub Access -Spa E c. Trim & bpanel; Breaker Sizes & Labels fairs a 68.-Fi place or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. it..ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 7 lec. Outlets & Receptacles at Kit. Counter 7 . arage Fire Door; Swing -Landing -Closer 73!k. -C. Duct in Garage -Damper Wl tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75/Plb., Elec. & Mech. Equip. Listed for Location 7§ iec. Receptacles in Garage; (G.F.I.)-Romex Protection Insulation -Foam -Looked in Attic 13 Yes /Guard Rails & Deck Construction -Post Caps 7YFdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ollowing instid.; Drive ❑ Yes No; Walks ❑ Yes No; Planters 11 Yes O/No ._84 -Stucco; Brown -Finish 82!A.C. Unit; Disconnect, Electrical, Plumbing 48 -Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings x..84-1Ne1er Well; Disconnect, Electrical, Plumbing Exterior EJA. Trim; G.F.I. Receptacle -Underground 88'Ventil on Throughout House TrGl_aess Protection -K orrections from Previous Inspections / . Gas Test -Meters Tagged; Gas -Electric y L _ W.'Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Date Card B4_'t)-- Date Card B-1 Date. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time -you visit job site) A COUNTY OF BUTTE BUILDING.DIVISION DEPARTMENT OF DEVELOPMENT SERVICES.. - 1469 Humboldt Road, Chico, CA - (916) 8.9.1.,2751-_) 7 County Center Drive, Oroville, CA '916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMITNO. ao- - q1_'),; A routine inspection indicates that the (lowing violations of Butte -County Ordinances exist at the above address and should be c acted. Please notify this office when correction of work is completed. If you have any ques ons pertaining to this matter, or need additional explanation, please contact this office imm iately. Date / �� Inspector REV 10192 / COUNTY OF BUTTE DEPARTMENT OF PUBLIC.WORKS . 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541" f 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. fir.•- A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of wo s completed. If you havny question pertaining to this � matter, or ne itional explanation, please contact this office immediately. f` �( , '�-3 — r _I- \.-Dn //_y-. Date` q� Inspector > ' -,:.a.r.^t�4"^_��'rv+ ."� "L ?..+=''`c'tr .7r'j" •', "L `.f"[„ ��.-�_ - •'� "%..y 4'2'* aw COUNTY OF BUTTE - Al DEPARTMENT OF PUBLIC WORKS 4. I 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE fi OWNER PERMIT NO. �9 A routine inspection indicates that the following violations of County Ordinance exist at the above addres .and should be corrected. Please notify this office when correction o ork is completed. If you have any question pertaining to this /��matter, or additional explanation, please contact this office immediately. / \ I 3 _ n Dates -73-17/ Inspector (� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS s 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE a UG A rout/thea aon indicates that the following violations of County Ordinance exist ve address and should be corrected.Please notify this office when f work is completed. If you have any question pertaining to this matterdditional explanation, please contact this office immediately. Date— ��V Inspector ✓ ��j'% ^_-_ �;�• "_ .y� COUNTY OF BUTTE - T' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County prdinance exist at the aboveiaddress and should be corrected.�Please notify this office when correcti of work is completed. If you have any question pertaining to this matter, o eed additional explanation, please contact this office immediately. -a,t A Ire S-PT.1cQ , . X14oA AP.S Date 7—w Inspector V _ i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIN"AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 063-130-003 ZONING TM -5 BUILDING PERMIT OWNER Barry AcindyGrantham TELEPHONE 343-6117 SO. FT. OCC. BUILDING VALMIJONI 2,127 R 85,080.00 OWNER'S MAILIN ADDRESS P.O. Box 637, Forest Ranch 95942 514 M 7,196.00 CONTRACTOR'SNAME Owner TELEPHONE 1,167 3/4 Cov. 11,677.50 418 0 e 1 090.00 CONTRACTOR'S MAILING ADDRESS Fireplace A 1,000.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $107,043.50 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $445.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $222.50 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $692.50 PLUMBING PERMIT Filing Fee 10.00 15120 Dorrett Dr., Forest Ranch Each Trap 11 2.00 24.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 5.00 5.00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 5.00 Mobile Home I S I G JW I10.006 TYPE OF WORK New [�j Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Descrita vgjdppnmi N/SF to Rep] arP Fxi sti no Mnhi 1 P _ Permit Fee Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 1 10.00 100 AMP OR LESS 10.00 Main service EA. ADD -1- 100 AMP 1 2.50 2 50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the BUSIne$S and Professions Code and my license is in full force and effect. (cense 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING .�0 Pl.) X yz¢sgft 66.00 OR ADDNS. ACC. BLDGS. NEW CONSTR.MULTI-OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS n (SINGLE OUTLET CIR. ) EOCcu TS OR FIXTURES 20®60C aAL®30 x. p�OUXED PK Ex. Occup. OUTLETS (RESID IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ 88.50 Contractor 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 Consent to Self -Insure. hall 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 100K BTU 0 6.00 LPG Cooling F43. Hood 00 3.00 Ventilation 00 12.00 Permit Fee $31.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, in mnify and keep harmless the County of Butte against all Iia lilies, judgm t costs, and �Cpenses which may in any w y accrue a said County n °nseque he granting of this per t. �} ►�-� Date < Signature ofpp rant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over " deep and demolition or construct- ion of structures over 3 stories in height. Q Mobile Home Installation Fee $ Energy Inspection Fee $30/00 c co ST TYPE TOTAL FEE $ 96.00 HA2 CUA PARK SCHL FLD PA PD o Issue 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 paid. DIRECTOR 054apBLIC WORKS By q���ate PER EXPIRES Date Receipt No. Cion WHITE-O.P.W., YELLOW -ASSESSOR. Pith -IN SPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT+OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE,, OROVILC , �:FORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APP1ICAT,ION DATA SHEET - 0/ OWNER C�NAY C��A�D"i/�b� A. P. No.' b -3 Proposed Building Use A 3g� SQL 'Building` Inspector CS-� Date �'- L%` 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. 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 .......................................... t 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation „ instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. 3. Park fees paid L�� O School District fees paid .•............. �— Gy, `� �L 4. �� Sanitation approval from w Health Department - 0 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 ❑) ..... Recorded copy of Agricultural Acknowledgment Statement - ' ' ✓ .. i 25. - Letter of signature authorization ................................... 26. 27. Whe y issue the permit, process as follows: Mail to owner. to contractor. .Mail Telephone 6// 7 and hold for pickup at G��L3ffie. Deliver w/inspector. Other Applican ate&.//X//. a Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution DateIF Itt; Copy of plans sent Health Dept. Fire Dept. Other Date By. r' The following data must be submitted prior to p rmit ' suan new item not checked above), 1. Index permit for above items No. 2.' Additional items required: Contractor, designerwner as advised of above required data by ( `phone�naiI—counter by A. _date Contractor, designer as advised of above required data by_phone_maII—counter by date Plans checked by ZDate Plans approved byDate Sets of plans IoN," '3_F Do r',e��a1 rhet AP folder Copy—DPW TO Buildinc. Department FROM: Environmental Health SUBJECT: Sanitation Clearance owner Location A # i alar. -Approved for: Sewaqe Disposal Water Supply ; Hold final for: Final clearance O.R. for: Clearance dor- .=L bedroom.e horse. Other Wates Supply Water Supply �. Date Sanitarian BUTTE COUNTY SCHOOLSwDEVELOPMENT FEE CERTIFICATION FORM (One'Form per Building) A. P. Number l'J Building Department No. C / C - CSC School District �:(—o City D County ®/ Jurisdiction Property Owner C- Project Location/Address n PP.