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063-180-010
NOTES 14 x (,.o I:U r ri e L3 (o 0- -L 'o 'vi } r I 6 RESIDENTIAL 10 x063-180-010 02-0804 tSTRAUB, CYRIL 4744 SI-IUPPLI:TON DR., FORLST RANCI-I ; BATI-1/CLOSET ADDITION/I_NLARGL MASTER 1312 (9 rLr OFFIIcE COPY Address GAS Meter By Date_ I ELECTRIC Meter By Date 22 YiZ. z o IS— S SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER { INALED . JOB FINALED (Date) Signature lJ t V= OK 0 = Not OK - = Not Applicable = Not Ready • MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/. /" L'ft. / P Nat. or / /"L"ft./ PLPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. 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 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances .2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements .2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-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 11. Light Niche Date Card.B-1 Date Card B-1 Date Card B-1 Date -Card B-1 I ,/ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date nderfloor (Plans) OK except If's ing- Setback s- Ease ments-Flood- Slope Ftg., Main; Soils-Elec. Grnd.-/) 7_47 Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. FW., Porches & Decks; Soils -Steel-/ r' Ftg. Depth . S m%5 lls, Main; Steel- Blockouts-Wrapped St walls, Garage; Steel-Blockouts-Wrapped Hold Downs and Special Anchors 7. S , Steel- apped ers- eplace Ftg.-Steel V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Ga pe; Size Anchors -Yard Gas Piping; Size Test 1 ate, Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground & Ducts; Clearance -Material -Support -Ins. 14. irql;,wSills-Anchor Bolts -Joists- Vent s-Crippies a 1 cess & Ventilation 16 --Insulation Date J (_ Card B-1 L ate Card B-1 DaterJ Card B-1 to Card B-1 Date PLUMBING (P it) O exce t ff's 17. WalerHtr.: VA -ACC@S on Air Batu? lt-`W pe; Test & Anchor -Nail Protection 1 D.W.V.; Test Fittings & Anchor -Nail Protection 2a!Tast Tub & Shower, Second Floor -Tub Access 2Z. Gas Pipe; Sixe & Anchors Date 3-62_ Card B-11/ Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTR AL (Permit) OK except ft's 2 ransformer Clearance -Ins. Protection 2 lec ceptacles Spacing -Lights & Switches at Doors 25. fixes & No. of Conductors Stapled 26. RoTax�lnstalled Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Appliance Circuits in Kitchen & Conductor Size GFI 29.--SebteedJ4hre Size / / ga. Cada 30. ang /.ga Cu or At oa _ 31. round Main Disconnect 32. a - otors-Mech. Equip. _ 33.s Closet Light -Shower Light -Spa Light W15moke Detector Date (p `` 3-Q Card B-1 �� Date Card B-1 Date Card B-1 Date Card B-1 Date ME NICAL (Permit) OK except ft's 3 ucts Insulation & Support 3 . Vent Fan, Exhaust above insulation lewd ate Drain & Overflow, Size & Grade ace- Access -Comb. Air -Return Air Vent 115 outlet 3 is Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date NG (Permit) OK except ft's 44- Sills Proper M pals & Anchors 41. Walls Stu -Nailing Spacing races -Plates -Sound 42. B ring Walls over Gi rs & Floor Nailing Dra p in Walls (rat proof) 44. ire ps, Furred Ceilings -Stairs -Chasers -Tubs 45 eaders & Beams -Size & Bearing 4 - Date FRAMING (Continued) r A6. Hangers -Post Caps -Anchors -Connector j�yJ 7. Cling. Joist-Rftr. Ties-Purlin-Roll ac. -T 5s-Shti g.-Rfng. ,, 4A M-Pinri, 'Flue- irep ace r rt-tearanee, 4 ize omex Protection- r s t. drm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. a F' 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story 2.Etxits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outrigge s ,5f--liding-Nailing Veneer 57. Stucc sh-Drip Screed -Fd. Vents-Underflr. Access I ing Area -Glass Protection -Skylights-P stic` �r vrlY Shear Walls; Nailing -Bolts 60. :461. Brace Interior/Exterior Wall Panels r Insulation -Walls -Ceilings 62. 1 nfiltration-Walls-Windows Date &-/30Z Card B-1 (IQ Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Inslld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Cenificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE F'. OWNER PERMIT NO. A routine inspectio ' dicates that the following violations of butte county Ordinances exist at the above addres nd should be corrected. Please notice this office when correction of work is complete you have any questions pertaining to this matter, or need additional explanation, please ntact this office immediately. Date (✓ ^ /3 ^ 0:9 Inspecto REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PSR T (Rev. 12/96) APPLICATION AND PERMIT 7 7 J (� AS SESSOR PARCEL NUMBER 063-1,0)0- 03-0 ZONING AR5 BUILDI G P MIT OWNER Straub Cyril TELEPHONE -1-4.2-27-11 OCC. BUILDING VALUATION R 25 272.00 OWNERS MAILING ADDRESS 4744 Shuffleton Drive Forest Ranch CA 95942 1500.00 F40 CONTRACTORS NAME _owner TELEPHONE C 88 •00 � OO�FCONTRACTORS U 720.00 MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ 28 376.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 278.00 ARCHITECT OR ENGINEERS "UNG ADDRESS Plan Checking Fee $ 190-.-70 SUILDINGADDRESS 4744 Shuffleton Drive Forest Ranch CA Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 501.70 LOT N2 SUBDIVISIONS NAME 59-02 PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 41 7.00 8.00 USEOFSTRUCTURE SF M Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 1 23.00 Water piping 15.00 !_5,00 Each gas water heater or vent 1 5.00 5. C0 TYPE OF WORK New ❑ Addition ® Remodel ❑ Unities ❑ Installation ❑ Other ❑ A Describe Work:ad.d bath, closet & enlarjae mstr bedroom add 2 closets, remove ex bath, take out wall Gas piping system 1 - 5 outlets 15.00 5.00 Building sewer 15.00 5.00 W Mobile Home I S I G @20.00 PERMITFEE $108.00 ELECTRICAL PERMIT Filing Fee 20.00 600OR UE Main Service 20 ,V1 OR 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License La for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, /will do the work, and the structure is not intended or offered for sale. lY I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service --TO 10-A 46.00 NEW CONST. DwEwNG OCCUP. SO p OR ADDNS. ( a ACC. BLDS. 3.5¢FT. 6.38 ,,DµpOIpT MULTI.OUTLET @7,50 a LE OUTLET OWER APPARATUCIRS . Zo @ ,.00 Ex. Occup. OUTLET OR FDTTURES BAL @ .50 Ex. Occup. OFlx�E�oTSA A DRQ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 36.38 WORKERS' COMPENSATION DECLARATION rI reby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation �of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. to �- S ' Q Z _ ignat of Applicant - � er ❑ ontracto ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation 1 4.50 4.50 PERMIT FEE $24.50 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 Occ CONST. TYPE TCIAL FEE $ 716.58 HAZ. ,� D. FEES DF PARC PD H ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. yy� B1(r` /Date 7 .ACCO PERMIT EXPIRES ON 7�O Data Receipt No. 5 WHITE-D.D.S.-B.D. CANA -A SE SO P119K-INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE -. OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER. P A.P. # PROPOSED BUILDING USE /ho - DATE S RECEIPT # DATE REC. 1. BUILDING PERMIT FEES I --Balance Due ........................................................ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ..........................:...... $ 2. SCHOOL DISTRICT FEES (paid at at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 3% 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9.. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT `�^'�i�✓ � -� DATE 02 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION /7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: _.J� ASSESSOR PARCEL NUMBER (� Proposed Building Use: Q�c�c �� Counter Technician: Date: 12� Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. L. Plot plans, 3 or 4 sets, signed by the preparer of the plans. *2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 11 ❑ 3., Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation in duplicate. '❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when .required items are received. 11.,,.+''j - Date Received By K* 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) t16 ees as shown on the attached Schedule of Fees Due Sheet ....................................... tatement of Intent for Non -heated and A/C Buildings...................................�.y..���..� anitation and plot plan approval from the Environmental Health Department in ity of Chico Plumbing permit ................................................. Department of Forestry plan approval paid. Sent by: g 1�...... ❑ 19. Planning approval for (A) Use: 0 I< (B)Parking. (C) Parcel Check: Lt -'Z"Z'o 2 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone a - a and hold for pickup. f I have been informed of the above items and requirements for obtaining a building permit. N 9 Applicant: Date: 1. Index permit application for the abo i mbered: f / nI a -V �ekl �e _ S Plan Check Letter 2. Additional items required /em Contractor, designer owne , was advjs e ,y hone, 0 mail, ❑ counter, by t&6_Date: 1/-1$ -Oz Contractor, designer, owner, was advised of the above data by ®'phone, 0 mail, ❑ counter, by _Date: /501 o y Plans reviewed by: Date: zjl- l5-07— Plans approved by: Date: J a Structural reviewed r Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division Fd TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance EA. USE c dv Plat Pian Anachad rlmat Pian Attk0p, sant to B. ��7PIW?> 2 hL Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well (_laaranr_p fnr dwellina_ Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 a11/ a Date BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District , � [� Building Department No. A.P. Number Jurisdiction: City County Property Owner —c"'; Sfr A u Property Location/Address y� k / l 4t w,1/ Subdivision Lot No. :................................................................................................ Residential Development Sq. Footage y No of Living Mobile Home Addition/ 'Supplemental to (P rou R) Units Installation Conversion Permit # `(No foundation inspection): Commercial/Industrial New Addition (Floor Plans reviewed by School District Personnel) District Identification No. lu 74 School District certifies that Sq. Footage (Including Exterior Roofed Areas) Date ` has complied with the requirements of Resolution No. representing School District Paid by Check # square feet. Remarks: / 9 /- to a by payment of $ AB 2926 $ FULL MITIGATION $ Cl Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm 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. e personally plan to provide the m "or labor and materials for construction of the proposed roperty imp vement : YES the ❑ HAVE HAVE NOT ❑ signed an application for a building permit for the proposed wnork. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: SS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide p 'ons of this work, but I have hired the follo on to coordinate, supervise, and provide major work: NAN E: ADDRESS: ITY: PHONE: CO OR'S LICENSE NO. 5. I will provide some of the work but I ve con tr ted (hired) the following persons to provide the work indicated: NAME RESS PHO TYPE OF WORK IGNED: PROPERTYOWNER: SOCIAL S UR1TY NUMBE DATE: NOTE. This Owner -Builder Verification is required by Section 198.31 and 198.32 of the California Health and Safety Code. This verification must be -completed and returned to our office before we are permitted to issue the permit. OWNER BUILDER INFORMATION � I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner-buildee, you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I+Mge'rC,Zuii1d'Zng X &k- C.B.O. Inspection NOTE: This Owner -Builder Information is required by Section 198.10 of du California Health and Safety Code- OVER oda OVER N 4 - COUNTY -OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: CYRIL STRAUB ADDRESS: 4735 SHUFFLETON DR. CITY & STATE: FOREST RANCH, CA 95942 DATE OF CLAIM: 9/8/97 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT.• SEE INSTRUCTIONS ON REVERSE SIDE I DATE F DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT CHANGED OCCUPANCY FOR BUILDING. (A.P. #63-180-010, B.P. #97-0352, RECEIPT #209787, DATED 2/26/97, RECEIPT #218893, DATED 4/17/97, & ' TOTAL AMOUNT PAID..13 -197 ' .$735.38 RETAIN REFUND PROCESSING FEE ...............$ 25.00 RETAIN BUILDING PERMIT FILING FEE .......... $ 20.00 RETAIN ELECTRICAL PERMIT FILING FEE ........ $ 20.00 RETAIN PLAN CHECKING FEE...................$126.48 RETAIN ENERGY PEAN ellEGHIN6 FEE • RETAIN SRA PLAN CHECKING & INSPECTIONFEE..$ 89.00 TOTAL AMOUNT TO BE RETAINED................$393.48 TOTAL AMOUNT TO BE REFUNDED.. 341.90 ......................... TOTAL 341. 90 undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true correct as stated. �4 �_ �a:e .Dated this 26TH day of AUGUS'89_27at OROVTLLR Calif. `67 Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or a es specified above have een performed or delivered and that there is a Budget Appropriation [ ] or Specific Board Approval [ ] (Check one) f r t ame. Dated this 8TH day of SEPT. 19 97 at OROVILLE :Calif.\. Department Head or Authorized Deputy Dept. Code 440-002 Exp. Code 4210500 PAYABLE FROM C0N0,TR1ICTTQN PFRMTT4 FUND Dept. Code Exp. Code PAYABLE FROM FUND Dept Code Exp. 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. FOR BUILDING DIVISION USE: Receipt Information. 'Number: a Date: Fees -Retained: _ 3 Issued To:� `/Processing Feer Amount:' r _v_CCJ0 Fees -Retained: _ 3 `/Processing Feer Bldg Filing Fee: $ ✓ Plbg Filing Fee: $ ' v-4IecFiling Fee: $ ° ✓ Mech Filing Fee: $ Energy P/C Fee: $ 4�> ZD /Plan Check Fee: $ Inspection Fee: $ ---"SRA Fee:P I c, `�'� `�` ` - 0,- Total Amount Retained $ ° TOTAL REFUND DUE CLAIMANT'S NAME MAILING•ADDRESS ASSESSOR PARCEL #: REFUND CLAIM APPLICATION C) I- RECEIPT NUMBER(S) - 0 16 1 v, a� �C �j•a Request a refund of fees paid on the abonve receipt; number(s) for the following reasons: Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) ( Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees Disposition of Plans: ( ) "Plans returned to me at counter ( ) Please mail plans to me at above address. Please dispose of plans. P pt c� SIGNATURE DATE PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. y. • -- COUNTY COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive - Oroville, Cpliforn a 95965 - Telephone (Rev.12/96)' — `v - APPLICATION AND PERMIT BUILDINGZ4110� ION (916) 53PERMIT-110. ASSESSOR PARCEL NUMBER 063-1 80—p4 -r O O ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4735 SHUFFIFTON DR, FR CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS . CONSTRUCTION LENDER Fireplace 1500 LENDER'S MAILING ADDRESS ' Total Valuation $ qz19- 00 ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $a7l. 50 190 10 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4735 SHIJEELETO I Energy Plan Checking Fee $ 23,00 PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRI.�CTURE ALREADY BUILT SF ❑ Duplex ❑ Mobilehome ❑ Other T)FTAC,,HF1) C;ARAC;F SPECIFY Each Trap 7.00 • Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 20X24 DETACHED GARAGE BUILT W/O PERMITS BY PREVIOUS OWNER Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 I PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 a00V OR Main Service 20.AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commdncing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class --I IC: NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License LI jor the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service ( TO 46.00so CCU000A NEW CONST. DWELLING OCCUP. DWE200ALLING OR ADDNS. ( 6 ACC. BLDS. SO 3.52FT. NON-RESIID? RpUP1LCl OCII C TS 97.50 POWER APPARArus 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.B,u 20 Q 1.00 p .50 Ex. Occup. uTLETSAPRESIp.OFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE MECHANICAL PERMIT t 28• (� Filing Fee 20.00 Heating T5.007 Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shell not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall hwith com ly with tho pro isions. _ r�/ X _ Date 2— bt0�� _ Signature of Applicant - ❑ Ow V,❑Contractor Agent �T " An OSHA permit is required for excavations over 60" deep nd demolition or construction of structures over 3 storie in height. y LL Mobile Home Installation Fee $ Energy Inspection Fee I $ kffo.00 Occ TOT L FEE $ cotheissued HAZ IM FLOOD cOF,' J PgRC pp H Issu This permit is under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date -11177k]` Oefe Receipt No. WHITE-D.D.S.-F AN RY-ASSESSOR PINK -IN P CT R GOLDEN R -APPLICANT &TIM •�l-.r•�=+..-. ...-�aw.,,y,.,... ..,....,,-,w. .-�..p..- �..-��.-_.,,.;...w,.F.,MSS,����%'1„Yr+!.rvYw.+3.�1:�,,..-.r�rw";}-...:,',.:nii.... ..:y.:��...R,r6r��,✓w^ COUNTYOF BUTTE - DEPARTMENTORDEFVCLOPMENTSERVICES - BUI ING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHON 916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER A. P. No. �� 3 ga ©/o Proposed Building Use c%"�- Building Inspector be Date 4 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1 • All items have been submitted.......................................... Plot plans, 3/4 sets, signed by preparerof plans. .y: ....................... 3. Complete plans, 3/4 sets, signed by preparer of plans. ............... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ............. 5. Hazardous Material Form............................................. 6. Energy Design Compliance and supporting documentation . .................. -.-17. Statement of Intent for Non-Heated and A/C Buildings. ...................... 8.' Engineered truss details and layout in duplicate (required prior to plan check). Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ............ . . .............. { 11. Impact fees as shown on attached schedule........ ... � � C�.. t 12. California Department of Forestry plan approva /fee X9.7 g? ..a:a� (.7 �! 13. Flood elevation letter (100 year floo(�by-Californ gineer. ..........:...... 14. Sanitation and plot plan approval �� Health Department. .............. 15. City of Chico plumbing permit.......................................... ' 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . 20. Pre-inspection for P inspection request p required. to uilding Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). .. ...... 22. Certificate of Workmans Compensation Insnc ...... ura 23. Owner-Builder Verification (Given to owner ail to owner _).......... 24. Recorded copy of Agricultural Acknowledgement Statement. .................. 25. Letter of signature authorization......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road.::_:; ... 