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063-150-024
SPECIAL INSPECTION (FIRE) DAY CARE 9/20/93 63715-24 1531-90B,P,E,M MORTON, Bob 15354 Forest Ranch Way, Forest Rani (new single family) 1 1 63-15-24 2208-91B,P,E,M WILL SEY `& BLANKENSHIP 15354 Forest Ranch Rd, Fo t Ranch (conv garage to living/sf 3 L now t GOP ..063.. ADMINISTRATIVE PERMIT 195-20— Deborah 93-20 Deborah Willsey'� Way, Forest Ran .15354 Forest Rancy c Allow 12 Child Daycare in R-1 Zone jt. W—W k LAND OF NATURAL WEALTH AND B E A UTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE' - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 August 12, 1997 RE: Day Care Inspection A. P. # 097 110-0 2 O G3-/� =U _0 - 5� Forest Ranch Family Day Care 15354 Forest Ranch Way Forest Ranch, CA 95942 Dear Mr. Blankenship, On July 2, 1997, the Department of Social Services/Community Care Licensing in Chico made a request to this office for a fire safety inspection of your day care facility at 15354 Forest Ranch Way, in Forest Ranch. On July 9, 1997, we sent you a letter informing you of this request, and the procedures involved in obtaining the inspection. Since we have had no response, we have no choice but to deny the fire safety clearance, and notify Community Care Licensing. (See Enclosed Copy) Should you have any questions concerning this matter, please contact this office at the address or phone number listed above. cc: Department of Social Services Butte County Planning Department 1 Sincerely, Scott Rutherford Supervisor, Building Inspection C71g��-s9�y 10 RECEIVED FIRES FETY INSPECTION REQUEST STD. 850 (REV. 10-94) See instructions on reverse., Il II 0 7 1997 AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM DSS/COMMUNITY CARE LICENSING 916 895-5033 7/.2/97 BUTTE COUNTY BRI DIVISION EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER -11 -1 -1 -NN -63 REQUEST CODE 0105/GOWINS 041373723 7A ' CODES *RESPONSE REQUIRED` 1. ORIGINAL A. FIRE CLEARANCE LICENSING DEPARTMENT OF SOCIAL SERVICES 2. RENEWAL B. LIFE SAFETY AGENCY NAMEAND COMMUNITY CARE LICENSING 3. CAPACITY CHANGE ADDRESS 520 COHASSET ROAD, SUITE 6 4. OWNERSHIP CHANGE CHICO, CA 95926 5. ADDRESS CHANGE I___ 6. NAME CHANGE 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY. PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY 12 12 0 0 .0 0 12 FACILITY NAME LICENSE CATEGORY . p.. n RANCH FAMILY DAY CARE - 810' STREET ADDRESS (Actual Location) NUMBER OF BUILDINGS 15354 FOREST RANCH WAY 1 CITY RESTRAINT FOREST RANCH NO FACILITY CONTACT PERSON'S NAME HOURS STEVEN BLANKENSHIP (916) 345-4525 DAYS SPECIAL CONDITIONS F FIRE BUTTE CO. BUILDING DEPARTMENT. AUTHORITY 7 COUNTY CENTER DRIVE NAMEAND OROVILLE, CA 95965 ADDRESS INSPECTOR'S NAME (Typed or Printed) TELEPHONE NUMBER q! (� 5-59- 7.5111 CFIRS NUMBER OCCUPANCY CLASS - INSPECTION DATE INSPECTOR'S SIGNATURE (T r ' EXPLAIN DENIAL OR UST SPECIAL CONDITIONS CJ(/ w CLEARANCE /DENIAL CODE CODES 1. FIRE CLEARANCE GRANTED FIRE CLEARANCE DENIED A. EXITS B. CONSTRUCTION C. FIRE ALARM D. SPRINKLERS E. HOUSEKEEPING �F. SPECIALHAZARD / G:�OTHER STATE OF CALIFORNIA FIRE SAFETY INSPECTION jREQUEST STD. 850 (REV. 1494). _ "� `See instructions on reverse. AGENCY CONTACTS NAME _•;LICENSING TELEPHONE NUMBER REQUEST DATE PROGRAM DSS/CO1g4UNITY CARE LICENSING 916.-- 89575033 7/2/97 EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE 0105/GOWNS 041373723 7A $' CODES *RESPONSE REQUIRED* F 1. ORIGINAL A. FIRE CLEARANCE DEPARiTi3'f' CiFCIAi: SERVGES 2 RENEWAL B. LIFE SAFETY AGENCY .. .. ...� r: _ �� f NAME AND COWTUNITY , CARE LICENSING . 3. CAPACITY CHANGE ADDRESS 520 COHASSET ROAD,SUITE 6 4. OWNERSHIP CHANGE CHICK, CA 95926 CODES , f 5. ADDRESS CHANGE 6. NAMECHANGE T OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPAGTY { i sr 12 12 0 0 0 0 12 FACILITY NAME LICENSE CATEGORY 'FOP FgT- RA N, � M111 Y•<4)A-Y �:� T: _.. ., -�..: ... ;�.... . , ...;v4 :� ,x-.;�._ t,. r. STREET ADDRESS (Actual Location) t NUMBER OF BUILDINGS ' 15354 FOREST'RANCH WAY. i CITY RESTRAINT FOREST RANCH x -'NO FACILITY CONTACT PERSON'S NAME HOURS STEVEN.BAANKENSHIP 916) 345-4525 DAYS m t SPECIAL CONDITIONS ON I $' ��.$��a���TO'BEACOMPLETED�BYINSPECTINGAUTHQRITIf .w <, .. _,�. . < . r..: a�>< Via. CLEARANCE YDENIAL CODE , CODES FIRE BUTTE CO. BUILDING DEPARTMENT • AUTHORITY 7 COUNTY CENTER DERVE 1. FIRE CLEARANCE GRANTED NAMEAND OROVILLE,' CA 95965 OFIRE CLEARANCE DENIED " . ADDRESS a A. EXITS B, CONSTRUCTION :c,'. ,< f = f.•,. . ,x1 : A , . , - { i sr -. C. FIRE ALARM... . '. • � D: SPRINKLERS :INSPECTOR'S NAME (Typed o� Printed) TELEPHO NE NUMBER CFIRS NUMBER +* 0_ CCUPANCY CLASS. R7��' `�Av ql ►J — %s7 1� E. HOUSEKEEPING F. SPECIAL HAZARD �. 0G. THEE - INSPECTION DATE INSPECTOR'S SIGNATURE (Typed of P.. ted).4 _ IOU EXPLAIN DENIAL OR LIST SPECIAL CONDITIONS 1, %/ / - V /ii/ Life i_(' •. ' ..I/,•yy] _, `,•' C�r'� "' A '' _"' t STATE OF, CALIFORNIA FIRE SAFETY INSPECTION REQUEST STD. 850 (REV. 10••94) See instructions on reverse. AGENCY CONTACTS NAME TELEPHONE NUMBER a REQUEST DATE PROGRAM DSS/COMMUNITY CARE LICENSING • ( 910 895-5033 7/2/97 EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE 0105/GOW1115 .041373723 7A CODES *RESPONSE REQUIRED* 1. ORIGINAL A. FIRE CLEARANCE LICENSING ! ti -, AGENCY' DEPART i'"rA AL SL' t -. 2. RENEWAL B. LIFE SAFETY NAMEAND COT-211UNI'll CARE LICENSING 3. CAPACITY CHANGE 'ADDRESS .520 C:OHASSET ROAD,, SUITE 6 4: OWNERSHIP CHANGE CHICO, CA 95926. 5. ADDRESS CHANGE 6. NAME CHANGE 7. OTHER AMBULATORY NONAMBULATORY , BEDRIDDEN TOTAL CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY 12 12 0 O 0 0 12 FACILITY NAME LICENSE CATEGORY • FOREST RANCH -FAMMY DAY WE- E STREET STREET ADDRESS (Actual Location) NUMBER OF BUILDINGS 15354 FOREST RANCH WAY i CITY RESTRAINT FOREST RANCH N0 FACILITY-CONTACT.PERSON'S NAME HOURS STEVEN BAANKENSHIF (916) 345-4525 DAYS -SPECIAL CONDITIONS. �c-+,�,� ,.�M.,.w...,>, .> ¢w:,;.:.,smss::x.su:ree�:c�:z:,•c,re«:r�.�axx��:s.�..:.:,sx:r,,. ,a:"H.. .s��.a r�:tt��.. o:•�,csss�,uzs;�„•.>.�xa>...:a�a.ss:;rrar�'� CLEARANCE /DENIAL CODE CODES FIRE BUTTE CO. BUTLDING DEPARMENT AUTHORITY- 7 COUNTY CENTER DIRVE I., FIRE CLEARANCE GRANTED NAME AND IBRO ILLE,” CA 95965 AFIRE CLEARANCE DENIED ADDRESS A. EXITS B. CONSTRUCTION C. FIRE ALARM. INSPECTOR'S NAME (Typed or Printed) TELEPHONE NUMBER CFlRS NUMBER OCCUPANCY CLASS D. SPRINKLERS /� / ' E. HOUSEKEEPING. *4 "� l•j( (l! ���' %J� �� �F.� SPECIAL HAZARD INSPECTION DATE INSPECTOR'S SIGNATURE (Typed or Printed) (G.ITHER fyW4 EXPLAIN DENIAL OR LIST SPECIAL CONDITIONS r V i�:.,: ,, r :....,..;. - •:' ..,., . -,`s✓�G��I�O�it/�i?� �`��Y`r �� !. I�TY'!FJr ����c5'�-C./ /�� u Forest Ranch Family Day Care 15354 Forest Ranch Way Forest Ranch, CA 95942 Attn: Steven Blankenship -Eu fte, fount, BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 July 9, 1997 RE: Day Care Inspection (A.P. #063-15-0-024 The Department of Social Services Community Care Licensing in Chico has made a request to this office for a fire safety inspection of your day care facility (maximum capacity, 12) at 15354 Forest Ranch Way, Forest.Ranch. You may apply to this office for a Special Inspection for the fire inspection. For the Special Inspection we will require a. plot plan showing the, building location on the property, a floor plan showing room uses, windows, doors, mechanical equipment etc., and the appropriate fee and the application signed by the property owner. After we make the Special Inspection, we will write a letter advising you of any improvements and building permits that may -be required. we will not notify the Department of Social Services of any clearances until you have complied with both Planning and Building Department requirements. Should you have any questions concerning this matter, please contact this office. MCV:dms cc: Department of Social Services Planning Department Yours very truly, is ael C. Vieira, C.B.O. Ma ger, B ilding Inspection Dear Sir.:: Planning Department APR 2 9 1993 6Ville, Calibmia at ountf DEPARTMENT OF PUBLIC WORKS ' WILLIAM (Bill) CHEFF; Director 7 COUNTY CENTER DRIVE i OROVILLE. CAUFORNIA 95963 Telephone: (916) 336-7541 -August 19,'1991 RONALD o. UcELROY Deputy Director RE:- Day Care Fire Inspection (A.P: 45-26-47) The Department of Social Services.Community Care Licensing in .Chico has made a request to this office for a fire safety inspection of your mid-day care facility (maximum capacity, 12) at 1.8 = in moo._ you may apply to this office for a Special Inspection for the fire inspection. For the Special Inspection we will require a plot plan showing the building location 'on the property, a floor plan showing r xm uses, windows, doors, mechanical equipment etc., and the appropriate fee and the application signed by the.property owner. Af ter we make the Special Inspection, we will write a letter advising you of any improvements and -building permits that may be required. We will not notify the Department of Social Services of any clearances until you have been issued a use permit and complied with both the Planning and Building Department requirements. (- ) Should you,have any questions concerning this matter, please contact this:office. Yours very truly, ; William Cheff Director of Public Works. i (�V 0 C ai r JFG:dms cc: Department of Social Services Planning Department J:F. Glander Manager.,. Building.Inspection PETERSON. 1167 huffman . 670 SQUYRES 329 DATA 558 CORRECTI. 