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063-240-031
COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: Ph7- -D- P© 13//r -SO A) ADDRESS: SAO 3X 2y� CITY & STATE: i UefS T DATE OF CLAIM: 7, -)-7- 0( SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES , IMPORTANT.• SEE INSTRUCTIONS ON REVERSE SIDE DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OWNER UNABLE TO BUILD. AP - -031, BP# AG 01-128, RECE PT , OWNER: PAT ROBINSON TOTAL AMOUNT PAID: 60. 0 TOTAL AMOUNT REFUNDED: 60.00 TOTAL 60.00. the undersigned, declare under penalty of perjury that the services or articles claimed hav erforme or delivered, and that this claim is true id correct as stated. A. :ted this ( day of1g_', at r0QA994,-61— Calif. Signature of Claimant the undersigned, hereby certify that, to the best of my knowledge, theservices or art) s specified above been erformed or delivered and .nat there is a Budget Appropriation I I or Specific Board Approval I I (Check one) for e. Dated this 10 day of AUG OROVILE , Calif. Dep rtment Head or Authorized Deputy Dept. Code 4402 Exp. Code 4210500 PAYABLE AOM AG EkEMK BUILDING PERMIT FUND Dept. Code Exp. Code PAYABLE FROM FUND Dept Code Exp. Code PAYABLE FROM FUN DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. FOR BUILDING DIVISION USE: Receipt Information': ' _ "_'-Number: _71-r.-, Date:J Issued To: -------- C� Amount:- 6".- 0 _ - _Fees Retained' Processing Fee: $ Bldg.Filing Fee: Plbg Filing Fee: $ EIec Filing Fee: Mech Filing Fee- $ Energy P/C Fee: $ o� Plan Check Fee: $ Inspection Fee: $ SRA Feer $ :,;:Total Amount Retained $ TOTAL (REFUND DUE. $ 0 00 .. .. 3 �'... ,.. ^� .._-...... w. "S ♦sr.,. T1, __,; "' '*. ... vim'•.. ... ..' � '. E C E: \1 rt�--'D AUG p 1 2T REFUND CLAIM APPLICATION B"1*"E D �����'� CLAIMANT'S NAME P4 -r -'D," /` 0 �� (3 A-)WILDING MAILING ADDRESS P 0 8,k -.)-4 5 FORCS7— C+ Cj,5'9y a_ ASSESSOR PARCEL #: RECEIPT NUMBER(S) Request a refund of fees. paid on the above receipt number(s) for the following reasons: Ai l?MA4 t W fiS ,VO 'i /V EC E33,+,ey 7-0 PO T / N 1A) 4F -CL 0� PG 6 4-C M - Please refund any applicable fees in the following categories: (Check those.;categories which you wish to have refunded.) (Ory -Building Permit Fees - _ ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) Disposition of Plans: ( ) Plans returned to me at counter ( ) Urban Area Fees Please mail plans to me at above address. ( ) Please dispose of plans. FORM. SIGNATURE DATE 4E-A=T_TA-CHEL ANY OTHER ON THAT FORM. j Y BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSgR. NO. � ZONIN � J J� G77 `AR—C'' OWNER Fa / A,/ PHONE 1 OWNER'S D�tESS (J ,4-x p COr- ✓l el— O (C 0 C - O— w e�' L— �1 CAT�IOSN rpAOF UILDI G©� A I�� (/V C J- R 5 � USE OF BUILDING SIZE OF STRUCTURE r �0'('=2--q( r 'X�v '-�SO.FT. TYPE OF CONSTRUCTION: WOOD FRAME ( STEEL CONCRETE OTHER (Specify) TYPE OF SIDING 1O� ROOF OVER G FLOOR TYP (�J C- 0 C. ESTIMATED COSTCONSF3UCTION $ &)o AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: I 10 FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at thatrtime and before occupancy. Date 7, 3 Q / Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt from a bu Receipt No. j Z y-7 r % S-(/ FLOOD I PARCEL Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant ,g V =,CK O=Not Ok NotApplicableMOBILE HOMES ' Date/Initials.. MOBILE HOME UTILITIES (Plana) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. /. /"Net. or/ /'L"ft./- /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test-Crossovers-Breakere-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 MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 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.; Posta-Beams-Rftre.-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/Initials 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 S. 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 L r 4., V=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. 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.; Fell -Fitting -Teat -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation _Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nasi Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Cond uctors-Sts pled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'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/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 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 T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mash -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Wells; Nailing -Bolts 59. Insulation -W al Is -Cel Ii ngs 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 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 -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Draina e & 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; Plbg.-Appliance-Fireplace.-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. Corrections 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 Comments at Final: i r T ..; , f,` �t . • rl;r� i f�+z-s; 5y - . ; r �- of�'�f4 4 - !��' Y Y y!'�: r`i-.!^+r� 3� ,4 .w "�"a i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. w ffi TCounty Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541 -7 •' APPLICATION. AND PERMIT ASSESSOR PARCEL NUMBER 063-240-032 ZONING 'IM -10 BUILDING PERMIT OWNER D.W stlake TELEPHONE 894-2535 SO. FT. OCC. BUILDING VALUATION 1.700 C 22 100.00 OWNER*S MAILING 4968 Sumerplace Rd.. Forest Ranch 95942 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN [�/� /yam0 Total Valuation $ 22 100.0 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 195,00 ARCHITECT OR ENGINEER Slater LICENSE NO. G20683 Plan Checking Fee $ 97.50Robert Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 119 Main Street Sacramento 95678 Penalty $ BUILDING ADDRESS Permit fee $ 307.50 PLUMBING PERMIT Filing Fee 15.00 4968 Sutmnernlsce Rd., Forett 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 EN Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑I Addition LJ Remodel ❑ Utilities ❑ Installation❑ Other © Describe work: New Roof Structure _ Extend Vents 117.001 7.00 Permit Fee $ 22.00 Contractor I ELECTRICAL PERMIT Filing Fee .- 15.00 Main service 600V OR LESS 18.50 200A OR LESS _ Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of (check : P y perjury Y(econe): ❑ 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. icense .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 OCCUR.&` 3.66sq.ft. I OR ADDNS. ( ACC. SLOGS.NEW CONST NON-RES D R BRANCH CIRCUITS @ 5.00 POWER APPARATUS a (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS, OR Ex. Occup. OUTLETS IRESIO.) EA.) j 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. 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, a, expenses which may in any way accrue against saidCounty in�onseq'ignce of 'e granting of this permit. /� / ,,> .Q _ �— 9 � X // °'r! �� _� � Date sigrfat re`of Applic �t /�G oWne� 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. /,(f,Z Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE$329 50 • HAz DFEES IMP •.