27. Letter of intent on building use. ...................... A 28. Mobilehome utility clearance. ........................ ............. ;. . 29. Documentation of legal access . .................. ....:. ........•... •: 30. Documentation of 50% subdivision developed or (A) Road improvements completedv�b and (B) Parcel meets zoning area and frontage requirements. ............... 31. Existing violations/expired permits...................................... w 32. PP-IIr� check lis .. * * , :. . 34. f When you issue the permit, process as follows: Mail to owner. y p Mail t6-coi'itra' c�Or:-. Telephone - and hold for pickup at Deliver with inspector. Other " Parcel Creation 1 !�i� Acreage ' Applicant Date Z ZG /' Copy of Haz-Mat form sent Health Dept. Fire Dept:, Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted pr' r to rmit issuance: (Circle ne t� "�ckeVve). ` 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer advised of above required data by _ phone _ ail Co er by _ Date owner Plans checked by Date /Mn ' gVl3roved by Date=-� Sets of plans on hold in File cabinet / AP folder Copy - Department of Public Works A /(, n_ R_ _ 1 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the- major labor and materials for construction of the proposed property improvement: YESM NO[ J. 2. I HAVE[ J HAVE NOT[ signed an application fora building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CI'T'Y: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide, portions of this work, but I have hired the following person to coordinate,- supervise, and provide the major work: . NAME: ADDRESS: - PHONE: F CONTRACTOICS 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: �� G SOCIAL SECURITY NUMBER: �� DATE: _3 - 3 — �7 NOTE: This owner -Builder Verification is required by Section 19831 and ` -19832 of the California Healtifi-nd"Safety-Code. - - - I This verification must be completed and returned to our office before we are permitted to issue the permit. 'xR%.ECEIVE OVER MAR n 5 1997 Af 11 V os i 0 O -c ( i S4�_'k (fy r l l BUTTE COUNTY BUILDING DIVISION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: . 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the'U.S. Small Business Administration). -For more, specific. information about your obligations under. State Law, contact the Department of Benefit.. Payments and the Division of Industrial .Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento. CA. 95814. Please compiccto the "O -',v cr Builder Verification" on the fe ersc side of this foirn s that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerel Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Oi mer -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER M;MVA �•, •..1r..;6:.:��•.>;•:".....Mvbc...... '•K'd8:?;{i%?K;%j��{:pJ :>.ycu��:: ti x}'. .. <2.•..::.... w«.%ine:.K.Rw oxo+;•': �. x. J Attention Property Owner. An "owner -budder" building permit has been applied for in your name and bearing your signature. . Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your budding permit No budding permit wd1 be issued until this verification is received. ' 1. I personally -plan to provide the major labor and materials for construction of the proposed property improvement : YES04 . NO[ j. 2. I HAVE HAVE NOT[ j signed an application for a building permit for the proposed wor 3. I have contracted with the -following person (firm) to provide the proposed construxtion: NAME: - ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. S. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: QZ SOCIAL SECURITY NUMBER:_ DATE: 3 2-6— $12 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 0 VT_ R Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you ate the responsible parry of record on such a permit. Building, permits are not -required to be signed by property owner unless they are personally performing their own work' If your -work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. - Contractors are required by law to be licensed and bonded by the State of California and to have a business line from the city or county. They are -also required by law to put their license number on all permits for which they apply. ' If you plan to do your own work, with the exception of various trades that you plan to subcont:aet, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including' materials and other costs) is 5300 or more for the -entire project. and such persons are not licensed as contractors or subcontractors, then you may be an employer. _ 0 If you are an employer. you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social seirity taxes, workers compensation insurance, disability insurance casts, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, cntract-the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners -unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street. Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building ,permit will not be issued until the verification is returned. Singel i I Michael C. Viefia, C.B.O. Manager, Building Inspection OTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safery Code. OVER CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1_ CF -1R Project Title.......... 480 SF Shop Building Date........ 04/09/97 dd ******* Project A ress........ *v4.50* q 17- O ?.5z__ Documentation Author... Marty Runneils ******* B i 1 g Permit 9 Energy Calculation Services `f 1907 Mangrove Avenue, Suite D Plan QL ecc Date Chico, CA 95926 916-894-8466 Field Check/ Date ..Climate Zone. . 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File -97092S Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -480 SF Shop - Submittal GENERAL INFORMATION Conditioned Floor Area..... 480 sf Building Type .............. Single Family Detached Construction Type ......... New Building Front Orientation. Front Facing 90 deg (E) Number of Dwelling Units... 1 Number of Stories.......... 1 Floor Construction Type.... Slab On Grade Glazing Percentage......... 17.9 % of floor area Average Glazing U -value.... 0.53 Btu/hr-sf-F Component Frame Type Type Wall n/a Door n/a Roof n/a S1abEdge n/a Orientation Window Front (E) Window Front (E) Window Left (S) Window Back (W) Window Right (N) Type BUILDING SHELL INSULATION Cavity Sheathing Insul Assembly R -value R -value R -value U -value Location/Comments R-11 R-n/a R-0 R-n/a R-30 R-n/a R-0 R-n/a R-11 0.098 PLAN FRONT, LEFT BACK, RIGHT R-0 0.330 LEFT R-30 0.031 TO ATTIC R-0 0.900 TO EXTERIOR .FENESTRATION # of Interior Area U- Pan- Shading/ Exterior (sf) Value es Description Shading 24.0 0.520 24.0 0.520 18.0 0.520 2.0 0.930 18.0 0.520 Exposed S1abOnGrade Yes 2 Drapes.Std 2 Drapes.Std 2 Drapes.Std 2 Drapes.Std 2 Drapes.Std THERMAL MASS Over- hang/ Framing Fins Type ROLLDOWN BL None Vinyl ROLLDOWN BL None Vinyl None Yes Vinyl None None Metal None Yes Vinyl Area Thickness (sf) (in) Location/Comments 480 4.0 TYPICAL ITrE m,"q' lry tir t i i�r.s:_i WOWD e CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R .Project Title.......... 480 SF Shop Building.__,_ Date........ 04/09/97 MICROPAS4 v4.50 File -97092S Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -480 SF Shop - Submittal HVAC SYSTEMS .:. •, , ., . _ - Water Heater to meet minimum CEC Standards SPECIAL FEATURES/REMARKS A woodstove will be used as the primary heat source. All eligibility criterea stated in chapter 8.6, of the Residential Energy Efficiency Manual, shall be met. -Minimum:,,..___,Duct..;.,. , :.:... Duct Thermostat_ Equipment Type Efficiency Location R -value Type Furnace 0.780 AFUE Attic R-4:.2 Setback ACSplit 10.00 SEER Attic R-4.2 Setback WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value Water Heater to meet minimum CEC Standards SPECIAL FEATURES/REMARKS A woodstove will be used as the primary heat source. All eligibility criterea stated in chapter 8.6, of the Residential Energy Efficiency Manual, shall be met. CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R .Project Title.......... 480 SF Shop .Building-_... Date........ 04/09/97 MICROPAS4 v4.50 File -97092S Wth-CTZ11S92 Program -FORM CF -IR User#-MP1333 User -Energy Calculation Servic Run -480 SF Shop - Submittal COMPLIANCE STATEMENT This certif- cote: of compliance- li-sts -the,-bui•lding, -features and performancea4 specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with. overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/ Remarks section. DESIGNER or OWNER DOCUMENTATION AUTHOR Name.... Name.... Marty Runnells Company. Company. Energy Calculation Services Address. Address. 1907 Mangrove Avenue, Suite D Chico, CA 95926 Phone... Phone... 916-894-8466 License. Signed.. Signed../��� ate ate ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed. ate BUTTE 0MA,,N'JTY BUIL< � ' '; € l"I ' RR ' ItuF-w', tr MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1_ MF -1R Project Title.......... 480 SF Shop Building.- Date........ 04/09/97 Project Address........ ******* Documentation Author... Climate Zone. ......... Compliance Method...... *v4.50* Marty Runneiis ******* Energy Calculation Services 1907 Mangrove Avenue, Suite D Chico, CA 95926 916-894-8466 11 ---.>...._. Building Permit Plan Check Date Field Check/ Date MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File -970925 Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -480 SF Shop - Submittal Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES Design- Enforce- er ment *150(a): Minimum R-19 ceiling insulation. ✓ 150(b) Loose fill insulation manufacturers labeled R -Value. �V-1 *150(c) Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). 4/A *150(d): Minimum R-13 raised floor insulation in framed floors, minimum R-8 in concrete raised floors. N,a 150(i): Slab edge insulation - water absorption rate no greater than 0.30-., water vapor transmission rate no greater. than 2.0 perm/inch. NIA 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows* weatherstripped; all joints and penetrations caulked and sealed. ✓ 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. WA 150(f): Special infiltration barrier installed to comply with Sec. 151 meets CEC quality standards. IIJIA 150(e): Installation of Fireplaces, Decorative Gas Appliances and gas logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. ✓ EUTTLE MATY SUILD r -477 AR. A R D MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R Project Title.......... 480 SF Shop Building Date........ 04/09/97 MICROPAS4 v4.50 File -97092S Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -480 SF Shop - Submittal SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES -, ....Design- Enforce- er ment 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. r ✓ 150(1): Setback thermostat on all applicable heating systems. q 150(j): Pipe and Tank insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater) . 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55 degrees insulated. 5. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. ,✓/i9 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 7811 thermal efficiency,'on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. N/A 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.) . IJ14 LIGHTING MEASURES Design- Enforce- er ment 150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover) approved. BUTTE OGIi 1TY gt� s ArPROVED COMPUTER METHOD SUMMARY Page 1 C -2R Project Title.......... 480 SF Shop Building- Date........ 04/09/97 Project Address........ ******* *v4.50* Documentation Author... Marty Runneiis ******* Energy Calculation Services 1907 Mangrove Avenue, Suite D Chico, CA 95926 916-894-8466 Climate -Zone Building Permit —79 Plan Check Date Field Check/ Date Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File -970925 Wth-CTZ11892 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -480 SF Shop - Submittal Zone Type Energy Use (kBtu/sf-yr) MICROPAS4 ENERGY USE SUMMARY Standard Proposed Compliance Design Design Margin Space Heating.......... 17.72 21.89 -4.17 Space Cooling.......... 18.56 14.35 4.21 Water Heating.......... 34.02 34.02 0.00 Total 70.30 70.26 0.04 *** Building complies with Computer Performance *** GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -value.... Average Ceiling Height.:... Floor Area (sf) HOUSE Residence 480 480 sf Single Family Detached New Front Facing 90 deg (E) 1 1 ReducedYear Slab On Grade 1 4080 cf 480 sf 480 sf 480 sf 17.9 % of floor area 0.53 Btu/hr-.sf-F 8.5 ft BUILDING ZONE INFORMATION # of Vent Special Volume Dwell Cond- Thermostat Height Vent Area (cf) Units.itioned Type (ft) (sf) 4080 1.00 Yes Setback TTL .tom :pe/a BUILUM P T EN -V ArrROVED r � COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... 480 SF Shop Building Date........ 04/09/97 MICROPAS4 v4.50 File -97092S Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -480 SF Shop - Submittal Surface HOUSE 1 Wall 2 Wall 3 Door 4 Wall 5 Wall 6 Roof Surface -Location/ Comments PLAN FRONT LEFT LEFT BACK RIGHT TO ATTIC Length F2 Insul Solar (ft) Factor R-val Gains Location/Comments HOUSE 7 SlabEdge 88 Surface HOUSE 1 Window 2 Window 3 Window .4 Window 5 Window Surface HOUSE 3 Window 5 Window # of Area Pan- Frame (sf) es Type 0.900 R-0 No TO EXTERIOR FENESTRATION SURFACES Vent SC SC Interior Open U- Act Glass Int Shading/ Type value Azm Tlt Only Shade Description 24.0 2 Vinyl OPAQUE SURFACES 90 Area •*.U-- Insul Act .,- Solar Form 3 (sf) value R-val Azm Tilt Gains Reference 156 0.098 11 90 90 Yes None 132 0.098 11 180 90 Yes None 20 0.330 0 180 90 Yes None 202 0.098 11 270 90 Yes None 152 0.098 11 0 90 Yes None 464 0.031 30 n/a 0 Yes None OVERHANGS AND SIDE FINS PERIMETER LOSSES -Location/ Comments PLAN FRONT LEFT LEFT BACK RIGHT TO ATTIC Length F2 Insul Solar (ft) Factor R-val Gains Location/Comments HOUSE 7 SlabEdge 88 Surface HOUSE 1 Window 2 Window 3 Window .4 Window 5 Window Surface HOUSE 3 Window 5 Window # of Area Pan- Frame (sf) es Type 0.900 R-0 No TO EXTERIOR FENESTRATION SURFACES Vent SC SC Interior Open U- Act Glass Int Shading/ Type value Azm Tlt Only Shade Description 24.0 2 Vinyl Slider 0.520 90 90 0.88 0.78 Drapes.Std 24.0 2 Vinyl Slider 0.520 90 90'0.88 0.78 Drapes.Std 18.0 2 Vinyl Slider 0.520 180 90 0.88 0.78 Drapes.Std 2.0 2 Metal Slider 0.930 270 90 0.88 0.78 Drapes.Std 18.0 2 Vinyl Slider 0.520 0 90 0.88 0.78 Drapes.Std OVERHANGS AND SIDE FINS Window— Overhang Left Fin Right Fin= Area Left Rght (sf) Hght Wdth Dpth Hght Ext Ext Ext -Dpth Hght Ext Dpth Hght 18.0 4 n/a 1 .67 n/a n/a n/a n/a n/a n/a n/a n/a 18.0 4 n/a 1 .67 n/a n/a n/a n/a n/a n/a n/a n/a EXTERIOR SHADING Area Shading SC of Surface (sf) Type Ext Shade HOUSE 1 Window 2 Window 24.0 ROLLDOWN BLIND 24.0 ROLLDOWN BLIND 0.20- 0 .,�2��0## ttBUTTE !it=s -Py ivtaw .. , AP - D COMPUTER METHOD SUMMARY Page 3 C -2R Project Title.......... 480 SF Shop Building Date........ 04/09/97 MICROPAS4 v4.50 File -97092S Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User_Energy Calculation Servic Run -480 SF Shop - Submittal THERMAL MASS Area----.Thick--•Heat Conduct- Surface . —_,., Mass Type (sf) (in) Cap ivity R -value Location/Comments HOUSE 1 S1abOnGrade 480 4.0 28.0 0.98 R-0.0 TYPICAL HVAC SYSTEMS WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value Water Heater to meet minimum CEC Standards SPECIAL FEATURES/REMARKS A woodstove will be used as the primary heat source. All eligibility criterea stated in chapter 8.6, of the Residential Energy Efficiency Manual, shall be met. BUTT C*L!4-, ' .! Y UD Minimum Duct Duct Duct System Type Efficiency Location R -value Efficiency HOUSE Furnace 0.780 AFUE Attic R-4.2 0.830 ACSplit 10.00 SEER Attic R-4.2 0.810 WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value Water Heater to meet minimum CEC Standards SPECIAL FEATURES/REMARKS A woodstove will be used as the primary heat source. All eligibility criterea stated in chapter 8.6, of the Residential Energy Efficiency Manual, shall be met. BUTT C*L!4-, ' .! Y UD HVAC SIZING Page 1 HVAC Project Title.......... 480 SF Shop Building Date........ 04/09/97 Project Address........ ******* *v4.50* Documentation•Author... Marty Runnelis ******* Energy Calculation Services 1907 Mangrove Avenue, Suite D Chico, CA 95926 916-894-8466 Climate Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. Building Permit Plan Check Date Field Check/ Date MICROPAS4 v4.50' File -97092S Wth-CTZ11S92 Program -HVAC SIZING User#-MP1333 User -Energy Calculation Servic Run -480 SF Shop - Submittal GENERAL INFORMATION Floor Area ................. Volume..:--:....'... .... Front Orientation.......... Sizing Location............ Latitude ... ............... Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... Summer Range............... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... Description 480 sf 4080 cf Front Facing 90 PARADISE 39.8 degrees 30 F 70 F 99 F 78 F 34 F Yes Yes Yes 0.20 HEATING AND COOLING LOAD SUMMARY deg (E) Heating Cooling (Btuh) (Btuh) Opaque Conduction and Solar...... 6524 1938 Glazing Conduction ............... 1822 956 Glazing Solar.................... n/a 1135 Infiltration ..................... 2321 700 Internal Gain .................... n/a 2100 Ducts ............................ 1067 683 Sensible Load .................... 11733 7512 Latent Load ...................... n/a' 1502 Minimum Total Load 11733 9015 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing,,availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. E011110,11 ., a� RESIDENTIAL r�. 063-180-G.-I-Yo/0 PERMIT#97-0352 STRUAB, Cyril ! 4735 Shuffleton, Forest Ranch New Pri Det Garage(Built W/0 Permits)_ _ �'7- 035 3, UJY\d-QA-q-- - 53 3 C V=OK O = Not OK NotApplicdbld •=Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -CIC -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location-TestANrap; / ttlt / /Nat. or/ PL°tt./ /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; SizeSpacing-Marriage Line 3. Gas; MH Test-DemandVaKe-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFl 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool LBhtg. 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 ✓ = OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL -(Single & Duplex) Date 46. UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat clearance 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P' Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg. Porches & Decks; Soils -Steel-/ PFtg. Depth Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underffr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Pienums & Ducts; Clea rance-Mater:al-Support-Ins. Brace Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration-Wallsa/Vindows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s Ext Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access • Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card*1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Recepticales at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Elec. Receptacles in Garage (G.F.I.)