1461 30-1 19 ADDRESS 123 CORRECT 1482 30rem 933 30DAY 1481 10-2 306 10-1 361 10rem 1105 TODAY 1326 REMAINING 777 STATE FIRE MARSHAL COPY DISTRIBUTION: FIRE SAFETY INSPECTION REQUEST 1-3 - STATE FIRE MARSHAL 2 -FIRE AUTHORITY SEE REVERSE OF COPIES 2 AND 5 FOR INSTRUCTIONS FOR COMPLETION STD 850 (REV. 8/86) (Continuous) 4-5 - LICENSING AGENCY 1. REQUEST DATE 2. PROGRAM 6/19/93 3. AGENCY CONTACT 4. TELEPHONE NO. 5. EVALUATOR DSS/COMMUNITY CARELICENSING ( 91.6) 895-5033 1 0105/P. SEXTON 6. SFM REGION 7. SFM ID. NO. 8. REQUESTING AGENCY FACILITY NO. 9. REQUEST CODE 041373723 3/A CODES 1. ORIGINAL A. FIRE CLEARANCE 2. RENEWAL B. LIFE SAFETY 3. CAPACITY CHANGE �JtPARTMENT SOCIAL S�FRVICES 4. OWNERSHIP CHANGE 10. AGENCY OF I�IcEN.SINCi S. ADDRESS CHANGE NAME CO?"Ml!lll! .Y CARE 6 6. NAME CHANGE n C Suite AND 52:) O},35SE2 RUad. PREVIOUS NAME AODREssL co CA 9592.6 7. OTHER ' - DATE OF ORIGINAL REO. 11. AMBULATORY NONAMBULATORY TOTAL CAP. DATE OF LAST FIRE CLEARANCE CAPACITY AGE RANGE (YEARS) PREVIOUS CAPACITY AGE RANGE (YEARS) PREVIOUS TO /8 18 TO 85 AND CAPACITY TO 18 18 TO 85 AND CAPACITY 19. FACILITY 85 OVER 85 OVER CODE 12 X 6 0 12 810 FDC 12. FACILITY NAME - 13. NO. SLOGS. CODES FOREST RANCH FAMILY DAY CARL 1 1. GACH 7. ICF/OT 2. GACH/R 8. ICF/DD , 14. STREET ADDRESS P.O. BOX 15. RESTRAINT 15354 FOREST RANCH WAY 1298 NONE 4. APH 10. CLINIC 5. PHF 11. JAIL Cm ZIP CODE 16. HOURS FOREST RANCH, CA 195942 DAYS 6. SNF •12. ICF/DON 13. OTHER 17. FACILITY CONTACT PERSON TELEPHONE NO. 16A. SPECIAL DOBORAH AND STEVEN BLANKENSHIP 898-8122 TO BE COMPLETED BY INSPECTING AUTHORITY 18. FIRE- 26. CLEARANCE CODE AUTHOR. BUTTE COUNTY BUILDING DEPARTMENT NAME 7 COUNTY CENTER DRIVE CODES AND OROVILLE, CA 95965 1. FIRE CLEAR, GRANTED ADDRESsL I 2. FIRE CLEAR, DENIED J 3. FIRE CLEAR, WITHHELD 27. DENIAL CODE TO BE COMPLETED BY INSPECTING AUTHORITY CODES 21. INSPECTOR'S NAME TELEPHONE NO. 22. CFIRS 23. T•19 OCC. AR-( q // �7 % ID. %NO. �/ CLASS 1. EXITS 2. CON / (D ) U _ �� / /� • 3. F RESALARMION 4. SPRINKLERS 24f 1 SIP'. DATE I J.3 25. INSPECTOR'S SIGNATURE 72693 S. HOUSEKEEPING 6. SPECIAL HAZARD 28' EXPLAIN DENIAL OR LIST SPECIAL CONDITIONS 7. OTHER • • STATE FIRE MARSHAL USE ONLY 20. REGION, F-brPARTMENT OF SOCIAL SERVICES OFFICE C''L-)I I:it' TY CARE, 1110ENSINC AND 520 Cctt:as^Gt Road, Suite 6 ADDRESSLChi00, CA, 95926 J tt Count, �rvdY- V PLANNING DEPARTMENT 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 July 27, 1993 Deborah Willsey 666! ,> P.O.Box B c Ranch, h CA 95942 Re: Administrative Permit, AP 063-150-024 Dear Ms. Willsey: Enclosed is your validated Administrative Permit No. 93-20 to allow a large family day care for up to 12 children on property zoned R-1 located at 15354 Forest Ranch Way, Forest Ranch. Every Administrative Permit expires and is automatically null and void without further action by the County if the Activity or use for which the Administrative Permit was granted has not been actively and substantially commenced within one year of the date of its final approval. Should you have any, questions regarding this matter, please contact this office. Sincerely,�)) William Farrel Director of Development Services WF:lr Enc. cc: Land Development vision Building Division Environmental Health Department of Forestry ADMINISTRATIVE PERMIT BUTTE COUNTY PLANNING DEPARTMENT July 27, 1993 93-20 PERMIT NO. AP 063-150-024 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Deborah Willsey is hereby granted an Administrative Permit in accordance with application filed: 5/13/93 to allow a large family day. care for up to 12 children on property zoned R-1 located at 15354 Forest Ranch Way, Forest Ranch. 1. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Section 24-62. 2. Unless otherwise provided for in a condition to an Administrative Permit, all conditions must be completed by the permittee within 12 months of the delivery of the countersigned permit to the permittee. 3. If any use for which an Administrative Permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall be come null and void and reapplication shall be required to establish the use. 4. The terms and conditions of this permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. SPECIAL CONDITIONS: 1. The facility is a single family residence that is the principal residence of the provider and the use is clearly incidental and secondary to the use of the property for residential purposes. 2. Properties proposed for Large Family day care shall be located at least 500 feet driving distance from any other Large Family day care property and the granting of the permit shall not result in any residence being bounded on more than one side by a Large Family day care. 3. Large Family day care homes shall meet the following traffic control measures: a: In addition to providing the required number of parking spaces for the residential use, one off street parking space for each employee of the facility and one off street parking space/loading area shall be provided. The driveway area may be used to meet this requirement. b. Large Family day care homes located on principal or minor arterial roads as designated by the General Plan Circulation Element shall provide drop-off and pick-up areas which prevent vehicles from backing onto such roads. C. Properties proposed for Large Family day care homes shall have frontage on and access off of a paved road. Roads that are constructed for the purpose of meeting this requirement shall meet the RS -4C standard as contained in the Butte County Improvement Standards contained in Chapter 20 of the Butte County Code. 4. One sign, not to exceed 3 square feet, shall be allowed. 5. The applicant shall be licensed by the California Department of Social Services, Community Care Licensing for a Large Family Day Care facility. 6. The applicant shall meet all State Fire Marshall regulations pertaining to Large Family day care facilities. 7. The applicant must meet all other applicable County and State ordinances, statutes, and regulations. 8. Prior to operation of the large day care center a circular driveway with a second access to Forest Ranch Way shall be constructed in the front yard area sufficient to allow parents dropping off and picking up children to pull into the property and load and unload safely. This circular drive shall be maintained free of other parked vehicles during hours of operation and used exclusively for pick-up and delivery of children. Small signs directing one way traffic flow are encouraged. An encroachment permit shall first be obtained from the Department of Public Works. 9. Minor changes may be approved administratively by the Director of Development Services upon receipt of a substantiated written request by the applicant. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid and environmental determination as conditionally approved. Changes deemed to be major .or significant in nature shall require a formal application for amendment. NOTE: Issuance of this Administrative Permit does not waive requirement of obtaining Building and Health Department permits before starting construction and their approvals prior to use or occupancy, nor does it waive an other -requirements. . CC: Land Development Div Building Division Health Department Department of Forestry Butt�,,County Planning Director W.71 _ { . Q -�. , vrf•�l � �: _- .... _ September . 2Q, 1993 Deborah Willsey. TRE: Special Inspection.#93-42 - P.O. Box'293 (A.P. "063-15-0-024) Forest Ranch, CA 95942 _ Dear Ms. Willsey: With reference to -the above subject and your request for inspection of the proposed-'. :,.,.large family daycare at 15354 Forest Ranch [Jay, Forest Ranch, the inspection was -made September 2,_1993. A reasonable visual -inspection was made without going on the roof, under the build- ing, or �ne attic and found the following= items which must be done or resolved�all a bell and switch that receives its power from the residence r from a battery, audible throughout the house. f2 A record of fire evacuation drills or a letter of intent to conduct, i uding a timetable. `i*R, dQ{.e � j �� pa - A substantial screen or barrier,, a minimum of 36" high, fixed in place around the woodburnigg stove and water heater. This inspection by the County of Butte does not act as a guarantee or. warranty as to the internal soundness of said buildi.rg. It is. now in order for you to complete the above items and call for a re- inspection. Should you have any questions concerning this matter, please contact this office. Yours very truly, SR:dms Scott Rutherford _- - Supervisor, Building :Inspection. I I :i COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE S. MIT NO. A roufm iron indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work iscovpleted Byouhave any questions pertaining to this matter, or need additional explanation, please contam this office immediately. Date%,; <�3 Inspector REV 101 12-2-93 LETTER OF INTENT FROM FOREST RANCH FAMILY DAY CARE TO: BUTTE COUNTY DEPARTMENT OF DEVOLOPMENT SERVICES TO WHOM IT MAY CONCERN: WE WILL CONDUCT A FIRE EVACUATION DRILL ON THE FIRST OF EVERY MONTH OR THE MONDAY DIRECTLY FOLLOWING THE FIRST OF EVERY MONTH IF THE FIRST FALLS ON A WEEKEND AS WE ARE OPEN ONLY MONDAY THROUGH FRIDAY. THE TIME OF THE DRILL WILL BE AT 4 P.M. AND THE NUMBER OF PARTICIPANTS WILL BE A MAXIMUM OF 12 CHILDREN WHO ARE ENROLLED IN OUR DAY CARE PROGRAM. THE NUMBER OF CHILDREN VARIES FROM DAY TO DAY BUT WILL NOT EXCEED 12 AS THAT IS OUR LICENSED MAXIMUM. SINCERELY, ' sotl Forest Ranch Family Day Care P.O. Box 298 15354 Forest Ranch Way Forest Ranch, CA 95942 Vi)ctc)o productionS IMPORTANT MESSAGE FOR �C_A DATE TIMEP• M. M L� OF PHONE AREA CODE NUMBER EXTENSION ❑ FAX Cl MOBILE AREA CODE NUMBER TIME TO CALL TELEPHONED PLEASE CALL CAME TO SEE YOU WILL CALL AGAIN WANTS'TO SEE YOU RUSH RETURNED YOUR CALL SPECIAL ATTENTION SIGNED TOPS FORM 30025 LITHO IN U.S.A. September 20, 1993 Deborah Wi.11sey RF: Special Inspection #93-42 P.O. Box 298 (A.P. #063-15-0-024) Forest Ranch, CA 95942 Dear Ms. Willsey: With reference to the above subject and your request for inspection of the proposed large family daycare at 15354 Forest Ranch Jay, Forest Ranch, the inspection was made September 2, 1993. A reasonable visual inspection was made without going on the roof, under the build- ing, or in the attic and found the following items which must be done or resolved: 1) Install a bell and switch that receives its power from the residence or from a battery, audible throughout the house. 