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063-190-009
/c, -6-8T ` Foil�c..e o Ob�aRh Yos al Fr.& / P7 f"1J�oS�/Ue _ 1 i i C� i R r t� r �t ��• ) ,. - �.. ' r,. � ,��R ri:� .. - ., w•;,: ,rte. R r RDT.� :-j.�C0R O".Fp� SCH. FO ,& T RANCH RD. FORM-11ANCH PERMIT #5084- E INSTALL PLBG & E� !CE CHANG F - i ,la /0 D -4 �a i ,7 ermit #1573-76E(inst. el t.H/W heater SIF 63-19-9 ennis Pawee W!S Forest RAnch Rd., just:S.of Forest RANCH School ''d ` e way, Forest Ranch, Permi(4206nst.gas line for kitchen range)SF) 63-19-19 ' NEW OWNER JIM LOVIE 15799 Forest Ranch Rd, For st Ranch PErmit 3781-87B(repair porch & wo d burning stove)SF �� 063-19-0-009 93-2565 E LOVIE, JIM - 15799 FOREST RANCH RD, FOREST RANCH ELEC SERV TO REBUILD BURNED SAF 2� 063-19-0-009 93-2950 BPEM- LOVIE, JIM & DARLENE 15799 FOREST RANCH,RD, FOREST RANCH • REPLACE BURNED SF .• B , , 40 ' ' ` . w IT, IF T-elv 57 s h COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSO9,PARCEL NUMBER ZONING BUILDING PERMIT OWNER - d TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI17ING ADDRESS - CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING'ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS r .•� �% PLUMBING PERMIT Filin Fee 10.00 9 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF E Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities] Installation❑ Other E1-_ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 011 OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. /DWELLING OCCUP.SI) OR ADDNS. \ ACC. BLDGS. 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON-RESID. I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification El 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 CONSTP. r'-OUTLET— 2,50 ea NON-RESID BRANCH CIRC TS NEW CONSTR. /POWER APPARATUS e %SINGLE OUTLET CIR. / so @ zga Ex. Occup OUTLETS OR FIXTURES BAL 01 Ex. OCcup.(OUTLETSP(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 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 shal I 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. k `` X:' .�--��� > Date �=� Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ; r occUP. GROUP I TYPE OF CONST. PARCEL PD HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC i y By'I Date f PERMIT EXPfhES' Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. �' � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT V=OK O = Not OK Not NotReadyable MOBILE HOMES Date/initials MOBILE HOME UTILITIES (Plans) OK except #'a i 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer;. Location -Teat -Fail -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'a 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 -Fell -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS .Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements - t 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing M 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors, 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plana) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test m V=Q,t -• O U4ot OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) (q fi 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth V, 0,_ 4. FtpePorches & Decks: Soils -Steel-/ /Fto. Deoth A�'.a.l+ _ S"Stemwalls, Main; Steel -Bloc kouts-Wrapped 195t; dD Stemwalls, Garage; Steel-Blockouts-Wrapped 68. Hold'6owns and SDecidAd'5c_hors / 1 8. Piers -Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance- ateri I -Su ort -Ins. 4- Girders- it nchor B -J i -Vent-Crfpglea 1/-Z-93 L116 15. Access & Ventilation 16. Insulation Date/Initials PLUM -111111111b (Permit) OK except #'s 1 . Wa r.; Vent-Access-Geff*nsli m -*Ir -Baffle 14. at e; Test & Anchor -Nail Protection V.; T t -Fittings & Anchor -Nail Protection +47 Sh r Pan; Test, First Floor -Tub Access est Tub & Shower, Second Floor -Tub Access -'-"21' Gas Pipe; Size anchors Lt Date/initials ELECTRICAL Permit OK except #'a ixtu Transformer Clearance -Ins. Protection 2 e. ptacles Spacing -Lights &Switches at Doors ize_Boxes & No. of Conductors -Stapled 2&-go-TWiistalled Close to Edge of Studs & C.J. Ground made up w/Mach. Fastners-Bond bas & r 2 Ap Ijance Circuts in Kitchen & Conductor Size/GFI feed Wire Si ga. Cu or AI-A.C. Wire Size . LW or Al 29. Range Circ. &/ ga(Cu r AI -Oven Circ. / g or Al. Insulated Neutral ift-re's ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 3iL� Clearances Panels -Motors -Mach. Equip. 51oth2a.CAoset Light -Shower Light -Spa Light 3belffin—oke Detector Date/Initials MECHANIe*ETPermit) OK except #'s 34!A. is Insulation & Support Vent F ; Exhaust above insulation 36 Condensate Drain & Overflow; Size & Grade 37 Fur en , cess -Comb. Air -Return Air Vent -115 ou ttic Access & Aatform if Furnance in Attic Lt U135 Date/Initials FRA Plans OK except #'s Silerroper Material & Anchors 49.1' alts tuds-Nailing, Spacing & Bracing -Plates -Sound HEtFire a ' Walls over Girders & Floor Nailing aft Stop in Walls (ret proof) Stops; Furred Ceilings fair hasea-Tub Beam -Size & Bearing �Oate/Initials FRAMING (Continued) 4 . ane yoCaps nchors-Connectors oast-Rftr. ties-Purlin=roof Brec-Truss-Shthng: Rfng. ace Ties or Type AFlue-Fireplace Throat clearance 49'4*ye-9_ccess; Size & Romex Protection -Draft Stop -Ins. Baffles 49Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing 7t. Property Line Firewall & Openings . x ors -One 3' -Check Garage -3rd Story2 Exits StaipwWidth-Headroom-Rise-Run-Landing-Fire Protection S4✓ d on Roof Overhang -Attic Vents -Rafter Outriggers J� 5 iding-Nailing Veneer (1 �5G.Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access azing Area -Glass Protection -Skylights -Plastic --SB.-Shear Wells: Nailina-Bolts 59. Insulation -Wells -Ceilings 60. Infiltration -Walls -Windows #'s L�� (� Furnace;`learance-Comb. Air -Connector - In Gj age; Above Floor -Ducts -Mach. Protection I. & Bath 5,%,-,Elec. gutlets at Wood Panel; Int. & Ext, 70. ' . i & Appliance; Grnd: Air-Cookin ance rec. Outlets & Receptacles at K er r. r Iearance-Comb. Air-Connector-P.R.V. Inde?&ge Floor -Mach. Protection Elec. & Mach. Equip. Listed for Location / Insul n -Foam -Looked in Attic s 7 y8sd Rails &Deck Cons n -Post tg—Fdn. Ve' its & Crawl Hbre Door-Dreinaa & WVEarth Clearance Looked under floor. W-Yf s god owing instld.; Drive� ❑ No; Walks ❑ Yes No; Planters 13 Yes A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; PI ppilance-FI ace :Clearance to 9penings 8'!Water Well; Disconnect, Electrical, Plumbing 8 �erior Elec. Trim; G.F.I. Receptacle -Underground Il6�VepWation Throughout House 8 ass Protection 88. Prrections from Previous Inspections 89ras Test -Meters Tagged; Gas -Electric 9VWater & Sewer Connecte - /O Grade -HD Approval Or-15n—ergy Compliance Certificate -Otho Certificates Comments at Final: L7 s � T Description of Installation ROOF Matciul Thickness (inches) CEILING Brand Name Thermal "Resistance (R -Value) Batt or BlankctType FIBERGLASS Brand Name CERTAINTEED Thickness (inches) 102 Miermal Resistance (R -Value) Loose Fill Type INSULSAFE III Brand Name CERTAINTEED Contractor's minimum installed weight/ft lb Nfinimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL Material Thickness (inches) RAISED FLOOR Material FIBERGLASS Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Material FIBERGLASS Thickness (inches) Declaration BrandName URTATNTERN- Thermal Resistance (R -Value) BrandNarne CERTAINTEED- Thermal Resistance (R -Value) . - Brand Name - Thermal Resistance(R:Value) Brand Name. CERTAINTEED Thermal Resistance (k Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title.24 of the California Administrative Code. General Contractor (Builder) Siptarum.andTide . SHASTA IN.SULATI"ON I C, r (InswaLioniLru lla) StptZrt indTitk keens Numbs Dau 272941 Nun-awr - i fe;7- Dau COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75413 PERMIT NO, APPLICATION AND PERMIT (/ ASSESSOR PARCEL NUMBER 063-190-009 ZONIN: c+BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION 1587 R 85 698.00 OWNER'S MAILING ADDRESS PO BOY 487 FOREST RANCH 95942 1200 16TH 19 200.00 CONTRACTOR'S NAME OWNER TELEPHONE 274 C 3 562.00 222 O 11 554.00 CONTRACTOR'S MAILING ADDRESS TINKNOWN Fireplace IIAII 1,500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $11 514.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 681 50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 443200 Energy Plan Checking Fee $23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 13577 19799 FOREST RANCH RD PERMIT FEE $ 1167.50 FOREST RANCH 95949 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF CK Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New C� Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _2 BR (REPLACES BURNED S/F) PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 260 OV OR LESS 00A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. S0. OR ADONS. ( 8 ACC. BLDS. ) 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification )(#A as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) I0 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.50 Ex. Occu E.OR p' (OUUTT LETTSS I RESISID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $ 100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or aHeating Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 50 Contractor MECHANICAL PERMIT Filing Fee 20.00 SPT Cooling Hood 6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of thegranting of this permit. X of r4 �� �� DateQ ��a� Signature of Applicant - C) Owner ❑ Contractor O Agent 'T-7- An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ OCC R3 CONST. TYPE UN TOTAL FEES 1546.50 HAZ. - I D. FEES IMP - I FLOOD Y I CDF PARCEL I PD - I Ho X I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date - �� PERMIT EXPIRES ON IDetel g'6 Receipt No. 148636 - 546.00// 1�1�Wf_16Oo WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT kl / V V1VL1 IM . COUNTY OF BUTTE BUILDING DIVISION ' DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA:,7;J16) 891-2751 7 County Center Drive, Orov Ile CA - (916) 538-7541 X747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ` O NER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at' the above address and should be corrected. Please notify this office when correction of work is completed: If you have any questions pertaining to this matter, or need additional explanation, p ease ntact this office immediately. A l� 141, ,. 