-P FLooO coF PARCEL PD HD -^�... ISSUE This permit is hereby issued under the applicable rovi- P Y PP P sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR, OF PUBLIC WORKS _r BY �t`1�.�'1��..... rw TA. -Al l / Date i PERMIT EXPIRES Date'�*r'i r / Receipt No. �' P 143909 $127,50 !' ./ �� t✓ f ` 'C Ue WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT "'N'A+p7r►�7hl�,i+.�','�,,.*,.R',"'rv.; .. .. .-- �._.,-�-w q� �.� �rr•�'FM��^'p�ri+z-�-..w� iryi�{r��`yNM .BUILDING DIVISION ,t COUNTY.OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING OXEMPTION PERMIT -PERMIT NO. r Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other hortcultural.products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR P.A9 EL NO. y tJ ZONING OWNER PHONE NO. � ( p D't j= sk A'AOWNER'S f 5- 94c A ys�t r+'I c° ►^ ;;) fG (� C~' ! 7 / eft L° . LOCATION OF% BUILDING . USE OF !II,DING Jiora Q_ V 4 is ©r . as ra SIZE OF STRUCTURES ` U r SQ. FT. TYPE OF CONSTRUCT19N: �% //C, WOOD FRAME STEEL CONCRETE OTHER (Spec'Ify) rri TYPE OF SIDING ROOF COVERING C_6VJC�On FLOOR TYPE Cl`e_.fe. ESTIMATED COST OF CONSTRUCTION $ 7' _� 60 AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONTS SIDES /0 REAR /0 AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. t AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a r mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy ,of the building is made, I will contact the Building Division and: obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 6-1 . Signature of Owner U. p� Permit Fee - $10-00 The above described AG Building is exempt from a buildinq permit. FLV I PARCEL I P.D! I ROOFI�I 6 IS. S�JE� Receipt No. `v/ �/ V I/ (`I D Manager Building Division By �---_ White —DPW, Yellow —Assessor, Pink — B. I., Goldenrod —Applicant Date !) 7 �V/ 4 •• - - - -(( `(l � .fid ��� � I. PERMIT NO.�999-82B,EE,M PERMIT EXPIRES OWNER Michael Westlake COI TR. owner. t'. ASSESSOR PARCEL SIS LOCATION Nicholas Rd.,app.4/10 mi.W.of- _ ' Dge Mill Rd., Forest Ranch b � I Temp. Power Pole Called PG&E 5n. Elec. Service �M II A ] Called PG&E ' Temp:J Gas Service Cal led PG&E JOB FINALED (Date) i Signature n CI I Voplicable ady ? RESIDENTIAL (Single, and Duplex) Date . UNDE FLOOR ( as OK exci? tJl's Date FRAMING (Continued) " 4 6- Zoning requirements- acks-Easements 48. Property Line Firewall & Openings.;, 2. Ftg., Main; S -S-6{eet•9rfltl:- / tg. Depth 49. Ext.'Doors-One 3' -Check Garage -3rd story, 2 exits th 4. Flo., Porches & Decks; Soils -Steel- / /" Ftg. Depth 50. 51. Stairs; Width=Headroom-Rise-Run-Landing-Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers temwalls; Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer b. 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access iers-Firepl tg.-St 54. Glazing Area -Glass Protection -Skylights -Plastic Z%D.W.V.: Fta4i-Fi s- t w /O ew st _ 3 Shear Walls; Nailing-Beks �� !c aha+, E Na�sci 10eoTVater.Pipe; T-AAJ;e@K Rtr decor-Serviiea_Tleb':- : • 1 lectric; Underground��/ t ^ ► ! /3 �C i s- -An olts- s-Ve1si! Card -BI Date ,2-2�,J 5 Card -BI Date ._ Card -BI Date Card -BI• Date f Card -BI Date Card -BI ; (Date S Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's ;r Card -BI Dat , ,Card -BI Date Date ►+.. PLUMB G (Permit) OK except q's 56. Ext. Steps -Door & Sidelight Protectionlandings Smoke Detector j 1 ater Ht.; Vent -Ac s- ) 58. Furnace; Vents -Clearance -Comb. Air -Connector - 'n�arage; Above Floor-Ducts-Me6h1. Protection 15. Water Pipe; Test & Anchors -Nail Protection i 16 D.W.V.; Test-Fttngs &'Anchors ail P o ecu Sti✓edroom Exiting I' y - 17. Shower Pan; Test, First Floor -Tub c-` - _ 6 a ixtures & Tub Access 18. Test Tub Shower, 2nd Floor -Tub Access i 1 Elec. Trim & Subpanel; Breaker Sizes Labe -& 14 ram Pipe- Size a. Irs)& Rails Firepla or Stove; Clearances -Hearth. Card -BI Date Card -BI Date El e Outlets at Wood P Int. & Ext. i . Fixt. & Appliance; Grnd.-Air Gap=Cooking Clearance Card -BI Date Card -BI Date s ''"� • �6 ec. Outlets •& Receptacles -at -Kit. Counter , . j i Date .E: ELECTRICAL Permit OK except N's 647. Geraor; wing- an ing- , 613, A -r. Duct in [;aryga !' 20. Fixture & Transformer Clearance -Ins. Protection - •, - earance- Mmb. Air-Connector-P.R.V.- " In E;g+age-PC6d�ie-Floor-Mech. Protection WElec. Receptacles Spacing -Lights'& Switches at Doors ,•- 70--PTb., Elec. & Mech. Equip. Listed for Location ' 22. Size Boxes & No. of Conductors -Stapled 71 3" Romex Installed Close to Edge of Studs & C.J. _ 24. Equip. Ground made up w/Mech. Fasteners nd Gas & Wa 2 Appliance Circuits in Kitchen &Conductor Size' Subfeed Wire Size o/ ga. Csa+or AI -A. I . Insulation -Foam -Looked in Attic es 73. e ""; +, • s _. dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Loqjwd under Floor ❑cY•ez-� � (2�2 Range Circ. /,• / ga. Cu or AI -Oven Circ. /gyp/ ga. 40At, Ilaced Neural ❑Yes El No. 7 Following inst l Ir^ive es ❑ No; Walks s [I No; Planters es L'JNO ,/ Service-Risg Geif uctors & Gdea'nd-Main nect _ 29. Equip. Clearances; Panels-Motors-Mech. Equip.30 7 _ tleY• -- Vents Above Roof; Plbg.-Appliance-Firepl.-Cleafance to Opngs. Water Well; Disconnect, Electrical, Plumbing - Card B -I Dat Zed! Card -BI Date 2� 80. E errator Elec. Trim; G. .. Receptacle-Undergrou Ventilion throughout House Card B -I • Date Card -BI Date 8 lass Protection Date MECHANICAL (Permit) OK except q's F Corrections from Previous Inspections 84. -e ers agge as- ectric 31. . Stiele,sport 8 ter & Sewer Connected -C/O to Grade -HD Approval \ ----V - Vent Fan; Exhaust above Insulation � j !!n Ener p Energy Compliance Certificate -Other Certificates 33. Condens�m n.=�� n Overflow; Size &Grade s -�_ - omb.'Air-Return Air Vent -115V outlet - _-_ Atti orm if Furnace in Attic Card -BI _ Dat ��� Card -BI Date_ Card -131(0- Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Date Card -BI Date r • T FRAMING(Plans) OK except #'s f Card -BI qDate Card -BI Date - Comments at Final 36. Sills; Proper Material & Anchors S� ?-f 2 0 �• (rte 7�%7 j7� - 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound "y 38. _Bearing Walls over Girders .& Floor Nailing_ t --__--39. -Draft Stop in Walls (rat proof) it r -- �_ Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -_Size_& Bearing r 42. Hangers -Post Caps -Anchors -_Connectors t 43. Cing. Joist-Rftr. Ties-Purlin=Roof Brac.-Truss-Shthnq.=Rfng. -_ Fireplace Ties o- A F `Fireplace Throat, ` -_ - f -ns.-Baffles 4 d�rm. Windows or Exiting Doors -Sill Hgt. &Dimensions (NOTE:AnentrymusI be made each time you visit job site) +� J =LOK O = Not OK Not Applicable = Not Ready AN r MOBILEHOMES MISCELLANEOUS ; Date MOBILEHOME UTILITIES' -(Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date 1_- DECKS, COVERS, CARPORTS, ETC. (Plans) Ur. oxcept # 1, Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig:-19racing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc,-ns;.res 6. Gas; Location -Test -Wrap:/ /•'L"ft./ /"Nat. or/ /"L"fl./ /"LPG 6. Carports; Windows -Doors = 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except k's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI• 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins.. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date 1 COUNTY OF BUTTE BUILDING DIVISION `'✓ : r' DEPARTMENT OF DEVELOPMENT SERVICES _: 1469 Humboldt Road, Chico, CA - (916) 891-2751 tf 7 County Center Drive, Oroville, CA - (916) 538-7541 747'Elliott Road, Paradise, CA - (916.) 872-6307 CORRECTION NOTICE •f �� su 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 �f- is completed. If you have any questions pertaining to this matter, or need additional explanation, y' se contact this office immediately. _y COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE _ OWNER PERMIT NO.,,'`. A routine inspection indicates that the following violations of Butte County Ordinances exist at "�6 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, .i Dleaee,v,ontact this office immediately. s V 2 F 5 zo J + k W -A&M Date Inspector U f= REV 10/92 `' COUNTY, OF BUTTE _ DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 / v �s 7 County Center Drive, Oroville —Phone: 534-4541 / • Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection ' dicates that the following violations of County Ordinance exist at the abo address and should be corrected. Please notify this office when come n of work is completed. If you have any question pertaining to this matter r need additional explanation, please contact this office immediately. U J� �G Inspector_ Date �,- -14'-7- 3 COUNTY,OF BUTTE �r DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 • Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE (J£s2'�� /,-f /-VN :�. - z BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or n dditional explanation, please contact this office immediately. 0 Inspector X000 MI. M1 pe- Z y3 COUNTY,OF BUTTE DEPARTMENT OF PUBLIC WORKS z 196 Memorial Way, Chico — Phone: 891-2751 J 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. /-7 ✓6iz£E f /9/l T w—u Zia , 5 LAW %l 0616 A, vl ,I&O vi '%S' Inspector G)` /� Date /1 £L1r et, xo,/ r' T /..ti s/j&r Inspector G)` /� Date County of Butte • 15EPARTMENT OF PUBLIC WORKS 695 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 877-3435 CORRECTION NOTICE �,�..,�-5....................................,oP.. - .... Building or Property Address A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. (.. 7�G� GaI�. ................................................. f...... -v........ ......................... f........t./..... �1/ ....T �. ............... ......�T ....l r:... ®' .................................. ................. ....:................................................:.... ........ ...................... . Date!...1.. inspector .......... ................ Do Not Remove This Tog (400-41 R COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 % CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. o r/ r Cl Z-1 Inspector _ 149All AK � Date 41i - 15 - fZ 3 wrE �To c ®F ®TE (TIME IPHiN U Te phone ❑ Please Call 1 015,In ❑/ II l C i ou Oil ❑ Inform n to and E-1 Reply t� ❑ Invegate❑ Return ❑ Approval ❑ Con ct Me ❑ File ❑ Forwarded Per Request By COUNTY OF BUTTE DEPARTMENT OF,PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 1. 7 County Center Drive, Oroville — Phone: 534-4541 r Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION .NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. d 1719 44/ IL- ,3-�f -L Inspector � 1rt/ ��//�� Date 41> County of Butte DEPARTMENT OF PUBLIC WORKS / 0 7 County Center Drive - Oroville Phone: 533-1230; Ext. 259 CORRECTION NOTICE ...el 1 ...... Building or Property Address A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explaation, please contact this office immediately.irit%j��E� i �L�iJ/LtCF7f . ..... ...... .... ........... ............... t ......... .-.':..V. �1-40 v v J Z'- % Cd"; 'GJ6 AJe1 G� ........................................................................ . G,� Gj/7s ........................................................................................................................ les✓i56 cl Date..f:...��.��..... nspector.......................................................... Do Not Remove This Tog (400-4) :t COUNTY OF BUTTE DEPARTMENT OF' PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 7 BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, oneed additional explanation, please contact this office immediately. Zo Inspector. L�J�✓/ `%% Date~��. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle— Phone: 534-4541 Skyway and Elliott -Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this �matter or need additional explanation, please contact this office immediately. r A- c,� //�!/ T ( - ✓ G�>..P % fig �' �/aJ.�st J ��_ F� Lf .h9 e- o'er S / <`./✓ y /i �!G' D/r ®�qax J44 OV7 -74- 1-1402 74- dK %l' o Ju. SA k 0/;A ZN'dy v/- /6i,- 2liw9 Inspector ��� �������1 / Date /� �� f' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS • .�' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE ,�i�s7/i�� - /� ���� ��✓ /may' > 7 -� BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office iimm'mediately. �f 0 �1�,,., (��T G' �i>�Jf :`. _ /T r Inspector% Date -/ -5 r� COUNTY OF BUTTE' / DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 L 7 County Center Drive, OroviIle— Phone: 534-4541 Skyway..and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this tete or need additional explanation, please contact this office immediately. rb /10, Inspector Date :! COUNTY OF BUTTE bEPARTMENT OF PUBLIC WORKS ` 196 Memorial Way, Chico - Phone: 891-2751 7 County Center Drive, Orovi Ile - Phone: 534-4541 Skywa,-,andE4liott Road, Paradise- Phone: 872-2961, Ext. 57 CORRECTION NOTICE Fs �/ le�- /V/ r e�l- 3 / J'w '-/ - I -fl'/ 9��;-t z BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. D/�T"o i/a�J�c f♦1't�G II - �- C ` f� � f � � /`GD �N/� SiWs 4-t7 Inspector lv Date .