-Romex Protection 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al Guard rails & Deck Construction -Post Caps 30. Range Circ. / / ga Cu or AI.Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 31. Service -Riser Conductors & Ground -Main Disconect Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 32. Equip. Clearances Panels-Motors-Mech. Epuip. Stucco Brown -Finish 33. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 34. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Glass Protection 35. A.C. Ducts Insulation & Support Corrections from Previous Inspections 36. Vent Fan, Exhaust above insulation Gas Test -Meters Tagged, Gas -Electric 37. Condensate Drain & Overflow, Size & Grade Water & Sewer Connected -C/O to Grade -HD Approval 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet Energy Compliance Certificate -Other Certificates 39. Attic Access & Platform if Furnace in Attic Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Comments at Final: FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date 46. FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Pullin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underffr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration-Wallsa/Vindows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card 3-1 Date Card B-1 Date Card B-1 Comments at Final: l e JOB FINALED (Date) Signature w- V=OK O = Not OK Not • = NotRepady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Locatiort Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / Mit. / /Nat. or/ /"L°ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 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 DemandVaKe-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch Date 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 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; SoilsSize-DepthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pool Lighting; 15 Volts-GFl 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/S-Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S 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 ✓ OK O = Not OK Not Applicable = Not Ready Date I�ERFLOOR (Plans) OK except RESIDENTIAL (Single & Duplex) (((� '2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth ge, oils-Steel-Elec. Grnd/ N Ftg. Depth ec s; Ftg. Depth x� emwalls, Main; Steel-Blocko Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors Hold Doffs and Special Anchors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: Rfng. -7. Slab, Steel -Wrapped Fireplace Ties or Type A Flue -Fireplace Throat clearance 8. Piers -Fireplace Ftg.-Steel A''c Access; Size & Romex Protection -Draft Stop -Ins. Baffles 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Garage Fire Protection Framing 11. Water Pipe; Test -Anchors -Regulator -Service Test Property Line Firewall & Openings 12. Electric Underground Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 13. Pienums & Ducts; Clearance -Material -Support -Ins. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 15. Access & Ventilation Siding -Nailing Veneer 16. Insulation 11 `�7ate Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s Brace Wall Panels 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Date 20. Shower Pan; Test, First Floor -Tub Access Date 21. Test Tub & Shower, Second Floor -Tub Access Date 22. Gas Pipe; Sixe & Anchors 63. Ext Steps -Door & Sidelight Protection -Landings Date 64. Card B-1 Date Card B-1 Date 65. Card B-1 Date Card B-1 Date 66. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled t 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al e 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. s 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 79. Insulation -Foam -Looked in Attic Date 80. Card B-1 Date Card B-1 Date 81. Card B-1 Date Card B-1 Date 82. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 88. Ventilation Throught House 89. Glass Protection Date 90. Card B-1 Date Card B-1 Date 91. Card B-1 Date Card B-1 Date 92. FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing Date 43. Draft Stop in Walls (rat proof) Date 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Date 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. A''c Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails t 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 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 A routine inspection indicates that the following violations of Butte County Ordinances exist at J the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date REV 10/92 Inspector r' R RESIDENTIAL/ - i 063-180-010 PERMIT#97-1832 J STRAUB, Cyril .r 4744 Shuffleton Dr. Forest Ranch New Pri Det G ge PERMIT N''C_ PERMIT EXPIRES 4%1Qa OWNER 4 { CONTR. ASSESSOR PARCEL c 0 LOCATION 8-5 pp* Temp. Power Pole } Called PG&E Temp. Elec. Service Called PG&E , I Temp. Gas Service • Called PG&E JOB FINALED (Date) Signature r V=OK O = Not OK =NottRealdyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, LocaOon-Test-Fall-C)"oncrete 4. Water, Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearances-Gmd-/ /Amp•Concrete qe 46'LLI-ANEOUS 3. Decks; Girders and/or JdstsZecking-Bracin 4. Wood Awn.; Posts -Beams Rftrs.-Connechxs Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns•ConnectionsSplice-Decal-Enclosures 6. Carports -Doors _ frit Sils-AnchorsStuds-Rttrs-Trusses 9. Siding iling VeneerStuoco-Mesh 10. R -~oofing L . ; Steps -Doors -Landings Braced Wall Panels Date Card B-1 Date Card B-1 Date �' Card B-1 Date Card B-1 Date POOLS (Plans) OK except #c's 1. Setbacks -Easements 2. So1ls; Compaction -Structure Stability 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/-Circuta ft Equip. -Heater 8. Elec.; Grounding; Equip. w/9 Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 6. Gas; Location -Test -Wrap; / jVtL / /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 #r's 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand, -Valve -Connector 4. Electricity; MH Test-Crossovers-Breakers•Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 qe 46'LLI-ANEOUS 3. Decks; Girders and/or JdstsZecking-Bracin 4. Wood Awn.; Posts -Beams Rftrs.-Connechxs Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns•ConnectionsSplice-Decal-Enclosures 6. Carports -Doors _ frit Sils-AnchorsStuds-Rttrs-Trusses 9. Siding iling VeneerStuoco-Mesh 10. R -~oofing L . ; Steps -Doors -Landings Braced Wall Panels Date Card B-1 Date Card B-1 Date �' Card B-1 Date Card B-1 Date POOLS (Plans) OK except #c's 1. Setbacks -Easements 2. So1ls; Compaction -Structure Stability 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/-Circuta ft Equip. -Heater 8. Elec.; Grounding; Equip. w/9 Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL, (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Ht:; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77.Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instid./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth FRAMING (Continued) 4. Ftg. Porches & Decks; SoilsSteel-/ P' Ftg. Depth 47. 5. Stemwalls, Main;'Steel-Blockouts•Wrapped 49. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. 6a. Hold Downs and Special Anchors . Garage Fire Protection Framing 7. Slab, Steel -Wrapped 53. 8. Piers -Fireplace Ftg: Steel 54. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Siding -Nailing Veneer 11. Water Pipe; Test -Anchors -Regulator -Service Test 58. 12. Electric Underground Shear Walls: Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. 62. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation Date 16. Insulation Date FINAL (Plans) OK except #'s 63. Date 64. Card B-1 Date Card B-1 Date Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection Card B-1 Date Card B-1 Date 67. PLUMBING (Permit) OK except #s 68. 17. Water Htr; Vent -Access -Combustion Air Baffle Stairs & Rails 18. Water Pipe; Test & Anchor -Nail Protection 71. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. ?ire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Ht:; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77.Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instid./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purlin-roff Brac: TrussShting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration-WallsAh/indows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Ht:; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77.Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instid./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/0 to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION V 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) 1 APPLICATION AND PERMIT 97- /8 52 ASSESSOR PARCEL NUMBER 063-180-010 ZONING AR BUILDING PERMIT OWNER CYRIL STRAUB TELEPHONE 891-2173 SQ. FT. OCC. BUILDING VALUATION 57 6 U 10,368.00 OWNERS MAILING ADDRESS 4735 SHUFFLKKETON DR FOREST RANCH CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace U LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Felin Fee $ 20.00 Permit Fee 00 s l ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee g $ BUILDING ADDRESS 4744 SHUFFLETON Energy Plan Checking Fee $ $ FOREST RANCH PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PVT DET GARAGE/SHOP SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: (EBUILT W/O PERMITS BY PREVIOUS OWNER) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos OR LESS' 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ,t 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLINGOCCUP. OR ADONS. ( 8 ACC. BLD S. SO 3.5¢FT. rN,o RESIDT CI -O RCUTITS 97.50 d E OUTLECXR. OWERLAPPARATUST Ex. OCCu OUTLET OR FIXTURES 20 @ 1.00 BAL S0 Ex. Occup. ouiLEE°Ts AE�'slo°Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation T_ PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,%`) �y ln,,(C ______ Date O ' Z ' �� __ Si nat of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. ii )2 *so Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. PE TOT FEE $ 2K2-`% HA2. o. FEES IMP FLOOD CDF PggC pp HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have Byate PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Del Receipt No. 22422 -• • WHITE-D.D.S.-B.D. CANARY -ASSESSOR PI '-INSPECTOR GOLDENROD -APPLICANT ;--COUNTY OF BUTTE DEPARTMENT OF DEVEL - PMENT SERVICES -BUILDING DIVI,410N 7 COUNTY CENTER DRIVE - OROVILLE,C RNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICAT' N DATA SHEET OWNER: ASSESSOR PARCEL ER: 3 "� O ( 9 Proposed Building Use: Building Inspector:' : Date: At time of permit applic tion, I was advi ed th following data must be u);mitted prior to permit proess' g a d/or issuance: Date Received By 111. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. ----------------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans" ----------------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- 05. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.-------------------------------------------------------- ❑8. �dous Material Form.-------------------------------------------------------------------------------- i------' r� ❑9 cturedHLome data and installation instructions including Tie Down Specifications ------------------- sof $ �[ .------------------------------------------------------------------------------------ 9 ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. -California Department of Forestry plan approval/fees" --------------------------------------------------------- Flood elevation certificate.--------------------------------------------- ------------------------ ------------------- - - ------------------------- 4. Sanitation and plot plan approval Health D artment.--1_C�_____________________ ❑ 15. City of Chico plumbing permit" ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- AN ❑ 17. Planning approval for (A) Use: (B) Parking:--------------------------�_ ❑ 18.:Contact.Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification)- ------------------------------------ El 22. Workers' Compensation carrier and policy number. -------------------- --------------------------------------- 023. Owner-Budder ------------------=--------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ------------------- ------------- E126. Letter of intent on building use. ----------------------------------------------------- ------------- E127. Manufactured Home utility clearance" ----------------------------------------- ---------------- E128. Existing violations and/or expired permits. ------------------------------------------' -------------------------- ❑29. 0433 A; ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- ❑30. Other: ------- Xyou issu tthe roce2ss as follows ❑Mail to owner, Mail to c ntractor. 1,phone 19 l F�J and hold for pickup at ��V) office. ❑ Deliver with inspector. Applicant: ___X Date: Copy of Haz-Mat form sent ❑ Health Department, 11Fire Department, ❑ Air Poll ion Date:_ By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: g= z6 -?7 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, 11 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ B ilding Divisi n counter, by Date: Plans reviewed by: Date: Plans approved by: Date: -Z Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 'i f TO: Building Department ChIC FROM: Environmental Health Cl,"* SUBJECT: Sanitation Clearance r- r 417 k 5k, Me 7�O�t l�cl Owner Location Plan Approved for: Sewage Disposal Clearance for bedroom MAE MAY Pla Plea An..W /l Flout PI. Am tW Smt to B.D. / 0&-? `/10 - 471-0 AP# 7'--�— Water Supply: Public Private Well home. Other Ck,M1) 6-S -10:g A9 L -Y ynnp _ bui I C,t)i f h p2 r-rP , 0-A ll ireryLa4 �1 4,o, i _ -,,i do-ke shmo /K Hold final for: Final clearance O.K. for: NOTE:-zIr Speciali Environmental Health st ate 8/92 9-2-97 REST NTIAL I,y 063-180-49n 1'Q PERMIT#97-0353 STRUAB, Cyril 4735 Shuffleton, Forest Ranch Add Kitchen,Utility Rm,Dining Rm & 2nBath/SF n !/ i 9-7- 3-75- 1-7 i r N t i Y fy � 1 a_ r } DETACH FOR SERV G U` TIS Ty J Address S' A Inc fJJG �GASter By ELECTRIC Date Meter By Dat4We r i JOB FINALED (Date 'Signature V=OK O = Not OK , •=NottRealdyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; SoilsSize-DepthSpacing-ConnectorsSteel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 3. Sewer, Location -Test -Fall -C/0 -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 4. Water, LocationrTest-Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / /VtL / /Nat. or/ / L"ft./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses r 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test- a and -Valve -Connector 1. Setbacks -Easements L`� \1 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance -GR 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 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 ; MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-DepthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses r 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -lendings 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 L`� \1 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓= OK O = Not No OK RESIDENTIAL - = Not Applicable = Not Ready Date 11 � UNDERFLOOR (Plans) OK except #'s 2' F ., Main; Soils-Elec. Gmd.-/ P' Ftg. Depth tg. Garage; Soils-Steel-Elec. Grnd/ P' Ftg. Depth Ftg. Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5 Stemwalls, Main; Steel-Blockouts-Wrapped 6 Stemwalls, Garage; Steel-Blockouts-Wrapped old Downs and Special Anchors —7. Slab, Steel -Wrapped 8,1"Piers-Fireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 154.F. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13.Pienums & Ducts; Clearance-Mater:al-Support-Ins. A.Girders-Sills-Anchor Bolts-Joists-Vents-Crippies `Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date )1/ Card B-1 G L Date Card E-1 Date b PLUMBING (Permit) OK except #'s ater Htr.; Vent -Access -Combustion Air Baffle Pipe; Test & Anchor -Nail Protection D.W.V.; Test Fittings & Anchor -Nail Protection Shower Pan; Test, Fiist Floor -Tub Access ----e4.�i23�FTul) & Shower, Second Floor -Tub Access -22-ea l' ipe; Sixe & Anchors Date Card B-1 4:,A Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 2 ixjwe & Transformer Clearance -Ins. Protection 2 . EI eceptacles Spacing -Lights & Switches at Doors S�oxes & No. of Conductors Stapled Rom x Installed Close to Edge of Studs & C.J. 2 . quip. Ground made up w/Mech Fastners-Bond Gas & Water 26. 2 Appliance Circuts in Kitchen & Conductor Size GFI _-2B-3nbfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al Ran,7e Circ. /�r� / ga Cu or AI -Oven Circ. / / ga Cu or AI _Jmsulated Neutral @4es 0 No 1. Service -Riser Conductors & Ground -Main Disconect X. Equip. Clearances Panels-Motors-Mech. Epuip. .38�Clothes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 351o' A.C. Ducts Insulation & Support 3 . ent Fan, Exhaust above insulation 37 Condensate Drain & Overflow, Size & Grade 38. rnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 9. Attic Access & Platform if Furnace in Attic Date —' Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Sits Proper Materials & Anchors 41 ails Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing (Single & Duplex) Date FRAMING (Continued) 471 Cling. Joist-RfV. Ties-Purlin-roff Brac: Truss-Shting: Rfng. Fireplace Ties or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50) Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing l Property Line Firewall & Openings 53rr Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits Stairs; 55Z Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56,, Siding -Nailing Veneer 37. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ,Glazing Area -Glass Protection -Skylights -Plastic 5K Shear Walls; Nailing -Bolts §0. ace Wall Panels Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FI UAL (Plans) OK except #'s 6K E teps-Door & Sidelight Protection -Landings KS S ke Detector 6 . Furnace; Vents -Clearance -Comb, Air-Conector- I arage; Above Floor-Ducts-Mech. Protection 6C oom Exiting fa...i'. & Bath Fixtures & Tub Access -Spa Elec. 