1 W t< JC.Ct.Gto / A., buYA Y A POO D&f4 Date oZ3 I spector REV 10/92 COUNTY OF BUTTE ► BUILDING DIVISION DEPARTMENT OF'DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine i "spection-indicates that the following violations of Butte County Ordinances exist at the abov address and should be corrected. Please notify this office when correction of work is com eted. If you have any questions pertaining to this matter, or need additional explanation, pleas contact this office immediately. 7`-1 11 01 Date Inspector -Z% REV 10/92 ` 0 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico,'CA,, !X 6) 891-2751 7 County Center Drive, Oroville; CA -916) 538-7541 747 Elliott Road, Paradise, CA - (B 16) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. SIM Date 5 Inspector U t REV 11/81 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 Lo (4 Iq OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is complete.04i you have any questions pertaining to this matter, or need additional explanation, Please c tact this office immediately. Z !%I/lis /vim T 0 S In Q�) cJ/ A if CC Z� "A Date g — -t – IL4 Inspector REV 10/92 PS' -r... ,.. "�^rt✓�."w.�'�,YaiY+.-'�'7.,.. �....rN�{•�:��,,,�i✓�s.ti.�ti"►'^•fw�T+`.'.r��w�'�°�-v'�'�.`r^�r�"" . 1 +"'4ra•:y-+•r•t,,..,.,.-rrr•a �•`w•T•.'^`ti, *r .::y -1'.•.y �.. .. �. - '� ,, . COUNTYOF BUTTE - DEPAR#MENTOF E ELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 - TELEPtONE(916)538-7541 PERMIT APPLICATION,DAfiA SHEET OWNER � � ri Z ©v> e- A. P No � cJ "'�! ®" 0? Proposed Building Use R Building Inspector -Jo-% 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 $ /000.,j_0 ......................................... . 11. Impact fees as shown on attached schedule. ........... 12. California Department of Forestry plan approval/fees.!... - I5 13. Flood elevation letter (100 year flood), py California Engineer. . . ((;;%1 14. Sanitation and plot plan approval (C.D 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. .......... . � 11 Driveway permit (construction appr val required prior to occupancy). .. .. ... . Preanspedion requ�- Pre-inspection for /-1 /` 2, required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name tyle, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner _). . . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . .....................:.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31.' Existing violations/expired permits . ...................................... 32. Plan checklist ...................................................... 33.- -34. Whew you issue the permit, process as follows: Mail to ower. Mail to contractor. %( Telephone / and hold for pick p at re) office. Deliver with inspector. Other e tt Parcel Creation Acreage Applicant s-Gx.� v`f'�2�t �- Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit is a nc • (Circ item of ked ve). 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, ownler, was advised of above require data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by `Z Date y Sets of plans on hold in File cabinet AP folder NJ -1-45 Copy - Department of Public Works q D H xs.r riot Han Allach,d r' ri.,,,r Man nuachcd TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance W V f e kr7 Ff g, e,[ % IA -j, 4. Owner Location Plan Approved for: Sewage Disposal Water Supply: Public Clearance for' '2-- bedroom m4k0lt home. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/92 C/=/ y --1 T AP// Private Well Date v� COUNTY OF BUTTE - DEPARTMENT OF -DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 -.TELEPHONE (916) 538-7541 OWNER l/ hq `j_ �Q le Y7 491- �OV/ �. A.P: # ���'1 To'00 PROPOSED BUILDING USE -'Oe GcJ 1-- DATE ��` / 9� REC. # DATE REC 1. SCHOOL DISTRICT FEES Q PZn (paid at District Office) ........... ............. �Q% ! �0 SHERIFF FEES (paid at Building Department) C�C 14 C'CS �/n� �A' Residential...... x =$ unit amt. Commercial (sqft) x =$ Isq.ft. amt. 3. URBAN AREA FEES ' (paid at Building Department) Residential (per unit) x =$ # units -amt.- Commercial (per sq.ft) x _$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. j Q-/ SRA FIRE INSPECTION AND PLAN CHECK =-$89.00 ..... l [ - y & (paid at Building DepartmentT 7. OTHER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior -to issuance of the permit. APPLICANT DATE COUNTY OF BUTTE - Decartment•of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION: attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to. provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) A,,y e_ 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 yi Z4= Address City Phone Contractors License No. !+. I plan to provide, portions of this work, .but ' I have hired' the following person to coordinate, supervise, and provide the major work: Name y> //_; Address City Phone Contractors'Lidense No: 5. I will provide some of the worktbut I have contracted (hired) the following persons to provide .the work indicated: Name. Address Phone Type of Work Signed: Property Ownerf%n�Od�,,y„� Social Security Number. Date 4/_g/ 9.3 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER A. P. # b - / Plan Checker 4S GENERAL Z ing requirements: (sideyards and number of permitted living units). aluation. -lans signed by designer. Proper description of work on application. Existing violations on property. Items on data sheet. (W.C., fees, Health,'Developer Fees, License law, .etc). Recorded notice of violation. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions on creation map, ustible, and foundations). FAU & FAS road setback. 4-0� � - ( .' -Cc-s (noise, CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). ' FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. Locations of.water heater, heating and cooling equipment, other electrical or gas equipment. arage firewall, door size, and closer (Sec. 503(d)(3)). 3'0" exterior exit door (sec. 3304 M. fireplace and wood stove location, alcoves,, and clearance. . Smoke detectors (Sec. 1210). . Plumbing fixtures, water closet clearances'and shower size. t STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) T2s Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. hree story building requiring engineered calculations and plans. AQ5- Foundation plan complete enough to construct building. t -61 Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. replace construction details and calcs if necessary. Ra -ter ties or bearing ridge beam. Garage door or porch header sizes. Stud heights. . Adobe soils - special foundation design. . Retaining walls requiring design. Special Inspection required. v building 3/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails . (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side i�ncluding supporting walls and posts, etc. - two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 13.1�Yttic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). Aloise ombustion air for fuel burning appliances - L.P.G. requirements on duplexes. ..,W."knergy design. 46 -.--Flashing at all exterior openings - 3'l CDF responsible area requirements ', `�' i requirements. 19 0 SEP -22-93 WED 11:48 AU I TEC= PLAN..HOUSE 916 873 3553 P.03 P1' 4J ac,'f Lov ► Kea avy Ms 40 rm �- ? /—W Zx6s-ruby i i i 2y ("5TUD ' I f � �� IGdelb�et,l `srw rO A D.3 wAk<- COYW t4. 5 rLAO 461 kin E"►� MAX (3) 2x (p uvm 7-YV) --f~ ( AM- TOP pLo,7r sr M►�s�,.► sr -24 P�.xr� -� sTUO_5 �Zx� \ �t✓�s7�s-rets -(a) Haas Gd (fa o , �• +�,,,,�,� srf�k e'3a4l- o'"' ki, ted 2K(e ~this SCup�2) 044, s`i g1 saw 5724 Stca�r� P. 0. 16J etICA'w5? �6'1e.c1 'sic-rI171 A— C�� 2- y4 rW PL"rir,,. BUTTE OOUNTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 959GS-3397 TELEPHONE: 19161 536.7541 FAX: (916) 533-2140 B U T T E C O U N T Y B.0 I L D I N G D E P A R T M E N T F A X C 0 V E R S H E E T 9 2 FAX NUMBER (916) 538-2140 DATE TO: P6N / 6 "YE L710 ATTENTION: I -AIR' y FAX NUMBER: S-23 11729 REGARDING: A.P. NO. �'� ° lPERMIT NO. / ✓ ^2'qj;o SUBJECT: � L (G IA10) 60,1V ®fS1C/✓ Ca 60111E 1pe1vC4�5-. SPECIAL INSTRUCTIONS: [ SEE PLAN CHECK LIST TO FOLLOW ] REVIEW AND RESPOND ACCORDINGLY [ ] 'FOR YOUR INFORMATION ONLY [ ] OTHER: SINCERELY, 4,N HENRY, P.E. ECK ENGINEER 2-'. C'A-Gc- . � 51?10 k1 3. c � r,�16W 1tcTe4, -G .4 C11 -6c Or 1CiNc .S'Y61OS Ca G�iN/�oh� � Coc�.VEcTioaJ ToA' ¢� &aTloM � iCex G//xev . 11 - �f- ?3- z 70 Rt+kFo /u,V� 57 140!5 Cweck, sx- & or -#2, s= 7 567 Fh- - 10s0 f s I (itl= 4.6 is f sr- = 70 PIF 7,S(o k /250 IZ4-)c v -- --------- 3 742 sz�r�s �- .4 ni Vo Tk -T ig 17 JI 'a, p 4 %"nt i,:. ;j 'k IV"! Y4 ts'. M4 i4 S In % . IT -3 'A , in In .1 1F4 4�,r. lt� Zn' % lt ss.Ir L I lit *,Oi ;147: oi I f ICIT'RAlf 71� �C 'i L VIA nf4 L, ks� vt In) Zt, D17 tin iM )IN till" Lk I t7 t E: C s In o .4� jt ::13 1 1 v 11 3 rl'-, NCIL�l 0 SEF -22-93 WED 08:48 AUITEC.-,PLAN.HOI.JSE 916 873 3553 P.02 IT T�b 7i 77 7 Fn79 -7 40 Sle;l �j Pir VD itis I �0000 JS , bl.ol F'v I i. i. ..f. I i i . FOX- 7WESE.