HomeMy WebLinkAbout063-190-014063'-19-0-0@t- 0 lq
TER!I BALLINGER
SPECIAL INSPECTION -08-10
11/13/98
ADDITION W/O PERMITS
11/22/98
BZOOMER,, Dennis 730-67B�-
-- 613-67E
n/s Schott Rd. 400' w.* of Hwy.! wY •., 32, Porept.
(reroof & repairs)
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N&ES _ RESIDENTIAL �T �
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t� 1063-190-003 00-2457
PERMIT NO. — TERI BALLINGER'
t 4891 kHOTT ROAD, FOREST RANCH
CONTR`. NORTHSTAR ENGINEERING
SPECIAL1INSPECTION # 98-10
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SPECIAL CONDITIONS
CHECKED
BY
-- SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
x
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) /0 _ R
Signature V
r
_'OK
0 = Not OK
- = It:otApplicable MOBILE HOMES
= Not React
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
1.
Zoning Requirements -Setbacks -Easements
2.
2.
Soils; Special MH Support Sketch
I
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
4.
Water; Location -Test -Easement Needed (Sketch)
5.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ PLPG
7.
7.
Well Clearance & Disconnect
8.
8.
Utility Clearance
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
Date
Ext.; Steps -Doors -Landings
Card B-1 Date Card B-1
Date
Braced Wall Panels
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Date
1.
Zoning Requirements -Setbacks -Easements
Date
2.
Footings; Size -Spacing -Marriage Line
Date
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
-
9.
Tie Downs -Type -Installation Can.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
12.
Permanent Foundation Only; License Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
FA
\ t
DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
{
I
R
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining )_
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosure s-Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
2
i
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection jndicates that the following violations of butte county Ordinances exist at the
above address should be corrected. Please notice this office when correction of work is
completed. you have any questions pertaining to this matter, or need additional explanation,
please 106tact this office immediately.
er-
t. INTER -DEPARTMENTAL MEMORANDUM
i
TO: BUILDING DIVISI , OROVILLE
FROM: ,nom! , ENVIR. HEALTH, CHICO
DATE: 11A21q1zW
RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR:
OWNER NAME: iC`' SEPTIC: WELL:
AP#: 665-17() - Ov,DDRESS/LOCATION: W/
Comments:
GL/memos/releaseho I d
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 00-2457
ASSESSOR PARCEL NUMBER 063-190-003
ZONING
BUILDING PERMIT
OWNER
TERM BALLINGER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
400 R 1
. OWNERS MAILING ADDRESS
A.O. Box 372 FOREST RANCH CA 95942-037
CONTRACTOR'S NAME
Owner_
TELEPHONET.,
ST 2,040,
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $ 26,700.
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 265.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 172.29
BUILDING ADDRESS
NORTHSTAR .ENGINEERING
Energy Plan Checking Fee $ 23.00
$
4891 SCHOTT ROAD FOREST RANCH
PERMIT FEE $ 480.25
LOT NO.
SUBDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap 41 7.00 28.00
USEOFSTRUCTURE
SF JU Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater 23.00
Water piping 15.00 15.00
Each gas water heater or vent 15.00 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 3',E: SPECIAL •LIS .CTT Oi'1 u -q,9 -1 (7
Gas piping system 1 - 5 outlets 15.00 19.00
Building sewer 15.00 15.00
Mobile Home I S I G I WE- Ca20.00
PERMIT FEE t 108.00
ELECTRICAL PERMIT Fling Fee 20.00
600VOR LESS
Main Service zo.A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWER
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
I am exempt under Sec. Business and Professions Code for this
reason
Mein Service To 46.00
WEE200A
CCU000A
NEW CONST. DWELLING OCCUP. S0 -14.00
OR ADDNS. ( 8 ACO. BEDS. 3.5QFT. 14 . o0
NpµH6,UT. MULTI -OUTLET 97,50
APPARATUS
8 SINGLE OUTLET CIR.
20 O I.50
Ex. Occup. OUTLET OR FIXTURES BAL @ .so
LNS
Ex. Occup. oFlxur tTs(RRESS,6.oEA. 5.00
Temporary Service 23.00 23.00
Mobile Home Facilities 20.00 �.
Misc. Wirina 23.00
L
PERMIT FEE $ ro 0
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
Of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X ___ Date W -0'j -�
5 nature of Appli6ant - 0r Contractor ❑ Agent
An OSHA permit is required for vations over 5'0" deep and demolition or construction
res over 3 stories in he ht.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
Occ
CONST. TYPE
TOTAL FEE $ 6o . 255
Z.
D. FEES P
FLOOD CDF CEL
PD H ISPE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By f Dat �'J(1
PERMIT EXPIRES ON
ate
o. 250976
tce.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
sC /�fiL// '^ ��
r / v �'� � E.M. USE ONLY
l Plot Plan Attached
Floor Plan Attached
Sent to S.D. !
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
sc- �o�i C�l� � -19 1903
Owner Location AP#
Plan Approved for: Sewage Disposal X— //Water`f Su
Clearance forLL4dwelling. Other AMT �tBril
oldnal for
rance O.K. for:
NOTE:
Public Private Well
/�i6Z l//qAZD
Environments Health Specie ist Date
8/96
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourielf as' the builder of
property improvements specified. '
For your protection, you should be aware that as "owner -builder" you are 'the responsible party of record
on such a permit. Building permits are not required to be . signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than, yoursel>� -you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you_ plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection -
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are•not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (arid, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an'"ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sinchrel
Michail C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information.is required by Section 19830 of the California Health and Safety Code.
OVER
Attention Property Owner:
An "owner -builder" rbuddmg' permit has been applied for in your name and bearing your
.signature.n-;! s_ ..
Please complete and return, this: information at .?your • earliest soppoFtunity, . to avoid
unnecessaryrdelay 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
roposed property. improvement: YES[,.. NO[ ].
2 HAVE[A HAVE NOT[' . ] signed an application for z building permit for the
proposed work.
3. -I - have' contracted with . the r following person (firm) to provide -?the , proposed
construction:
IZM. rj I
ADDRESS:' CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired ,the following person to
coordinate, supervise, and provide the major work:
NAME: '
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (lured) the following persons to
provide the work indicated: =
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
SOCIAL SECURITY NUMBER:
DATE: l 1— O '�r'O b
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before .
we are permitted to issue the permit.
OVER
Teri Ballinger
APN: 063-190-003
/11. Verify water suupply and sewage disposal from EH
/2'. Provide drawings and calculations to show structural integrity of existing log cabin and
addition. Plans and calcs shall include structures ability to resist code required gravity and
lateral loads.
A. Verify wood burning stove and chimney is installed in accordance with listing and
manufacturers instructions. '
' 4. Verify adequacy of electrical wiring. (Scott - use standard text for this)
V5. Provide a minimum of two 20 amp small appliance branch circuits in kitchen.
�/6. All receptacles within 6 feet,of kitchen sink shall be GFCI protected.
7. Verify adequacy of plumbing vents, piping, and fixtures. (Scott - use standard text for
this)
18. Properly install PTR line to exterior at water heater. Properly secure water heater to
prevent movement.
/9. Provide proper landing at T-0" entry door.
J10. Provide building setback to adjacent cut slop or provide engineer design slope stability.
Jl1. Provide compliance with PRC 4290 standards.
Submit plans and apply for permits...........
Rc SC— PLAT -t W s c J
5Tk1DAfb 5PE • I N s P
Fold A --r,
BALLINGR. WPD
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d.
Environmental Health
FEB 0 9 2000.
Chico, CA
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F,
—
If
VIOLATION CHECK LIST
A.P. # 063-19-0-003 Address 4891 SCHOTT ROAD, FOREST RANCH
Owner TERI BALLINGER
Owner's Address P 0 BOX 372, FOREST RANCH CA 95942
Owner's Phone No. 343-3716 Supervisoral District
Tenant's Name Phone No.
Type of Violation in Detail with Code Section Priority No. 1
ADDITION TO SINGLE FAMILY -RESIDENCE W/O PERMITS
Specific Plot Plan with C/V Noted _yes no Penalties Required
1st. Notice Sent
a e
Comments and/or Determination
oma. ,w- P.
2nd. Notice Sent
ate
/151011
4
Disposition For Citation Citation
gate (Date)
Department Recommendation to Court
Court Action
Notice of Violation Recorded
(Date)
January 13, 2000
BEAUTY'
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE a OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
Teri Ballinger
P. 0. Box 372
Forest Ranch, CA 95942
RE: Building Code Violation A.P. #063-19-0-003
4891 Schott Road, Forest Ranch
Dear Ms. Ballinger:
This is a formal warning notice. Pursuant to Butte County Code (BCC)
Section 41-2, we sent you a courtesy notice dated December 9, 1999
notifying you that you are in violation of the (BCC) at the
above -referenced location. As of this date, the following violations
still exist.
Failure to obtain the required permits, inspections and approvals
from this office for construction of an addition to single family
residence in violation of the provision of the 1994 Uniform Building
Code and Sections 17922 and 18941.5 of the California Health and
Safety Codes as follows:
(a) Section 106.1 Permits Required
(b) Section 108.1 Inspections Required
(c) Section 108.4 Inspection Approval Required Before Use or
Occupancy
The above violation(s) shall be corrected or abated by you by submitting
three (3) complete sets of plans, applying for the required permits, and
paying the appropriate fees, including penalties. After permit issuance
and field authorization to proceed, the work must be completed and approved
by this office within.the permit specified time.
This is your final warning. Unless you contact this office and make the
proper arrangements to correct or abate the violation(s) voluntarily,
within ten 10 days from the date of this letter, enforcement shall be
pursued through the issuance of a citation (ordering you to appear in
court) for said violation(s) and for failing to comply with this warning
letter.
Letter to Teri Banger
Page 2
January 13, 2000
RE: Building Code Viola* A.P. #063-19-0-003
Upon conviction of said violation(s) or of failing to comply with this
letter, the court shall impose penalties (fines) and a Notice of Violation
shall be recorded in accordance with Butte County Code Section 41-7.
The Notice of Violation shall include a description of the premise the
violation concerns., a description of the violation, the date of 'your
conviction and the action necessary to correct or abate the violation(s).
Should you have any questions concerning this matter, please contact
Scott Rutherford in this office at the address or telephone number listed
above.
S' ely,
Micha 1 C. V eira, C.B.O.
Manager, Building Division
MCV:dms
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PROOF OF SERVICE BMAIL
I am over the age of 18 and not a party of this cause. I am a resident of and employed in
the county where the mailing occurred . My business address is:
Building Division
Department of Development Services
7 County Center Drive
Oroville, CA 95965
I served the foregoing
by enclosing a true copy in a sealed envelope and depositing said envelope in the United States
mail with postage prepaid on 13TH. OF JANUARY. 2000.` and addressed as follows:
TERI BALLINGER
P.O. BOX 372
FOREST RANCH, CA '95942
I declare under penalty of perjury under the laws of the State of California that the
foregoing is true and correct and that this declaration was executed on 1/13/2000
at OROVILLE , California.
A" -'j "
Donna Sperling
Office Assistant III
December 9, 1999
ufte co,
L A N D O F NATURAL WEALTH A N D B E A U T Y
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
Teri Ballinger
P.O. Box 372
Forest Ranch, CA 95942
RE: Building Code Violation A.P. #063-19-0-003
4891 Schott Road, Forest Ranch
Dear Ms. Ballinger:
This is a courtesy notice to notify you that you are in violation of the
Butte County Code, as follows, at the above referenced location.
Failure to obtain the required permits, inspections and approvals
from this office for construction of an adition to single family
residence. Failure to comply with Special Inspection letter dated
11/13/98.
Since permits and inspections are required for the above work, submit
three (3) complete sets of plans, apply for the required permits, and
pay the appropriate fees. All work must stop until these permits are
issued and you are authorized by our field inspector to proceed. The
field authorization cannot be made until the existing work is inspected
and approved.
It is the County's goal to obtain voluntary compliance with the Butte
County Code. However, you should be advised that Butte County has an
active Code Enforcement Program which provides an effective means of
enforcement if voluntary compliance is not obtained. Enforcement may
be pursued through the issuance of citations, fines and the recording
of a Notice of Violation including a description of the action necessary
to abate the violation.
You have thirty (30). days to voluntarily comply with the above directions
or to present an acceptable plan for abatement or corrective actions to
be taken by you. Should you have any questions concerning this matter,
please contact Scott Rutherford in this office at the address or telephone
number listed above.
S• cerely,
Mic ael C. Vieira, C.B.O.
Man ger, Building Inspection
MCV:dms
cc: Assessor
�K
IAND OF NATURAL WEALTH AND BEAUTY
R
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
November 13, 1998
RE: Special Inspection # 98-10
A.P. # 063-190-003
Teri Ballinger
P.O. Box 372
Forest Ranch, CA 95942
Dear Ms. Ballinger,
With reference to the above subject and your request for inspection of the remodel, repairs,
and other construction performed on an existing single family dwelling at 4891 Schott Road, in
Forest Ranch, the inspection was made during the week of November 2, 1998.
The construction was done without permits and inspections from this office, so we were not
able to perform the required inspections during construction. We therefore made a reasonable
visual inspection, without going on the roof, under the building, or in the attic and found the
work appears to conform to the intent of code requirements, with the exception of the
following items which must be completed or resolved:
1. Provide Environmental Health Department clearance and approval.
2. Provide drawings and calculations to show the structural integrity of the existing log
cabin and addition. Plans and calcs shall include the structures ability to resist code
required gravity and lateral loads, and verification that the entire structural system is
adequate including the foundation and anchorage, floor, wall, and roof systems.
3. Verify that the wood burning stove and chimney are installed in accordance with listing
and manufacturers instructions.
4. Provide verification that the entire electrical system is properly installed including
bonding and grounding at the service and receptacles, bonding of interior metal piping,
spacing of receptacles, two 20 amp small appliance branch circuits in the kitchen,
G.FC.I. protection where required, and wire and breaker size.
1
5. Provide a conforming water heater installation including seismic anchorage, and
pressure -temperature -relief valve and discharge line to the exterior.