+ L:UUN I Y Ur tiU I I t - Uti-JAK I MtN i UF- NUBLIU WORKS - _ 7 County Center Drive - Orovilie, California 959655 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO.. Gri' f- - '��' r4,, ASSESSOR PARCEL NUMBER •(, �j _'n I - ZONING BUILDING PERMIT ow�r,�ER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OP�E(S,M� 1` YV-,ADDRESSIR 6) f� 1`' .s� C'/ �� 5 1`'`// CONTRACTOR'S NAME F'" TELEPHONE y� CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS Total Valuation $ 7" Filing Fee $ 10.00 Permit Fee �_ �. t, AL $ ARCHITECT OR ENGINEER - (? � LICENSE NO. : Plan Checking Fee f 14 f Penalty it ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee L/C, W $ t $ fly BUILDING A,_DR ESSQj (j r ,-�R,++-_J/,,�� ,/�I(j �jf/yl , EW � �� �rs�-, ,fes �'. " 1 rw Alpo I 'P-41 - j N1 I 3 "C _ PLUMBING PERMIT Each Trap Repair drainage or vent piping Water piping Filing Fee 10.00 /C- 2.00 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP a Each qas water heater or vent Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ErDuplex❑ Mobilehome❑ Other SPECIFY Building sewer 1 Lawn sprinkler system - "�Y t Ali F4 5.00 G1 �j/ori TYPE OF WORK New /Addition❑ Remodel❑ Utilities F-1 Installation[] Other ❑ I Permit Fee $ AM -no M Contractor Describe work: ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR001 OR LESS0,00 $0, / Main service EA. ADD'L 100 AMP 2.50 NEW CONST. I DWEL'LING(O,CCUP.EI OR ADDNS. IAC,C:.BLD"GS. p -Y �.,22sgft -3 � CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p I y (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus,ness and Professions Code and my license is in full force and effect. License No: Classification QUI, as the owner, or my employees with wages as their sole compen- NEW CONSTR TI.OUTLET 2.50 ea NO N.RESID BRANCH CIRC ITs NEW CONSTR. POWER APPARATUS S NON•RESID. %SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES gL2j AEA. Ex. Occup. FIXED PLINISR UTLETS (RESID ) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 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) Misc. Wiring 7.50 Permit Fee $, ❑ i am exempt under Sec. , Business and Professions Code Contractor for this reason WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Filing Fee 10.00 Heating 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. Q� I shall not employ any person in any manner so as to become subject Cooling '�} r•� S j b" Hood 3.00 �.() Ventilation 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. Permit Fee $ u'S ,E4k.), 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. Xrf�/� .,ter,,,+ y Date Signature of Applicant — Owner ❑Contractor ❑ Agent ❑ Mobile Home Installation Fee $ TOTAL PERMIT FEE `_7 III -$--", OCCUP. GROUP j� . +� I TYPE OP CONST. ✓ PARCEL PD ND ISSUE ►� This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to'do work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date WORKS Date Receipt No. (� I �✓�hl�%. R5.%/ #� d C:�t t I .t v WHITE-D.P.W., YELLOW-A9SlSSOR, PINK-INSPECTOR';rGOLDENROD-APPLICANT � 1 itt � .•�r t4 � ,. "f � r 063-,24 0 `Q32 WESTLAKERn,�r .� 99-22147 'B ,Teresa 4968; Summer Place. Rd ER' f ; .(;(P.6rmit:"to'complete/93-:1863)ell 9- 9.3 �6f� Af- q 3 A box eUeri alll lql us R !! . r r r f e , i 001- �I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) - APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 063-24-0-32 ZONING BUILDING PERMIT % OWNER TERESA WESTLARE TELEPHONE `4 1315 8� SO. Fr, OCC. BUILDING VALUATION` OWNERS MAILING ADDRESS 1033 BRYANT AVE • UU CTqS NAME iJ"\ ' l\ t TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS RO SLATER 923 BRYANT AVE Plan Checking Fee $ B DINGADDRESS RPLACE RD SUMEFORREST Energy Plan Checking Fee $ RANCH, CA " $ PERMIT FEE $ - 00 LOT NO. SUBDNIS IO NS NAME ( , PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 j USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ 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 ❑ Describe Work: PERMIT TO QOMPLETE 93-1863 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W Ca20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 - Main Service '..A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 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: La" 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 ,000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BIDS. SO 3.5¢FT_ NOµq SID T.MULTI-OUTLET @7.50 POWER APPARATUS a SINGLE ovrLEr cIR. Ex. Occup. OUTLET OR FIXTURES 20 @ I'0 BAL @ .so Ex. Occup. D%".A'(. '.,6.)o EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation ,of one hundred dollars ($100) or less.) f]' I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X /'r .— �.-- =: _v -a• � '�--_ Date 7 I! Signature of Applicant - Q,/Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE �4-(� TOTAL FEE $ HAZ.D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte CountyCode and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. % �% I ► �( WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -� 7 County Center Drive - Oroviller California 959E•5 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO r ASSESSOR PARCEL NUMBER 063-240-032 ZONING TM --10 BUILDING PERMIT OWNER - Michael & Teresa Westlake TELEPHONE 894-2535 SQ. FT. OCC. BUILDING VALUATION Est, 2,000.00-, OWNER'S MAILING ADDRESS P.O. Box 143, Forest Ranch 95942 CONTRACTOR'S NAME TELEPHONE Owner CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ f LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $:$-1.5u ARCHITECT OR ENGINEER , LICENSE NO. I Plan Checking Fee $ Bob Slater ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ - Penalty $ BUILDING ADDRESS Permit fee $52.50 PLUMBING PERMIT FilingFee 15.00 ? c 4968 Suttttttsrnlace. Forest Ranch - Each Trap 1 5.00 91V I t 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 91 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer. 15.00 Mobile Home I S I G JW @ 15.00 TYPE OF WORK New 11 Addition D Remodel ❑ Utilities ❑ Installation❑ Other .. Describe work: Permit to Complete qar--2`\ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS _ Main service 200A TO 1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): i❑ 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. ,iLicense 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 OCCURM 3.64 sq.ft. ACDNS. ACC. BLDGS. I NEW NEW CONSTR UL7I.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS a' ( SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20 764 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.I EA.� 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. bVirin 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 Zof 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 subjectPermit 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 FilingFee 15.00 Heating Cooling Hood 6.50 Ventilation 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 ssai countttyy,iinconsse'q`uen�cce,.of the granting of this/permit. X ��O 'I �``^ ��� Date fr �f � 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 in height. Mobile Home Installation Fee $ . Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $52 50 • HAz 1 0FEES I IMP I FLOOD I COF PARCEL I PD HD ISSUE This permit is hereby issued nder the applicable provi- sions of the B t%CoL�fiity •-ode and/or resolutions to do �' work indicated above r which fees have been aid. p DIRt, QF PUBLIC WORKS By �j°� Date PERMIT EXPIRES Date (� /fs/T f3�storiess Receipt No. t L/ WHITE-D.P.W., •ELLO W -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT N Michael Westlake P.O. Box 143 Forest Ranch, CA Dear Mr. Westlake: 95942 ®ung e LAND OF NATURAL WEAI'LfI A1\1D B EAU TY DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 .Telephone:(916)534-4541 WILLIAM (gill) CHEFF December 21, 1984 Director RE: Building Permit No.999-82&4327-81 Expires 5/24/83 & 12 1L/B (A.P. No. 63-01-120 ) With reference to the above subject, our records indicate that your Building Permit will expire on the above date. Building permits are valid for one year and should construction be started but not completed by the expiration date of the permit, the permit shall be renewed for 1/2 the original Building Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an additional year from the original expiration date. Should you not renew your permit in a timely manner, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any question concerning this matter, please contact the Chico office. For your convenience, we are enclosing a renewal application form and an owner - builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter. JFG:aj Attachments: Permit Application Owner -Builder Information Owner -Builder Verification Yours very truly, William Cheff Director' of Public Works /.F. Glander Chief Building Inspector cc: Building Inspector - Chico Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd/872-2961, Ext. 57 ✓" r u te� LAND O:F N.AT-U;RA-L.'WEALTH'`AND --BEAUTY �-� DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY. Director 7 COUNTY CENTER DRIVE,—OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 WILLIAM (ill) CHEFF Reputy Director Febuary 16, 1984 Michael West'lake P.O. Box 143 RE:. Building Permit No. ggq_A? Forest Ranch, CA `95942 ' ' Expires 5/24/83 (A.P. No.. — — Dear Mr: Westlake: With reference to the above subject, our records indicate that your Building Permit will expire.on.,the above-date.'=%Building permits'are valid for one year and should construction -be started'bui not'completed by'ihe'exp_iration,date of ,the permit,_the permit shall_berenewed for 1/2' the original B ... "idingPe`rtniE� Fee;(plus..a-$10:OOn!•'Filing_Fee"). The renewal permit will extend the. Building Permit for an-additional-year..from the original expiration date. ' 4 Should you not renew your permit in a timely manner, it cannot be renewed and all work must.•cease--until anew .building permit is issued: If your construction is completed or .should you have any question concerning this matter, please contact the '«c. Chico office. ' For your convenience, we are enclosing a renewal application form and an owner - builder form to be completed and signed;by .you where indicated and returned to this office together with the fee shown:° Please retu`r'n all copies of the application form; - Thank you for your prompt attention concerning this matter. Yours very truly, Clay Castleberry Director.of Public Works JFG:aj Attachments: Permit Application Owner -Builder Information Owner -Builder Verification • B ild hi .F. Glander Chief Building Inspector cc. u ing Inspector Chico - 196 Memorial Way/891-2751 Paradise -'747 Elliott Rd/872-2961, Ext. 57 -suite C- ounit/ "s LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 WILLIAM (Bill) CHEFF y Deputy Director Ma ft 191 1383 acA. L� ,• `--u` ake_ RE: Building Permit No. Expires O;, t x:urex , t 95942 (A.P. No. G--,-01-120_) With reference to the above subject, our records indicate that your Building Permit will expire on the above date. Building permits are valid for one year and should construction be started but not completed by the expiration date of the permit, the permit shall be renewed for 1/2 the original Building Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an additional year from the original expiration date. Should you not renew your permit in a timely manner, it cannot be renewed and all work must cease until a new building permit is,issued. If your construction is completed or should you have any question concerning this matter, please,contact the Chico office. For your convenience, we are enclosing a renewal application form and an owner - builder form to be completed and signed by you where indicated and returned to this office together with the fee shown.. Thank you in advance for your prompt attention concerning this matter. JFG:ds cc: Building Inspector, CWLCO Enclosures: Permit Application Owner -Builder Information Owner -Builder Verification Yours very truly, Clay Castleberry Director of Public Works .F. Glander Chief Building Inspector Chico - 196 Memorial Way - 891-2751 Paradise - 747 Elliott Rd - 872-2961, Ext. 57 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 ,P IT ?/ NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 063-24-0-32 ZONING BUILDING PERMIT 7 OWNER TERESA WESTLAKE TELEPHONE 894-1515 SO. FT. OCC. BUILDING VALUATION - EST 2, OWNER'S MAIUNG ADDRESS 1033 BRYANT AVE C�'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS ROBERT SLATER 925 BRYANT AVE Plan CheckingFee $ ' BUILDING ADDRESS 4968 SUMMERPLACE RD Energy Plan Checking Fee $ $ FORREST RANCH, CA PERMIT FEE $ 74.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ 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 ❑ Describe Work: PERMIT TO COMPLETE 93-1863 Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800OR LE Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING License Class Lic. No. OWNER -BUILDER DECLARATION ff ri m under penalty of perjury that I am exempt from the Contractors License Law fthe following reason: I hereFlasowner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooA To +000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. BLDS. 3.50FT; NDµR61UT TI OUTLET 97,50 8 E OUTLET COWERLAPPARATUS IR. olmFr OR FocruREs 200 1•00 Ex. Occup.SAL @ .so Ex. Occup. ..FED Aa oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.O0 -- PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation 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 orthwith comply with those provisions. p _ Date �/ % Ignature of Applicant Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET= $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 74.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for ich fees have been paid. Cry, By Date_T`I 61 / PERMIT EXPIRES N — ( 77 — O Date Receipt NO. WHITE-D.D.S.-B. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER — Zq _ 3--- ZONING BUILDING PERMIT OWNER .--7 4 pp � //�1 v 65S V✓ LAS �.� TEELEE(PIHONE_ O 7 SO. FT. OCC. BUILDING VALUATION /C OWNER'S MAILING ADORES%03 3 CONTRACTOR'S NAME )) W TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS —Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MANo Roo S N Plan Checking Fee $ BUILDING ADDRESS / Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Ef Duplex ❑ Mobilehome ❑ 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 ❑model E3 Utilities ❑ Installation ❑ Other ❑ Describe Work:�j G Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 1100V OR LESS 2o.OR LESS 23.00 lThis 1 i i I Main Service 200A To 1000A 46.00 NEW CONST. OW EWNO OCCSO OR ADDNS. ( 6 ACC. BLDUP. S. 3•50FT. NEW CONS . MULTI.OLTrLET NO" ... @7.50 POWER APPARATUS 6 SINOLE OUTLET CP, Ex. Occup. OUTLET OR FIXTURES .00 SAL 1.00 Ex. OCCU FIXED APPLNS. OR OUTLETS RESID. FA 5.00 —Ternporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: S Mobile Home Installation Fee $ Energy Inspection Fee $ occ cGNI;T• TYPE TOTAL FEE $ 7 HAZ. I D. FEES IMP I FLOOD I COF PARCEL PD HD ISSUE permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON re Attention Property Owner: An ."owner -builder'' building permit, has been applied for in, your name and bearing your signature. r ; 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. 