'm & Subpanel, Breaker Sizes & Labels 6 fairs & Rails Fir a or Stove, Clearance -Hearth 7r Elec sat Wood Panel, Int. & Ext. 7 it. F� Appliance; Ground. -Air Gap -Cooking Clearance 73. ec. Outlets & Rereaticales at Kit. Counter Duct in Garage -Damper Wtr. Htc;,V is -Clearance -Comb. Air Connector-P.R.V. I rage;.Above Floor-Mech. Protection Plb ec, & Mech. Equip. Listed for Location lec eptacles in Garaqe (G.F.I.)-Romex Protection 7 ulation-Foam-Looked in Attic and rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Yes ✓�2. Following Instld./Drive 0 Yes No/Walks 0 Ye No/Planters 0 Yes 0 No Al mish A.CJl�Disconnect, Electrical -Plumbing A5 --Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings fSG_14eN„Qisconnect, Electrical, Plumbing xte ' lec. Trim, G.F.I. Receptacle -Underground en ' on Throught House Protection 99.Corrections from Previous Inspections 91—ra— s_Test-Miters Tagged, Gas -Electric 42._WaaWA&-Sewer Connected -C/O to Grade -HD Approval sallnergy Compliance Certificate -Other Certificates Date B-1 Date Card B-1 Date d B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: I COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS N-�"� 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT _ ASSESSOR PARCEL NUMBER 063-180-D410/0 ZONING AR5 BOfLDINGPERMIT OWNER CYRIL STRUAB TELEPHONE 891-2173 SO. FT. OCC. BUILDING VALUATION p 428 R3 23,112 OWNER'S MAILING ADDRESS 4735 SHUFFLETON DR CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 243.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ 157.95 BUILDING ADDRESS Energy Plan Checking Fee $ 23.00 PERMIT FEE $ 443.95 LOT NO. SUBDNLS ION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 31 7.00 21.00 Solar or heat pump water heater 23.00 Water piping 1 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition IR Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: TO RELOCATE KITCHEN, UTILITIES ROOM, & DINING & 5 BATH Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home IS I GI w 920.00 PERMIT FEE $ 71 -nn ELECTRICAL PERMIT Fling Fee 20.00 500VOR LESS Main Service ZO.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Llc. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law or the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADDNS. ( d ACC. BUDS. 3.SQFT. 15.00 NON•R StIDTCo S BRAmuLTNCH cIRCUETs 97.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup, OUTLErOR FOCTURES 20 oO BAL % Q ':W Ex. Occup. OUTELETs(RES OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 35.00 MECHANICAL PERMIT Fling Fee 20.00 Heating DUCT 115.00 15.00 Cooling Hood 6.50 6.50 Ventilation PERMIT FEE $ 41.50 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comp)with thos�ovis' s. X _ Doe �� 19-7- Signature of Applicant - ❑ Owner Contractor ,O�Agent An OSHA permit is required for excavations over 60" deep and demolition or construction structures over 3 stor' s in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 occ CONST. TYPE OT FEE $ HAZ. p, FE IMP FLOOD CD PARC Pp HD SS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. � '77of By Date PERMIT EXPIRES ON�/7lesie (Date) ReceiptNo.90078R WHITE-D.D.S.-B.D. ANARY•ASSESS PINK -INSPECTOR GOLDENROD -APPLICANT TO: FROM: SUBJECT: Building -Department Environmental Health Sanitation Clearance #r E.H. USgeMW Plo?._Plen Attached Floor Plan Attac ed Sent to S. I , CIVf(-5-ty, ab I — D�I ��Okkn_ Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for II�ii g. Other, f .,5.p Ki-IoL /hkrn 00 Hold final for: Final clearance O.K. for: NOTE: Environmental Specialist �jj "V D to .. • a W;,.r,;!-r��,f,r.�;�ly�,.,d,,,4,V•%..+tiFa.`ti"�i1.�'ti`�1:..,..::.r-.,•�- ^�..r..t...�;;�'.. _ W w COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET ago OWNER C' % I t...- `7 IZ Ay B A. P. No.0&3 l eo_ m _ Proposed Building Use o S.I' • Building Inspector Date ` r At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. . 2. Plot plans 3/ s s, signed by preparer of plans . ....................... . --- -3. Complete plansk3$ sets, signed by preparer of plans . .....................`. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... t10. Fees of $ ` . ........... ...................... 11. Impact fees as shown on `attached schedule.` ,12. California Department of Forestry. plan approval/f, ^v 13. Flood elevation letter (100 year floo") Californi gineer. ................. . 14. Sanitation and plot plan approval Health Department . ............ 5. City of Chico plumbing permit. ......................................... l� 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. . ......... 19. Driveway permit (construction approval required prior to occupancy). c 1 20. Pre -inspection for required. `��'n .6." n:qu� q uddinglnspedor (Date) 1. Contractor's license information. (No., Name Style, Classification). . U6722. Certificate of Workmans Compensation Insur .... ........ 23. Owner -Builder Verification (Given to owner `�" , Mail to owner 24. Recorded copy of Agricultural Acknowledgement Statement . ................. a 25. Letter of signature authorization.........................................�� 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .....� 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. � 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... + ,p 32. PI nJ c� e�c�k� list. -� y GL1Jc/u �o 3'lG�-cAcQ Ajv►�i.c- -� 34 U/1 When you issue the ermit process as follows: Mail to owner. Mail to cfsrstl Mr. Telephone 3 -G(AM and hold for pickup at office. Deliver with inspector. Other Parcel Creation or JP? 7 Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted pri r- toa it)ssua (Ci new item not checked above). 4 1. Index permit for above items No. Z 2. Additional items required: h0�- V.. lam-+ va.r� Contractor, designer, owner, was advised o above,re uired data by _ phone -mail Counter by _ Date Contractor, designer owner s,, advised of above it ou ter by required data by _ phone _ _ Date Plans checked by _ �/ /� Date Plans approved by Date Sets of plans on Mold in File cabinet AP folder Copy - Department of Public Worics 1 CHIC B=Zd.at the Request of Mid Valley Title & Escrow Company RECEIVED MAR 171997 _..__._...._..,.�_ BUTTE COUNTY BUILDING :DIVISION cv- Order No. I 1 Escrow No. 156903TB r_^ K A a 9 Loan No. WHEN RECORDED MAIL TO: Cyril O. Straub, Trustee Marie A. Straub, Trustee 40294- MCART11UR ROAD FALL RIVER MILLS, CA 96025 1 Recorded I Official Records I County of - I Butte 1 Candace J. Grubbs I Recorder I 8:00am 26 -Nov -96 I Rec Fee 9.00 DOC 165.00 Check 174.00 MVTC CA 2 SPACE ABOVE THIS UNE FOR RECORDER'S USE MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $]8,5.00 Computed on the consideration or value of property conveyed; OR SAME AS ABOVE _ oonvuled an the consideration at value less Boris or anarmbrances remaining at time of we. Thp irnAPrs8gnP-d rrantnr d - -larPs Signature of Deciarent or Agent determining tax - Finn Nemo GRANT DEED ap#=-iso-opo FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Harry R. Greenwood and Joann J. Greenwood, husband and wife hereby GRANT(S) to Cyril O. Straub and Marie A. Straub, trustees of the Cyril O. Straub and Marie A. Straub Revocable Living Trust dated February 15, 1994 the real property in the City of UNINCORPORATED AREA County of Butte , State of California, described as SEE ATTACHED LEGAL DESCRIPTION } STATE OF CAUFORNIA }ss. COUNTY OF BUTTE } On I — i before me TAMI JSARLUW personalty appeared "HARRY R. GREENWOOD AND JOANN J. GREENWOOD personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument Un�.,ece ..... 6-4 ..-A -M-ie, wee r nn J. Gregriwood OFFICIAL S � EAL 7b«, I iHWil BARLOW TD7 Q t y� NOTARY FUSUC - CAUFORNIA run __ r , Attention.Property. Owner: An "owner -builder"" building permit lias'been applied •for in -your name and bearing your signature: Please complete and return this information at your earliest 'opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the- major labor and materials for construction of the proposed property improvement: YESP(] NO[ ]. _ 2. I HAVE[ ] 'HAVE NOT[('] signed an application fora building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: - NAME: ADDRESS. CITY• PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: 3 0.— -9 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. - This verification must be completed and returned to our office before we are permitted to issue the permit. 1�ECEIVED MAR 0 -S 1997 OVER BUTTE COUNTY BUILDING DIVISION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If, you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract ' the Internal Revenue Service (and, if you wish, the -U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department -of Benefit. Payments. and the. Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees; without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento. CA. 95314. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can coi&=n that you are aware of these matters. The building permit will not be issued until the verification is returned. Si, reI Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER O.B.- I ..:: ......... vci::.,.... 7 C.?tlou9jJ••`.)�ioiir,v,:`•:�.: `•^}??h�t'n'•�.•,•.?.QG:iY^}} �•+q+:^"` ,%•etiaei,.c.,e 1 ? ' :..44 21 006• :. .1:1 ... ... ...w...:ti:%�:navaa:.:,.:.:..v;:;:!.,w.a:::s:::i,'r•}:iwrnr:..:• Attention Property Owner. An "owner -budder" budding 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 budding permit No budding permit will be issued until this verification is received. ' 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YESpQ . NO[ ]. 2. I HAVE[] HAVE NOT[ j signed an application for a building permit for the proposed work- 3. ork3. I have contracted with the following person (firm) to provide the proposed construction: NAME: - ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work NAME: ADDRESS: C=: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide -the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: &,-,// DATE: 3— leo— 9 7 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. O N•'E R Dear Property Owner. An application for a building permit • has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits:am not kuired to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself from possible liability if that yo Y� �' Protect yo po ry person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to -ptit their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the ' entire proj=t. and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer. you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract • the Internal Revenue 'Service (and, if you wish, the U.S. Small Business Administration). For more Specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners -unless they are performing their own i work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building ,permit will not be issued until the verification is returned. Singel , • �, _ Michail C. Petra, C.B.O. Manager, Building Inspection OTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER 4 Y OF BU'TE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER ( L-- T IZ JAL? B Proposed Building Use b, S.P. Building Inspector_ A. P. No C i l _ Date Z 2 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. 11. Fees f $ Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees-2o9"1lir-) Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). bd 20. Pre -inspection for required. 21. Contractor's license information. (No., Name Style, Classification). H ,-,'22. Certificate of Workmans Compensation Insuranc . 23. Owner -Builder Verification (Given to owner Mail to owner �. n 21._,Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. L 26. Copy of recorded deed of parcel creation and 60 right of way to a public road.; 27. Letter of intent on building use., 28. Mobilehome utility clearance. Z 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan check list. Q A. 34. r. c �.fi moi►. tZ co tZ v tj When you issue the permit, process as follows: Mail to owner. Mail to ceAMeeter. Telephone and hold for pickup at office. Deliver with inspector. Other EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant �-r�-s7�L RESIDENTIAL PIAN CHECKING GUIDE o. SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY 03,63 OWNER: O(0 BUR DINGP ER: ' 7 PLAN CHECKER: ft4i A.P. NUMBER: Zoning requirements: (side yards and number of permitted living units). ,2! Valuation. Plans signed by designer. Proper description of work on application. Existing violations on property. Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.). Recorded notice of violation. PLOT PLAN: / Complete parcel size and dimensions. �Z Setbacks, side yards, easements, etc. Other buildings or structures. Grading, fills and/or drainage. Flood hazard. Special conditions on creation map (Noise, S.R.A., Fire Sprinklers, Water Tender, Trees, etc.). F.A.U. & F.A.S. road setback. Building or utilities across lot lines (Record form). Complete to scale plan with dimensions. / !�� Required windows for light and ventilation (Section 1203). We& 4 Required windows for second exit (Section 310.4). Skylights (Section 2409 & 2603.7). Glazing in Hazardous Locations (Section 2406). Required room sizes, ceiling heights (Section 310.6). G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210). Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Location of water heaters, heating and cooling equipment, other electrical or gas equipment. Garage firewall, door size and closer (Section 302.4). Minimum of one 3'0" exterior door (Section 1004.6). Fireplace and wood stove location, alcoves and clearance. Smoke detectors (Section 310.9.1). Plumbing fixtures, water closet clearances and shower size. Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4). Standard bracing or engineered design (Section 2326.11.3). Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans.' Wje oo. l� 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. Rafter ties or bearing ridge beam. Fireplace construction details and ca1c. if necessary. Garage door and/or porch header sizes. Stud heights. Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection requirements. Header size. Sheetrock nailing inspection required? q- bot ce' l L July 1996 3.2 „w. Stairway details: landings, rise and run, head clearance; handrails (Section 1006). Guardrail details (Section 509). - Brick or stone veneer (Section 1403). Exterior plaster - weep screeds (Section 2506). ; ; "- Proper roof pitch for roof covering (Section 1501). Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting Falls and posts. Two exits on three - story dwellings (Section 1003). Underfloor access and ventilation (Section 2317.7). Attic access and ventilation (Section 1505). Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. Energy design. Flashing at all exterior openings. C.D.F. responsible area requirements. July 1996 3.3 ��/����r�I'��fl�ff►f+i.r"'r'rsa�h,.�+�jJ�'r:.;1,�y'�::=.:r�k�7,r.�.�= j.t":�.� BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District _ O A.P. Number Jurisdiction: r J n n_ Property Owner Property Location/Address 1135 a Building Department N o. RECEIVED City r -?J County MAR 171997 BUT BUHTEpUNTY Subdivison Lot No. Residential Development + 0 No, �i iv ng MHI Addition Units Commercial/Industrial New Addition (Floor Plans reviewed by School District Personnel) District Identification No. AM ,r School District certifies that Address) Sq. Footage I`j (Group R) Sq. Footage (Including Exterior Roofed Areas) D -a-( -9?- Date 40,e &zz (Applicant) ooi 3 (Phone Number) (Zip has complied with the requirements of Resolution No. (65-2-96 by payment of $ representing 8 square feet. As 2926 $ n t FULL MITIGATION $Az h LCJG // School D' rict Representative Date Paid by Check # Remarks: Q d- Bank Number SGYj Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (11/94)dmm r Ile- _ • -- - - - - -DECEIVED -- -- - - - -- - - - - - MAR 171997 - - -- ---- --- - - - - - BUTTE BOUNTY- BUILDING- DIVISION 3--l/-t? ........... G.:��M mei .r-vc.. �. RECEIVED NAR 171997 13U ]BUTT Building Owner _- Building Building Location ENERGY INSTALLATION CERTIFICATE 1�Z-o ss- � DESCRIPTION ROOF Maters Thickness(ia es) /V EXTERIOR WALL /<- Material Thickness(inches) CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness (Inches) Area covered(ft.2) FLOOR, ELEVATED t( Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) W idth(inches) FOUNDATION WALL Material Thickness(inches) OF INS ULAT ION r Brand Name &eW rd The=mal Resistance (R Valu -,Sc-) Brand Name ell f Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name . Number of Bags Wt. per bag Ib. Thermal Resistance(R Value) Brand Name « Thermal Resistance(R Value) Brand Name Thermal Brand Name Thermal Resistance(R Value) Resistance(R Value) I hereby certify that the above insulation was installed in the above building, 2s consistent with. approved building department -plans --and attachments and- con- forms with requirements of Chapter 2-53 of State of California Energy Requiremen FIRM NAME/ TER SIGMA OF INSTALLATION APPLICATOR STATE CONTRACTOR'S LICENSE NO. r57--- /3 - 9 7 DATE I hereby certify the required features, devices, and equipment, ab shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy Lequirements. BUILDING CONTRACTOR/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. ( FIRM NAME) SIGNATURE OF BUILDING CONTRACTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) SIGNATURE OF HVAC CONTRACTOR/OWNER DATE STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: Cyril & Marie Straub FROM: Tom Parilo, Director of Development Services DATE: February 11, 1997 FILE: 97-08 PURPOSE: Administrative Permit on AP#063-180-010, for a temporary second dwelling to be located at 4744 Shuffleton Dr, Forest Ranch, in the AR -5 (Agricultural Residential, 5 acre minimum) zone. PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements. 1. A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to Leo DondeJinger. An affidavit attesting to the relationship of the involved parties was submitted with the permit application. 2. No rent is to be charged to the occupant of the mobile home. 3. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butte County Code Chapter 28A. 5. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. 6. The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed, with the Planning Division, within 60 calendar days prior to the date of expiration. 7. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. 