- zz- ,ng, � Aiao gT �a�NCfl . -Subdivision Residential Development: # of Living MHI Units Lot Number 2! -4-) _-,_'/ Sq. Foot age-140,Zig Addition (Group R) t Commercial/Industria]l-:'I Sq. Footage New Addition (Including Exterior Roofed Areas) guildirig Department Representative Date (Floor Plans reviewedrby School District Personnel) District Id No. q'(,C 30 0'h 1 po lit n I L'e C% School District certifies that ' C4(Applicant Name) (Phone Number) 14 (Street Address) "IC_42 A ST IP.� w- /, (City) (State) (tZip Code) has complied with the requirements of Resolution No. ` ? by the payment of $ ����, / oC representing alb 7 -square feet. School District Repro sent-tiye//<,j/ Date r PAID BY CHECK NO. REMARKS: BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) 0 RECORDING REQSTED BY BIDWELL 'TITLE & "'CROW _- --- - /91*�-=_�;., eVt rn to DPW 90-023063 R e c Fee 7.00 I Total 7.00 Recorded 1 Official Records County of I Butte Candace J. Grubbs Recorder I o �8:00am S -Jun -90. CD 2,, AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Se,ction 26-8. 1. of the Butte County, Code requires Lhis acknowledgement be recorded prior to issuance -of a building permit. The property described herein is adjacent to land or included within an area zoned for ,agricu.l.tural purposes, and residents Of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting` which occasionally generate dust, smoke, noise, and odor. Butte County has esLahl:i.shed ;I},ric 111- Lural zones which have as a priority use for productive agricultural. purposes, ,.Intl rvsicic'ni within said zones and on adjacent property should be prepared to accept such i ncttrtvcit i (,tire, or disconf:or.m from normal, necessary .farm operations. All that real property situate in the County of Butte, State of. Cali..f.or.n:ia, descr. ihevl ;tom f ol.lows: Date: State o. '—) :) ) SS. County of PROPERTY OWNERS: On this the 'Al day of , 19Q, before mcg, the undersigned Notary Public, pe onally appeared Personally known to me. [:] Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged Lhal. executed the same for the purposes therein contained. I.N W1_1'N1; i WHEREOF, I hereunto set my hand and off.ici.al. seal.. OFFICIAL SEAL s JUDITH A. SCHALI.EY " NOTARY PUBLIC. CAUFORN;A BUTTE COUNTY .:, My Comm. Expiras Sept. G • d41 =44& &M Present A.P.' No. Notary Public so -23063 S@H'L17lJt� , The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: A portion of the Southwest quarter of the Southwest quarter of Section 7 Township 23 North, Range 3 East, M.D.B. & M., and being a portion of Lot 10, of said Section 7, and more particularly described as follows: COMMENCING at a 4 inch by 4 inch by 18 inch stake marking the Southwest corner of said Section 7 and running thence South 880 15' East 222.4 feet along the South line of said Section 7 to an iron pipe in a fence line marking the Easterly edge of the existing Humboldt Road; thence North 19° 59' East 315.86 feet to an iron pipe marking the true point of beginning for this description; thence continuing from said point of beginning, Northeasterly along said fence line to an iron pipe which bears North 26° 48' East 331.15 feet from said point of beginning; thence leaving aforementioned lines South 88° 15' East 1145.0 feet parallel with and 600.0 feet Northerly at right angles from said South line of said Section 7 to an iron pipe; thence continuing South 880 15' East 198 feet, more or less, to the Easterly line of said Southwest quarter of the Southwest quarter of said Section 7, being the Easterly line of said Lot 10; thence Southerly along said Easterly line 300 feet more or less, to a point that bears South 880 15' East from the true point of beginning; thence North 880 15' West 1494 feet, more or less to the true point of beginning. EXCEPTING THEREFROM the following described property: A portion of that certain parcel of land located in the Southwest quarter of the Southwest quarter of Section 7, Township 23 North, Range 3 East, M.D.B. & M., and being a portion of Lot 10 of said Section 7, described in that certain Deed to Ernest Sealer, et ux, dated April 22, 1958, recorded May 8,- 1958, in Book 941, at page 115, Official Records of Butte County. Said portion is more particularly described as follows: BEGINNING at a point on the South line of said parcel from which the Southwest corner of said parcel bears North 89° 17' 00" West 115.85 feet, said point is also distant 150.00 feet Easterly measured at right angles from the base kine at Engineer's Station "B" 755+42.78 of the Department of Public Works' Survey from Hog Springs to Forest Ranch, Road III -But -47-B (The California State Zone II Coordinates for said point of beginning are X=2,086,513.55 and.Y=798,837.36); thence from said point of beginning along the South line of said Parcel North 89° 17' 00" West 115.85 feet to a point on the existing Easterly right of way of Humboldt Road; thence along said right of way North 250 46' 00" East 331.15 feet to the Northwest corner of said parcel; thence along the North line of said parcel South 890 17' 00" East 82.07 feet; thence South 20° 15' 00" West 318.32 feet to the point of beginning. AP No. 063-130-003 Comp. Ex. z/= i END OF DOCUMENT 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) 6U -P 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�;Ae a���� 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 Q Social Security Number Date-1�(,ct9 �o _ 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 Whom It May. Concern This letter of intent •is .being filed on behalf of Barry and Cindy Grantham concerning Assessors Parcel. ilo. 063_130-003 located at,' 15120 Dorrett. Dr, Forest lunch,, Calif.i 4 Our intentions,are to build a 3 bedroom, attached garage, single family hometo replace an existing 2 bedromm mobil home. Ripon comp. letion or within 6 months thereafter., the existing mobil home is to be removed or demol.ished4. W6 propose to use the existing 1200 gal.. septic tank and expand the existing,leaeh field to comply•with all state and county codes. , f' J l ci c i Chico Unified School Dist: Butte Co, Dpt, environmental Health Bbtte Co, Dept, Public,Wgrks al ae lo. - 0,3 Feburar.y 0' 1990 Mr, J.F. Glander Chief Building Inspector T .E. Building Permits; 5120 Dorrett Dr, FovestRanch Dear Mr. Glander: In response tovour letter warning us of Butte County violations and our telephone conversation on 2/9/1990. We purcased the property on 9/14/89 and were not made aware of code or permit violations either verbally or by the previous owner in his disclousure statement, All kitchen and cooking facilities were removed fromthe build- priorto the receipt of your letter. The room that is connected to the garage is currently being used as a third bedroom. Our intentions are to apply for the nessary permits by 4/1/90 and begin construction on a new home shortly thereafter. Upon completion of our home we will remove the olderr mobile home which is currently being used as a residence. Sincerely cc: Assessor's office Environmental Health Dept. r February 2, 1990 Barry & Cindy Crantham P.O. Box 637 Forest Ranch, CA 95942 RE: Permit Requirements A.P.•`1;: ,63-13-03 15120 Dorrett Dr, Forest Ranch r� Dear Mr.. & Mrs.. Crantham: 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 permi:ts,and�inspections to convert part of the garage into a studio apartment. ,The previous owner was notified May 18, 1988. Failure to comply with housing letters ,from the Butte •County Environ- mental Health Department dated April 26, 1988<4nd 1by 19, 1988. Since permits and inspections are required for the abode 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, . aud• pd.y."then 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., . ,�. .,n Please be aware that Butte County hes entered i.nto,a-do'de 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 w1ll be pursued through the issuance of citations, fines, and the recordingoE a Notice of Violation. Your cooperation in resolving this matter would -be* appreciated. Should you have any questions concerning this matter,/please contact Jim Glander or Bob Reith of this office. JFG:ds cc: Assessor Building Inspector F.nv4v^neenntn1 EdAnl Yours very truly, William Cheff Director of Public Works J.F. Glander Chief Building Inspector File No. BUTTE COUNTY (For Action k= 2, 3) Public Works Dept. (For Information t/ ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp, Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping T ran s p. LandDev. Drng. /S.I. Sub.B Pcl.Mops Permits Addr. omplaint-Date _ ' [] Other -Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT ZONING Owner: - A.P. # Address: r 0 S( % 5�1VZ Date of Inspection 4 Tenant: Inspector Building Location: �r Type of Inspection requested: 1. Housing ".2. 