-t, IV 610 'ON e-6 v1jT! butte Count BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965.3397 TELEPHONE: 19161 538-7541 FAX: 19161 533-2140 B U T T E C O U N T Y B U I L D I N G D E P A R T M E N T F A X C 0 V E R S H E E T FAX NUMBER (916) 538-2140 DATE 93 TO: I-p(AA1YOaSE GTD ATTENTION: I4-r4x FAX NUMBER: 873 1-72 / REGARDING: A.P. NO. 063- l CIO - 00q PERMIT NO. 93- 2950 SUBJECT: CIflr JL„/f-& i�vlloo) Goy i��316-10 cv GEES/o&w n:si-. SPECIAL INSTRUCTIONS: xSEE PLAN CHECK LIST TO FOLLOW [ ] REVIEW AND RESPOND ACCORDINGLY [ ] FOR YOUR INFORMATION ONLY [ ] OTHER: SINCERELY, ZHENRY, P.E. PLAN CHECK ENGINEER � A butte Count BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965.3397 TELEPHONE: 19161 538-7541 FAX: 19161 533-2140 B U T T E C O U N T Y B U I L D I N G D E P A R T M E N T F A X C 0 V E R S H E E T FAX NUMBER (916) 538-2140 DATE 93 TO: I-p(AA1YOaSE GTD ATTENTION: I4-r4x FAX NUMBER: 873 1-72 / REGARDING: A.P. NO. 063- l CIO - 00q PERMIT NO. 93- 2950 SUBJECT: CIflr JL„/f-& i�vlloo) Goy i��316-10 cv GEES/o&w n:si-. SPECIAL INSTRUCTIONS: xSEE PLAN CHECK LIST TO FOLLOW [ ] REVIEW AND RESPOND ACCORDINGLY [ ] FOR YOUR INFORMATION ONLY [ ] OTHER: SINCERELY, ZHENRY, P.E. PLAN CHECK ENGINEER P. q _p 7-0 CL WI&I-2 A/ -715 �'/�� � Xao s �t,�E �3 S�z'• /NG ST�IrJ S 1��1G�/EEit% Plt4J.�L'r cJ 1` J r1 � �LWs RT 3 (.1,5)= 22.3 ,S"/IZ/1 a�n 91 so 3 w10 5u Fo ZO - CD �JPrAc�L L S (k9. &)T—IL - ex- 50 5 a' G,vG 6q, ca d, o0 9 z ARt a , 019689 OF CP►���® . O . C.. N= Z IAJI 2 n -d-"3 ,g 1✓ s .._ . G✓L.. ! (�,'� 4 7�' d �'bo m�N � ,err. iii �� : = _ I 11 ._ 4 ` . r CANTILEVER RETAINING WALL PNLTD ' 07-29-93 WALL PROPERTIES: ------------------ Wall height (from top of footing) ....... Wall thickness (at top of wall) ......... Wall thickness at base of wall........... Footina width ........................... Footing depth .......................... Keywidth ............................... Key depth.(from bottom of footing)....... Distance from bottom face of wall to toe Concrete Weight ......................... SOIL PROPERTIES: ------------------ Height of soil (from top of footing) .... Surcharge ............................... Eauivalent fluid pressure ............... Coefficient of sliding friction .......... Passive pressure is Triangular Passive pressure ........................ Top of pass. pres. to top of ftg ........ Soil Weiaht ............................. RESULTS: 5.00 ft 8.00 in 8.00 in 3.00 ft 12.00 in 0.00 in 0.00 in 5.00 in 145.00 pcf 4.50 ft 0.000 DSf 35.00 pcf 0.35 250.00 pcf 0.00 ft 100.00 pcf Factor of safety against overturning .... 2.90 Factor of safety against sliding ........ 1.41 Maximum soil bearing ............ :....... 1143.06 psf Minimum soil bearing .................... 44.17 psf Moment at base of wall .................. 0.53 kip -ft oe s, V, o U/Q AS = .. ���n = ► 033 IZ, 01sc- ac. BUTTE co' W AP i •i O ,Q,ROrCSSIC, 9 ;V: �� R. Y� ao•� I EXP. .31.44 1�fiQPCA100- • �j. Fc : X500 PS ; 2 X f�,RTF- + �.8, �.rol�tcRS �QROFFS3/pN C WALL.- �s.� 18``.O.C._ .. V� _ .. .� .. _ N0.3450 . -: Return to BujydNS U i V : AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR - RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires - this acknowledgement be recorded prior to issuance of a building permit. The property.:described herein is 'adjacent to land or -included within an area zoned for agricultural purpos_•es, and_ residents ' Nor OOMII'A"' of this property may be subject to incon- R'G�'l veniences or discomfort! arising 'from the _ � DOCUMENT use of agricultural chemicals, .including, 93-039029 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 agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property .should be prepared to accept'such inconvenience or discomfort from normal, necessary farm operations. All ttfdt .real ..property `situate in . the County of Butte, State of California, described as follows: t ';uart'.., Beginning..at the Southwest corner of Lot 4 (said Lot 4 being the fractional Northwest quarter_ of the Northwest quarter) of Section 5, Township.23 North, Range 3 East, M.D.B & M. ;.and running thence Easterly 175.0 feet along the South line of said Lot 4 aforesaid to point on edge of_County Road; thence in a Northerly direction"along said County Road 209 feet to a point; thence in a Westerly direction 245 feet to a point in the North and South Section line between Sections 5 and 6 of said Township; thence Southerly along said Section line 209 feet to point of beginning. Date: q _ �-q3 �lP"F5 V, Z 0 State oflti�m� On this the SS. undersigned Notary County of \ PROPERTY OWNERS: day of -k rnCp V I,19 CO , before me, the Public, per nally appeared GC,�(,\ kUk_` omd Personally known to Proved to me on the basis 6ET11Y JAME FRY a of satisf tory evidence. #951569 tp be the person(s)• whose ( ) C�..=�_�• name s ' ,,J NOTARY PUKIC — CAUFORMA sgbscribed to °the within instrument and ackn wledged that Em ° ,;_ = E'UME COUNTY eocecuted the same for the purposes therein contained. IN WITN S ° My Commission Expires January 3, 1990 WDEREOF, I hereunto set my hand and official seal. 000u�o_�auc�000�oae�raoao�6a®®s• 2n Present A.P. No. �/ �J NU, 3 Notary Publi BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION'FORM t (One Form'Per Building) rch - School District_ C O -" n 4� C t Building Department No. A.PY Number Jurisdiction Cit Count �� -1.90, 0� O y r y Property Owner Property Location/Address Subdivison Residential, Development Commercial/Industrial r 1 Building Depa WIN v S PW r Lot No. d ¢ 0 = Sq. Footage A �O No. of LivingM)HIR g Units C-� S ,Addition ( ro/dip Sq. Footag 1 New Addition (Including Exterior A Roofed Areas) ive (Floor Plans reviewed by School District Personnel) District Identification No. School District certifies that 1;7 Date (Applicant) (Street Address) ' (Phone Number) r� (City) (State) (Zip Code) has complied with the requirements of Resolution No. 5/ l� by payment of $ /�' 13� representing square feet. 9/511-3 School District Representative Date Paid by Check Number' ? Remarks: Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project 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) feeformmkl (4/92) ti rt Y r'Y••.•'ll":✓ ' -.. a:P?F_„t "nrJ W. -,,Ia /h%.^r$-- y rS"rtt. "'•'4..%. ... ..< ! ._ .. rr :r l 063=19-0-009 r. 93-2565 E LOVIE,,JIM' FOR RANCH 15799 FOREST RANCH RD, ELEC SERV TO REBUILD BURNED SF f i—Z -9 S LCA-AtkePvt �� Ojk • ptmjuto&% in" �•,�/ �.e.,e.Qv t✓`,f/s.. fr �'��Lc� r 32 'd� . f c ' i . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Ceriter Drive - Oroville, California 95965 - Telephone (916) 538-7541 RMIT o. APPLICATION AND PERMIT q - ASS SSOR PARCEL NUMBER 063-190-009 ZONING AR5 BUILDING PERMIT OWNER JD1 LOUIE TELEPHONE 342,2025' SQ_ FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P O BOX 487 FOREST RANCH CA 95942 CONTRACTOR'S NAME NONE TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,Op Permit Fee $ ARCNHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Q R T F PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other I,OI, DEVELOPMENT SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W TYPE OF WORK New ❑ Addition El Remodel ❑ Utilities�0 Installation 1:1 Other O -L Describe Work: ELECTRICAL SERVICE FOR LOT DEVELOFi t�TJ , t ` PERMIT FEE $ ' Contractor ELECTRICAL PERMIT Filing Fee 20.00 I t ( Main Service ( 101 OFR LES 200A OS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( S ACC. BLDS. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ' I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B2 @1.00 Ex. Occup.ED OR (OUUTT LETS (RESIDRESID.) EA. ) 5•Q� Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 66.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. o Aq XDate (1 3 - 77 SVnature oaf Applicant - ❑ Owner ❑ Contractor ❑ Agent Tof An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONSr. TYPE TOTAL FEE $ 66.00 HAZ• I D. FEES I IMP I FLOOD CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date / (4.?Receipt p'2 ' / PERMIT EXPIRES ON O 1^1j9 7 /Date) ' �� b 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 - Oroville, California.95965 - Telephone (916) 538-7541 RMIT UO.� APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER .. 063-190-009 .ZONIVG ARS BUILDING PERMIT OWNER JIM LOVIE TELEPHONE 342 2025 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P 0 BOX 487 FOREST RANCH CA 95942 CONTRACTOR'S NAME NONE TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 19799 FOREST RANCH RD— FOREST RANCH PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF 1:1Duplex 1:1Mobilehome ❑ Other LOT DEVELOPMENT SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel CI UtilitiesX) Installation ❑ Other C3 Describework: ELECTRICAL SERVICE FOR LOT DEVELOPMENT PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 1011" LESS 00AORLESS ) 23.00 23.00 Main Service ( 200A To 1000A ) 46.00 NEW CONST. DWELLING OCCUP.S0. OR ADONS. ( & ACC. OLDS. ) 3.50 FT. CONTRACTORS LICENSE LAW i declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL.20 @ 1.50 FIXED AP"S. OR Ex. Occup.O ( OUTLETS IRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. id [shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 66.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X /�(%/ Date 91-31,9 S __ ature of Applicant ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD I HO I 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. DIREC OR OF PUBLIC WORKS d By Date .2 all PERMIT EXPIRES ON v 2 a q /Date! if— � Receipt 7 .O. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLOENR00•APPLICANT ..�,.4.,t Z 3+J'}; 'J ��•.wA "'n"' COUNTYOF BUTTE -DEPARTMENT OF DEVE4,OPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER v�/� A. P. No. 49 3 ` 9 9 - ocl Proposed Building Use Ia r- do O,6 Building Inspector Date 3 S At timeof p mit application, I was advised the following data must be submitted prior to permit processing and/or issuance: . DATE RECEIVED BY 1. All items have been submitted . ........................ . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. .............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (cons action app oval require prior to occupancy). . . �20. Pre -inspection for �d lM a required. : o BuildingInspector F r P �( f-�_ q (Date) 21. Contractor's license information. (No., Na Style, Classification). . ....Hm_ % �. SS 22. Certificate of Workmans Compensation Insurance . .........................