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063-240-021
FIRE DAMAGE REPORT DATE: S. - 2 -aS J 63-24-21 92-947 P,E 0 63 2�D _�_-- 4920 Papaya Ln, orest Ranch 063-240-021 Fn..vironmP-ntal )REQ ties' TeaIth i�C10%19/8Approval ELECGASCOMPA TION, TEST no SUPPORT STRUCT : REQ O 3 e2 i 063-24-0-021. �93-Ai-, P , A LEWIS, SHEILA 4920 PAPAYA, FOREST RANCH PROPANE/MH , 063-24-0-021 93-50 I LEWIS., SHEILA 4920 'PAPAYA RD, FOREST -RAN CONTR,: SUPERIOR MH, 063-240-021 93-2061, LEWIS, SHEILA- (TRANSFER 93=506 TO OWNER/BUILDER) 063-240-004 ;,PERMIT#98-0435 LEWIS, Sheila ° 4920 pap.ya, Forest -Ranch-*- Cont: Illumination Elect is E1,e for Well/i(ff}L 3c/`7g 1�b3��'Z-2<.�►i NORMAN, THOMAS 4920 PAPAYA, FOREST S"�TCHg OWNER I';' ,(4 NEW S/F 3 BEDROOM CSC •-. -, ----.may .. .S, 63-24-21 92-947 P,E 0 63 2�D _�_-- 4920 Papaya Ln, orest Ranch 063-240-021 Fn..vironmP-ntal )REQ ties' TeaIth i�C10%19/8Approval ELECGASCOMPA TION, TEST no SUPPORT STRUCT : REQ O 3 e2 i 063-24-0-021. �93-Ai-, P , A LEWIS, SHEILA 4920 PAPAYA, FOREST RANCH PROPANE/MH , 063-24-0-021 93-50 I LEWIS., SHEILA 4920 'PAPAYA RD, FOREST -RAN CONTR,: SUPERIOR MH, 063-240-021 93-2061, LEWIS, SHEILA- (TRANSFER 93=506 TO OWNER/BUILDER) 063-240-004 ;,PERMIT#98-0435 LEWIS, Sheila ° 4920 pap.ya, Forest -Ranch-*- Cont: Illumination Elect is E1,e for Well/i(ff}L 3c/`7g 1�b3��'Z-2<.�►i NORMAN, THOMAS 4920 PAPAYA, FOREST S"�TCHg OWNER I';' ,(4 NEW S/F 3 BEDROOM CSC •-. -, ----.may .. .S, ,'9I:r`I LOCATION: -ZO D,4_j>Y /4 JM CONTRACTOR: DATE TO INSPECTOR: 3 ^ s PERMIT HISTORY:( ) NONE DATE: A.P.# 063-2-y0' -oZi ZONING: 16 ()() AS FOLLOWS: A Q,Q, U LLG CYC I BUILDING INSPECTOR'S REPORT r Building Description: Commercial/Usage: ' Residential/# of Units: Currently Occupied Abandoned/Vacant Electric: Yes No Electric currently On Off Condition of Electric Gas: Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable' Water Obvious SewageProblems Description of Damaged Area: ' Estimate Valuation of Damaged Area: h Condition of Foundation: Mobile Home: Condition of Utilities: Inspector. Date " Sketch building on reverse and indicate area of damage. ©lO3-zt�o -o Z ► =DF/BUTTE COUNTY FIRE INCIDENT L INCIDENT NUMBER 4907 DATE 5/8/2005 EVENT NUMBE 4937 LOGGED B JK REPORT TIME23:52 LOCAL FIRE NUMBE t"aFr i ��ai F .a � � ] RO GBROWNEL STATE FIRE NUMBER f777777q BI CASE NUMBER ._ 27 6a icaaA_s ( MEDICS LOCATION 1,4920 PAPYA RD PRAC4�. ECC ❑ RP STALLINGS . PHONE NUMBER 898-9472 REPORT METHO WILDLAND FIRES ❑ESTIMATED ACRES � ; o FIRE INFORMATION .............................................._................. - 123.___j j STRUCTURE FIRE ;RESIDENTIAL FIRE INFO SENT HO EMAIL � BY JK TO 23 i OTHER FIRE] 7 -DAY LOGGED D INITIALS JK MEDICAL AIDS I _ INCIDENT NAM DOSS PSA/OTHER START DATE 5/ 9/20051 START TIME 17:00 HAZ MAT ] DIAMOND # 2.0 Billable Incident ❑ CAUSE UNDETERMINED COMMENTS, LAND USE :DOMESTIC .......... GROUND ACRE S 0( TYPE OF ACRE ] .........:............ . DIAMOND 5,ONLY $ DAMAGE TYPE; DOLLAR DAMAGE 200000.001 SAVE 2000.00 +; - INJURIES/FATALITIES ❑ �._ ............................. # CIVILIAN INJURIES 1 # CIVILIAN FATALITIES 1 01 EMD ❑ OES ❑ F # FF INJURIE �I # FF FATALITIES01 FC -40 INFORMATION i ♦ New Incident Y FC 40 ❑ DATE OF FCO INC AGENCY INC # INC P# FC -40 COMP DATE FC -40 COMP BY County Notifications ❑./ EARS Hard Copy Recieved ❑ EARS.Checked Agenst EARS Computer ❑ . i • K 1'7063-240-62f .__ #98-2^x^47 RESIDENTIA NORMAN; THOMAS Q$ �44- 4920 PAPAYA, FOREST RANCH' t OWNER %2 .., 1/ NEW S/F'3 BEDROOM t PERMIT NO. ' � ��� PERMIT,EXPIRES �' (! OWNER CONTR,' t ' ASSESSOR PARCEL ` LOCATION .. i ♦ F • 1,x;5 ' - . ' CHECKED ,. a �. SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Tempa Power Pole `Called PG&E ( !! + Temp. Elec. Service Called PG&E i ,Temp. Gas Service ` Called PG&E JOB,FINALED (Date) i' Signature r ✓ = ok - ,O = Not OK - = Not Applicable Not Ready Date UNDERFLOOR (Plans) OK except #a 1. ZoningSetbacks-Easments-FloodSlope �?. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date, Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s - er Htr.; Vent -Access -Combustion Air Baffle 1 Pipe; Test & Anchor -Nail Protection if p.Wt Fittings &Anchor -Nail Protection hower Pan; Test, First Floor -Tub Access 2- . Tes & Shower, Second Floor -Tub Access -Gas Pipe; Sixe & Anchors RESIDENTIAL (Single & Duplex) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date EL TRICAL (Permit) OK except #'s . F_b4dr'eWTransformer Clearance -Ins. Protection E . Receptacles Spacing -Lights & Switches at Doors . Size es & No. of Conductors Stapled omex I stalled Close to Edge of Studs & C.J. 27.E Ground made up w/Mech Fastners-Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size GFI used Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI ange Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Inp.4ated Neutral 0 Yes 0 No Se Riser Conductors & Ground -Main Disconect 3 . Clearances Panels-Motors-Mech. Epuip. othes Closet Light -Shower Light -Spa Light 4. Smoke Detector Date i A?Card B-1 Date Card B-1 - Date Card B-1 Date Card B-1 Date ECHANICAL (Permit) OK except #'s A.0 ucts Insulation & Support 36 ent Fan, Exhaust above insulation ,=3ii Co densate Drain & Overflow, Size & Grade m ce-Vent Access -Comb. Air -Return Air Vent 115 outlet . ttic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B Date Card B-1 Date F G (Plans) OK except #'s rts oper Materials & Anchors 4 all ds -N 'ling Spacing & Braces -Plates -Sound 4 ea r09 Wpe over Girders & Floor Nailing raft S p in Walls (rat proof) 45:*irWttops, Furred CeilingsStairs-Chaser b eaders & BeamsSize & Bearing Date / FRAMING (Continued) ling. Joist-Rf r. Ties-Purlin-roffc: T_fff_ Shting.-Ring. ire lace Ties or Type A Flue -Fireplace Throat clearance ss; Size & Romex Protection -Draft Stop -Ins. Baffles gy6rm. Windows or Exiting Doors -Sill H t. & Dime signs age Fire Protection Framing S ,j C,/ t9 roperty Line Firewall & Openings 56. Ext. D -One 3 -Check Garage 3rd Story, 2 Exits s; Width -Headroom -Rise -Run -Landing -Fire Protection on Roof Overhang -Attic Vents -Rafter Outriggers idi g -Nailing Veneer cco-Mesh-Drip Screed -Fd. Vents-Underflr. Access Interior / 762) Infiltration -Walls -Windows / Date Card B-1 orf Date Card B-1 Date' Card B-1 Date Card B-1 Date JJNAL (Plans) OK except #'s x�ps-Door & Sidelight Protection -Landings 6y/�m Detector 0 -IF -mace; Vents -Clearance -Comb, Air-Conector- In-Garage; Above Floor -Ducts -Meth. Protection 67,-G.FI. Bath Fixtures & Tub Access -Spa 68 ec. Trim & Subpanel, Breaker Sizes & Labels irs & Rails 7 . ecce or Stove. Clearance -Hearth 71-Sf!�Autlets at Wood Panel, Int. & Ext. 6!,F4X( & Appliance; Ground. -Air Gap -Cooking Clearance I utlets & Recepticales at Kit. Counter 74. Gra a Fire Door; Swing -Landing-Closure 7 Duct in Garage -Damper Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In ra e; Above Floor -Meth. Protection I lec. & Mech. Equip. Listed for Location 7 . EJecr _ptacles in Garage (G.FI.)-Romex Protection Insulation -Foam -Looked in Attic 80. and rails & Deck Construction -Post Caps n. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Yes 82 ollowing Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stdcco Brown -Finish K. A G Unit Disconnect, Electrical -Plumbing j4VV96Ave Roof, Plbg-Appliance-Fireplace-Clearance to Openings er Well, Disconnect, Electrical, Plumbing 87. Ext ' r Elec. Trim, G.F.I. Receptacle -Underground 88 en ' on Throught House 90.oZbrrections from Previous Inspections 91. Gas t -Meters Tagged, Gas -Electric 92.4lVater & ewer Connected -C/O to Grade -HD Approval 93. E Compliance Certificate -Other Certificates Date L Card B-1 ate Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: V=OK O = Not OK Not Applicable : MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / I Uft. / /Nat. or/ /"L"ft./ /LPG 7. Electric 7. Well Clearance 8 Disconnect 8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 8. Utility Clearance a, 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Sine -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness s• Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance -GR 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 12. Permanent Foundation Only: License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps-Doors-Landinge 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness s• Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Jan -01-01 10:25P P.01 -•'MUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 111 Telephone (530) 538-7541ry-��ITT NO. Rev 12106) APPLICATION AND PERMIT 13 ` ASSESSURPARCELNUMSEA 053-240•-12.1 ZON1NO T,'10 BUILDINGPERMIT OWNER�• Tho --.q `.rmi a Ioan • ° E /S' f�0 SO. FT. OCC. BUILDING VALUATION 1386 74 . gz.-4 , 00 OWNER'S MAILING ADDRESS n /� nr1� 50 1 . FQrPSt C+nth l� n 7.0 \' 260.00 CONTRACTOR'S NAME TELCPHONE 415 7 .434.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace .5 . LENDER'S MAILING ADDRESS Total Valuation $ 34 .035 .00 ARCHITECT OR ENGINEER LICENSE NO, Fjlin Fee $ 20.00 Permit Fee $ 572.00 ARCHITECT OR ENGINEERS MAILING AooaEs3 Plan Checking Fee $ 371.80 W00040 ADDRESS �, 4920 Papaya, , orest ,�a.nch Energy Plan Checking Fee $ 23.00 $ PERMIT FEE* $ LAT NO. SUaDNISION'SNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 8 7.00 5Fj O(1 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 1.5.00 Each gas water heater or vent 15.00 15.0 TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities ❑ Installation ❑ Other' ❑ Describe Work; �F 3 '1Priroorl Gas piping system 1 - 5 outlets 15.00 15.0 Building sewer 15.00 Mobile Home S G W ®20.00 PERMIT FEE t ` ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 ' LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionsi Code. and my license is in full force and effect License Class Lie. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 9 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. O 1, as owner of the property, am exclusively contracting with licensed contractors . •to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' i 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 i 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 r 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. __^�L�� Date 1fL� Sign lure of Applicant -- 13 Owner 13 Contractor ❑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 200A TO 1060A 46.00 NEW CONST. OwewND occuP. ort ADONs. a ACC. eLAs. so 3.540: NON•RESID. ' MULn-oUTt.ET @7.50 f POWER APPARATUS d SINGLE O CIS. 20 O 1.00 Ex. Occu OUTLET ort FIXTURES 20 4 .w FIXED AFPLNS. OR 5.00 Ex. Occup. ourLErs RESID. EA _ Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23,00 PERMIT FEE _ " - MECHANICAL PERMIT Filing FOB 20.00 Heating Cooling Hood 6.50 . S( Ventilation _ PERMIT FEE t 41.50 Mobile Home Installation Fee $ Energy Inspection Fee $ 1! 6. n0 occ P•.3 CONST. TYPE V?r TAL FEES 1 2r.) .35 HAZ. ._ I D F IMP FLAOD COF AR PO Hp II UE This permit Is hereby Issued under the of the Butte County Code and/or Indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Da 8 d 30 ra, ReceiptNo. 12.3.35 WHITE-O.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 tyv em d^J if: -214 5� 7 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. �?Jo 4P 1911hv jc, S lv im Ar,14Al i'v v -fi c a- — Au S /iv g")k;Cdre �� �o 17, 1; C'o Ll a &VIV r- 114 D Q L% Date Inspector- REV nspector REV 10/92 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 ER �7 PERMIT NO. A routine inspection in ' tes that the following violations of butte county Ordinances exist at the above address an ould be corrected. Please notice this office when correction of work is completed. If have any questions pertaining to this matter, or need additional explanation, please co ct this office immediately. Gfd��a� /--27_ CAJ E� 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 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. �J- - tv J� /j �% t Date Inspector REV 10/92 e. CERTIFICATION' OF INSULATION ask SIC -303 4- _ - ATTIC COPY w ADDRESS OR TRACT SACRAMENTO INSULATION CONTRACTORS LOT kF P.O. BOX 854, WEST SACRAMENTO, CA 95691 LIC. #202026 •: sr7l 3243 INDUSTRIAL DRIVE, YUBA CITY, CA 95993 LIC. #202026 P.O..BOX 9651; FQESNO,"CA 93793-9651.LIC. #202026 ' P.O. BOX 1631, RENO, -NV 89505 LIC. #10675 ` _ r t I ❑ 3326 A PONDEROSA WAY, LAS VEGAS, NV 89118 LIC. #10675. ' C' DATE INSULATION COMPLETED f CEILINGS •• ( SQUARE FEET) ( SQUARE FEET) ( SQUARE FEET) - TYPE OF INSULATION TYPE OF INSULATION TYPE OF INSULATION MATERIAL •ti wt a:3 mrcaaa.Ll,,MATERIAE FIBERtaA'SS Y," - - '.rt a tt:A 1. " ` �'"''"',''FIBERGLASS ; "r�':a MATERIAL., y, - " r"' ; FfERGL'ASS FORM BATTS FORM BATTS & BLOW FORM BATTS MANUFACTURER'S PRODUCT•I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURER. MANUFACTURER MANUFACTURER OCF OCF OCF . f BAGS . c R - VAL'UE• . APPLIED R - VALUE APPLIED MIN. INSTALLED R -VALUE APPLIED } INSTALLED' THICKNESS INSTALLED THICKNESS WEIGHT PER SQUARE FOOT INSTALLED - THICKNESS . ,`'�•'s.! ^� f {.yT,�,t.- - ,,.nom+.: Y ,. .�+ .•'. �. � � ` '.`� F I, r. KNEE WALLS IF R -VALUE IS OTHER THAN WALLS ABOVE MATERIAL FORM I R VALUE..'^- MANUFACTURER '�-- FIBERGLASS,, , BATTS OCF AIR INFILTRATION SEALANT ' MATERIAL " r MANUFACTURER Y�T�• W R GRACE THIS IS TO CERTIFY THAT INSULATION AND/OR SEALANT HAS BEEN INSTALLEDIN CONFORMANCE WITH APPLICABLE•CODES, MATERIAL STANDARDS AND REGULATIONS. SI NATURE—INSULATION CONTRACTOR, . _y TITLE DATE » MANAGER j — z z_-e? SIGNATURE—GENERAL CONTRACTOR . F ' ° " TITLE DATE w ""*` '-•" - . fir, . - _ �- ,. _ REMARKS: e 41 , 1 SIC -303 4- _ - ATTIC COPY w OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oro ville, California 95965 • Telephone (530) 538-7541 q PP Rj IT NO. (Rev. 12/96) APPLICATION AND PERMIT11 ASSESSOR PARCEL NUMBER ora-2�. 0 - -021 ZONING 7•10 BUILDING PERMIT OWNER Thomas Nor. -man T Ho E SQ. FT. OCC. BUILDING V 1380 74,86-4.00 . OWNERS MAILING ADDRESS P.O. Dox 693. Forest. "Ranch 2.0 C 260.00 CONTRACTOR'S NAME TELEPHONE 415 7.434.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace 1..500.0. LENDER'S MAIUNG ADDRESS Total Valuation $ 34.034.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 572.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 371.80 BUILDINGADDRESS 4,20 Papaya, �c�nch Energy Plan Checking Fee $ 23.00 $ -Forest PERMIT FEE $ ` LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF P Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 8 1 7.00 56.00 Solar or heat pump water heater 23.00 Water piping 15.00 1.5.00 Each gas water heater or vent 15.00 1.5.00 TYPE OF WORK ,. New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other,C]Buildin Describe Work: S/F 3 3edroom Gas piping stem 1 - 5 outlets 15.00 00 sewer 15.00 19 -DO S Mobile Home G W @20.00 PERMIT FEE S -' ELECTRICAL PERMIT Filing Fee 20.00 800VOR LE Main Service 2o0A 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 Busine§s and Professions Code, and my license is in full force and effect.PSINGLE 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: tv1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for 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. c Date �A9 2 7 - L2r Sign-Ature 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. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. S° OR ADONS. ( a ACC. S.3.5¢FT. NOµp NST.MULTI.OUTLET @7,50 a OUTLOWER APPARAET TUCIR.S 20�'00 Ex. Occup.OUTLET oRFaTUREs BAL p .50 Ex. Occu .FIX i ED g R=ID.°R. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 6. 5 Ventilation PERMIT FEE $ 41.50 Mobile Home Installation Fee $ Energy Inspection Fee $ 46. 00 occ P3 CONST. TYPE Wi TAL FEE $ 1,293.35 HAZ. ._ I D F0IMP FLOOD 1, CDF ARC PD I HD I UE 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. Da (� v �� Dete ReceiptNo. 