1 personally, plan to provide the major labor and materials -for :construction -of the proposed prope ' improvement : YES[,\� NO[ ]: ' 2. I HAVE[ HAVE NOT[ ] signed an,application for aYbuilding'permitfor the proposed work. 3. I have contracted with the 'following person (firm) , to �"provide the "proposed x. .s construction: NAME: ADDRESS_ : - CITY• ;,, ,•. na, PHONE: CONTRACTOR'S LICENSE NO. 4. •I plan to provide ,'portions of this work, but 'I ,have hired the following person- to coordinate, supervise, and provide the major work: NAME: ADDRESS: - CITY: PHONE: CONTRACTOR'S LICENSE NO..' v• 5. I will provide some of the work but I have contracted ,(hired) the following.pesons to R , provide the work indicated: - i :R NAME ADDRESS PHONE TYPE'OF WORK SIGNED: ' PROPERTY OWNER SOCIAL SECURITY NUMBER: S7–L2- —26 2- 7 DATE: NOTE: This owner -Builder Verification. is required by Section 19831 and 119832 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. May 1995 2,26 Dear Property Owner: 'An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder' you are the responsible party' of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to . have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. , If you plan to do your own work, with the exception of various trades that you. plan to subcontract, you should be aware of the following information for youi benefit and protection: 0 . If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0.. There may be financial risks'for-you if you do not carryout these obligations,` and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration)..For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division;of Industrial Accidents. ' " If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor.or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing -their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. t_ Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. ' Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 k -. 2.27 ` COUNTY OF BUTTE - DEPA_R:TME1 NT OF PUBLIC WORKS 14-7 Coui1'ty Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 C/ APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 063-240-032 ZONING TM -10 BUILDING PERMIT OWNER 77�� Michael D. West lake TELEPHONE 894-2535 SO. FT. OCC. BUILDING VALUATION 1,700 C 22 100.00 OWN e 4968 Summer lace Rd., Forest Ranch 95942 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 22 100.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 195.00 ARCHITECT OR ENGINEER Robert Slater LICENSE NO. C-20683 Plan Checking Fee $ 97.50 Ener Plan Checking Fee 9Y 9 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 119 Main Street Sacramento 95678 Penalty $ BUILDING ADDRESS Permit fee $ 307.50 PLUMBING PERMIT Filing Fee 15.00 Forest 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 [2 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 r_ Addition l] Remodel ❑ Utilities ❑ Installation Other ® Describe work: New Roof Structure Extend Vents 117.00, 7.00 Permit Fee $ 22.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 Main service 20GATO 1060AI CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER a d Professions Code and my license is in full force and effect. icense .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 DWELLING OCCUP.51 NEW CONST.OR ACDNS. ( ACC. BLDGS. // _37.50 3.60 sq.f[. NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 APPARATUS 6 (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 764 FIXED APP LHS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 0 on sent to Self Insure. .9 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 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, indem ify and eep harmless the County of Butte against all liabilities, judgmen s co a expenses which may in any way accrue against s i County i sp • c e granting of this permit. X ; Date Sig//04- ig atu a of Applicant - Owner Contractor ❑ Agent An OSHA permit is required for excavations over S'0' de ' 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 $ 329.50 HAz 0FEES IMP �- FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees D E O O BIC By PERMIT EXPIRES Da applicable provi � resolutions to do have been p id. WORKS date Receipt No. 143909 $127.50 PC// c� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT • 'f h^w.�1 ., ,-I,y r-�" •• {..� �, T ..',u� ,_•i{57 Ty--'Yir*. '.•r":` .. .. ..}`v,... ,,•..,i rr t- �t.,.,, ..,,, ,.„r . ,_ .. , COUNTYOF BUTTE -DEPARTMENT OF DEV/ELOPMENTSERVICES -BUILDING DIVISION OWNER Proposec COUNTY CENTER DRIVE - OROVILLF,,"CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET 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..............................:I......... . 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 . .................. Gi4Statement of Intent for Non -Heated and A/C Buildings. . Engineered truss details and layout in duplicate (required prior to plan check). .... AA . Mobilehome d to ad manufacturer's installation instructions, 2 sets. ........... Feesof $ i .......................................... _ 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). .. . . Preanspedireque—(s 20. � Pre -inspection for required. . to Bu;id;ny 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 . .................. 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. ............... 3 . Existing violations/expired permits. .......... N .................... . . . • G a 9 Plan check list. 33. 34. When you issue the jiVrocess as follows: Mail t wrier. Mail to contractor. _ V Telephone and hold for pickup at rn office. Deliver with inspector. A Other Parcel Creation � Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted ri to 1. Index permit for above items No. 2. Additional items required: nce: (Circle new 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 ter 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, Calif-ornia 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERr �« 1 el ZONING ' BUILDING PERMIT OWNER �h I b(3o /as, TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ,p CONTRACTOR'S NAME e TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 'CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 1,90 ARCHITECT OR ENGINE /Q /SJ /C-'/'` LICENSE No. �3 Plan Checking Fee ,b' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING DORESS / h;9 6 e �-1 /-A,, /Q �� � Permit fee $ Q . . .PLUMBING PERMIT Filing Fee 15.00 ie5� lean �\ � 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 L� 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;_; Remodel L Utilities❑ Installation[ Other❑ Describe work: IJ ROM 14 EFIFLan (lan t s I I 0>100 Permit Fee $ J Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 2000A 0AORLESOR LESSS 2 18,50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p l y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contact— ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING oCCUPM OR ACDNS. l ACC. SLOGS. II 3.60 sq.ft. NEW CONSTRULTI-OUTLET NON•RESID BRANCH CIRCUITS) @ 5.00 APPARATUS &) t SINGLE OUTLET CIR. EX. Occup( OUTLETS OR FIXTURES 20 @ 760 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.)EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 g '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 onsent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 I Ventilation Permit Fee $ LSontractor 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 liabiliti s, judgments, co ts, afid e enses which may in any way accrue ag 'nst ounty in co q e granting of this permit. Date r �. $ lIgat of Applicant — Owner ontractor F1Agent ❑ 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 FEES , HAz DFEES I=F CDF PARCEL PD I 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. 