*1 V ,.,o, �.� 23. Owner -Builder Verification (Given to owner Mail to owner ........... 24. Recorded copy of Agricultural Acknowledgement Statement . ................. 25. Letter of signature authorization . ......................................... X93 26. Copy .of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. eliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works C'nu-'^•-' OC iG - O �a�_ =er_ a.-: °•�ot_c ':J :cs i Cjunc7 Cenca_ Or.ve, Orov _le, CA 9:96i P` cne Gwv�-3U:?SER VERITIC,TION ancion ?_^oe=cy Cwne=: An "ovne=-builder" building per=it has been applied far in Tour name and bearing r signacura. Please comoleca and recur= chis inic.r=aciaa az your ear_iasc 0000r_: n4cy to avoid ecassa= T delay is processing and issuing 7cu= building perm:_ . No building per=i_ L be- issued until this veri_:cac:oa is received. I. 3 per_anall7 plan to provide the major labor and macarials for ccnsc._czioa a.-6- the fthe procesed grope=_7 improvemeac (Yes or ac) S Z. : (have have acc) iiA Vsigned as apoL_ acioa for a -building per=i. tar cite proposed vcr.c. 3. I have cacc_ac_ad with the fallowing persea (`ir=) co provide the proccsed cans== tuna: Name Add=ass Cic7 Phone CJaz=ac_zrs LICense Na. i plan to provide portions of chis work, but I have :ti=ed the following person to ccc dinaza, supervise, add provide the =ajar Work: Name address Ci=T .�i:Cne CJnc-ac_;: rs L:Ce«se YC.* :Jim � OrOV � a same O L Che TCr'_t but I have Canc— aczzd (aired) C..e fa l:cw ; -J3 persons Co provide t:.e '.gCrk :diCati d : Name Address Phaae T7Pe of �Nar'.c Signed P=acer=7 Owner Socia: Secsr=t uacer Dace 9 �-319 � -- _:� :tis Owre=-3uilde= Ve=i=:ca_:cn is sent to you as reeuired by Sectioas 19831 and 198._ of ch a California F-ealc and Sal;`7 CJde. This ve=i=icacioa must be ccmeiecad and recur red to our office before we are pe-- micted co issue the per=i.c. Inter -Departmental: Memorandum TO: Code Enforcement Officer FROM: J.F. Glander SUBJECT: Citations DATE` October 13, 1992 Attached are copies of correspondence for the following. owners and locations: Violet M. Randle--A.P. #048-06-2-035 James V. and Darlene Lovis---A.P. #063-19-0-009 Sergio and Lana K'. Gonzales---A.P. #063-25-0-008 Would you please issue citations for violations listed in 30 day letter and any additional code violations which may be found by you on site. Should you..have: any questions. -concerning this .matter, please contact this office. RT:dms f'r� Orhjina9 signed J.F. Glander Manager, Building Inspection lie PERMIT NO.3XINXNN 3781-87B PERMIT EXPIRES OWNER ,TIM LOVIE CONTR. owner C- jN� ASSESSOR PARCEL h3-19-09 4,4. a�1 LOCATION 1.574.9 ForPGt Ranch Rd. FR ' Y • t 4 .fi V Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. gas Service . I. Called PG&E JOB FINALED (Date) r Signature = OK 0 = Not OK ._ = Not Readiyab'e MOBILE HOMES MISCELLANEOUS Date" MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s . 1. Zoning RequiFements-Setbacks-Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH -Support -Sketch • 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) T 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures. / /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance . 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date. MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Card -1211 Date Card -B1 Date Card -B1 Date Card -131 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -81 Date Card -1211 Date Card -81 Date Card -B1 Date = OK 0 = NAOK = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth • 3. Ftg., Garage; Soils -Steel-/ • /` Ftg. Depth 4. Ftg., Porches & Decks; Soils =Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-'Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -61 Date Card -81 Date Card -131 Date Card -131 'Date Date PLUMBING (Permit) OK except #'s ' 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor=Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -B1 Date Card -131 Date. Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -131 Date Card -131 Date Card -61 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic Card -61 Date Card -81 Date Card -131 Date Card -81 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing Date FRAMING 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 46. Fireplace Ties or Type A Flue -Fireplace Throat 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 49. Garage Fire Protection Framing 50. Property Line Firewall & Openings 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 54. Siding -Nailing Veneer 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 56. Glazing Area -Glass Protection -Skylights -Plastic 57. Shear Walls; Nailing -Bolts 58. Insulation -Wal is-Cig. 59. Infiltration-Walls-Wndws Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 74. Pib., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters O Yes ❑ No 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE i �` •r DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico='Phone: •,891-2751 Ar- 7 County Center Drive, Orovi Ile — Phone: 538-7541 •o, . 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 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 torr tion of work is completed. If you have any question pertaining to this matter, r need additional explanation, please contact this office immediately. Datej 3 ) - 0/t Inspector V ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovill'e — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE <fX.f*y-y\ �� ' 371 T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 0� -R9►-a�� Date Inspector QOUNTY OF BUTTE �- DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico —Phone: 891-2751 I County Center Drive, Orovi lle — Phone: 538-7541' - `� 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE E .L 6 &,I:e 3 78i-8 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of'work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. I •�- ✓� L�4 //*d � Sem eau �.-td C �� r.. « c rJ ro u b /,s "O' �� fl v a (� o.s7 LJ,u s� .S /•� � r �. ��- � 3 ofS6 �p t oz,. zfa �Q /`G/I /C •�bLd � r+ /Y L7sD �GrS C_�/S. Date f=.17- 7 U Inspector 0��-- H COUNTY OF BUTTE,- DEPARTMENT OF PUBLIC WORKS P Rte% 7 County Center Drive - Orovillb,-CalifdSnia 95965 - Telephone: 916/538-7541 Q APPLICATION AND PERMIT fA SSOR PARCEL NEER _� /SER ZONI BUILDING PERMIT OWNER / TELEIaHONE SO. FT. OCC, BUILDING VAVJATION W7MAILING ADDRESS OR'S, CONTRALTO 'S NAM TELEPHONE ------ACTOR MAILING ADDRESS CONTR Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITE TO E GINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS A � /J) Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Q Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL AP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTUFIE SF ❑ Duplex❑ Mobilehome❑ Other6LZ lA SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00 ea TYPE OF WORK New ❑ AdditionD Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: VA- ��� �►�����N Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00- 0.00Main Mainservice e01V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- X " ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.8d) ,h¢sgft - OR ADDNS. ACC. BLDGS. NEW CONSTR TI -OUTLET 2,50 ea NON-RESID .BRA CH CIRC TS �PowER APPARATUS °) SINGLE OUTLET CIR. / 20050c - Ex. Occup\OUTLETS OR FIXTURES DAL@30 °ALoso FIXED PR Ex. Occup. OUTLETS (RESID )EA.Y 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor • WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement. -should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee i Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against 'd County in consequence of the granting of this permi X Date61,91-7sio Sig o re of Applicant — Own er Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" dee p olition or construct- ion of structures over 3 stories in height.. A . Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPC SCHOOL PLOOD PARCEL PD ND u Thls rmit is hereby issued under o the Butte County Code and/or k I c d Ove for which CTOR OFNPbBLIC 7 y PE MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS C e CJ j�C /� Receipt No. v , o WNITC-D.P.W.. YELLOW-ASe9330R. PINK -I PCCTOR. OOLDCNROD-A PLI CANT 7!C%rv�� Ni yia�1�'Tr'W S�v%7 Snro/14a71�j �1�--V( . vo -v ri • N-os,� � S1 /02/� 1 ROOF (c,.4-.0.) -RAF MS.SP P= o . 9// o� �l/P R�4FTE� 7 So 8 0 1.57 o. 7/x ,sox 7.75 ` .0 k' I 8 P5.5 7 y x /Z _ 5'11• d /A/ 25r/.25 �15E 3-2X0 G oA4A40Al R-tFrEYL S1�/V = 15. 5 P /► 4X I 2s;:�,f o•a, JECT.. IsTAZYCraP �,_C -,� - SHEET MO.- CHKO. 6Y......... ---------•-------•------------------•------------- DATE------ /E�2NI`�I RES/DE A/C ---•-- ----------------------------------------------------- --•-----------------.-- iOB N0._. ------------ ............. ----------_----------------- ROOF (c,.4-.0.) -RAF MS.SP P= o . 9// o� �l/P R�4FTE� 7 So 8 0 1.57 o. 7/x ,sox 7.75 ` .0 k' I 8 P5.5 7 y x /Z _ 5'11• d /A/ 25r/.25 �15E 3-2X0 G oA4A40Al R-tFrEYL S1�/V = 15. 5 P /► 4X I 2s;:�,f o•a, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISIONM 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET �= T Permit No. OWNER k/ �y�i. Z_ A. P. No. Proposed Building Use ding Inspector Date,/ At time of permit application, I was advised the.following data must be submitted prior to permit processing amend /Or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. _ 3•. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . �9. Letter of signature authori �t 10. Sanitation approval from.cHealth Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) —14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) _._._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to A (Date) 17. Pre -Inspection for__-. -_. _ _ _ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — — 20. Plot plan approval from city of _ 21. — — 22. _ -- When you issue the permit, process as follows: Mail to owner; Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other Applicant i Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for, above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail—counter by date Contractor, designer, owner, was advised c: above required data by—phone —ma il—counter by date Plans checked by Date Plans approved by 02 Date Z �S Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works -7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your.building permit: No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no). 2. I (have/have not) %/ 4 V f signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, super�� and provide the major work: Name Address / City Phone Contractors License No. 5. I will provide some of the work. but I have contracted (hired) the following persons to provide the work indicated: Name Addresses Phone Type of Work Signed: Property Owner O Social Security NuWer Date IrlIf 7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Ir 11� est of plans and speeificotions MUST be kepi on the job at all times and it is unlawful to snake any Acmges or alterations on some without written permission from the Department of Pubic Works. County of Butte, I A set c off* ft. f m the pr6perty lines and a setback Of 50ft. from the ro d centerline shall be c ar of structures or equip ent except for n 2 ft, eave over ano. aorta oouNrr gUIL0w0 DEPARTMENT APPROVED 3 7 ,rte 4 e.evy S i'4� •S o r S��PS 8.., Max. Rise . ::.. Ain. Run Run measured toe to toe, W Max. tolerance between urges# & smallest rise/run. .-qPTE: Ah Materials ac Workmand9p 5hdi iy Accordance. with Recognized Good Noatma and of a quality prescribed for the Specified tae in the UnWorm Suilding, Plumbing & Machainical Coda and t6 Ndional E9ectrieal Code. ~� �X'Ce Fkll i #Xq Pas+ 7 Top rail to be 36 in. high with �io�se intermediate rails to be not over&ln. apart. where 1ec(-c Marc (oe•�palc�N #. is abowe- '30" 'I4 0.� el �� V0.•c'1CS /�„to iO� COUNTY T BUILDING DE PARTAAENT APPROVED a 3771— 87 7-D *VAR/ES . 3G" MIN -ts l7 ?sl X ) � .p :3Q E;� m mo iI� N J. TYP N 6; O ITl D ;q 7C1O rri X Z- Ei r r - O 7Q c, b rn 3 m y2� 10r- S 1 ol x� _ I- c �� nl I , ' � ��I Z ems: T� n r -i 1p O II II ^` �\ .� c Cry G1 ... • -ts l7 ?sl X ) � .p :3Q E;� m mo iI� N J. TYP N 6; O ITl D ;q 7C1O rri X Z- Ei r r - O 7Q c, b rn 3 m y2� 10r- S 1 ol _ I- �� nl I , ' � ��I Z v O N f ft� i ^ II II ^` �\ .� c Cry r m`_ ... • m- UN m i r" W I DT4 v -Z o�mi� 7q -1 3 -� cj? HANDRAIL VEIGHT E m w MAX. i o -n o Co Q�JO b n N g U" CIO A c ~ ^1 A S 1 T _ I- -4ozl I , � ��I Z N m V'> II II UN 30" MIN. S TA(R r" W I DT4 v 7q -1 -� cj? ❑ Complaint -Date _ ❑ Other -Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Z ONING Owner': V�.P/j'1/j'l64 G o zv-r`� _ __._.. A . P. # 63 Address • ba -,v 17S C r ' Date of Inspection Tenant • / Inspector, . Building Location: 1U2 /�' ��•%� .�K��'°�:�' Type of Inspection requested: 1. Housing "..2. 2. Financing 4. Work W/O Permit /_0 5. Present use of building: 3.. Change of Occupancy to �— Other (speci-fy) A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural lightand ventilation: 8.' Room and space requirements:, 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11.'- Connection to sewage -disposal: 12. Connection to water supply,: 13'. Rubbish and garbage'facilities: 14. Stairs:(Rise, Run, Headroom, 1HR, Tolerance�,Handrails) 15. Comments. B. C. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: a E. F. Plumbing - 1. Fixtures connected and vented'. - 2. Gas water heater: 3. Gas heating vents: 4. Comments: Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or viol 2. What action taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. C. Write letter. / /.D. Other: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Driva,,,Oroville, CA 95965 PHONE: 916-538-75/+1 Jirolovie PA, Box 487 Forest Ranch, CA 95942 'With reference to the above subject: Attached is:. Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form OTHER �1 We need the following information: DATE December 7, 1987 RE: Building Permit Application 93781-87 A.P. # 63-19-09 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development'Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER_ 1) Permit a of 10/6/87. 2 bolt to cover all size, >> nei.gnt above grade, 6) head room, 7) post spacing and header size. Should you have any questions concerning the above, please contact this office. JFG/aj RK Yours very truly, William Cheff Director.of Public Works .'F. Glander Chief Building Inspector June 10, 1992 James V. & Darlene Lovie P.O. Box 487 Forest Ranch, CA 95942 RE: Building Code Violation A.P. x`63-19-09 15799 Forest Ranch Road, Forest Ranch Dear Mr. & Mrs. L•ovie: We sent you a warning letter dated March 20, 1989 notifying you that you are in violation of the Butte County Code at the above referenced location. As of this date, the following violations still exist. Failure to obtain approval of previous corrections and failure to obtain final inspection prior to use and permit expiration for' deck and wood burning stove in violation of the 1982 Uniform Building Code as adopted by Section 26-1 of the Butte County Code as follows: (a) Section 301(a) Permits Required (b) Section 305(a) Inspections Required (c) Section 305(d) Inspection Approval Required before Use or Occupancy The above violation shall be corrected or abated by you applying for a permit to complete the work and paying the appropriate fees, within thirty (30) days of the date of this letter. After permit issuance and field author- ization to proceed, the corrections must be completed and approved by this office within the permit specified time. Unless the violation(s) is (are) so corrected or abated, a citation shall be issued to you to appear in court for said violation(s) and for failing to comply with this notice. Upon conviction of said violation(s) or for failing to comply with this Aotice, penalties shall be imposed and a Notice of Violation recorded in accordance with Section 41-7 of the Butte County Code. Should you have any questions concerning this matter, please contact Rod Taylor or Jim Glander of this office at (916)538-7541. RT:dms cc: Building Inspector, Chico Director of Public Works -Z David Purvis Supervisor, Building Inspection Z_ C6d*,(L _ � Yours very truly, q-0 A7 70 � �/£2 3 .. William Cheff RT:dms cc: Building Inspector, Chico Director of Public Works -Z David Purvis Supervisor, Building Inspection k. PROOF OF SERVICE 3Y MAIL I am over the age of 188 and not a party to this cause. I am a resident of and employed in the county where the mailing occurred. My business address is Butte County Department of Public Works 47 County Center Drive California. Oroville, CA 9.5965 I -served the -foregoing 30 -Day Violation.Letter by enclosing a true copy. in a sealed envelope and depositing said envelope in the United States mail with.postage fully prepaid on 10th. of June 19 92, and addressed as follows: James V. & Darlene Lovie P.O. Box 487 Forest Ranch, CA 95942 I declare under' penalty of perjury under the laws.of the State of California that the foreaoine.is true a -rid correct and that this declaration was executed on 6/10/92 ' at Oroville California. ` � I Jim Lovie P.O. Box 487 Forest Ranch, CA 95942 RE:, Expired Permit 15799 Forest Ranch Rd., Forest Ranch' Dear Mr. Lovie: March 20, 1989 A.P. #: 63-19-09 This is a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows: Failure to obtain required inspections and approvals- prior to expira- tion -of permits for deck and wood stove. Since permits and insp9 a required for the above work, please contact this office within en da asof the date 'of this letter, apply for the required permits to a corrections and complete project, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Please be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such compliance is not obtained.. If voluntary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines, and the recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated. Should you have any questions concerning this matter, please contact Jim Glander or Bob Keith of this office. --30 D4 y �� 2 ✓ Ud ll- Yours very truly, /Ist� z„✓ William Cheff D' f Publ' W k QZ -�-q � JFG:ahb cc: Assessor Building Inspector xrector o is or s J.F. Glander Chief Building Inspector i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovihe — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE '41 � A. , - 78 IN40 PERMIT NO. A routine inspection indicates that the following violations of County Ordinance = exist at the above address and should be corrected. Please notify this office (. when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. i t Dat . I - Inspector ' F J COUNTY OF BUTTE ;DEPARTMENT OF PUBLIC WORKS PERMIT,NO 7 County Center Driv —Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASS PARCEL .BE UM �✓Jll -� ZO '� BUILDING PERMIT OWNERj T 1 EPiON� SQ. FT. OCC. BUILDING VALUATION OWNER' MAI NG ADDRESS -- CONTRACTO NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAIL NG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER -' LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAI ING ADDRESS Permit fee $ BUI DI AD RESS^ LAS y PLUMBING PERMIT FilingFee 10.00 , Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping OT 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_0:0 TYPE OF WORK New F1 Addition Remodel❑ Utilities Installation Other Describe work: "f%, Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 100V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.y\ OR ADDNS. ACC. BLDGS. I 20 sq 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 m license is in full force and effect. Y 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 CONSTR -OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. /POWER APPARATUS 6 NON-RESID, %SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURESBAL@11 _ AL�1 Ex. Occup. UTLETS FIXED P( RESID IK EA. 2.00 Temporary service 10.00 Mobile.Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FilingFee 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. ® 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 S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue againstsaidCounty in c�ouen/nsseqa of the granting of this permit. X edrPaZa-u/J 'C�• �Izc%!/� Date �-- 5-- g ( Signature of Applicant — Owner NT 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 $ TOTAL PERMIT FEE $ /5-1,C) C) OCCOP. GROUP I TYPE OF CONST. PARCEL PD HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which I CTOR OF PUBLIC BY PERMIT EX E the applicable provi- resolutions to do fees have been paid. WORKS Dateb ,J^ Receipt No. C� %/ d! WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant ./Jo,r 1 0 WQ , Q"�bc&,o Dated Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: . �- • r (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW COUNTY OF. BUTTE - DEPAF%XTAENT O_F PUBLIC,.WORKS - BUILDING DIVISION -' 7 COUNTY CENTER DRIVE -e&O` VI LLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541y/ j/ PERMIT APPLICATION DATA SHEET ! - Permit No. ++ OWNER -r 1 .. JAJ) `i Aa,�_,4 f A. P. No. Proposed Building Use + Permit Fee Based Upon: Complete Contract Price -= "_-DPW Valuation O er Expl 'n) f Building Inspector Date At time of permit application, I was advised -t a oil -owing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . ... . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . . - 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. Contractor's License Information (no., .name style, classif.) 66% 14. Owner -Builder Verification (Given to owner , -ail to owner ❑•) 6L -S^ fZ .O 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . .. 17. Pre-Inspec, request to (Dote) Pre -Inspection for Required. Building In, 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant ./Jo,r 1 0 WQ , Q"�bc&,o Dated Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: . �- • r (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA.- 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed.property improvement (yes or no) �� S 2. I (have/have not) &U E 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 KI / A Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner DENNIs VOMAIJ Poc.se_Rs Social Security number Date (0-S_WI NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. ^^ o.`�y�. _ � � ..-...�-+w.,--.. .�'r�-�.r �r-vim--� _ N. COUNTY OF BUTTE' — DEPARTMENT OF PUBLJC WORKS y_ 7 County Center Drive Oroville, California 95965 TeIephzie*, 53 4-4541 r -APPLICATION AND PERMIT i6_; outI IUIILC 1uplu5elitcIt CS UI Lne uuunty oI tsutte to enter upon ine above-mentioned property for inspection purposes. �� f may/ X Y �l , Jf�tI' tt� Date gnaturre Plermitee or Agent Receipt No. �,� m , White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the app icable provisions of the Butte County Code and/or resolutions :o do work indicated above for which fees have been paid. DIRECTOR,OF PUBLIC WORKS BY ^ �-' Date t -Buiadmg permit expires Date VisL-5 �% BUILDING Owner \JS TO _ SO. FT. OCC. BUILDING VALUATION Mailing Address /-� fwCT��AI JT _Ll r i f Fireplace Contractoni`t� Total Valuation r� • - , , Y''�,�� 1MailingAdd ess*w�j�_ '?�`e� Permit Fee Plan Checking Fee&/or Penalty ` V Telephone No. Permit Fee $ Building Address a :j��) �.2 l /� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ; � S %llG? rK"% ♦ /A! e: r °Each Trap r 1.50 ,f t G" Repair drainage or vent piping 1.50 ; /f .4.1e= A",,�lj�� Water piping 1.50 i r tach gas water heater or vent 1.50 A. P. No./r, —- Q '� & Planning Gas piping system 1 - 5.6utlets - 1.50 Each additional outlet` _30I I' fees` W.�� �Sanitafion- �FireDepi- 'Zoning CF ri e�Zone Use Permit Building sewer / •;5.00 EQA Parking Plansx Parcel Declaration Parcel Maps 60' R/W Improvements Lawn sprinkler system 2.00 1 '1 Bldg-'PI'ans Re d ,'PaYrcel-Approval v Plans Approval Permit Fee $' $ �' 1 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHERZ] ELECTRICAL No. @ FEE } ' , PERMIT FILING FEE i $3.00 GnCS Main service oo AMP ORV OR LESS5.00 Main service EA. ADO'L 100 AMP f 2.50 SinSingle Family : Duplex Mobil Home 9 Y ❑ P ❑ ❑ Others ❑ Main service OVER eoov +oo AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. &) 2¢sgft OR ADDNS. ACC`BLDGS.LING Ccup- -NEW CONSTR. MULTI -OUTLET NON-RESID. . BRANCH CIRCUITS)- 2.50ea NEW CONSTRPOWER APPARATUS & NON-RESID• (SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@C' BAL@2+ Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00,;2. Q CD Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 < ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ QQ $ <_1 WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. `• 2-1 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ �r Fc outI IUIILC 1uplu5elitcIt CS UI Lne uuunty oI tsutte to enter upon ine above-mentioned property for inspection purposes. �� f may/ X Y �l , Jf�tI' tt� Date gnaturre Plermitee or Agent Receipt No. �,� m , White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the app icable provisions of the Butte County Code and/or resolutions :o do work indicated above for which fees have been paid. DIRECTOR,OF PUBLIC WORKS BY ^ �-' Date t -Buiadmg permit expires Date VisL-5 �% Y COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS _V 7 County Center Drive - .OroviIle, California 95965 Telephg.ne; 44-4541�f) APPLICATION AND PERMIT' 'Receipt No. / `eC_7!l1 -.-.A __w:) / � 1,5 :a— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant "ung permit expires Date BUILDING Owner S SQ. FT. OCC. BUILDING VALUATION Mailing Address Ci Telephone No. if Fireplace Contractor Total Valuation' . Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address 4/ O� �` PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 "�':.— /(,"47 0, Cfach Trap 1.50 >® Q 00,0_01J l Repair drainage or vent piping 1,50 piping 1.50 C no / - ch gas water heater or vent 1,50 A. P. No. d Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 W. SaraiFetian- Fire Dept. FireZone .Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg- I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3,00 p® -- C• l�c.�/T Mn service 600V OR LESS aiseie 100 AMP OR LESS 5•�� _ Main service EA. AOD'L 100 AMP 2,50 Single Family Duplex E] Mobil Home El Others ❑ Main service OVER 600V +oo AMP LESS 25.00 Main service EA. ADD-[- 100 AMP 1,00 1 NEW CONST. DWELLING OCCUR. & OR ADONS. A//CC, BLDGS. ) 22Sgft NON.RESID l BRANCH CIRCUITS) 2.50ea NEW CONSTPOWER APPARATUS &) NON_RESIR. D. (SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: _ Ex. Occup(OUTLET5 OR FIXTURES) '0AL@@L z5a1 B Ex. Occu FIXED APPLNS, OR P• (OUTLETS (RESID.) EA) 2.00 i 0 C) Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ 1 have placed on file with the County of Butte a certificate of Workm n's Compensation Insurance. kcertify 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ I FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ 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 ins c In purposes. ( XX Date = „1Siq@a e o r' e�or Agent lJ VKc� __ -4 TOT AL PERMIT FEE $ 5t C 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. DIRECTORIOF UBLIC WORKS Rv il O i 'Receipt No. / `eC_7!l1 -.-.A __w:) / � 1,5 :a— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant "ung permit expires Date r 4 t r ' � t ' COUNTY OF BUTTE —t DEPARTMENT OF PUBLIC WORKS" r 7 County Center Driv! - - Orovi Ile, California 95965 r\ Telephone: 534-4541 APPLICATION AND PERMIT . 0 _r Signature of Permitee or Agent By. _� C t t pate - / Receipt No. % r �- 4r�-,: `r Buildin ermit ex ires Date White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant g p p BUILDING Owner 1 SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor' �_�., �, — _ nr d t A/ A: --A? Total Valuation - Mailing Address N-� Permit Fee Plan Checking Fee&/or Penalty Telephone No. - Permit Fee Building Address j wti - PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Cr'U Each Trap 1.50 / rRepair drainage,or vent piping 1.50 Water piping / 1.50 / i R rA. Ar r A;p r. ,mv;jl ,Each gas water heater or vent 1.50 A. P. No. '�---��%- Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees' W: C. Sanitation. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans 1--'7-,Parcel Declaration parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 - Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $/ 7. �1l:.$ /'. <>r NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0� ELECTRICAL No. @ FEE -- PERMIT FILING FEE $3.00 OC, Main service incl. 1 meter _ . Q C Additional meters, each 1.00 Sub -panel (12 OF -I' se s) (more than 12) /, Ci Single Family 0, Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b I12 ° Receps., switches & fix outlets 20025 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 5. C)� .r ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ % f MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ,r 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 the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ e I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 X na*o f '�! I'� TOTAL PERMIT FEE This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do'work indicated above for which fees have been paid. DIRECTOR OFPUBLICWORKS _r Signature of Permitee or Agent By. _� C t t pate - / Receipt No. % r �- 4r�-,: `r Buildin ermit ex ires Date White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant g p p " COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drivc dtoville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT t �n$t e o J?ptayi�ee-�ogen'��l.