6. Provide a conforming plumbing system per code including all plumbing vents and
drains, piping, and fixtures.
7. Provide proper landing at 3'-0" entry door.
8. Provide building setback to adjacent cut slope or provide engineered design to verify
slope stability.
9. Comply with Public Resources Code 4290.
10. Comply with any items identified during plan check.
Inspection by the County of Butte does not act as a guarantee or warranty as to the internal
soundness of said remodel and repairs.
It is now in order for you to submit complete plans in triplicate to this office including plot
plans; foundation plans, floor plans and structural details, apply for the required permits, and
pay the appropriate fees.
The permits must be obtained prior to any work being done, and the above listed items
completed within thirty (30) days of the date of this letter.
Should you have any questions concerning this matter, please contact Michael Vieira or Scott
Rutherford of this office at the address or phone number listed above.
Sincerely,
Scott Rutherford
Chief Building Inspector
Ballinger/S.I. 98-10 2
Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 6512; Jun -7-00 1:46PM; Page 1
�BU7TE COU.NTYDEPARTMENT OF PUBLIC HEALTH
DIVISION OF EN�IRONNTAL HEALTH
P.O. BOX 5364 (.411 MAIN STREET), CWCO, CA 95927
(530) 891.2727, FAX (530) 895-6512
FAX COVER SHEET
FROM: CSL
DATE:;" �'l) NUMBER OF PAGES L (including this one)
TO:
CO/DEPT.
PHONE:(* ] FAX
Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 6512; Jun-7-00 1:.46PM; Page 2
BUTTE.:COUNTY .DIVISION OF EW11RONMENTAL Ht;AL'I* i
r •
_ [TFST FOR SERVICE
Clearance
septic Destruction .water Sampley'
Plan Check Other
- »3a3aaa��a3aS as �c�aasaoo yaam�s==smote-=9s���ss�.s�;-�==c=c _�c�c>>=cam
PLEASE PRINT DATE 67
SITE LOCATION
OWNER PHON FAX-
MAILING
AX-MAILING ADDRESSo CITY/ZIP
T
APPLICANT .S PHONE FAX
ADDRESS r1 CITY/ZIP
DATE
FEE:
REC .
'CLEARANCE/PROJECT DESCRIPTION:
COPY T0: CO. BLDG. DEPT. CITY �DLDG.•DEPT.. OTHER _
}
}
Sent By: BUTTE CO ENVIRONMENTALHEALTH;
June 2, 2000
Teri Ballinger
P0Box 372
Forest Ranch, CA 95942
530 895 6512;
Jun -7-00 1:46PM; Page 3/5
411 Mein Streel
F� 7 County Center Drive
Oroville, CA 95965
Saffe, fount
IANDnF
NA TURA( '•r. EA
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
18-8 County Center Drive
411 Mein Streel
F� 7 County Center Drive
Oroville, CA 95965
P.O. Banc 5364
Orovllle, CA 95963
TEL: (530) 538-7282
Chico, CA 95927
TEL. (530) 538-7281
FAX: (530) 538-2165
TEL: (sea) 891-2727
FAX: (530) SM -770
FAX: (830) 895-6512
RE: Water Sample Results, 4891 Schott Rd., Forest Ranch; AFN 063-190-003
Dear Ms. Ballinger:
The sample taken by me from your water supply pipe on May 23, 2000, indicated the presence of fecal
coliform. The results of thetest are attached. The presence of fecal material in drinking water is, of course,
unsatisfactory. We recommend that you boil all water for consumption until this situation is resolved.
In order to have the well approved by this Department, you need to provide the following well characterization
information: well depth, static water level, water yield, casing size and depth, and well location relative to
property boundaries, C/L ofSchott Road, and nearby drainage course. Additionally, once the information is
accepted, two (2) consecutive satisfactory water test results are now required from your well. You may take the
first sample yourself. When a satisfactory result is obtained, we will take the second water test upon receipt of
the required $49.00 fee, a guest, and a copy of your test results.
We recommend you thoroughly clean your well in accordance.with the attached information sheet. Then after
the chlorine has dissipated, take your test sample. Please be sure the chlorine has dissipated completely or you
may obtain a false satisfactory result causing you to waste your money by having us take a sample without the
well actually being properly cleaned first.
If you have any questions, please contact the Chico otlrice.listed above between 8:00 a.m. and 9:00 a.m-.
Monday through Friday.
Sincerely,
Tom Loushine. E.H.S.
Division of Environmental Health
TUdd/weWballinger
Enclosure
Sent By: BUTTE CO-ENVIRONMENTALHEALTH.; 530 895 6512; Jun -7-00 1:47PM; Page 4/5
Butte County
Department of Public Health + W A T E R &XVWXY allh
Pu4rsynr nnd'Address A ,MAY 2 4 2000
Sampling Poipl w �� Source Chico; Calif ,
collected By : Dare and Hour Colloc+od Bottle Cao Nuenbar
T o,.i La hr.,� , L8 5-z.3 -oa /o %4S
ANALYSIS DESIRED +
r - X-Or:nk;ng Water • ❑ Sewage D Raw Sur(oce t
TYPE OF(Any Saurcel Waren L_J CoNform I 1 Focal CoNform
SAMPLE:❑ SPC >rColll.i
:.TDihor (Spaclfy) ..__._._ � -
REPORT
TO:
r Remarks:
' RESULTS '
COLI FORM/100ml '
❑ MPH ilYerra,�, R,e
❑ MF
FE IFO /lODmlhLQ
u N � j' d
IMPORTANT MESSAGE ( t
p ' Time—D to Taken By
IFor .,- � .
❑ TelephonedPlease call .,
❑ Wants to see you ❑ Will call again
❑ Returned your call ❑ URGENT 4 ,
❑ Was here to see you
Post -it' telephone message pad 7662
IMPORTANT MESSAGE
ti
t j
- i
Time—Date Taken Taken By 1 '
t For
1
s
i
r!
r
ra
❑ TelephonedPlease call .,
❑ Wants to see you ❑ Will call again
❑ Returned your call ❑ URGENT 4 ,
❑ Was here to see you
Post -it' telephone message pad 7662
IMPORTANT MESSAGE
ti
t j
- i
Time—Date Taken Taken By 1 '
t For
1
s
❑ Telephoned ❑ Please call
❑ Wants to see you ❑ Will call again
❑ Returned your call ❑ URGENT
❑ Was here to see you
Post -it" to phone message pad 7662
a
i
❑ Telephoned ❑ Please call
❑ Wants to see you ❑ Will call again
❑ Returned your call ❑ URGENT
❑ Was here to see you
Post -it" to phone message pad 7662
a
_
r
❑ Telephoned ❑ Please call
❑ Wants to see you ❑ Will call again
❑ Returned your call ❑ URGENT
❑ Was here to see you
Post -it" to phone message pad 7662
a
Sent By: BUTTE CO EEN`VIRRONMENTALHEALTH;
May 30, 2000
Teri Ballinger
P.O. Box 372
Forest Ranch, CA 95942
Dear Ms. Ballinger.
530 895 6512; Jun -7-00 1:47PM;
V__l1 _ 11
_
Page 5/5
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
1318•B County Center Drive0411 Main Street 7 County Center Rive
Oroviile, CA 959135 vv��11 P.O. Boot 5384 Oraville, CA 95965
TEL (S30) 638-7282 Chioo, CA 95927 TEL: (530) 638-7281
FAX: (530) 538-2165 TEL: (530) 891-2727 FAK (530) 538.7785
FAX: (530) 895.6512
The application which yoiu recently submitted to this depanment.to approve a previously constructed
sewage disposal system tin the property located at 4891 Schott Road, Forest Ranch, Aft 063-190-003,
has been reviewed. A permit cannot be issued at this time for the following reason(s).
1. Unacceptable 1Aach Field.
a. One leach line was found to rise seven inches (7") over a thirty-foot length.
b. One leach line was found to drop four inches (4') over a fifteen -foot length. (allowable
leach line slope is 0" —1" downward over a 25' length).
C. The two leach lines are positioned at less than the required minimum ten -foot separation
between lines.
d. The leach field lies in an excavated "cut", the soil.being of questionable percolation.
e. The leach field lies within thirty feet of a 14' drop (the required setback is 4 times the
height of -the drop, i.e., 56 feet).
During the site inspection; it was felt that the westerly part of the parcel could possibly provide an
acceptable leach field location. It would be necessary to pump the septic tank eluent to this area. A
standard 100' leach line would be adequate for the existing dwelling. Please submit (2) plot plans
indicating the proposed location for the leach lines and include a designated leachline replacement area.
If you have any questions; please contact me at the Chico office listed above between 8 and 9am,
Monday through Friday.
Sincerely,
Tom Loushine, E.H.S.
Division of Environmental Health
TUgVscptic/cants/4991 schott
I
rid
SEND PAYMENT TO:
P-0. Box 1281
Chico, CA 95927
f•w Wierry 01. aaaa roster mo. 110 rrdIKUI OL.
Chico, CA 95928 Paradise, CA 95969 Orland, CA 95963
(530)343-7934 (530)877-9300 (530)865-9839
Fax (530) 343-0141 Fax (530) 877-5712 Fax
(530) 865-5297
BAR i AD124495 BAR 8 AD124496 BAR 8 AB170972 ®
WO )r — I -C a T— C4 E" r-
State Contractors Lic. 8424495
W 1051186
ACCOUNT
AGENT - :
PURCHASE i.:
0'�—IS-221021
NO:: ? +
CAS!•I
NU, v
ORDER [d0
18aB0
CUSTOMER STATE TAX OR EXEMPT N0.
CUSTOMER FEDERAL TAX I.D. N0.
ADV. CODE
SALESMAN I.D.
ORDER TAKEN BY
INSTALLED BY
FEDERAL TAX I.D. NO.
AMY/RV
32/RV 94-3
BILL TO: SOLD TO:
TERI BALLINGER
4891 SCHOTT ROAD
FOREST RANCH, CA 95942
Hm:893-1204
INSURANCE-•• OF •
INSURANCE CO. POLICY NO.
INSURANCE CO.
PHONE NO. CLAIM NO.
CAUSE &
POLICY NAME LOSS LOCATION
AGENT NAME f VERIFIED BY
AGENT PHONE DATE OF LOSS
DEDUCTIBLE +
T
%•
VEHICLE INFORMATION
M�Ai( rODEL, v YEAR" aid DOORS"?5
Ei3=z
OD METER
L(CyFNSE°°
1/EHICLE�
I
Qty Description
a Sell Tota?
1 15 3/8 x 23 3/4 -- 1/8 P516 OBSCURE GLASS -
TEMPERED
-x
17.75 1?. 75
.1 14i 21 --- 1/8 P`,16. OBSCURE GLASS - TEM �EPED
14.124. 14.24
Dt Description
'LABOR
Sell Total
75.00'
TO INSTALL
75.&1
Comments
INSTALL DATE 9/25/02
UTO GLASS = fvHRR aRS ± L;rti E tVN0, 01 1 GLASS y STORE FRONTS
ALi?f'{ NNUP4 SASH = SHOI.IJER %DORS • W1,14901JUS AND SCREENS 10c A1.1 KINDS
a `11;yW �"` Y'{'!'IM.'i U+W
..
'^Y'"V•'
44R.
` AUTHORIZATION TO PAY
I hereby authorize and empower the above-named insurance company to pay this invoice in full settlement,
satisfaction and discharge of all loss under the above policy. Upon such payment, all rights I may have for
claim and demand for loss and damage described above against the above named insurance company shall be
S r -t b t O t al 1 12215. Si 9
thereby forever discharged. In the event that the above-named insurance company does not make timely and/
7. 25% Tax 2.
or full payment of this invoice according to its terms, I hereby accept responsibility for such payment and agree
**'L.E SS DEPO S I T -x. 55. 010 -
to pay all charges reflected on this invoice to the above-named glass company subject to and according to all
terms and conditions on this invoice.
TERMS: NET 30 DAYS, SERVICE CHARGE OF Vh% PER MONTH (18% PER ANNUM) WILL BE CHARGED ON OVERDUE ACCOUNTS.
TERMS
-k y�¢_ ,�fr��4 ���u�
•;eta"' Via% F�..°'l1+`!•:r';k'
• f Cash 54.31
N
C—k
ENGINEERING
Civil Engineers • Planners • Surveyors
TRANSMITTAL SHEET
TO: FROM:
Teri Ballinger
COMPANY: DATE:
ADDRESS:
PROJECT:
Forest Ranch
Remodel of Existing Residence
9/3/02 9:45
JOB NUMBER: 6459
TRANSMITTING THE FOLLOWING:
❑ URGENT ❑ FOR REVIEW ❑ PLEASE COMMENT ❑ PLEASE REPLY 0 PLEASE RECYCLE
NOTES / COMMENTS:
The two 1 3/4"x5 1/2" Microllam nailed into an existing 4x6 beam, as shown on the plans and
calculations, may be substituted with two 2x6 Douglas Fir Select Structural. The nailing into the existing
4x6 beam shall be as previously specified on the plans and calculations, two rows of 16d nails at 12" o.c.
with 2" from each edge.
Jeff Richelieu
20 DECLARATION DRIVE
CHICO, CALIFORNIA 959.73_
530-893-1600
_ FAX -893-2113
,;P
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
84t u�4r::e' �p .
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 notice this office when correction of work is
mpleted. If you have any questions pertaining to this matter, or need additional explanation,
I se contact this office immediately.
i 6 EX75r 0 G' w c,� �7�.
LAS W 1AJne-c�
PIU-1f3ER 7f71-7
TO' aA11F - FW A-03. CODC- .
A?;ov40Y foe
September 17, 2002
Attn: Michael Vierira
County Building Division
7 County Center Rd.
GhJCO Oroville, CA 95965
8gg"9009.
Re: Permit No. 00-2457, Terri Ballanger, 4891' Schott Rd., Forest Ranch.
Ma s��11e
Dear Mr. Vierira:
63.8086 I inspected the plumbing at Ms. Ballanger's home today. Most of the plumbing
was inaccessible. It was either in the walls or under the floor with no access.