9© - : WHITE-D.P.W., YELLOW/ -";7W PI R, 6OLDENPo D -APPLICANT COUNTY OF BUTTE - Department of Public Works 7.County Center.Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature.. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to•provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) // / signed an app ication for a building permit for the proposed wSr 3. I have contracted with the following person (firm) to provide the proposed construction: Name Arzlzeel . Address City Phone Contractors License No. 4: I plan' to provide' portions..of this work, but'I .have hired- the following person to coordinate', supervise, and provide the major work: Name Address City Phone Contractors'License No. 5. I will provide some of the work but I.have contracted (hired) the following persons .'to' provide .the work indicated Name �Address Phone Type of Work Signed: Property Own -A2��, Social Security Number Date 46n / NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ^" 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �-� `APPLICATION AND PERMIT ASSE SOR PARCEL NUMBER ZO NG - � N1 ---I O BUIL ING PERMIT O ERTELEPHONE ?3 377 SO. FT.' OCC. BUILDING VALUATION ER'S (LING A DRESS Ta 1 l � CONTRACTOR'S AME T LEPHONE JS4 n. CONTRACTOR'S MAILING ADDRESS Firep ace CONSTRUCTION LENDER UNKNOWN Total Valuation $ I Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Permit fee , 6 $ BUILDING A DRIES PLUMBING PERMIT Filing Fee 10.00 Each Trap a 2.00 Repair drainage or vent piping 5.00 e Water piping LOT NO. SUBDIVISION NAME PARCEL MAP —$,�� Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets �/ USE OF STRUCTURE SF L_I Duplex❑ Mobilehome❑ Other SPECIFY""RD Building sewer Lawn sprinkler system' 5.00 ti W TYPE OF WORK New Kr Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee r $ 4bpo Contractor ELECTRICAL PERMIT Filing Fee 1,9.00 Main service 600V 0 LESS 100 AMP OR LESS 00 lomci Main service EA. ADD'L 100 AMP NEW CONST. DW CUP.8i OR ADDNS. ACAB. 2:50 r� q�ee ft aQ 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. /4_ cense No. Classification [v} I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I-Ou ET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR.POWER APPARATUS 6 NON-RESI.D. (SINGLE OUTLET CIR• / Ex @ 251 Ex. Occup(OUTLETS OR FIXTURES BAL@t EX. OCCU IXED APPLNS. OR p•�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 i , Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consentlto Self -Insure. shall no4 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 10.OU Heating Cooling "' Hood 3.00 Ventilation ; Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains id Count in ons c of the granting of this permit. X Date Signature of Applicant — Owner Conrroctor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and dem lition or cons ct ion of structures over 3 stories in h fight. 71f, Mobile Home Installation Fee $ >, TV, TOTAL PERMIT FEE ,PARC occuP. CROUP �..3 TYPE OF CONST. PD HD ISSU This permit is hereby issued under s' ns of the Butte County Code and/or ork indicated above for which / DIRECTO OF PUBLIC y PER PIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dated Receipt No. cS i�Jo2d r 7-L" WHITE-D.P.W., YELLOW -ASSESSOR, NK-INSPECTGOLDENROD-APPL CANT I COUNTY OF BUTTE - DEPARTMENT-;OF',PUBLIC WORKS PERMIT NO. ,r 7 County Center Drive - Oroville, California 9%59E.5I- Telephone 916/534-4541�q�-....- ��--`'APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER - =� —r) ( — ')�� .r,� ZONING. �i� �/ '� j' BUILDING PERMIT OWNER %Ill I (' n' -AQ► l aJ_- kP, TELEPHONE -n77 FT. OCC. BUILDING VALUATION O`E\.!5 M I -/V 1r=/ NG DRESS / 1� C.Y►`{ VV ! �' P( fw f rf / V 1 f. r.A.. 7F, CONTRACTOR'S NAME - TELEPHONE Zr.�a h P.`s-'. CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER At UNKNOWN Total Valuation $ �Il`! 10-7> LENDER'S MAILING ADDRESS - Filing Fee $ 10.00 ' Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee (J,8,tX)$ - ) ARCHITECT OR ENGINEER'S MAILING ADDRESS .- Y Penalty ( $ - €Permit fee f j, b <` $ 4 BUILDING ADDRESS - � I PLUMBING PERMIT Filing Fee 10.00 Each Trap / j 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME r PARCEL MAP Each qas water heater or vent 5,00 �Q- $�'� Gas piping system 1 - 5 outlets USE OF STRUCTURE Building sewer {"B rs� Mobi lehome ❑ Other 1 Lawn sprinkler system 5.00 ❑ ' SF Duplex❑ SPECIFY1-�'1(~ TYPE OF WORK New Q Addition❑ Remodel❑ Utilities ❑ Installation❑ Other ❑ Permit Fee f $+�hw,�O c1 Contractor ELECTRICAL PERMIT FilingFee 1•131.00 +( Describe work: Main seryice 100 AMP OR00V OR SLESS %5x.00 r f t, Main service EA. ADD'L 100 AMP 2.50NEW_ OR ADONST AGC- Ik'CPGCONS. I (S,,?CCUP.p '2¢'sgft� 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 Q`"I, as the owner, or my employees with wages as their sole compen- NEWCONSTR TI -OUTLET 2.50 ea NON -RESID BRANCH CIRC ITS NEW CONSTR. 1POWER APPARATUS 6 NON-RESID, %SINGLE OUTLET CIR. I EX. OCCUp OUTLETS OR FIXTURES 50@2 IxeD APPLNS. OR Ex. OCCup.(OUTLETS (RESID. EA. 2.00 Temporary service 10.00 t Mobile Home Facilities 15.00 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) MISC. Wiring 7.50 Permit Fee $ 19', ❑ I.am exempt under Sec. , Business and Professions Code Contractor for this reason MECHANICAL PERMIT FilingFee 10.00_ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Heating —UL ` ❑ 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. .. FV]�I shall not -employ any person in any manner so as to become subject to the W. C. Jaws 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. Cooling Ces -7,�� Hood 3.00 Ventilation r rr Permit Fee $ 0 1'Tb 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. Mobile Home Installation Fee $ _P -/-k, 41oy.Y / co TOTAL PERMIT FEE `="$""' 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 //Gi'i��a` ��/ Date Signature of Applicant — Owner I_J� C.ontroctor ❑ Agent ❑ OCcu P. CROUP ,,,,.E TYPE OF CONST. ..,% PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or conslt ct--/ ion of structures oovver/3 stories inh/eight.