�i�d` Qi' /� •vW �i'Date / ... Receipt No. T h ¢e / �* White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant gotk1=9 permit expires Date./O— 2—__7 _7 BUILDING Owner sVdti�� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. A' Fireplace Contractor (� Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address I Z 3Z - PLUMBING No. @ FEE PERMIT FILING FEE $3.00 , 0 Each Trap 1.50 J l//Repair CO le. �(/U- iC D �G.{7D0 drainage or vent piping 1.50 ater piping 1.50 IS -0 Fo2�s' D A C EST /3/I(C O I ach gas er heater or vent 1.50 ,,rr�� A. P. No. 3 °' (J '� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 So Each additional outlet .30 F W Sao Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ , Q -.c (j Z' NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 '!K. Qp S PZ V I-)7 R )Arc.Main service incl. 1 mVer 3 • U-6 �� -- Additional meters, e_z6h 1.00 Sub -panel (12 o ss) (more than 12) - Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1'.00 Water Heater or Space Heater 1.00 Light fixtures bol�2 F Receps., switches & fix outlets bal , n CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter, 9, Div. 3, of the State of California "Business & Professions Code under the name style of: r Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ST co am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating - Cooling Ventilation Hood 2.0+0— .00California. Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. t'x/ ^rnabove t =�r~` V& Date 75 TOTAL PERMIT FEE J This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated for which fees have been paid.X `_S ECTOR Ze; * C WORKS �n$t e o J?ptayi�ee-�ogen'��l.�i�d` Qi' /� •vW �i'Date / ... Receipt No. T h ¢e / �* White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant gotk1=9 permit expires Date./O— 2—__7 _7 NAME, ADDRESS, AND TELEPHONE NUMBER OF ATTORNEY(S) • Timothy.M. Kelleher Goodman .House 1362 The Esplanade Chico, CA 95926 -Tel: 345-1396 L E �. 197 � 5 CLARK A. NELSON, Coun+y Clei a• v _ > - SUPERIOR COURT OF CALIFORNIA, COUNTY OF BUTTE •'` , ~" In the Matter of the CASE NUMBER C'Onservatorshlp of P 21313 ,K,r ;.{ a DEPT. N0. 1 ORDER APPOINTINGr°. . '•� Andrew J. Stohr 't t • CONSERVATOR 1. (Sec. 1751 Probate Code) Conservatee r E ff. r Honorable ......�...............................................................�.�..; ...i.s....-......ti.........!................................. �tl ge presiding Date of.l earing:.ke.br.u.dry...2.1......19.7.5.... ¢ r _ - •k. _ .. .... .. ............. .............. , ......................... Yh * \norncv aiiearl,n for �et.itioncr � '��.�tA.tkl. I`�. �{ellehe�...: r, t.t,l•1.{ ( ) .L I,. g . I (s) ........ y.... .. ...... ................. � 3••1M`i ' �i_,t• '�`i r' „�,a�•. ,• a,�� ,�,'ti •I.•xy'�,;3 I lie Petition of ........ Timo.thy....M...... Ke.l.leher.. ............................... ...... fora ointment of � �' '.9,?no.tk� Nl.....1Ce.11.eher. PP .M .....+....... y........................'.'...............,............................................ as conservator of kc�t.e............ of.....:....Andr.ew...J.....S.tr�hr.......................................:........�..... .....I ................... i. i r1� cmisenatce, came on Icgularlv,for hearing the ctl)o\,e date. Aftcr examining the petition and hearing CV1Jc11cc and it being shown to the satisfaction of the court that saidK*�� `x Andrew J. Stohr is not able to attend in court at this hearing,, thc,.�cilurt finJ,_-i, 1.11 it''ittict of t-ime,and"place of hcaring has been given as rehired by laly' that the fact' t` t t ,,... ., a,leged 1n said Petltlon are true, that will ... Ait.d.rew... J....S.tohrJ....Stohr ................................................................... � . 1sF`tin{ll)le una„istcd to talc care (if; his self rir,':his "ProPcrt)', and grants said petition as follot�.s: ............. ........... It is Ordcred, Adlitdgc(I awd Decreed that.....•Timothy,,.M.,....Kel•leher.. ... 1p •;, �t . + r) r =,r} 1.....:......... ................................. perch)' al'Polnted conservator of the •r. p.e.z.S.QXl...til.�....eSir�te............:... l = Andrew i7. ...top ... . of .....,;.,�:.....................:.,...1,...t..,:,.T...............:.•......t'.,.a..�...., said t_t;h�.crvatec, and that letters of . • c0ny.�crrvartuorslj11JpV-be V'1:. titicd a ccurdiyngylyjrXvii�yf1�X•XXv�X,(�Vxygjc� tygctr�R{x�'XXX,,{��{X��{�X7X7X,`��.XrX�X4y7�s�}x�hp���x.KL)4)4mLxxk •�x,MIX lig. +l•rr 11 •`, ir1JL1l4YIC1l,�Y6{l1XM.G [1XA[1X11 XX. fiXfT.f��?'U/Yll K Ml[`�Y31di1�L►l�j Y►i1�XxxtlYIiMxx-A11Y11S�L1Y�(l.fC1f11AlldiftltN l01I1( kWlL {`�F ' ,£did'vv},xtXIXXtXI�Xi�£XIXS�XX'XX$XIYk���Xllf�i��itXc3�XX�bX and that. bond is ,not required. r Dated:February 21, 1975 t. •: , ` }It i {, i `1'rE �..`!' �. 1. ''' ••' � �•.� .It's. I „ {�� •1:.. 1� �, �`.jt -�' irry !.+',fit . •.•, .. :: •• �. ',.. �-.4 '"t• it ,o`er, 1, In where applicable: person, estate or person and estate. //��t/1��� .; ......... .. .........00..".:..... ... loser! either; "it herlr� shown fu the salrs/rrclron nj Ibc cunrl ... +, tbat the said ( uruue ) is mut able In alteilel in court al /his IUl1gC Of it �l r ilii' . ;x',, --bearing," or "the said ( name ) herog /,reseal." 1 ll ,rill() or more may gine joint bond. ; t.o,. e• ,. ;r: i ct (Sec. 1802 1'roba r Cade) r ORDER APPOINTING CONSERVATOR 03 760692E—(11ev. 4.69)- Cdb 7-7:1 i r ow O'e o(w -S f I.- re- bivl9 j Cl., U1C.G. �.'l.a Nl� l�/rl a, - m cvh(`e ��vtNiS �OwerS O e.�vllero eJ i3 IW5 3751-„$7 (nerl��( 2e�G,',. / Po/Lwood �sse,- io 0-76 6 4-s-81 \ µ. a y •� t � ,i�'¢t � 4, 'fie. /69d \ 96 FFZ 000s� l��D E'9'069 Q ZZ absF' O J (b O Q m h� 0 O � O, • N J� zk N a h ca w Q Q N O rr,^� z9Y99 T vJ O 005 9 Q a O Q -- --- Oi - CN 4p`S Z* o0 099 (0 r CS ^� O I ° ot- CIO i a o v (,, \ 00'B/ 6 m 0 O--- \ � to M ct Z Ax v� 00,00? h 90 9F6AO .46 Z crbl Mandatory Measures Checklist: Residential MF -1 R NOTE: Lownse 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. DESCRIPTION �' DESIGNER ENFORCEMENT Building Envelope Measures • §150(a): Minimum R-19 ceiling insulation. §150(b): Loose fill insulation manufacturer's labeled R -Value. • §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). • §150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. §150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 permlinch. §118: Insulation specified or installed meets California Energy Commission quality standards. Indicate type and form. §116-17: Fenestration Products, Exterior Doors and InfiltrationtExfiltration 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(9): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(f): Special infiltration barrier installed to comply with §151 meets Commission quality standards. §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 j c. Flue damper and control I 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110.13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. §150(i): Setback thermostat on all applicable heating systems. §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 intenorrextenor 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°F insulated. 5. Piping insulated between heating source and indirect hot water tank • §150(m): Ducts and Fans 1. Ducts constructed. installed and seated to comply with UMC Sections 1002 and 1004: duan insulated to a minimum instatted value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems nave backdraft or automatic dampers 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible. manually operated campers.. §114: Pool and Spa Heating Systems and Equipment 1. System is certifies with 78% thermal efficiency, on -oil switch, weatherproof operating instructions. no electric resistance neatind and no pilot light 2. System is instailea with: a. At least 36' ctpe oetween filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system nas a recconai inlets ano a circulation pump time switch. §115: Gas-fired central turnace. pool heater• spa neater or household cooing appliance have no continuously burin priot light. (Exception: Non-eiecincal cooking appliance with pilot < 150 Btwhr.) Ughting Measures §I50(k): 40lumenswan or Preater for general lighting in kitchens and rooms with water closets: and recessed ceiling fixtures iC (insulation coven approved. COMPUANCE STATEMENT This certificate of compliance lists the building features and performance specifications ations needed to comptywith Title 24, Parts 1 and 6, or the Cal forma Code of Regulations, and the administrafive regulations to implement them. 11his 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 (pw Buslneee a Profeselons code) Documentation Author. Name: Name: Title/Firm: Tidellcirm: Address: Address: Telephone: Telephone: Lic. 8: (� nature) 9 date) (signature) (data) Enforcement Agency Name: `I Tide: I Agency. Telephone: r (signaturerstamp) (date) Certificate of Compliance: Residential Climate Zone 11 B UUXING SHELL INSULATION Component Insulation LocadoliXomme.-tts' Type R -Value (amc, to orae, 'dal, em) Roof ............. Roof............. Wall .............. . Wall ............ . Floor ............: Floor ............ . _ Slab Edge....: FENESTRATION - Shading Devices -f=enestration Area Type Interior Exterior Overhang Framing Type Orientation (single, double) binetc) hade=enetc.) ) (metalhvood) North ' L r r North ( ) i East_ ( ) �; 7 I East ( ) South South West ( ) I f West ( ) Skylight....... -4— _ TIiERMAL MASS Type/Covering Area Thickness ' (slab/exposed, tile. etc.) (cif) (inches) Loeation/Descriotion (kitchen, bath, etc.) �.. 61 HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Heat Pump coffi�n//ditioner. heai pump) (AFuli, SEER.HSPF) (attic. etc.) R -Value Thermostat Tyne Cpl i t or nil ice A9 \VD - IIOT NVATER SYSTEMS Tank'� V Ql alue System Type (storage gas. e(c.) Capacity Number Ener Fact-,oX9Fit, Tank Tn.