However, I also interviewed Ms. Ballanger to determine what she knew was in
the walls and how the plumbing systi3m has been functioning. Here are my
�rOvx\\e 6 findings and assumptions.
534345
The water lines appear to be adequately sized for the home and were secure.
No rattling was detected and the water flow was adequate to the fixtures. The
water heater was previously inspected by you and Ms. Ballanger installed the
pa,Cadxse required seismic bracing. We installed the required temperature and pressure
8?i _9009 relief line to the outside. The fixtures all have emergency shut off valves and
there is access,to the shut off valves under the tub. It is reasonable to conclude
that the unseen water lines would meet code requirements.
�(uba Gtt The drain and vent lines are less visible than the water lines. Based on the
(0-7 but adequate functioning of the system it is reasonable to assume they are correct,
but this can not be confirmed. Ms. Ballanger knew that the toilet vent goes
through the half wall adjacent to the toilet. The wall is extended up to the ceiling
in one spot to accommodate this vent. The vent is visible as it exits the roof as
two inch ABS pipe. It is Ms. Ballanger's understanding that the vents for the
kitchen sink, tub and lavatory all connect to this vent in the ceiling. If so, the two
inch vent is adequate to handle the 9 fixture units in the house. A two inch vent
can handle up to 24 fixture units. The two inch vent does not equal the cross
sectional area of the three inch building drain, but it is most likely adequate for
the few fixtures in this home. The fixtures are correctly connected to the drain
P.O. Box 7907 lines with 0 -traps.
Chico, CA 95927
Fax. (530) 893-4787
Lic. # 627760
r
In summary, the plumbing has been working satisfactorily up to this point. The
G .ICO visible water lines meet code requirements and it is reasonable to assume the
$99.3()09 covered pipes do as well. The waste and drain lines are more difficult to
assess, but their proper functioning is some evidence that they are correct.
There is a 2" vent exiting the roof and the other fixtures are most likely connected
Ma sv i1\e
to it.
6$Q$6 If you have additional questions or need clarification please give me a call.
S. ce el ,
�Cpv1\\e
534.3456 actor i e c
Note: This letter documents a professional opinion as to whether the plumbing
pafad`Se system in this home meets code requirements. It is not intended to be an
$77.3()09 evaluation of the condition of the plumbing fixtures or the quality of the plumbing
installation. No warranty is implied or provided with regards to the condition of
the plumbing system.
Yuba Get
6
P.O. Box 7907
Chico, CA 95927
Fax. (530) 893-4787
Lic. # 627760
BILL TO
DATED 1.-7
1
U Z
NAME
JOB LOCATION
'�•• r
OCCUPANT'S M�
ADDRE$b
Rgo P.O.. BOX 7907•
STREET
�//�/y/•�l�
STATE CP G?5
0P2_
M 2 -
.
CONTACT
HOME PHONE
/ Z
WORK PHONE
Job No 2 V 6 3 CODE
•; -yJOB PHONE
—� 1 -888 -321 -ABLE (2253)
DESCRIPTION OF WORK;, r = TASK# AMOUNT
AZU
LA
c .1 r rn ;� .v-2CQ' v C.
1
t l
c) r
iri Lc-) — Z. y`5
Able Plumbing is fully licensed and insured. Contractors are required by law to be licensed and regulated by the Contractors State License Board. Any questions concerning a contractor
may be referred to the registrar of the board whose address is: Contractors State License Board, 9835 Goeth Road. Sacramento, CA 95826; P.O. Box 26000, Sacramento. CA 95826. V G 7o
WORK AUTHORIZATION ; ' • • • • • ' •
I hereby authorize the work described above and agree to the terms and Q, Paid Q Cash Q Visa Q Master Card ❑ Discover. Q Check`
conditions as stated on both sides of this form. Irecognize that aged and Special Notes:
deteriorated plumbing fixtures, piping, and appurtenances may no longer
be serviceable, and I agree to hold Able Plumbing Company blameless for' `= Check No. CDL/Ruth.#
any damage or destruction to those items as a result of these convendonal �l ) _
repair efforts. I agree to pay for all work goods, and services received, t, ; CC# ' �� U p. Date•/
and hereby,funher authorize Able Plumbing to bill any of my credit ca(d(�)J
for the goods and/or services being provided, and, and I agree to pe rnj ;.; Service Tech..Signature.
the�obligations set forth in the applicable card holder agreement with ipe ,_
credit card uses A service charge of i i/29ru per month (i sero per annum) I herebyeknowledge the satisfactory completion of the above Described
Will be charged on all balances 30 days or more past due. '_ work. The Technicli6 has left my home as clean or cleanerthan he or she
REMOVE
"LEAVE found'it.' ' '
SCRAP Q SCRAP
__,....__...., - ......<. _._. _ Signature:
SIGNATURE X V V Y U I /
License No. 627760
JOB LOCATION
'�•• r
OCCUPANT'S M�
Rgo P.O.. BOX 7907•
STREET
;; Ago.
d� Chico, CA . 95 27 '
M 2 -
CITY
•; -yJOB PHONE
—� 1 -888 -321 -ABLE (2253)
DESCRIPTION OF WORK;, r = TASK# AMOUNT
AZU
LA
c .1 r rn ;� .v-2CQ' v C.
1
t l
c) r
iri Lc-) — Z. y`5
Able Plumbing is fully licensed and insured. Contractors are required by law to be licensed and regulated by the Contractors State License Board. Any questions concerning a contractor
may be referred to the registrar of the board whose address is: Contractors State License Board, 9835 Goeth Road. Sacramento, CA 95826; P.O. Box 26000, Sacramento. CA 95826. V G 7o
WORK AUTHORIZATION ; ' • • • • • ' •
I hereby authorize the work described above and agree to the terms and Q, Paid Q Cash Q Visa Q Master Card ❑ Discover. Q Check`
conditions as stated on both sides of this form. Irecognize that aged and Special Notes:
deteriorated plumbing fixtures, piping, and appurtenances may no longer
be serviceable, and I agree to hold Able Plumbing Company blameless for' `= Check No. CDL/Ruth.#
any damage or destruction to those items as a result of these convendonal �l ) _
repair efforts. I agree to pay for all work goods, and services received, t, ; CC# ' �� U p. Date•/
and hereby,funher authorize Able Plumbing to bill any of my credit ca(d(�)J
for the goods and/or services being provided, and, and I agree to pe rnj ;.; Service Tech..Signature.
the�obligations set forth in the applicable card holder agreement with ipe ,_
credit card uses A service charge of i i/29ru per month (i sero per annum) I herebyeknowledge the satisfactory completion of the above Described
Will be charged on all balances 30 days or more past due. '_ work. The Technicli6 has left my home as clean or cleanerthan he or she
REMOVE
"LEAVE found'it.' ' '
SCRAP Q SCRAP
__,....__...., - ......<. _._. _ Signature:
SIGNATURE X V V Y U I /
r
744 Cherry St. 5999 Foster Fid. 116 Walker St.
Chico, CA 95928 Paradise, CA 95969 Orland, CA 95963 tttt�
(530) 343-7934 (530) 877-9300 (530) 865 9839
Fax (530) 343-0141 Fax (530) 877-5712 Fax (530) 865-5297
>tate Contractors Lic.1424495 BAR / AD124495 BAR 1 AD124496 BAR / AB170972
nAiOu r?,. CASH � pM epROil ,. a �'�- i 6-Q►>'�E
CUSTOMER STATE TAX OR EXEMPT N0. I CUSTOMER FEDERAL TAX I.O. N0. JADV.CODE JSALESKW.D. ORDER TAKEN BY INSTALLED BY
BILL TO:
TERI BALLINGER
4991 SCHOTT ROAD
FOREST RANCH, CA 95942
Hm:893-1204
AKY/RV
SOLD TO:
INSURANCE CO. POLICY NO.
INSURANCE CO.
PHONE N0. CLAIM N0.
CAUSE &
POLICY NAME LOSS LOCATION
SEND PAYMENT TO:
P.O. Box 1281
Chico, CA 95927
W o k -k or -d *--;r_
W 1051185
FEDERAL TAX I.D. NO.
94-2321237
AGENT NAME VERIFIED BY
AGENT PHONE DATE OF LOSS DEDUCTIBLE
1 15 3/8 x 2 3!4 -- 1/8 P516 OBSCURE GLASS-
TEMPERED 17.7 17.7`,
1 14 x 21 -- 1!8 P516. OBSCURE GLASS - TEVIPERED 16.24. 14. c4
I
Ioty Description Sell Total
1 LABOR TO INSTALL 75.00 15.00
Comments
INS;TAt_L DATE 9/25/02
AUTHORIZATION TO PAY
I hereby authorize and empower the above-named insurance company to pay this invoice in full settlement,
satisfaction and discharge of all loss under the above policy. Upon such payment, all rights 1 may have for
claim and demand for loss and damage described above against the above named insurance company shall be S I_l b t Off' -Al 10 G, . Sl 9
thereby forever discharged. In the event that the above-named Insurance company does not make timely and/ '25 •i
T
or full payment of this invoice accordingto its terms, I herebyaccept responsibilityfor such payment and agree f*L�jS D�PIOSIT�x 55 - 017
to pay all charges reflected on this invoice to the above-named glass company subject to and according to all
terms and conditions on this Invoice. TERMS
TERMS: NET 30 DAYS, SERVICE CHARGE OF 1'/.% PER MONTH (1e% PER ANNUM) WILL BE CHARGED ON OVERDUE ACCOUNTS.
• Cash 54. 31
• ...,` :,��..,f�/eek_.luT.�t;."r?!;��fw-s�4`S��`'�� _ f��$"�*?C�.
_ l
• 1
NorthStar
ENGINEERING
Civil Engineers • Planners • Surveyors
TRANSMIT 1 AL SHEET
TO: FROM:
Teri Ballinger
COMPANY: DATE:
9/3/02 9:45
ADDRESS: JOB NUMBER: 6459
Forest Ranch
PROJECT: TRANSMITTING THE FOLLOWING:
Remodel of Existing Residence
[—]URGENT ❑ FOR REVIEW ❑ PLEASE COMMENT ❑ PLEASE REPLY - Q PLEASE RECYCLE
NOTES/COMMENTS:
The two 1 3/4"x5 1/2" Microllam nailed into an existing 4x6 beam, as shown on the plans and
calculations, may be substituted with two 2x6 Douglas Fir Select Structural. The nailing into the existing
4x6 beam shall be as previously specified on the plans and calculations, two rows of 16d nails at 12" o.c
with 2" from each edge.
Jeff Richelieu
_.. _... ...... ......... ._...... _.......
20 DECLARATION DRIVE
CHICO, CALIFORNIA 95973
530-893-1600
FAX -893-2113
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
f A-t�t,r��� DO • � 57
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 notice this office when correction of work is
mpI ted. If you have any questions pertaining to this matter, or need additional explanation,
I se contact :his office immediately.
(T; P�y�D Pssu,e-Ery mer1/fy7
r-4 eyTEtuoz-
PrzoyjV 6 cE7T6�- File M gv14u r-1 OD
P/ u�-1F3ER 7Ifit-7 PlPl Af s Y S7c9,-i s rnA�-
56w E D/SFAS 9-1L
C! Allr - PWA-1",6-CO DG
m7'oyo * /- '� lV 'E�s doe.
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
84u.WG61e,, 40.2¢ 57
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 notice 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.
, )'oc�c &lS. e'56 -r— D e7 � '4//
7 P 111P6 P ssu imp ,eeuery`zvT
i 6 1! I(7&U 0
P011126 cE77E1z- rizo tit quAu r-� dD
PWAJL5Pl�'i� s s chi s
TO Ce DG .
4uvei 1-4 doe.
F/NA�1,
l
GhjC0
8gg"
9009
Ma S��\\e
67 3-8086
0rovi\\e
534"3456
Pa�ad�se
9009.
YU�a,0t
0 3"8086
Attn: Michael Vierira
County Building Division
7 County Center Rd.
Oroville, CA 95965
September 17, 2002
Re: Permit No. 00-2457, Terri Ballanger, 4891 Schott Rd., Forest Ranch.
Dear Mr. Vierira:
I inspected the plumbing at Ms. Ballanger's home today. Most of the plumbing
was inaccessible. It was either in the walls or under the floor with no access.
However, I also interviewed Ms. Ballanger to determine what she knew was in
the walls and how the plumbing system has been functioning. Here are my
findings and assumptions.
The .water lines appear to be adequately sized for the home and were secure.
No rattling was detected and the water flow was adequate to the fixtures. The
water heater was previously inspected by you'and Ms. Ballanger installed the
required seismic bracing. We installed the^required temperature and pressure
relief line to the outside. The fixtures all have emergency shut off valves and
there is access to the shut off valves under the tub. It is reasonable to conclude
that the unseen water lines would meet code requirements.
The drain and vent lines are less visible than the water lines. Based on the
adequate functioning of the system it is reasonable to assume they are correct,
but this can not be confirmed. Mss Ballanger knew that the toilet vent goes
through the half wall adjacent to the toilet. The wall_ is extended up to the. ceiling
in one spot to accommodate this vent. The vent is visible as it exits the roof as
two inch ABS pipe. It is Ms. Ballanger's understanding that the vents for the
kitchen sink, tub and lavatory all connect to. this vent in the ceiling.; If so, the two
inch vent is adequate to handle the 9 fixture units in the house. A two inch vent
can handle up to 24 fixture units. The two,inch vent does not equal the cross
sectional area of the three inch building drain, but it is most likely adequate for
the few fixtures in this home. The fixtures are correctly connected to the drain
lines with p -traps.
P.O. Box 7907
Chico, CA 95927
Fax. (530) 893-4787
Lic. # 627760
In summary, the plumbing has been working satisfactorily up to this point. The
GhjG0 visible water lines meet code requirements and it is reasonable to assume the
$gg_gQO9 covered pipes do as well. The waste and drain lines are more difficult to
assess, but their proper functioning is some evidence that they are correct.