2. Financing / / 3. Change of Occupancy to f� 4. Work W/0 Permit / Other (spec i y/U4 �!-- Present use of building: ?LYP kO 44- Jy A. B. C. Sanitation (Housin 1'. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space 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: Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: 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): 4v—_ — 2. 3. What action recommended: Information only - file. Hold for ten days, then write letter. %% C. Write letter. / /.D. Other: /Ao. l� f!!►gvJ��=° BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH Department of Environmental Health 7 County Center Drive Oroville, CA 95965 (916) 538-7281 April 26, 1988 Vern Westphal P. O. Box 6456 Chico, CA 95927 RE: Housing Complaint AP# 063-13-0-003-0 Dear Mr. Westphal: - 15120 Dorrett Drive, Forest Ranch, CA This department received a complaint concerning a wood stove used for heat in the main house at the above listed location. The Butte County Assessor's records indicate you are the owner of the property. On April 19, 1988, 1 visited the property and the tenant permitted me to inspect his wood stove. My inspection revealed a cone shaped fireplace that is not installed to code and which poses a fire hazard to the tenants. This condition is a violation of the California Health and Safety Code, Section 17920.3 (f), (h); and the California Administrative Code, Title 25, Chapter 1, Subchapter 1, Section 34 (a) . To comply, take the following action within FIFTEEN (15) DAYS from receipt of this notice. Obtain permit for stove installation from the Butte County Department of Public Works, 196 Memorial Way, Chico, CA. 1. Provide adequate hearth, and separation from combustibles for wood stove. 2. Provide proper installation of wood stove including flue. 3. Provide heating facility capable of maintaining a minimum temperature of 70 degrees Farenheit as measured at a point three (3) feet above the floor in all habitable rooms. A reinspection will be made. Failure to comply will result in the Franchise Tax Board being advised of your noncompliance. You will then be prevented from claiming state tax deductions for taxes, depreciation, amortization, or interest expenses connected with the property as long as it remains substandard. This notice is given to J ,a Vern Westphal April 26, 1988 Page 2 you pursuant to Sections 17299 and 24436.5 of the California Revenue and Taxation Code. If you have any questions, contact me at the above listed address or telephone number. Sincerely, i6(�w�qard J�.S J R.S. Supervising Sanitarian Division of Environmental Health HJS/kf cc: Public Works - Jim Glander Public Works - Chico Office .* BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH Division of Environmental Health 7 County Center Drive Oroville, CA 95965 (916)538-7281 May 19, 1988 Vern Westphal P.O. Box 6456 Chico, CA 95927 RE: Your note of May 4, 1988 - 15120 Dorrett Drive, Forest Ranch, CA -' AP# 063-13-0-003-0 Dear Mr. Westphal: I contacted the Butte County Department of Public Works concerning permits for installation of the replacement wood stove mentioned in .your letter of May 4, 1988. The Public Works Department does not have a record of any permit or inspection of the stove. My letter of April 26, 1988, specifically indicated that you obtain permits for the stove installation. Since you have not obtained permits and inspection for the stove, you are still in violation of the sections listed in my letter. The deadline for compliance is May 28th, 1988. If you have any questions concerning this letter, contact me at the above listed address or telephone number. Sincerely, o J�Sny r ., R.S. Supervising Sanitarian Division of Environmental Health HJS/mlf cc: ;Public Works J_im Glandes'. r -�D I COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION - 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 3-0 /PFERMIT o. APPLICATION AND PERMIT (J AS661. PtCaLNy 61 U �Uf j z0 5 ;, BUILDING PERMIT OWNER BARRY & CINDY GRANTHAM TELEPHONE 343-6117 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 637 FOREST RANCH 95942 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee z FEE $ 58.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 15120 DORRETT DR FOREST RANCH PERMITFEE S 78, 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 10 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 I Describe Work: 191XRXNXWWX IST RENEWAL/94-2320 Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service / 000V OR LESS 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 . LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License ClassNo. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: �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 ADONS. ( d ACC. BLDS. ) SO. 3.5Q FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( & POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 @ 1.00 BAL SO Ex. Occup. ( OFIXED APLNS.UTLETS()EA) RESD. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 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 of one hundred dollars ($100) or less.) ref certify that in the performance of the work for which this permit is issued, I shallTOTAL 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' compensa i n provisions of section 3700 of the Labor Code, I shall _JWhwifn.com ly those pr isions. cloe Q p Date _U_�7 S ature Applic nt - I Owner ❑ Contractor ❑ Agent An OSHA ermit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ OCC CONST. TYPE FEE $ 78.50 HA2. D. FEES IMP FLOOD COF PARCEL Po HD SSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By( /CG� PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date 8 p[oZ 7 8-22-96 (Date) FFIeceiptNo. SQ � ITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.- I \^'.:•iii:. :. Attention Property Owner: An "owner -budder" 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 budding 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 `i0[ ]. 2. I HAVE[ ] HAVE NOT[ ] signed an application for a budding permit for the proposed work- 3. ork3. I have contracte4 with the following person (firm) to provide the proposed construction: NAl11E: ' ADDRESS: Com: FEMME: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following'' peon to coordinate, supervise, and provide the major work: NAMM ADDRESS: Com' PHONE: CONTRACTOR'S LICENSE NO. S. 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 O SOCIAL SECURITY NUMBER: DATE: O NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you. are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than 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 varioui trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work ('including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, thea you may be an employer. 0 If you are an employer, you must register with the State and Federal Goverhments as an employer and you are subject to several obligations including state and federal income tar withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contnbutions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are espee:ally 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 Iicensed 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 thatyou are aware of these masers: Tlie`b`uilding 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. 0NI-FR r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS IT 10 7 County Center Drive - Oroville; California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT -� - ASSESSOR PARCEL NUMBER 063-130-003 ZONING v TM=S BUILDING PERMIT OWNER Barry & Cindy Grantham TELEPHO E 343-6117 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 637 Forest Ranch 95942 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 222.50 ARCH1-r-_cT oR Lv ;WEEP _ LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS Permit fee $232.50 PLUMBING PERMIT Filing Fee 10.00 19120 Darrett Dr., Forest Ranch 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 N/SF to Replace Ex. MH SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other 3 Describe work: 1St Renewal of B.P. #1802-90 _ Permit Fee $ ' 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 p ally of perjilry�(check one): �-"-- ❑ 1 am licensed under provisions -of Chapt. 