8. The Permit may be revoked if any of the terms or conditions of the Permit are violated or if any acts or omissions of the permittee in connection with the use authorized by said Permit constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the amo.0 t of $1,500 for a single -wide mobile home pr $2,000 for a double -wide mobile home. Permittee Signature Date Tom Parilo, Director Dev. Services Date s •�, ..... , tte un PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601' FAX: (916) 538-7785 February 27, 1997 Cyril and Marie Straub 40294 McArthur Rd.' Fall River Mills, CA 96028 CERTIFIED MAEL Re: Administrative Permit, AP 063-180-010 Dear Mr. and Mrs. Straub: Enclosed is -your validated Administrative Permit No. ADM 97-08 for a temporary second dwelling, in a AR -5 (Agricultural Residential, 5 acre minimum) zone, to be located at 4744 Shuffleton Dr., Forest Ranch. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Thursday. Sincerely, Thomas A. Parilo Director of Development Services Paula Atterberry Office Assistant III. Enc. cc: Land Development Division Building Division Environmental Health Department of Forestry j:\1empWp7 RI�CaROOK® . APPROVED Butte County En _ omental Health ate �� W, )& O u7 / Igna Is T+. 4 — KITCHEN; DINING, tNi 1— 4�- -rte—^ OOM JM A. 10- --� \ L7M a-----�-= --- ( Qi1 7105CT1,48 BEDROOM - CATHEDRAL THRU-OUT (655 SO.FT.) W/In MASTER l�)I \/ BEDROOM mf- BED C No. 1 No 12' 10'-8- 7107CT/5614 2BEDROOM - CATHEDRAL OPT, CADOXIM SOST.I IG ROOM 18'-P KITCHEN/DINING I _ 11'-3' MASTER - = LIVING ROC 15'-10' BEDROOM No. 1 12' 7101 : FIR. RESIDENTIAL 063-180-010 PERMIT#97-0375 STRAUB, Cyril & Marie 4742 Shuffleton Dr.,Forest Ranch MH Util/2nd Dwelling 29- t JOB FINALED (Date) _ Signature V=OK O = Not OKNot ' '=Not Ready MOBILE HOMES . 7JEftLing Requirements - Setbacks - Easements tls; Special MH Support Sketch � a MISCELLANEOUS Date tricity; Location-Clearances-Gmd-/ /Amp -Concrete ; Location-TestAtVrap; /' / :ft. / /Nat. or/ / L"ft./ /LPG Well Clearance & Disconnect Utility Clearance 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date MOIRLE HOME INSTALLATION Plans OK except #'s Hing Requirements- Setbacks Easements tings; Size -Spacing -Marriage Line as; MH Test -Demand Valve -Connector ft(ectricity; MH Test -Crossovers -Breakers -Clearances drain; MH Test -Fall -Flex Connector Date .Vater; MH Test -Regulator -Connector Date 7. Water and Sewer Connected -C/O to Grade -HD Approval Date 8. jCzas and Electricity Tagged Sr Te Downs -Type -Installation Cert. 1 . ts; Insp.-Sketch 1 Cert of Occupancy 4. Elec.; Receptacles and Lighting, Distance-GFI DateL' Date Card B-1 C Ct Date Card B-1 Card B-1 Date Card B-1 � a MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -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 ✓ = OK O = Not OK = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ PFtg. Depth 5. Stemwalls, Main; Steel-Blockouts4Nrapped 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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clea rance-Mater:al-Support-Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s 17. Water Htc; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip: Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip, 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing RESIDENTIAL, (Single & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftc Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instld./Drive 0 Yes 0 NoNValks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDI (VISION `I y 7 CountyCenter Drive - Oroville, Califprnia` 95965 - Telephone (916) 38-7541 PERMIT NO. (Rev,12/96) APPLICATION AND PERMIT 9?--( �1312s- ASSESSOR PARCEL NUMBER 063-180-010 ZONING AS BUILDING PERMIT OWNER CYRIL & MARIE STRAUB TELEPHONE SO. FT OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4744 H F LETON FOREST RANCH CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Felin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS � Energy Plan Checking Fee $ $ PERMIT FEE $ 23.00 LOT NO. SUBDIVISION'S NAME J PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IM Other SPECIFY Each Trap 7.00 Solar or heatpump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Oftar `0 r Describe Work: Wit) _ US2 19ervyt , --4 c % —Q� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 60. OQ PERMIT FEE $ ELECTRICAL PERMIT I Filing Fee 20.00 Main Service i..AO LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: JA I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for worker&' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCs0 OR ADONS. ( a ACC. BP. L.S.LDs3.5¢FT. NEW CONST. MULTI -OUTLET NON-RESID. INC c, c Ts @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCu OUTLET OR FIXTURES 20@''0 BAL @ .50 Ex. Occup. ouTLEEDTsCREESSIo.GFRA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20,00 Misc. Wirina 23.00 PERMIT FEE $ 63.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Q>t I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shell forthwith comply with those provisions. ? ��� X __ /f/_ Date J Signa a of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAt FEE $ 166 00 HAZ. D. FEES IMP FLOOD CDF PAR PD HD (SSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON �/! 1 R� (08 to) ReceiptNo.209902 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT z .vi.,,;f_«: -'" � .._t� ,,�.r..�s: ..-� ....Tw�f+. ra-'� �-..r:::r.�-�,<j=.x�.stYr=-nT'#'�:s�:c.>;�rf�.�1;.']+�"!'^''"+.yt�7i•5+,i,.?�;y3"�.'�w"C:.i�'.�t�f�;^��v�`r'd''r==�-• .. �,• a,:,.w ,r . COU NTYOF BUTTE -DEPARTMENT OF DEVELCPMENT SERVICES - ILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI LLE, CALIFFORNIA 95965-.TELEPH NE(916)538-7541 PERMIT APPLICATION DATA HEET OWNER d. r f; ' No. 49G - / d7G Proposed Building Use Building Inspector Z Date At time of permit application, I was advised the following data must be submitted prior`to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ `2. Plot plans -,'3/4 sets, signed by preparer of plans . ........................... 3. Complete plans, 3/4 sets, 'signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. .........<."................................. . 6. Energy Design Compliance and supporting documentation . ................... 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... ' 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .............. ..................... 11. Impact fees as shown on attached schedule. . 12. California Department of Forestry plan approv I/fees. 03 ' 13. Flood elevation letter (100 year fll000d)iby Calfor ' ginneer. ............ . .... . 14. Sanitation and plot plan approva Mile- Health' Department. . 15. City of Chico plumbing permit. .......... ............... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19.. Driveway permit (construction approval required prior to occupancy). ........ I,InspecboA r64dest- 20. Pre=inspection for required. . to Building Inspector (Date) 21.' Contractor's license information. (No., Name Style, Classification) . .............. t 22. Certificate of Workmans Compensation Insurance . ................... I...... � Owner -Builder Verification (Given to owner Mail to owner . ........... �7 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter;of signature authorization. ........................:.............. . 26. Copy of recorded Ideed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . .....................:................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . .......................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone -and hold for pickup at office. Deliver with inspector. Other Parcel Creafion Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date I Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted p 1. Index permit for above items No. ircle new item not checked above). Contractor, designer, owner, was advise&of abovd required data by _ phone_ mail Counter by _ Date Contractor, designer, owner, wa.5 ad ' ed of above required data by _-phone -mail counter by _ Date Plans checked by Date3-5--52 Plans approved by Date .(p Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works E.H. USE Plot Plan Attached froo► Plan Attache n , Sent to B.D. I . Y TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 63- lr-/o AP# Plan Approved for: Sewage Disposal —V—, Water Supply: Public' /Private Well Clearance for ung. Other Aawv x 9-,Q M D QAA0 t) K- r1 Hold final for: Final clearance O.K. for: NOTE:U/L�t a niJdl c� An t��wu nn ioh to �C/�o-S AADAc �e 441la ,Z4- ealth Specialist 8/96 r+;��-"'r' ►'+Y'*�r•. er�Ri1 �' %i+ YaYj�' jts ,1�i3'` c�RT7i''."` Jeb`ch'ir}z c l yrs -tw1' •w'-�r R"' �.+�o•x`iw...,.�.. ...rw.K..�aw.:. -.-. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING' DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE �...__ OWNER C v�., L of /�'I �4-�Z� ✓ Titer C,� Q A.P. # PROPOSED BUILDING USE ''j'!-7 _Z' DATE 3 13. Z 7 1. BUILDING PERMIT FEES ' -- Balance Due ....... . .......:. $ . . -- Additional Fees Due.:... $ � -- Additional Fees Due . * ..... $ -- Revised Plan Checking Fee ......... $ SCHOOL DISTRICT FEES C 4 r6—r_> (paid at District Office) _LZ 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ aco . r Units Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) f- SRA FIRE INSPECTION AND PLAN CHECK J $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER REC # DATE REC At time of permit application, I was advised the- above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT r �is%�? DATE—% Original -Owner Copy -Building Div. (Rev. 12/96) �M-M IN m LSA::. .i �"��'�f%�'�c..q ,:i� .•. ii .�.. x. FA 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 budding permit No building permit will be issued until this verification is received ' 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES . NO[ j. 2. I HAVE[X] 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: C=: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work NAME: ADDRESS: Cly PHONE: CONTRACTOR'S LICENSE NO. 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: oe PROPERTY OWNER: SOCIAL SECURrI'Y NUMBER: / DATE: -3 -3 — q 7 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 or the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 0VER Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the binder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property own=s unless they arc personally performing their own work. If your work is being performed by someone other than Y Y� �' Protect; ' " yourself from possible liability if that person applies for the proper permit in his or her name. yo po ty Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put theirlicense number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract. should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work ('including materials and other costs) is 5300 or more for the " entire proj=t. and such persons are not =tensed ' as contractors or subcontractors, then you may be an employer. 0 If you are an employer. you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social seciuiry taxes,,. workers compensation insurance disability insurance coyer and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract" the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more gpecific information,about your obligations under State Law, contact the Department of Benefit Paymc= and the Division of Industrial Accidents. ., If the structure is intended for sale, property owners who are not licensed contractors are. allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor;"only, ` under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure as "ownerbuilder" . building permit. erroneously implying thatthe property owner is providing his or her own labor andmaterial personally. Building permits are not required to be signed by property owners -unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm':. that you are aware of these matters. The building permit will not be issued until theverification is returned. Sini�rel , JL& )Xe MichaiI C. vets. C.B.O. Manager, Building Inspection OTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER a t CDF FIRE SAFE REQUIREMENTS GI7-037J� STS , �Y�tL AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by.the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for.by the land owner. Driveway Standards 1273.0.2 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [�] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall_ be not less than 100 feet. [�} 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [ 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot / traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of .3 7y2r � AP # PERMIT # NAME [�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than.800 feet in length, shall provide a turnout near the midpoint of the driveway.- Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. Y 1273.11 Gates 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. 1 1276.02 Disposal of Vegetation and Fuels. Disposal, including / chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall ba"completed prior to completion of road construction )r f'_:ial inspection of a building permit. Page 2 of 3 6 % --19 -/0 AP # cl 7-03 71 - PERMIT # Other Recruirements [ ] If Building Setback is 15 to.30 Feet: - Class A or B roof - Enclosed eaves NAME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on aide toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D Glass area not to exceed 10% of wall area toward property line with insufficient setback Siding from the following. list : Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials 7—�'% Date Page -3 of 3 gnature � f REST ENTIAL 063-180-9+--rO/o PERMIT#97-0354 STRUAB, Cyril 4735 Shuffleton, Forest Ranch 1 New Pri Det Shop C)3 035 IU/Y\d A JOB FINALED (Date) Signature V=OK O = Not OK •=NottRepadyble 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 -CID -Concrete 4. Water, Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / iL'n. / /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 k 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 + Date MISCELLANEOUS 2! F96tings; SoilsSize-DepthSpacing-ConnectorsSteel 3. Pecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Pood Awn.; Posts-Beams-Rftrs.-Connectors 5.//glum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. aroorts: Windows -Doors , 7. Electric c01_04e,17 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses Siding; Nailing VeneerStuoc o -Mesh Roof; Shthg-Roofing Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS(Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/S-Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit I 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 o = - = = No OK RESIDENTIAL (: Not Applicable Not Ready Date UNDERFLOOR (Plans) OK except #'s Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ P' Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P' Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-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. OF Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Date 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. Card B-1 Date Card E-1 Date 64. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 71. Elec. Outlets at Wood Panel, Int. & Ext. Date 72. Card B-1 Date Card B-1 Date 73. Card B-1 Date Card B-1 Date 74. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34, Smoke Detector 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground Date 88. Card B-1 Date Card B-1 Date 89. Card B-1 Date Card B-1 Date 90. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs-Naiting Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Single & Duplex) Date 46. FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV ON 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 P RMIT N '(Rev.12/96) APPLICATION AND PERMIT �` M ASSESSOR PARCEL NUMBER — ZONING AR5 LDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 816 U 14,688 OWNERS MAILING ADDRESS 4719 '01HITEELETON DR CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 G Permit Fee $ 162.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 105.30 BUILDING ADDRESS 4735 SHUF FLETON F.R. Energy Plan Checking Fee $ $ PERMIT FEE $ 287.30 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other DETACHED (;HO -,L SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ki Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 34X24 SHOP BLDG Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800V OR UESS Main Service ( 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGOWERLE License Class LIC. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. / DWELLING OCCUP. SO OR AD DNS. \ a ACC. erns. 3.5QFr. 28.55 NON -I SrIDT ANCI C", TS 97.50 8 OUTLET APPARATUCIR.S @ ';50 Ex. Occu OUTLET OR FIXTURES BAL LNSI EA 5.00 Ex. Occup. OUTELETSRESI ORD.) Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 48.55 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall / not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with thosAI provisions. / _ Da e �(O t S ature of Applic t - ❑Own ❑ContractorAgent An OSHA permit is required for excavations over 5'0" d�epnd demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOT L FEE $335.85 HA2. D. FES IMP FLOOD 1 X CD Pp PARC t/ HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. . By '/.��dD to L�171-_ PERMIT EXPIRES ON { 1V% Date Receipt No.����A WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .. .r .. ti.r •...R _ _rr��.'m.f mow.....,.- ��-.�.�---..� ,-..-..r.Ty-,.-,,. ..w""i�i C.i�-:Tc �«i'r1'�'r`•^r�•'�'•f"CiA'�v+�v+iY.'h-»�►.r'�.r^.. � W.-.;.,.. ��rn �7��•- *`dOUNTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDI G DIVISION ` 7 COUNTY CENTER DRIVE - OROVILLE, CAL,IFORNIA95965 -TELEPHONE (9 538-7541 m Q PERMIT APPLICATION DATA SH ET OWNER ` OG 3 ' 'C) ( I Proposed Building Use Building Inspector aP. No. C )G 3- 1 FO • Cfitt" 1, %-" Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form .. ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings. . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. -Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . .................... . 11. Impact fees as shown on attached schedule. � 9 12. California Department of Forestry plan approval/fee . .. !-...9 g.........I. rte.. lm 13. Flood elevation letter (100 year flo4dl by California Engineer. . . 14. Sanitation and plot plan approval �'.�h''r`� Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ..... .... . 19. Driveway permit (construction approval required prior to occupancy). . coon reques(s 20 -/Pre -inspection for required. . A 9Inspector (Date) - Contractor's license information. (No., Name Style, Classification). . 22. Certificate of Workmans Compensation Insu ........... . 23., Owner -Builder Verification (Given to owner , Mail to owner �. ....... 