2510_36/$1293.35 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i' =7,7.4�In COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 5 .7 County Center Drive • Oroville, California 95965 • Telephone ($30 538-754 (Rev. 12/96) APPLICATION AND PERMIT L � '� W " 0 AssnsORPARcELNUMeER,,e) p� r� f1 /� ZOIMIJ�''^n Il � v ` BUILDING PERMIT OWNER TEU!PNONE SO. FT. OCC. BUILDING VALUATION OWNEA9 COHfRACTOR'8 eV EL81M� 2. COMRACTOR AD f� CONSTRUCTION LENDER s u rwERMAILING ADDRESS Fireplace B O Total Valuation ARCNrtEaT OR ENGINEERLICENSE No. Filing Fee S 20.00 ARCNITECr OR ENGINSEER'S MARINO ADDRESS Permit Fee $ % Plan Checkina Fee S' 719A BUILDING ADDRESS rg �9 Energy Plan Checking Fee $ -�- PERMIT FEE _ PLUMBING PERMIT Filing Fee � _ 20.00 IDT NO. sUSUMIONSNAME PARCEL MAP ', USEOFSTRUCTURE SF 4r Duplex O Moblehome ❑ Other sPWFy Each Tr 7.00 . Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or' vent 15.00 TYPE OF WORK New Addition O Remodel O lJtiGtiea ❑ Installation O Other O Describe Work: Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G1 W1 20.00 PERMIT FEE t -- ELECTRICAL PERMIT FM Fee 20.00 Main Service 2o=ooRR 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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 fun force and effect License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penaltyof perjury rythat I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 1 am exempt under Sec. , Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 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 the5 performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is Issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit Is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner O Contractor O Agent An OSHA permit is required for excavations over SO' deep• and.demolition or construction of structures over 3 stories in height Main Service 200A TO 100" 46.00 NEW CONST. DwEl1Mq OCCUP. 3.5dF�T,. OR ADONs. a . ins. ppµRES1D.' BRANMULTI-OUTLET @7.50 Pow APPARATUS a SINGLE OUTLET as Ex. Occu • ovn r oR RxTURES SAL ®' o Ex. Occup. . . 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE s �. MECHANICAL PERMIT Fling Fee 20.00 Heating Q Cooling Hood 6.50 Ventilation , PERMIT FEt $ Mobile Home Instillation Fee $ Energy Inspectio Fee S NST TOTAL FEE $ D Esw a000 cPF P Po No ssve 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. i By Date PERMIT EXPIRES ON Ia rReceiptNo. ©� HITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT C9 -9 r , TO: Building Department FROM: Environmental Health ' SUBJECT: Sanitation Clearance lVoy, ,71c_,-7 ¢ 9Z D Owner '_Plan Approved for: Sewage Disposal . x Clearance forOther 3 seo�� /eaek; Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 E.H. USE ONLY Plot Plan Attached YpJ F`r4lan Attached ref Sent to B.D. �G,,vya A 43 - z -5�6 - 6Z / Location ' AP# Water S.uppl�t Public Private Well X ;"z yn v kle �v .yae w/e�� /�rtiv�ioi„� 60. y /eAe! �� ,Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET ' OWNER: tJ0it l/Va Y -t' IV ASSESSOR PARCEL NUMBER: (� /n -;�, — d- Proposed Building Use: Building Inspector: Date: /,0 At time of permit application, I was advised the following data must be submitted prior to permit p sseroc s ng an llor issuance: Date Received By ❑ 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by the preparer of plans. 03. 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. -------- ngineered truss details and layout in duplicate (required prior to plan review) No faxes! --=--------------- nergy Design Compliance and supporting documentation.---------------------------------------------------- W-ff ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 0 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ kaliaf esof$--------------------------------ctfsasshown on the attached schedule.----ornia Department of Forestry plan approvaUfees.------------- ❑ 3. Flood elevation certificate. --------------------------------------------- Sanitation and plot plan approval Health Department. Ell 5. 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: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 1.9' Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑ 20. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------ El 22. Workers' Compensation carrier and policy number. ---------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 11) - ------------------------------- ❑24. Letter of signature authorization.-------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------- 1126. Letter of intent on building use. ---------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------- ' ❑28. Existing violations and/or expired permits. --------------------------------------------------------------- ❑29. 0433 A, El Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .-------- 1130. ------- ❑30. Other: ren you issue the p ti proce s as follows ❑ Mail to owner, ❑Mail to contractor. Telephone L ( s` -i and hold for pickup atQ% office. ❑ Deliver with inspector. Applicant Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, Date: By: (Date) /o_zz-Sf1 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, advised of the above requi*r9d data y ❑ phone, ❑ mail, ❑ Building Di 'Sion counter, by Date: Plans reviewed by: Date: ZO Plans approved by:3 Date: l0 Sets of plans on Kola in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: /,16 :�7 0 Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF'FEES DUE , OWNER IvOe (� ' A.P. # • PROPOSED BUILDING USE � DATE RECEIPT # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee '....... $ �-- 2. SCHOOL ;DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential.......... x $360.60 = $ ,t FUnits w Commercial (sq.ft.).... x $0.03 = $ Sq.Ft. , 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) .x - _ $ ' •#Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) ' 6. THERMALITO DRAINAGE DISTRICT FEES I , $ 0.00 (paid at Building Division) ` 7. SRA FIRE INSPECTION' AND PLAN CHECK,. $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) '• ' $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid,at Building Division) - } 10. OTHER r At time of permit application, I was advised the above fees are required to be paid prior to. issuance of the building permit. , These fees may be changed during the plan checking process. - APPLICANT �. - _ DATE f0 = Z2= 1 Pursuant,to Govemment Code Section 66020, you are hereby notified that items 2,3;4,5,6,8,9, and 10 above may have been imposed on your ' project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section, 66020(a). - Original-Building Div. 2nd Copy - Applicant 3rd Copy - Owner , y (Rev. 2/97) COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY'CENTER DRIVE, OROVILLE.CA 95965 TELEPHONE (916) 538-7541 n) SCHEDULE OF FEES DUE �! .� ...lj/� (— 110 V A.P. # F�Gc �j Oo OWNER / / ! / DATE .'PROPOSED BUILDING USE 5 1.. BUILDING PERMIT, FEES . -- Balance Due .. . .......... $ -- Additional Fees Due .:........... $ -- Additional Fees Due ........... $ --,Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES RECEIPT # DATE REC , t— (paid at District Office) , T 3 r SHERIFF FEES (paid at' Building Division). 1 Y r Residential ........ x'$360.60, = $ Units �. Commercial (sq.ft )... x $0.03 = $ • x 4. URBAN AREA FEES (paid at Building Division). Residential (per unit) x : _ $ #Units Amt. Commercial (sq.ft.) . _ x _$ Sq.Ft. Amt. 5: RECREATION DISTRICT FEES (paid at District Office) 6: THERMALITO DRAINAGE DISTRICT FEES $ 1`0;00. (paid' at Building Division) 7. SRA FIRE INSPECTION AND_ PLAN CHECK $89.00 (paid at Building, Division) 8. WATER TENDER FEES (Battalion # ) 1200.00 (paid. at Building Division) '9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above' fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT _¢� DATE Pursuant to Government Code Section 66020, you -are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). ` Original -Building Div. 2nd Copy - Applicant 3rd Copy -'Owner (Rev. 2/97) OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and gabearing*your-si atute. Please complete and return this information at your earliest opportunity to avoid tinnecessary delay inprocessing and issuing your building permit. No building permit will be issued`uatil:this verification is received. 1. I personally plan, to provide the major labor and materials for construction of the proposed property improvement : YES �Y NO E3 i•Yf' 2. I HAVE HAVE NOT C3 signed an application for a building permit for the proposed work, ti: 3. I have co tracted with the following person (firm) to provide the proposed construction, NA ,f ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. plan t. � 4. I ' p o provide portions of this work;' but I have hired the4 following persoiRa`to coordinate; supervise, and provide the major work: NAME: ADDRESS: .4 CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work_ but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORX" SIGNED: PROPERTYOWNER;�� SOCIAL SECURITY NUMBER: DATE:_7— NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER . OWNER BUILDER INFORMATION ---1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection. you should be aware that as "owner -builder" you are the responsible party ofrecord ori a permit. Building permits are not required to be signed by property owners unless they are personally'perfortniagtheir own work. If your work is being performed by someone other than yourself, you may protect yourself from pos§i6ie 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 busltuss license from the city or county. They are also required by law to put their license number on all permits for,whiehfhey apply' � ,,. If you plan to our own work, 'tlr the exception of various trades that you plan to subeontract; you,:... be aware of the fol g information for ur benefit and protection: :: - • , . =-T `4. ♦ If you em o or otherwise engage an rsons other than our immediate tamil and the work incl ' Y Y Y Y Y• ( udiag meterlals'"::;` w: and oth costs is 5300 or more fo the entire roe and such P J m. persons are not licensed as co' oc subcon ctors, then you may be an ployer. �., - -..... . ♦ uyouan employer, you m register with the State andFederal Governments as an employeraady(-bject to everal obligati 'cluding state. and. federal income tax_withholding, federal social seats. workers com ce, disability insurance costs; and unemployment empensation contritautioira ♦ 44 There may be financial risks for you if you do not catty out these obligations, and these risks are especially`se with respect to worker's compensation insurance. • . • � • •-• err: ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Seryic¢ if you wish, the U.S. Small Business Administration). For more specific informatiori about your obligations i 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 pejfo m tlleir work personally or through their own employees, without a licensed contractor or subcontractor, only under'lianiLed 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!qrs 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" lin the reverse side of this form so that we can confirm.dMyou ...: are aware of these matters. The building permit will not be issued until the verification is returned. r rely, 'i��, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder.Information is required by Section 19830 of the California Heaps and Safety Coda OVER RESIDENTIAL PLAN CHECKING GUIDE SINGLE FAMILY DUPLEX AND MISCELLANEOUS ONLY OWNER: i PLAN CHECKER- : A P. NUMBER: RAL - Zoning requirements: (side yards and number of permitted living units). Valuation :. , a , .. h nlv..., Plans signed by designer. Proper description of work onapplication. Existing violations on property. 6: Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.). �. Recorded notice of violation =, r Complete parcel size and dimensions.- Setbacks, side Yom, easements, etc. s,.-:i�-,� Other buildings or structures. Grading, fills and/or drainage. Flood hazard. Special conditions on creation map (Noise, S.RA., Fire Sprinklers, Water Tender, Toes, etc.). F.A.U. dt F.A.S. road setback. Building or utilities across lot lines (Record form). Complete to scale plan with dimensions. Required windows for light and ventilation (Section 1203). Required windows for second exit (Section 310.4). Skylights (Section 2409 dt 2603.7). Glazing in Hazardous Locations (Section 2406). Required room sizes, ceiling heights (Section 310.6). G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E C. 210). Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment Location of water heaters, heating and cooling equipment, other electrical or gas equipment Garage firewall, door size and closer (Section 302.4). Minimum of one 37 exterior door (Section 1004.6). Fireplace and wood stove location, alcoves and clearance. Smoke detectors (Section 310.9.1). Plumbing fixtures, water closet clearances and shower size. Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4). Standard bracing or engineered design (Section 2326.11.3). Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. AV -1V - 3 Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Rafter ties or bearing ridge beam. Fireplace construction details and calc. if necessary. Garage door and/or porch header sizes. Stud heights. Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection requirements. Header size. Sheetrock nailing inspection required? July 1996 3.2 MISCELLANEOUS rumTO Mir nr T FOR Stairway details: landings, rise and nm, head clearance, hondrails (Section 1006). Guardrail details (section 509). Brick or stone veneer (Section 1403). Exterior plaster - weep acneeds'(Sectioa 2506).. ._. Proper roof pitch for roof covering (Section 1501). Roof covering type - (fire hazard). Foam insulation.-, protection-, 36" halls and stairways. Living area over garage - complete 1 thour`seperation required on garage side including �pp�g walls and posts. Two exits on three - story dwellings (Section 1003). Underfloor access and ventilation (Section 2317.7). ' Attic access and ventilation (Section 1505). Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. Energy design. Flashing at all exterior openings. - C.D.F. responsible area requirements. D wr �tq fir n + .� T . July 1996 3.3 . t . July 1996 3.3 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) �, School District. Vl ✓ Building Department No. A.P. Number `�� �V rV� 1 -Jurisdiction: City ©� County Property Owner I OHO �Q Q �(r��j AJC '► �1.� Property Location/Address Subdivision n Lot No. Residential Development Sq. Footage 3960 6 No of Living Mobile Home Units Installation �Addition r7IG� ._ roup R) dowel Commercial/Industrial Sq. Footage �--� New Addition (Including Exterior Roofed Areas) Building Department Representative Date u-ioor rians revieweD Dy acnooi uistnct rersonnep District Identification No. ' School District certifies that (Applicant) PO `) (6�O) gM 4-- I C,4`(O�q (Street Address) (Phone Number) -TM St r & -n ok 04 q�q42-% (City) (State) (Zip Code) 00 has complied with the requirements of Resolution No. C-1 � by payment of'$ � J. representing t (•/ square feet. 1Fjjj726 $ [FULL MITIGATION $ School DistAc epresentative" Date Paid by Check # Oq)Remafks: )� Ci A(C, — ntA/\j TF,-iTz7Zt, 17m, f2f Notice: You may protest the imposition of the fees idehtified above by 644rnittirig a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate Its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm 'YYn GREGORY A. PEITZ ARCHITECT 1907 MANGROVE, SUITE "E", CHICO CA 95926 (916) 894-5719 Structural Calculations For: ,;a AR�tii Y�.A iC No. C 2 N9� REN..Z � .a �e 77,9z C. LOAD SUMMARY, *Use normal force method '*Exposure B *Basic: wind speed: 75 mph P = Ce Cq. gs I Walls P = .62 * 1 .3, * 14.5 * 1.0. = .0117 ksf < 15 ft'. P = .67 * 1.3 * 14.5 * 1.0 = .0126 ksf ® 20 ft. P = .72 * .1 .3 * 14.5 * 1.0 = .0136: ksf Q 25 ft. P = .76 * 1.3 * 14.5 , * 1.0 = .0143 ksf- Q 30 ft. Roofs 2:12 to'less than 9.12` P = .62 *, 1.0 *. 