There is a 2" vent exiting the roof and the other fixtures are most likely connected
gv\11e to it.
Ma
If you have additional questions or need clarification please give me a call.
VS*ceel ,rovllle`534_3456 i e c
Note: This letter documents a professional, opinion as to whether the plumbing
parad,se system in. this home meets code requirements. It is not intended to be an
$�_ _gQOg evaluation of the condition of the plumbing fixtures or the_quality of the plumbing
installation. 'Nowar4 V.ranty is implied or provided with regards to the condition of
the plumbing system.`
Yuba Get
673"
8Q86
P.O. Box 7907
Chico, CA 95927
Fax. (530) 893-4787
Lic. # 627760
BILL T6 - ' ... -
I I)AIICf
NAME,TQ
OCCUPANT'St,(AME
ADDREr
CITY
cljy 'y STATE
CONTACT
HOME, PHONE WO , RK PHONE
J1111110 1%
License No. 627760
.j
P.O., Box 7907
Chico, CA 9S 27
1 -888-321 -ABLE.(2253)
jobNo. 23563
JOB LOCATION
CODE
OCCUPANT'St,(AME
STREET
CITY
JOB PHONE
%SK# "'AMOUNT
DESCRIPTION bFWORK-t-:�,
1-7- 7_A,
1 14
A
3
161 A
46.
vv\ -A
C)(
V
0
6C.)
Able Plumbing is fully licensed and insured. Contractors are required by law to be licensed and regulated by the Contractors State License Board. Any questions concerning a contractor
may be referred to the registrar of the board whose address is: Contractors State Lioense,Board, 9835 Goeth Road. Sacramento, CA 95826.,. P.O. Box 26000, Sacramento. CA 95826.
I .-- WORK AUTHORIZATION mom
er a e
I hereby authorize the work described above arid agree to the terms and'. Cl Paid C3 Cas"h::A Q Che6k
Q -Visa E) Mast rd ❑El Discov lr�
w
o �, : SpeciaT.Notes:
conditions is stated on both sides of this form. i'Fecognize that aged and �' . .. 1. ,
deteriorated�pluriibing fixtures, piping, and. appurtenances may no longer.),,
be serviceable, and I agree io'hold Able Plumbing Company blarneles� for'� E. Q CDL/AUtfi.#
-Cc# �P.
any damage or destruction t6 -those items as a result of these conventional
repair efforts. I agree to �o 1*:
.a pay for all work, goods, and services received;
and hereby,further authorize'Able Plumbing* to bill any of my credit ca(d(j) �-Serv,ce
for the goods and/or services being provided, and, and I agree fe cih.t i gn a t ullrg_:_l
to rm
th�obligati6ns set fort6fln the' applicable card holder agreement wri4e�,'
I hereby,;?d1knowl0ge the satisfactory completion of the abdve
credit card user.Aser4cect�irgeofl-11/20/0 per month (18%perannum. E. Described
°'., ':', work. fechnid"in" has left my home as clean or cleaner_tfi�66 he or she
on all balances 30 days or more past due.
will be charged o'
REMOVE E --dj LEAVE found,iu'�*
❑ SCRAP SCRAP
SIGNATURE X Y V V 9 U I
,1147MAV 1 6/99
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, California 95965
Telephoner 538-7541
APPLICATION FOR SPECIAL INSPECTION
Owner ! ERI 84-a-MaE A.P. No. 40(03_1%t9_,0,03
Mailing Address r" 0 19OX 37 Z Telephone No. (Y)
o�EsT Rev Cry
Aplicant TE -k/ 54111AICER Telephone No. 3q-3 ^371 % (W)
Mailing Address p- 0, 50/K 37Z M-AJCW XZ/O
Building Location L/$9 SGAIoTT leny_) /2/`t1V
i
I hereby request a special inspection of the following building:
1.
2.
3.
4.
Dwelling (if only a portion, specify)
Apartment House (if only a portion, specify)
Commercial (specify present occupancy)
Other (specify)
I am requesting a special inspection for the purpose of:
MM
3.
Moving the building.
Financing (specify agency)
Change of occupancy to
Case No.
4. Other (specify) gC"624>EG1
I hereby certify that I will obtain the necessary permits and make any necessary correc-
tions, alterations, or repairs required by the County of Butte, as a result of this inspec-
tion, to comply with building and housing code requirements. I also certify that prior
to the use or occupancy of this building, I'will complete the above required corrections,
alterations, or repairs, or, if the building is presently occupied, I will complete the
above, required corrections, alterations, or repairs within 30 days.
I certify that I have read this application and state the above information is correct
and hereby authorize representatives of the County of Butte to enter upon the above-
mentioned property for inspection purposes.
Signa re of Owner
Fee Paid $ /00,00
1st-DPW/2nd-Inspector/3rd-Applicant
Date /D -30 —?8
Receipt No. Z5-1104
�r
cj'�Gl ASL � iJS'PE �I �
�21��Y to =oo
. � ^ y F "^""� ..�, '.,i -tr'r"f.:-i..,.�`titY"M1"'�`xKt . � -.-„ �'i[-r.�.-. .MJ �r. +`�.. •<. i y. � � � - } •y...y.. z'.... .. .
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, OKoville, California 95965
Telephone: 538-7541
APPLICATION FOR SPECIAL INSPECTION
Owner TERI A. P. No. ®6i3-/ ya- 003
Mailing Address P 0 19OX 377—, Telephone No. 9%2 -
FOREST R4 -AJ %f
Applicant TEk/ 541-L1AJ ER Telephone No. 943'57/6, (W)
hhX , r rP.OT 1Y-,A)C14 Y,7 -lo
Mailing Address r` 0 . %gam 3 %� -d
Building Location Z/$9 SewOTT %eol+o 1Ed_9C97 /C/ CH
• i
-I hereby request a special inspection of the following building:
,1.
0 2.
3.
Dwelling (if only a portion, specify)
Apartment House
p (if only a -;`portion, specify)
Commercial (specify present occupancy)
�4. Other (specify) CX/s7(�cl� S�Ij.
I am requesting a special inspect`on"for the purpose.of:
1. Moving the building.
G0 ( 'l.I1..�
U2. Financing (specify agency) Case No.
3. Change of occupancy to
4. Othef (specify)
I hereby certify that I will obtain the necessary permits and make- any necessary correc-
tions, alte*, tions, or repairs required by the County of Butte, as a result of this inspec-
tion, to comply with building and housing code .requirements. I also certify that prior
to the use or occupancy of this building, I will complete the above required corrections,
alterations, or repairs', or, if the building is presently occupied, I will complete the
above required corrections, alterations, or repairs within 30 days.
I certify that I have read this -application and state the above information is correct
and hereby- authorize representatives of the, County of Butte to enter upon the above-
mentioned.property for inspection purposes.
0 unok, `�
Signature of Owner
Fee Paid $ /1%0.00
1st-DPW/2nd-Inspector/3rd-Applicant
Date /D
Receipt No. f5 / /04
I=
Cm4.51 N C-
77)
77) %) C)
ok1C 12{{070
AQP'. '10A
NORTHSTAR ENGINEERING
20 Declaration Drive
Chico, CA 95973
(530) 893-1600
FAX (530) 893-2113
STRUCTURAL CALCU`LAITIONS
PROJECT 13 A L.AiI N16-; 5�,A 1Z J�S 117 JOB NO. 6f
LOCAT ION f H OT T R-2 EOR. 5��T R A NG H DATE 2 Z
CODES: Uniform Building Code, 1994 Edition
RISC, Manual*tof Steel Construction, 9th Edition
ACI, Manual of Concrete Practice, 1988 Edition
AITC, Timber Construction Manual
MATERIALS: Concrete: f'c = 2500 psi @ 28 Days
Masonry: f'm = 1500 psi
Mortar: f'c = 1800 psi, Type "S"
Grout: f'c = 2500 psi @ 28 days
Steel Reinforcing: A-615 Grade 40 for #4 and smaller
A-615 Grade 60 for #5 and larger
Structural Steel: ASTM A-36
Steel Pipe: ASTM A53 Grade B
Steel Tubing: ASTM A500 Grade A or B
Machine Bolts, Anchor Bolts: ASTM A307 Grade A
Wood Connector,$: Simpson Strong -Tie or equal.
Wood: Struct Lt Framing, Joists & Planks: D.F. #2
Beams & Stringers, Posts & Timbers: D.F. #1
Plywood: A.P.A. Rated Sheathing, Grade CD,UBC Std 25=9
OR OSB of equal or,greater allowable stress
Glue -Lam Timber: ANSI/AITC A190.1-1992
Simple Spans: 24F -V4 Combination
Cantilevers: 24F -V8 Combination
LOADS: Roof Live Load psf Floor Live Load psf
Seismic Zone 3 Wind Speed: mph
Exposure: Method 2 used unless otherwise noted.
Allowable Soil Bearing : X500 psf-
ARE SPECIAL INSPECTIONS REQUIRED ? �I D
GENERAL: Any. structural or non-structural items that are not
specifically addressed in the following calculations and
or details are designed by others and are not the,
responsibility of NorthStar Engineering. Verification
of the soil conditions at the project site to determine
the expansion index or bearing capacity is by others.
Page 1 of �-
BY: JMR
NORTHSTAR ENGINEERING
2/3/99
20 DECLARATION DRIVE
JOB NO:
CHICO, CA 95973
PG. 2 OF L�
(530) 893-1600
PARTIAL LATERAL AND GRAVITY DESIGN FOR SINGLE FAMILY RESIDENCE
BASED ON THE 1994 UNIFORM BUILDING CODE.
GRAVITY LOADS:
ROOF: METAL ROOF
3.0
PSF
'
1/2" OSB OR PLYWD.
1.5
PSF
FRAMING
3.5
PSF
R-30 INSULATION
2.5
PSF
5/8" GYPSUM WALLBOARD
3.2
PSF
MISCELLANEOUS
1.3
PSF
DEAD LOAD
15.0
PSF
LIVE LOAD
55.0
PSF
,
•
TOTAL LOAD
70.0
PSF
LATERAL LOADS:
SEISMIC: .3 * 2.75 =.138W FOR LIGHT FRAMED
6 SHEARWALLS
WIND:. EXPOSURE - B METHOD 2'
WIND SPEED = 75 MPH
Cq 1.3'
DESIGN'
qs . 14.5 PSF
PRESSURE
Ce 0 - 15' 0.62 Cq*qs*Ce
=
0.0117
KSF
15'- 20' 0.67
=
0.0126
KSF
20'- 25' 0.72
=
0.0136
KSF
25'- 30' 0.76
=
0.0143
KSF
• _
30'- 40' 0.84
=
0.0158
KSF
BY: -11-1 Iz
DATE: Z I 011
JOB NO: (p 4.rj
NorthStar
ENGINEERING
20 DECLARATION DRIVE
CHICO, CALIFORNIA 95973
530-893-1600
PAGE 3 OF Civil Engineers* Planners *Surveyors FAX 530-893-2113
DISI G,tJ
r
SIDS oFLA r
P- TCl
I
t
Irl 1601 ct::71 12�j o. G. 2 ►2 O
i �
2-.
20lI x Zo"x 121 FTS.
co N�T. F T
BY: ti W—
hStar 20 DECLARATION DRIVE
DATE:..:? 19 CHICO, CALIFORNIA 95973
JOB NO: +f` ENGINEERING 530-893-1600
PAGE OF
/(_ Civil Engineers* Planners Surveyors FAX 530.893.2113
� `�
_7
'
41
y s x l o D. I' ►i_
FTGi 2�IKI...I.�
[l R
NORTHSTAR ENGINEERING
20 Declaration Drive
Chico, CA 95973
(530) 893-1600
FAX (530) 893-2113
'STRUCTURAL CALCU`LAITIONS
PROJECT 13 A LL,N�( Ci � i�J � � i1JG JOB NO. 0, 4-5 01
LOCATION CiG H CST T 1Z2 POR. �ST R A QC, H DATE 2,1S1
CODES: Uniform Building Code, 1994 Edition
AISC, Manual'tof Steel Construction, 9th Edition
ACI, Manual of Concrete Practice, 1988 Edition
RITC, Timber Construction Manual
MATERIALS: Concrete: f'c = 2500 psi @ 28 Days
Masonry: f'm = 1500 psi
Mortar: f'c = 1800 psi, Type "S"
Grout: f'c = 2500 psi @ 28 days
Steel Reinforcing: 'A-615 Grade 40 for #4 and smaller
A-615 Grade 60 for #5 and larger
Structural Steel: ASTM A-36
Steel Pipe: ASTM A53 Grade B
Steel Tubing: ASTM A500 Grade A or B
Machine Bolts; Anchor Bolts: ASTM A307 Grade A
Wood Connectors: Simpson Strong -Tie or -equal.
Wood: Struct Lt Framing, Joists & Planks: D.F. #2
Beams & Stringers, Posts & Timbers: D.F. #1
Plywood: A.P.A. Rated Sheathing, Grade CD,UBC Std 25-9
OR OSB of equal•or greater allowable stress
Glue -Lam Timber: ANSI/AITC A190.1-1992
Simple Spans: 24F -V4 Combination
Cantilevers: 24F -V8 Combination
LOADS: Roof Live Load: ��j psf Floor Live Load:�0 psf
Seismic Zone 3 Wind Speed: e�- mph
Exposure:_' Method 2 used unless otherwise noted.
Allowable Soil Bearing psf
-ARE SPECIAL INSPECTIONS REQUIRED ? ISI D
GENERAL: Any structural or non-structural items that are not
specifically addressed in the following calculations and
ordetails are designed by others and are not the
responsibility of NorthStar Engineering. . Verification
of the soil conditions at the project site to determine
the expansion index or bearing capacity is by others.
Page 1 of
M
BY: JMR
NORTHSTAR ENGINEERING
2/3/99
20 DECLARATION DRIVE
JOB NO:
CHICO, CA 95973
PG. 2 OF L--
(530) 893-1600
PARTIAL LATERAL AND
GRAVITY DESIGN FOR SINGLE FAMILY RESIDENCE
BASED ON THE 1994 UNIFORM
BUILDING CODE.
GRAVITY LOADS:
ROOF: METAL ROOF
3.0
PSF
1/2" OSB OR PLYWD.
1.5
PSF
FRAMING
3.5
PSF
R-30 INSULATION
2.5
PSF
5/8" GYPSUM WALLBOARD
3.2
PSF
MISCELLANEOUS
1.3
PSF
DEAD LOAD
15.0
PSF
LIVE LOAD
55.0
PSF
TOTAL LOAD
70.0
PSF
.LATERAL LOADS:
SEISMIC:' .3 * 2.75 =..138W FOR LIGHT FRAMED
6 SHEARWALLS
WIND: EXPOSURE - B METHOD 2
WIND SPEED = 75 MPH
Cq 1.3
DESIGN
qs 14.5 PSF
PRESSURE
Ce 0-151 0.62 Cq*qs*Ce
0.0117
KSF
15'- 20' 0.67
=
0.0126
KSF
20'- 25' 0.72
=
0.0136
KSF
25'- 30' 0.76
=
0.0143
KSF
30'- 40' 0.84
0.0158
KSF
M
BY: J �l r q �thStar 20 DECLARATION DRIVE
DATE: Z 011 CHICO, CALIFORNIA 95973
JOB NO: 44 1 ENGINEERING 530-893-1600
PAGE 3 OF ¢ Civil Engineers *Planners •Surveyors FAX 530-893-2113
Dee:-; I �tJ 1Z�oI✓ g�A�r! LOFT _
' uS 2 _ 13 j��l X ��2 I�. 1�1. I Ll-, To IFA.
SID o f 4xco
Gj.7 1-1_I G p o iA r
I
PT 61.
i 4 x w
N i
_131411 X�II211 V �� L��
I•.1
1601 12o. cam. Z k,;-,o�JS
2 19K i.�-= Z.s r 2
L � C.--, t 5-1
20�� x Zo.Ili 1=Tc
x I .
• Il -
_ L4z (Z " x 12-
BY: -i 'l I?
___Ah
tar 20 DECLARATION DRIVE
DATE:.. I CHICO, CALIFORNIA 95973
JOB NO: �p � ENGINEERING FAX 530-893-0
PAGE /i_ OF Civil Engineers • Planners• Surveyors
13
ys x to D. Li
FTS 2.I
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 4923 SCHOTT RD
Owner:
Permit No: B07-0738
APN: 063-190-004
A T& T
Issued Date: 04/09/2007 By KEJ
Permit type: MISCELLANEOUS
2540 CACTUS AVE
Subtype: Electric Panel
CHICO, CA 95973
Expiration Date: 04/08/2008
Description: -AT & T 100AMP POWER METER A
(530) 894-2537
Occupancy: Zoning: AR5
Contractor
Applicant:
Square Footage:
MGH ENTERPRISES INC
MGH ENTERPRISES INC
Building Garage Remdl/Addn
2540 CACTUS AVE
2540 CACTUS•AVE
CHICO, CA 95973
CHICO, CA 95973
Other Porch/Patio Total
(530) 894-2537
(530) 894-2537
FEE INFORMATION
DBA Permit Issuance $54.90
DBA Travel and Documentation $82.35
DBE Single Phase Service-Resid $55.00
Total Charged: $192.25 Fees Paid: $192.25
Balance Due: $0.00 Receipt No: B2551
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
MGH ENTERPRISES IYC SCAB? FrJ7
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
w for the following 7031.5), Business Professions city
reason (Sec. and Code: Any or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY A RM UNDE ENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencin rith Se io 000) of D'vision 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full fo a
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 04/09/2007
the applicant to a civil penalty of not more than five hundred dollars ($500];
Please check one of the following:
Contractor's Signature Date
❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
HAVE
the work himself or herself or through his or her own employees, provided that such improvements
❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
u Section
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Carrier: a'a a *may �"
% policy Number: /_Axp. Date: �
Contractors License Law.).
(This section need not b completed if the permit is or one hundred dollars ($100) ores—( s.)
-
❑ I AM EXEMPT under Section B. & P.C. for this reason:
❑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 Workers'
Compens on I cos of California, a gree that if I should become subject to the workers'
X 04/09/2007
compens tion provisions of Se 3700 of the La r Code, I shall forthwith comply with those
Owner's Signature Date
P's
X 04/09/2007
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signatufe Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
perty damage caused by, arising out of, or in any way connected with
injury, i lu g death,r.illl
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
the issue of this pereby acknowledge that issuance of this permit does not authorize the
use oro pancy of aalk, trees, orsubsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County t nter he ove men' ed property for inspection purposes. I hereby certify that I am the
pr° a d to act on the property owners behalf.
CONSTRUCTION LENDING AGENCY
/7f. ,6E:slc 04/09/2007
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner 0 Contractor OR; E]Agent for Owner ❑Agent for Contractor
FILE COPY
Lenders Address City State Zip
CONTRACT ADMINISTRATION CHICO
trrGVl ''t. - v' —..
14 0. 04:01p Butze Co Public Works 530 538.435E f+.l
-f'Ar egtf -66a3
pago I ort
UTILITY ENCROACHMENT PERMIT
CounTy of Butte Dcpartment of Public Work
7 County Ccata Thive Orovdle6 CA 95765
Phone: (530) 538-7681 Fax: (530) 539-4356
NOTIFY COUNTY 24 HOURS BEFORE WORK tS TO BE STARTED I
AD iafarwittloo a ewe ! tare n" be Med or itzibly pria" 1p
Appi6aa h: ' Jr+��dM Cae�►a• O UdUp 0ovydn Acme. 17 Cma+ew O omm: .
C44r
t>did Cvl..or N.00
Cf
uru rn
r .,.
g =
►!al to ono�Llel' -.._1, 5
v5 IS u) 4-T )T
H Aranc—Vcl:
" i 4T1��
CONWANY
�• ) tixc s45
�Z
adcellt c ❑Coom®r-�ValigC�y
DeQ
CO'n•'•r'�N®.
'
•
rwQ .. '
naaAOec '
Wows
r6RFORtAlED BY
❑ Yes ❑ No
1 J YVE+ mo a 4axijmW, herby apply m the Couory o[Daee lbr as awmachmept pamit to do tAe fopowiag work undcr
or over the Cote reads and W . all in accordance with Ctitudy wdiniIIces a0d 9weW taws.
�L
Den Sipod
L'asU .trees t•v _
LOCAT[OM
U■..ea masa.
orr-02oadtexsr; r®aacm L=%dwtm Q umpo w n Ft. T.
Typeor
Cruo>tianoe Petc 0 sw ❑ EloeVkACw U�ede�rpLv—ttrA �Q
Gvywire ❑ Piwrtg,.lma ❑ Q.Is,.rt 1cL�"� �� ril� •'���
PERMTf IS: crtQIM O DZY D
Gaodtanar fe CMMP1 noee watt ibe above r a�ttey and Aabium to all MMA. wodioow 0i wdiaa divan 00 Pat. z °[this prrvut krm)
and ci�l�aodiEnn! �ritonn bdo�. pannimian 6 6erc%y jpenttaL
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PERMIT
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Mike Cramp, Director of PubUc Works
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name147_�
First Name
Mailing Address �fl� C�as�Y�
✓��
City t✓�/Ce
State
Zip
Phone S30a9ef ZS�r7
Fax
E-mail /)7`42.14• &00(C Q 5/3CCJ06Wb •� �►'
CONTRACTOR
Name�Lt,WU
7,C
Address zS b (1,4CYd-<l
J
City e- #V/ ev
ZiYSf 73
State
Zip 91 X73
Phones'a �,YQ Z
Zip
Fax S3e
E-mail NW— G
—;& (,'Ce�c91G_.,
Lic. It Sib 3Z,-7
Clas)4 c-7
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City e tip
Address
ZiYSf 73
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name lq d -r
Address 05_7& Ci+G7-W S f Q
City e tip
Stat
ZiYSf 73
Phone 53, $g. /. 75 3`7
T
Fax
E-mail
_���' ' TURE
FA
ii��/'�_
s
I
PERMIT
NO.
BIN #
PROJECT LOCATION
AP# p03- o -dog -r'-600
Property Addresss67'r Id `c A -f 3 Z
City
WORKER'S COMPENSATION
Policy Number /7 Z fy7 z
Carrier `7
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
FL-Ac1t jwm"" 12,E ZLeW Pow" Im'Ut-
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning Flood Zone SRA
I Yes
I No
Occ,
Type Const.
_ DF!' EN�ES BUILDING DIVISION
COUNTY OF BUTTE DEPARTMENT OF D
7 County CenterDrive.,,• Oroville, CA"'Prnia', 95965 • Telephone (530) 538-7541 P R IT NO.
(Rev. 12/96) APPLIC'ATIOW&AND PERMIT
ASSESSOR PARCEL NUMBER 63-190-003
ZONING N -l'
BUILDING PERMIT
OWNER BALLINGER, TERI
TELEPHONE
343 3716 '
SO. FT. OCC. BUILDING
VALUATION
f
600
Lt�c
OWNERS MA'UT SOX 372 , FOREST RANCH
C 1.56
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
N
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $ 26,700
ARCHITECT OR ENGINEER
NORTHSTAR ENGINEERING
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee •,
$ 265.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 172,2
BUILDING ADDRESS
4891 SCHOTT RD.
Energy Plan Checking Fee
$ 23.00
$
FOREST RANCH
PERMIT FEE
ZLgn
LOT NO.
SUBDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
41 7.00 28.00
USEOFSTRUCTURE
SF 6 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00 1 9 -nn
Each gas water heater or vent
15.00 1 Inn
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX
Describe Work: RE: SPECIAL INSPECTION 98-10
Gas piping system 1 - 5 outlets
15.00 1 nn
Building sewer
15.00 15.00
Mobile Home I S I G W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
I Fling Fee 20.00
Main Service 0RLESS
1 23.001 23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWER
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
;PL I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Mein Service TO
46.00
CCU000A
NEW CONST. DWELLING OCCUP.
W
OR ADDNS. ( a ACC. BLDS.
SO
3.5¢x: 14.00
N N-RoE IO. MULTI -OUTLET
97.50
APPARATUS
d SINGLE OUTLET CIR.
EX. OCCU OUTLET OR FUTURES
20 1 .00
B @ 00
FIXED APPLNS. OR
Ex. Occup. ouTLErs RESID. EA
5.00
Temporary Service
23.00 3.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$ 60.00
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith complX with those provisions.
Q
X _ _ Date �Zv
Signature of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $ 46.00
occ
CONST. TYPE
TOT FEE $ 69-4.25
HAZ.
D. FE FLOOD
CDF
ARC Po
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
ReceiptNo. Z
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
,f
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive, •, Oroville, California 95965 • Telephone (530) 538-7541P,EQM)�r„�lo.
(Rev. 12/96) APPLICATION AND PERMIT "( `��Q
ASSESSOR PARCEL NUMBER _
nto 22 CIO
ZONING
BUILDING PERMIT
OWNER
,OWNER'S
p
�Hp� _ 37l
SO. FT. OC(;. BUILDING VALUATION
'� O
MAIUNG ADDRES
•NAME •�
CONTRACTOR'S
O
TELEP9
CONTRACTOR'S MAILING ADDRESS,,,
.
CONSTRUCTION LENDER ry
JCS
.
Fireplace
O�
LENDER'S MAILING ADDRESS -'
Total Valuation 14> C>
ARCHITECT OR ENGINEER `
01\TC7 AR
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEER'S MASJNG ADDRESS
Plan Checking Fee
$ % L
SUILDINGADDRESS
Energy Plan Checking Fee
$'
$
PERMIT FEE
t p L L
LOT NO.
SUBDIVISION'S NAME �0
PARCEL MAP '
PLUMBING PERMIT
Fling Fee 20.00
Each Trn
7.00 Z�
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome O Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition O Remodel ❑ Aides O Installation O Other !F-'
Describe Work:��-%
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
Q20.00
PERMIT FEE
t
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zo0w oR LLE IS
23.00 P 3 —
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provislons of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license Is in full force and effect.
License Class LIC. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors'
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is Issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permitis Issued.
.My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed 11 the permit Is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit Is Issued, I shall
not employ any person In any. manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - O Owner ❑ Contractor O Agent
An OSHA permit is required for excavations over 5'0• deep and demolition or construction
of structures over 3 stories In height.
Main Service PRA TO 1000A
46.00
NEW CONST. DWELLING SO
OR ADONs. a ACC. OCCOcc.UP.
KtW
PON-ROSID.' =T.10=@G 7.50
POWER APPARATUS
& SINGLE OUTLET CIR.
ovnET OR FIXTURES
Ex. Occup. BA200 ° 1.000
RJL 5.00
Ex. Occup. ou T APP.ID OR
Temporary Service 23.00 -t,3✓
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE _
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI: $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ r
HA
1 D. FEES IMP
I FLOOD
I COF
PARCEL
Po
NO
ISSUE
This permit is hereby Issued under
of the Butte County Code and/or
Indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do ork
been paid/'-� I
v
Date
to
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE-,OROVU LE; CALIFORNIA 95965 - TELEPHONE (§ 16) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: j' e .q 6,? l /tel C1 -e� ASSESSOR PARCEL NUMBER: C; ✓ /ID,- D03
Proposed Building Use: Sg . Building Inspector: ( Date: / / Z Sob
At time of permit applica ion, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
1. All items have been submitted.-------------------------------------------------------------------------------------
❑ .Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
6.Energy Design Compliance and supporting documentation. ----------------------------------------------------
El 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Form. -------------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications -------------------
El10. Fees of $-------------------------------------------------------------------------------------
-504 Impact fees as shown on the attached schedule. ------------------------------------- - --- --- --
- --- - - - ------
2. California Department of Forestry plan approval/fees.---------------- - _ - -----------------
3. Flood elevation certificate. ----------------------------------------------------------------------------------------
4. Sanitation and plot plan approval CK/LOHealth Department. -------------------------------------------
15. City of Chico plumbing permit.-----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------
E❑ 117. Planning approval for (A) Use: (B) Parking: --------------------------
Ud 18. Contact Land Development about Improvements, ❑ Drainage,Ll
Legal Parcel. ----------------------- 5
111. 9. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
020. Pre -inspection for required. Request to Building Inspector on (Date)
❑21. Contractor's license information. (Number, Name Style, Classification).
022. Workers' Compensation carrier and policy number. -----------------------
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -
024. Letter of signature authorization. --------------------------------------------
025. Recorded copy of Agricultural Acknowledgment Statement. -------------
0 26. Letter of intent on building use. ----------------------------------------------
027. Manufactured Home utility clearance. ---------------------------------------
❑ 28. Existing violations and/or expired permits. ---------------------------------
029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
❑ 3 0. Other:
When you issue the ermit,�jrocess as follows 11 Mail to owner, ❑Mail to contractor.
Xelephone ' _3Y5- 3 ` / 6 and hold for pickup at 4f WL 0 office. ❑ Deliver with inspector.
ApplicDate:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the a ove items nbe' red: C3 Plan Check List
2. Additional items required: 11A/
Contractor, designer, owner, was advised of the above required data by hone, ❑ mail, ❑ Building Division counter, by Date: 6
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, s advised of the above r data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: Date:sl,, Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division. (_ !!/'IJV C��%C�!l�i✓
`' rin'.�. C'z� ..�.�v.�'t��in�l.a^/'^,'r.i.:--�f*--,.vS--n��w•r-,�t.r*ti•.l'�--•,AiF��n.'��.'"��Y.Y-:-•-Ni.i.,,fF'�'r+.�n...•+1�',F...�.iff.air��F•,..�_.`�---'�-,��- .�. ..
t1Kel1j -Y 10'f7 ® 4lam
COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILD GrDI�S�ON
7 COUNTY CENTER DRIVE - OROVILLE,+CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: Tr -P-1 Fj,4t b kZ 6e, ASSESSOR PARCEL NUMBER: O(o 3 " Ho - Oco
Proposed Building Use: 5;n EX/S%/;Z Building Inspector: Date: _-30 Oe 9g
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
)0. All items have been submitted -------------------------------------------------------------------------------------
El 2. Plot plans, 3/4 sets, signed by the preparer of plans.
❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
❑ 6. Energy Design Compliance and supporting documentation.----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
e0'
❑8. Hazardous Material Form.------------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications.
❑ 10. Fees of $-------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -----------------------------------------------------------------
❑ 12. California Department of Forestry plan approval/fees.----=='---------------------------------------------------
❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------
❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------
❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------
❑ 17. Planning approval for (A) Use: (B) Parking: --------------- ----
Ell 8.
--
❑18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------
❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------
020. Pre -inspection for �'� required Request to Building Inspector on
021. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------
022. Workers' Compensation carrier'and,policy number. --------------------------------------- A -----------
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------
f
024. Letter of signature authorization.--------------------------------------------------------------------------
❑ 25 . Recorded copy of,Acultural Acknowledgment Statement. -------------------------------------------
E126.
------------------------------------------
❑26. Letter of inten�on building use. ----------------------------------------------------------------------------
❑27. Manufactured Home utility clearance. --------------------------------------------------------------------
028. Existing violations and/or expired permits. ---------------------------------------------------------------
❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------
❑30. Other:
When you issue the permit, process as follows Q -Mail to owner, ❑Mail to contractor
❑Telephone and hold for pickup at office. ❑ Deliver with inspector.
(Date)
ApplicantTO (.n Date: to - ao - 9$
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
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 M NO ❑
2. I .HAVE X HAVE NOT ❑ signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:.
NAME • tA0*1'E�
ADDRESS:_ CITY:
PHONE: CONTRACTOR'S LICENSE NO../
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS: CITY: A
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to prgvide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER: �-
SOCIAL SECURITY NUMBER: —
%
DATE:_J1 1 — ZZ Z2R
NOTE: This Owner -Builder Verification is required by Section 19831 and 198.32 of the.
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
I OWNER BUILDER INFOR1tiIATION -�
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their, license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection: -
♦ If you employ or otherwise engage any persons other than your immediate, family, and the work (including materials
and other costs) is 5300 or,.more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you -are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance. '
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contrac!prs may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete -the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
i rely,
.Mic el C.,416
, C.B.O.
M ger, Building Inspection
NOTE: This Owner -Builder Information it required by Secdon 19830 of the California Hea/11r and Safety Coda
OVER
N! 87 a -/3' 56"V/
273,00'
IL50 UAB•
semi,-
-,
6ARF.cmz'
I 133.4691
ALL M-RUCTURES AND FOUIPMENT INCLUDING
OVERHANCS SHALL BE CLFAR OF ALL EASEMENTS.
A SET BACK F8W,: THE SIDE AND
-, •OPERTY LIMES ANG
SHILL BE
EXCEP+
FOR A G FT. EAVE OVERHANG.
EXI$T/N(q
}�OME
13
Z8,b2, REVIEWED BY
BUTTE CO. FIRL DEPT.
CALIF. DEPT. of FORESTRY
❑ appm ed as sui)mitted
,approved with conditions
,Ar_attached sheet. ,
SCALE I 11- 461
TER\ BA Lu nl (,ER..
5c,"O-rr ROS
Fb2E5T VAt4c.N, GA95?gZ
�P 063- 00-003
CDF FIRE SAFE REQUIREMENTS
AP# PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance. 1
1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided_ for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
1273.02 Surface. All driveway surfaces and. structures (bridges,
1273.07 culverts and other appurtenant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire- apparatus weighing up to 40,000
pounds.
d� 1273.03 Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius
1. No roadway shall have a horizontal inside radius of
curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
[ 2.. The length of vertical curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
[273.05 Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of the road.
[1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
1270.10 Width. All driveways shall provide a minimum 10 foot
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 of 3
:z ? —07.2 . ...p�.r
AP # PERMIT # NAME
(li]� 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
VA -11" 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
1. Gate entrances shall be at least two feet wider than
the roadway it serves.
2. The gates must be located at least 30 feet from the
roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
1. All parcels lucre and larger shall provide a. mini-
mum 30 foot setback.for buildings and accessory
buildings from 411 property lines and/or the center
Page 2 of 3
of the road.
2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.,
��276.02
Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior to completion of
road construction. �,r f.4 --gal inspection of a building
permit.
Page 2 of 3
AP # PERMIT # NAME
Other Requirements
If Building Setback is 15to 30 Feet:
- Class A or B roof
- Enclosed eaves
[ ] If Building Setback is Less Than 15 Feet
Choose any 3 of the following:
Metal or no doors on side toward property line with insuffi-
cient setback
Class A or B roof with enclosed eaves
Interior automatic sprinkler system per NFPA 13D
- Glass area not to exceed '_0% of wall area toward property
line with insufficient setback
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
c_�/ ell-�
Dat
S' a e
Page 3 of 3
/-/I
j
NorthStar� g�l
ENGINEERING
Civil Engineers- Planners • Surveyors
Butte County Building Department
7 County Center. Drive
Oroville, CA 95965
RE: Special Inspection # 98-10
a . A.P. # 063-190-003
} ` Ballinger Residence in Forest Ranch
Dear Mr. Vieira,
November 25, 1998
I visited the single family residence owned by Teri Ballinger located at 4891
Schott Road in Forest Ranch on November 12, 1998. It is my understanding that
the building was constructed without a building permit. The purpose of my visit
was to examine the existing building for compliance with the structural
requirements of the '94 Uniform Building Code. Electrical, plumbing and other
nonstructural items are by others.
Based on my observations, the existing structure does not comply with the
code; however, in my professional opinion, it should be permitted with the addition
of some structural modifications that will be shown on *the 'as -built plans. The
purpose of these -modifications is to strengthen the existing building, but it should
be noted that the modifications will not bring the structure into full compliance
.with the. '94 UBC. In my opinion this is acceptable based on the information
below.
According to the.. owner, the building has been completed for at •least 10
years. , During this _ time, the area has had wind speeds that meet the design wind
speeds inhhe UBC on two separate occasions. Based on the size and shape of this
structure, the wind will govern" the lateral design in both directions. Because the
structure has been tested `by a wind force that equals the force prescribed in the
building code, it is my opinion that it satisfies the intent of the UBC. Since, the
structure has not -been tested by an earthquake, new hardware will be added to
strengthen some of the connections as shown on the as -built plans.
20 DECLARATION DRIVE
CHICO, CALIFORNIA 95973
530-893-1600
FAX -893-2113
11
-�' =;Q
Butte County Building Department
Page 2 of 2
It should be noted that the addition of new hardware will enhance the shear
transfer connections and improve the overall performance of the building during a
lateral event. However, NorthStar Engineering assumes no liability for the
structure in the event of a structural failure due to a windstorm, earthquake,
landslide or other act of nature or man. The intent of our work on this building is
to improve its' structural performance which may not be enough to prevent
damage in all possible scenarios
This concludes my findings at this time, if you have any further questions,
or need further clarification, please call me anytime at 893-1600.
Sincerely
4/�t/
Jeff Richelieu, PE
NorthStar Engineering
,9 !k FESSION4\
M. PICL F�
a C 053390
sT
01V I.
��� CP CALtF CQ/
Q
Greens Building Inspections
895-3660
James L. Dohn/Owner-Inspector
Experience and CerfifiCcations:
I have been in the construction field for over 15 years on both residential and commercial
projects. Ten of those years in the position of superintendent responsible for ensuring all work
was completed according to building and safety code requirements. In addition to "hands Ole
experience I am certified by'the International Conference of Building Officials and the
International Association of Plumbing and Mechanical Officials to inspect the building
structure, electrical, plumbing and mechanical systems. I also have a certificate of achievement
in Building Inspection Technology. Shown below are some of my credentials:
International
Conference of Building Officials
JAMES L DOHN
BUILDING INSPECTOR
1991 EDITION - UNIFORM BUILDING CODE
The individual named hereon is CERTIFIED in the category
shown, having been so certified pursuant to successful
completion of the prescribed written examination.
Expiration date: Novemb 9, 1997
No. 53494
Not va' uniess signed by certificate hol er.
ICBO cerdBcadon atlas to competent knowledge of codes and
standards.
International Association of
`1 Plumbing And Mechanical Officials
'i
James L. Dorn
Certified Plumbing Inspector
1991 Edition - Uniform Plumbing Code
The individual named hereon is CERTIFIED in the category
shown, having been so certified pursuant to successful
completion of the prescribed writte examination.
Expires on: January 11, 1998
No. 095310 dot valid unless signed by
certificate holder
International
Conference of Building Officials
JAMES L DOHN
COMBINATION INSPECTOR
1993-1995 EDITIONS OF THE CODES
The individual named hereon is CERTIFIED in the category
shown, having been so certified pursuant to successful
completion of the prescribed written examination.
Expiration date: Septemb21, 1998
No. 60359
Not valid . n ass signed by certificate holder.
1C80 certification attests4to competent knowledge of codes and
standards.
. Adelb6
JAMES L DOHN
10 ELECTRICAL INSPECTOR
1993 EDITION - NATIONAL ELECTRICAL CODE
The individual named hereon is CERTIFIED in the category
shown, having been so certified pursuant to successful
completion of the prescribed written examination.
Expiration date: March 141998 ��
No.56034 aZ
Not valiliVUnless signed by certificate holder.
IC8011AEI certification attests to competent knowledge of codes and
standards.
International
Conference of Building Officials
JAMES L DOHN
MECHANICAL INSPECTOR
1994 EDITION - ICBO UNIFORM MECHANICAL CODE
The individual named hereon is CERTIFIED in the category
shown, having been so certified pursuant to successful
completion of the prescribed written examination.
Expiration date: Februar8, 1998
No. 55174 �20`114 � x Lg�
Not v unless signed by certificate holder.
ICBG certificatioezVs to competent knowledge of codes and
standards.
International
Conference of Building Officials
JAMES L DOHN
PLUMBING INSPECTOR
1991 UPC OR 1995 IPC
The individual named hereon is CERTIFIED in the category
shown, having been so certified pursuant to successful
completion of the presc P ed written examination.
Expiration date: SepteVler 21, 199�j
No. 95310 •�
Not),fffiid unless signed by certificate holder.
lCBO certification attf6sts to competent knowledge of codes ar'
standards.
G REEN'S
Building Inspections, Inc
Certified by IC80 & IAPMO
• Building
• Electrical
• Plumbing
• Mechanical
DATE:. November 21, 1998
T0: Michael Vierra
butte County Building Departnent
RE: Terry Ballenger - wood stove inspection
Schott Road, Forest Ranch, CA
Upon inspection of the wood stove, I
found the installation of.the stove to
be in compliance with manufacturer's
listing requirements and all applicable
Code requirements.
i. ohn, Inspector
ChlC0 (915) 895-3660 Woodland (916) 666-2553
Hayward (415) 886.6680 Sacramento (916) 483.1977
�I
NORTHSTAR ENGINEERING
20 Declaration Drive
Chico, CA 95973
GpQ1 `n1 �1e� (530) 893-1600
(IV�Q
FAX (530) 893-2113
GT
/�
STRUCTURAL CALCULATIONS
PROJECT
BA L,, .,I IJ(�l 5:,F �Z J � D NG JOB NO. �O
LOCATION
c�G H CST T R.V. FOR. 5�ST R A NG H DATE 2 Z
CODES:
Uniform Building Code, 1994 Edition
AISC, Manual'tof Steel Construction, 9th Edition
ACI, Manual of Concrete Practice, 1988 Edition
AITC, Timber Construction Manual
MATERIALS:
.Concrete: . f'c = '.2500 psi @ 28 Days
Masonry: f'm = 1500 psi
Mortar: f'c = 1800 psi, Type "S"
Grout: f'c 2500 psi @ 28 days
Y�LOFESSJON
Steel Reinforcing: A-615 Grade 40 for #4 and smaller
44
Iq elo¢�.� M. RIC le"
rade 60 for #5 and larger
Or
Structural Steel: ASTM A-36
Steel Pipe: ASTM A53 Grade B
053590
Steel Tubing: ASTM A500 Grade A or B
achine Bolts, Anchor Bolts: ASTM A307 Grade A
�4
ood Connectors: Simpson Strong -Tie or equal.
Wood: Struct Lt Framing, Joists & Planks: D.F. #2
s� crvtc, tip`
Beams & Stringers, Posts & Timbers: D.F. #1
Plywood: A.P.A. Rated Sheathing, Grade CD,UBC Std 25=9
OP cALi�og
OR OSB of equal or greater allowable stress
Glue -Lam Timber: ANSI/AITC A190.1-1992
Simple Spans: 24F -V4 Combination
Cantilevers: 24F -V8 Combination
LOADS-:
Roof Live Load psf Floor Live Load psf
Seismic Zone 3 Wind Speed: 4t5 mph .
Exposure:�Z Method2 used unless otherwise noted.
Allowable Soil Bearing 4-7.00 psf
ARE SPECIAL. INSPECTIONS REQUIRED ? �I O
GENERAL:
Any structural or non-structural items that are not
specifically addressed in the following calculations and
or details are designed by others and are not' the
responsibility of NorthStar Engineering. Verification
of the soil conditions at the project site to determine
the, expansion index or bearing capacity is by others.
Page 1 of �-
BY: JMR
NORTHSTAR ENGINEERING
2/3/99
20 DECLARATION DRIVE
JOB NO:.
CHICO, CA 95973
PG. 2 OF
(530) 893-1600
PARTIAL LATERAL AND
GRAVITY DESIGN FOR SINGLE FAMILY RESIDENCE
BASED ON THE 1994 UNIFORM
BUILDING CODE.
GRAVITY LOADS:
ROOF: METAL ROOF
3.0
PSF
1/2" OSB OR PLYWD.
.1.5
PSF
FRAMING
3.5
PSF
R-30 INSULATION
2.5
PSF
5/8" GYPSUM WALLBOARD
3.2
PSF
MISCELLANEOUS
1.3
PSF
DEAD LOAD
15.0
PSF
LIVE LOAD
55.0
PSF
TOTAL LOAD
70.0
PSF
LATERAL LOADS:
SEISMIC: .3 *.2.75 -.138W FOR.LIGHT FRAMED
6. SHEARWALLS
WIND: EXPOSURE - B METHOD 2
WIND SPEED = 75 MPH
Cq 1.3
DESIGN
qs 14.5 PSF
PRESSURE
Ce 0 - 15' 0.62 Cq*qs*Ce
=
0.0117
KSF
15'- 20' 0.67
=
0.0126
KSF
20'- 25' 0.72
=
0.0136
KSF
25'- 30' 0.76
=
0.0143
KSF
IV- 40' 0.84
=
0.0158
KSF
BY: NwthStar
20 DECLARATION DRIVE
DATE: .2 t CHICO, CALIFORNIA 95973
JOB NO: �p L}•GJ ENGINEERING 530-893-1600
PAGE OF Civil Engineers • Planners* Surveyors FAX 530-893.2113
i
IR -
o
cl
i
41:71,
ri ;
FT
Iwf' x I G �► X;-
,
i E
i
n
BY: J I` NorthStar
20 DECLARATION DRIVE
DATE: Z. CHICO, CALIFORNIA 95973
JOB NO: (p 4rj ENGINEERING 530-893-1600
PAGE 3 OF Civil Engineers • Planners* Surveyors FAX 530-893-2113
I I
dor
07
I 9K
Off' 4'X 2 .ap 3
_ 4x.w
v� rz 1� A tl-
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ef
2 i i X 2 Go N, T.
NORTHSTAR ENGINEERING
20 Declaration Drive
Chico, CA 95973
(530) 893-1600
FAX (530) 893-2113
STRUCTURAL CALCULATIONS
PROJECT
PROJECT
..II
1j A L, I N� e F 1.5 S 12 �iNG� JOB NO. �O
LOCATION
CiG }-I dT T b AOR.�T R A IJG N DATE 2 Z
CODES:
Uniform Building Code, 1994 Edition
AISC, Manual4of Steel Construction, 9th Edition
ACI, Manual of Concrete Practice, 1988 Edition
AITC, Timber Construction Manual
MATERIALS:
Concrete: f'c = 2500 psi @ 28 Days
Masonry: f'm = 1500 psi
Mortar: f'c = 1800 psi, Type "S"
Grout: f'c = 2500 psi @ 28 days
Steel Reinforcing: A-615 Grade 40 for #4 and smaller
4�oM. 'Ric A
A-615 Grade 60 for #5 and larger
4�0��� �• Rrc��lr��
ural SteASTM
SteelStrucPipe: A53GradeB
~ G
,u w
Steel Tubing: ASTM A500 Grade A or B
x 05390
Machine Bolts, Anchor Bolts: ASTM A307 Grade A
Wood Connectors: Simpson Strong -Tie or -equal.
Wood: Struct Lt Framing, Joists & Planks: D.F. #2
Beams & Stringers, Posts & Timbers: D.F. #1
sT\ crviL
Plywood: A.P.A. Rated Sheathing, Grade CD,UBC Std 25=9
qTF of CPhLtyo��
OR OSB of equal or -greater allowable stress
Glue -Lam Timber: ANSI/AITC A190.1-1992
Simple Spans: 24F -V4 Combination
Cantilevers: 24F -V8 Combination
LOADS:
Roof Live Load: psf Floor Live Load psf
Seismic Zone Wind Speed: mph .
Exposure: Method 2 used unless otherwise noted.
Allowable Soil Bearing r�_ 00 psf
ARE SPECIAL INSPECTIONS REQUIRED ? �I O
GENERAL:
Any structural or non-structural items that are not
specifically addressed in the following calculations and
or details are designed by others and are not the
responsibility of NorthStar Engineering. Verification
of the soil conditions at the project site to determine
the, expansion index or bearing capacity is by others.
Page 1 of L�-
BY: JMR
2/3/99
JOB NO:
PG. 2 OF L}—
NORTHSTAR ENGINEERING
20 DECLARATION DRIVE
CHICO, CA 95973
(530) 893-1600
PARTIAL LATERAL AND GRAVITY DESIGN FOR SINGLE FAMILY RESIDENCE
BASED ON THE 1994 UNIFORM BUILDING CODE.
GRAVITY LOADS: ROOF: METAL ROOF
3.0
PSF
1/2" OSB OR PLYWD.
1.5
PSF
FRAMING
3.5
PSF
R-30 INSULATION
2.5
PSE
5/8" GYPSUM WALLBOARD
3.2
PSF
MISCELLANEOUS
1.3
PSF
DEAD LOAD
15.0
PSF
LIVE LOAD
55.0
PSF
TOTAL LOAD
70.0
PSF
LATERAL LOADS: SEISMIC: .3 * 2.75 =.138W FOR LIGHT FRAMED
6 SHEARWALLS
WIND: EXPOSURE - B METHOD 2
WIND SPEED = 75 MPH
Cq 1.3
DESIGN
qs 14.5 PSF
PRESSURE
Ce 0 - 15' 0.62 Cq*qs*Ce
=
0.0117
KSF
15'- 20' 0.67
=
0.0126
KSF
20'- 25' 0.72
=
0.0136
KSF
25'- 30' 0.76
=
0.0143
KSF
30'- 40' 0.84
=
0.0158
KSF
BY: .J NwthStar
DATE: Z I I »�
JOB N0: G 4Cj
ENGINEERING
PAGE 3 OF + Civil Engineers Planners Surveyors
20 DECLARATION DRIVE
CHICO, CALIFORNIA 95973
530-893-1600
FAX 530.893-2113
BY: Jt'I ` a NorthStar
� 20 DECLARATION DRIVE
DATE: -Z I> pI r - - =- 9 CHICO, CALIFORNIA 95973
JOB NO: 4e!�7 ENGINEERING 530-893-1600
A Muil Fnninaarc.Plannarc.Curvnvnrc FAX 530-893-2113
PLAN.
Please complete the following information in order to process your submittal. If this form is not complete, correct
and legible, it may cause a delay in processing.
Owner's Name: :[Z 2-�--L( � 6i � Received By:
A.P. #: &3 - 190 - 0013
ContactPhoneNumber:
Purpose of submittal:
Permit Application Data Item
❑ Engineering
❑ Plan Revision
Q
Date: 3 1999
Permit #: q8_ ?-74 Time: IZ=a �
. I
❑ Requested by Building Inspector or Correction Notice - Inspector's Name:
❑ Requested By Plan's Examiner - Examiner's Name:
❑ Other:
If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisions for plan
review. If engineering is involved in this revision, the engineer must put his requirements on these drawings and
stamp and sign the drawings. Include two (2) sets of wet`signed engineering. Revised drawings must clearly show
When Approved, Process as Follows:
❑ Mail to Owner at this address:
❑ Mail to Contractor at this address:
❑ Call
❑ Deliver with next inspection..
1k
and hold for pickup at the ❑ Chico Office ❑ Oroville Office
Revised Plan Check Fee: ❑ $46.00 Receipt #: ❑ Additional Fees Not Required
Additional fees may be due based upon complexity and time involved to process this submittal.
Additional Fees: Receipt #:
(:
LAND DEVELOPMENT
OROVILLE / CHICO
BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE
Building Permit No. (q'8- cr 73
NAME RS �t-u N(oER- NUMBER
PRINT LAST NAME FIRST //��
ZjS
ADDRESS / LOCATION: vl
COUNTY ZONING �–
DESIGNATION: �� FLOOD MAP: FLOOD ZONE:
APPROVED: CONDITIONALLY APPROVED: o SOLVE PROBLEMS PRIOR TO APPROVAL:
5 -Ea -9t3 M 8 3 Nqp
PARCEL CREATION BY DEEDS OR MAP DS�,Ck-
DEED INFORMATION: /
DATE OF CREATION: Z 0�7� DEED REFERENCE: OC) 4 -17
2 z4
LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO
_. • ��ai;�i��` ��r�<J�� iii, r r '� i
YiErn� Al r4 j��UJf M6-NT"S
MAP INFORMATION.
DATE OF RECORDING: LOT BOOK PAG
COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): YES NO. IF YES, MARK APPROPRIATE ITEM(S) BELOW:
A. Construct road to
B. Meet parcel size required by zone. C. Meet current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED.
1. Maintain a 50 ft. building setback from centerline of road.
2. Maintain a ft. building setback from right-of-way/centerline
_ 3. Comply with Zoning code for building setback from road.
4. Maintain a 100 ft. leachfield setback from all existing wells.
5. Maintain a ft. leachfield setback from
_/6. Pay water tender fees in the amount Of $ to Battalion Number of the Butte County Fire Department.
Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
—8. Connect to a public water supply.
9. Connect to a public sewer system.
—1.0. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire
Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA
Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the
parcel
11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $
12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below)
_ 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. – –
—14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the
Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division.
—15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety.
Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of
the Uniform Building Code.
16. Deer Mitigation fees are to be paid, if such .feeshave been adopted by the Butte County Board of Supervisors.
X 17. Pay school impact mitigation fees.
X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County
Code.
—19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California
Clean Air Act of 1988 as amended.
—20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending
examination of the site by a professional archaeologist. This person would then be able to assess the site significance and
suggest appropriate mitigation measures.
22.
23.
24.
25.
26.
`Ala 1N3Wd013A3a atoll
311f18 30 ,UN663
8661 � Z nON
®3AI333H
LD 6/98
FORMS\BLDG PERMIT CLEARANCE
ILi
Ordr. No.
E,o— No. 35613-1155
loan No.
%V"FN RECORDED MAIL TO
Kr. John M. K%c Carn
Post Offios 80, 37
Forrest Hanan, Cnlif. 95942
ort•I:�.:..�..�oc
P: i f� 4'i•ff L1E
TIT t[D �d,yll�OSuATtiS�
UNTT RICOtul
21626 f LL
LV
�1 ro12
oof� U
a
yewCl a.uvt 1..11 t.N\ IUw •Ito•'UI w•a yl1
MAIL TAX STATEMENTS T0:
DOCIAWARV TRANSFER TAX
SA tx A9. A80vS w„ Ce"ww an the t.tn.rewetw.w Ir .o a "a.
sa'w ergs oa
...... Cemeu,ee ewe the ten.aeraI. W .eua w I. e/ afb..•M�.tra
Mr.." 441—*N .N.