9, Div. 3 of the Business and Professions Code -and my 116ense is in full force and effect. icense No. "�:- Classi-fd cation. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure isnot 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 reason NEW CONST. / DWELLING OCCUP.N\ OR ADDNS. \ ACC. BLDGS. , h�Sgft NEWCONSTR. MULTI.OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea (POWER APPARATUS e SINGLE OUTLET CIR. EO Occup(OUTLETS OR FIXTURES x. ccu ZALI 30 aAL030 Ex. Occup. OUTLETS (RESID )FIXED APPLNS. REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE *ne I declarnalty of perjury (check onel: ❑ 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 f Consent to Self -Insure. II shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. MECHANICAL PERMIT Filing Fee 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, judgments, ts, and expenses which may in any way accrue agai said Count in cos uence tV granting of thisper it. X Date Signature of Ap cant — Owner ❑ Can+rac+or ElAgent ❑ 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 ITOTAL CONST TYPE 0 FEE $232.50 E HAz. cuA PARK SCHL FLo PAR I Ho. issu This permit is hereby issued urger the applicable provi- sions of the Butte County. Code and/or resolutions to do work in ' ated above for which ee have been paid. DI O OF PUB C ORKS jAm B pLf Date PERMIT EXPI ES Date 8/6/92 / Receipt No. 2 (a&/ / WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - D PA' Tf _RT_ PUBLIC WORKS - BUILDING DIVISION —.� t. 7 COUNTY CENTER DRI E - 0 VILLLLE, tCALA;RNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICA.TIPN DATA SHEET Proposed Building U Permit No' -*,";{4 .t[ 1_ Building Inspector Date / r 7 �(1 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. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... ` 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... ' 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. 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 .......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner Ma.0to contractor. Telephone and hold for pickup at office. Deliver w/inspector. lII! ____ Other Applicant Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copyofplanssent 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 ___rnaiI—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Copy—DPW Sets of plans on hold in Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE = Department of Public Works 7 County Center Drive', Zroville, 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, Limprovement (yes or no) ✓ 6- 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. constructi n: Name ,r�,n �yua Address T City Phone Contractors License No. 4.,. I plan Co provide portions of this work, but I have hired the following person to coordinate., supervise, and provide the major work: Name f(%/� LA/Y0 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: V Signed: r Property Owner _Social Secur't Number - Date ----- NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we .are per- mitted to issue the permit. P COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916,•'538-7541 1 APPLICATION AND PERMIT PERMIT NO. I Z d_ 7 ASSESSOR PARCEL NUMBER 063-130-003 ZONING TM -5 BUILDING PERMIT OWNER Barry & Cindy Grantham TELEPHONE 343-6117 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 637 Forest Ranch 95942 2ND RENEWAL CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee 1 F e e $ 222.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 237.50 PLUMBING PERMIT Filing Fee 15.00 15120 Darrett Dr, 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 SF[M Duplex❑ Mobilehome❑ Other N.103F t -o Reelara Fx MH SP CIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other Describe work: 2nd Renewal of B.P. #1802-90 (1st Renewal was B.P. #2427-91) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200A TO 1000AI CONTRACTORS LICENSE LAW I declare under pxlla ty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license is in full force and effect. License No. Classification 7C� 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 -Mobile ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for thip,,Aeason NEW CONST. ( DWELLING OCCUPM OR ADDNS. ACC. BLDGS. _37.50 3.64sq.ft. NEW RESID, RANCHUTLET NON-BRANCH CIRCUITS @ 5.00 APPARATUS a (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 764 A FIXED APLNS, EX. Occup. OUTLETS �RESID IREA.) 1 3.00 Temporary service 15.00 Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ — ORKMEN'S COMPENSATION INSURANCE I declare u er penalty of perjury (check one): ❑ The permit is for $100.0 Ion or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 1 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, judg nts, costs and expenses which may in any way accrue 4agaisai4oun consequ ce of the granting of this p'e7rmit. Date / �� u �Z o Owner Contractor ❑ Agent ❑ An OSHA ----- lops over 5'0" deep and demolition or construct- ion of structures toverr 39storiess inheight. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the Bions of the Butte County Code and/or work indicat ab��fhich fees R UBLIC By PERMIT EXPIRES Date 8146/03 applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 5 ` WHITE-D.P.W.. YELLOW-A99[990R, PINK•IN SPECTOR. GOLDENROD -APPLICANT I Cv -NTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE -, ORI �VIL`LE'tCALIFORNIA 95965 - TELEPHONE (916) 538-7541 / PERMIT APPLICATION DATA SHEET OWNER A. ,.,No. •-,� �J _ J Proposed Building Use cJ r. wilding Inspector Date .� At time of pmit application, I was advised the following data must be submitted prior to permit processing and/or issuance: i/ DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ..................................... 11. Impact fees as shown on attached schedule. ............................. . 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 . ............................... 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. request Pre -inspection for to Budging Ins actor) required. .. co Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. ' 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner )........ ... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ....... ....... 31. Existing violations/expired permits . .............................. �...... . 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner Telephone and hold for pickup at Other Parcel Creation Acreage Applic nt, Mail to contractor. - office. _ Deliver with inspector. Date 711 -1, Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail 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 - Deoartmenc of Public Works 7 County Canter,nrive, Oroville, CA 95965 Phone: 916-;2,8_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) 1 cr�S 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 Phone Contractors License No. City 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 I ICity 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 Num', Date 7- /W;, " r— 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. I . JCOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVIS UI DING DIVISION 7 County Center Drive - Oroville, California 95965 - Teleph a 916 538-7541 PERMIT NO. APPLICATi'ON AND PERMIT ASSESSOR PARCEL NUMBER 063-130-003 ZONING TM -5 BUILDING PERMIT OWNER Barry & CIndy Grantham TELEPHONE 343-6117 SQ. FT. OCC. BUILDING VALU ION OWNER'S MAILING ADDRESS P.O. Box 637 Forest Ranch 95942 , 3RD RENEWAL CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee @ 1 Fee $ 222 .50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ - Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 242.50 15120 Dorrptt Dr., Forest Ranch PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCELMAP Each gas water heater or vent 15.00 USE OF STRUCTURE New Single Family to Replace Existing Mobile SF ❑ Duplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition O Remodel O Utilities O Installation ElOther 11 Describe Work: 3rd Renewal of B.P. #1802-90 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 (2nd Renewal was B.P. #92-2517) (1st Renewal Was Main Service ' BOOV OR LESS I 200A OR LESS 23.00 Main Service , 200A TO 1000A ) 46.00 B.P. 2427 ADDNS.T ( D BELLINACCG BLOS. I 3.50 F7, CONTRACTORS LICENSE LAW I declare under pen. of perjury (check one) O I am a licensed under pr apter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 4 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am ex mpt under Sec. Business and Professions Code fort ' e on NEW CONST. MULTI -OUTLET NON-RESID. , BRANCH CIRCUITS I @7.50 , POWERAPPARATUS I & SINGLE OUTLETCIR. Ex. Occup. ( OUTLET OR FIXTURES I BAL. @ 1.50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS IRESID.I EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare un er enalty of perjury (check one): O This emHt is for $100. a ua to ❑ 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. 