24. Recorded copy of Agricultural Acknowledgement Statement. .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance. .........' ................................ . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... . 3333. Plan c list. .^ " . 34. When you issue the permit, process as follows: Mail to owner. N Mail to rent:ractor'--' Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation 1 G% Acreage dT Applicant Date �� r Copy of Haz-Mat form sent Health Dept. , • Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept.'' .other Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: Do na -P (`t om- LL AJ to rcle n above). Contractor, designer, owner, was adviseld of above required data by _ phone _ mail Counter by _ Date Contractor, designerowner, s advised of above required data by _ phone _ mail Cou by _ Date Plans checked by Date Plans approved by Date, Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works GRANT DEED ap#063-180-010 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Harry R. Greenwood and Joann J. Greenwood, husband and wife hereby GRANT(S) to Cyril O. Straub and Marie A. Straub, trustees of the Cyril O. Straub and Marie A. Straub Revocable Living Trust dated February 15, 1994 the real property in the City of UNINCORPORATED AREA County of Butte . State of California, described as SEE ATTACHED LEGAL DESCRIPTION Dated NnvPmhPr 1Q, 1996 ?�r fS rnl•� oQ,..� w,_.�_ -_rC arty a woo } STATE OF CALIFORNIA )ss. COUNTY OF BUTTEOn before } me TAMI ISARLOW personally appeared BARRY R. GREENWOOD AND JOANN J. GREENWOOD n r nwoo r personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Ware subscribed to the - RECEIVED same in his/her/their authorized capacity(ieS), and that by his/her/their ..r. .. .... eR !l" ����7 ...... .._.. ...... .. ... .. .. C"HI/C .�s BUTTE COUNTY g�-Yi at the Request of Mid Valley TWO & Escrow Company BUILDING DIVISION Order No. Escrow No. 158903TB 96-04469 Rec Fee 9.00 Lon No.",p_` 1 I DOC 165.00 WHEN RECORDED MAIL TO: -'''_ Recorded -i I Check 174.00 Official Records I Cyril O. Straub, Trustee County of I Marie A. Straub, Trustee Butte 1 40294' MCARTHUR ROAD ~' Candace J. Grubbs I Recorder i FALL RIVER MILLS, CA 96025 B:OOam 26 -Nov -96 I MVTC CA 2 k ` SPACE ABOVE nilS UNE FOR RECORDER'S USE • MAIL TAX STATEMENTS TO• DOCUMENTARY TRANSFER TAX $165.00 Computed an the considersUon or value of property conveyed; OR SAME AS ABOVE _ Computed an the consideration or value lase lens or enaunbrenoea remaining at time of sale. ThP ttndPrsinnPd (�rantnr dedares Signature of Declarent or Agent determining tax - Firm Name GRANT DEED ap#063-180-010 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Harry R. Greenwood and Joann J. Greenwood, husband and wife hereby GRANT(S) to Cyril O. Straub and Marie A. Straub, trustees of the Cyril O. Straub and Marie A. Straub Revocable Living Trust dated February 15, 1994 the real property in the City of UNINCORPORATED AREA County of Butte . State of California, described as SEE ATTACHED LEGAL DESCRIPTION Dated NnvPmhPr 1Q, 1996 ?�r fS rnl•� oQ,..� w,_.�_ -_rC arty a woo } STATE OF CALIFORNIA )ss. COUNTY OF BUTTEOn before } me TAMI ISARLOW personally appeared BARRY R. GREENWOOD AND JOANN J. GREENWOOD n r nwoo r personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ieS), and that by his/her/their ' "'.: , OFFICIAL SEAL (0X78227 : 7=;r =�; signature(s) on the Instrument the person(s) or the entity upon behalf of < "'cN TA MI I R,q(�LOW D which the person(s) acted, executed the instrumentQ NOTARYFUBUC . CALIFORNIA X WITNESS my hand and official seal rniw,....�,...__ CA 97-0108121 Rec Fee 9.00 I COP 1.50 _ Recorded I Check 10.50 Official Records I - County of I And when recorded mail to: Butte I Building Division Candace J. Grubbs I #7 County Center Drive Recorder 1 Oroville, Ca. 95965. 11 : 17am 26 -Mar -97 I PUBL XX 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to berecorded prior to issuance of a building permit The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of. agricultural chemicals, including;= but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: -9 9' State of California County of Shasta PROPERTY OWNERS: On 3/4/97 before me, Dorothy A Herrell, Notary Public personally appeared Cyr; Straub and Marie A. Straub _personally known to me (or proved to me on the basis rof satisfactory evidence) to be the person(s) whose name(s) Is/are subscribed to the within instrument and acknowledged to me that hxWndthey executed the same in /their authorized capacity(ies); and that by tzar/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted. executed the instrument. WITNESS my hand and official seal. DOROTHY A HERREII T LLr f Comm. # 1008495 < NOTARY PUBUC - CAUFORNIA < Signature � "y? l Seal= Shasta County rm Expires Feb. 12.15!8 A.P.# ORDER NO. BU -156903 TB DESCRIPTION THE LAND REFERRED TO IN THIS'REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 2, AS. SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 27, 1976, IN BOOK 59 OF MAPS, AT PAGE(S) 2. PARCEL II: A 60 FOOT NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE., STATE OF CALIFORNIA,, ON JULY 27, 1976, IN BOOK 59 OF MAPS, AT PAGE(S) 2. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: 4 AN EASEMENT FOR.WELL AND PIPE LINE PURPOSES OVER A PORTION OF PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OV THE COUNTY OF BUTTE,.STATE OF CALIFORNIA, ON JULY 27, 1976, IN BOOK 59 OF MAPS, AT PAGE(S) 2, MORE PARTICULARLY DESCRIBED AS FOLLOWS:" BEGINNING AT.THE SOUTHWEST CORNER OF THE AFOREMENTIONED PARCEL 4; THENCE NORTH 28 DEG. 40' 43" WEST 13.23 FEET; THENCE NORTH 86 DEG. 12' 43" EAST, 216.57 FEET; THENCE NORTH 03 DEG. 47' 17" WEST 11.00 FEET; THENCE NORTH 86 DEG. 12' 43" EAST 20.00 FEET; THENCE SOUTH 03 DEG. 47' 17" EAST, 23.00 FEET; THENCE SOUTH 86 DEG. 12' 43" WEST 231.00 FEET TO THE.POINT OF BEGINNING. Attention Property Owner: , An "owner -builder" building permit las been applied''foi• in'your name' and bearing your signature: Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[] NO[ ]. 2. I HAVE, ] HAVE NOTM signed an application fora building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY- PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: 4: _ _ADDRESS: CITY: - PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: �6Q SOCIAL SECURITY NUMBER: DATE: --;? –3 – ?% NOTE: This owner -Builder Verification is required by Section 19831 and ' 19832 of the Caflifo'rnia=Health and'Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. RECEIVED OVER MAR 0 5 1997 BUTTE COUNTY BUILDING DIVISION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should'be aware of the following information for your benefit and protection: 0 If.you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento. CA. 95314. PIC ,-= complete the `0wr!er Builder Ve^ifica'.'on" on the reverse side of this form so that :ve can confirm m that you are aware of these matters. The building permit will not be issued until the verification is returned. SincereI te Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This O«mer-Builder Information is required by Section 19330 of the California Health and Safety Code. L., OVER A O.B.- I d... x;.:.v.:r:•%••>:<;:::;:,:..,: .vc:.::... ..ei%u:: �j$)}riiiaa.:., �`::n�•",�2?i?�:�:::'M:N..:�. todiaoT�.wO .. .. :. >:;:;?S'�•�•:::::::::...:..........::...-:+::sn•:::::::.�•�x:t......,.,.�..;.:a.•r::.:.�::...-.:o..:::::.:<:.�.:.�..>::.; ;. �. �:..: ...,.,fir.'•'..; ..?•• el Attention Property Owner. An 'owner -builder" budding 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 wM be issued until this verification is received 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESK . NO[ ]. 2. I HAVE] HAVE NOT[ ] signed an application for a building permit for the proposed work - 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: - ADDRESS: CTIY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work NANM ADDRESS: CTTy: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: �. SOCIAL SECURITY NUMBER: // DATE: 3— Z 6 — 97 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 0 VE R Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you arethe responsible party of retard on such a permit Building permits are -not required to be signed by property owners unless they are.pessonaIiy- performing their own work. If your work is being performed by someone other than y°�� Y� �Y Pmt yourself from Ie liability ff that . yo possib ty person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are' also required by law to put their license number on all permits for which they apply. _ If you plan , to do your own work. with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the ' entire project. and such persons are - not Y icensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer. you must register with the State and Federal Governments as an employer;and you are subject to several obligations including state and federal income tax withholding, federal social seFiriry taxes, workers compensation insurance disability insurance costs, and unemployment compensation contni�utions. T, 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance, 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish. the U.S. Small Business Administration). For more specific informatioabout your obligations under State Law, contact the Department of Benefit Payments and the Division ,of,Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors areallowed to perform their work personally or through their own. employees, without a licensed contractor or subcontactor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners -unless they are performing their own. work personally. - Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street. Sacramento, CA. 95814. Piease complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned Sin&rel Michail C. Vierra, C.B.O. Manager, Building Inspection OT: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER - TI IDOWN CERTIFICATION I CERTIFY THAT THE Pr`ORTION/S/ OF THE �TIIEDOWN SYSTEM THAT IS INSTALLED BELOW GRADE AT 7Y7 U�' �eJ{t C�o"� V't ho `� � � A WERE NOT DAMAGED PRIOR TO OR AS'A RESULT OF THE INSTALLATION'AND WERE NOT MODIFIED PRIOR TO OR DURING'.THE INSTALLATION, AND/ [ ] WERE INSTALLED IN ACCORDANCE WITH THE TERMS OF THEIR LISTING OR INSTALLED AS DESIGNED BY THE ENGINEER OR ARCHITECT'S PLANS AND S CIFICATIONS. 77 7 f tIGN- ATURE OF INSTALLER DATE Mct K0 Lv-vtcic C_ C? 6 V• W-ei5 PRINT NAME OF INSTALLE _. fid,• T Y r e C t ....3411 T �aa r ' i '! ` f.S ^' fir t 4sp�' : 'v `" gr1 '• v Y t ::S "S""ii i i!4 � "', �`eysbd r:s. a O x-._... . 063-180-010 ." PERMIT#97-1005. STRAUB, Cyril 4742 Shuffleton Dr'., Forest `Ranch. Cont: Skycrest Bldg MHI/Use Permit#97-08 y 1' y fr V COUNT*OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) r _ '-"` APPLICATIONAND PERMIT -,? - z oeriai ASSESSOR PARCEL NUMBER 061—IM-010 ZONING 1 BUILDING PERMIT OWNER ACEO TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNEWf MAILING ADDRESS CONTRACT IuMEo ` `. SIC '., 1 TELEPHONE CONTRACTOR'S MAILING ADDRESS . •? • ( r CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER r- LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS "-� Plan Checking Fee $ 23.00 BUILDING ADDRESS /A749 j. 1.MINF0P17f;T •♦ Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome A Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation A Other X Describe Work: �Y_1 4 T ta f _ (( Jlv� / ,( M- elFry1. 9-/-caPERMIT Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 FEE $ ELECTRICAL PERMIT Filing Fee 20.00 OR LEss Main Service zooeoovs oR LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 131.—C4:7 Lic. No. AlT L4 k I OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO to00A 46.00 NEW CONST. DWELLING OCCUP, OR ADDNS. ( d ACC. BLDCS s0 3.5¢FT. N.I ES.D MU 0,U,TLU, @7,50 PowER APPARATUS 3 SINGLE OUfIEf CIR. Ex. Occup. OUTLET OR FD(TURES z0@'•00 BAL SO Ex. Occup. C, AEs o.oFR.A. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cod for the pedbuInance of work for which this permit is issued. My workers' compen*tioV insuranqencarrier and policy number are: Carrier Policy Number (The above sections need no be c rnp ted if t e permit is for work of a valuation of one hundred dollats�($9�0 or s. ❑ 1 certify that in the per or ndnc �t rk for which this permit is issued, I shall not employ any person in an man er so as to become subject to workers' compensation laws of California, and a ree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X f��yQ , { . _ _ Date��� / Signa Ie of AppliC n"t - ❑ Owner (Contr—adtilkk ❑ Agent 4 An OSHA permit is required for excavationsov r 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ IUU.CIU Energy Inspection Fee $ Occ Q coNs PE TOTAL FEE $ 143.00 HAZ. D. FEES FLOOD COF PARCEL : pD HD ISSUE This peiinit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated gbove for which fees have been paid. te ,- By 17 / s ay PERMIT EXPIRES ON -9,p I Date ReceiptNo. VVIL/ J�/(.� (�S12d1114MO WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT It�.�.-. ._.,r--•.!_Y.F�, �1-•-..�.�..+..i"rr�;M1"Rv.•--+-1I"'�!'-`...'1r.��/`�.Fi"^r*'"krr.•h �.y.,�;,r�r�"�.'Ta'�«. , •i r.rr j:i.. �y r_., � F..�.�. "r'-.-.. `4 '-rk._- - - � ... MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION -7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: PERMIT NO.: ^LD 0� Owner's: Name: Owners: Address: Mobilehome � c Year of Manufacturer f v L Manufacture: Serial number (.,,� ' ] D -0 ' ��� � Insignia or %1 ") � 7 7 7 5 or V.I.N. J / HUD number: " !/ r�% Official approving installation: Date: (5 /4"7/7 1f the mobilehome is moved or relocated, the mobilehome Installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor LI COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754,??PERMIT N (Rev. 12/96) APPLICAPON AND PERMIT G/CJ ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 4742 qMTEETETON DR FOREST RANC Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome A Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other Describe Work: �QJ` 7 -2-08' a�`ea�n Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S1 GI W1 Ca20.00 PERMIT FEE $ /�1j�1�/`u —7 — ©L3 T ELECTRICAL PERMIT Fling Fee 20.00 OOOv OR LES9 Main Service 2ooA oR LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license IS in full force and effect. License Class / — Cy7 Lic. NO. All 1Y4 1 2 OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier &,Alo Main Service ( TO 46.00 WEL200A CCU000A NEW CONST. / DWEWNG OCCUP. OR ADDNS. \ 8 ACC. S. SO 3.50FT NON -R SNEW rIDT B=CS.I TL @7.50 (.POWER APPARATUS SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURS .00 BAL Q �.so FIXED UNS1 Ex. Occup. OUTLETSPRSD.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 f PERMIT FEE $ MECHANICAL PERMIT Filing Fee 30.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number N W c I%E2-7-2 % (The above sections need not be completed if tlie permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth ith comply with those provisions. X _ O _ Date _/� Signa a of Applicant - ❑ OwnerC actor ❑ Agent An OSHA permit is required for exca tion ver 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ Qc c K3 =PE TOT EE $ 143.0 HAZ. D. FE P FLOOD CD PARC PO HD ISSUE This permit is h y issued under of the Butte County Code and/or indicated ova for which fees have By4A4 It PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. atee .5 /'8 Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE.- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLF, CArL1FORNLk 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARC ER: D Proposed Building Use: 57Z -building Inspector: Date: At time of permit application, I was advised tfie following data must be submitted prior to permit proc sing and/or issuance: /Y ` kr Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 0 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El1/0 des of $ ---------------------------1-Y----- --' ----------------------------------------------- . IT�m act fees as shown on the attached schedule. �- `��----------� �1� -_iJQ CJ �-e-alifornia;Department of Forestry plan approvaUf "------------------------------------------------ ❑ 13 . Flgod elevation certificate.---------------------------------------------------------------------------------------- ❑ 15. City of Chico plumbing permit. ---------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: — (B) Parking: -------------- ----------- El 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 1320. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification)- ------------------------------------ 022. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner El) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------- (Date) When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. pfelephone 9y and hold for pickup at office. 11 Deliver with ' ector. Applicant:4� m,� Date: ✓ 14)( Copy,of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ( ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Build' sion jjounter, by Date: Plans reviewed by: Date: Plans approved by: Date: ,1— — Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. M /'""^�yrti��',V,,`wr»1' its`'�''�F}•,+�+rK-..r�uv'r+�lj"`r*—n5,,'1!"'���,`�,?�pi'�f,<.t�M�"'.st�y"M�....r �t�••r++r---.r �"�"`,yL'7"R'''Tz'`"„"�Y'F"'�'rc.;eVn.'-r.o..-� ,- _. .....•. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENTS SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILL& 95965 TELEPHONE (916) 538-7541 f � SCHEDULE OF FEES DUE OWNER' f< A. P. # PROPOSED BUILDING USE DATE — A i. ` REC # DATE REC BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due .........:. $ , ,: -- Additional Fees Due ........... $ " '( -- Revised Plan Checking Fee ....... $" . SCHOOL DISTRICT FEES (paid at District Office) 3 SHERIFF FEES ( aid at Buildin Division) Residential ........ x $360.00 = $ 3 �, 2 q y(o S ZZ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ Y' #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK t $89.00 (paid at Building Division) l 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) ? 10. OTHER At time of permit application, I was advised the abve fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT Original -Owner Copy -Building Div. s DATE �.. (Rev. 12/96) f �� M BUTTE COUNTY SCHOOLS IMPACT FEE, -CERTIFICATION FORM (One form per`lBuilding) School District f t* (� U Pt %) (A— Building Department No. A.P. Number Jurisdiction: City U County Property Owner Property Location/Address Building Department (Floor Plans reviewed by School District Personnel) 5- 15 - 9 - Date District Identification No. / Ck.t Co fm School District certifies that T2&L4L&nt J (Applicant) (Street Address) (Phone Number) i (0 , C11+ 415q l l�? (City) (State)) (Zip Code) has complied with the requirements of Resolution No. ! �- l (f by payment of $ representing (0 /?