1.4:5 * .1'.0, _ .009 `ksf' C 15 ft. P _ .67:.4.. 1 .0 * 14.5 * 1 .0 = .010 ,ksf @ 20 ft. P = '.72 *` 1 .0 * 14.5 * 1 .0'.= .011 ksf Q 25 ft. P _ .76 .* 1.0 * 14.5 * 1.b = .0,1,t'ksf Q 30 ft. Roofs 9 -:1'2 -to 12.12 P = .62 * `1 . 1 * 14.5'* 1.0 = . 010. ksf < 15 ft. P = . 67 * 1 : 1 * 14.5. *. 1 .0. =. i011 ksf ® 20 .ft. P.= .72 * 1.1 * 14.5 * 1.0 = .012 ksf 0 25 ft. -14.5 * 1.0 =_ .012 ksf Q 30 ft. . 1 1 - �J 22-141 50 SHEETS 22-142 100 SHEETS ```���•���" 22-144 200 SHEETS r } j ll V 1 � t '"T "�"----f �.+�-'"----:-..-Y_....•'�,___.i.,.._., ..i',,,`._ .�1__.s.�,-a..._....---'d^"^*w`.—«.r...i..�_.:�...�. �y.=..._.,.._...�..�.�;Y.. �.. � i ' 1. � �...:.}. t_,...i:,..._-...}.�...¢.o...:}....: .•r.,-.'w:=_-.v;.'.a.. . 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"_ . _ _ - �._ .�._.—.� _. � _ .r_. � ..•—�!1..... .,_ _ � _.. ; ._ �..._ �.... _�t jL 1 _.t—.- f- �.. x•61-5-•�..........._ .t---Y- 't_ - �i - _-i-__'..L...�C� OV' - E .� "":.�.-�...�.,:'"'- _'__._ I .�.:.._ -•..ice.-..-4 ..`..t{ "� F ..,,, 4..�.. �_�.."L'__.:^-'-.._,�,__�_ �_. + .Y....�.... � ._..,;;--�.•--'^' � �'..:. t.J..:'" ._{_=�,f._..�..:..�}:.. i t :�.. . .,�. jam... .—•;-1J -v v\ .-+-...*...._-t•-..;-..- —+-t--•-•a*j-,-•:-••--£--._...}..*.,,.,}.....,.—.�;..w...t-...t._;....-ti.....„ ,uj-.«.tee_.-..,..--..-._..�.�_.a-"--�-'•-•--'-^-}---t \•-- h";;_`;' , i' �N N N N W W xxx N N N coo N 0 0 ^C4 aa� N N H N N C �f r 4 ' 3 1® t CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R ,.., Pro:j,e,cthTtl.e......_......R........ •.. The- Project he Pro ect Address... ••••"10/2'5/98 J ..... 4920 Papya ******* Forest Ranch *v4.50* 0 Documentation Author... Marty Runnells ******* Building Per its. Energy Calculation Services S ID %a 1907 Mangrove Avenue, Suite D Plan Check D81te Chico, CA 95926 916-894-8466 Fie C ec Date :C1-.mate...Zone ........... 11__ Y;• .;. ... .. Compliance Method...... MICROPAS4 v4.50 for 1995'Standards by Enercomp, Inc. MICROPAS4 v4,.50 File -98189S Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -1386 SF REs.-Submittal GENERAL INFORMATION Conditioned Floor Area..... 1386 sf Building Type .............. Single Family Detached Construction Type ......... New.. Building Front Orientation. Front Facing 0 deg (N) Number of Dwelling Units.... 1 Number of Stories.......... 1 Floor Construction Type'...,. Slab On Grade Glazing Percentage.......... 13.1 % of floor area Average Glazing U -value.... 0.73 Btu/hr-sf-F BUILDING SHELL INSULATION Component Frame Cavity Sheathing Insul Assembly Type Type R -value R -value R -value 'U --.value Location/Comments Wall n/a R-13 R-n/a R== _11 0.088 FRONT, TO GARAGE LEFT, BACK, RIGHT Door n/a R-0 R-n/a R-0 0.330 TO GARAGE_ SlabEdge n./a• R-0 R-n/a R-0 0.900 TO EXTERIOR SlabEdge n/a R-0 R -n a R-0 / 0.720 TO EXTERIOR SlabEdge n/a R-0 R-n/a R-0 0.550 TO GARAGE SlabEdge n/a R-0 R.-n/a R-0 0.500 TO GARAGE Roof n/a R-30 R-n/aR-:30 0.031 TO ATTIC, VAULTED FENESTRATION # of Interior Over - Area U- Pan- Shading/ Exterior hang/ Framing Orientation (sf) Value es Description Shading Fins Type Door Front (N) 20.0 0.550 2 Drapes.Std None Yes Glz<50% Window Front (N) 7.5 0.670 2 Drapes.Std None Yes Metal Window Front (N) 40.0 0.760 2 Drapes.Std None Yes Metal Window Left (E) 4.0 0.760 2 Drapes.Std None, YYlps Metal Window Back (S) 56.0 0.760 2 Drapes.Std N NJ Metal Window Back (S) 33.4 0.770 2 Drapes.Std .rot �{��qlne ®ne Metal Window Right (W) 20.0 0.760 2 Drapes. Std5 r Yes .Metal CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R P.,rorj ectT _t.1.e.....:......,....,....,,T.he..Normap,,TRes_idenc,e,. MICROPAS4 v4.50 File -98189S Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -1386 SF REs.-Submittal THERMAL MASS .. �,.. .. ., ,..., ,. ;..,.. .. ,Area .; :Th•ickne�s_s .- . .... ..._._ , ,.. ,_ _.. , - Type Exposed (sf) (in) Location/Comments S1abOnGrade Yes 181- 4.0 ENTRY%BATHS/KITCHEN . SlabOnGrade No 1205 '3.0 TYPICAL HVAC SYSTEMS Minimum Duct Duct Thermostat Equipment Type Efficiency Location R -value Type ------------ Gas • 1 0. 800 AFUE___ _Att_ic - R-4_..,2 Setback 4a -Lt' `,10.00 SEER Attic R-4.2 Setback____ _ _ .. Aj 6 cm/"'WATER �HEATING SYSTEMS U Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value Water--Heater-to---meet--minimum CEC--Standards- SPECIAL FEATURES/REMARKS l CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R <.,P.roject .Title..:.. ,::: y.-. The,:;Norm.an,,Residenc',e . .•.a.... _, .> ti•.;Date .,�c.x. y ? �: 26E/98.rfi .,:� MICROPAS4 v4.50 File -98189S Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -1386 SF REs.-Submittal COMPLIANCE STATEMENT - ,Thies-~c-erti-f•i.caae� Jof�..-compliance lists the building features -and ..performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/ Remarks section. DESIGNER or OWNER DOCUMENTATION AUTHOR Name.... Tom Norman Name.... Marty Runnells Company. Owner Company. Energy Calculation Services Address. 4920 Papya Address. 1907 Mangrove Avenue,Suite,D Forest Ranch, CA 95942 Chico, CA 95926 Phone... 530.894.1546 Phone... 9.16-894-8466 License. Signed,. date ate ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. date MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -1R Pro ee't.- T tlel:x:........ -:.--The Norman vNx t`ea:�:� ..... 1 J a Residence Da 0/26/,9,8 Project Address........ 4920 Papya ******* Forest Ranch *v4.50* Documentation Author... Marty•Runnells ******* Building Permit Energy Calculation Services 1907 Mangrove Avenue, Suite D Plan C ec Date Chico, CA 95926 916-894-8466 Field Check/ Date Climate'Zone........... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File -98189S Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -1386 SF REs.-Submittal Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES Design- Enforce- er ment *150(a): Minimum R=19 ceiling insulation. - 150(b): Loose fill insulation manufacturers labeled R -Value. _ *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). ✓ *150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. 150(i): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(8): Vapor barriers mandatory in Climate Zones 14 and 16 -only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets CEC quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and gas logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. H/A NA i MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R .Prof ec,t .:T, t1e,,--r-1..Thee Norman,.. Residence... V, 150(j): Pipe and'Tank insulation MICROPAS4 v4.50 File -98189S Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -1386 SF REs.-Submittal Run SPACE CONDITIONING,, WATER HEATING AND PLUMBING SYSTEM MEASURES - t. Design- Enforce- er ment 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. ,r• 150(i): Setback thermostat on all applicable heating systems. V, 150(j): Pipe and'Tank insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 4 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or, greater). 3.. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below .55 degrees insulated. 5. Piping insulated between heating source and indirect hot water tank. { *150(m): Ducts and Fans 1. -Ducts constructed, installed and sealed to comply with UMC sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. ✓ 114: Pool and Spa Heating Systems and Equipment ' 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. NIA 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.). LIGHTING MEASURES 150(k): 40 lumens/watt or greater for general kitchens and rooms with water closets; and fixtures IC (insulation cover) approved. Design- Enforce- er ment lighting in . recessed ceiling COMPUTER METHOD SUMMARY Page 1 C -2R Proj ect = Titl-e ..........—The- Norman= -Date...-- 1.0/26 /98 Project Address........ 4920 Papya ******* Forest Ranch *v4.50* , Documentation Author... Marty Runnells ******* • Building Permit Energy Calculation Services 1907 Mangrove Avenue, Suite D Plan Check Date Chico, CA 95926 916-894-8466 Field Check/ Date ...,Climate Zone 11.. ,,. 1: '4 . . , .... .. I .. Compliance Method...... MICROPAS4 v4.50 for.1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File -98189S Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User-Energy.Calculation Servic Run -1386 SF REs.-Submittal Energy Use (kBtu/sf-yr) MICROPAS4 ENERGY USE SUMMARY Standard Proposed Compliance Design Design Margin Space Heating.......... 15.14 14.54 0.60 Space Cooling.......... 12.36 12.49 -0.13 Water Heating.......... 14.95 14.95 0.00 Total 42.45 41.98 0.47 *** Building complies with Computer Performance *** GENERAL INFORMATION Conditioned Floor Area,..... 1386 sf Building Type .............. Single Family Detached Construction Type ......... New Building Front Orientation. Front Facing 0 deg (N) Number of Dwelling Units... 1 Number of Building Stories. 1 Weather Data Type.......... ReducedYear Floor Construction Type.... Number of Building Zones... Conditioned,Volume......... Footprint Area.... ....... Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -value.... Average Ceiling Height..... Slab, On Grade 1 11246 cf 1386 sf 1386 sf 1386 sf 13.1 % of floor area 0.73 Btu/hr-sf-F 8.1 ft BUILDING ZONE INFORMATION Floor # of Area Volume Dwell Cond- Thermostat Zone Type (sf) (cf) Units itioned Type HOUSE ' Residence 1386 11246 1.00 Yes Setback Vent Special Height. Vent, Area (ft) (sf) 2.0 n/a COMPUTER METHOD SUMMARY Page 2 C -2R a SY4,Perojec , , •.�.,...10 / 2 6 /9.8R!zqidencert5+¢.+' MICROPAS4 v4.50 File -98189S Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -1386 SF REs.-Submittal OPAQUE SURFACES Surface HOUSE 8 SlabEdge 9 SlabEdge 10 SlabEdge 11 SlabEdge PERIMETER LOSSES Length y -Area U- Insul Act -,,.Solar-,- ,Form. ,3--�- -, ,. -Location/. Surface (sf) value R-val Azm Tilt Gains Reference Comments HOUSE U- Act Glass Int- Shading/ Surface (sf) es 1 Wall 165 0.088 13 0 90 Yes None FRONT 2 Wall •174 0..088 13 0 90 No None TO GARAGE 3 Door 17 0.330 0 0 90 No None TO GARAGE 4 Wall 276 0.088 13 90 90 Yes None LEFT *� 5 Wall 334 0.088 13 180 90 Yes None BACK 6 Wall 181 0.088 13 270 90 Yes None RIGHT 7 Wall 80 0.088 13 270 90 No None TO GARAGE 12 Roof 836 0.031 30 n/a 0 Yes None TO ATTIC 13 Roof 569 0.031 30 0 14 Yes None VAULTED Surface HOUSE 8 SlabEdge 9 SlabEdge 10 SlabEdge 11 SlabEdge PERIMETER LOSSES Length F2 Insul (ft) Factor R-val 9 0.900 R-0 128 0.720 R-0 8 0.550 R-0 20 0.500 R-0 Solar Gains Location/Comments No TO EXTERIOR No TO EXTERIOR No TO GARAGE No TO GARAGE FENESTRATION SURFACES Left Fin Right Fin- Dpth Hght Ext Dpth.Hght n/a n/a n/a n/a n/a n/a. n/a n/a n/a n/a n/a n/a n/a n/a n/a Window- # of Overhang Vent Area SC SC Interior Left Rght Area Pan- Frame Open U- Act Glass Int- Shading/ Surface (sf) es Type Type value Azm Tlt Only Shade Description 6.67 n/a 5 .67 n/a n/a n/a 2 Window 7.5 5 n/a 5 - .67 HOUSE 1 Door 20.0 2 Glz<50°s Hinged 0.550 0 90 0.88 0.78 Drapes.Std 2 Window 7.5 2 Metal Fixed 0.670 0 90 0.88 0.78 Drapes.Std 3 Window 20.0 2 Metal Slider 0.760 0 90 0.88 0.78 Drapes.Std 4 Window 20.0 2 Metal Slider 0.760' 0 90 0.88 0.78 Drapes'.Std 5 Window 4.0 2 Metal Slider 0.760 90 90 0.88 0.78 Drapes.Std 6 Window 3.0 2 Metal Slider 0..760 180 90 0.88 0.78 Drapes.Std 7 Window 21.0 2 Metal Slider 0.760 180 90 0.88 0.78 Drapes.Std 8 Window 20.0 2 Metal Slider 0.760 180 90 0.88 0.78 Drapes.Std 9 Window 33.4 2 Metal Slider 0.770 180 90 0.88 0.78 Drapes.Std 10 Window 12.0 2 Metal Slider 0.760 180 90 0.88 0.78 Drapes.Std 11 Window 20.0 2 Metal Slider 0.760 270 90 0.88 0.78 Drapes.Std OVERHANGS AND SIDE FINS Left Fin Right Fin- Dpth Hght Ext Dpth.Hght n/a n/a n/a n/a n/a n/a. n/a n/a n/a n/a n/a n/a n/a n/a n/a Window- Overhang Area Left Rght Surface (sf) Hght Wdth Dpth Hght Ext Ext Ext HOUSE 1 Door 20.0 6.67 n/a 5 .67 n/a n/a n/a 2 Window 7.5 5 n/a 5 - .67 n/a n/a n/a 3 Window 20.0 .4 n/a-*' 1.33 .33 n/a n/a n/a Left Fin Right Fin- Dpth Hght Ext Dpth.Hght n/a n/a n/a n/a n/a n/a. n/a n/a n/a n/a n/a n/a n/a n/a n/a COMPUTER METHOD SUMMARY Page'3,' C -2R ,.>r,,<.Prg.ject..,T>itle�.,....._...Th.e:;,Ngrman:kResdenc•e�- ,¢:',�,,:,., ...._.,..., MICROPAS4 v4.50 File -98189S Wth-CTZllS92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -1386 SF REs.-Submittal OVERHANGS AND SIDE FINS -.. W-indow,—Overhang,.. Left , 'Fin .. , Right ,Fin— -, Area Left Rght ' Surface (sf) Hght Wdth Dpth'Hght Ext Ext Ext Dpth Hght Ext Dpth Hght 4 Window 20.0 4 n/a 1.33 .33 n/a n/a n/a n/a n/a n/a n/a n/a 5 Window 4.0 1 n/a 2 0 n/a n/a n/a n/a n/a n/a;,-n/a n/a 11 Window 20.04 n/a' 2 0 n/a n/a n/a n/a n/a n/a n/a, n/a THERMAL MASS Area Thick Heat Conduct -.Surface Mass Type (sf) (in) Cap ivity R -value Location/Comments HOUSE 1 SlabOnGrade 181 4.0 28.0 0.98 R-0.0 ENTRY/BATHS/KITCHEN 2 SlabOnGrade 1205 3.0 28.0 0.98 R-2:0 TYPICAL HVAC SYSTEMS Minimum. I - .Duct Duct Duct System Type Efficiency Location R -value Efficiency HOUSE Gas 0.800 AFUE Attic R-4.2 .0.830' ACSplit 10.00 SEER Attic R-4.2. 0.810 WATER HEATING SYSTEMS. Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value Water Heater to meet minimum CEC Standards SPECIAL FEATURES/REMARKS HVAC, SIZING Page 1 HVAC -Project Tit>le...... .:t: The,Norman-Residence - Date. -X101 Project Address......... 4920 Papya ******* Forest Ranch *v4.50* Documentation Author... Marty Runnells ******* Energy Calculation Services 1907 Mangrove Avenue, Suite D Chico, CA 95926 916-894-8466 C1 imaie Zone 11 1, 1 1 • - F . - I 1 • ' Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File -981895 Wth-CTZ11S92 Program -HVAC SIZING User#-MP1333 User -Energy Calculation Servic Run -1386 SF REs.-Submittal GENERAL INFORMATION Floor_ Area .................. Volume......... .......... Front Orientation.......... Sizing Location............ Latitude....... '.......... Winter Outside Design....... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... Summer. Range ............... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... 1386 sf 11246 cf Front Facing PARADISE 39.8 degrees 30 F 70 F 99 F 78 F 34 F Yes Yes Yes 0.20 HEATING AND COOLING LOAD SUMMARY Heating Building Permit Plan Check Date Fie Check/ Date Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File -981895 Wth-CTZ11S92 Program -HVAC SIZING User#-MP1333 User -Energy Calculation Servic Run -1386 SF REs.-Submittal GENERAL INFORMATION Floor_ Area .................. Volume......... .......... Front Orientation.......... Sizing Location............ Latitude....... '.......... Winter Outside Design....... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... Summer. Range ............... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... 1386 sf 11246 cf Front Facing PARADISE 39.8 degrees 30 F 70 F 99 F 78 F 34 F Yes Yes Yes 0.20 HEATING AND COOLING LOAD SUMMARY Sensible Load .................... 24756 Latent Load ...................... n/a Minimum Total Load 24756 1 0 deg (N) Cooling (Btuh) 3697 2792 3160 1930 2100 1368 15046 3009 18056 Note: The loads shown are only one of the criteria affecting. the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when, selecting the HVAC equipment. I - Heating Description (Btuh) Opaque Conduction and Solar.....-.. 1.0791 Glazing Conduction..........,... 5318 Glazing Solar..................... n/a Infiltration ..................... 6397 Internal Gain .................... n/a Ducts ............................ 2251 Sensible Load .................... 