1� I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify d keep harmless the County of Butte against all liabiliti judgments, costs, a xpenses which may in any way accrue against said Co ty In ,.nse ue o t ranting of Is permit. X Date �? 73 Signature o Applican - Owner ❑Contractor O Agent An Is require demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE 242 • 50 HAZ. D. FEES IMP FLOOD CDF PARCEL p0 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. DIRECTOR LIC WORKS BY Date D �J PERMITEXPIRES0N 8�6�94 /Date! Receipt No. c7 7 �7 0 �p� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,. �, %fes..•.-.� kf,�. _.._l,-�.ti... ,f^f`.`�.-.v..r'+,�.vf+T._y.-�T"s,-..-r �rrf`k`^t• s•'^•+�7.....+*--..�/t.^r""rfht�r'1iA1+�A:s4'tr➢'1,,•-T�••-•r�,•`' F�+'`�+, ,x„'` •''\(�* ,iw _ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SEI( S BUILDING DIVISION f�kl +1 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET;,. ; OWNER A. P. No. 'b 3 aoo Proposed Building Use3n�"..e -i ra- / Building Inspector C ` Date / V Si At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1 • All items have been submitted. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Plot plans, 3/4 sets, signed by preparer of plans. ........................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 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 . ....................................... . 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). ..... . L• Pre-Inspadion request 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No.,, -Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............� 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use. ............ . ............. 28, Mobilehome utility clearance . .............. $ ............................ . 29. Documentation of legal access...........:................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ...................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at offic Deliver with inspector. Other Parcel Creation Acreage Appli an 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 - D.epartment 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 bbe issued until this verification is received. ,,0 I personally plan to provide the major labor and m terials for construction of �// the proposed property improvement (yes or no) VACS— b2 I (have/have not) signed an application for a building permit for the proposed work." 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name ,Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Securit Date um 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. D - Y i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754lp ' PERMIT 0. APPLICATION AND PERMIT r �3 ASSESSOR PARCEL NUMBER 063-130-003 ZONING TM5 BUILDING PERMIT OWNER BARRY & CINDY GRANTHAM TELEPHONE 343-6117 SQ. FT. OCC. BUILDING VALUATI N OWNER'S MAILING ADDRESS BQX 632, EOREST RANCH 95942-0637 10 �0 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADORES Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 117.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADORES Penalty $ BUILDING ADDRESS 15190 nORRETT DIR, FOREST ]RANCH PERMIT FEE $ 137.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF IN Duplex ClMobilehome O Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition O Remodel O Utilities O Installation O Other 76 Describework: COMPLETE WORK STARTED UNDER 90-1 809 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 (LAST RENEWAL #93-2703) Main Service1001 OR LESS ( 200A OR LES ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. OLDS. ) g0 3.5C, FT. I CONTRACTORS LICENSE LAW I declare under penalty;of - perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions C de a ice se is in full force d e fact. License No. Classification % j O I, as the owner, or my employees with wages as the ?sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason A _ NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup. ( FIXED APPS. .OR ) ON UTM. LETSESIDI EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 JWORKER'S COMPENSATION INSURANCE 1 declare under pety of perjury (check one): va" I O This permit is fo1rH$100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, _ Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. XI shall not employ any person in any manner so as to become subject to the Worker's c 'Compensation laws of California.E Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor 1 certify that 1 have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costp, and expenses which may in any way accrue against said County ' onsequence f e grantin this permit. X _ Date 9 Sibnafure of App' nt Owner O Contractor O Agent An OSHA per it is requ ed for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TVPE TOTAL FEES 137.0 HAZ• I D. FEES / 'IMP FLOOD CDF PARCEL PD HD ISU 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. `O By ��S.-B.D. PERMIT EXPIRES ON lDafel / FReN. /, CANA Y•AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE gS — 27d3 Department 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) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address , Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder. Verification is 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 -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERf4t AO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 063-130-003 ZONING TM5 BUILDING PERMIT OWNER BARRY & CINDY GRANTHAM TELEPHONE 343-6117 SQ. FT. OCC. BUILDING VALUATION VAL 500 OWNERS MAILING ADDRESS PO BOX 617, FOREST RANCH 95949 CONTRACTOR'S NAME OWNFR TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 15120 DORRETT DR FOREST RANCH PERMITFEE $ 35.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE 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 b Describe Work: COMPLETE PERMIT 94-2320 — Mobile Home S I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service600V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: i�- I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATOUTLETUS ) 8 SINGLE CIR. EX. Occup. ( OUTLET OR FIXTURES ) 20 @ I.00 BAL a .50 Ex. Occup. FIXED APLNS. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' cc pen tion prov'sions of section 3700 of the Labor Code, I shall jforthwt m y ith those rovisions. Date—��;((9_/ Ignature Appl ant - Owner ❑ Contractor ❑ Agent An OSHA/permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC 3 TYPE TOTAL FEE $ 35.00 HAZ. D. FEES I IMP I FLOOD COF PARCEL PO HD I ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By _xR &.,,, PERMITEXPIRESON applicable provisions Resolutions to do work been paid. —Date - ` 7= (Date) Receipt No. 00(o o/ 1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.-1 +•u::....�::iN?:•:•w:K{p:i�:KON•5�..+�iE•. � � � �r',.Q�}�.i'�i[OK,� �y ... ... .. : ...: ::.::.. ..................,.........................s................................,:.:.::::.�::�._.:.,:�:;•:.;,,+v.q::.�:.'�>5:::�:<r+,++;{v::,�+::tit::i?::•.�'.i•.':.:i.;};::..;:,:::;:„{.i`:;::;:g::::�',Y',•';;iv 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: YESC4' . NO[ ]. 2. I HAVE[(,'] HAVE NOT[ ] signed an application for a building permit for the •.. -: proposed work- 3. ork3. I have contracted with the following person (firm) to provide the proposed construction: NAME - ADDRESS: C rY: _ 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: Cly: PHONE: CONTRACTOR'S LICENSE NO. S. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: r..,.-.,,. NAME ADDRESS PHONE TYPE OF WORK . af_ • PROPERTY / 0 ffMGl SOCIAL SECURITY NUN03M DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are thettsponsible 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 tar withholding, federal social security taxes, workers compensation insurance, disability insurance cow 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 employers, 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. Plcase 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 Singel , • �, Michail C. Vierra, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 5 OWNER'S NAME:���N� �I/I RECEIVED PERMIT NUMBER: �(J l �/ A.P.#: 3—/30 O3DATE (� RESIDENTIAL NON RESIDENTIAL RECEIVED BY TIME ---------- REQUIRED PRIOR TO PERMIT ISSUANCE FROM DATA SHEET F-1 REQUESTED BY PLAN CHECKER OTHER --------------------------------------- REQUESTED BY CORRECTION NOTICE Q YES Q NO ITEM: LOCATION IN BUILDING WHERE CHANGE OCCURS: --------------------------------------- WHEN APPROVED, PROCESS AS FOLLOWS: Mail to owner (Address Mail to contractor Call Name and Address) and hold for pickup at Deliver with next inspection. office. REVISED PLAN CHECK FEES PAID: $15.00 $30.00 Additional Fees Not Required butte Count, DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE. CALIFORNIA 95965 Telephone: (916) 538-7541 RONALD 0. McELROY Deputy Director July -9, 1992 Barry & Cindy Grantham RE: Building Permit No. 2427-91 P.O. Box 637 Expiration Date 8/6/92 Forest Ranch, CA 95942 (A.P..No. 063-130-003 ) Dear Mr. & Mrs. Grantham: With reference to the above subject, our records indicate that your Building Permit expires on the above date. Building permits are valid for one year and should construction be started but not completed by the expiration date of the permit, the permit shall be renewed for i the original Building Permit Fee (plus a $15.00 "Filing Fee"). The renewal permit will extend -the Building Permit for an additional year from the original expiration date. _ I Should you not renew your permit within thirty days of the expiration date, it cannot be renewed and all work must cease until a new building permit isi issued. i If your construction is completed or should you have any questions concerning this matter, please contact the Chico office. For your convenience, we are enclosing a renewal application form and owner" builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter. I Yours very truly, William Cheff Director of Public Works 01141411 Z. Glander JFG:aam ef Building Inspector Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector Chico - 196 Memorial Way/891-2751 Paradise - 745 Elliot Rd./872-6307 5/89 ,RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER V /'I/i� A. P. # ,�.?� •/ �' GENERAL Zoning requirements: (sideyards Valuation. ��.Energy lans signed by designer. Design and Compliance. 9�Existing violations on property. Items on data sheet. and number of permitted living units). Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. Special.conditions on creation map or compliance document. FAU & FAS road setback. ` FLOOR PLAN omplete to scale plan with dimensions. equired windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec: 1204).. kylights (Chapter 34 & Sec. 5207). V%Human impact glass (Sec. 5406). J. equired room sizes, ceiling heights (Sec. 1207)., _ CIs in baths, garage, and exterior,'outlets (Article 210-8). Light fixtures, switches, receptacles; and=exterior receptacles for maintenance mechanical equipment. r �� Locations of water heater, heating and`"cooling equipment, other electrical or s equipment, and plumbing fixtures. t age firewall, door size, and closer (Sec. 503(d)(3)). r.Smoke 3'0" exterior exit door (Sec. 3304(e)). eplace and wood stove location, alcoves, and clearance. detectors (Sec. 1210). STRUCTURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations. and wall construction details complete enough to construct building. oof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) �7_Exterior'plaster - weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32). Roof covering type - (fire hazard). Rafter ties or bearing ridge beam. Garage door or porch header sizes. Adequate bracing. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). �ttic access and ventilation (Sec. 3205). yUnderfloor access and ventilation (Sec. 2516). . Combustion air for fuel burning appliances. Noise requirements on duplexes. _!Adobe soils - special foundation design. Retaining walls requiring design. ' Unusual shape, size, or split level house requiring lateral design. • Flashing at all exterior openings / r-m;i s al6o mac, ,rec� �aa/ eag4a� 4.a4 5/89 JpB ENGINEER' RAF -fes\ b To Nev M R smucrimu ENGINEERS PosT � = P► ERS -2 -T-r- C • 15 r,/pp) 0 'I FP_ Zz�Fw l V J PAGE N0. 1 JOB NO. I DATE 10-23-50 Wo=I's psr— _UjL:=`fo PSF Wo = 20 FS F u/,.�= 10 FS ASO QROFESSIpN�`. 0 3024 ' EXT. �T �T� \ nuc Q IS FS r- &a') 7."7':- 1,16 K L = .10 PSF (to') 17,'7'" 3.o6'(- _._:. pL = 2.o FSF00) E! I—L = 40 QST (to,) 8'= P► ERS -2 -T-r- C • 15 r,/pp) 0 'I FP_ Zz�Fw l V J PAGE N0. 1 JOB NO. I DATE 10-23-50 Wo=I's psr— _UjL:=`fo PSF Wo = 20 FS F u/,.�= 10 FS ASO QROFESSIpN�`. 0 3024 ' EXT. �T �T� \ nuc Q <' SPREAD FOOTING DESIGN NM&R Chico, California Date: 10-24-1990 Project: GRANTHAM RESIDENCE Footing Location: TYP DECK PIER Comment : DORRETT RD. - FOREST RANCH MATERIAL PROPERTIES Ultimate concrete compressive strength, f"c'is 2.50 ksi Steel yield strength, Fy is 40.00 ksi Concrete is Hardrock with a unit weight of 150.00 pcf Concrete weight for soil bearing is'150.00 pcf Max. soil bearing is 1.50 ksf (33% short term increase allowed) LOAD CASES CONSIDERED ARE: 1.4DL + 1.7LL .75(1.4DL + 1.7LL + 1.87EQ) ADL - 1.4EQ UNFACTORED INPUT LOADS P (kips) M (ft -kips) DL 3.23 0.00 LL 6.26 0.00 EQ 0.00 3.28 FOOTING PERAMETERS STRESSES AND SOIL BEARING Dimensions are 3.00.Ft. Sq. Max. punching shear stress is 18.25 psi Total depth is 12.00'Inches Max. beam shear stress is 7.54 psi Depth "d" is 8.00 Inches Gravity only soil bearing is 1.20 ksf. Col size is 12.00 x 12.00 In. Gravity+lat. soil bearing is 1.93 ksf REQUIRED REINFORCEMENT bottom long. 0.17 Sq.In. bottom trans. 0.16 Sq.In. FROM BKM EAST INC FL 09/27/91 15:06 P..1 166 z old (a 0ex 3i Fdr.c.ft p c� r 'may y Z R CiRANTN Pr��amorr AMREPAIR� ?}�t; »;��»»D�»»ROXtCCDrw�u ,]Wet 141 10180RAN W.rr.■,ar-oa�,e�xb.; SpAln IS�C i'r�a�y� ID r Thu Oct«< R0,7AN}}>>mm. ww■geaDa■4am�raeao.■zreaD Q��rit,tty r OMN-1 Ar, H #Is 8950807 1990 �AmiDbkttlraria tteD:arriab�ph riCltm`r�bD1 201 �:"" rad. W'u ye®py�DwYlciloDDY.■. /12 lob REACTIOtf - SIZE • 11 9 IIN■Nb PLA''F RFT-6FT8 r�Xm - 4" ''�"`zv 3. LErTV Y=TCJ,P,)) j tJ2.3, s, 27, . 1/2" EXT. ST%UCT. TYPE PLYWC)OD GUSSETS ON BOTH FACES NAILED WITH 10-d NAILS @ 6, IN O.C. NAILS/PACE bN SOME MLMBE,RSNARE AS SHOWN, CLINCH ALL THE NAILS. t—l-'Lt 2x4 3xq _ 'Sys - HG , TO PX . x.9"1•"4 IT NEjGNY':8-4-9 SPAM At7INtA � p awo.�nao.oev,oa=�-= � � � _ '- � �i�1T fu7�� /� ` ��7f"� xYlbMlMgNttaleeltr�f�b�eeye,�r�RIGHT h IGHT'.18-2.1 P 'a i4 MUMGRADEOF '°e.o.■asaam���a■�» T7 0 1 Q I.UMbFR emm�areoda:erWarmiv�ea���re.aa=+t'���`'L6C�� `'.�60�®��i�f�DO it4 RADARI �15 P mit°arrabmfteft= x 1 4 ETY IVE STR LATE 1.15 egawbob"b"ft■0"ob DF -L E6 i�13 IJSFD SPACING t 4.0 irl*ip. aC` 1 3-4 2r4 DRACED at 1/� PC1XN1`E3 NO. OF M1+M�ERH ■ i U51 fz� of Zcs Cont, Ito Ip toAh. :8 ARE BEMAx-?