2) A record of fire evacuation drills or a letter of intent to conduct, including a timetable. 3) A substantial screen or barrier, a minimum of 36" high, fixed in place around the woodburnigg stove and water heater. This inspection by the County of Butte does not act' as a guarantee or. warranty as to the internal soundness of said building. It is now in order for you to complete the above items and call for a re- inspection. Should you have any questions concerning this matter, please contact this office. Yours very truly, SR:dms Scott Rutherford Supervisor, Building Inspection '( COUNTY OF BUTTE '- DEPARTMENT OF.PUBLIC WORKS 7 County Center Drive, Oroville, California 95965 C�7 Telephone: 538-7541 APPLICATION•FOR SPECIAL INSPECTION OwnerTJn1`o�y� iA� I �-1 -.� A. P. No. Mailing Address jb _?S6 Telephone No. �Crv\,c. gC�'94Z Applicant `l e.G�� ro k 111) ( S -o !n Telephone No. Mailing Address=,(,��n Building. Location cj�� S �-f c� � -e S+ �GL i"' to C � 00 \ I I hereby request a special�insp.ection of_the following building: � � 1 �S1. Dwelling (if only a Portion specify) C ;0 2. Apartment House (if only a portion, specify) 3. Commercial (specify present occupancy) Q 4. Other (specify) `RI am requesting a special inspection for the purpose of: u 1. Moving the building. u 2. Financing (specify agency) 3. Change of occupancy to _ Case No. Q 4. Other (specify).�i4 C(,t i e C_6 naL ca-pnCYA 4h IG ru Ay"; I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required by the -County of Butte, as a result of this inspec- tion, to comply with building and housing code .requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the .building is presently occupied, I will complete the above required corrections, alterations, or repairs within 30 days. I certify that I have read this application and state the above information is correct and hereby authorize representatives of the County of Butte to enter upon the above- mentioned property for inspection purposes. Date Signature of Owner Fee Paid $ v Receipt No. / 1st-DPW/2nd-Inspector/3rd-Applicant ',, ;, i � 7 `l� ✓ 1' \ p �� � . 9 •'.l _. r r Y , /'. w � .} : r . s . .... y Ii�:. i.�."�'-yV'k ".` ._ _ x _ a r 1 F COUNTY OF BUTTE - DEPARTMENT OF';PUBLIC WORKS * k7 County Center Drive, Orovile, California 95965l. /} Telephone: 53$,-,7541 {.. APPLICATION FOR SPECIALNINSPECTION 1 Owner ,_.htiS 0_� a) ! 1�C_�4�-4 ✓ A.P. No. Mailing Address �O -?D k z C "� Telephone No. %�� " �/ �22 Applicant 1:..)XA.joI G -k 1 .;0 , 1 � �� ��� Telephone No. c Mailing Address G,rx-yy 4 `� I Building Location 1 1 � S4 c) $ S� i Gt t� [ �i1 �,t lJ ,1 I hereby request a special inspection of the following building: 1. Dwelling (if only a portion, specify) 0 2. Apartment House (if only a portion, specify) Q 3. Commercial (specify present occupancy) 4. Other (specify) requesting a special inspection�c cher-parpoge of': 1. Moving the building. U 2. Financing (specify agency) Case No. Q3. Change of occupancy to © 4. Other (specify) I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required by the County of Butte, as a result of this inspec- tion,-to_.comply with building and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or,j if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within 30 days. 4, I certify that I have read this application and state the above information is correct and hereby authorize representatives of the County of Butte to enter upon the above- mentioned property for inspection purposes. Date Signature of Ownef' ; Fee Paid $ % f Receipt No. lyq JV14-1 lst-DPW/2nd-Inspector/3rd-Applicant / -od 5 Ok- Ea o 0, I CUO 5, lffovq CESIPENTIAL• r 63-1.5-24 2208-91B,P,E,M <% WILLSEY/BLANKENSHIPUY& 15354 Forest Ranch "Forest Ranch (convert garage.to den & office)SF to. 00L lk8 Stege 8lan kensht,p advised him ab+• 09+iC 1s c0r4wV)�ll� (tnec.,-O,\, perm's+ 40 campl• dc,, ex-keanst ovi . y JOB FINALE Signature ,J OK O = Not OK Not Applicable Not Ready MOBILE HOMES =" Date MOBILE HOME UTILITIES (Plans) OK except #'s i' 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 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plan;)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel t 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card -B-1 Date Card B-1 orl 6. Gas; Location -Test -Wrap: / /-Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector • 4. Electricity; MH Test -Crossovers -Breakers -Clearances, 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water, and Sewer Connected -C/O to Grade-HD•Approval 8. Gas and'Electricity Tagged \ N 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 L MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plan;)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel t 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card -B-1 Date Card B-1 orl J=OK O=Not OK = Not Applicable _ =Not Ready RESIDENTIAL (Single & Duplex) - Date UNDERFLOOR (Plans) OK except N's 1. Zortng-Setbacks-Easements-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permil),OK except k's 16. Water Htr.: Vent -Access -Combustion Air -Baffle _ 17. Water Pipe; Test & Anchor -Nail Protection ------ ------ -------------------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection -- ----------- 19. Shower Pan: Test. First Floor -Tub Access ---- ----- --- 20. Test -Tub & Shower, Second Floor -Tub Access ----- --------- ---------------- 21. Gas Pipe: Size & Anchors Date _ _Card B-1 ---- Date - - Card B_1 - - Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection ------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled ----------------------------------------------------- ---- 25. Romex Installed Close to Edge of Studs & C.J. ---------------------------------------------------------------------- 26. Equip. Ground made up w/Meth. Fasiners-Bond Gas & Water 27. 2 Appliance Circuls in Kitchen & Conductor Size/GFI ----------------------- ---'------------------------- 28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At ----------------------------------- -------------- ------ ------------------------ 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ _-Yes_ -❑ No - ---------------------------------------- ---------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------ -------------------------------------------------- 31. Equip. Clearances Panels -Motors -Meth. Equip. ---------- ------------------------------------------------------- 32. Clothes Closet Light -Shower -Light -Spa Light ---------------- 33. Smoke Detector ----------------------------------------------------------------------------- Date - Card B_1 - Date Card B-1 --------- ------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except rs's 34. A. C. Ducts Insulation & Support -------------------------------------------------------------------------------- - 35. Vent Fan: Exhaust above insulation 36. Condensate Drain & Overflow: Size & Grade ------ - - _ 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 out -- -- -- 38. Attic Access -& Platform -if-Furnance in Ali ic------------- ------ ------------------------------- --------------------------------------- Date ------------------ -- ----------- Date Card -B-1 Date Card -B-1 ------------------------------ ----------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sits. Proper Material & Anchors ------- ----------------------------------------- ---------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ---------- ----------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing -- --- ----------------------------- ----------- 42. Draft Stop in Walls (rat proof) ------------------- 43. Fire Stops Furred Ceilings -Stairs -Chases -Tub ------------- ---- --- ------ ------------------------------------ 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) _ 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Bra c-Truss-Shthng. -Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings ------ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------------- - 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection -------------------- --- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers -- ----------- 55.-- Siding -Nailing Veneer ------- - _ _ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights, -Plastic _ 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows V Date l� -/l"9/ Card B-1 // Date Card B-1 Date// 7-9/ CVK B-1 Date Card B-1 Date FIN (Pans) OK except ft's Steps -Door & Sidelight Protection andings _ _____ S e Detector 6;,_.0 r ce: Vents -Clearance -Comb. Air -Connector - 11 Garage: Above Floor -Ducts -Meth. Protection 6droomExiting F.I. & Bath Fixtures & Tub Access -Spa 6c. Trim & Su_bpanel: Breaker Sizes & Labels 6-. Stairs & Rails --------------------------- 6 ace or earances-Hearth ------------ --- 70. rn nce 71. 72. r ----------------------------- 73. --------------------------- 74. r.; en s- earance- omb. Air- onne .R.V. IPrulecil ------------ -----=-------------- 75. Plb. 76.EI - r ect rUn A� r' sulation-Foa -Looked i ti ❑ 7�-wa^�rd Rails & Deck Construction -Post Caps 7gird"n. Vents & Crawl Hole Door -Drainage & Wood -Earth Cie rance Looked under Floor ❑ Yes -- - ---- -- - - ----- a Ilowinginstld. Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No: - P/I4Nters ❑ Yes ❑ No aN%St pco: Brown -Finish -------------Unit: Disconnect. Electrical, Plumbing Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to - -- - Op mgs- - -- - - ------------------ a /air Well: ------------- Disconnect, Electrical, Plumbing 8;7- 8' or Elec rim 85,. Receptacle -Underground ayfi/tilation Throughout House --- --- 8Gl/a�g Protection --- o ctions from Previous Inspections -- - - -- a �G s Test -Meters Tagged: Gas -Electric 9(YWat &Sewer Connected -C/O to Grade -HD Approval �•�/nergy-Compliance Certificate Other Certificates- - Date�✓ Card B-1 Date _Card B-1 --- �(/ • '1-- -- - --off - DaIe _��_� Card B_Yy- - --Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final f Building Owner Buil ding Locac'_on ENERGY INSTALLATION CERTIr ICAi:. Building Permic T 2-2-0 i2S} �u�C�n Lt DESCa=IO�T OF I`iSULkTIO;i RC OF 2'at_rf a1 Thic`_cess(i=c es) 3IOR WAIL Thic:tness (iac�es) CZE =i.MYG Bact or Blanket 7 -me Th'c:cass(icces)GT�T�" y—��A„ ALlf�,� Loose _ i11 Type u-'�.uaicces2(=aches) Area covered(=t. ) water_al `J10�� Thic?cess (mac hes) FLOOR, 57.13 :gat er =al Tiiiccess (itches) Width (:aches ) FOUNDATION WALL Mat er:.al Th _ck--ess(inches) Bra=d Na>=e The= -a1 Resistance (R Value)__ Brand Na=ejq ki S - (!or0i K The: .al Resista=ce(R Value) Brand Name n,crP�t_('o�h�h� r P5 u55 1 Resstance(R V 1ue) - Brand Nape . .Nu -be_ .of Bags wt. per bag Thermal Resistance(R Value)__ Brand Name Ther -a1 Res_stanca(R Value)__ Brand Name The=.al Res:stancs(3 Value)__ Bra=d Name Ther -...al Resistaace(R Value) Z hereby ce=t=fF that the above ; sua t=on lwas i stalled is the above bu=1d_=g, ---- -*i:s consiste_^_t with approved building department plans -and attac ments -and con-- - I- - - forms with requirements of Chaucer 2-53 of State of California Energy Requi_ements. =12% "HANZE/OTrV 2 S SE C01=1=70R' S L+CE:TSF. N0. 10 111 A -I Y'Zaz' s -c7- 173 SIGN, =rI E OF 'MIiSMUZ iTT �i AnL::CATOR DAT: I hereby certify the required features, devices, and equipment, .as shown on the approved Building Depar-=ent plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-33 of the Stat_ of California Eaergy requirements. BUILDLNG CONTACTOR/OWNER (Please Pr=nt) STATE CONTRnCTOR'S LIC:.:4SF, NO. (F IE f NAME) SIGNATURE OF BUILDING CONTRACTOR/OWNER i aa HVAC F —ZM NAI•:E/OWNE? (Please Priac) SIGNAiuRE OF HVAC CO,�R9ACTOR,'OWNER DATE STATE CONTRACTOR'S LICENSE NO. `�'-Ik `Cf ?)DAi� TKS CERTIFICATE KUST BE ON -777 lJI7-1 THE BUILDING DEPARTMENT PRIOR TO FINAL INS?ErTION APPROVAL APID A COPY SHALL BE KS—LEDc�IT'riI�( T'H BU-- . G. 1 ( COUNTY OF BUTTE I f BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES' s` 1/4'6'9 'Humboldt Road, Chico, CA - (916) 891-2751 �1 7 (County Center Drive, Oroville, CA - (916) 538-7541 7.47 Elliott Road, Paradise, CA - (916) 872-6307- , CORRECTION NOTICE'.y (OWNER PERMIT-NO. lAiroutineiinspe:ctioniindicates that the following violations of Butte County Ordinances exist at the,above,addressiand:should be corrected. Please notify this office when correction of work iis(corr:pleted_Ilf%youlhave any questions pertaining to this matter, or need additional explanation, ,- iplease(contact Ahis toffice immediately. :!S7— '1 93 Inspector IIS ,I ... \� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE T NO. 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 work is completed. If you have any question pertaining to this matter, or neeq,"dffional explanation, please contact this office immediately. In . . 'AV 1 -7 // ,a n " i . - A _ n / IV it /{ n A— Date/ V ! ( Inspector__C//�(�!/�. COUNTY OF BUTTE - DEPARTMENTOFPUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT .A ASSESSOR PARCEL NUMBER ZONING yJ -R:- BUILDING PERMIT OWNER Deborah Willspy/Steve Blankenship TELEPHONE 5 SQ. FT. OCC. BUILDING VALUATION 498 l 20 9,960.00 OWNER'S MAILING ADDRESS - P.O.Box 298, Forest Ranch 95942 CONTRACTOR'SNAME Ownpr -7 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 9,960.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $80.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $1 O.25 Energy Plan Checking Fee $15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $145.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping , 1 5.00 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF[E Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other EX Describe work: Convert GAraQe to Den & Office Permit Fee $ 22.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service i$o AMP ORV OR LESS10.00 Main service EA. AOD'L too AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ® I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.8d) New DCONSTRA hlCsgft + 12.45 ULTBI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 0050t 2AL@ eLe30 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 9 15.00 Permit Fee ; 99-45 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): .❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. fp1 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Duct 1 5.00 6.00 Conlin g Hood 3.00 I Ventilation permit Fee $16.00 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, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai t said County in copsequence of the granting of this permit. X 7IY�a.lc 101c�li '7 -� / Date Signature of Applicant - Owner ( Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 occ CONST TYPE TOTAL FE $ 6 20 rlAz. cuA PAR scrl FLD coF P P i HD Iss This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIREC OF PUBLIC WORKS By Date 7-3 ef PERAO EXPIRES Date - 7-01 ` // Receipt No. 94341 WHITE-O.P. YELLOW -AS ®C390 R, PINK -INSPECTOR. EC TOR, GOLDENROD -APPLICANT ^`��'iC"�.;'��Y�,va'ti�ts�:>'F''thl'�+'SiY��i�'i'R�nr".✓�'1...3wi'�fi`s.�r�crt.y�li.+"i^,.�a�i.,...,.t.,,,,,�rti-v..��tipr,.,t�..,...,,�,.�,+; COUNTY'OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION K� 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATI'M DATA SHEET Permit No. OWNER I✓ L �i� . ° Sr7 A. P No. Proposed Building Use ��� ��%2- Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 11 DATE RECEIVED All items have been submitted . .................................... APPROVED —2. Plot plans in duplicate/triplicate, signed by preparer of•plans........ 441 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. 13. Park fees paid .................................................... School District fees paid .............. Z ' Sanitation approval from l N / G P C) 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:- arking: 18. 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, rocess as follows: ail,to owner. q� Telephone �a and hold for pickup at office Mail to contractor. _Deliver w/inspector. otP7&�, 4 0#5 Health Dept. Fire Dept. air Pollution Date / C00Y o plans se t ealth Dept. Fire Dept. Other Date . By '� The following datawA be submitted priZ���Arcle new item not checked above). 1. Index permit for above itemsNo 2. Additional items required: Contractor, designer, owner, was advised of above required data by.-,,phone_-jnail_counter by 4�7/—/date Contractor, designer, owner, was advised of above required data by—phone—mall coup r by date y Plans checked by Date Planslazpproved by Date is of plans on hold in File cabinet _,SAP folder Copy—DPW TO Building Department FROM: Environfk4htA Health SUBJECT: Sanitation Clearance Owne Location AP# Plan Approved for: Sewage Disposal Water Supply - Hold final for: Final clearance O.K. for: Clearance for bedroom mobile home. NOTE * * * Water Supply Water Supply Other 7 3- .1 Sanitarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 06965 - Tolophono: 910/536.7541 APPLICATION AND PERMIT PERMIT NO. --kagglooK PARCUL NUMWQ _ Z N ( BUILDING PERMIT WN6R ;7E E 12C A T fL t3 HON SO. FT. OCC. BUILDING VALUATION AILIN W 7 G ADDRfi CONT ACTO 'SN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 1'I ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDI,N�Ds1R� Q� � 0� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 ��` A= OL7 Each Trap 1 2.00 a ,Q Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF�Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ RemoldeI ❑ Utilities ❑e—I Iny�stallaattiion�❑ Other ❑ Describe work: c—oNy rO ^ Y2—telyc.-w Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 600V OR LESS Main service 100 AMP OR LESS 10,00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ ` I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑* I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING oCCUP.a\ OR ADDNS. ACC. BLDGS. I yzQsgft o?, L� NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 82ALO 0050Q Ex. Occup. OUTLETS (RESID )FIXED APLNb.REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating � Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ �Q occ CONST TYPE TOTAL FEE $ HAZ I CUA I PARK I SCHL FLO i CDF I PAR PD 1 HD. ISSUE This permit is hereby issued unoer sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No: V:3y—z WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT CO MY OF BUTTE - Deoar_ment of Public Works 7 County Center Drave,'Oroville, CA 95965 Phone: 916-535-7541 OWNER -BUMMER 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �Q 2. I (have/have not) • , signed an application for a. building permit for the proposed work. 3. -1 have contracted with the following. person (firm) -to provide the proposed _ construction:•. - ..,........_. Name' .._ Address City Phone Contractors License No. 4. -I plan to provide portions of this work, but I. have hired the following person to.coordinate, supervise,.and provide the major work: Name Address • ' City Phone Contractors License No. 5. .I. will provide some of the work but I have contracted (hired) the following _. _ persons to -provide the work indicated: Name Address _ Phone Type of 'Work Signed: Property Owner' I4;r 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, per- mitted to issue the permit_ :!'•^,".�"."`.,.1.....,�.�-'�..w......,,,,r.....--�::;»;�r"..vr r."^� ...,..:,,,;�:� �`::°h!"'c�'7:cr�'"•'..T'"'7'W�^w'+B'i�"�i" _ d:;�',wv>v<t .gin. ,�wF .:#`�SFr;'KSiytih",'�' ' � � ' 5• '�'iM X17. rs+t,�p "".*d"�+'4-�,, . BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM ( One Form per Building.)j�; A.P. Number $���-Q Building Department Wb_,. School District City D County Jurisdiction 4 y f Property Owner Project Location/Address 5 3�� 11M 24 nci, Wa.a Subdivision Lot Number hit Residential Development: ` Sq. Footage g. # of Living MHI Ad ition (Group R) Units Commercial/.Industrial::., Sq g _.. O Footage New Addition (Including Exterior Roofed Are -as.) Building Department Representative '=:Date. (Floor Plans reviewed by School District Personnel) District Id No. School District certifies that (Phone Number) (Applicant Name � t ' / • �LJV X.J � Street Address 6a a. (City) (State) (Zip Code) has complied with the requirements of Resolution No.l 9^�Q by. the payment of $ representing square feet. &4LX '711191 School District Representative cate PAID .BY CHECK NO. % BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) i a " This set of plans and -specifications MUST be kept on the job at all times and_ it is unlawful tc mare any changes or alterations on sa�tiQf out written permission from DePa Public W04 COV. aE ,11 \`13Moferiols & Wo�anship Shah Be A In 6 y i NOT Accordance' with Recognized Good Practices cl e*fed use In of a quality prescribed �n al S n� Codes arA uniform Building. P Vis. the 'NONO �e +, F ` r S • r r • 1- � CEPr�C � , /.. _ C) , ,v' rgcr c�,� v o`re� 1oeng .�09�G%� BUTTE COUNTY T //�.9 BUlLQlNQ DEPARTMEN + S�_ .. APPROVED FOR M 7 ADDITIONS TO RESIDENTIAL, BUILDINGS'ENERGY SHEET PACKAGE "A" (Additions) . Owner �Zii��S� _ Climate Zone Permit # ��.L�X Floor Area 499 The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. APPLIES TO NEW AREA CEILING WALL FLOOR SLAB GLAZING, SHADING SOUTH - OPTIMUM OVERHANG ZONE 11 ZONE 16 R-30 R-11 R-11 R R-7 - U-.65(Dual) .65 pal) or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) DUCTS PER UNIFORM MECHANICAL CODE - Ch. -10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER BUTTECOUNTY 12/85 *1 .\ HEATING. VENTILATING. AIR CONDITIONING SYSTEM (A) Heating t E3Central Gas Furnace (brand and model number) SE Btu/hr , (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1' (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling.capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ other (describe) ❑ ❑ ❑ *2 DOMESTIC WATER SYSTEM • (A) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) Active Solar (collector brand and model number) (ratedy-intercept) (rated slope) (solar fraction) ft 2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels Other -- ... (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the ° following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ", cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE OF BUILDING DESIGNER OR AP CANT 'Complaint Date ? (c, 9 S S ( Other Date. BUTTE CUUNT'Y COMPLAINT FORM OWNER K r hor 'T" rnn �- Ac,,n y o Address A.P.#_(�,3 Zoning �- Complaint Location �; ( Taken By:, VIOLATION TYPE Q BUILDING Q HEALTH PLANNING D OTHER COMPLAINT: (^,Vl \ 1P �� �1 CS ((` ( t (� ��'� Q f rte, ✓ {� (�-4 F f'r P ���10 PERMIT HISTORY ON FILE a NONE YJ AS FOLLOWS :2 2 Pat/ S /G /GI FIELD INFORMATION TENANT: Name i' Address % 3 � jsio�s�,- e��-�, G�� Description of Violation • r, v+. Z aleeo C.- 64,0-z OTHER COMMENTS: �t/1�-�,.I �i %P c, m„ '� /�avc I.ywuL o.�_ (p G u e -A P� Approx. Bldg./MH Size Approx. Bldg./MH Age ' Under Construction Built By/For-E::] Present Owner Q Previous Owner = Occupied 0 Has Power Q Has Gas Q Has Sanitation Facilities Q Written Notice Given & Attached F77' Person Contacted_ S&Vkuncv�Ut I Describe Action Taken: e off. ACTION RECOMMENDED: NO C-111 0 1.38 4eUjo Information only, file 10 Day Letter Letter � t Hold for Days Other BY: (=1-� DATE J1r•,a;.i,y,..;,;.L;.��:.^,.t'..+1...'�/Mwti:..M..+L i•d;.��1•yr7 c.^ � " LW_4us .. � ask" +SFr Y.v��s_ .. •rr ;� A' � t � :.. 1St 3 � a.. s t � ., . •.. fk r r. `-, .." r cx �' �•.vY� :f;. ..5�r �:' Ti, '1�.-5 ,f'.�+Ww:�s.J''�'wtir �•„�. ��� n, '�.4 r2a...Y <`i 4 i'.1 �� w[' L;. '�Y' ( t ". S #'�`l. �' S i.. F3r�,' -•,r t: f. .t!,:J.4Y r�:.."`it. t • ! f F ; .}Lr K�" �R•f* >Cfa•''r7'.c.� t T �... ►;•'k c 4 n' f _ �. _ ,,}•§ fi :. A 'b. :9C -.t._ a.t. k ?aYY9 .. t J COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS: Forest Ranch Family Day Care 153.54 Forest Ranch Way Forest Ranch, CA 9.5942 Dear Sir: August 19, 1991 RE: Day Care Fire Inspection (A.P. 63-15-24) The Department of Social Services Community Care Licensing in Chico has made a request to this office for a fire safety inspection of your proposed day care facility (maximum capacity, 12) at 15354 Forest Ranch Way. Your property is located within an R-1 zone which requires a use permit from the Butte County Planning Department prior to business operation. Please contact them at (916)538-7601 between 10:00a.m. and 3:p.m. for information on how to proceed. When you have made the application for the use permit and paid the appropriate fees, you may apply to this office for a Special Inspection for the fire inspection. For the Special Inspection we will require a plot plan showing the building location on the property, a floor plan showing room uses, windows, doors, mechanical equipment etc., and the appropriate fee and the application signed by the property owner. After we make the Special Inspection, we will write a letter advising you of any improvements and building permits that may be required. We will not notify the Department of Social Services of any clearances until you have been issued a use permit and complied with both the Planning and Building Department requirements. Should you have any questions concerning this matter, please contact this office. JFG:dms cc: Department of Social Services Planning Department Yours very truly, William Cheff Director of Public Works J.F. Glander Manager, Building Inspection a r , "0 r File No. BUTTE COUNTY (For Action 1, 2, 3) a,-�� Public Works Dept. (For Information ✓ ) i Director Dep. Dir. Sec. Rd. & Br. Mtce. t Shop & Yards Bldg. Insp. Admin. A Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub`&"Pcl:'MaPs Permits Addr. - 1111111 STATE FIRE MARSHAL COPY DISTRIBUTION: SEE REVERSE OF COPIES 2 AND 5 FOR ..,...- ,.„�,, INSTRUCTIONS FOR COMPLETION FRSE .SAFE 1 T IIVJI"EV 1 IVIV nr-%dUr-O 1 '- 2 -FIRE AUTHORITY 1. REQUEST DATE PROGRAM STD 850 (REV. 8/86) 4 -5 -LICENSING AGENCY 7 / 1 6 91 12. 3. AGENCY CONTACT 4. TELEPHONE NO. 5. EVALUATOR DSS/COMMUNITY CARE LICESNING (916) 895-5033 0110/P. SEXTON 6. SFM REGION 7. SFM I.O. NO. 8. REQUESTING AGENCY FACILITY NO. 9. REQUEST CODE XXXX 041373723 5/A CODES 1. ORIGINAL A. FIRE CLEARANCE 2. RENEWAL B. LIFE SAFETY 3. CAPACITY CHANGE • 4. OWNERSHIP CHANGE 10. AGENCY DEPARTMENT OF SOCIAL SERVICES 5. ADDRESS CHANGE NAME COMMUNITY CARE LICENSING 6. NAME CHANGE AND 520 COHASSET ROAD, SUITE 6 PREVIOUS NAME ADDRESS L CHICO, CA 95926 7. OTHER • DATE OF ORIGINAL REQ. DATE OF LAST FIRE CLEARANCE 11.AMBULATORY NONAMBULATORY TOTAL CAP. CAPACITY AGE RANGE (YEARS) PREVIOUS CAPACITY ACE RANGE (YEARS) PREVIOUS TO 18 18 TO 65 AND CAPACITY TO 18 18 TOb5 AND CAPACITY 19. FACILITY 65 OVER I 65 OVER I CODE 13/FDC 12 X 0 12 12. FACILITY NAME 13. NO. BLDGS CODES 1. GACH 7. ICF/OT 2. GACH/R 8. ICF/DD FOREST RANCH FAMILY DAY CARE 1 14. STREET ADDRESS (ACTUAL LOCATION) P.O. BOX - 15. RESTRAINT 15354 FOREST RANCH WAY 298 NONE 3. SH 9. ADHC 4. APH 10. CLINIC CITY ZIP CODE 16. HOURS FOREST RANCH CA 95942 6:30-6:00 5. PHF 11. JAIL 6. SNF 12. ICF/DDN 17. FACILITY CONTACT PERSON TELEPHONE NO. 16A. SPECIAL DEBORAH WILLSEY & STEVEN BLANKENSHIP 916 345-4525 13. OTHER TO BE COMPLETED BY INSPECTING AUTHORITY F 26. CLEARANCE CODE 18. FIRE STATE FIRE MARSHALL AUTHOR 4 WILLIAMSBURG LN, SUITE A CODES NAME CHICO, CA 95926 1. FIRE CLEAR, GRANTED AND 2. FIRE CLEAR, DENIED ADDRESS I L 3. FIRE CLEAR, WITHHELD 27. DENIAL CODE TO BE COMPLETED BY INSPECTING AUTHORITY CODES 21. INSPECTOR'S NAME TELEPHONE NO. 22. CFIRS 23. T-19 OCC. ID NO. CLASS 1. EXITS zv 2. CONSTRUCTIOV-) 3. FIRE ALARM C-) 24. INSP. DATE 25. INSPECTOR'S SIGNATURE 4. SPRINKLEd RS 5. HOUSEKPING 1 28. EXPLAIN DENIAL OR LIST SPECIAL CONDITIONS I 6. SPECIAL HAZARD) 7. OTHER P _ • STATE FIRE MARSq, USE ONLY v) 20. REGION. DEPARTMENT OF SOCIAL SERVCIES OFFICE COMMUNITY CARE LICESNING ' AND 520 COHASSET ROAD, SUITE 6 ADDRESS L CHICO, CA 96926 STATE FIRE MARSHAL COPY DISTRIBUTION: SEE REVERSE OF COPIES 2 AND 5 FOR _ _ _ _ _-_ _ _ _ -- _•_ ___- INSTRUCTIONS FOR COMPLETION rlrit .JArr- 1 T INOrr-V 1 1V Mr- Ur -O I Z -FIRE -AUTHORITY- 1. REQUEST DATE PROGRAM STD 850 (REV. 8/86) 4 -5 -LICENSING AGENCY 7/16/91 12. ` 3. AGENCY CONTACT "" 4. TELEPHONE NO. DSS/COMMUNITY CARE LICESNING (916) 895-5033 15.EVALUATOR 0110/P. SEXTON 6. SFM REGION 7. SFM I.D.-NO. REQUESTING AGENCY FACILITY NO. 9. REQUEST CODE 18. 041373723 57/A CODES.- ODES.-1. 1.ORIGINAL A. FIRE CLEARANCE 2. RENEWAL B. LIFE SAFETY 3' CAPACITY CHANGE 4. OWNERSHIP CHANGE 10. AGENCY DEPARTMENT OF SOCIAL SERVICES 5. ADDRESS CHANGE _ NAME COMMUNITY CAME LICENSING 6. NAME CHANGE �+TT AND 520 COHASSET`-ROAD, SUITE 6 PREVIOUS NAME ADDRESS L CHICO, CA 95926 7. OTHER , 1_ A { ' "'44 DATE OF ORIGINAL REO. DATE OF LAST FIRE CLEARANCE 11.AMBULATORY NONAMBULATORY TOTAL CAP. CAPACITY AGE RANGE (YEARS) PREVIOUS CAPACITY AGE RANGE (YEARS) PREVIOUS ,. TO 18 18 TO AND CAPACITY TO 18 18 TO 65 AND CAPACITY 19. FACILITY 65 OVER 65 OVER CODE ' 12- 165 X 1 0 12 13/FDC - 12. FACILITY NAME 13. NO. BLDGS CODES 1. GACH 7. ICF/OT 2. GACH/R 8. ICF%DD FOREST RANCH FAMILY DAY CARE 1 14. STREET ADDRESS (ACTUAL LOCATION) P.O. BOX 15. RESTRAINT 15354 FOREST RANCH WAY 298 NONE 3. SH 9. ADHC 4. APH 10. CLINIC _ CITYZIP CODE 16. HOURS _ FOREST RANCH. CA l95942 6:30-6:00 5. PHF 11, JAIL ,6. SNF 12. ICF/DDN• 17. FACILITY CONTACT PERSON _ NO. I6A. SPECIAL` EBO AH WILLSEY & STEVEN BLANKENSHIP ]TELEPHONE 916 345-4525 13. OTHER . TO BE COMPLETED BY INSPECTING AUTHORITY F 26. CLEARANCE CODE 18. FIRE STATE FIRV'MARSHALL AUTHOR. 4 WILLIAMSBURG LN, SUITE A NAME (CICO, CA --95< 5 CODES _'�_ 1. FIRE CLEAR, GRANTED AND �'T 2. FIRE CLEAR, DENIED ADDRESS~I 3. FIRE CLEAR, WITHHELD i f 27. DENIAL CODE I R i ' INSPECG`1AUTHORITV ' ' - "• TO BE COMPLETED BVTIN CODES 21. INSPECTOR'S NAME M TELEPHONE NO. 22. CFIRS 23. T-19 OCC. ID NO. CLASS .• + 1. EXITS' 01 2. CONSTRUCTION, 3. FIRE ALARM, C d! 24. INSP. DATE -�, � 25. INSPECTOR'S SIGNATURE "r 4. SPRINKLERS HOUSEKEEPING y 28. EXPLAIN DENIAL OR LIST SPECIAL CONDITIONS5. 6. SPECIAL HAZARD 7. OTHER �. STATE FIRE MARSHAL USE ONLY V"3 ' F "20. REGION. DEPARTMENT OF SOCIAL SERVCIES OFFICE COMMUNITY CARE LICESNING AND 520{ COHASSET ROAD, SUITE 6 ADDRESS CHICO, CA 96926 E STATE FIRE MARSHAL COPY DISTRIBUTION: SEE REVERSE OF COPIES 2 AND 5 FOR r►►1r A A rrTV ►&1^f1r AT►A\► PfcA► ►CnT 1_7 CTATE CIOC ►AADCLIAI INSTRUCTIONS FOR COMPLETION FIRE SAFE I T II 0rr-V I IVN nr-%dUr-O 1 - '^ - ' ' 2 -FIRE AUTHORITY - 1. REQUEST DATE 2. PROGRAM STD 850 (REV. 8/86) 4 -5 -LICENSING AGENCY 3. AGENCY CONTACT 4. TELEPHONE NO. 5. EVALUATOR DSS/COMMUNITY CARE LICESNING (916) 895-5033 0110/P. SEXTON 6. SFM REGION SFM I.D. NO. - 8. REQUESTING AGENCY FACILITY NO. 9. REQUEST CODE 17. 1 041373723 5/A CODES 1. ORIGINAL A. FIRE CLEARANCE 2. RENEWAL B. LIFE SAFETY 3. CAPACITY CHANGE 4. OWNERSHIP CHANGE 10. AGENCY DEPARTMENT OF SOCIAL SERVICES 5. ADDRESS CHANGE _ COMMITY CARE LICENSING 6. NAME* CHANGE NAME 5�20000HASSET ROAD, SUITE 6 PREVIOUS NAME AND ( ADDRESS L `+HICO, CA 95926 � 7.OTHER ' DATE OF ORIGINAL REQ. DATE OF LAST FIRE CLEARANCE 11.AMBULATORY NONAMBULATORY TOTAL CAP. CAPACITY AGE RANGE (YEARS) PREVIOUS CAPACITY ArE RANGE (YEARS) PREVIOUS TO 18 18 TO AND CAPACITY TO 18 18 TO 65 AND CAPACITY 19. FACILITY 12 165 65 OVER X 1 � 0 65 OVER 12 CODE 13/FDC 12. FACILITY NAME 13. NO. BLDGS CODES FOREST RANCH FAMILY DAY CARE 1 1. GACH 7. ICF/OT 2. GACH/R 8. ICF%DD 14. STREET ADDRESS (ACTUAL LOCATION) P.O. BOX 15. RESTRAINT 15354 FOIST RANCH WAY 298 NONE 3. SH 9. ADHC 4. APH 10. CLINIC CITY ZIP CODE 16. HOURS FOREST RANM CA 1 95942 6:94-6:03 5. PHF 11. JAIL 6. SNF 12. ICF/DDN 17. FACILITY CONTACT PERSON TELEPHONE NO. 16A. SPECIAL DEBORAH WILLSEY & STEVEN BLANKENSHIP 916 345-4525 13. OTHER TO BE COMPLETED BY INSPECTING AUTHORITY 26. CLEARANCE CODE 18. FIRE STATE FIRE MARSHAU, AUTHOR 4 WILLIAMSBURG LN, SUITE A CODES NAME WWII. C (\GA�6 1. FIRE CLEAR, GRANTED w . f�rraa++..�a..WW �.ua 7J7 AND 2. FIRE CLEAR, DENIED ADDRESS I ,. •R L_ 3. FIRE CLEAR, WITHHELD 27. DENIAL CODE i TO BE COMPLETED BY INSPECTING AUTHORITY CODES 21. INSPECTOR'S NAME TELEPHONE NO. 22. CFIRS 23. T-19 OCC. ID NO. CLASS 1. EXITS 2. CONSTRUCTION 3. FIRE ALARM 24. INSP. DATE ]'25. INSPECTOR'S SIGNATURE t, 4. SPRINKLERS 5. HOUSEKEEPING 28. EXPLAIN DENIAL OR LIST SPECIAL CONDITIONS 6. SPECIAL HAZARD 7. OTHER STATE FIRE MARSHAL USE ONLY F 20. REGION. DEPArDMT OF SOCIAL SERVCIES OFFICE rYfKUNM CAU TICES LNG AND 520 COHASUT ROAD, SUITE6 ADDRESS ClITICO, CA 96926 L rte:-. '. `Y._..�_ __ '•_ .� R IDENTIAL 63-15-24 1531-90B,P,E,M MORTON, Bob 15354 Forest Ranch Way, Forest Ranch (new single family) A 0 hA.�CLCA- ',U StL--C-,L S Z ELtM b -v-,, -Z,- 10- 4bau lt�jad 0 I/rk IS JOB FINALE Signature —0'FFFICE COPY Le Address LA) GAS Dates Meter By ELECTRI��.. Dale 1,-Z-lq �eter BY WE Address GAS Meter By I/is Date ELECTRIC Meter By Date J=OK O = Not OKNot L0" 1e �+ = 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: / /" U 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 (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector t 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 1 1, Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7.Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Pane I boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Owls Y C E R T I F I• C A T r U N Lot 3 Forest Ranch V y,_Forest Ranch Ca. - — — A. P. No. LOCATION UES(:l(I P'1' 1011 OF I NSUTAT I.(1N ROOF Thickness (lncl►es)--_ EXTERIOR RALL ' - . Matdrial_ Fiber lass (ialt�j._ TI)lckness(lncl�ee)— 3 5/8" _._ Brand Name Thermal Reeletance (R Value) - Brand Name Owens-CgI[y�q 'L'hermai Reslstance(R Value)_ R13 CEILING r,,,,,t Brand Ifame_____0wP� p Batt or Blanket 'Type I" I(�erOja_sa fl�lls 9 • ThickneaS(Inches)_ " 11'I1orwal Resletaoce(R Value) R38 — ---- Brand Name__[jweLjs_ a n i nn Looe* Fill Type I'lln:i'11�55,—_—_— Minimum Thlckneal(Inclies) -�_ Number of Bagel_ Wt. per beg 33 :_lb. Area covered(ft.2l)_ 1Q -0(Z 'L'hennal Resletance(R Value) R38 FLOOR, ELEVATED Material F1 c�11s1sL-�S - Thickneea(inchea)_ 6 _ FLOOR. SLAB Material - Tit ----- . Tlckaess(lnh cea) --- .— — N1dt1l(lfiche s) Brand Name Owens-Corning '1'I1ermal Reeletance(R Value) R19 Ilrarnd Name _ 'Thermal Reeletance(R Value) .. I `OUNDAT1ON WALL Brand Neme Haterial Thicknees(inches) Thermal Resistance(R Value) I hereby certify that the above Insulation was installed is the above buildill$ !n 'aonformence with the State of California Energy Requiresmnts.' Loerke Insulullurl I:u 499 FIRM NAME OWNEII STATE CONTRACTOR 8 LICENSE 110. _ _ anua 1 fi, 1991 SiC 'PURE OF INSTALL TJON APPI.ICATOR DATE r I hereby certify the above Ineistatton slid all retiolred Items a.s shown on the Building Uepartinent approved plans and attacldnents have been installed as' required by the State of (;ullforlila Energy Requirements. All equipment. devices awl materlals are of the ytiallty prescribed or are specifically approved by the State of California. FIRM NAME OWNER (Please print) STATE CONrRA('TOR 9 LICENSE NO. 31C�ItE t7F 4..k11ERAL C )ifI RA(,TOR %UWi� R DATE THIS CERTIFICATE MAST BE ON FILE WI -I'll T11E BUILI)INQ DEPARTMENT PRIOR TO FINAL. I grz rION APPROVAL. AND A COPY 311ALL. BE rOS'!'EI) WI1'IIIN TILE RIMMING . .Lnnuary 198/1 1 COUNTY .OF BUTTE f! DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovil•,e — Phone: 538-7541 - 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE l 5-3) - c1b OWNER PERMIT NO. 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 work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date ) 2 —] 9— qL) Inspector �q� COUNTY OF BUTTE • DEPARTMENT OF PUBLIC WORKS b 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 3 CORRECTION NOTICE 160 OWN 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 work is completed. If you have any question pertaining to this L �� U S�10j_ CL - Date 1T�Z'7C� Inspector ✓ 1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi(le — Phone: 538-7541, 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNr,FF PERMIT NO. 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 come on of work is completed. If you have any question pertaining to this matter r need additional texplanation, please contact this office immediately. Dat 2 —7 , l l) Inspecto4?Id". --• — COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phonp,: 872-6307 CORRECTION NOTICE OWNER PERK 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 work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. MAMA W=27 MN Wla-� o-Z9�ra Date b — z �� �� Inspector (/ • /c� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICKTION-AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 63-15-24 ZONING R-1 BUILDING PERMIT OWNER Bob Morton TELEPHONE 895-1777 SO. FT. OCC. BUILDING VALUATION 1 359 R 54 160.00 OWNER'S MAILING ADDRESS 2550 Hwy 32 Chico 95926 491 M 6 874.00 CONTRACTOR'SNAME Robert R. Morton Inc. TELEPHONE 895-1777 101 COV. 1 010.00 C7 V CONTRACTOR'S MAILING ADDRESS 2550 Hwy 32 Chico 95926 Fireplace I A1,000.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 63,844 00 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 325.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 162.50 Energy Plan Checking Fee $ 30.00 . ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 527.50 PLUMBING PERMIT Filing Fee 10.00 15354 Forest Ranch Way, Forest Ranch Each Trap 8 2.00 16,00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 3 NAME Forest Ranch Unit P RCEL MAP �- l.f C` Water piping 5.00 5.00 Each qas water heater or vent 5.00 9,00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5,00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New 0 Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: _ _ 5.00 5.00 Permit Fee $ 51.00 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 2,90 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business yam: and Professio s Code and my license is in f I force and effect. s License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ •I am exempt under Sec. , Business and Professions Code for this reason NEW CONST" DWELLING O oR ADDS. ( ACC. BLDGS. ) , X 2/20sgft 46.00 NEW CONSTR. ULT' -OUTLET NO.-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS (6SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES .20Zo0m5soa 0 Ex. Occup. OUTLETS ED ( K RESID IEA.) 2.00 Temporary service I 1 10.00 10,00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $78.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 10OX BTU 1 16.00 6.00 Split LPG Cooling 3 Ton 1 6.00 6.00 Hood 1 3.00 1 3.00 Ventilation 2 3,00 6,00 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes: I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conequence of the granting of this `rmit Q- X Date dS 1� Signature of Applicant - Owner❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 o coST YPE v TOTAL FEE $ 118.00 HAZ cuA PARK SCHL,. FLD PAR PD D ISpF- II Th;s permit is Hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By - PER T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -7 -:?-,F 9 v Receipt No. 5-� yJ S WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL y,�1MBER / K/J� •- ZONING BUILDING PERMIT OWNER N %IpQ ry �1 T LEPHONE I ,IBJ ,SO, FT. OCC. BUILDING VALUATION 6 OWNER'S MAILING ADD &J G //,�/� C/� t0 59S �14 SS.IjJ� (/ sir/ s C 0 NW AC TOR'S NAME o r /? .- /'h -t / e . TELEPHONE t 9rs- /777 . COTRACTOR'S MAILING ADDRESS 5--rO u 3,L- i, Fireplace oa ,s CONSTRUCTION LENDER J1 UNKNOWN Total Valuation 1 $ Filing Fee - $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Z� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee 6 Energy Plan Checking Fee E$. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 IDYL/ Each Trap 2.00 . Z J R ` x4liGk Solar or heat pump water heater 20.00 LOT NO. SUBDI ISI ON NAME j� d z e,5 — / 1� ,ciy Ute% if r PARCEL MAP Water piping 5.00 ;f Each qas water heater or vent I 5.00 S- o� USE OF STRUCTURE SFT Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets r 5.00 o0 Building sewer 5.00 Mobile Home Is G W 10.00e TYPE OF WORK r Addition❑' Remodel ❑ Utilities ❑ Installation,�j� Other ❑ Describe work: V L %S'i�saRx.6 �yi` - „rQ;��$C/� C_ (New 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 penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full orce and effect. License No. Classification Fl I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract-. ors. (Sec. 7044) ❑ I am exempt under Sec. , Business.and Professions Code for this reason NEW CONST. DWELLING OCCUP1�2�Sgft OR ADDNS. ( ACC. BLDGS� O NEW CONSTR.ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS tr (SINGLE OUTLET CIS. Ex. Occup(OUTLETS OR FIXTURES 20-930 e"Even¢ FIXED APPLN5, Ex. OCCUp. OUTLETS II RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ g Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating ao-v d ;" Z i� L.,-4, Conlin g O.-.1 �'" 4 v� Hood t 3.00 .D Ventilation 3 w is Permit Fee $ C� Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue co equence of the granting of this ermi . ag nst said Cou\11111k XY]�! CL Signature of Applicant - Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures/offer 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ a' -OCC I CONST TYPE TOTAL FE $ E AZ CUA PARK !�TLDE PAR D HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. / O '�r.r'-' ...t„ . . .� + _d;.c .. .--, ..• ---... d=...dr-✓--y�.•'lY,r.�.s-'",..—.7;ixy'h4r"�1+"Y ".iKr'a^Y�r �` •Y -..tom,'. ,..r� �4 _-.�„�, •r'� .. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER O���l /'— /'�. /!/aAro,11 .14 C_ A. P. No. _ _t�` 3 — Sr Z c -f Proposed Building Use,&V a 30a= s�l ~Bu dl ing Inspector S._/ Date cfS y -� 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 ....................................... Parkfees paid .................................................... 13. C N t 4� School District fees paid .............. L r^O 4. Sanitation approval from C U/ C 0 Health Department 5- r f 1' V AA 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 fo occupancy) s ->O ' °� ° A 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 .................. Owner -Builder Verification (Given to owner ❑, Mail to owner °) 4. Recorded copy of Agricultural Acknowledgment Statement .. ... . .. U 25. Letter of signature authorization ................................... 26. 27. When ou issue the permit, process as follows: Mail to owner. _ Telephone /=and hold for pickup at Ali/v�o ,�ffice. Other. Mail to contractor. _Deliver w/inspector. Applicanth&Ks __ Date 1 Ct F Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permQt 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_—naiI—counter by .date Contractor, designer, owner,, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by �� Date ZZ Sets of plans on hold in . File cabinet AP folder Copy—DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance � 7 -n 14 -- L -' Location AP# Owner z7 Plan Approved for: Sewaqe Disposal ✓ Water Supply Water Supply ` Fold final for: r Final clearance O.K. for: Clearance for bedroom home. NOTE Other Water Supply Date Sanitarian TO: Building Department y FROM: Encroachment Permit Section 7`0 RE: Driveway Clearance owner location AP # ,A ) Jt STATE OF CALIFORNIA )ss. COUNTY OF Rlltta ) d m U m E a C N el CL iT E c V o o _ o i2 ,-U 2 O ,ul I '+ N co co N O O M Maya. -15. 199 before me, the undersigned, a Notary Public in and for said State, personally appeared Mn 1 1 ; e T MO r"t -04-} and personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons who executed the within instrument as XXXXi3la?{ Secretary, on behalf of ROBERT R. MORTON, INC., the corporation therein named, and acknowledged to me that such corporation executed the within instrument pursuant to its by-laws or a resolution of its board of directors. WITNESS my hand and official seal. SigneF'RSHALL LUCY A. fee.ease.e.eeeeetese■■.......e..........e.. OFFICIAL SEAL : LUCY A. PERSHALL NOTARY PUBLIC • CALIFORNIA BUTTE COUNTY My Comm. Exp. )an. 10, 1992 S r.............. }pfilS AP�2T5T2)Ttit:T9PA8tAfi2i 5Qaq EN® OF DOCUMENT 90-20,561 IJAJ Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT . REQUESTED BY:" FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County• Code requires this acknowledgement berecorded prior. to -issuance of a building permit. `Che property described herein is adjacent to land or. included within an area coned 90-020561 , .' Rec Fee, 5. OO for• agr.i.cuLI.ur.al purposes, and residents Check 5.00 of this property may be suh:ject to -incon-- Recorded ven:iences or discomfort arising from the Official Records 1 use of agr.:ic:ult.:ura:l chemicals, including, County of but not l.i.m-i.Led to herbicides, pesticides, Butte and ferL:i 'l.irers; and from the pursuit Candace J. Grubbs of. agri.c:u.ltural. operations i ncluding, I Recorder but not. Jim:i.ted to cultivation, plowing, 8:38am 217May-90 BG 1 spraying, pruning, and harvesting which - occasionally generate dust, smoke, noise, and odor. Butte County has establ.i.shccl :agricu.l- Lur.al zones which have as a priority use for productive agricultural. purposes, and r.esi.dewt3 within said zones and on adjacent property should be prepared to accept suclI i nc onveniencc or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, (le:,cr.i,bed cis follows: Lot 3,, as shown on that certain Map entitled, "FOREST RANCH UNIT NO. 1" which Map was filed in the office of the Recorder of the County of Butte, State of California.April 21, 1966 in Book 34 of Maps, at pages 43 and 44. r Date: y 19, 199 State of Cal if ) ) SS. 11,ounLy of Butte ) ,1 P 4, PROPERTY OWNERS: Mollie L. Morton, Sec On this the day of ,19 , beforc nie, the undersigned Notary Public, personally appeared Personal]y known to me. ❑ Proved to me on the h<isis of satisfactory c>vidc>nc.:c. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same .for the purposes therein contained. TN W.fTNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Notary PubI c w CJ2 L) LL. j 0 U - Do - o u� W 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - 0roville,:California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT / PERMIT /NO. l 6 ^ 9 ASSESSOR PARCEL NUMBER 63-15-24 OWNER ZONING R-1 BUILDING PERMIT Bob Morton TELEPHONE 895-1777 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2550 Hwy 32 Chico 95926 CONTRACTOR'5NAME 1 359 R 54 160.00 491 M 6,874.00 8874.00 Robert R. Morton Inc. TELEPHONE 895-1777 8j 181 COV 1 010.00 CONTRACTOR'S MAILING ADDRESS 2550 Hwy 32 Chico 95926 CONSTRUCTION LENDER UNKNOWN Fireplace 0.00 Total Valuation 5 6318044.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER NO. Filing Fee $ 10.00 Permit Fee $ 325.00LICENSE Plan Checking Fee $ 162.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS Energy Plan Checking Fee $ 30.00 Penalty $ Permit fee $ 527.50 15354 Forest Ranch Way,PLUMBING Forest Ranch PERMIT Filing Fee 10.00 LOT NO. SUBDIVISION NAME PARCEL MAP 3 Forest Ranch Unit ` 3 q -Lf Y Each Trap 2.00 Solar or heat pump water heater 20.00 Water piping 5.00 Each qas water heater or vent 5.00 9.00 USE OF STRUCTURE SF ® Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New[X Addition❑ Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: _ 5.00 5.00 Permit Fee $ 51.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 011 AMP LE -S S 10.00 Main service 8 L CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s Code and my license is in f I force and effect. License No. Classification ❑X.OCCU I, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD -L 100 AMP 2,50 NEW CONST. OW ELLING o OR ADDNS. ( ACC. BLDGS. �) g 2'/z¢sgft 46.00 NEW CONSTR. MUI TI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e) SINGLE OUTLET CUR. Ex. OCCUp(OUTLETS OR FIXTURES 20W50a FIXED APP LNS. Oft + Ep• OUTLETS IRE S.@ 1 EA.J 2,QQ Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $78.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating 100K BTU 1 6,00 6,00 S lit LPG Cooling 3 Ton 1 6.00 6.00 Hood 1 3.00 3.00 Ventilation 2 3.00 6.00 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in con equence of the granting of this permit Q X �=e \���, Date �Il S to Signature of Applicant - Owner ❑ Contractor ❑ Agent ( An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee S 30.00 D Co ST YPE %� ] V yv TOTAL FEE $ 718.00 HAZ CUA PARK -- SCHL FLO PAR PD D ISSUE Th;s permit is nereby issued under, the applicable sions of the Butte County Code and/or resolutions work indicated above for which fees have been DIRECTOR OF PUBLIC WORKS By Date provi- to do paid. Receipt No. 7 �7 yJ S W wltf.•a. o. w., r-LL^w., n J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilley-California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. !253� !- 9 a ASSESSOR PARCEL NUMBER 63-15-24 OWNER ZONING R-1 BUILDING PERMIT Bob Morton TELEPHONE 895-1777 SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2550 Hwy 32 Chico 95926 CONTRACTOR'S NAME 1,359 R 54 160.00 491M 6874.00 Robert R. Morton Inc. TELEPHONE 895-1777 O 101 COV. 1CJIO.00 CONTRACTOR'S MAILING ADDRESS 2550 Hwv 32 Chico 95926 CONSTRUCTION LENDER UNKNOWN Fireplace A 1 000.00 Total Valuation 63 844.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER NO. Filing Fee $ 10.00 Permit Fee $ 325.00LICENSE Plan Checking Fee $ 162.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS Energy Plan Checking Fee $ 30.00 Penalty $ Permit fee $ 527.50 15354 Forest Ranch Way, Forest Ranch PLUMBING PERMIT FilingFWF 10.00 LOT NO. SUBDIVISION NAME PARCEL MAP 3 Forest Ranch Unit d- j 3 q -Lf (� Each Trap 2.00 16.00 Solar or heat pump water heater 20.00 Water piping 5.pp 5.00 Each qas water heater or vent 5.00 9-00 USE OF STRUCTURE SF ® Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New Q Addition ❑ Remodel ❑ Utilities ❑ Installation[]Other ❑ Describe work: 5.00 5.00 Permit Fee $ 51.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8000V OR 0 AMP OLRSLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I I am licensed under provisions of Chapt. 9, Div. 3 Of the BuslnesS and Professio s Code and my license is in f I force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole COmpen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 2-50 NEW CONST.( 0Wo u OR AOONS. ( ACC. SLOGS. g /z¢sgft 46.00 NEW CONSTR. UI TI OUTLET NON•RESID BRANCH CIRCUITS) 2.50 ea (PO WER APPARATUS .&) SINGLE OUTLET CUR. Ex. OCcup(OUTLETS OR FIXTURES o- -5 -0t BALI 30 Ex. Occup.FIXED APP ES.I-) OUTLETS IRESI D:) EA.) 2,00 Temporary service 10.00 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $78,5 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 100K BTU 1 6,00 6,00 S lit LPG Cooling 3 Ton 1 6,00 6,00 Hood 1 3.00 3,00 Ventilation 2 3.00 6.00 Penult 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 COuntyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue:��HA against said County in con equence of the granting of this permit Q(� X Date �11 S, 1V Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 0 c0 ST vPE �� ] 7V --1 TOTAL FEE $ 718.00 CUA PARK --- SCHL FLD - PAR PD D 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 OF PUBLIC WORKS By Date Receipt No. 7 �yJ r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,-Cali.forpia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 63-15-24 OWNER ZONING R_1 BUILDING PERMIT Bob Morton TELEPHONE 895-1777 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2550 Hw 32 Chico 95926 CONTRA TOR' S NAME TELEPHONE Robert R. Morton Inc. 895-1777 1 359 R 54 160.00 491 /M� 6874.00 C7 101 COV. 1 810.00 CONTRACTOR'S MAILING ADDRESS 2550 Hwy 32 Chico 95926 CONSTRUCTION LENDER UNKNOWN Fireplace A 1,000.00 Total Valuation $ 63 844.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER NO. Filing Fee $ 10.00 Permit Fee $ 325.00LICENSE Plan Checking Fee $ 162.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS Energy Plan Checking Fee $ 30.00 Penalty $ Permit fee $ 527.50 15354 Forest Ranch Way, Forest Ranch PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 3 SUBDIVISION NAME � Forest Ranch Unit 1 PARCEL MAP t{�1 Y Water piping 500 Each qas water heater or vent 5.00 9.00 USE OF STRUCTURE SFCJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 -00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New [X] Addition ❑ Remodel ❑ Uti lities ❑ Instal lation ❑ Other ❑ Describe work: _ 5.00 5.00 Permit Fee $ 51.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6V OR LE 100 AMP OORSLESS 10.00 10,00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s Code and my license is in f I force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. AOD'L too AMP 2.50 2.50 NEW CONST. DWELLING o OR ADDNS. ( ACC. SLOGS. ) X e'h¢sgft 46.00 NEW CONSTR ULTI.OUTLET NON.RESID BRANCH IRCITS 2.50 ea C (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES20®30¢ eAL030 FIXED APPLES. Oji EX. Occup. OUTLETS (RESI :) EA.) 2,00 D Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee 578. WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for S100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 1008 BTU 1 6.00 6.00 S lit LPG Cooling 3 Ton 1 6,00 6,00 Hood 1 3.00 1 3.00 Ventilation 2 3.00 6.00 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 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 againstVIU all liabilities, judgments, costs, and expenses which may in any way accrue against said Count{y1`�iin con equence of the granting of this permit Q X �` '" ` "��' Date �,� S l� Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 o co sr rPE TOTAL FEE 718.00 HAz CUA PARK - -_�J SCHL FLO PAR PD 0 ISSUE Th:s 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 OF PUBLIC WORKS By Date _.�,�, ,., Receipt No. �/ yJ S WNITI-O.P.W.. ♦e,Ll-Cw-.«• .r ••+ •.. _�--_ 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER �/ A.P. # (-.3 GENERAL. Zoning requirements: (sideyards 2: luation. Energans signed by designer. y Design and Compliance. 65Existing violations on property. . Items on data sheet. and number of permitted living units). PLOT PLAN - /lr--�' Complete parcel size and dimensions. P// etbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. 5. Flood hazard. -67 Special conditions on.creation map or compliance document. q' FAU & FAS road setback. FLOOR �mplete to scale plan with dimensions. /Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). manlights (Chapter 34 & Sec. 5207). impact glass (Sec. 5406). ,--Required room sizes, ceiling heights (Sec. 1207). /G"FCIs in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance ,-e,f mechanical equipment. Lo ations of water heater, heating and cooling equipment, other electrical or Xequipment, and plumbing fixtures. arage firewall, door size, and closer (Sec. 503(d)(3)). �3'0" exterior exit door (Sec. 3304(e)). ireplace and wood stove location, alcoves, and clearance. . Smoke detectors (Sec. 1210). STRUCTURAL DETA Foundation plan complete enough to construct building. . ,Floor construction details complete enough to construct building. elevations and wall construction details complete enough to construct building. / Roof construction details complete enough to construct building. ;--7iireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR -irway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) xterior plaster - weep screeds (Sec.'4706). roper roof pitch for roof covering (Chapter 32). oof covering type - (fire hazard). Rafter ties or bearing ridge beam. Garage door or porch header sizes. Adequate bracing. 07-Elving area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. rNoise ts on three-story dwellings (Sec. 3303 & see Mezannines - 1716). ccess and ventilation (Sec. 3205). oor access and ventilation (Sec. 2516). ionair for fuel burning appliances. equirements on duplexes. oils - special foundation design. ng walls requiring design. shape, size, or split level house requiring lateral design. g at all exterior openings. r BUTTE COUNTY SCHOOLS DEVET,.QPMENT FEE.CERTIFICATION FORM .(One Form per Building) A.P. Number �9 - �� =Z Building Department No. G ! School District (.,.A// C City = County` Jurisdiction Property Owner i:� d e -/L r -u/ Project Location/Address 3 �-f'� A.•�C ly t,�ts Subdivision rO/fe.S /'' i6r/C�i Lot Number 1�- � l Residential Development: €€' 2 Sq. Footage 13 r9— # of Living MHI Addition (Group R) Units , Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Bu:iv1R7d-i3hg Department Representative /Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. 9W �Df� l..P /u j, School District certifies that (Applicant Name) (Phone Number) c; �� (Street Address) r City has complied with by the payment of r4k— I !j$ 9a h (State) (Zip Code) the requirements of Resolution No. $ representing /3516, square feet. School District Representative I Date PAID BY CHECK NO. BANK NO 5D PAID BY CASH r REMARKS: 1 white -applicant, yellow -building department, pink=school district 1 SCHOOL.FEE (8/88), �� yrs iLoco, .. I— 'A(/,rr Zq ,00r�x�X/Z - ./L-6 C-,�",6� /84vd 16NI: DRAWN: v- BACHMAN do ASSOCIATES CHECKED: 3012 Esplanade Chico, Ca. (916) 342-4136 'I . 4�O•f �SSI�j�,, ; q 6-30-93 C', ... C. - r ovN�4 FNS V vJ SHEET NO. 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