24756 Latent Load ...................... n/a Minimum Total Load 24756 1 0 deg (N) Cooling (Btuh) 3697 2792 3160 1930 2100 1368 15046 3009 18056 Note: The loads shown are only one of the criteria affecting. the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when, selecting the HVAC equipment. I - t _ (Rev. 12/96) COUNTY OF BUTTE -DEPARTMENT OFDI�(ELOPMENTSERVICES- BUILDINGDIVISION 7 County Center Drive - Oroville, California .95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBE/R�' �/�/� �M7—LMr1ii � ZONING 2W BUILDING PERMIT - OWNER ttBO� TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4920 PAM FaWr RIM CONTRACTOR'S NAME ����**uu������ ee������ am Mclm TELEPHONE CONTRACTOR'S MAILING ADDRESS 14590 CR;MWW FO CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4W PAM Energy Plan Checking Fee $ KIM FANM $ PERMIT FEE i LOT NO. S UBDNIS ION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ff Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN Describe Work: ELHM= FIX WL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home F§1 G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 jUU Main Service p AOgLEgS 23.00 • LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter i i 9 (commencing wth Section 7000) of Division 3 of the Business and Professions Code, and my license is i 11 fo�rcg and effect. �,/ �j License Class L /CJ Lic. No. %��Q�/ 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. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWEIlING OCCUP. so OR ADONS. ( FT: NEW CONST. MULTI -OUTLET NON-RESID. A I 97.50 POWER APPARATUS 6 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES 20Q t'W BA 20SO Ex. Occup. ouTELE s RESID.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 • 01) PERMIT FEE $ • WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are:, Carrier MECHANICAL PERMIT Filing Fee 20.00 !seating 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.) �+ ITT 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' co„ynpensation provisions of section 3700 of the Labor Code, I shall 1 thwith o6mply with th se;prov.sions. � i Date .X—'===-*of��� 4, �� �_��= Signature Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 66•00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutionsid to do work indicated above for which fees have been aid. Si ByJ i ' Date PERMIT EXPIRES ON ! - Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVFLOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive - Oroville, C"fornia 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 063-240-(Y4 ZONING 9NO BUIL ING PERMIT OWNER TELEPHONE SO. FT. OCC. - BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE - CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ 4990 RAaA. $ PERMIT FEE $ Lor No. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IR Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN Describe Work: EL== FOR WaL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 - Main Service zoonoa�ss 23.00 3.00 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 "II for and effect. License Class / LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BLDs. S 3.5¢xO. _...RESIN ON-R SND.T MULCHCIRCLETS @7,50 POWER POWER APPARATUS a SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.PPLNS&1L- 20 @ 1.00 @ .so Ex. Occup. ouTLEEDrs R S D.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $ •� WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling - Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation O!'We hundred dollars ($100) or less.) 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' co pensation provisions of section 3700 of the Labor Code, I shall forthwith ply with tho provisions. _ Date .- Signature of Xpplicant - ❑-Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 =.A.. IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or in indicated above for which fees have B PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. �o Date �' ) Dare Receipt No. 231682 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT MOBILEHOME.,INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS —,4 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95.965 --TELEPHONE: (99116) 538-75/41 PERIUIIT; NO. �1 (t Address or location of mobi lehome C,0 -'n D_ - t Owner's name Owner's address po"Rbx 6/11 'tti / , /«K� +`� Insignia or hud number ot— I 3(4Q Q �yL 136 d 0 3 Manufacturer's name (/Q� a -k ftl& ��'Q� Serial number of V.I.N.I � �0-07 7 �� Year of manufacture _LJ 3 01(o )0 -o -)4y-4 A F cial Approving Installation) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. s qAr 5138 White - Owner, Yellow - Installer, Pink - D.P.W. OE IDENTIAL. 63-24-21 92-947 ,P.--E LEWIS, Sheila i 4920 Papaya Ln, Forest -Ranch travel trailer.utilities vc N i ?/19 /9 `f T - fi be dx&t� ed 4o ct ill ®b ��(- Row-?- . �r. a� k ik JOB FINALED (Date) Signaturey it -VQ ' ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 89i-,2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872=6307 _ .Z CORRECTION NOTICE Date Inspector oAmlk- . REV 11/91 -C 1 OWNER PERMIT NO. ` A routine inspection indicates that the following violations of Butte County'Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date Inspector oAmlk- . REV 11/91 7c'•� Y- COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF,DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 1� 7 County Center Drive, Oroville, CA - (916) 53&7541 747 Elliott Road, Paradise, CA - (916) 872-6307. CORRECTION NOTICE -a u OWNER PERMIT NO. 5 A routine bugmetion indicates that the following violations of Butte County Ordinances exist at , the above addkess and should be corrected. Please notify this "office when correction of work , is completed- Hyouhave any questions pertaining to this matter, or need additional explanation,- Pie ase / office immediately. n Y :i %SS�� torr `cls•/i 1!27 hLTe, lhc.?'��tG.��J�.•I .��- Q'i.//l/Jse.�t� ., .: �". Date REV 11082 r c GO"I a.J aQ .�..✓C� ��i/ jr . JSsve�• �% ��3Inspector J=OK O = Not OK = Not Applicable SO O MBILE HOMES ' Not Ready Date MOP11LE HOME UTILITIES Plans OK except #'s Zo .ing Requirements -Setbacks -Easements Soils; Special MH Support Sketch aw e er; Location -Test -Fall -C/O Concrete ter; Location -Test -Easement Needed etch) lectricity; Locatio learences-G p -Co ele as; Location -T t-Wr /"L•'ft. / /"Nat. oro/"L"ft./ Lf�G 7. Wg Clearance & Disconnect Wtility Clearance KO ea & 'Vo Date ,-Ts Card B-1 Date Card B-1 Date ��'� Card B-1 $ Date Card B-1 Date MOBVE HOME INSTALLATION (Plans) OK except #'s VZonin2 Requirements -Setbacks Easements tings; Size -Spa i -Marri ine 3. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK exc� 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O Nqt O!Ko, = Not Applicable Not Ready RESIDENTIAL (: = Date UNDERFLOOR (Plans) OK except ti's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils -Elea Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle --------------- ------------------------- 17. Water Pipe: Test & Anchor -Nail Protection ------------ 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ---------------------- ----------------- _ 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access --------------------------- ---------------- 21. Gas Pipe: Size & Anchors Date - - Card B_1 - Date Card B-1 - - -- ------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection ------------------------------------------- ----- -------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled -------------- Romex Installed Close to Edge of Studs & C.J. ------------- ------------------------------------------------------------ 26.-Equip.-Ground made up w/Mech. Fastners-Bond Gas & Water --------------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -- ----- -------------------------------- -- ----- 28. Subfeed Wire Size / r ga. Cu or Ai-A.C. Wire Size / / ga. Cu or AI 29. Range Circ. / / ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------- ------ ----------------------- - - -- - - - - 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------------------------------------------------------------- -3 1. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector ------------------------------------------ -------------------------------------- Date -------------------------------Date Card B-1 Date Card B-1 --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34.- A. -C.- Ducts Insulation & Support ----------------------------- -------- ---------------------- - -- ---- - ---------- 35. Vent Fan: Exhaust above insulation ---------------------------------- 36. Condensate Drain & Overflow: _Size & Grade 37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet ----------------------------------------------------------------------- - 38. Attic -Access-&- Platform if Furnance in Attic ----------------------------------------- ------------------------------------ Date Card -6- 1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils, Proper Material & Anchors - - - - -- - ------------------------------------------------ --------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ---- - - --------------- -------------------------------- 42. Draft Stop in Walls (rat proof) -- ------------------------------------------------------------ 43 Fire Stops: Furred Ceilings -Stairs -Chases -Tub - -------------------------- 44. Headers & Beam -Size & Bearing Single & Duplex) Date - FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ---- _---- -50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52.-Ext..Doors-One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection ---- _----- 54. plywood on Root Overhang -Attic Vents -Rafter Outriggers 55. -Siding -Nailing Veneer __------- _ 56.. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic _ 58._Shear Walls; Nailing -Bolls _ 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ----------------- ---- Date Card B-1 _ Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector --------------- ------------ 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection -------- ---------------- __________ 64. Bedroom Exiling 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------ 66. Elec. Trim & Subpanel: Breaker Sizes & Labels - --------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth --------------- - -- -------- ---------------------------- 69. Elec.--Outlets at -Wood Panel: Int. & Ext. ---------------------- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71.-Elec.-Outlets & Receptacles at Kit. Counter --------------72.-Garage-Fire Door: Swing -Landing -Closer ---------------------- - 73. A.C.-Duct in-Garage_Damper - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ------------------ 75. Plb.. Elec. -&-Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ---------------------------------------- 7 Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps ------------------------------------- ------ 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ------- --------------------- 81. Stucco: Brown -Finish -- 82.A.C. Unit: Disconnect, Electrical, Plumbing - -- - -- ----------------- - --- - -- 83. Vents Above Roof: Plb9 APP fiance -Fire p lace. -Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing -------------------------------------- - 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House - - - - - - -- - --- - - -- --------------------------------- - 87. Glass Protection --------------------- --------- - - - - - - - --- --------------- 88. Correct -ions from Previous Inspections ------- --------------------------------- 89. Gas Test -Meters Tagged: Gas -Electric ---•------------------------------ ----------- -- 90. Water & Sewer Connected -C/O to -Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ---------------------------------------- - ---- -- Date Card B-1 Date Card B-1 ----------------------------------- - --------- - --- Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: N COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - 0rovilke, California 959E5 - Telephone: 916,'538-7541 APPLICATION AND PERMIT PERMIT NO, ASSESSOR PARCEL NUMBER 063-240-021 ZONING .- t �• BUILDING PERMIT OWNER TELEPHONE ( SO. FT. OCC. BUILDING VALUATION f OWNER'S MAILING ADDRESS P-0- Rox Forpst Ranch 95942 f CONTRACTOR'S NAME nwnpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $ 15.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[& Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S G W @ 15.00 TYPE OF WORK New i_r-I Addition jJ Remodel ❑ Utilities ❑ Installation❑ Other [:� Describe work: Permit Transfer —k, •L_19� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed*contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 3.64sq.ft. NEW CONSTR. ULTI.OUTLET 1 NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS a SINGLE OUTLET cIR. ; Ex. Occup(OUTLETS OR FIXTURES 20 760 Ex. Occup. OUTLETS ED APP(RESID .)OR j 3.001. Temporary ser ice 15.00 Mobile Home Fa ' ies 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �LI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again t aid County in sequence of the granting of this pe mit. X���k2- Date D �q Signature of Applicant — Owne;)qContractor El Agent � An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $15.00 HAz I DFEES I IMP I FLOOD I CDF PARCEL I PO HD ISSUE This permit is hereby issued under the Bions of the Butte County Code and/or work indicated above for which fees DI CTO B IC By PEFIMIT EXPIRES Date applicable provi resolutions to do � have been paid. WORKS ate Receipt No. 141129 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTYOFBUTTE - DEPARTMENTOEMEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE -OROVILLE,CALIFO$NIA95965:`- TELEPHONE (916)538-7541 PERMIT APPLICATIOI+DATA SHEET OWNER (_100 Proposed Building Use F L. Q i.✓ �S '- pet.,u o-rAA,4s A. P. No. 6 3 2'/ Building Inspector L Date 2 At timeof,�ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: / � DATE RECEIVED BY 1. All items have been submitted . ......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ......... ............................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $........................................ 11. Impact fees as shown on attached schedule . ............................. 12. California Department of Forestry plan, approval/fees. ...................... . 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot- plan approval Health Department. ............ 15. City of Chico plumbing permit. .................. . 16. Plot plan and business license approval from City of Biggs/Gridley. ............ 17. Planning approval for (A) Use: (B) Parking: ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for P'9a"�8c'°�- required. .. to BUIL ing �" (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization. ............ ........................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use. ......................................... 28. Mobilehome utility clearance . ............................................ 29. Documentation of legal access:..... \ ............... :.................. 30. Documentation of 50% subdivision deu, oped or (A) Road improvements completed and (B) Parcel meets zoning kprea�and frontage requirements . ............... 31. Existing violations/expiredperrnits. �'................................... . 32. Plan check list. ........ 41 . 