+b NOLDINg•240 TENBION-339tSHEAR-242ij�juACTURED rAOM ASTM A 4�6 SRD A BAIVANtt MUST BE INSTILLED ON BOTH FACES OF ,10INTs WRIETRICALIY(E>t EFT As.BHONN)aEs18t1 CA 6AL S IZED NDB DI:B -;•068189 18 FOA TAUS$ FABRICATION ONLY.FOR PJAMANINT AND TWO ANY $RAC1NSfNNES1 IS CONFORMS VITT 80NJ DtoNCFFT A$ ICHAWAVSIIDo aCH $AND�UBC, TPI •BS ITECT OR ENOINEER... ►Wolff E EN F DAT. i t�tE 1► f1�4 4A A 11T.0 CES ii F I C, A' Or CONFORMANCE i4ductsf'�NDEERSIGNED MAlV0PACTURER HtRMY CEI'TIFIES that identified below and oh attached sheets Not. A matked with the Collective Mark of the AMERICAN INSTITUTI= OF TIM139h CbN§fhtJ6ri6N' (AITC) And. Were manufactured in conformance With applicable provisions of American National Standard ANWAITC A190.1-1983, Structural Glued Laminated timber, and that such manufacture has beeh at our plant in Drain OR > : . I Which plant has a gbality bbhtrol system approved by the Inspection Bureau bf tho AWHItAN INSTITUTE OP TIMR9 CUNMU&ION aiid inspected periodically by such gurefiU. The manufacture of these members complies with the manufacturing and fabricating provisions of Chaptet 25 of the Uniform Building Code. Jog NAMk: Keller Lumber Sales for Stork .109 LOCATION- Redding., CA cusioMEH-s ofirmn No. rllfC7906 bATi 741-90 Wdn-s oADEil Nb. 7873-D CUSTOMER NAME: Barry Grantham, Forest Ranch Job SIGNATUFIE .,/ -�G�� •%� �(, COMPANY Duco-Lwn TITLr Quality Control Aobhr:hS [VIS 297; Draittt OR DAT@ 7/30/90 i;. A/t(C HEREBY CER TIPES' that t6d said compahy at ltt said plaht is 1141`10d UY the AMtAldAN INSTITUTE OE TIMOR CONStf1UCTION to use the Aft Cul WIV@ Wk Ih mghect bf Ofoduhts Which coiiiply with fibpiieable 0 MV1416 is df 99id Standard, that th@ ddedUady 61 the joblity bdhttbl Systblii ih effect at said plaht is petiddicaily, Itispacted and 0011011 by the Ifigpdctioti hgteab. of the' AM041tAN INSTITUTE OP TIA Oth MNOMUttION, ai;d thet, 16 the Juddrrie6t of Alf C, Mid bbinpariV R ca0bble of complyitill *Ith 1!1100110W h1ahl1f8btUring'and tegting tffdVi1Ibhs of said Standata iti tespect of products manitfactutbd at Said plaht. Cohformaht@ with til@ Slondatd In Moect bf tihy §0 tific br 00ticular ptodubt it th@ sol@ fHpbiulbility of the fTijAbfacfurer; Alft's 06l antee I h@t@uhdef being that the said tompany is tibJ1111 d tti �rdduce a product nigotlAd thio lald Standard ifid thgt Its plant is periddically Inspectbd aid Vetlfi@d by til@ Aft Inspection Bureau. AlfC Cedificate No. 6 7 3 3 6 A AMERICAN INSTITUTE or TIMUR CON81RUCTIoN twCoVC0 Aug wt, 1990 ,ELLER L69. 9ALt5 6 1094 A10thICAN INStITUTE of TIMBER CONSTRUCTION ' � • TIIUIBEI�S ' LAA BE/1h1I5'' 9E REdWOOD ' PINE••, FIR'S • COO. 7 1 P.O. BOX 4005 • REDDING, CALIFORNIA 96099 PHONE (916) 246-0405 FAX (916) 243-5516 INVOICE NO. 10-35 DATE 10-3-90 OUR ORDER NO. F.O.B. CAR NO. SALESMAN YOUR ORDER NO. 9138 DELD GREG 7216 01, FREEWAY CONTRACTORS H i 1600 FEATHER RIVER BLVD. YOUR YARD OROVILLE, CA 95965 T 0 0 Routing: AS #5 Terms: 2% COD' $3.74 DISCOUNT STOCK GLU LAMS 1 3-1/8 x 15 x WWI ' 1 5-1/8 x 13-1/2 x 16' $205.00 o'-��" r l �.•1 ,� •° i SEE EV k4? SIbE fOR TER �tMS OF SALE Applicoble Association Rules To Apply 3.74 $201.26 QROFESS10 A. Go 41 F�c2 U -j 9r o. 3024 m E1- s�4� TRl10TU�''P ���P . F OF CAS\F� 1TO CONC. —� PEDESTAL w a o #4 EA \ CORNER t 4x POST W/SIMPSON PB POST BASE #30@'12' O.C. (ADD 2 TIES POST BASE) 3—#4 x 2'— EACH WAY 3'-0" SQUARE COLUMN SECTION DR. SAG DECK FOOTINGS GRANTHAM RESIDIENCE — FOREST RANCH SK DATE: -10-23-90 NICHOLS MELBURG. & ROSSETTO AIA 1 N0. 1236 CHICO, CALIFORNIA (916) 891-1710 1. Ceiling Insulation 2. Wall Insulation Specification Number of stories Single- Single - R -value One Two Three R-0 -103 -49 -32 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value .41 to 0.80 -153 -114 0.50 -176 -84 -54 0.30 -102 -49 -02 0.10 -26 -13 -8 0.08 -18 -9 -6 O.C6 -11 -5 -4 0.04 -4 -2 -1 O.C2 4 2 1 0.00 11 5 3 2. Wall Insulation Specification ,1200 Single- Single - Points Effective Percent Glass Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value .51 to .41 to 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation -4 4 Insulation in Flour 29 -58 -20 Number of stories -3 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value -8 -1 0.60 -144 -70 -46 - 0.50 -120 -58 -38 0.40 -95 -46 -30 0.30 69 34 22 0.20 43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 .3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace 5 Number of stories 16 R -value One Two Three R-0 -11 -7 -5 R-5 -4, -4 3 R-11 -2 -2 -2 R-19 1 2 -2 4. Slab Edge Insulation 12 17 - Number of Stories -20 0 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 10 14 0.90 -4 -3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0,40 12 8 4 5. Infiltration (Air Leakage) 7..Shading (Shade Open) Specification ,1200 Interior Points Effective Percent Glass Stories Standard (percent glass x SC) /CFA One Two Three One 0 Three: " 6. Glass Heat Loss -5 -4 -2 -1 1 Total %Glass North East South West U -value 18 Percent 1 4 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 -3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12. 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 8 7. 6 5 4 3 0.85 .7.79 13 11 10 8 7 7..Shading (Shade Open) Infiltration ,1200 Interior Effective Percent Glass Effective Percent Glass Stories Stories (percent glass x SC) /CFA One Two Three One (percent glass x SC) Three: " Effective -5 -4 -2 -1 1 %GIa6s %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2-. 3 . 5 2 2 8 2 3 5 2 2 7 1 3 4 2 .2 6 1 3 4 2 3 5, 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 -na = not allowed -1 -2 -1 i3. Shading (Shade Closed) Infiltration ,1200 Interior Effective Percent Glass Mass Stories Stories (percent glass x SC) /CFA One Two Three One Effective Three: " 0.0 -8 -5 -4 -2 -1 1 %GIa6s North Esq 5471rth Watt Skylight 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31. -29 .74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21. -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5' -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na . not alimed 0.20 3 2 1 6.0 9. Interior Thermal Mass Infiltration ,1200 Interior Slab Floor Raised Floor Mass Stories Stories TYPE 2 MASS AREA = $ /CFA One Two Three One Two Three: " 0.0 -8 -5 -4 -2 -1 1 0.1 -8 -5 -3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6. 8 9 10 10 4.5 3 7 8 10 11 ° 11 5.0 4 7 9 1.1 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Solar Exterior Single- Single - -410 +6 b Wall Family Family Multi Mass Detached Attached Family 0.00 0 0 0 -25 -21 0.20 3 2 1 6.0 0.40 5 4 3 -6 0.60 8 6 4 -4 -4 0.80 10 8 5 7.0 1.00 13 10 7 0 1.20 13 12 8 8 6 1.40 12 13 9 9.0 1.60 10 13 11 7 1.80 10 12 12 19 16 2.00 10 11 13 11.0 11. Heating System 23 19 15 12 SE or KSPF 12.0 30 (assumes ducts In attic) 18 14 Sum of 15 13.0 33 29 24 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3. 3 2 2 1 0.80 7.33 8 7. 6 5 4 3 0.85 .7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 2 Effective SE or HSPF None (SE or HSPF x duct eMciency) -23 -15 Effective -25 or -24 to -14 b -4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 . -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment POU System Type _ 0 0 0 Resistance 10 9 7 6 4 3 Other 6. 5 4 3 2 2 12. Cooling System Infiltration ,1200 Unit Size (sQ 7. Water SEER . TYPE 2 MASS AREA = $ 1700 2200 2700 (&ssume: ducts In attic) i or .. ] to to Sim of 7.10 or Type Type less -25 of -24 to -14 to -4 b +6 to 16 or SEER less -15 5 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4_ 3 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 %, 6 -12 -9 Effective SEER -6 IG None (SEER xduet efficiency) -3 -2 -2 Sian of 7-10 1 Solar 7 Effective -25 or -24 to -14 to -410 +6 b 16 or SEER less -15 5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11. -9 -7 -6 -4 6.6 -5 -4 -4 -3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 0 Zonal Control Adjustment Solar 14 10 8 7 6 4 3 HWR No Cooling System Installed 5 i Stories One -5 -4 -4 -3 -2 . -2 Two + 3 3: 2 2 2 1 Single -Family Detached and Attached Interior MasslCFA \ TYPE a PASS Infiltration ,1200 Unit Size (sQ 7. Water 1199 TYPE 2 MASS AREA = $ 1700 2200 2700 Heater Credit or .. ] to to to or Type Type less 1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 WSB 5 3 3 2 2 20% POU 8 5 4 3 3 SE None -37 -24 -18 -15 -12 90% Solar -1 -1 -1 0 0 0.6 HWR -18 -12 -9 _ -7 -6 2.1 WSB -25 -16 -12 -10 -8 3.6 POU -18 -12 -9 -7 -6 IG None -5 -3 -2 -2 -2 1 Solar 7 5 4 3 2 2.5 POU 3 2 11 3.5 1 IE None -28 -19 -14 . -11 -9 5.4 Solar '8 5 4 3 3 1.4 POU .10 -6 -5 -4 -3 2.9 Multi -Family (Individual 3.7 units) 4.1 4.3 4.5 4.8 Unit Size (sQ 52 Water 56 699 700 1200 .1.7100 2200 Heater Qedii or b to / ;to , 0f Type Type less 1199 1699 2199 r more SG None 0 0 0 0" 0 or Solar 14 7. 5 4 3 HP HWR 9 5 3 2 2 3 WSB 9 4 3 "2; - 2 4.5 POU 9 5 3 .2' 2 SE None -45 -23 -15 -ill%/ .9 1.9 Solar 2 1 1 0 0' 3.4 HWR _23 -12 -8 5 -5- 5-WSB 4.8 WSB -25 -13 -8 -6 -5 55% PQU _23 -12 __8 -6 -5 IG None -8 -4 .3 .2 f .2 3.7 Solar 6 3 2 1! 