/ square feet. JFBi 2926 $ ULL MITIGATION $ School District Representative Date f Paid by Check #& /fA - Remarks: Q P r-tW14y_1n19 Notice: You may protest the imposition of the fees Identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)d7m UV Subdivision Lot No. ,�---� Residential Development ©„ T Sq. Footage �p 70 No of Living Mobile Home Addition (Group R) Units Installation. ww-, 99 -e -,a" _ CA& Commercial/Industrial Sq. Footage % New Addition (Including Exterior Roofed Areas) Building Department (Floor Plans reviewed by School District Personnel) 5- 15 - 9 - Date District Identification No. / Ck.t Co fm School District certifies that T2&L4L&nt J (Applicant) (Street Address) (Phone Number) i (0 , C11+ 415q l l�? (City) (State)) (Zip Code) has complied with the requirements of Resolution No. ! �- l (f by payment of $ representing (0 /?/ square feet. JFBi 2926 $ ULL MITIGATION $ School District Representative Date f Paid by Check #& /fA - Remarks: Q P r-tW14y_1n19 Notice: You may protest the imposition of the fees Identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)d7m w COUNTY 'OF BUTTE Oroville,, Calif ornia GENERAL CLAIM CLAIMANT: S 1�0 CP— h tJI L D/AIC SV_S 7E M S ADDRESS: I t 3 q(cl �_ I` 9 g CITY & STATE: G b i C -O e A DATE OF CLAIM: 6/fW97 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT.- SEE INSTRUCTIONS ON REVERSE SIDE DATE T DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT SECOND PERMIT APPLIED FOR BY MISTAKE. BP#97-1004 A.P. 063-180-010 RECEIPT #221904, DATED 5/15/97, FOR $398.00, OWNER:. CYRIL STRAUB) TOTAL FEES PAID----------------------------- $398.00 RETAIN REFUND PROCESSING FEE ------------ $ 25.00 RETAIN PLUMBING PERMIT FILING -FEE ------- $ 20.00 R------------ I H RETAIN MOBILEHOME INSTALLATION PERMIT FEE --$143.00 AMOUNT RETAINED -------------------------- $208.00 TOTAL AMOUNT TO BE REFUNDED --------------------------- $190.00 i I� TOTAL AMOUNT TO BE REFUNDED--------------------------------- TOTAL $190._100 !, I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this 3RDday of JUNE 19 97 at CHICO Calif. Signature of Claimant i med or delivered and that there is a Budget Appropriation [ I or Specific Board Approval I I (Check one) r t e. I, the undersigned, hereby certify that, to the best of my knowledge, the services or icl specified ab9;horized Dated this 9TH day of JUNE , 79 97, at OROVILLE Calif. Deputy Dept. Code 44o -68V Exp. CodeJYM 3 AYABLE ROM F�8�q 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. Ii I t: • REFUND CL AIM APPLICATION "CLAIMANT'S NAME S k"ICRC-Si .B U/L611v6 S Y S? -c -M S :MAILING ADDRESS .. - _. ClVz(C0- CA 9 973 ASSESSOR PARCEL # 0&3 • l80 - O ( 0 PERMIT # RECE I PT NUMBER (S) Request -a refund -of fees" paid on the above receipt 'number (s) for the following reasons: %iy ' M Irl U ly /-} s l� Tu) Cc D /V C E` f 3 _TSI c c� C.v sb.< Vc.2& s 7- R_ R_ L) es 7 KG e4- of D F-0 / S 7WAAl I -e-, Please refund any apyli6able fees in the followina,cateaorles: (Check those categories which you wish to have refunded.).;.. ("] Building Permit Fees '„ j [ J Sheriff Fees A [ ] Disposition SRA.Fee (CDF Fire of olans: Planning) [ ] Urban Area Fees [ ] Plans•returned to me at counter. [ ] Please mail plans to me at above address. [ ] Please dispose of plans. SIGNATURE p--� DATE • t: -FOR. BUILDING DIVISION. PSE: ;�'•':` .. "••� '! ��;w.,.»�i: as 1 ... -' ... _.:,:' .. • -- _.�._...._... _..---...._......- --- Receipt Informations , .14 - Number: l • ______ __ _ _._..___.__i�__- _..-... Date: � - :_ ... �:. ,.._�,--......... Issued To: :...... _.. �....... - Amount: $ 3q9- 6D Fees Retained: •✓ ocessing Fee:! Bldg Filing Fee Plbg Filing Fee _._.._:` _.:___ :_._......._....:_.... i/E1 ec Filing Fee �..... _ .... .. .. Mech Filing Fee I 19 Energy P/C Fee Plan Check Fee S Inspection Fee Total Amount Retained TOTAL REFUND DUE s I(1O.cD _ y3 (�D, X47-dD COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICA1TIOP:IAND PERMIT�7 ci ASSESSOR PARCELNUMB 503_ $D- z0N G BUILDING PERMIT OWNER T . ELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S M ONE ' CONTRACTORS MAILINGUORESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHMECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS - � Energy Plan Checking Fee $ $ r . 2 . PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE /� SF ❑ Duplex ❑ Mobilehome�Other O,�,(/ltiL fflm4Ati SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otherf _ Describe Work: �M�, a&.,, /+o UELECTRICAL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G @20.00 PERMIT FEE S PERMIT Fling Fee 20.00 Main Service noon oa LE: s- 23.00 _)3CO LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINOWER License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooA To IoaoA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACc. Bins. s0 3.52Fr. NON•RESIDT MULTHOUTIET 97,50 APPARATus 8 GLE OUfLEr CIR. Ex. Occu OUTLET OR FIXTURES 20 Q 1.00 aAL O .50 Ex. Occup. .FI EDA D R pOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ �� WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certif that in the erformance,of the work for which this ermit is issued, I shall y P p not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ GCC CONST. TYPE TOTAL FEE $ HAz. o. FEES IMP Fl000 COF pgRCPy pp HO ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date (Dale) ReceiptNo. WHITE-D.D.S.-B.D. CANARY ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4 e ' ;4E 2433 -81B RMIT NO. 7 _ _ j� PERMIT EXPIRES ,d? OWNER Bill Burch CONTR. Owner ASSESSOR PARCEL 63-18-10 LOCATION W/S Shffleton Dr.,app.560'W.of Forest Ranch Rd.app.950'W.of Hwy 32, Forest Ranch Y: Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E Temp. Gas Serve Cal led P•G&E JOBTV, ALED (Date) Signature V = OK 0 Not OK ` - = Not Applicable M.OBILEHOMES = Not Ready roti MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -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 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ P'L" ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance - _ _• 7. Elec. Card -BI Card -BI Date Date Card -BI * Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except p's 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date r Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date t S J = OK O = Not OK - = Not Applicable * = Not Ready RESIDENJIAC-(Sin-gle and Duplex) i Date UNDE LOOK Plans OK except #'s Date FRAMING (Continued) At' -Zoning requirements-S-Ew3ements 48. Property Line Firewall & Openings Soils -Steel -Flet. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Soils -Steel- / /" Ftg. Dept 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ig., Porches & Decks; Soils -Steel- / /C Ftg 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 6--&temwe#s-A4ain; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer; ge; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Piers- .-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic vB-D'W.V-'f aTr7-Fittings-Test-2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts v9c9�-Pipe-9ize-Anchors -i@ff&+pi-,- Test -Anchors -Regulator -Service Test E tt'^EteeMi�Jnderground � _ � ms & Ducts; Clearance -Material -Support -Ins. G - - - ipples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's t, Card_ Bl Dat `Z i7_ S+ Card -61 Date f Date _ PLUMBING (Permit) OK except p's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except k's 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. 23. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 70. Plb., Elec. &Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails &Deck Construction -Post Caps - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes []No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77• A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 8 - Corrections from Previous Inspections `'7" 4. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI _- - _Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's 36. 37. Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound i Z, G _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. _Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) re 4' �" - COUNTY OF BUTTE - DEPARTMENT, OF PUBLIC WORKS 7 County Center Drive_ Oroville, Califgrni�a 95965 - Telephone 916/534-4541 -APPLICATION 4NO•PERMIT PERMIT N0./ ASSESS PARCEL NU-M/� ,� ZO,[-11N ,�,f} " BUILDING PERMIT OWN RJ v-G TELEPHONE S0. FT. OCC. BUILDING VALUATION C O G OWNER 5 AILING DRESS CONT ACT R'S NAME TELEPHONE CONTRACTOR'S MA LIZNtG/A DRESS Fireplace CONSTRUCTION LEND-IER/ I !1/OJOVE UNKNOWN Total Valuation $ OQ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 41021"U& LICENSE NO. Plan Checking Fee $ / Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 9 -0 -00 - BUILDING ADDR PLUMBING PERMIT Filin Fee 10.00 9 !N �7 Each Trap 2.00 Repair drainage or vent piping 5.00 J Water piping yCrr NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 -- TYPE OF WORK New ❑ Addition g Remodel ❑ Util• 'es ❑ Installation❑ Other ❑ Describe work:/%�� /��G%L i��%�-�/� op V Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.( DWELLING OCCUP.51 OR ADDNS. ACC. BLDGS. 22 sq ft 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��qt 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 CONSTR -OUTLET 2.SOea NON-RESID BRANCH CIRC ITS NEW - (POWER POWER APPARATUS . 6 ) NON RESID, SINGLE OUTLET CIR EX. OCCUp OUTLETS OR FIXTURES BAL@@1 FIXED APPLNS. OR Ex. Occup. (ouTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ 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 liabilit' s, judgments costs, and expenses which may in any way accrue againVtsid CounMnjl� sequenc of the granting of this permit. X - Date �T Signature of Applicant — Owner ' Contractor 1:1Agent ❑ An OSHA permit is required for exca/ vations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Q 00 occUP..'ROUP //����//��// TYPE of CONST. N IPARCELI JC;D ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC PER EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date Z l�� :7 -Z4— .5 2 7 Y -,?'By Receipt No. ' WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .e 77 0,3 _0'11� n PERMIT NO. j •L P3 ,M t PERMIT EXPIRES OWNER Bill Burch CONTR. owner 63-18-10 LOCATION (A.P. ) r W/S Shuffleton Dr., app.560'W.of Forest Ranch Rd., app.950'N.of Hwy 32, lot 2, a. Forest Ranch S'Urf If To .0 / M • Y� • • to ' •.�` � ^ ' b �' r �� _ a �p ' 4 •v ' Temp. Power Pole— Called ole Called PG&E Temp. Elec. Serv. Called PG&E �, •• Tei G Sf 9 z) C-H�Calra' Li �2Eaal� o/C£Cl� jD JOB FINA D �r (Dat (M-9 n a t u r 9 .Z. r A ^I 5� -COUNTY OF BUTTE "-DEPORTMENT OF PUBLIC WORKS BUILDING INSPECTION IRE& -ORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas PI In 8 Test Temp. as Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf: Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch- Heating Service • Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DOTE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 0 i. X C L,,ppIicable a:ENIT,IA L IS I i:7Xtd.Duphrx) Data-U:,!t)Ei1;FL 'Pian •) -0 exept jv.% - "-- ' ULAI- FRA?,1ING . 4. Za u } r qa, msr,is-S Eisc. ..t'�Ytn •r y Lin r + rr Ir 6 Openlrq ---�-__ -_ -_4 - - _- _ - -_ -- -- --- -- - 2." F:S. it- { -- -- 49�E:c: a .,r_ i7nT--CI;-,-k Gara,> ar_! .,,c_%, 2 xiFs • ���!!!� •E _ nG-Lir' a r' o ec:ion �$o }4+„ w I'es ° BEW-�"+Fi •3.li b�9 i' r,-��.�` --------- t -- - -r 0 �^ !E'r<tEmq A tiu A, : -Rater OL•FrlsGaf9 pr�St"em ►ti 1's� t.tttir! t�e�iStocl<�r�YJr.. _ ___ -.- ji }NIMT, ng �lTrt*Tt -- -- - - - - --' - ' -__.-- �P• ,,' ,--a®-s�4�} `� y ...------ _.._.__.- _:_'__�''�_Arr:^^';ss. ro:c<<r - - - __.---•- -_._.. tf".+iIQtiSiC? tray C ovr �} "fry c., go n,- i t .t,ul s ,LST f Yat.grk3�: TeQts>�clictLr.��;�aim�oi-.,i- rt 11,h(E!ectrlc; Und ..rd,L' I - Date _-- -- --- n -la PLL'?r;RENG (Permit) r< except A's ��iat�',t.; VV' t -Ac _Con tionir__------- 1 p� T . An4 ors -Na r-wection_ -- - __ :-D '__ Ft s Cw A_,_ors-•Nail ectirn— __--.—_� Q nay:ar Pan; Test, First Floor-Tu'4APv--'P'ss Tub & Shower. 2rd noor-Tub Access 4f la!Gas Pip9: Sits & Anchors --- -- --- —9 Card-<: ® Gat_ /���� Card til- Data -_ 'Date- FL. E^.TRICAL (Permit) Ott ezcent 's P 0, � �---- -- Fix, ura E. TransformerCie:v_ancs-Ins. Prote_ctioa _ Flec. Receptacles Spacl:-g- Lights R, Switches a; 0:;cr._-- - e Cioxes & No. of Conductors -Stapled ----- ---- -- - - - P• -r. Installed Close to [edge of Studs V, C.,I - --------.--�- EGround made tar WI.;ech. Fasteners- and G ;a,a -- 2 Applian_ca Circuits In Kit71isn & Csrductc_r Si, ------ -_ - ---f--t Wire Wire Situ / / ga. Cu or AI-A.C. V'!ir :i; / ga, Ct: or A; f`T�R_a;a Circ. ! / ga. Cu or AI--Cvsn Circ, ./ 1 ga. Cu c: AI,-- -- ----Irsulatad IV9Utral ❑Yen []Plo _ --_- Service-RiserConductorsuGr d-,,'ainuYAC7rir12Li -- - _ Clearances; Pa ,eis-Mutors-Mnh. ;=.q.,i,. -'an Clothes Closet Linht-z:howar Ligh; -- --- -_-_ -- - Card 3 G't_!e r Card -BI Data Card 8 I oa:a Card -BI Date s:a f:tECHa i!CAL (Permit) OK except q's --+.G. Ducts; Insulation &_Support- _ Ve;n_t F : Exh2ust above. insulation -&3,-Cr - n�5atee D -r;- _& O�ve_rf�o•,Y::-Siz•; & radii Fu _cna� e -V .. Acces5-Gums. Air- e u; Van` 15V nudat _ 4i Auic A:cess & Platform I: Furnish in Attic Card -81 03 'j/) Card •BI D'te --- ---- �__--`---tom---.— ..------ Card -91 -Data -- D::! FR''.L':CC; (Plam) OK excepC#'s - ---_-_ . S,lli;; Prop -r VLteri3l & Anchors-- 3tG/S'ioq s-NgNv g._S.na_: ing_ 8----- --- �7arir•g trail : over Girder & Floor Nailing -- -..__. ��yj�y/aft S:aP in wan, --4P1 F=ir_ 5:oa '6u rerL elfin-547Yts�-¢irr '•and u�- r�--_Uat � /ts.r-----'�.lyd-DI_---___.Ua;s ---_Date !Ca csl Jim- Cita-G2rd-61 U3ta �Dza tf(Ylans) OK exr-_•ot P's - - - R -( Ext. Slaps-•Do_cre� Sidatigi,t Pro?ecticn-La^dings ---_- - - - y ur,_ca; Vent;-CI^ar_rc Cemb. Ai: -Connector- ._._.--- .:A _ •Ov8 t.1nOr--DliGi5-•i.i-'r•. t,. Prot,Ciion ' A Bai`F FO;iures u Tub Acc::3: --- i.;>♦!;iIBC, Trims Sub:arsl; f3fe3'!er S1<:eS-L:?CE'.Is- t�'s F Fla;;5 --- --- _--- - ------ -'ca 0r S!uva: C1.:4rwr"f*!L,fJa� Outlets at Wood Panel; lot. _---T----�__., t. Ext. _ _ _ Am,;.wr -f c. Outi rs & Receptac,ar. -Kit. Ccu^,tsr_- _-_._.. ���''_ Ltnu, S•,Ying_L_:ndiLg_-Ci:�s ___-_.-__._--_-_.-.._ ''�7 Jir. �Itr.: •.. _ Ficor-M-ec!i. --- ., Elec. &:.irch. Equip. Listed for L ccation -- ---- -- _ it. Garl-ga; 1,_.F.L)•-Hcme4 F.clec. scam- 7Lco:t::l in At.ic__—_.__._--.------ _- %• ° Guard _dr,. Venal Cra,Yi Hata':;o�-Elraiaagy F: 1'lood•Earih C!:>i Inco -- ed ural=Floor is ---- :-Lo -�_ _ - ---- - - 7 o!I�wing ins!id.: Uric'✓n�- Yes V7a!4s Planters Chi?.'. l�fo, Crea:ir�r Or;-. —.-- —..__.. _.may .--•------..._....-_._ �°f f....CIff-,?own-_Finist; - -- - -- -_canreci-•Clrnc3s-Brkr F< (:Jrri. tit -115V Out! .. _- .7cn;s Abo�,3 Roo(: Gana,. __tar t:'ei l: r ie •e:>-- -tes'or Elzc. Trim: G.F.I. Fi2cep:acle--t;n`�;;.e tris -- _ a entiletion thr0,ghouV lir: wi E- Cc,:•recticns from Pravicu3 fn5o;:c;ions _ 44--h-P--p. ?am -Slee & M-nrinq 77 ------------------ ---- i �!a Pott C_,as-Anchors-Cannaci0rs = f c+�.r..:e4..sr.:.trt4. f�cre+.{reac.- Ty, --- S'e�`< cme.< ectio:n D1 -;:. ,r.n•ion; cr Exit Dior --Sr nth C:ua.!s:;i„ -- - �9 Cr-,> Fire Frpt--!,on Framing------------------�� �� 0 r-) nergy Compliat:ce C�rtiticat - ^ar C:ertificat�s _ _ Dasa Gard ''.E Date Data ----- --- Da_•--Da. {7— g -'t=--- -=----- - --- - - Si -- 01. Inter -Departmental Memorandum n r FROM: ;t SUBJECT: DATE: 5 7A? ? t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS i 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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 c rrection of work is completed. If you have any question pertaining to this /rr�at , or need additional explanation, 'please contact this office immediately. C 41., a6 / 7 i1ies aJ9 C 7v �.tiS/J�'c 7 W / �76 ct-14/�u -�!4AA(Y/llra /'YI Inspect v Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - 196 Memorial Way, Chico— Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 't. CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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. or e-1 iti 4 X KA 4- 5D« aWA¢l i.Ji ti�o� 6,cJ Inspector �• r Gll� Date ` 1 J f COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS \ 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECT/BION NOTICE BUILDING OR PROPERTY ADDRESS 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 tette need 4ddWanal explanation, +please contact this office immediately. Inspect ��' /!//�f Date ;i COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC -',VOR,-.",-, 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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. r. Inspector ' Date_ COUNTY OF BUTTE - bEPAF` TMENT OF PUBLIC WOR �- 7 County Center Drive Oroville, California 950E5 - Telephone 91 ".5 4-4541 APPLICATION AND PERMIT PE MIT NO. O� ASSESS R PARC NUMBER —/Z3 ZOt�IN _s ��JJ �' BUILDING PERMIT _ OWNER /9,(/X G ELEPHONE / l SQ. FT. C. BUILDING VALUATION OWN 'S M LING ADDRESS C N ACTO 'S NAME TELEPHONE CONTRACTOR' L A NG ADDRESS Fireplace CONSTRUCTION LEND R UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S M (LING ADDRESS Permit fee ` $ 47 ©yUf ING ADDRESS I PLUMBING PERMIT 105A04 11n /'w Each Trap Repair drainage or vent piping Water piping LIOT NO. J'SUb(VISION NAMEPARCEL MAP Each qas water heater or vent Gas piping system 1 - 5 outlets Filing Fee 10.00 2.00 5.00 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK_Permit New ❑ Addition El Re odel ❑ Utilities ❑ s ation❑ Other Describe work:, �� tti/`Gc� ��c/>.1%��.�— Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.EI\ OR ADDNS. l ACC. BLDGS. // 2� Sq ft ' CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 NoN.RESID R BRANCH CIRCUITS 2.50 ea i NEW CONSTR.POWER APPARATUS e NON-RESID. (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BAL@1 ' IXED APPLNS. OR Ex. Occup. (011(RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. N1 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ 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 liabili 'es, judgments, costs, and a cpenses which may in any way accrue against s i ounty in c ns ence of he granting of this permit. 