�llea/'li1l/ 'ifl `.
a.— W�'
D PAL"•" TI-I.F: Atill
GRANT DEID T
FOR A VALUABLE CONSIDERATION, I.c..pt UI wh.Ch n h.,rIb 1AX PAID
y ac►Igwl�.,d
A.%i!10,\'T SAY=
hereby GRANTISI to
a widower
J0-0 H. :SAC CA:Oi/a7td JOJC,%�TTE :1. K,:DEIROS, a widow, as point tenar.ts
the real p'oWty in the LRi7t.71 unincorporated
County of ,Butte
State of Cahforma, dr%,,tgl m
Be!rC a po=tion of the Narthweet Qua. -ter of Section 5, Township 23 -Nor-h, parrs 3
•-As•' '�.D•B. k M., and tore ;a_ticulnrly descrited to foilowal
Beginning at the Ilorthwsst corner of Lot 3 of the SuLdl�laion of Haid lection 5e
thence along the ;forth line of said Section, ,forth 37' _3' 38" 'West, 12.CO fest,
thence South 1. 00' DO" Eaa:, 170.00 feet, thence !forth 39. 00' DO•• Eaa t
to a point in the':eaterly rigl:'E or w�, line of ,cF.o:: Road, said . 33.65 foet
arc of ► 410.00 foot radius curve concave to the ;;Orthveet' a tar.uentrX% ,acrd points
"Are North
andj0t' 22" 4011 of mllt, tLencerfrom said point anal along Haid '. eaterly rl;ht of
d G70.OJ o:t radius cin e, through a csntr,' •
7. O ' 12", an arc distance of 55,63 feet, thence loav:r. -
nglo of
G3' 59' 04" Eaet, 36,17 feet, therce North 1. 00' " said right o: �>✓, So.1 L
of beglrnirlr; and con a ni 0, j6 'as:I 111,00 fes: :o the point
no' 54 ac*.e, core or lone,
63-19-o3
Dated ._JMUAZ7j0,. 1976_-----_._-- -
STATE Of CALIFORNIA i
COUNTY Of15
!I
I
e..to,
Sul..f>*.wLr d
M -/r7
_
le w,. So be In,--
w.we _
WtaKra.wl M e'e IhI. ...iry,n.wl an0 e�rvswaq�.. lh.,
WITNESS ,y hti and ett¢.ar Into.
steer.!c'c/t/j�'�.j..�✓�
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MAIL TAX STATEMENTS AS DIRECTED ABOVE
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MAIL TAX STATEMENTS AS DIRECTED ABOVE
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-LV -4%. SAJIMS
hereby GRANT(S). to
J0:0i M..`UCC�:ZU �futd CI do ver
JONI-an". :i. 1�.c:DEROS, a widow, asoint
the. real pro0erty in the *xx J • .enants
Butte County of , unlncorpora ted
Be
±r- aState Of C•lilornia, CestriD.V
Po--tior. of the Nor thveet
.-A,3 ! Gua`:er of Se
I •D•�• ., rind --or e
ction
pa.r ticulrL�l�• descrited &a follows: 23 :lo::!:, ftarg� j
o follows:
Beginning at the llortheses: corner r
thence alora ttIe North line of �i�f�,"oL,3 of tl:• St:t�ivizioa of s+►Sd recti
theance South l e 00 ! 00" i;ag�, � 70 `°c t ion, Nor ti, 37@ • j r 3e„ ' . on 50
to point in t::P Zs r •00 fe•t •► ie8:, 12;.00 feet
l ..:once 2Jor:h r39• OOr 00„ FAS: 1 t
a -"c of s io t: t of �+eti;' 1 ine of Scr o :: 33.65 foot
470.00 foot radius curve
Do are .'�o: th 30 ?2 concave to the th Roads said po.r.: 'sir
or., ve g t d on the
wa.. 40" nstl tl.ence from said r a tnrtient �: said
� bine and the point a..d alo Point
• , nxc of said 470.00 fo: t r%6 naid .j:erly r! ,.
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of bobit>z; and containi 00 right
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GILBW aM
RtMAN WIIX,ST,UX TO
GRACS FOSTZR
(APPROVED BY CALIFCRNIA RMAL &STATZ 102PARMINT) t e "A.
CALIFORNIA RJAL BUTATS ASSOCIATION STANDARD FORM..,
THIS ZHOMITURZ, made VAe 26th day of April in the year or our Lord, one
tho;„%and nine hundred and forty-six, between QILBM sH; KIN it I
JLW VILCCI and NI ' W LOCI,
husband and wife, of the County of butte, state or California, parties of the first part
and GRACd FCSTNR, a married woman of the County of Butte. state at calirornies party at the,
oo4L&d p3rti,
WMISSITH91 that the said parties of bbe first part, for and in consideration
or ths! or light hundr*3 -atkd fifty Dollars, In ggU gg” of the United States of America$,
1.4,tbom In hand paid by the said Party *f the second part, the receipt whereof is hereby
seftowlefted, do great, targain, and sell, convoy and confirm unto the said party of,the.seacmd
parts GRADE-10STIM end to her heirs, and assigns forever all that.real property situated In
Vr
tbsQounty ot,11atte, State or California and particularly desorlbod as flollows'i bo-WItQ,
Ir, --beginning at the Northwrst corner or• lot three (3) or the northwest %quarter -,-qt
or section lire is), Township Twenty-throo, North, Rang* -three (3) last W.11089r & Wand t
00
running South III foots thence In au 1astorly. directions 64.8 toot,i thence In's Northeasterly
direction at about a 45 degree angle 146.6 rest, to a point, %bonae, ocatInulng-in a westerly,
direction i4s root to the point of beginning.
ftgather idth all and ainguisr tbe
toniments, hered1twents and appurtenances
thereunto belonging or In anywise t4portalning,
ou
WIN ISS =BRODY, the said parties or the first part have hereunto
sot their
hands and **els the day and year first above written.
SSf O.S.I.& Stmps "noolled. oubw be vaLwx
STATI OF CALIFORNIA,
QOUM or MUTT90 88.
On this 26th day or April In the year, one thousand nine hundred and forty -a1:,
before so, MAYRINS 0* SROINs & 10taT7 Public In and for 8614'00untY and States personally
appeared MSM So WILOOK and MIN19 WILCO19- WA wits, known to as to beAke persona ki-344"it. .
Awe* nones are subsorlbod to the within Inetruseat =4 eaknoI&Odged'" so that they
.4
executed the am** 1.9 -t
Iff"We My bud 024 *Metal sftl,.Ia my.orr1es In.thet'seM Cft&tr18�a,A:4%&&*.jA4
theday and year last above writ%sne .,f* tr'"3 i
14 commission empires July )0, 1949.
lk; and for add County or Suttes StateQW-4*JI!
-Ak1 a -Z
Amorded at the rftn"t or SLMM l.1OStRR,aUIY 9• 3L946#,, at. jPjaIfl,6*V&X%t9"o* "Osi"
A.M., Vol. 362e pW 270 0Me1&1.A@wrds-*r,fttte1iQMtr, CaUftftw",.,--,,
"COM&
1J."3
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C13AI333H
Complaint -Dace
Ocher -Dace
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
Owner : TEF -4 8/
PC•Box,
Address: qi c
Tenant:
Building Location: 411 5V407% �W" , Fve:�M 1977VC
Type of Inspection requested:
ZOfiI:'G
A. P. #
Date of Inspection
Inspector
1. Housing 11 2. Financing 3. Change of occupancy to
11 4. Work W/O Permit Other (specify) FX! 1A4; SF -D - FIC / D�
Present use of buildiast : S FDP�rWk
A. Sanitation (Housing)
Water closet:
Lavatory:
,X. Bathtub or shower:
4. Kitchen sink:
S. Hot and cold water to fixtures:
6. Heating facilities: 60M 9,(AORt:Jitil, 5-rt)o *y i o 7wZf n.&j F^ Tr-A'2AUUets
7. Natural light and ventilation:
8. Room and.space requirements:
9. Bedroom window or door for second exit: 1 "f Atw)
10. Infestation of insects, vermin, or rodents:
11. Connection to sewage disposal: (/IP[ �
12. Connection to water supply: U e�f'i FY
13. Rubbish and garbage facilities:
14. Stairs :(Rise, Run, headroom, 1HR, Tolerances, Handrails) I qA .
15. Comments:
B. Structural )
1. Piers and footings: kl2 8�h�
2. Floor construction: 5"W f UrgIV
3. Wall construction:
4. Ceiling and roof construction: 4A" V60C�C
5. Fireplaces: _lA%++v sfo\J
6. Comments:
C. Electrical
1. Service and ground: NCS �/ Not- , t3s.McTep
2. Receptacles:ycne.�FY
3. Fusing; - - ----
4. Comments:
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4. Comments:
Cil %`i T i_.tl LI I(31 I�C� ��.17�5 � � � •. r •�
E. Other
1. Maintenance and repair: 1oo�D, ,, ,• y �- i
2. Fire hazards:
3. Safety hazards:
4. Weather protection: OK -
5. Underfloor and attic ventilation: 5;La43 G"14
6. Energy:. kj M&,Ac 6(*6 (LO& C•<,610 port
. << 7,. Comments:
r , • • �� i . r . P . � ... .ter
Commercial Buildinxs
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped:
4. Restroom floors and walls:
5. Exits:
6.. Improvements:
7. Zoning:
8. Comments:
G. Field Problems or Violations
1. Problem or violation (give complete description):
2. What action taken (give complete description):
3. What action recommended:
A. Information only - file.
f�[ B. Hold for ten days, then write letter.
C. Write letter.
,L. D. Other:
Teri Ballinger
APN: 063-190-003
1. Verify water suupply and sewage disposal from EH
2. Provide drawings and calculations to show structural integrity of existing log cabin and
addition. Plans and calcs shall include structures ability to resist code required gravity and
lateral loads.
3. Verify wood burning stove and chimney is installed in accordance with listing and
manufacturers instructions.
4. Verify adequacy of electrical wiring. (Scott - use standard text for this)
5. Provide a minimum of two 20 amp small appliance branch circuits in kitchen.
6. All receptacles within 6 feet of kitchen sink shall be GFCI protected.
7. Verify adequacy of plumbing vents, piping, and fixtures. (Scott - use standard text for
this)
8. Properly install PTR line to exterior at water heater. Properly secure water heater to
prevent movement.
9. Provide proper landing at T-0" entry door.
10. Provide building setback to adjacent cut slope or provide engineer design slope stability.
11. Provide compliance with PRC 4290 standards.
Submit plans and apply for permits...........
BALLINGR. WPD
n
GREEN'S
- Building
- Electrical
Building inspections, Inc.
.plumbing
Certified oy ICB0 & IAPMO
- Mechanical
DATE: I'lovenber Z1, 199£3
TO: Michael Vierra
Butte County Building Department
RE: Terry Ballenger - electrical inspection
Schott Road, Forest Ranch, CA
General information: Overhead service
100 amp panel
Service" grounded to ground rod
Upon inspection of the electrical systen, I found
all components to be in compliance A th current
Code requirements for *residential structures.
Enc: Credentials
2 ,i
DEC 1 d 1995
BUTTE COUNTY
BUILDING DIVISION
Chico (916) 895-3660 Woodland (916) 666-2553
Hayward (415) 886-6680 Sacramento (916) 483.1977
Greens Building Inspecti®ns
89S-3660
Jahzes L.' Dohn/®wner-Inspector
Experience. and C'er�aiai rcationsa
I have been in the construction field for over 15 years on both residential and commercial
projects. Ten of those years in the position of superintendent responsible for ensuring all work
was completed according to building and safety code requirements. In addition to "hands on"
experience I am certified by the International Conference of Building Officials and the
International Association of Plumbing and Mechanical Ofli'icials to inspect the building
structure, electrical, plumbing and mechanical systems. I also have a certificate of achievement
in Building Inspection Technology.. Shown below aro some of nay credentials:
International
Conference of Building Officials
JAMES L DOHN e
BUILDING INSPECTOR
1991 EDITION- UNIFORM BUILDING CODE
The individual named hereon is CERTIFIED In the category
shown, having been so certified pursuant to successful
completion of the prescribed written examination.
Expiration date: Novemb 91, 1997
No. 53494
Not va' unless signed by certificate holder.
ICBG certification ales to competent knowledge of codes and
standards.
tt,International Association of
Plumbing And Mechanical Officials
v James L. Doha
Certified Plumbing Inspector
1991 Edition - Uniform Plumbing Code
The individual named hereon is CERTIFIED in the category
shown, having been so certified pursuant to successful
completion of the prescribed writte examination.
Expires on: January 11, 1998 X
No. 095310 Jot valid unless signed by
certificate holder
International
Conference of Building Officials
JAMES L DOHN
COMBINATION INSPECTOR
1993-1995 -EDITIONS OF THE CODES
The individual named hereon is CERTIFIED in the category
shown, having been so certified pursuant to successful
completion of the prescribed written examination.
Expiration date: Septemb 21, 1998
No. 60359
Not valid n ess signed by certificate holder.
1CB0 certification attests o competent knowledge 'of codes and
standards,
10 JAMES L DOHN
ELECTRICAL INSPECTOR
1993 EDITION - NATIONAL ELECTRICAL CODE
The individual named hereon is CERTIFIED in the category
shown, having been so certified pursuant to successful
completion of the prescribed written examination.
Expiration date: March 14 1998
No.56034 a;c.
Not valipUnless signed. by certificate holder.
1C8011AEI certification attests to competent knowledge of codes and
standards.
International
Conference of Building Officials
JAMES L DOW
MECHANICAL INSPECTOR
1994 EDITION - ICBO UNIFORM MECHANICAL CODE
The individual named hereon is CERTIFIED in the category
shown, having been so certified pursuant to successful
completion of the prescribed written examination.
Expiration date: Februar8, 1998
No. 55174 �20" — x L=e�
Not v@lpdlunless signed by certificate holder.
/CBO certification atte s to competent knowledge of codes and
standards.
International
Conference of Building Officials
JAMES L DOHN
PLUMBING INSPECTOR
1991 UPC OR 1995 IPC
The individual named hereon is CERTIFIED in the category
shown, having been so certified pursuant to successful
completion of the presc4' ed written examination.
Expiration date: Septe er 21, 199�j
No. 95310 ;
Not i unless signed y certificate holder.
1CB0 certification at sts to competent knowledge of codes ar
standards.
ti
GREEN'S • Building
• Electrical
Building Inspections, Inc. . Plumbing
Certified by IC80 d IAPMO . . Mechanical
DATE: November 21, 1998
T0: Michael Vierra
butte County Building Department
RE: Terry Ballenger - wood stove inspection
Schott Road, Forest Ranch, CA
Upon inspection of the wood stove, I
found the installation of.the stove to
be in compliance with manufacturer's
'listing requirements and all applicable
Code requirements.
..cam -.
Ji, ohn, Inspector
Chico (916) 895-3660 Woodland (816) 666-2553
Hayward (415) 886-6680 Sacramento (915) 483.1977
.
(_jREEN'S-
Building. -S
Building Inspections, Inc.
Certified by ICBG b 1APM0
• Electrical
. Plumbing
. Mechanical
DATE: November 21 , 199£3
TO: Michael Vierra
Butte County Building Department
RE: Terry Ballenger - electrical inspection
Schott Road, Forest Ranch, CA
General information: Overhead service
100 amp panel
Service grounded to ground rod
Upon inspection of the electrical systen, I found
all components to be in compliance with current
Code requirerients for residential structures.
Enc: Credentials
CIL
Chico (916) 895-3660 Woodland (916) 666-2553
Hayward (415) 886-6680 Sacramento (916) 483.1977
■
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