33. �� ! .34. i When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. eliver with inspector. Other , Parcel Creation I&Lage Applicant form sent Health Dept. Fire Dept. Air Pollution Date &,.c Health Dept. Fire Dept. Other Date prior to permit issuance: (Circle new item not checked above). Date '13 v/ S3 By required data by _ phone _ mail Counter by _ Date quired data by _ phone _ mail Counter by _ Date Plans approved by Date AP folder COUNTY OF BUTTE - QEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERM -IT j �C7IiS`r ASSESSOR PARCEL NUMBE�i1 ,y, q to ZONING BUILDING PERMIT OWNER — TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS . o, !I Ori Q. �- G��'y Z CONTRACTOR'S NAME 6 W TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ .00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ J PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomezl--Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 15.00 TYPE OF WORK New a Addition _ Remodel;_; Utilities ❑ :Instal ation[ Othe Describe work: Uk -I [ S _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO t000A1 37.501 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification jJ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP. R� OR ACDNS. l ACC. BLDGS. 3.6C sq.ft. NEW CONSTR. 11ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e+ (SINGLE OUTLET CIR. / Ex. Occup( OUTLETS OR FIXTURES 20 750 Ex. OCCUp. OUTLETS FIXED PI RESID 1REA.) j 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner F-1Contractor [IAgent❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES l J HAz 1 0FEES I IMP I FL000 I COF I PARCEL PO HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. COUNTY OF BUTTE--Department-of, ' Public Works. 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION .Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary.delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of. the proposed pro pert improvement (yes or no) QfA 2. .I (have have not) signed an ap Iication for a'building permit for the proposed work. 3. I have contracted with the following person'(firm) .to provide the proposed . construction: Name Address City Phone Contractors License No. - 4% ,I plan to provide portions of -this work, but -I have hired the following person to coordinate, supervise, and provide the major work: Name. Address City '-Phone Contractors Iicense.�No. 5. I will provide some of the.work but I have contracted (hired) the following persons to provide the work indicated:. Name Address . - Phone Type of Work NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and - 19832 of. the -California- Health. and- Safety Code. This verification must be completed and returned to our office before we are per- er- mit ted mitted to issue --�C;cl the permit. Z� " IJPERIOR M'.'H . _ . k STEL No . 191 674 `y 2"55' �. ,. Sun 2 8 ."�:�, � �-I 5' No 001 R ,01 �73 1 -5 �,P. � �, e ="12, 775-6, c � 4 f -� ` � 3 %` 'A a f , J l � J ^ � �• � �+iYk - � 1 S � % 'h t Y• 1 • �,i j � ♦ n: 4 .t" r ,. rC. �h"�..i•--5.1 � Lie• `' "`� + ' . it; •t.r r ,,,. �� � ±e.,-..'`7 r v ,. .L,• '�� s �-�y� � t j. �� r --'r^' �'-.•��., �`".eitr�.d' �'° --�..e�' � v ..p a:� x . '"'�` - � - ....«:'-tea'' mfr+-_. s -s _ - _ . w - f 'COUNTY OF BUTTE - DEPART;RENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,.California 95965 - Telephone: 916/538-7541, APPLICATION AND'PERMIT ; ASSESSOR PARCEL NUMBER ZONING 063-240-021 TM -10 BUILDING PERMIT OWNER Sheila Lewis TELEPHONE 895-6711 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS " P.O. Box 611, Forest Ranch Chico 95942 CONTRACTOR'S NAME TELEPHONE Superior Mobile Home Services 800 300-3909 CONTRACTOR'S MAILING ADDRESS 10777 Hwy. 99, Live Oak 95953 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ .00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 4 20 Pa a Rd. Forest Ranch Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 1 5.00 SF ❑ Duplex❑ Mobilehome® Other Building sewer 15.00 Mobile Home S I G I W @ 15.00 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[ Other ❑ Permit Fee $ Describe work: MHI Contractor MHU B.P. #92-947 ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO IOOOA, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): NEW CONST. DWELLING OCCUPM OR ADDNS. ACC, BLDGS.NEW / 3.64 sq.ft. I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID CONSTR. MULT 1-0 U BRANCH LET @ 5.00 and Professions Code and my license Is In full force and effect. /POWER APPARATUS e) I SINGLE OUTLET CIR. License No. 731 / % Classification EX. OCCU p.OUTLTS OR FIXTURES 20 7 F —f ❑ I, as the owner, or my employees with wages as their sole compen- Ex. OCCUp. FIXED OUTLETS ((REBID IKEA.) AL 0 46 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring -15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject Ventilation to the W. C. provisions of the Labor Code, you must forthwith comply with such Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S 70.00 is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. OCC CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEE $ 105.00 all liabilities, judgments, costs, and expenses which may in any way accrueHAz DFEES IMP FLOOD COF PARCEL PD HD ISSUE against said Coun consequ a of the granting of this per X Date 2'' 1-3This permit is hereby issued under the applicable provi- Si nature of Applicant — Owner 9 PP ❑ Contractor Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA q ion of structures tover 3 storiiesoineheight ions over 5'0" deep and demolition or construct- work indicated above for which fees have been paid DIR ORKS 135493 By Date Receipt No. WNITC-D.P.W., PERMIT EXPIRES Dat YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .-'t"`„f(�.-+x•.�pl,..�,;�Nl�"�'F�.�wt+W. rt�-,r�",f �.�..-*i...trt" str6Yti,�K1!"�-'-'�'w'r•Cya.�r-,ry.�r'•'�""`^o.-.V.�.�-�4�'h"'�+.-••}n'tM^..rte-•e �•..�r,._, �..... /•.. .r. ., •,,,, c J COUNTYOF BUTTE - DEPARTMENTOF E-VELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORQVILLE CALIFORNIA 95965 - TELEPHONE (916) 538-7541 C - PERMIT APPLICATION DATA SHEET OWNER Proposed Bu A. P. No. 53--Zyd-oz Use;T Building Inspector "O?C> Date 3/2 /9Z / At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. ' 6. Energy Design Compliance and supporting documentation . .................. / 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. ............................. . "12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . -14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . • Pre -Inspection request 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) .:............. 22. Certificate of Workmans Compensation Insurance. . . 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . �27. 'Letter of intent on building use. . 4e0 \2g. Mobilehome utility clearance . .......................................... 29. Documentation of legal access. "z;: • 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits . ...................................... 32. Plan check list. ..........• .......................................... . 33. 34. Wheg you issue thepermit,rocess as follows: Mail to owner. Mail to contractor. ✓ Telephone Pf &111 and hold for pickup office. Deliver with inspector. Other Parcel Creation ,,�� ,,c /,'e�60 Acreage Applicant tom°" Ate/ - Date 3 2 3 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. _ I Other Date By The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: ew item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Co nter by _ Date/. Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works I COUNTY OF BUTTE — DEPART=" OF PUBLIC WORKS — BUILDING DIVISION 7 COUNTY C.-.Y'iER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE. (916)5387541 ��12i1�t �.2wiS =MT T, CANT �_s A. P. NO. (03 OZ BU=ING USE �r/J DATE ' 3- / 2 /sz :OPOSrZD REC . DATE_ RE" School Dist _c Fees C%V'iLc� (paid at District Office) .... .... ............... She�if:E Fees (paid. at -Building Department) Residential .........g _ ��C� J 3 51V. uII1 t amt. Commercial( per sq.. ft.) sq.ft. amt.. 3. Urban Area Fees -� (paid at Building Department Residential (per unit) x = ryr ttn� tS Commer_call ( per sq sq.ft. amt. 4. Re— eation Dist -_--";c= Fees (paid at District Of ==ca) ............... ... ..... 5. Drainage Dist.c_ Fees (Contact Land Deve-lopment) ..... ................... 6. Other _ 7. Ot_ier t=me of permit aDDl_ca=on, I i,ras ad•n sed the above fees are required to be oa_d = - o _ssuance of the per=—. =MT T, CANT �_s COUNTY OF BUTTE - DEPARTt,AENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,,California 95965 - Telephone: 916/538-7541 APPLICATION AND'PERMIT ASSESSOR PARCEL NUMBER obs - ZONING -Tj14- /0 BUILDING PERMIT OWNER ,TQE�LyEPCHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S AI ING ADDRESS CON RACTOR'S NAME 66 CC)A TELEPHONE CONT67 -7 MAII„NG ADDRESS /U-tf �� n ����� C/ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ Zd c90 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 9�0 Penult fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 - USE OF STRUCTURE SF ❑ Duplex[] MobilehomeAg- Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer15.001 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation Other ❑ Describe work: _loll ---r AN = i2 -C? Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ f am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO I000AI 37.50 NEW CONST. ( DWELLING OCCUP.d+\ OR ADDNS. ACC. BLDGS. II 3.6Q sq.ft. NEWCON5TR ULT' -OUTLET _NON .R ESID BRANCH CIRCUITS) @ 5.00 (POWAPPARATUS&) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES A L. 7RA \\ Ex. Occup. OUTLETS PRESID IREA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. Laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may -in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An'OSHA permit is required For excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee Energy Inspection Fee $ OCC CONST TYPE 0� TOTAL FEE $ /6"j HAz 0FEES IMP FLOOo COF PARCEL PO HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. I3S/ g3 WNITC-O.P.W.. YELLOW-A9e C7OO R, PINK -INSPECTOR. GOLD EN ROO-APPLICANT AP�� p' .. OWNER _ PERMIT'# MH UT IL . CLEARANCE DATE INSPECTOR �) . ELECTRIC GAS. Support Struc. Compaction Test Re . Service Other. Pipe YES NO YES NO ;Size Load •Type Size Length ae� i 0 0 P (0 3�y yq xJ< sb w.�.Qp f ijf�yf iI'�il ly I' i �>"�"S;ac'kF�F+G'�.�`;�4�'..� �, "'�,i'�r�''''''.c"� . 4v '"xs�'�'rt�"'v}.`•ry:�'e�1�!'oFk�+V".,y�}�i.",•�'���"d+"�"a�,��'Y�""�, Y�"'>�1�:�'f��'�. 1 t�, •..'a�' r.o Y. pp UILOING oep r BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM MAy ' (One Form Per Building) t , ��� School District (,� Building Department No. A.P: Number %3-c a / Jurisdiction City County . Property Owner. � CA— l 0 (JM .a Property Location/Address niC (7/,id Subdivison I Lot No. Residential Development' , Sq. Footage No. of Living MHI Addition (Group R) Units f Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date I District Identfication No. co (Street Address) n C.� "(City) (Floor Plans reviewed by School District Personnel) 9303 070 ?n,(i School District certifies that 1 . (State) 1 (Applicant) Y73— -Clef r),9 (Phone Number) (Zip Code) has complied with,the requirements of Resolution No. by payment of $ representing Z��3� square feet. School District Paid by Check Number �%� Remarks: Bank Number .0 -- Paid by Cash Date If, subsequent to the School District Representative signing this. Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) • -DtQn2 kO�1 r�f tel- 31 feeform.wkl (4/92) .q , F.H. USE, ONLY I'Int Plan Attached 1� Floor 1'I:m Attached ✓ . sent to B.U. TO: Building Department. FROM:. Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for 3 bedroom mobile }home. Other Hold final for: ' Final clearance O.K. for: ' NOTE: Environmental Health Specialist Date 8/92 s ar k on. ovu TO -----� � 1 � UTILITY i KITCHEN I I I I II I u DINING . 22005 *5626 , 10'-8 LL . ROOM - FAMILY ROOM 16' 6- /_22 1, B O i_\. i 11' 4" 3 BEDROOM CENTER KITCHEN-- ITCHEN SNACK BAR SNACK wrei ��'. r�Htah rwmr WHOMaiukc FAMILY ROOM 2' 25.8..• / I. of Ga19Y0�.n�ml ------ ----- ------ / BATHS• , CATHEDRAL CEILING SQ. FT.) 1400 'MASTER BEDROOMX37 LIVING ROOM BEDROOMRLABEDROOM�' Si7 No. 1 16'-0" No.3No.2 14'- 0../1.- 2.. t APPROVED � ent®I Health COuA �,I :, , �; � Bette �.` 9- 73 - PUBL /C _;_.'..., . - -: '/�API Y�1-. �o��y.9 A7 - IJ-'- ! I ! I I -1 ' H-1 , H I -- � --• -: '-`; i I j-- i 1 I ��',1•-___'_r:'^! .._ .'_ � _ `. �. _ '--.^s- - -'_'.-- _ �-moi _ I Iwily. I LLL - -h I Ll i , I 1 i i I I ' I 1 � :TTI -;_IT T�4, i�_,�-. _...---j' -•--- I _ _ `,- - � ! _ � i ._ 71 A= { I 1 i I I I I! 1' i— 4 i, I! I! 'I_ .'�" 1 I t- {-�.—`_I--- I ! i l I I i i I I I I I l i l I 'T! -•-- -- ..�.-•-- I I; i l I' I I I !- �, TT'._f � j-. t � I i ~ -,- ;�T I � i, j r;-�-� :- ----•-�- '� I I ' II i i �, � 1 I 1 I j t -j._- 1 , ^! I 1 - _ 1 ',-I- I_._ __ _% ..._ , ._. _ ,.___ __-�_' ' i_--�____. •_-..._ ... ._ _.� - .I .`-I: f I f i i �- ---I�,----------:—� �_!•! i j � I ! t I 1 I i I -----�--�- i ! I! i I I ! I i I I I i i i —''-:-t i I I I I I! I I I! ' I I! I! II 1� �! i I f •-I �p _• i ,_ I �.-i __/-.__-._. _ _•-:_---� _ I I I I I i tpi•,,�.,��, Mth -I I _I I I I I 1 { :Envo tel R , I —;=-'--- -- ----- -'•—•— - -' ...----4------ -! _. __!moi � -•—•- •- --...- -- - ...... . _ I , 1 20'. -'--- 40r-- =60„ --,..._'- BQ�=' _.._...__..._ .. _100'.-- t -- — --- __ 120';`._�.�:--- -- 1406 .. ----------16C MOBILEHOME SUPPORT DATA It other than single wide, Mobilehome Mfr. 5Icy ,�/, F furnish..Setup'_Model. No.. las 3. Year q3 Width 2cl (ft.) Box Length. t.): Tagalong or Expando Size ft. x ft. On all.mobilehomes manufactured after"October 7., 1973, furnish manufacturer's installation manual and structural setup sheets (if•not on file with the County of Butte). FOOTINGS (check one}1. .Wood -pressure treated or foundation grade. Z. Other (specify) SUPPORTS (check one) 1. Concrete :blo.ck, 2_. ..Other, (specify) Pier Footing Sizes -and Locations SINGLE -WIDE MULTI -WIDE Line 2 _ _ _ Line 2 1 Main Beams Line 2 tine 2 Line.m Line 1 — — — — — Main Beams — — — — �:e:2 Line 2 Piers: Size -Min. =- ---- (2]> o" Spacing -Max. From Ends -Max.------- Line 3 Piers: (Under Bearing Wall Only) Size -Min. ---- -------------- "x Spacing -Max. ------- ------_ From Enda-Max,------------- Size -Min.---------- Location (Flom Front) _....:. Line -4 .Piers: Size -Min------------- k Spacing -Max.--------- From Ends -Max .------- Line 5 Roof Loads: Size -Min ------------- 1x 11 11x 11 „x r 11x 'k. 1 x x "x - - - " '- -: _Line _5 .Piers::. - (.Under__ Bearing -Walls Only _.: .._ . -.. size -min .------------------ 'k Spacing -Max.--------------- n From Ends -Max.------------- _ " Location (From Front) Ar kppft�,o - r4fZAF DeP , ,&® BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center -Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: (�v1 /lQ (JG'wl�s 2. Installer's Name: �(� ( d 'eg Q /gy Lr 3. Is the site currently under permit? Yes ® . No F-1 (If yes, furnish permit number 92- %7 ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft away from septic tank and leach fields and clear of all setbacks and easements? Yes M No F-1 (If no, clarify e 5. What is the mobilehome electrical rating? --------------- �Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? Amps 8. Is there any other electric load to be served by the RD mobilehome site service? -------------------------------- Yes (If yes, identify the load and size: (Load) -Z 9. What is the mobilehome site gas pipe size? -------------- 10. What -------------10.What is the type of gas _service? --------=------- Natural 11. E No (Amps) (in.) !..LPG. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- U TILER 12. What is the mobilehome gas demand?---------------------- *(:Th.is information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICATION. (ft. ) (BTU) RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO w.r. F �.-X11—I AUG.E.. P.O. Box :)28 C.