105 X / Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for ex avations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DMECTOR OF PUBLIC B _ PERMIT E the applicable provi- resolutions to do fees have been paid. WORKS D^Jate -- Receipt NOA Z% 6 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT CbUNTY' OF BUTTE - D-F.PAR4TMENT OF PUBLIC WORK PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/53 -1 APPLICATION AND PERMIT A ASSESSO PARCEL N MBER �v3- 1 - 1 d Z I G BUIPE LDING RMIT OWNER BIU f�o(H TELEPHONE 312,-3351 SO. FT. OCC. BUILDING VALUATION OWNER'S .0NG A ROE55 9 � � AvicH 955ot CONTRAC R'S NA�M%E �%X W 0Cf TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOW Fireplace I ft 7 vp Total Valuation $ a LENDER'S MAILING ADDRESSIf Permit Fee ,pp $ ARCHITECT OR�E,�1GIf1C R NENGI LICENSE NO. Plan Checking Fee � Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS p jrk) • 4 / erd Dk AI / /W^ ' ) LC /�''''� /,/e/1 ///�D�/�( W/^ PLUMBING PERMIT Filing Fee 3.00 f I , ..,��6 n�'� n� 56>0 f W C" �ORE� ;J p4W CH 12 � ppp0.. Each Trap � 2.00 Q() Repair drainage or vent piping 2.00 C p� 650' N DC if'�W-f 3Z ��R T R&� Water piping .2-W Od LOT NO. a, SUBDIVISION NAME 1 PARCEL MAP `J9— Z Each qas water heater or vent 2.00 �•�� Gas piping system 1 - 5 outlets —)-cp USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer S.00 S -UO Lawn sprinkler system 2.00 TYPE OF WORK New 4 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: — Permit Fee 32. v0 Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DW OR ADDNS. ( AC Y 20 sq ft CONTRACTORS LICENSE LAW p i y (check one): I declare under penaltyof perjury ) ❑ 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 CON5TR U TI -OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea NEW CONSTR /POWER APPARATUS 61 NON-RESID. \SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 50 @250 BAL@lox FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 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. Heating '315/" Bru L4.00 L4. W Cooling 0rJiic Hood 2.00 VU Ventilation permit Fee $ .f'�0 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 liabilitie judgments, costs, and expenses which may in any way accrue against sai County in co equence f the granting of this permit. X( %�`� �_�,0Q Signature of Applicant - OwnerXl 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 $ Land Development Fee $ .215. Co TOTAL PERMIT FE W2. cccu P. GROUP _3 I TYPE OF CONST. �� PARCE PD H ISSUE This permit is hereby issued under sions sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By P MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS _ Date `s _1 ?.— Receipt NO. 37 26-7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT O, -Her No.' n Fcrow No. Loan No. WHEN RECORDED MAIL TO: . Mr. & Mrs. William Burch Post Office Box.9 Forest Ranch, Calif. 95942 0FFICi, 4 Ju, -r 27 TO 162'"19?49 LOU! 'L Ci0ViY E E SPACE ABOVE THIS LINE FOR RECORDER'S USE MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $.......... - 0.- ............................. as above ...... Computed on the consideration or value of property conveyed; OR ...... Computed on the crnsideration or valueless liens or encumbrances remaining at time of sale. TO CORRECT EASEMENT DESCRIPTIONS Signature of Declarant or Agent determining tax — Firm Name GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, WILLIAM R. BATT and BARBARA JEAN BATT, his wife, hereby GRANT(S) to WILLIAM T. BURC.H and ROSLYN M. BURCH, his wife, the real property in the bkt U ' unincorporated County of Butte , State of California, described as An easement for well and pipe line put poses over a portion of Parcel. 4 as shown on that certain. Parcel Map recorded in the office of the Recorder of the County of Butte, State of California' on July 27, 1976 in Book 59 of Parcel Maps, at page 2, more particularly described as follows: Beginnin8 at the Southwest corner of the aforementioned Parcel 4, thence North 28 40' 43" Wes 13.23 feet; thence North 86 12' 43" Eas6 216.57 feet; thence North 03 47' 17" West 11.00 feet; thence North 86 12' 43" Eaat 20.00 feet; thence South 03" 47' 17" East 23.00 feet; thence South 86 12' 43" West 231.00 feet,to the point of beginning. June 22, 1978 STATE OF CALIFORNIA ] COLINTYOF BUTTE ] ss. On June 22, 1978 _ before me, the undersigned, a Notary Public in and for said State, personal ly appeared W I L L I A M R. B A T T a n d BARBARA JEAN BATT, his wife known to me to be the person _S_ whose name S d r e subscribed to the within instrument and acknowledged that t h e Y executed the same. " WITNESS/—rAy h`$nd and official seal. Signature\ J WILLIAM`R': BATY MAIL TAX STATEMENTS AS DIRECTED ABOVE 1002 (10/69) ARBARA JEAN TT 0 Ell OUR, 0 N OFFIC!AL SEAL !JOHN F. DA.dIS ,. 1/0TARY PUBLIC — CAUFORMA PRINCIPAL OFFICE IN THE COUNTY OF BUTTE My Commission Expires MY arch 22, 7990 .`iaEP.lp?!n :Alla anasSt79 WOO ori. IV.-. :' ... , ..`"Big csaa.nr•r-u• , -� (This area for official notarial seal) MAIL TAX STATEMENTS AS DIRECTED ABOVE 1002 (10/69) r^ d r No. _ .Escrow No. 45679 FO C) Loan No. - WHEN RECORDED MAIL TO: Mr. and.Mrs. William Burch P. 0. Box 9 Forest Ranch, CA 95942 "7li"i" f�IT. ;F. ,rr'ait�•��.4:�1 i i ..._ ...:i1 ..�..��i:o� „o,Fs ..:'i NX 11 9 It I LDS r, rii'J<_i'..` h t.� r✓ COUNTY F it SPACE ABOVE THIS LINE FOR RECORDER'S USE MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $..... Z8...0,ra2-8-05 ......................... SAME AS ABOVE ...... Computed on the consideration or value of property conveyed; OR Computed on the: consideration or value less liens or encumbrances remaining at timeof sale. ` v�. (0, -7qt�_J Signature of Declarant or Agent determining tax — Firm Name MTD VALLEY TTTT,E. AND Ii scRow cnMEAW GRANT DEEDPD FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, MARILYN L. SANCHEZ, an unmarried woman hereby GRANT(S) to WILLIAM T. BURCH AND ROSLYN M. BURCH, husband and wife the real property in the XXXXX C unincorporated area of the County of Butte SEE LEGAL DESCRIPTION ATTACHED Dated April 26 i 1978 STATE OF CALIFORNIA } COUNTY OF 1 ss Santa Clara j On May 1, 1978 r before me, the undersigned,No P blic in an for said State, personally appeared P�arT )n i . Sanc�iez , State of California, described as MARILA L. SANCHEZ OFFICIAL SEAL �`➢ BARBARA B. KNOX known to me to be the person --I whose name Appears NOTARY PUBLIC—CALIFORNIA- ' PRINCIPAL OFFICE IN subscribed ,to the within instrument and acknowledged that r SAN IA CLARA COUNTY Marilyn L. Sanchez executed the same. My COmmissi n Expires November 9, 1980 WITNESS my hand7and official seal..�n.w �+ Signatu—ry-:r L (This area for official notarial seal) MAIL TAX STATEMENTS AS DIRECTED ABOVE m 0 //i-V� 0 1002 (10/69) f DESCRIPTION: All that certain real property situate in the County of Butte, State of California, described as follows:' Being a portion of Lot 5, as shown on that certain P4ap.entitled, "FOREST RANCH SUBDIVISION", which Map was filed in the office of the Recorder of the County'of Butte, State of California, on October 22, 197.5,. in -Book 43 of *flaps., . at- .pages 83, 84, 85 and particui- arly described as follows: Parcel Two ,-as shown on that certain Parcel Map recorded in the office of the Recorder of the County of Butte, State of California, on July 2.7,,, 1976, in Book 59 of Parcel Maps, at page 2. TOGETHER WITH a 60 foot non-exclusive easement for road and public utility purposes as shown on the Parcel Map referred to herein. ALSO TOGETHER IVITH an easement for well and pipe line purposes 12.00 feet in width lying Northerly of and contiguous to a line beginning at the most Easterly corner of the.above described parcel 2 and running thence Easterly along the Southerly line of Parcel 4 as shown on said Map to a point on the centerline of the stream running through said ..Parcel 4 and the end of said line. m 0 • d� OO rn THIS 11 -TO CERTIFY THAT INSULATION HAS SEEN INSTALLED IN CONFORMANCE WITH THE -CURRENT ENERGY REGULATIONS. CALIFORNIA ADIIINISTRATIVE CODE, TITLE 25. STATE OF CALIFORNIA. IN THE BUILDING LOCATED AT: Forest Ranc Street o um er City EXTERIOR MALLS Manufacturer CT Thickness/Type 3 z" R Value 1 1 CEILINGS Batts: Manufacturer C T Thickness 6 2" R Value 19 Blown: Manufacturer Thickness No. Bags Mt./Bag FLOORS Sp. Ft. Covered R Value Manufacturer Thickness/Type R Value Bathroom Walls Manufacturer C T Thickness/Type 3 2" R Value Manufacturer Thickness/Type R value GENERAL CONTRACTOR LICENSE NUMBER 11 BY TITLE DATE INSULATION AKTRACTORNJ I (--xn I .R nN TNSULATIONLICENSE NUMBER 212461 BY TITLE Vice P P25. DATE 7--14-8-1 RESIDENTIAL ENERGY.CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT, Forest Ranch (location) BUILDING PERMIT NO. A.P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge Fdn. Walls Floors -If -Walls < Ceiling/Roof 9 Ducts Circulating Pipes APPROVED HEATER APPROVED WATER HEATER_ GLAZING: Single Glazed_ Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK.DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPPLIANCES I DECLARE THAT ALL REQUIRED ITEMS -AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE.TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name NICHOLSON INSULATION INC. (please print) Signature of , Insulation Applicator General Contractor/Owner Name Signature of General Contractor/Owner tel/ State Contractors _-Licen No. 212461 J. V (please pr' t) .Date State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE - DEPAZI T."NT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cali ornia 5965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. 6 —,> O Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING OWNER PHONE NO. c- ,ec 3 3 - 02 90 OWNER'S ADDRESS % [/� .L �' -79 �7 �± Ir' d LOCATION OF BUILDING USE OF BUILDING E- -- 7-RAc T®�E SIZE OF STR URE o� D ' x _ 30 = 16400 SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME ✓ STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE ESTIMATE COST OF CONSTRUCTION $ AG Buildings shall comply wi�F .the front, side, and rear yard requirements of the applicable County Juilding Ordinances as follows: &Z �—� / FRONT 7't- — SIDES S REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date' _8 Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. 0- a 13 Director of Public Works By. Date — Jr White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant e=a* J3uf& OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: William T. Burch 1 ADDRESS: P.O. Box 9 CITY & STATE- Forest Ranch, CA. 95942 IMPORTANT: May 9, 1980 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 5/1/80. Overcharge on Building Permit Appin. #2183-80B,P,E,M - Receipt #37267- AP 63-18z--1-0 Building permit fee paid ---- $292:50 Should have been ------------ 235.50 Refund due ----------------------------- $57.00 Electrical permit fee paid -- $ 45.55 Should have been ------------ 33.80 Refund.due----------------------------- 11.75. TOTAL REFUND DUE (overcharge) ----------$68.75 $68.75 TOTAL $68.75 I, the undersigned, declare under penalty of perjury that the services or, articles claimed have beenp'erfonned or delivered, and, that this claim is true and correct as stated. f ' Dated this da of ///'%� 19 :Q et..., ,!f�CO Calif. ..................... Y 0... �... 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 AppropriationQ or Specific Board Approval (Checkone) for the same. 9thMay 80 Oroville Datedthis .................................... day of ............................. 19....... a1 .............................. . Calif.......................................:......................_..................... Department Head or Authorized Deputy Dept. Exp. Code...............:........:................... Code ................................................PAYABLE FROM...................................................................................:........ FUND DO NOT WRITE BELOW THIS LINE '- AUDITOR'S USE ONLY VENDOR CODE DEPT. 8 SUB. PROD• SUB. OSJ. CLAIM N0. INVOICE NO. I INVOICE I DATE DISC. ( GROSS AMOUNT ENCUMB. SUB -DIST. i i CCii -T go aX-l4 0Ro-x,9 FO QST 2P AJC (A C�WNG-g- dA) PO KM Ir 0� COUNTY OF BUTTE - DE ARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 R APPLICATION AND PERMIT P�TNO. ASSESSOR �CiCEL NI MBER L9 �_ _ 1 p Z ItG BUILDING PERMIT OWNER --TELEPHONE f Ll �y QcH 3 12-335 t SO. FT. OCC. BUILDING VALUATION OWNER'S AILING A DRESS . 0. Inc x 9 wQEsi jjqr JC14 955�e z - <3 0 CONTRAC' R,'Sg NAM W NLrfl— TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOW T20- Total Valuation $ — LENDER'S MAILING ADDRESS Permit Fee $ _ ARCHITECT OR,�,tl;YE R ,,tll�vv//UU �� LICENSE NO. Plan. Checking Fee_ $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS_T jq.� /)/)/}� D2 / J�%/�(/^ W/^ PLUMBING PERMIT Filing Fee 3.00 PLUMBING I , �{�� S6v f �,�1! 1" Rltr-GSI (�NcH 120 Ageo'C Each Trap 2.00 QC) Repair drainage or vent piping 2.00 65(Df A) Ot- 14-LJ`I -3-2 CRE& 112, Amt water pipIng .a•lU LOT NO. SUBDIVISION NAME PARCEL MAP Each pas water heater or vent 2.00 �•( Gas piping system 1 - 5 outlets _r USE OF STRUCTURE SF 2/ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 13.00 S- U Lawn sprinkler system 2.00 TYPE OF WORK New F4 Addition ❑ Remodel ❑ Utilities ❑ InstallationC Other ❑ Describe work: Permit Fee $ , Q0 - Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 NEW CON uP.g\ 2¢sgft OR ADD. 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 uwner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ElI am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.'L I -OU LET 2.50 ea NON-RESID. BRANCH CIRCUITS.) NEW CONSTR POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50L25. BAL@1Oc FIxED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FilingFea 3.00 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. Heating 15 M BT -U Cooling JJ0IJlar. Hood 2.00 UU Ventilation permit Fee $ /. 0 U _ 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 liabilitie judgments, cost:, and expenses which may in any way accrue against sail County in cop;equence� granting of this permit. /� // �' �, Q X /..iiY'. ``,��7. /, L`' Date_L ' Contractor Agent Signature of Applicant — OwnerX. U g ❑ 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 $ Land Development Fee $ cx) TOTAL PERMIT FEE i OCCUR. GROUP 3 TYPE OF CONST. PARCEL �% PO HO 1s -Su E This permit i �herb' issu under the applicable provi- sions of ' B-Utyodeand/or resolutions to do - fees have been paid. work i e, f r=PUBLIC �/ D OWORKS / 0 vo B Date PERMIT EXPIRES Date . Receipt NO. 3:22-6-7 WNIrE-D.P.W., YELLOW-ASSPSSOR, PINK-INSReCTOR. GOLDENROD -APPLICANT 063-180-010. pERMIT#97-1026 1. STRAUB," Cyril 4744 Shuffleton, Forest Ranch Ele Ser for Craft Bldg r 035 . f d , a� - Y i; • 4 +Y J -I.... . I . '. _._ ^ - . V if COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION JQj 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT �� �� sm==K- ASSESSOR PARCEL NUMBER�+ I o ZONING _„ AO B -t DING PERMIT OWNER TELEPHONE` SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ORESS / L �I CONTRACTOR'S NAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER I LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS � 9-1 ( L t; t Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP 1 PLUMBING PERMIT F ing Fee 20.00 USEOFSTRUCTURE � �- SF ❑ Duplex ❑ Mobilehome trycnher i SPECT Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _ (�7 _t ►)Q'i ^,_a 4± S - I 14 0 (1 2 100AK:::C A �C�/1 N Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 1 920.00 PERMIT FEE $ Q, �� / '1 ELECTRICAL PERMIT Filing Fee 20.00 !! ov GR LEss Main Service 2ooeoAORLEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code, ( g ) and my license is in full force and effect.POER License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed Icontractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A To I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BUDS. So 3.5¢Fr; NEW CONST. MULTI.OUTLET NON -RESTS ANC CI CUTS @7,50 APPARATUS a SINWGLE OUTLET CTR. Ex. Occup. ounET OR FocruREs BAL @'.550 Ex. Occup. ouTLEEDTs RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ij �,_,_,�/Az�,4 __ Date 5� - 19 �_ Sign�atu��o-f" Applicant `- M Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3�stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ o c CONST. TYPE TOTAL FEE $ HAL. ES IMP I FLOOD I COF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By ( 7 [0,2 M Ip "eDate � PERMIT EXPIRES ON 5`- l9- 9R' Date Receipt No. ,:24 /!�J/7- (fInRS' WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT 91 Wf COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DTVI ON IDS 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 1 PERMIT N (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUM 3_ p._ I �J�O O ZO G `5- B LDINGPERMIT OWNER �T U LS TELEPHONE 'Q- X7 31 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING DRESS 71 CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ,q 1 I Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT F' ing Fee 20.00 USEOFSTRUCTURE - SF ❑ Duplex ❑ Mobilehome IB -Other SPECIFY Each Trap 7.00 Solar or heat pumpwater heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: - S C910 0 Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ R1.0 3 e -,`fl / ELECTRICAL PERMIT Fling Fee 20.00 Main Service zuon oa'ss 23.00 23,00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 3.52FT. NEW CONS09 NON-RESIDT ANCI C c�i 97.50 POWER APATUS d SINGLE OUTLPARET CIR. EX. Occup. OUTLET OR FDRURES2L@ I'50 BA @ .SO Ex. Occup. OUTLEETS (REESSIID.OFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinci 23.00 PERMIT FEE $ , (�(� WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _�� Date — % — _ Signat of Applicant'- Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT qling Fee 20.00 Heating Cooling Hood L 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ o C CONST. TYPE TOTAL FEE $ q3 .00 HA D. FEES IMP FLOOD CDF I PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. q By Date Q� —�9'/ PERMIT EXPIRES ON /— 7 Date ReceiptNo.�'P� 85- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT AP fir` v ('s - .1(90 .--oro r OWNER PERMIT A q %— d3 7 J Mfi UT IL . CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Srruc. Compaction Test -Req. Service Size Other Load Type Pipe Size Length YES NO YESI NO ED A� X09 �/� 2 1 1 i 1 1 o�I s7 R.09AtcN j �/� 4 'd'o3010 ,-000 ., . . .� , , t ., , ,_ r,` , f J / �� `:• t ` _. :- �• , -r., • ` ... } � �� �_ � ti J �. i _. :- �• :. :- , • f T� Y.' .i .�S 1.. ,� � .r. � } ,- •' _ f 5.� � �:' 1 v .. V. � Lva :�' .%_ . _. _ < . .• t a '�? � - . -. , t ��� +... .,, :' �, ? ...;111....-.0 . " :.... �. :'.. t �. .. ..�":. � h ... i J f T� Y.' .i .�S 1.. ,� � .r. � } ,- •' _ f 5.� � �:' 1 v .. V. � Lva :�' .%_ . _.