1 5.1 POU 1 _ 0 0 0 0_ 1E None .30 -15 -10 -8 -6 2.5 Solar 18 9 6 4 3.8 4 POU -8 -4 -3 2 .2 Interior MasslCFA \ TYPE a PASS Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North TYPE 2 MASS AREA = $ b. East c. South d. West AREA e. Skylight 8. Shading (Shade Closed) x a. -North Zonal Control? ( Y / N) b. East. Duct Efficiency [0.78] c. South '12. d. West 11.74ut11C•4.71 - Ie•rpet.a 1•DI 9. Interior Thermal Mass x 126inal Control? (Y / N) SEER [9S] Duct Efficiency 10.741' Effective SEER [7.03] I TYPE I MASS (UIMC,10 4.2, !e-: exposed slab) _'... Type ISGI Credit [none] .. O% S% 1095 1S% 20% 25% 30Y. 35% 40% 45Y- 50% 55% 60% 6Sl- 70% 75% 80% 85Y. 90% 95% 100% 105% 110Y. 115% 120% 125` OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 IM 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 52 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 Z4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 59 SO% 0.9 1.1 1.3 1.5 1.7 1.9 21 Z3 25 27 3 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 28 3 3.1 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 53 5.6 5.9 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 61 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 52 5.4 5.6 58 6 62 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 80% 1.4 1.6 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 54 56 5.8 6 6.2 64 66 851. 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.6 5 52 54 5.6 5.9 6.1 63 65 67 801.' 1.5 1.7 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.2 64 66 68 95% 1.6 1.8 2 2.2 2.5 2.7 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.6 6 6.2 6.4 6.7 69 100% 1.7 1.9 21 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.1 7 105% 1.82 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 6.6 68 7 110%1 10%1.9 . 9 2.1 2.3 2.5 2.7 2.9' 3.1 3.3 3.8 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 6.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 73 125% 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5:5 5.7 5.9 6.1 6.3 6:5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD . Measures •1. Ceiling Insulation R�0 or R -value (38] U -value [0.030] 2. Wall Insulation or R -value [11 U-value [0.098] 3. Raised Floor Insulation l or R -v ue(11 U-value[0.037] 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North TYPE 2 MASS AREA = $ b. East c. South d. West AREA e. Skylight 8. Shading (Shade Closed) x a. -North Zonal Control? ( Y / N) b. East. Duct Efficiency [0.78] c. South '12. d. West e. Skylight 9. Interior Thermal Mass .or R -value I01 F2 factor [0.77] Standard Type [double] U -value (0.65] % Tot1l Glass [ 16] % Glass SC Eff. % Glass s XT X •' ' X O x = % Glass SC Eff. %cG)ass /.3 x_ X = ,� 0 X 3-7 X D X = O TYPE 1 MASS AREA = % Point Scores a -- - - a 0/ Sum lb 0 Point Total: w Sum 7.10 Q Interior W.- s/CFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA = $ Exterior Wall Mass ND. L R AREA 11. Heating System . �a x 7 Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] ... • Effective SE or '12. [0.7 HSPF 10.56/5.1 Cooling System 07 ' x 126inal Control? (Y / N) SEER [9S] Duct Efficiency 10.741' Effective SEER [7.03] 13: Water Heating 5=�. _'... Type ISGI Credit [none] .. Point Scores a -- - - a 0/ Sum lb 0 Point Total: w Sum 7.10 Q Certificate of Compliance: Residential Climate Zone 11 -- Mandatory Measures Checklist: Residential MF -1R Project Ct Title ItI.2 _ 90 _ 'NOTE: Lowrtse residential buildings subject to the Standards must contain these measures regardless of Ute compliarace approach used. Items marked with an asterisk (•) may be superseded by mora stringent compliance requirements listed Permit N on the Certificate of Compliance. When Otis checklist is incorporated into the permit documents, the features noted &(tall Building P12 /I ' &Ar? g be considered by all parties as binding minimum component performance specifications for the mandatary measures Project Address ILS 6 - whether they arc shown elsewhere in the documents or on this checklist only. Do r re,* -br. Checked By / Date Documentation Author Telephone Enforcement Agency Use Only DESCRIPTION Envelope ng DESIGNER ENFORCEMENT elope Measures Glass Area % Glass '§2-5352(a): Minimum ceiling insulation R•19 weighted average. BUELDING DATA North az §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. Conditioned r Area g;2 /A 7 Number of Stories East '§2'5352(c): Minimum wall insulation in framed walls R•I1 weighted average (does not apply to exterior mass walls). Sla ised F7 Number of Units South a2 O West §2.5352(k): Slab edge insulation - water absorption rate rte greater than 0.3%, water vapor Single Family Detached (SFD) (] Addition Alone trartstn`ssien rate no greater than z.o perrn(utcn. [ J [ ] Existing Building Skylight � Q Z §2.5311: Insulation specified of installed mccts California Energy Commission (CEC) quality Single Family Attached (SFA) standards. Indicate type and form. [ ] Multi -Family (MFS [ ] Existing -Plus -Addition Tom �2 �/ y §2.5352(f): Vapor barriers mandatory in Climate Zoites 14 and 16 only. §2.5317: Infiltration/Exfiltradon Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit au BUILDING SHELL INSULATION leakage. b. Doors and windows cenificd. Component Insulation L.oeatilon/Cornments c. Doors and windows weatherstripped. all joints and pcnct ations caulked and sealed. Type R -Value (ai1dC, to garage, t~�lael, CLC.) §2.5352(e): Special inf.1tration barrier installed to comply with 02.5351 moots CEC quality standards. Wall..............§2.5352(d): Installation of Fireplaces Wall .............. 1. Masonry and factory -built fireplaces have: a. Tight ratting. closeable metal or glass door b. Outsideintake with damper and control Roof ............. c. Flue damper and control Roof ............. 2. No continuous burning gas pilots allowed. Floor ............ HVAC and Plumbing System Measures Floor ............. §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach akulations. Slab Ed a ..... Y §2-5352(h) and 2.5315: Setback tnerrrastat on all applicable heating systems. g • §2-5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC. GLAZING Shading Devices §2-5316(b): Exhaun systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. Glaring Area Glass Type Interior Exterior Overhang Framing Type §2-5314: HVAC equipment. water heaters. showerheads and faucets certified by the CEC. Orientation (SO (single, double) (roller blind, etc.) (shadescreen, etc.) (yes/no) (metal/wood) §2.5352(1): Water heater insulation blanket (R• 12 or greater) or combined interior/exterior insulation (R-16 or greater): first 5 feu of pipes closest to tank insulated (R-3 or greater). NorT-h ( ) 2F §2.5312(Exccpdon 1): Pipe insulation on steam and steam condensate retum & recirculating piping. North ( ) §2-5318(d): Swimming Pool Heating East ( ) _ _ 1. System has: East ( ) a On/off switch on heater. South ( ) (Xy _ b. Weatherproof instruction plate on heater. e. Plumbed to allowwfor for solar. ar. 2. 75 percent thermal efficiency. SOUth3. ( ) V _ 4. Timecllock. - West ( )l cover. 5. Directional water inlet. West ( ) Lighting and Appliance Measures Skylight....... — §2-53520): Lighting • 25 lumcns/watt or greater for general lighting in kitchens and bathrooms. THERMAL MASS 12-5314(c): Gas fired appliances equipped with intermittent ignition devices. Type/Covering Area Thickness §2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified (slab/exposed, tile, etc.) (S f) (inches) Location/Description (kitchen, bath, etc.) by the CEC. Indicate make and model number. TVT COMPLIANCE STATEMENT IVFI This certificate of compliance lists dr, building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Mptrr 2. SLbdupW 4. Article 1 of the California Administrative code. This certificate has bew signed by the individual with overall design responsibility and the building owner, who shall HVAC SYSTEMS Minimum Duct retain a copy of it and transmit the certificate to any subsequent purdiaser of the building. Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat um) (SE, SEER,HSPF) (attic, etc.) R -Value tuh ora roved equal)I Designer Bttildin O r � Name: Name.: 1;W, 1 A� 7 VW t TUWFum: TitkJFvm ' 'T—f— Address: Address: Tekphonc Tekphonez Maximum Furnace Heating Output: Btuh ��j ` i " HOT WATER SYSTEMS Tank Manufacturer/Model# Pa1'FFe4WiQ's S stemT (Stora a as, etc.) Ca acit ora roved a ual (signawrt) (date) (sibnan=) (date) O. Documentation Author Enforcement Agency SPECIAL FEATURES/REMARKS Add extra sheets if necessary) x Name: Name: ( rY ; � TidelFum: Ag«xy:- Addreu: Tekplaae: