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063-180-008
63-18-8 MERLIN PR PE - IES PARTNERSHIP ' 15774 Forest Ranctk&d, Forest RRaamcn Contr: Stornetta Bros Ronst 0 0 Permit#2928-87B,P,EM(ne,•>A ngie"family) 63-18-08 � ._�� ,� Cont: Stornett '� DO OAC ,,,te��t ros. Const. Permit #32o W' for well) 63-18-08 2143- 9P CAUDIL, Mathew 15774 Forest Ranch Rd est Ranch (extend gas piping) 63-18-08 2136-9�1BJ CAUDILL, Matt 15774 Forest Ranch Rd, Forest Ranch (new porch/sf) tfll c� !— j ; , , a z� z1 7 PERMIT NO. 2Q28—R7R,Jl, F ,M PERMIT EXPIRES /L)// AV OWNER MER,IRN PRQPERTTFS PARTNFRSHTP CONTR. Br -- ASSESSOR PARCEL 63-18-8 LOCATION 15774 Forest Ranch Rd, FR lot 8 ` N� FFICE COPY Address • f _ GAS Meter By Date I ELECTRIC��7 II Meter By e/" DateZ,3-//S7 Called. PG&E :I I I JOB FINALED (Date) 2 Signature OFFICE COPY Address GAS Date_— Meter RIC ELECTRIC Date Meter By 1 I OFFICE COPY Temp. Pa f Address i Calle Temp. EIS GAS Meter By Date ELECTRIC Calle Meter By — a_e Temp. Gas-asrncv--- Called. PG&E :I I I JOB FINALED (Date) 2 Signature = OK 0 = Nbt OK' = Not Read�yable MOBILE HOMES MISCELLANEOUS yr ' Date' MOBILE HOME UTILITIES (Plans) OK except #'s. Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5.. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -81 Date Card -131 Date 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card -131 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #.'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability _ 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 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 Card -B1' Date Card -B1 Date Card -131 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date -:.OK• o Not p RESIDENTIAL <Single and D lex) - Not Applicable (J� = Not Ready ) / /• Date uNbOFLOOR (Plans) OK except #'s Date FR*MING (Continued) oning requirements-Setb ks asements Hangers -Post Caps -Anchors -Connectors . Ftg., Main; Soils -Steel -EI nd.-/ 14 /" Ftg. Depth 45 Ing. Joist-Rftr. Ties-Purlin-Roof Brac.- russ- hthng.-Rfng. hEr-FtS Garage• Soil�L��e- �'S — �'- 4.4tg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth i place Ties or Type AFlue-Fireplace Throat 4 . A a Access; Size & Romex Protection -Draft Stop -Ins. Baffles If Stemwalls, Main; Steel- Bloc kouts-Wrapped 4611Wm, Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49�G#r6e Fire Protection Framing 7. ab; Steel -Wrapped 5 perty Line Firewall & Openings iers-RireplaccFtg.-Steel 541, Ezt. Doors -One 3' -Check Garage -3rd story, 2 exits D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test SLr Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors . ,%wood on Roof Overhang -Attic Vents -Rafter Outriggers 1 . Water Pipe; Test -Anchors -Regulator -Service Test . Siding -Nailing Veneer 12. Electric; Underground s -Drip Screed -Fd. Vents-Underfir. Access 13. Plenums & Ducts; Clearance- Material -Supprt-Ins. G ing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 5 ear Walls; Nailing -Bolts 15. Insulation §(v J sulation-Walls-Clg. . Infiltration-Walls-Wndws Card -B1 Date 6 Card -61 Date Card -B1 $ Date and -81 Date Card -81 5R Date and -131 Date Card -131 2Vate Card -B1 Date Date PLUMBING (Permit) OK exce ater Ht. Vent-Acce -Combustion Air' Date FI AL (Plans) OK except #'s 1 . Vdter Pipe; Test & Anchors -Nail Protection xt. teps-Door & Sidelight Protection -Landings 1 . P.W.V.; 3gs4-Fttngs & Anchors -Nail Protection 64.,%ffioke Detector 1 hoyver Pan; Test, First Floor -Tub Access 6f Fu ace; Vents -Clearance -Comb. Air-Connector- Garage; Above Floor -Ducts -Mach. Protection st Tub & Shower, 2nd Floor -Tub Access . Gas Pipe; Size & Anchors 6 . droom Exiting I. & Bath Fixtures & Tub Access -Spa . Elec. Trim & Subpanel; Breaker Sizes -Labels Card -81 S Date 11110*Card-B1 Date Card -131 Date Card -131 Date ireplace or Stove; Clearances -Hearth Date EJ&CTRICAL (Permit) OK except #'s 8 ec. Outlets at Wood Panel; Int. & Ext. 2. f1liture & Transformer Clearance -Ins. Protection 9• ' . F'xt. & Appliance; Grnd. -Air Gap -Cooking Clearance lec. Receptacles Spacing -Lights & Switches at Doors Outlets & Receptacles at Kit. Counter AKAarage Fire Door; Swing -Landing -Closer 4 i oxes & No. of Conductors -Stapled o ex Installed Close to Edge of Studs & C.J. =Damper 2 . ui . Ground made up w/Mech. Fasteners -Bond Gas & Water tr. tr.; Vents -Clearance m&. '-Connector-P.R.V.- Iarage; Above Floor-Mech. Protection 21' ppliance Circuits in Kitchen &Conductor Size Elec. & Mech. Equip. Listed for Location S Weed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. or Al ec. Receptacles in Garage; (G.F.I.)-R ex Protec. 9. R nge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. isulated Neutral Yes No 6. Ins lation-Foam-Looked in Attic Yes -77. vuartiiS�Pa Caps 0. S rvice-Riser Conductors & Ground -Main Disconnect . Fd .& r wl Hole Door -Drainage & Wood -Earth earV ° ed under F oor O uip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light . Following instld.; Dri ❑ Yes o; Walks ❑Yes o; Planters ❑ Yes ErNo - h Card -B1 Card -B1 ,gr Date J/ ! Card -B1 Date Date Card -B1 Date rElectrical, Plumbing . Ve is Above Roof; Plbg.-Appliance-Firepl: Clearance to - enings. Date E HANICAL (Permit) OK except #'s er Well; Disconnect, Electrical, Plumbing A.C. Ducts Insulation & Support tri Elec. Trim; G.F.I. Receptacle -Underground ' V it tion throughout House 8roasi Protection tions from Previous Inpections -Meters Tagged; Gas -Electric ter & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates X4. Vent Fan; Exhaust above insulation 35. o e Drain & Overflow; Size & Grade 36.-FUm2UT-V-ent; Access -Comb. Air -Return Air Vent -115 outlet _37 -Attic -Access & Platform if Furnace in Attic Card -131 Card -131 _ Date /� 8 Card -61 Date Date I I Card -B1 Date Card -B1 Card -B1 Card -B1 Date Card -B1 Date C7KDate Card -B1 Date Date Card -B1 Date Date FFYAMING (Plans) OK except #'s 5 Is, Proper Material & Anchors A/Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: earing Walls over Girders & Floor Nailing 43/Rraft Stop in Walls (rat proof) - ire Stops; Furred Ceilings -Stairs a -Tub 4 Bader & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 w 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION `NOTICE Merle, OWNER PERMIT 0. 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. OC r Inspector Date—//6 �` } 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 CORRECTION NOTICE Z9 2 - 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. -0 //mow _ A 2 / , Inspector A � Date // // j w / Owner 11ei:mlt Nu. ENERGY C-EATIF LCAT ION Lo(;ATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness (inches) EXTERIOR WALL Material Fiberglasss Thickness(inche®) CEILING Batt or Blanket Type_.Fiberglass Thickness(inclaes) /D''' Loose F111 Type___Fiberglass Minimum ThicknesWnches) //,' Area covered(ft. FLOOR, E[J-,-VATED Material Fiberglass Thickness(inches) FLOOR, SLAB Material Thickaeess (inches) Width(inches) FOUNDKri0N WALL Material Thickness(inches) Brand Name_ _ Thermal Resistance (R Value) Brand Name CertainTeed Thermal Resistance(R Value) /3 Brand Name CertainTeed Thermal Resistance(R Value) &0 Brand Name CertainTeed Number of Bags Wt. per bag 25 -lb. Thermal Resistance(R Value) &0 Brand Name CertainTeed Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above bLij.Ading in conformance with the State of California Energy Raqutrements. Hawkins Insulation Co.', Inc. 378407• FIRI`I NAME/OWNER STATE C011TRACTOR'S LICENSE NO. 1y 4 7 SIG PURI; )F INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required•items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirement's. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. a1, FIRrt NMI)VOWNER (Please print) STATE CONfRACTOR'S LICENSE rlo. SIGNAT ' OF OENE RAL CONIRAC'1'o1.t OI•JNi,R DATE THIS CERTIFICATE M11ST BE 014 FILE WITII TRE BUILDING DEPARTM Tr PRIOR TO FINAL iNSkCTION APPI(OVAL Al 4D A COPY SHALL BE POSTED WITHIN TILE BUILDING . January 1984 F COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, California 95965 - Telephone: APPLICATION AND PERMIT WORKS PERMIT NQ� 916/538-7541 O(/ ASSESSOR PARCEL NUMBER /�� C(v (f/ ZONI G BUILDING PERMIT OWNER, TELEPHONE SO. FT. OCC. BUILDING VAL ION OW NrER`5S L D ESS i �� G ��9 CONTRACTOR'S NAME �E�-EPHONE ••�//((J/-3 N/�`/ll-J/ D _/ V CONTR R'S MAILI AD RESS ' /V}(/F/ CJ(� Fireplace CONSTRUCTION NDER UNKNOWN Total Valuation , Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee ARCHITECT OR GINE R - LICENSE No. Plan Checking Fee $ O Energy Plan Checking Fee $/-609 ARCHITECT OW ENGINEER'S MAIL.1. G ADDRESS Penalty $ BUILDING D Es Permit fee $ PLUMBING PERMIT Filing Fee 10.00 s 72.7 7 Off! Each Trap 2.00 / , Solar or heat pump water heater 20.00 LOT SUBDIVISION NAME �" c-ra u� ''i� ✓ Water piping 5.00 Each qas water heater or vent 5.00 CD USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 S OV Building sewer 5.00 c Mobile Home S I G I W 0.00ea TYPE OF WORK New -K Addition❑ Remodel[—] Utilities[] Installation❑ Other F] Describe work: _ Permit Fee $ 44 0o Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 r�, 00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty perjury p y of perjy (Check.One): ®NON•RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full f ce and effect. License No.25I1 1 tri Classification ❑ 1, as the owner, Or my employees with' -wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.8! yzQsgft OR ADDNS. l ACC. BLDGS. NEW CONST R. MULTI.OUTLET 2.SOea BRANCH CIRCUITS) (POWER APPARATUS el SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 0 BAL@ FIXED APP LHS. OR Ex. Occup. OUTLETS (RESIDEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 L 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 00 Cooling Hood 3.00 3. U() Ventilation 9. Joul.Dv Permit Fee $ UO Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count in consequence of the granting of this permit. X �✓ Date ", rq Signature of App cant - Owner ❑ Contractor JX Agent ❑ An OSHA permit is required for excavations over 5'0" d emolition or construct- ion of structures over 3 stories in height. Mobile Home installation Fee $ Energy Inspection Fee $ d� TOTAL PERMIT FEE occuP. Q3 E r FLOOD ti -S A �_,7/1 ND Iseu This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTOR OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �'� �� ^ �] Receipt No. 0% `%00 •dv �l�J� WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT r YIz5 !~ ` Of,- -'� �Zlo llB� A (lb)W I Since these items must be corrected before we can final the job or issue the required Certificate of Occupancy, please make the.above corrections and contact this office within ten (10) days of the date of this letter and request final inspection. Your cooperation in resolving these items in a timely manner will certainly be appreciated. Should you have any questions.concerning this matter, please contact this office. 4 JFG:dd cc: Building Inspector N Your.s very truly, Clay Castleberry Director of Publig—Vorks Glander Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING.DIVISION 7 COUNTY CENTER DRIVE - OROVILCE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICA�`�ON DATA SHEET y� �- Permit No. OWNER Ar`P. No. w Proposed Building Use �' t Building Inspector;.�I-- Date 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. �Plans wi.tl,)Energy Design Compliance Statement. . . . . ''Fees - �- 6. School District Paid" Stamp on Floor Plan. 7 Statement of Inten for on -Heated and AC Buildings. —Fees of $_1 1 • . . . . . . . zn4A 9.Letter of signature authorizatipn/- . . Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) -14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) ..._15. Improvements may be required. . . . . . . . . . . . __16. Mobilehome Installation Data. . . . . . . . .. 7._„ Pre-Inspec. Pre -Inspection for_. _ _- _ Required. Building Inspector Recorded copy of Agricultural Acknowledgment Statement. request to (Date) riveway Permit. — _ plan approval from city of G — 22. AJC /4L -i _ When you issue the permit, process as follows: Mail to owner, sb�il to contractor - Telephone and hold for pickup at office, Deliver w/inspector. Other _ AppIican t\ Date Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted 1. Index permit for above items No. - 2. o. -2. Additional items required: ,Qrk perkii;uan Ircle new item not checked above). Contractor, designe owne was advised of above required data by _rphone---nail—counter bye*-4ete Contractor, designer, owner was advised c? above required data by_phone_mail_nt by date 9-/ I AL Plans checked by Date �' � Plans approved by Date Sets of plans on hold in � cabinet AP folder Copy -DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance rJ/[Srv�P/I/ 1-3ro.s. 577y LoresfAAltexi "PfY —l(— owner - location AP # Driveway permit j ?0 l —C has been issued for the above property. signat e d to TO, Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance M e,. eJ Owner Location.AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply _ Clearance for _.? bedroom a home. Other NOTE *** San tarian to Fri COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NQ— el 7 County Center Drive - Oroville,.California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT I ASS E3,SO R�Fj ARCS N`M �E,R (/(/— o'!l / Q(/ ZOQ ` BUILDING PERMIT OWNER TELEPHONE ,SQ. FT, OCC. BUILDING VALUATION OW ER'3 MAILI ADDRESS' CONTR TO`R'S NAME TELEPHONE CONTRA T R'SAILI G ADDRESS Fireplace CONSTR ION LE DER V UNKNOWN t Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS , Penalty $ BUILDING ADDRESS Permitfee$ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF[] Duplex❑ Mobilehome❑ OtherGVG« - SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ installation Other ❑ Describe work: n �>Gt� J Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 �,a Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered or sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.N) +/Z�sgft OR ADDNS. ACC. BLDGS. / NEW CONSTR MULTI -OUTLET NON-RESID .BRA CH CIRC TS 2,50 ea RTUS I! POWER APPAA (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t eALO 30 FIXED Ex. OCCUp. OUTLETS PRESID LNS )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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate o 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 FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor i certify that 1 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 ot, Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, i nify and keep harmless the County of Butte against al iabili s, judgm nts, sts and expenses which may in any way accrue a ai st ai County i con qu ce of the granting of this peit. eE Date ature of Applicant — Owner Contractor ❑ Agent PAn 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 $ TOTAL PERMIT FEE $ - Occup, CONST.TYPE ISCHOOLIFLOODIPARCELI P11 ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated ab a for which RE ORPF PUBLIC BY tJ r,21\j PE IT EXPIRES ate the applicable provi- resolutions to do fees have been paid. WORKS D to G Receipt No. �7�/ WNITE-D.P.W.. YELLOW-ASOC390R. PINK -INSPECTOR, GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land. or included . within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lots 7 and 8, as shwon on that certain Map entitled, "FOREST RANCH", which Map was recorded in the.office of the Recorder of the County of Butte, State of California, on October 22, 1975 in Book 43 of Maps, at pages 83,'84,,85 and 86. Date: State c County of ,C� ) /'y - ,--..^f before - -- -- �r---_d Jo Ann Palmer and Larry B. Smallen, partners of Merlen Present A.P. No. 3 -le Properties /xjk Personally known to me. Proved to me on the basis ® OFFICIAL SEAL 4 " JANICE L. SMITHS of satisfactory evidence. a�' ®Y Notary Public — California to be the person(s) whose names) are subscribed to 4 : D b BUTTE COUNTY the within instrument and acknowledged that $ they 4 > My Comm. Expires Feb. 26, 1991 > ae®�vvv��.a®a.o®�v.vv.:� executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 3 -le RESIDENTIAL PLAN CHECKING GUIDE 7/85 (S.F., DUPLEX & MISC. ONLY) Bldg. .Permit # 1 OWNER %'YI/g/W AI A.P. # to 3 - t . GENERAL ning requirements: (sideyards and number of permitted living units). uation . S %�= 6.0-'i° �'PJi�Lt7G`s— moans signed by designer. 4/rgy Design and Compliance. Existing violations on property. PLOT PLAN 6 �mplete parcel size and dimensions. Setbacks, sideyards, tc. Ot Other buildings or structures. O ing, fills, drainage. 5/�1"d hazard. be Special conditions on creation map or compliance document. FLOOR PLAN mplete to scale plan with dimensions. �tequired windows for light and ventilation (Sec. 1205). �3, Required windows for second exit (Sec. 1204). 0' ights (Chapter 34 & Sec:. 5207).... 0.01- man impact glass (Sec. 5406). cG��'/�equired room sizes, ceiling heights (Sec. 1207). S.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). ight fixtures, switches, receptacles, and exterior receptacles for maintenance of ��chanical equipment.. � Lo 8cations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. rage firewall, door size, and closer (Sec..503(d)(3)). 1 1 - 3'0" exterior exit door (Sec. 3304(e)). l��rl'ac�and wood stdlocation. 1?a4-"7S-moke detectors (Sec. 1210). STRUCTURAL DETAILS Foundation plan complete enough,.:to construct building. Floor construction details complete enough':to construct building. vations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. T944S Fir eeplacee construction details and calcs if necessary. A,e-'sufficient data and details to satisfy energy requirements (State.. -Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR i:�Ixposure I plywood on exposed locations and overhangs. -ta-krway details: landings, rise and run, head clearance, handrails (Sec. 3306). uardrail details (Sec. 1711 & 3306(j))... k or stone veneer (Chapter 30). -3---Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32): Rafter ties or bearing ridge beam. r RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85 MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) F3-'' Garage door or porch deader sizes. Adequate bracing. -119---Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. . -i--Two exits on three-story dwellings. (Sec: 3303 -'&-.see Mezannines 1-716). Attic access and ventilation (Sec. 3205). 11'_U erfloor access and ventilation (Sec. 2516). 14-' W stoves, clearances, alcoves & 1 -hour shafts. 1 . Combustion air for fuel burning appliances. Ibr—ivoise requirements on duplexes. 't-77-72-obe soils - special foundation design. -I -a ---R t-aining walls requiring design. 19! Unusual shape, size or split level house requiring lateral design. I 4 A116W NOTE ---AB Materials & Workmanship Shall Be. in Si �•*�cl ris'1log Accordance with Recognized Good Practices and of a quality rescribed for the Specified use in the ,(o r # 7 Uniform Buil ing, Plumbing & Mach 16 National Elec ewd Coda -SC`P%iG �•�GAC�/�/iYEs"�X/S%%a9 - Sc� �:�-/%'/� This set of pions ana specifications MUST 6e kept on the job at all times and -it is unlawful to make any changes or alterations on same without- `„ e&en permission from the Department of Public Works, County of Butte. 46 h jP _. f it A9 .two � 94{�9 I,3 T PORT/ON A setback of 5 ft. from tits Property lines and a setback Of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. .5/ 04e9�. �O F See Master Plann file for building plans. � /(0 l — r`A---' 0 FOREST RANCH 1,51/50/VISION PORT/ON SECT/ONS 586, T23N R3E 20 04 a �Cy FOREST RANCH O6 /.36AC (J. RESIDENTIAL ENERGY PLAN,CHECK/INSPECTION SUMMARY FORM, " e Owner /y6401 PADA 10N A/�//� Climate Zone / Permit No. Floor Area 1/ye Compliance path: Package ❑ A ❑ B ❑ C ❑ Point System ❑ Budget 11 Other Alb # (& a MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION• a Roof/Ceiling Wall _ ❑ Slab Floor Perimeter ® Raised Floor/ (2) INFILTRATION: ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. j� (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. . . I� (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: 0 (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger ❑ (3) GLAZING: - Area Ft.Z (A) Location MC= Location Area Glazing %Floor Area Single CJ Type Total Bldg ig /7.04 ® R= North MC= Location East 7, ® South y7 3 . ® West G3.b S'.4/ ❑ Skylights �-- --- (B) Shading Shading 7/83 Coefficient Description East _ (�� _Qc_/d4C.. South ��. •� ••: West" is e• Skylights (C) South Overhang Length of projection :I— ft. Description Double Triple K (D) Moveable insulation: Area ft Description (E) Thermal mass Type -"UA 4 3 d±!A /L - Area /90 PFt MC=_ Locations _ AANr, d 9;0' Type - Area Ft MC= Location . 2 HC R= a �7 HC= R= ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location CJ Type - Area. Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location u U WRINNI 1: ORM (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace (brand and model number) Btu/hr (heating capacity) Heat Pump _ (brand and model number) Btu/hr (heating capacity at 47°F) Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector ACOP SE orientation collector tilt rated y -intercept rated slope Other SVW& 01 &LAcr (describe) (B) Cooling Electric Air Conditioner (brand and model number) Btu/hr Q (seasonal EER) (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. ® (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. ® (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan.type central furnaces,,gas-fired fan type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 �j (6) DOMESTIC WATER SYSTEM- A) Gas Only (brand and model number) ❑ Heat Pump w/Electric Backup (tank size) ❑ *2 Active Solar Gallons FOR fA i Gallons (tank size) (brand and model number) (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) .(collector tilt) ❑ Location of Solar Panels C] Other (Describe) (B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. ® (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). ® (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING ® (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). T *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: IJ o Heating: Winter design temperature °, elevation �� ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU ,^ Cooling: Summer design temperature 0, cooling load BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *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. 7/83 SIGNATU F BUILDING DESIGNER OR APPLICANT I (6) DOMESTIC WATER SYSTEM- A) Gas Only (brand and model number) ❑ Heat Pump w/Electric Backup (tank size) ❑ *2 Active Solar Gallons FOR fA i Gallons (tank size) (brand and model number) (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) .(collector tilt) ❑ Location of Solar Panels C] Other (Describe) (B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. ® (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). ® (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING ® (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). T *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: IJ o Heating: Winter design temperature °, elevation �� ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU ,^ Cooling: Summer design temperature 0, cooling load BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *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. 7/83 SIGNATU F BUILDING DESIGNER OR APPLICANT I eoun q- 4 J" uiti OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Marr cAudi 11 ADDRESS: CITY & STATE: Fnract Ranh, CA 95947 IMPORTANT: DATE OF CLAIM: December 5. 1991 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE 1 DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT DEPT. & SUB. Owner has decided not to do work. Permit #2136-91B, AP#63-18-08, Receipt #94310, dated 6-26-91. ' CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. Total Permit Fees Paid ------------------------------- $94.85 Retain Building Permit Filing Fee-------- 10.00 Total Permit Fees Retained------------------- 38.25 TOTAL REFUND DUE -------------------------------------$56.60 _ I j I I i I I - I j I j TOTAL f $56160 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been erformed or delivere tha; this claim is true and correct as stated. Dated this 5,�................... day of ./.V#.4/.................. 19 (.1.., at ...1.w.'!.�.�.•.............. Celit .. ... .............................. 111 ..........., I Signature of Clai I, the undersigned, hereby certify that, to the best of my knowledge, the services or artic es specified above have be performed or de- divered end that titcre is a'aud'gec :cppropcia-cion}u or Specific ward Approval (Check one) for a same. Dated t!::s., 5t'h way of nP..�.Q.:1�...... 19.1.1. a. Oroville. Calif. /' ................ ..... .................... .. ..... Dept. Exp. ---� Code ......440-.002 ................. Code ....!321Q5QO........................ PAYABLE FROM ..1^iQ��S.rr.......ermits FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. I &nud4t 4, ✓Juili OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: ADDRESS: CITY & STATE: ^ IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT - r r✓ Z Ni VSe nn Iii -toil A me u vt2lA(CL 014 ,J1 NT -40 v oAxil, o —o 4-(03 r I i � 1 3- _.� TOTAL >- - / I,the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this Y claim is trueand correctas stated. , /\ Dated this........ day of ............................. 19....... et................................. Calif. .................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval (Checkone) for the same. Dated this .................................... day of ............................. 19....... at .............................. . Callf..................................................................................... Department Head or Authorized Depuiy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. INSTRUCTIONS to CLAIMANTS_ x ,C s All claims against the county must be itemized, giving dates and character`�of service a rendered l or work performed, quantities, de- scription and unit prices of articles furnished or delivered. . Claims must be certified by the claimant and submitted to the De- partment head for approval.- Upon approval theDepartment head a will forward claim to County Auditor for payment procedure. Do , not file with the County Auditor first. Claims should be presented to officials for approval, immediately upon completion of services requested or material ordered. Claims we paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do `,, so may delay payment considerably. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 _ 'APPLICATION AND -PERMIT - f ASSESSOR PARCEL NUMBER 63-18-008 ZONING AR -5 BUILDING PE ..I OWNER�M{ Caudill tt TELEPHONE 343-0849 SO. FT. OCC. BUILDING LUATION 400 C 5,200.00 OWNER'S1MAILIING DDRESS P.O. Box 621, Forest Ranch 95942 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$5,200.00 Filing Fee $ _0.00 LENDER'S MAILING ADDRESS Perini! Fce $ 56.50 ARC H.!TECT OR ��; !NT R ` - LICE,:SE r,o• T� Plan Che::iang Fee $ 2$,25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 94.75 PLUMBING PERMIT Filing Fee 10.00 15774 Forest Ranch Rd., Forest Ranch Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition [3 Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Porch _ Permit Fee $ Contractor _ ELECTRICAL PERMIT Filing Fee 10.00 Main service SS 100°1 OR 0 AMP OR LESS 10.00 Main service EA. ADD -L too 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.SINGLE 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- 0rs.(Sec. 7044) ❑ I am exempt.under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.SI OR ADDNS. ACC. BLDGS. , hQsgft NEW CONSTR U TI.OUTLET NON .RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS tt OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES zo®soa 5AL030 Ex. OCCUp. OUTLETS (PRESID )FIXED REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. lir I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemni and keep harmless the County of Butte against all liabilitie , judgmen o ts, and expenses which may in any way accrue again a my ' on quence of the granting of this permi . Date � Signo re of Applican — Owne Contractor ❑ Agent ❑ An SHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTA E $94.7 HAz. CUA PARK SCHL D c This permit is hereby issued unser sions of the Butte County. Code and/or work indicated above for which DIRECT R OF BLIC By PER E PIRES Date PA P I HD Iss the applicable provi- resolutions to do fees have been paid. WORKS Date"7 Q/ 7— Z.�- Receipt No. 94310 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DE,PARTME TT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLEZ'ALIFO�JqIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. /Ulw v, Cr// (/ V A P KI r% to ;5 Proposed Building Use Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing and/ori issuance: DATE RECEIVED APPROVED ,1!AII items have been submitted . .................................... —j 2. Plot plans in duplicate/tri li gned by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome•installation data including manufacturer's installation instructions.... `.!................................................ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... A 3A.- School District fees paid .............. —� . Sanitation approval from - G ff / G U Health Department S 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning, approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. W henssue the permit proce follows: Mail o owner. Mail to contractor. nd hold for pickup at office. Deliver w/inspector. Other Copy of !-laz-Mat f Wlh Copy of plans se rvf 7 H a h The following data must be submitted prior to perm 1. Index permit for above items No. 2. Additional items required: ire Dept. Air Pollution Date Other _ Date ,, - By nce: (Cir necked above). Contractor, designer, owner, was advised of above required data by,_(Lphone__jnail_coun r by -date Contractor, designer, owner, was advised of above required data by_phone_mail�cou ter by date Plans checked by Copy—DPW Date PXs approved by of plans on hold in File cabinet 6Z—"AP folder Date TO FROM: Buildina Department Environmental Health SUBJECT: Sanitation Clearance Owner Location 'AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other NOTE * * * Sanitarian Date ANCI, This set of plans and specltications rowoi rt; kept on the job at all times and it is unlawful tc make any changes or alterations on same with- out written permission from the Department of Public Works; County of Butte. NOTE. --All Materials & Workmanship Sha!! Be in Accordance with Recognized Good practices ad of a quality prescribed for theS ified tate in g� �a—� -Uniform Building, Plumbin pec the National Electrical Code Mechan�eal Codes Ong i-- --- ---- - -rte- -� 101 1 11 1 A setback of)aA from the R property lines and a setback of ' 50 ft. from the road, i centerline shall be clear of structures or equipment except for a 2 ft. eave ove ,Qa/D j A , BICE COU°f" " t3 U At'P ROV -t.y�... '►!- 'moi. : •1.": 1'•" !'Y •. ♦, " � y.•'.'l�"w.}rt' �7M' �7t'st.• hh _ _ _ _ a . . -ir .lvr.,, :rm Y.+. gdw.'1:. �'-;'+M•p!.�'R-.:R1r'_ fir,^'�,./ f .w _ ' —1 ro 63-18-08 2143-89P CAUDIL, Mathew 15774 Forest ' (extend Ranch Rd, Forest st piping) Ranch COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS:I —PERMIT NO. 7 County Center Drive - Oroville, Californa.95965 - Telephone: 916/538-7541 1 APPLICATION AND PERMIT CJ ASSESSOR PARCEL NUMBER �.-. J z IN BUILDING PERMIT OWN TELjEPH,rO�N['E, SQ. FT. OCC. BUILDING VALUATION OWNER'SMAI L I NG_ApDRESS c _•7/ 17 //xA,ti'S SAM�I'i^lE CONTRA, ,., TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ' Penalty $ BUILDING ADDRESS _ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE I SF ❑ Duplex❑ Mobilehome❑ Other M5, �IP� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other IN Describe work:Fk ;t� +!�S i�l D�-,�� t AAW (Jk�&r Permit Fee $ . Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 610v OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the 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.li , OR ACDNS. ACC. BLDGS. h¢sgft NEW CONSTRESID. U TI.OUTLET 2,50 ea NON.R ESID BRA CH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. EX. OCCU o S p UTLETS OR FIXTURES eAL@ L0 30 Ex. Occup. ou LETS P(RESID )REA.7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ©� I shall not employ any person in any manner so as to become subject r to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby, authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County inconsequence of the granting of this permit. 4r i(/ f =-���� %��j_ '? _ �,1 Date Signature of Applicant — Owner �4❑ 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 $ TOTAL PERMIT FEE $ occuP. C0NS'1,TYPFJ SCHOOL FLOOD PARCEL PD HD s u This permit is hereby issued under Bions of the Butte County Code and/or rwhich work indicated above for which /,�DIRECTOR OFPUBLIC B��.�f/ \ ,J Y PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 9 Date (�r/ } -.//,/ /3 Receipt No.1C�t WNITE-D.P.W., rELLOW-ASe CSsa R. PIN.-IN.PECTOR. .OLD CNROD-AP►LI CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATiQN AND PERMIT ERMIT NO.� ASSESS PARCEL NUMBE Z I G S BUILDING PERMIT OWN TELEPHONE SO. FT. OCC.1 BUILDING VALUAftION OWNER'S 191,51LING A D'R ESS/,/,c,,,�/y '1 �5 5 /�'/ v6.J�-V/ H \ CONTRAC7j.1¢i'S �I AME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS' Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 16`77 �_ QkAytk RAI Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME I PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF [:1 Duplex❑ Mobilehome❑ Other e5lkS Building sewer 5.00 SPECIFY Mobile Home S I G In -00 ea TYPE OF WORK AAWU - - New ❑ Addition ❑ Remodel ❑ Utilities ❑ Ilnstallation❑ Other, Permit Fee $ 5 Describe work: ..\/D 4940—r, __A -k -V14 Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.Ei , iesqft �50ea I declare under penalty of perjury (check one): NEW CONSTR.( A ULT OUTLET ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ NON.RESID .BRA CH CIRC ITS POWER APPARATUS &) 2.50 ea and Professions Code and my license is in full force and effect. SINGLE OUTLET CIR. License No. Classification EX. OCCUp OUTLETS OR FIXTURES 20®50e BAL130 1, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EAJ 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ❑ I, the Mobile Home Facilities 15.00Misc. as owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Wiring g 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling g I shall not employ any person in any manner so as to become subject Hood 3,00 to the W. C. laws of California. Ventilation 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 permit Fee = provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEEJ c I also agree to save, indemnify and keep harmless the County of Butte against do CUP. CONST.TYPE scNooL PLaoD PARCEL PD all liabilities, judgments, costs, and expenses which may in any way accrue 1777f7Y7 a ainst said County i nsequence of the granting of this permit. e.�? This permit is hereby issued under the applicable provi- Date zions of the Butte Count Code and/or resolutions to do Signature of Applicant — Owner Contractor p Agent ❑ work indicate above r w ich fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- D T O UBLIC WORKS ion of structures over 3 stories in height. Receipt No. 9 By Date WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES Date COUNTY OF BUTTE:•- De"rtmept . of `Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is.received. I personally plan to provide the major labor and materials for construction of • the proposed property improvement (yes or no) I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner \\ Social Securit 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.