-g- SPECIAL FEATURES/REMARKS Point System Summary: Climate Zone 11 Point Scores 1. Ceiling Insulation or 7. Fenestration Heat Gain % Fenes"'on SCshade open Eff. % Fenes. Shade Elf. Ratti North r :;' (eX East S, , r x = South 6.3 _ X _ West 1 x = k S Skylight �_ x = Q Overhangs? ( Y / N ) 8. Interior Thermal Mass or X Exp. Slab (201 Int Mass/CFA 9. Exterior Wail Mass 10. Heating System 11. Cooling System Ext Wad h" /,/ x _ AFUE or HSPF- Duct Effic- (1 story: Effeettve AFUE [78% or 6.81 0.83; 2+ story: 0.881 or HSPF X SEER (10.0[ Duct Effic. (1 story: Effective SEER 0.81; 2+ story: 0.871 12. Water Heating System 1 S C Heater Type Energy Factor (SG50] 10.531 System 2 Heater Type (None) Energy Fedor 1. Ceiling Insulation R -value 1381 U -value [0.020] 2. Wall Insulation ' One or Tfiiae� R, -Value (191 • U -value (0.065] 3. Raised Floor Insulation -27 or -5 R, -value 1191 U -value (0.0371 4. Slab Edge Insulation -1 or 0 R -value (01 F2 factor 10.751 5. Infiltration Any Ducts in Unconditioned Space? ( Y / N) (YJ S. Fenestration Heat Loss Number of stones .61 R -value Type LF -Value (0.651 Total % Fenes. 1161 7. Fenestration Heat Gain % Fenes"'on SCshade open Eff. % Fenes. Shade Elf. Ratti North r :;' (eX East S, , r x = South 6.3 _ X _ West 1 x = k S Skylight �_ x = Q Overhangs? ( Y / N ) 8. Interior Thermal Mass or X Exp. Slab (201 Int Mass/CFA 9. Exterior Wail Mass 10. Heating System 11. Cooling System Ext Wad h" /,/ x _ AFUE or HSPF- Duct Effic- (1 story: Effeettve AFUE [78% or 6.81 0.83; 2+ story: 0.881 or HSPF X SEER (10.0[ Duct Effic. (1 story: Effective SEER 0.81; 2+ story: 0.871 12. Water Heating System 1 S C Heater Type Energy Factor (SG50] 10.531 System 2 Heater Type (None) Energy Fedor 1. Ceiling Insulation R-0 Number of stones -43 R -value One Two Tfiiae� R-0 -74 -48 -27 R-19 -5 d -2 R-30 -1 -1 0 R-38 0 0 0 2. Wall Insulation .71 Number of stones .61 R -value Single Single• R-0 -14 -9 Family Family MuW- . R-0 -72 -57 -43 R-11 -7 -0 -4 R-13 -5 d -3 R-15 -4 -3 -2 R-19 0 0 0 R-21 1 1 1 3. Raised Floor Insulation 1.01 .91 Itlsulation in Floor .76 .71 Number of stones .61 R -value One Two Three R-0 -14 -9 -5 R-11 -3 •2 -1 R-19 0 0 0 R-30 2 1 to Ext Ins. R -value Auxiliary Input (121 [None) 0 a Sum 1-6 Zonal Control Adjustment (OJ Zonal.Cortnd Adjustment 101 �s 71D Distribution [STD] Ext Ins. R -value Auwliary Input Distribution 4. Slab Edge Insulation 6. Fenestration Heat Loss Point Total: 0 Sum 7-9 _Q S. Infiltration (Duct Air Leakage) Ducts in Unconditioned Space 0 No Ducts in Un=Cfftoned Space 3 North Number of Stones East R -value One Two Thn R-0 0 0 0 R-5 6 4 2 R-7 7 4 2 6. Fenestration Heat Loss Point Total: 0 Sum 7-9 _Q S. Infiltration (Duct Air Leakage) Ducts in Unconditioned Space 0 No Ducts in Un=Cfftoned Space 3 7. Fenestration Heat Gain (based on shade Effectiveness Rano) Eft North -4 ' .3 East -21 South -15 West 1.3 -Value Skylight % .87 .67 ,52 .51 .87 .67 .52 .51 .87 .67 52 Total 1.31 1.21 1.11 1.01 .91 .81 .76 .71 .66 .61 .56 .51 .46 .41 .36 .35 Percent or to to to to to to to to to to to to to to or Fenestration more 130 1.20 1.10 1.00 .90 .80 .75 70 65 .60 55 .50 45 40 less 501/0 -100 -76 -69 -62 -55 48 -41 -38 -34 -31 -27 -24 -20 -17 -13 -10 401. -77 -58 -52 -47 -41 -36 -30 -27 -25 -22 -19 -16 -13 -11 -8 -5 35% , -66 49 -44 -39 -34 -29 -25 -22 -20 -17 -15 -12 -10 -7 -5 -3 Uri. -54 -40 -36 -31 -27 -23 -19 -17 -15 -13 -11 -8 -6 -4 -2 0 28Y. -50 -36 -32 -28 -25 -21 -17 -15 -13 -11 -9 -1 -5 -3 -1 1 261/- -45 -33 -29 -25 -22 -18 -14 -13 -11 -9 -7 -5 -4 -2 0 2 . 24% -41 -29 -26 -22 .-19 --16 -12 -11 -9 -7 •6 -4 -2 -1. -1 3 221. -36 -25 -22 -19 -16 -13 -10 3 -7 -5 -4 -2 -1- 1 2 4 20% -31 -22 -19 -16 -13 -11 -8 -6 -5 -4 -2 -1 1 2 3 5 18% -27 -18 -16 -13 -11 -8 -6 -1 -3 -2. -1 1 2 3 4 6 16% -22 -14 -12 -10 -8 -6 -3 -2 -1 0 1 2 3 4 6 7 14% -18 -11 -9 -7 -5 -3 -1 0 1 2 3 4 5 6 7 8 12% -13 -7 -6 -4 -2 -1 1 2 3 4 4 5 6 7 8 9 10% -8 -1 -2 .1 1 2 3 4 5 5 6 7 8 8 9 10 8% -t 0 1 2 3 4 6 6 7 7 8 8 9 9 10 11 7. Fenestration Heat Gain (based on shade Effectiveness Rano) Eft North -4 ' .3 East -21 South -15 West -26 Skylight % .87 .67 ,52 .51 .87 .67 .52 .51 .87 .67 52 .51 .87 .67 S2 .51 .67 .66 Fen- or to to or or to to or or to to or or to to or or or estra- more .86 .66 less more .86 .66 less more .86 .66 less more .86 .66 less more lass eon -13 -11 -8 -16 •14 -10 -7 -26 -23 181. -5 -4 ' .3 -2 -21 -20 -15 •12 -26 -23 -16 -12 •36 -32 -23 -16 -75 -50 16% -4 -4 .2 -1 -18 -16 -13 -10 -21 -19 •13 -9 -31 -27 -19 -14 -65 l4 14% -4 -3 .2 -1 -14 -13 -11 -8 -16 •14 -10 -7 -26 -23 -16 -11 -55 -38 12% -3 -2 -1 -1 -11 -10 -8 .6 -12 -10 -7 -4 -21 -18 -13 -8 46 -31 11% -2 -2 -1 0 -10 -9 -7 -6 -10 -8 -5 -3 -19 •16 -11 -7 .41 •28 101. -2 -2 -t 0 -8 4 -6 -5 -0 •7 1 -2 -16 •14 -9 -6 •37 -25 9% '-2 •1 -1 0 -7 -7 •5 .4 -6 •5 -3 •1 •14 .-12 -8 -5 -32 -22 8% -1 -1 -1 0 -6 •5 •4 -4 d .4 -2 0 -11 -10 -6 -4 -28 -19 71Y. -1 -1 0 - 0 -5 -4 -4 -3 -3 -3 -1 0 -10 3 -5 -3 •24 -17 6% •1 -1 0 0 -4 -4 -3 -2 -2 -2 -1 0 -8 -7 -4 -2 -20 •14 5% -1 0 0 0 -3 -3 -2 -2 -2 d 0 0 -6 •5 -3 -1 -16 -12 4% 0 0 0 0 -2 (D-1 -1 -1 -1 0 1 -4 -4 -2 0 -12 -10 3%0 5 100% 0 0 •1 -1 -1 0 0 0 0 1 •2 •2 0 1 -9 -7 2% 0 0 0 1 0 0 0 0 0 0 1 1 0 0 1 2 -6 -5 1% 1 1 1 1 1 1 1 1 0 0 0 0 1 1 2 2 -3 -2 0% 1 1 1 1 1 1 1 1 0 0 0 0 3 3 3 3 0 0 8. Interior Thermal Mass Housn with Ducts (R-4.2) Exterior Method A (Slabon-grade Construction Only) Percent One Family Two Three Exposed Ston -24 to Stones Stories 0 0 -3 3 -2 2 -1 10 5 -2 0.60 -1 8 -1 20 12 0 7 0 14 0 30 1.20 1 13 1 1.40 1 40 11 3 21 2 13 1 50 18 4 2.00 3 19 2 60 1. 5 0 3 7.4 2 70 4 6 2 4 1 2 80 7.6 8 7 5 4 3 90 95% 9 8.0 6 9 3 100 4 10 100% 6 8.5 4 11 9 Method B 2 16 or Int Effective AFUE or HSPF Slab Roar Raised Floor Mass (AFUE or HSPF x duct tdflalemcy) Stories Effective - Stones /CFA One Two Three One Two Three 0.0 -11 -8 -0 -1 -1 0 0.1 -10 -7 -0 0 0 0 0.3 -9 -6 -5 1 1 1 0.5 3 •5 -4 2 2 2 1.0 -6 3 -1 4 4 5 1.5 -4 -1 1 6 6 6 2.0 -2 2 4 8 8 8 Z5 1 3 5 9 9 9 3.0 3 '6 - 5 11 10 10 4.0 4 6 7 13 13 13 5.0 4 6 8 14 14 14 &0 5 7 9 15 15 15 7.0 7 8 10 16 16 16 8.0 8 9 11 18 17 17 9. Exterior Wall Thermal Mass Housn with Ducts (R-4.2) Exterior Single- Single- Multi Wall Family Family Family Mass Detached Attacned -24 to 0.00 0 0 0 0.20 3 3 2 0.40 7 5 4 0.60 9 8 6 0.80 12 10 7 1.00 14 12 9 1.20 17 13 10 1.40 18 14 11 1.60 21 17 13 1.80 23 18 14 2.00 24 19 14 10. Heating -System Housn with Ducts (R-4.2) 1000 SEER titan to Sum of Houses With Ducts (R42) 1499 30 Split Pc(tg -25 or -24 to -14 to -4 to Sum of 1-0 AC AC Gas Split Pkg -25 -24 -14 -4 +6 16 AFUE HP HP or to to to to or - HSPF HSPF less -15 -5 +5 +15 more 78% 6.8 6.6 0 0 0 0 0 0 801. 7.0 6.8 1 1 1 1. 0 0 85% 7.4 7.2. 5 4 3 2 2 1 90% 7.8 7.6 8 7 5 4 3 1 95% 8.3 8.0 11 9 7 5 4 2 100% 8.7 8.5 13 11 9 7 4 '' 2 16 or AC Effective AFUE or HSPF less -15 .5 (AFUE or HSPF x duct tdflalemcy) +15- Effective - 1 Sum of 1.6 0.73 -6 Gas Split Pkg -25 -24 -14 -4 +6 16 AFUE HP HP or to to to to or -7 HSPF NSPF less -15 -5 - +5 +15 more One Story House -1 0 0 0 0 0 33% Z9 Z8 -02- -53 -44 -34 -25 -16 401. 3.5 3.4 -40 -34 -28 -22 -16 40 501. 4.4 4.2 -19 -16 -13 -10 -7 -5 60% 5.2 5.1 -4 -4 -3 -2 -2 -1 64% 5.6 5.4 0 0 0 0 0 0 70% 6.1 5.9 6 5 4 3 2 1 80% 7.0 6.8 13 11 9 7 5 3 90% 7.8 7.6 19 16 13 11 8 5 100% 8.7 8.5 24 20 17 13 10 6 Two or Three Story House -3 0 7.0 6.8 -11 33% 2.9 Z8 a •58 -48 -37 -26 -15 401/6 3.5 3.4 46 -39 -32 -24 -17 -10 50% 4.4 4.2 -24 -20 -16 -13 -9 -5 60% 5.2 5.1 -9 -8 -0 -5 -3 -2 69% 6.0 5.8 0 0 0 0 0 0 701. 6.1 5.9 1 1 1 1 0 0 80% 7.0 6.8 9 8 6 5 3 2 90Y. 7.8 7.6 15 13 10 8 6 3 100% 8.7 8.5 20 17 14 11 8 4 Zonal Control Adjustment System Type Resistance 6 4 3 2 1 0 Other 3 3 2 1- 1 0 11. Cooling System - Housn with Ducts (R-4.2) 1000 SEER titan to Sum of 7-9 1499 30 Split Pc(tg -25 or -24 to -14 to -4 to .6 to 16 Of AC AC less -15 -5 +5 .15 more 10.0 9.7 0 0 0 0 10 0 11.0 10.7 4 3 2' 2 ` 1 0 12.0 11.6 8 6 5 3 1 0 13.0 12.6 11 9 6 4 2 0 14.0 13.6 13 11 8 5 2 0 15.0 14.6 16 12 9 6 2 0 IE All Effective SEER -21 -12 (SEER x duct efflriency) 6-11,13,15 1.80 Eft SEER 7 S -5 -1 Sum of 7.9 Two Wats Heaters - No Attbilary Credits Split Pdtg -25 or -24 to -14 to -4 to +6 to 16 or AC AC less -15 .5 +5 +15- more One Story House 1 0.73 -6 5.0 4.9 -29 -23 -17 -11 -4 0 6.0 5.8 -16 •13 -9 -6 -2 0 7.0 6.8 -7 -6 -4 -3 •1 0 &0 7.8 -1 0 0 0 0 0 8.1 7.9 0 0 0 0 0 0 9.0 8.7 5 4 3 2 1 0 10.0 9.7 9 7. 5 3 1 -0 11.0 10.7 12 10 7 4 2 0 12.0 11.6 15 12 9 6 2 0 13.0 1Z6 18 14 10 6 3 0 14.0 13.6 20 16 11 7 3 0 15.0 14.6 22 17 12 8 3 0 Two or Three Story House 5.0 4.9 -35 -27 -20 •13 -5 0 6.0 5.8 -21 -17 -12 3 -3 0 7.0 6.8 -11 A -7 -4 -2 0 8.0 7.8 -4 -3 •2 -1 -1 0 8.7 8.4 0 0 0 0 0 0 9.0 8.7 2 1 1 1 0 0 10.0 9.7 6 5 4 2 1 0 11.0 10.7 10 8 6 4 1 0 12.0 11.6 13 10 7 5 2 0 13.0 12.6 16 12 9 6 2 0 14.0 13.6 18 14 10 6 3 0 15.0 14.6 20 16 11 7 3 0 Adjustment for No Tato[ Immtanoo Number of Water Heaers Waver Heater Tyne One Two SG50 -2 -5 SG75 -3 4i SE -5 -4 HP -2 -4 Have Stat Adjustment House Size (h� subttxal Inas 1000 Water tleamtg titan to Pont Scare 1000 1499 30 47 -5 -25 -14 a -20 -11 -3 -15 -9 •3 -10 -6 •2 - -5 3 •1 0 0 0 5 3 1 10 5 2 15 9 3 20 11 3 25 14 4 House Stm Adjustment SG50 All House Sae (ftp Subtotal ism 2000 Water Hating to or Pont Sears 1999 mom 30 0 3 -25 0 2 •20 0 2 -15 0 1 -10 0 t .5 0 0 p 0 0 5 b 0 10 0 1 15 0 •1 20 0 •2 25 -0 •2 Zonal Control Adjustment A8 6 5 4 2 1 0 17- Water Heating One Water Hester - No AttZM07 credits DhtnOuton Syttlate2 RASlratmu Water CLmatta Energy STD HWR Pipe No Timer Dane Heater Tvoe1 • Imes F -r Pou Insul O1 SG50 All am 0 3 1 -0 -5 0 0.63 5 8 6 -4 0 5 0.73 8 11 9 0 4 8 SG75 AN 0.48 .2 1 -1 -12 -7 -2 038 3 6 5 -5 -1 4 am 7 10 8 -1 3 7 SE N 0.87 -20 -12 -17 -41 32 -19 0.93 -17 -0 -13 38 .28 -18 IG, N am 2 5 3 IE All 093 -21 -12 HP 6-11,13,15 1.80 4 7 S -5 -1 4 Two Wats Heaters - No Attbilary Credits SG50 All am -7 .4 -0 -17 -12 -7 0.63 1 5 3 d 1 1 0.73 -6 10 8 -2 2 7 SG75 All 0.48 -12 -4 -11 -22 -17 -12 0.58 •1 3 0 41 -6 -1 0.68 a 9 7 1 1 6 SE At 0.87 -22 44 -19 44 -35 -22 0.93 -16 -7 -12 -39 -28 -15 :G AA 0.80 .4 -1 3 1E At 0.93 -21 -12 HP r-11.13.15 1.80 -1 3 1 -10 •6 0