—rara;:ise, California ,.,.E L J Title Ordcr do Escrow No - _ .L T•a R•nrtl..s •o Philip Franzella � F.O. Box c26 OFFIC?AL RECOK)S 9LITTE.G:•L�it'-C.1UF ►^fT 'V•L�'•: ``'; IcT=l t CC) Rea tl 3 os PM 1969 COU N pY Or- BUTTE COUNTY F-M^ai R [ __ __; MAR 1 7 1993 b 4J� FEE . SPACE ABOVE THIS LINE FOR RECORDER'S USE - AFFIX I.R.S. S -S tV THis SPACE m Paradise, California. J. • 3lnbibibuai 3(ointettancp Deeb wrsTERN TITLE FORM NO. 1103 FOR VALUE RECEIVED, Vincent Franzella and Virginia Franzella,,his Wife GRANT—to Philip Franzella"and Anna G. Franzella+,'hi-z-wife, as JOINT TENANTS all that real property situate in the County of - Butte . State of California, described as follows: The.West-half of_Lot 14 in Section 17. Township 23 North. Range -3 East, )4 D.B..t; f TOG=11.31. U11TH•a right of dray .for road and public utility purposes over a strip of land 60 feet in width; lying Easterly and Southerly of and adjacent to the following described line: Beginning at a point on the East line of Lot 11 in said Section 17 that bears South 06034'44" West, a distance of 617.07. feet .from the center of said 'Section 17; thence North 06°34'44"'East along the North and South center line of said 'Section 17; a'distance of 617.07 feet to a point at the center of said Section 17; thence North 89018'23•" East .along the East and West center line of said ; Section 17, a distance of 510 feet to a point in the center line of Doe )fill Road and the end of said line. ALSO TOGETHER WITH a right of way.for road and utility purposes over a strip of land 60 feet in width; the center line of which is described as follows: I point in the center line of Doe Mill Road and the point of beginning for said center line; thence North 26011'10" East along the center line of said Doe }:ill .Road, 730.54 feet to the Rnd of the County maintained road and the end of said center line. ' -ALSO TOGETHER WITH a right of way for road and utility purposes over a strip of land 60 feet in width, the center line of which is described as follows: Cotrmencing at -the center of -said Section 17; thence South 06134'44" ties: along the North and South center line of said Section 17, a distance of 555.07 feet; thence at right angles to the'North and South center -line of said Section 17, Westerly a distance of 30 feet to a point, said point being the point of begin- ning for said center line; thence South 06034'44" West and parallel to `the North aad South center line of said Section 17. a distance of 77$ 32 to a point on the South line of Lot 11 in said Section 17; thence South•89020'25" 'est along the South line of Lots 11 and 12 in said Section 17 to a point at the Southwest cor- ner of said Lot':No. 12 and the end of said center line. EXCEPTING FROM said right of way that portion lying 'within the boundaries of the above described property. z RESMVING THEREFRO51 a right of way for road and utility purposes over the North- 1� erly 30 feet thereof. BOOK 1563 pm 4CIA 8 :d MINIMH Date& February 21, 19 69 STATE OF CALIFORNIA coum y 191f L Mort nw, the undersigned_ i Notuv Public,' in FOR NOTARY SEAL OR STAMP and for. said Stair- -personally 4ppcamid— kno--n w" namctz, c--.. suI and ar ibscsibed to the within instru k god to me thz: n %Wqth. C- • All. RCESTER Pr, 3 49 Name ( BOOK1563 pr. STATEMENTS AS DIRECTED ABOVE MMA Q--- ,-A" 3lnbibibuai Orant �'Beeb wESTEtw TITLE Foam No. Ipa FOR VALUE RECEIVED, PHILIP FkAXZEIJ.A and ANNA G. FRAXZELLA. his wife GRANT____to S.rranzells TAX PAID c all that real \� property unincorporated area County of Butte State of Calif V ornia, described u f The South half of the South half of the Krst half of Lot 14 in Section 17, Townshi 3 North. Range 3 Fast, 1LD,B, G M. TMETIIER KITII AND RF_SF-RfIVG TIIFREFRON a right of way for road purses of land 60 feet in width, t.he' centerline of which is the- NorthandSouthter eenterline of said Lot 14. TOGETHER with a right of way for road and public utility purposes overa strip of land 60 feet in width, lying Easterly and Southerly of and adjacent to the following described line: Beginning at a point on the East line of I_ot 11 in said Section 17 that bears South 060 34' •11" 1Ce!st, a distance of 617,07 feet from the center of said Section 17: thence North 060 34' .1.1" Fast along the Not-th and South center line of said Section 17; a distan^e of 617.07 feet to a point at the center of said Section 17,.thenee North 890 18' 23 East along the,East and hest Center ,Mqe of�said Section d I7 �a i'atanee of SIO feet to a point 3n the eco ter itne ofsDoc flill`Road`and the end:,ofsafd'ltne. ALSO TOG 11 a right Of way 'for land 60 ff'eeltRinlWidth. the center liner ofdwhichanduisldescity rib dsas followsstrip of Commencing at the center of said Section 17; thence North 890 18' 23" East along the East and Kest center ]in(- of said Section 17, a distance of S10 feet to a point in the center line of Uoe aln'Jill RoadRoadand North 26 o 11' ]0`' Fast the point of beginning for said center line; thence the end of the center line of said 0oe :till Road, 730,54 feet to f the County maintained road and the end of said center line. 0 ALSO TOGETIIEIt KITII a right of way for road and utility purposes over a strip of land a. 60 feet in.w'idth, the center line of which is described as follows FJ Commencing at the center of said Section 17; thence South 06 the North and South center line of said c f 44" 07 f along thence at right aneiles to the \ortli and Section 17, a distance of 555,07 feet; a distance of. 3V feet to a Point.' South center line of said Section 17, Weste-rly,z3 center line; thence South 000 3.11 11«Ill,leOJnt bring the point of beginning for said line of said est and parallel to tfe'lorth and South center::� Section 17, a distance of 771),32 feet to a point on the South line of Lotll in said Section li; elle nee South tt90 20' 2.I" Kest along the South line of Lots 11 and 12 in said Section 17 to a point at the Southwest corner of said Lot No. 12 and the. end of said center line. RECORDING REQUESTED ey rY r wwn w.eEre wscowoto M•eL TO . '+JJTTE NI r M�� ..... Philip Franzella E A 4 3848 woe.... 85 Restani Way San Francisco, California LGLIISE KLUENTfIR "o - '.:eW,II ar•n L J uuni Yhic FEE j - ' •:. .. Title Order No ND 2285 2M85 ,'f3}3s;5,} .: i,YY�.STx�';:;'1���:�i�})9L'•S- �-• ,,.,�, •..r•nr.ne .o SPACE AOOVE THIS LINE Ion nECORDEn'S USE . 9 c:, Ie•r 1 Doruneentary transfer tat s.. SS .... Same as above O Computed on lull value of property-eonveyeed,'or wue.s«, BYComputed on full'value less liens and eneumbreneea • em • remaining thereon at time of ask. a.•n L U TY.IITLE Q......... 3lnbibibuai Orant �'Beeb wESTEtw TITLE Foam No. Ipa FOR VALUE RECEIVED, PHILIP FkAXZEIJ.A and ANNA G. FRAXZELLA. his wife GRANT____to S.rranzells TAX PAID c all that real \� property unincorporated area County of Butte State of Calif V ornia, described u f The South half of the South half of the Krst half of Lot 14 in Section 17, Townshi 3 North. Range 3 Fast, 1LD,B, G M. TMETIIER KITII AND RF_SF-RfIVG TIIFREFRON a right of way for road purses of land 60 feet in width, t.he' centerline of which is the- NorthandSouthter eenterline of said Lot 14. TOGETHER with a right of way for road and public utility purposes overa strip of land 60 feet in width, lying Easterly and Southerly of and adjacent to the following described line: Beginning at a point on the East line of I_ot 11 in said Section 17 that bears South 060 34' •11" 1Ce!st, a distance of 617,07 feet from the center of said Section 17: thence North 060 34' .1.1" Fast along the Not-th and South center line of said Section 17; a distan^e of 617.07 feet to a point at the center of said Section 17,.thenee North 890 18' 23 East along the,East and hest Center ,Mqe of�said Section d I7 �a i'atanee of SIO feet to a point 3n the eco ter itne ofsDoc flill`Road`and the end:,ofsafd'ltne. ALSO TOG 11 a right Of way 'for land 60 ff'eeltRinlWidth. the center liner ofdwhichanduisldescity rib dsas followsstrip of Commencing at the center of said Section 17; thence North 890 18' 23" East along the East and Kest center ]in(- of said Section 17, a distance of S10 feet to a point in the center line of Uoe aln'Jill RoadRoadand North 26 o 11' ]0`' Fast the point of beginning for said center line; thence the end of the center line of said 0oe :till Road, 730,54 feet to f the County maintained road and the end of said center line. 0 ALSO TOGETIIEIt KITII a right of way for road and utility purposes over a strip of land a. 60 feet in.w'idth, the center line of which is described as follows FJ Commencing at the center of said Section 17; thence South 06 the North and South center line of said c f 44" 07 f along thence at right aneiles to the \ortli and Section 17, a distance of 555,07 feet; a distance of. 3V feet to a Point.' South center line of said Section 17, Weste-rly,z3 center line; thence South 000 3.11 11«Ill,leOJnt bring the point of beginning for said line of said est and parallel to tfe'lorth and South center::� Section 17, a distance of 771),32 feet to a point on the South line of Lotll in said Section li; elle nee South tt90 20' 2.I" Kest along the South line of Lots 11 and 12 in said Section 17 to a point at the Southwest corner of said Lot No. 12 and the. end of said center line. v i MR NONNI-1-e. R, ........ . . . . . . . STAW OF c FORNIA comyot -2 hifmit ane. the uadn%jimed. Publk. 01 51 P*C"�'MCTAIRIV WEAL Oft STAMP Ag n to aw so be On )�k Stittti s_"b"Ned-go the mithi. jo�-.W 10, ctw NADILC u . Nanny Pubbe -Aly C_ r MO ..C* Doom" ._:MAfLT"SrAtjmC"TZAS.01ft9CT9D ADO" RECORDING REQUESTED ST No —C. aeeo.oeo «All TO «... r Philip Franzella 85 Restani,W. C" a San Francisco, California ..:.. L Title Order No. 5:scrow No. _ Sax as above aoorw C-6 . *L yr _:C:r. :I ft^.%S i . ..1 :.Y LTCISE I:LiI:l.Ci9 CG:'!ITY RCCO:I :F J FEE 25484 SPACE ABOVE THIS LINE FOR RECON CIMS USE ' Documentary transfer tas S.. 1. ................. O Computed on full value of property conveyed, or L4'tomputed on full valise sew liens and eneumbranees L rVInaining,thereon at time of sale. 3nbibibual Grant weeb TAX PAID WEaTER« TITLa roOM No. Ips FOR VALUE RECEIVED. P:1ILIP F'RANZFJJ.A and ANNA G. FRANZELI.A, his wife GRANT -to Philip S.FranzellB all that real property situate in the unincorporated arca v County of Butte ate of California described as folbws: The South half of the North half of the West half of Lot 14 in Section 17, Township 23 North, Range 3 East, 11..D.B. G M. TOGFT11FR KITII AND RESERVING therefrom a right of way for road purposes over a strip of land Ito feet in width, the centerline of which is the North and South centerline of said Lot 14. TOGETHER with a right of way for road and Plehlic utility Purposes over a strip of land 60 feet in width, lying Easterly and Southerly of and adjacent to the following described line: Beginning at a point .on the East lint, of Lot 11 in said Section 17 that bears South 060 34' •14" Kest, a distance of 617.07 feet from the center of said Section 17; thence North 060. 3.1' -14" East along the North and South center line of said Section 17; a distanr_e of 617.07 feet to a point at.the center of said Section 17; thence North' 090 18' 23" East along the East and West center line•.of said Section 17.=a distance of :r 510 feet,to a po_tnt in•the center Isrie.of Doc Rill°'Road and.;thc.:cndof said liae. 3 'I . . • ... .. . ALSO TOGETHER WITH a right of way for road and utility purposes over a strip of land 60 feet in width, the centerline of which is described as follows: Commencing at the center of said Section 17; thence North 890 10' 23" East along the East and Kest center line of said Section 17, a distance of 510 feet to a point in the center line of Doc sill Road and the point of beginning for said center line; thence North 260 11' 10" East along the center line of said Doe :Sill Road. 730.54 feet to the end' of the County maintained road and the end of said center line. 0 Al -SO TOGLTHER.KI711 a right of way for road and utility purposes over a strip of land 60 feet in width, the center line F of which is described as follows: _J Commencing at the center of said Sect.on 17; thence South 060 34' 44" West along the North and South center line ~ of said Section 17.'a distance of 555.07 feet; thence at right angles to the North and South center line of said Section 17, a Westerly a distance of 30 feet to a point,'said point heinq the point of ueginnino for said center line: thence South Doo 3.1' •1.1" lest and parallel to the North and South center line of said Section 17, a distance of 7111.321 feet .ii to a point on the South line of Lot1l in said Section 17; thence South li90 20' 25" Kest along 'the 'South line of Lots 'll and 12 in said Section 17 to a point at the Southwest' corner of said Lot No. 12 -and the end of said center line. �Y.i ''� If' .r� ..'! -'r� 4 � Y. �Y'! '�s:�. moi,•,', *s "/�yt�( ; #'. S `y..••' $�'�} ..�y .t Y I"+Q EM.i:4 ?��arj J=�; Di,�•y' �..'R E5�}''"''FFF''-'.�'r``Il��tit�7�'I".a`yi"�°�,,,� .,� -T e�,•��y�es(` ?a+'�.r�•��•PtL.c�, �°"/•�". har9?+"e�,t'L= .,�1,z'9.+sk'2. 3'd?j%ie;^ry _��I � e _�t � "�%".r'a.^�}�,'-r��J��-�. S7AZE OF CA FORNIA ..�J `L. 7 a C o! . 19'7'7 Mace mc. nc� undcr+itned:.. N PuEI' 'a ud for Sate Ily appca ii�:'' ',j�j :'�(;;;; `_•: open tem (ti i •)):2`:' ``Z -.•� Ardwe to Te t0 he the persons rrlgfe nMne- . ): to the rithin'insinmKvL and wkno kdpd a inr.tba -, . tarmled the vrne. . Notary PuNk #M 'CF oocubA3 rr • MA/I TAX STAT[M[NTS AS OIR[GTI FOR NOTARY SEAL OR STAMP `lam l`-, ICTAL ',CAL a �>7. NADELL. . fl'C CAIMORrtis � .v .>r`}rt��4.r}Se ! S "a' �.e"a Y y *.vf -. it r .; . ,� 'x ) f-. i .� ~. ��• _ L%j C•:nn:It`.n G s /t: 1. 1971.•. ,. to �Y.i ''� If' .r� ..'! -'r� 4 � Y. �Y'! '�s:�. moi,•,', *s "/�yt�( ; #'. S `y..••' $�'�} ..�y .t Y I"+Q EM.i:4 ?��arj J=�; Di,�•y' �..'R E5�}''"''FFF''-'.�'r``Il��tit�7�'I".a`yi"�°�,,,� .,� -T e�,•��y�es(` ?a+'�.r�•��•PtL.c�, �°"/•�". har9?+"e�,t'L= .,�1,z'9.+sk'2. 3'd?j%ie;^ry _��I � e _�t � "�%".r'a.^�}�,'-r��J��-�. S7AZE OF CA FORNIA ..�J `L. 7 a C o! . 19'7'7 Mace mc. nc� undcr+itned:.. N PuEI' 'a ud for Sate Ily appca ii�:'' ',j�j :'�(;;;; `_•: open tem (ti i •)):2`:' ``Z -.•� Ardwe to Te t0 he the persons rrlgfe nMne- . ): to the rithin'insinmKvL and wkno kdpd a inr.tba -, . tarmled the vrne. . Notary PuNk #M 'CF oocubA3 rr • MA/I TAX STAT[M[NTS AS OIR[GTI FOR NOTARY SEAL OR STAMP i l`-, ICTAL ',CAL a �>7. NADELL. . fl'C CAIMORrtis � ^�.t '�- .>r`}rt��4.r}Se ! S "a' �.e"a Y y *.vf -. it r .; . ,� 'x ) f-. i .� ~. ��• _ L%j C•:nn:It`.n G s /t: 1. 1971.•. ,. to I a_3' ._ Y �F > "� �;.�• a ��•t+• ?C 3•a F- ,1'' �� r SC tY r r Kz -D,4 wit•4 ��.t d `` . 7. �Y.i ''� If' .r� ..'! -'r� 4 � Y. �Y'! '�s:�. moi,•,', *s "/�yt�( ; #'. S `y..••' $�'�} ..�y .t Y I"+Q EM.i:4 ?��arj J=�; Di,�•y' �..'R E5�}''"''FFF''-'.�'r``Il��tit�7�'I".a`yi"�°�,,,� .,� -T e�,•��y�es(` ?a+'�.r�•��•PtL.c�, �°"/•�". har9?+"e�,t'L= .,�1,z'9.+sk'2. 3'd?j%ie;^ry _��I � e _�t � "�%".r'a.^�}�,'-r��J��-�. S7AZE OF CA FORNIA ..�J `L. 7 a C o! . 19'7'7 Mace mc. nc� undcr+itned:.. N PuEI' 'a ud for Sate Ily appca ii�:'' ',j�j :'�(;;;; `_•: open tem (ti i •)):2`:' ``Z -.•� Ardwe to Te t0 he the persons rrlgfe nMne- . ): to the rithin'insinmKvL and wkno kdpd a inr.tba -, . tarmled the vrne. . Notary PuNk #M 'CF oocubA3 rr • MA/I TAX STAT[M[NTS AS OIR[GTI FOR NOTARY SEAL OR STAMP l`-, ICTAL ',CAL a �>7. NADELL. . fl'C CAIMORrtis � C:J l'J:IN1Y' L%j C•:nn:It`.n G s /t: 1. 1971.•. 0 0 d l i f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 ' PHONE: 916-538-7541 DATE 4-6-92 SHEILA LEWIS RE: 92-947 P.O. BOX 611 FOREST RANCH CA -95942 A.P. # 63-24-21 With reference to the,above subject: LL Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in , including plot plans. Plot plans in - Structural details in Complete plana and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for _ Completed Owner -Builder Verification form. X Recorded copy of deed showing Parcel creation and 60 foot right of way to Public Recorded copy of agricultural acknowledgement statement. road. Should you have any questions concerning the above, please contact of this office. Yours very truly, William Cheff Director of Public Works .F. Glander ` JFG/aj Chief Building Inspector b COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS S'h e,, -k Z wI� 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 • DATE RE: gZ,9Y7 A. P. # e, 3 - 7,4/._ Z/ With reference to the above subject: L1 Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Rlgns Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in - Structural details is Complete plans and calcs in by registered engineer or architect. Energy design including - Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans -in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway 6 Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 Co4nty Center Drive, Oroville, for _ Completed Owner -Builder Verification form. Recorded.copy of dead showing A- 4/QL e., Recorded copy of agricultural Packnowledgement statement. Should you have any questions concerning the above, please contact of this office. Yours very truly, JFG / a j William Cheff Director of Public Works .F. Glander Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF'PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER �, ,- 063-240-021 ZONING ' TM -10 BUILDING PERMIT OWNER Shiela Lewis TELEPHONE 895-6711 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 611, Forest Ranch 95942 CONTRACTOR'S NAMETELEPHONE Owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 4920 Pana ya Lane, orest Ranch Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomek Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W I 1@ 15.00 15.00 TYPE OF WORK New Addition RemodelEll Utilities Installation❑ Other❑X Describe work: �, _ Permit Fee $ 30.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS j$,50 Main service 200A TO IOOOA) _ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contra ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP OR ADDNS. .& ACC. BLDGS. _37.50 3.6Q sq.ft. NEW CONSTR. ULT'.OUTLET N ON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS (SINGLE OUTLET CIR.6 Ex. Occup(OUTLETS OR FIXTURES 20 Q0 764 FIXED APLNS EX. OCCUp. OUTLETS P(RESIO.)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00ct- Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �-I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. ��� �' �� Dat �.� X �G Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $30.00 HAz I DFEES IMP FLOOD I CDF PARCEL PD HD I ISSU This permit is hereby issued under the SIOnS 0 e Butte Count Code and/or wOr 'nd' ated a which f DI F UB B P EXPI. S Date applicable provi- resolutions to do s ave been paid. ORKS Date 135550 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINIt-INSPECTOR. GOLDENROD -APPLICANT ..,---,..--^-�vri�^�f'-��: � t,.':'r;,jnrfv*..,, r�-�--,z t '''� Pr'at•:;-r;`� � /COU,NTYO-F B TTE - DEPARTMENT PMENTU OF DEVELO SERVICES -BUILDING DIVISION yY.,s 7COUNTY CENTER DRIVE -OROVILLE,CALIFORNIA95965-TELEPHONE (916)538-7541 e o PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Building Inspector Date At timeof p/e�'. . . . . . .mit application, I was advised the following data must be submitted prior to permit processing and/or issuance: . . DATE RECENED BY 1. All items have been submitted. . . 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form . ....... .................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation andd-plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ....................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . 20. Pre -inspection for P eon `lon reg° at required. . . to Building (nape or (Date) 21 Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance. ... . Owner�Builder Verification (Given to owner , Mail to owner _).......... 2 . Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... ) 28. Mobilehome utility clearance . ..................:....................... _ 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ............... 31. Existing violations/expired permits . ............. 32. Plan check list . .......................... 33. 34.. '` t When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other - Parcel Creation /q Acreage Applicant (7 ` ' Date °� y Copy of .Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new iteminot checked above). 1. Index permit for above items No. ' 2. Additional items required: r' ' Contractor, designer, owner, was advised of above required data by _ phone ail Count _1/1 ate - Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date ' Sets of plans on hold in File cabinet AP folder - Copy - Department of Public Works a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 910.'538-7541 APPLICATION AND PERMIT o�2 g y T, ASSESSOR PARCELNUMBER Ili _ I ZONI J (7 BUILDING PERMIT OWNER $w/I-- /�- L f wily TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS , , P4 130 611 FO(?L=sr 1?giPC41 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �7 /yh I N /o ), v P Permit fee $ PLUMBING PERMIT FilingFee 15.00 ^ p v f T IV C --k Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[f Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home rGj W 1 915.00 Sr Q TYPE OF WORK New"r� Addition;] RemodelC Utilities❑ Instal latio Other JZ Describe work: G%7G / A/F= _ Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 20000AA OR LESS 2OR LESS 18.50 _ Main service 200A To 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1NON•RESID I am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Professions Code and my license Is In full force and effect. License .Jo. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCC UP.9 OR ADONS. ACC. BLDGS. / 3.56 sq.tt. NEW CONSTR. U TI.OUTLET BRANCH CIRCUITS) S OQ /POWER APPARATUS &) (POWER OUTLET CIR, ( Ex, Occup\OUTLETS OR FIXTURES 20 76 FIXED APPLN5. OR \ Ex. Occup. OUTLETS IRESIO.1 EA./ 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FilingFee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permi X Date � signature of Applicant — Owner El Contractor E] Agent An OSHA permi) is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $/// HAz I DFEES I IMP I FLOOD I COF I PARCEL I PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. 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"^ 7 . , 3Ma* p�yt+, ,o, ice. � .' � �••%. ,:t yfsy,� x pr �t��}i,,, Y•.c.�J ri } s"a�`rt ''.-tom �. <`'r1 WFt e•si�. or''"A ad? s �''�i-b rY a� -° ry`.t's:-�• i' ..� n.v rr r s r� e*•s `tom' 7 t 9.t'di�:viM� ,k "{,jr' '-'' r .,� �� sxro - I a'' f C-�Fi• Y.�•r m t'" r'7 .,, $ ., '.4 .'4 _t X45 �� Liz � aS s.�,.. k'tr � � � ��T A r ' �'���°'� a•''r-u 4.s�� �y �'t tr R��.aN q : .. �s'�� a�,y �' . '` '' � ``' a37°`y t� h .� .r° �,, .,,q:",p.•• � �..r`..5: a �Y�' ."t r�'�•r.:h 't'gsx"-ri1y..> c.��s�� 4 ��s-�s4'"t•��"•y�Y� °���,ii�,•�r t�•� `k, ! .rh•/Z. t.-�cf� .l �.a q`� � .rj 'a .> t y'cr%, � I r�� y �sr ".c�,�C7"� �R''�S:� �';L'a � • s,✓ L ' - -.E�iL'��� sk EM't'S.-%td.Av,.,, t � �r ,'.i1.,3n•�cc'dIt. �'�Odt '� •.,�; '� �'� �' �''i w^trq" ��+R.+.�`y,'y"�-9�. Y • f "�'.�'r^��� y���'�`�rra'�>Tn*�,[a n�cGf .. ' S�rN"4ry a Jar c*+�.7�".tcr � Q• : � r x �. r�,".'� .t ?�s�,,.�..✓�.�..�-+,i ,{� "4C f'.s; -`i• . , _ ' �t t ry �•-g'`t ... � ,�, r:� � '�,T^r:17�7";� p .+-. �.e"� ry�r��� �� �' � �"b p _ r �+.< d fs�' �i 5.�'s �,.T' •ns `✓� ��r 1�•d•-•`ir�llr- i r .r..t'i �� . �' y _ � j tr _ � ,�� y�t✓s.":, ••moi �-�a�Y� � r 45 . . 'i;�. I -,S� ss ...✓ ,�t<•.� ^' ✓.�4�'��4`'r'p9) .`T�^Mr� er. �R'. COUNTY OF BUTTE' -'Department -of Public Works 7 County. -Center Drive, Oroville,,CA 95965 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.a.t'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 persodely plan toprovide the mr(yesX 'bor and materials for .construction `of the proposed property improvement no) 2.' I ha /have not) signed an application for- a building. permit . —� for the proposed work. 3. I have contracted with the following person -(firm) to provide the proposed construction: Name Address City Phone Contractors License No. - _ _- Phone: 916-538-7541- .4. I plan to provide portions of this -work, but I have ha: -red thc' following person to +coordinate, supervise, and provide the major work:: Name - Address City Phone Contractors License No. 5, I will provide s_ome.of. the, work.but I have contracted (hired) the following persons to provide the'work indicated: , Name Address Phone Type of Work I Signed: Property Owner ` Social S urity Number �,.4�z ;i. <<'_9 � Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and k 19832 of the California Health and Safety Code... This verification must be completed ,and returned to our office before we are per - witted to .issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916!538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 061-240-021 ZONING TM—10 BUILDING PERMIT OWN € Jneila Lewis TELEPHONE 395-6711 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.0 —Forest Ranch, Chico— 95942 CONTRACTOR'SNAME nwnpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER -ADDRESS UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $ PLUMBING PERMIT Filing Fee 15.00 111240 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 — Building sewer Mobile Home 6SI) G W i92-30 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities© Installation❑ Other ❑ Describe work: MHU Permit Fee $45.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service LESS 200AORLESS 1 18.50 18.50 Main service 20cATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered or sale. (Sec. 7044) �J I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason tr\ NEW CONST. OR ADDNS. ( DWELLING OCCUP.ACC. BLDGS. // 3.64 sq.ft. NEW --ONSTR ULTI.OUTLET NO N.RESID BRANCH CIRCUITS @ 5.00 POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 6 FIXED APLNS.❑ Ex. Occup. OUTLETS (RESID )REA.1 I 3.00 Temporary service 1 15.00 Mobile Home Facilities 1 15.00 15.00 Misc. byirin g '15.00 Permit Fee $48.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against allAliabe�udents st s, and expenses which may in any way accrue on quence of the granting of thWpeit. Date .Z. Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHApermit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $113.50 HAz �— DFEES — IMP FLoo CDF PARCEL D D ISSgain This permit is hereby issued u er the Bions of the Bu ounty d and/or work indicate'd' o f w ' h fees DI O OF UBLIC By PE MI PIRES Date 3 pplicable provi- resolutions to do have been paid. WORKS to 9� Receipt No. 109844 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT TO:. Building De-vArtment . t I FROM:' Encro-a hihc t' Permit Section., . ' RE: `Diiveway Clearance paw V Cc owner, location IT AP Driveway permit //20'7 e- Ae,,ele`c has been issued for the above property. n b dip s ign re date i _ �� �+nr.ty _ _^r', _' �r.�.. � ,.x Y'.f.", 'lr J .. - , ,...^' �.+>' ..��-f�• ^-%1.-,.N.z•1-t•a}Y''f7"+v h. ..,(-�..r'e•/. w_.Y. w. .� i.. Ht' ... .,f...rT'lf... �/, y..t �. �••: .. w COUNTY OF BUTTE - DEPARTMENi',OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO\;'1QLh,,CAL4FORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET O Permit No. -7 OWNER J1 �-- V��"tJ A. P o. Proposed Building Use��/t/ �7 / Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: All ,.i DATE RECEIVED APPROVED items have been submitted. .......... Plot plans in duplicate/triplicate, signed by preparer of plans........ Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Ener Design Compliance and supporting Energy g p documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions...... ...:........................... . 10. Fees of $ ti Ill -.-Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 1Ab , School District fees paid ............... Sanitation approval from /G Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... ,\\18. IMprovements may be required. Contact Land Development Section DPW STN. Driveway permit (construction approval required prior to occupancy) T 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 0 ....ner-Builder Verification (Given to owner o, Mail to owner o) ..... , *When Recorded copy of Agricultural Acknowledgment Statement ......... etter of signature authorization .......... ...... A ✓ Ci4 , tL O lG o� t,�0,V ok �tnv you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other ApplicantJL Date �� v� 4: ° v S -3 -Sopy 7 form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans se t Health Dept. Fire Dept. Other Date By Copy of �Ia The following data must be submittedpriorto .mit' "suance: (Circle new item not checked above). 1; Index permit for above items No.��,� 2. Additional items required: r Contractor, designer, owner, was advised of above required data by_phone_mail—counter by datj T- Y.. ii Contractor, designer, owner, was advised of above required data by_phone_mall,/_�cou ter by date Plans checked by Date Plans approved by ✓ Date Sets of plans on hold in Copy—DPW File cabinet AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller'California 95965 - Telephone: 916!538-7541 APPLICATION AND PERMIT ASSESSOR PAR EL NUMB ZONING BUILDING PERMIT owNE�R_ i ��` , ! W TE EPHON SO. FT. OCC. BUILDING VALUATION OWNER' All NG ADDRESS A CONTRA TORS f1 TELEPHONE CONTRACTOR'5MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ -!2- O�O� ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PERMIT Filing Fee 15.00 �CPLUMBING Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome Other SPECIFY' Gas piping system 1.- 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Rem del❑ tilitie� Installation❑ Other El Describe work: � TT`7-71 Permit Fee $ r Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service SS 200AORLESS 18.50 Main service 20GATO IOOOAI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.s OR AODNS. ACC. SLOGS. 3.6Qsq.ft. NEWCONSTR ULT' -OUTLET NON.R E." BRANCH CIRC ITS @ 5 00 POWER APPARATUS &) OUTLET CIR, Ex. OCcup(OUTLETS OR FIXTURES 20 76d Ex. Occup. OUTLETS IFIXEDPRESIO 1REA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 /S,a(% Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. F -]I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Provisions or this permit shall b.�_deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 ' Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner[] Contractor E]Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $<� HA2 OFEES I IMP I FLOOD I CDFPARC PO HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or Work indicated above for which fees DIRECTOR OF PUBLIC By DCDIIAIT CVDtocc M.-._ applicable provi- resolutions to do have been paid. WORKS Date Receipt No. p .t 93-010971 93-010971 93-010971. �1 y� 0971 �F Roc t'ee 13. 00 . Redbr-ded, .•• Chdck 11. 00 •' ,, (Jliicin,T 'Records I s ' .. . County, ofButte /rte. •x , :Candace J. Gr4bbs. :i' , R. corder 1 16.4m 13 -Mer -93 I PURL ZXX 3 " . . ' - o U.\'K � ' ^ FOR-RESIDENTTAL � . ^.ciun 26-8. | n[ the Butte County ,Codo equire� �his acknowledgement be � � ' rded yrior Lo isauuoce of e building pecmic. nW � '[hc proyu`y described h6reio is aJjuceuc to 'land or included within on area zoned [/o' n/\/urni yurpoaeo, and reeidenf-y ` ./[ U`iu |m.|x`rLy m'/y be. sx|,]ccl- W iocm/- ' vr1-fi'11c(:.o w- '(isc'xx[orc acising From the . ow" ose v[ xgri,o]/uro] chemicals, including, ORIGINAL DOCUMENT hoL not liei/w| t.0 he�bicidep, pesticides, . nnd [erL i |.izcro; and [rom �he' pursuit o[ oX/io/\turol ^pe/viione ixcludiu8, . but not. (-kmjl.cJ to culLivation. plowing, syzayiuX, prvxinA, and harvesting which ' occuaionaily geueraLe (lust, amoke, noise, and odor. Butte County has eatoh|ished a:ri'n|- �ura1 xm/ea which have as a priority use for pznducLive agricultural purposes, oxJ'resiJmox wichin said zone-, and on adjacent property should be prepared to accept such ixruo'micxc-r or disc.omf'orl- from normal, necessar� [arm operations. Aii Lhac rpn| propertysiLuare in the CouoLy of DutLp, Scute of Califou`iu' J,'�rribn( as. [o\�lows` ' ' Dace: ` ^ . . _ - Statee-of On this the day of . \x`[vr, o/c, 3S. the undersigned Nocury Puhlic, p�raona]ly appeared County o[�r �� /���- 6e,- � ^ �~-------- Z�fr/ �~eWl 5 ' Personal] y known to me. Proved Lo me on the hiisis MARGARET 0. HILL to be the person(s)-whose name(s) NOTARYIPUBLIC CALIFORNIA subscribed to the within instrument and acknowledged thz.11 BUTTE COUNTY 1 10 19 executed the same* for the purposes the'rein contained FN WITNESS My Comm. Exriras Mar. 10, 1995 W HEREOF,.I hereunto.set my hand and official seal. - ' � ' 1� prusuncA�P. No. /��1� � urury Public � � r;MITx-70,, T = '�" --'-' �L, hl Ci .91E:: ;.;.c� _ 2140 P'iar. 1 . 93 .1CJ - z •._ III . lJ i7 t, F' , l) 04116 VkD€il 110. '• !W — i i 1414 "TIS pBLCAIf�iOM ALL -THAT CERTAIN REAL PROPERTY SITUATE -IN 'THE STATE or CALIFORNIA, COUD07CY OF SUTTZ, DESCRIDED=AS FOLLOWst i 'THE SO•JTH HALF aP THE NOR" kALF OF THE WEST HALF OF IM_:14�:IN SECTION 17. TOWNSKJP.23 NORTH, RANGE 3 EMT, M.D.S..6 M. �RESERVYPtG .THEREFMM�A-KON-EXCLUSIVE MEMElT'FOR ROAD -AND PVltISC '.UTILITY ]PURPOSES OVER : A STRIP O$ LAND 60 'FFET IN iwTDTst i.YYNG s -WESTERLY OF.A.LINE -WHICH IS -THE NORTH, AND LSOUTH CBNTERLINE'Or'�LOT , .16 .IN.6ECTION-41, .TOWNSHIP.27.NORTH RANCE 3 EAST, rA "RIGHT :OI' •WAY -FOR ", ROAD -PURPOSES oVZR`T%E-WESTERLY -.30 FEET ->OP; -A S'IRiP OF LAttm - 60 F£ET "' SN a WIOTIi, :THS CtNTERLIMP `OF -WHICH :IS -THE %NORTH AND. COUTH'CENTERLINE OF LOT_14,..IH4BECTION 17.`TOWNSHIPe23 .-NORTK, ~RANGE=9-EAS2', •M:D:8.;6.K. ... rEXCEPTING -THEREFROM 'ALL ".THAT,PORTZPN.LVING-wl'TKiH TME:BOUNDS'.O!' PARCEL-I,=DESCRIBED HF.REIK. -',A PORTION OF. -.SECTION t7l -TOWSHIP 23 NORTH, RANGt.-3 .:EAST, ak:b:E. 4 K.. -MORE PARTICULARLY•DESCRIB>~D•-AS FOLIANSa -A RIGHT OF WAY FOR ROAD AND 'PUBLIC UTILITY PURPOSES OVER .A -STRIP :OF LAND ,60.0 FEET IN WIDTH, _LYING EASTERLY AND SOUTHERLY OVAND ADOACENT TO THE FOLLOWSM0 DEStRTBED LINEa `BEGINNING AT -A POINT ON'THE EAST LINE OF LOT 11 IN -SAID SECTION 17, THAT BEARS SOUTH 06 DEC. 44" NEST, A DISTANCE OF 617,07 FEET rROM THE CENTER OF SAID SECTION 171 THENCE ISORTH 06 DEO. D41•44% CAST, ALONG THE NORTH AND SOUTH CENTERLINE OF SAID SECTION 17. POR • A DISTANCE OF 617.07 MT TO A POINT AT THE CENTER Ot -6AI0 SECT2ON 171 WHENCE NORTH 09 DEC. 10' 23" EAST, ALONG THE EAST AND wES7 CENTERLINF, OF SAID SECTION 17, A DISTANCE OF 510.0 FEET`TO A POINT IN THC CENTC[tLINE OF DOE MILL ROAD AND THE END Of -SAID -LINE. CONTINUED -.! 1fi ;_33 07 TEL No .'D16538? 14C, P1,�t i J . � •J 1 F 3k' Ido .Gear F` . G�' j r'lY_ Ji4`1 1'i'11U-1'iiiL$I 111LB lU I J0Li1.1 i i •j ORDER .iKC. 8U'►355416 "?D A PORTION OF BEC'lZON iT; 'SOWNSHtp 73 NORTH, XMGE 3 EAST, K.D.S. moRE PARTICULARLY DESCRIBED " r'OU"51 )► RIGHT OF wAY FOR ROAD AND UTILITY PURPOSEb OVVR A STRIP OY.W(D 60.0 FEET IN WIDTH,. THE CENTERLINE OF WHICH IS DESCRI8ED AS ..pOLLRfiTS= jL,ghj LACING AT,THE CMER OF -SAID• SECTION .27 - 'THENCE ,SOUTH'06'DEC- _34' -44" (WEST, -ALONG 'THE NORTH -AND 'SOUTH CENTERLINE .OF *$AIS SECt'IOft 170.&.01STANCE OF'SSS.OT FEET; 'THENCE -AT -RIGHT.ANGLU30 <HE , itORTH"-AND --SOUTH CENTERLINE OF 'SAID SECTION -17, '�'VESTERT.Y •A 'DISTANCE .OF '30.0 "FEET=TO�tA -POINT• SAID -POINT .BEING.`TH£ POIMT` OP BEGYRNING-FOR78AIb CENTERLINE:-'-THENCE-SOUTH 06 DEG 346-44" WEST, pANO '• PARAL2.EL 'iO "THE NORTH "D SOUTH -CCN'i t.RLIME OF SAID SECTION '17, sA'"DYS'PANCE•OS''i7S:32 FEET'TO'•A POIMT 034 THE:SOUTS LINE OF LOT .SECTION -17 r 'THENCE SOUTH.' B9 . DEG..20, .25" -WEST, <ALONG :'tME=aOurtt:.LYNE:pF:COTe 11:AHD.i2'.IN-SAID 2SECTION.17,":TO='A''POINT zAT ''mE s80UTHWlEg'1'=O01iNER" OF SAID ,-LM 12 =AND THE .=END ..OF :SAID .:�,CBN'S'PdtLIN6: PA=UL: Vl 'A "RIGHT. OF -WAY "POR'ROAD AND UTILITY'PURPOSES OVER-A"3TRI!°.O! AND _ 64 FEET IN 'w= 'THE CENTERLINE OF -WHICH IS. DESCRIBED AS FOLLOWS t CO!'!blENCING•AT THE CENTER., OF SECTION'17, -TOWNSHIP 73 NORTH, .M of 3 EAST, M.O.B. t M.: THENCE NORTH 89 DEC' 16' 23". EAS* AWNG -TNL _EA_S'T AND -WEST CENTERLINE OF SAID SECTION 17, A'.DYSTANCE OF -SIC OP£ DCOlNNtIptGl {OR SAID CENTERLINE; OFDOE -HILL THENCE x6 DEG. 11' 10" EAST ALONG THE CENTERLINE OF SAID DOE KILL ROAD, 930.54 FEER''TO 'CMR ENO OF -Tilt =NTY MAINTAINED R:1AD AND THE, END OF SAID CLK'SEIILINt. END OF 00CUME r F .�. NAR -1,9-93 FR I-' '1 2 : 3E• EHci t h, -c -h ic:o 9 1 6895E-51 : , P. 0 1 tie,0qft 1, T 1-i A [',I = A ;J T Y DEPARTMENT 0F Pl1$I~iC HEALTH ' DIVISION OF ENVIRONMENTAL HEALTH A"ra o Cg1469 Humtioidt Road ® 7 CoUntY Cehfer ®riv® � 747 Elliott Roed ' a®uivcs:' CF+ica,'Ca{itorn{A 983°8. Cro%4115', Caiifornlc 95985 Raradige, California 95969 Telephono: (9161 331.2727 Te'Iephone-, (916) 538-7291 Talaphone: (91 6) 872 6388 Fs%: (916) 539-2144 ' COVER SHEET A�. TRAMS 4rT' I, DATE: ATTENTTON-44 '0rganizat; Un & Address: City; .State and Zi:p..one Number. �6 7 l� C Fa -x P cne NumbEr : " Fax Message Irort: _ X14 ►�� - — Z Butte, .County — --^`� Regarding:*. � f:469 Humboldt' ;Rd. f Chico, C 95928 Ph.on.e Number. (916)89'142727 or FAX:Phone Number.: (916)695-6512 iTI'mber of a es including cover sheet: ; L u P g MENT FOR A HEALTHIER TOMORROW' t� A CLEAN INDOOR AIR ENVIRON , eouw*,4,,,J'6uUe. OROVILLE,`IZALIFORNIA GENERAL CLAIM CLAIMANT: Douglas Hague ADDRESS: 15218 Rain Forest Ln. CITY & STATE: Magalia, CA 95954 IMPORTANT: May 7, 1993 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OFCLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. Permit #93-627 E, AP#063-240-021, Receipt #129759 dated 3/5/93. I r i Total Permit Fees Paid ------------------------- $56.50 ' i Total.Permit Fees Retained--------------------- 15.00 TOTAL REFUND -DUE------------------------------- $41 50 TOTAL $141 1 cin 1, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered. and that this claim is true and correct tttaas stated. (� t Dated this �i`� 5....... day of „ vA^ 19.7. eY.......... .•(��.. Calif. : C.... SI slurs of Claimant i A 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles spec livered and that there is ..Budget Appropriation or Specific Board Approval (Check one) for t Dated this 7th da or Ma 19..9. ar ..Oroyille caur.rf.............................................._..................... ......................... y Y. ................ Department Head or Authorized Deputy been performed or de- Dept. e- De e ......440-002 ............:... Ez .......?. QSR9............................Ocznst...Pexmits.:..:.......:..:...................,.:......... D D• Code , Code , 4 PAYABLE FROM F,tJND i LY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. I r i ' i Of, jouta . OROVILL E;' CALIFORNIA GENERAL CLAIM CLAIMANT: 15218 Rain Farest Lims ADDRESS: r i qgi!, '';° CITY & STATE:. IMPORTANT: - fJ3 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING , G-00DS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT V✓ - V T v ` + ` � O TOTAL I, the undersigned, declke under penalty of perjury that the services or articles claimed have been performed or delivered, and that this x claim is true andcorrect a stated. / Dated this l de of .�r�lh/,,...... 19 .�� ,�, at „Zt{. ,�1.(Cali[. fi T(...` S..S.���lf....... .........r ... .................. Y ...... / ... St n urc of Claimant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval 0 (Check one) for the same. Dated this .................................... day of ......... !................... 19......, at .............................. , Calif.................................................................................... t' Department Head or Authorized Deputy Dept. Ex I Code Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB.., PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. t` ' r �.!✓N*4�f• �iy: INSTRUCTIONS to CLAIMANTS ` 'All claims against the county must be itemized, giving dates and character' of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head, for approval. Upon approval the Department head will forward claim to County -Auditor for payment procedure.. Do not file with the County Auditor first. .Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must bet approved by officials and in Auditor's office before preceeding Wednesday adon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. ;1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 "�7 0103 -'Z-q-0-102-1 APPLICATION AND PERMIT / ASSESSOR PARCEL NUMBER - AP 2 -0-021 ZONING 10 BUILDING PERMIT OW .7Yhei.la Elizabeth LewisT `9 P"g�`j-F!}0 SO. FT. OCC. BUILDING VALUATION OWNER'SSAI LIN AD ESS P , O.ox 11 fore t Ranch 95942 CONTTOS N ME TELEPHONE CONTRAC�'�•�tTrOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 4920 Papaya (papia) Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE power pole for SF ❑ Duplex❑ Mobilehome❑ Other lot developement SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W IPP 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations- Other ❑, Describe work: Electric for Lot Development Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 20OOOAORLESS 1 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p l y (check one): ❑NON.RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I , as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO 1000A) 37.50 NEW CONST. DWELLING OCCUPM OR ACDNS. ACC. SLOGS. 3.(>q sq.ft. NEW CONSTR ULTI.OUTLET BRANCH CIRC ITS @ 5 00 POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 761 Ex. Occup. OUTLETS IRESID IRE A.) 11 3.00 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Pre -Inspection 1 20.0 20.00 Permit Fee $ 56.50 • WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling rHood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue of the granting of this per I. X Date again sai County in clexc ignature of A licont - Contractor ❑ Agent'❑ An OSHA permit is requireions over 5'0" deep and demolition or construct- ion of structures over 3 stor Mobile Home Installation Fee S Energy Inspection Fee $ occ 'O's""' TOTAL FEES 56.50 HAz I DFEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 129759 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ',c!..y"'s/'r"�j:n�"..i+'•�.ri"''SSV.+vJ1+�rr-,.r�"�;SSS'4n,.:-�M.,.R,,.o.ry"1w-.r�S'�T'"'�.+�7���.�w...�. r���i�,�"''1/J'^�'`''^r`�''►`ra,.-.......E'�+:.�„r-�:.+.�e+.tra�.prl-.-r. .� ��...,r-. COUNTYOFBUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE -OROVILL�_,CALIFORNIA95965-TELEPHONE (916)538-7541 / Y PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use i Building Inspector Date �; -,2 -&I&�..l / `Zb� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............. 5. Hazardous Material Form. .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .' . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ...................................... . 11. Impact fees as shown on attached. schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit . .................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ...... . 17. Planning approval for (A) Use: (B) Parking: ':... . 18. Contact Land Development.about (A) Improvements (B) Drainage. .. ? .. . 9 Driveway permit (consy) ion a proval re uired poor t c upancy). . . �. Pre -inspection for //�/(� �//�� �j/ j`O Preanspedion edor . equired. ^to Building Inapedor (Date) 21. Contractor's license information. (No., Name Style, Classification). `.............. 22. Certificate of Workmans Compensation Insurance . .........: .. `.............. . 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization... ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ......................... 29. Documentation of legal access . ..:.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requi g ents. 31. Existing violations/expired permits. 32. Plan check list . ........................ 33. 34. �a} G---t-- .When you issue the permit: rocess as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant%'7 Date � 1-S Copy of Haz-Mat form sent Health Dept. Fire Dept. AifrPollution Date Copy of plans sent Health Dept. Fire Dept. Other Date I By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2 ;Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 1 COUNTY OF BUTTE - Department of Public Works 7 County Center' Drive, Oroville, CA 95965 Phone: _916-538=17541 OWNER -BUILDER VERIFICATION Attent-ion 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 unnecessarydelay. in - processing and issuing your building permit. No building permit will be issued until this verification is received.'' I.personally plan to provide the major -labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have'not) signed an appl.ic ation for a building permit for.the proposed work. 3. I have contracted with the following person (firm) -to -provide -the proposed construction: Name Address City" Phone Contractors License No. t. 4. I plan to provide portions of this work, but I•have hired�the.following person. to.coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will'provide some of the"work but I have contracted (hired) the following persons -to provide the work indicated: Name • Address Phone Type -of Work -� Signed: Property Owner ' - Social S cur ty Number Date 3s NOTE: This Owner -Builder Verification is sent to -you as required by Sections 19831 and i 19832 of. the California. -Health and Safety Code.. This verification must be completed and returned to our office before we are per- mitted to issue the permit. ; PRE -INSPECTION ' OWNER: ( LI'�" �%/, //�} �.. DATE 'LOCATION: -Z ��� r, I� ?�"%� A.P. D CONTRACTOR : ZONING 1� --- ----- ------------------------- - -------------------------- PRE-INSPECTION FOR: - r f .s . _ . •yam y. DATE -TO INSPECTOR PERMIT HISTORY: NONE, AS FOLLOWS: TYPE OF OCCUPANCY - ------------------------------------------------------- FIELD - INFORMATION . BUILDING USAGE: TENNANT: OCCUPIED HAS ELECTRIC � PAS:GAS Q HAS SANITATION FACILITIES Q �' - . 0 HEATED -COOLED PERSON CONTACTED OTHER COMMENTS: • � " �� �/ (� � � SCJ �`CJ ' ACTION RECOMMENDED: ISSUE HOLD FOR i A7� OTHER: ®whey- w;1 BY. DATE dired. for the, jf ID 139 rVq Perm W1 of the 'ino bilehome- M a. Location of structures .& equipment shall be as shown & clear of all easements. 50 'PW4-1 OF- Rakr> LOIS This, set of Plans and spe kept on the job a all c". 'catidft -AAU t tirnes On make an chan Y f — - changes or alte-rations, on Out written permission. rno with Works, Countfrorn the . ffrnent.of y Of Butte.. NO MIAII material, Workmans, *P Iccordance with Reco h, -Shall ile n1ze( - 'G Of a quolijy P od Pre fice, Prescribed and Un;f .for A6 So Orm Building Plumbing & Specified e in the National Electrical foc c ;_a .use Cocl4a. n Codes .and 5 C 1.9 L E: Jb A 3 C, C 4 0 SW 9!5 0 30 V. P ry Pu6w C LA T I LI -ry 0 5:& fn a -T 0.1 dired. for the, jf ID 139 rVq Perm W1 of the 'ino bilehome- M a. Location of structures .& equipment shall be as shown & clear of all easements. 50 'PW4-1 OF- Rakr> LOIS This, set of Plans and spe kept on the job a all c". 'catidft -AAU t tirnes On make an chan Y f — - changes or alte-rations, on Out written permission. rno with Works, Countfrorn the . ffrnent.of y Of Butte.. NO MIAII material, Workmans, *P Iccordance with Reco h, -Shall ile n1ze( - 'G Of a quolijy P od Pre fice, Prescribed and Un;f .for A6 So Orm Building Plumbing & Specified e in the National Electrical foc c ;_a .use Cocl4a. n Codes .and 5 C 1.9 L E: Jb A 3 C, C 4 0 SW 9!5