-yr /r / -� /�/�/AV I. ACJlS��/,k5// 'OGS%`'�'/ Z/ !� Receipt No. 3[7 y r r� /x�v WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR /,OLDENROD-APPL,CANT ,1 DIRECTOR OF PUBLIC WORKS Cl/ _ �9 L/—i? J '' "ter'/1 .. Zyr�Z� , By , Date PERMIT EXPIRES Date `�-• a! COUNTY 'OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION' 7 COUNTY CENT ER.r DR1`VO - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 " PERMIT.APPL'ICATION DATA SHEET n , A n Permit No. OWNER ./ ey4-^_y/Mol o A. P. No. 4 '�k In I —1 Proposed Building Use Permit Fee Based Upon: Complete Contract Price 110`PW Valuation _'`'1 r\__O tjeI1(Explain) Building Inspector. 0 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . �5. Plans with En r esl r ompliance Statement. , tate Energyor o. . 4� -�- 7�Statement of Intent for Non -Heated and AC Buildings. Fees of $ O . . . . . .. 9. Letter of signature author izaflQbnw 1:0:.,. -Sanitation approval from ��X/1�* Health Dept.. x(11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑,) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . i�-"'! •Pre- Inspec. reque t to _17 Pre-In1spec tion for equired. Building In pecto (Date) 1 Other �1 �1.-C' O 5 7-`� �� t When you issue the permit, process a/sfollows: Mai I to owner. Mail to contractor. t/<Iephone300 -07-4-C and hold for pickup at 0 f2b office. Deliver w/inspector. Other J Applican�� 0� -�Date r Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above t' o Ic I circle item.) 1. Index permit for above Items No.� 2. Additional items required: (Contract r esigner, caner) was advised of above required data Telephone 4r v r Mail--' Other A iii By a � —Mail-- Other A ZAI By�� Date Plans checked by Plans approved by Other: Copy—DPW Date Date ... _y . T0: Building Department FROM:; • ` Environmental Health, Chico SUBJECT: Sanitation Clearance Owner Location AP# Plan'approved for: sewage disposal water supply y old finai for: water supply Final clearance O,:K. for: water supply Clearance for bedroom mobile ome. Other ' Note:*: ��-as -g� Sanitarian Date COUNTY OF BUTTE -Department of Public Works' • 7 County Center Drive, Oroville, CA. 95965 Phone:916-534-4541 OWNER -BUILDER VERIFICATION , `.Attention Property. Owner:. An "owner -builder" building permit has been applied for in your name -'and bearing your signature. Please complete and return this information.in:the envelo.pe provided a t your earliest opportunity to avoid unnecessary delay in. rocessing.and issuing Your.bu ild- r ing.permit. No building. permit will be issued until this verification -is' -received. 1. I.personally plan.to provide the major labor and materials for construction of the proposed property.improvement.(yes or no) 2. I (have/have not) signed an -application for a building, permit for the proposed work. 3'. I have contracted with the following person (firm) to provide.the proposed construct o Name ��/l/!�%,��1�� Address City Phone Contractors License No. .4. I.plan to provide -portions of this work, but i have hired the following person to•coordinate,'supervise,•and provide the major work:. Name Address City Phone Contractors License No. .5. I will provide some of the work but I have contracted (hired) the following persons to provide -the work indicated: Name Address Phone, Type of Work .Signed' Property Owner Y'110/1 )_1 Social SAurity, numbe Date NOTE: This Owner -Builder Verification is sent to'you as required by Sections -19831 . and 19832;of the California Health.and Safety Code., This verification must be completed and returned to our office before we are permitted to issue the permit. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENTOFFIC!A C.L �Iik<;t VOR RESIDENTIAL DEVELOPMENT 8 tuOnO:Rj r2rn�,t :_ t t t e' - Section 26-8a of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. A C 04 UJANOR M. lsct x rR The property described herein is adjacent to land or included CL RK RECORDER ri within an area zoned for agricultural purposes, and residents of v - this ,property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as=a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: ti. Date: SEE EXHIBIT "A" ATTACHED HERETO 0 004 SOT r PROPERTY OWNERS: ' State of (, ) On this the q day of 1�/((� �i ` , 19 SS. before me, the undersigned Notary Public, personally County' of,A�-'L ) appeared (� '► �-� (, e5�'� �{ `E-- i eves /= CA- -e S 4-1 a A- e. ENOTARY OFFICIAL SEAL D SMITH PUBLIC - CALIFORNIA YOLO COUNTY My comm, expires SEP 19, 1983 Present A.P. N0. % ` ��� known to me to be the person(s) whose name(s) Ci6', subscribed t the within instrument and acknowledged that contained., executed the'same for the purposes. therein IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public DESCRIPTION: All that certain real property situate in the County -of Butte, State of California, described as follows: Being a portion.of Lot 3, Section 17, 'Township 23 North, Range 3 East, M.D.B. & M., and more particularly described as follows: Parcel 2, as shown on that certain Parcel Map recorded in the office of the Recorder of the County of Butte, State of California, on April' 5, 1979, in Book 70 of Parcel Maps, at page 85. EXCEPTING THEREFROM all mineral rights'and_right of ingress and egress and the right to cut. timber for use in mining, as reserved in Deed from M. Schott to E. Gage and.E. W. Gage, dated August 14,1925 and recorded August 20, 1925, in Book 213 of Deeds, at page 193, records of Butte County. TOGETHER WITH AND RESERVING THEREFROM•a non-exclusive easement for road =and public.utility purposes as shown on said Parcel Map. ALSO TOGETHER WITH a 60 foot easement for road and utility purposes, more Particularly described as follows: A portion of Lot 2, Section 17, Township 23 North, Range 3 East,M.D.B. & M., described as follows: BEGINNING at the Northeast corner of•said Lot 2; thence along the North- erly line of.said Lot 2, South 891 26' 34" West, 808.00 feet; thence leaving said line South 45° 52'_58" West, 828.68 feet to a point on the West line of said'Lot 2; thence along said West.line South 6° 42' 11"• West, 106.22 feet; thence North 450 52' 58" East, 894.70 feet; thence North 890 26'.34" East, 766.49'feet to a point .on the East line of said Lot 2; thence along said East line..North 60 18' 24"East, 60.43 feet to the point of beginning. RESIDENTIAL PLAN CHECKING GUIDE 4S.F., DUPLEX, & MISC. ONLY) Bldg. Permit # OWNER �� yer i��� A. P. # �`S. O'! `� JRA A. GENERAL T e� zoning requirements (sideyards and parking). Valuation.- . • . ignature by R.C.E. or Architect (if required). B. PLOT PLAN 1. Complete parcel size and dimensions. 2�. Setbackq, sideyards, easements, etc. !�•- Other buildings or structures. -' Grading, fills, drainage: C. FLOOR PLAN j. ,Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). 3` Required windows for second exit (Sec. 1404). llowable glazing for energy requirements (20% max. per,State law). . uman impact glass (Sec. 5406). ;��G.F.C.I.'s Required room'sizes, ceiling heights (Sec.'1407). in baths and exterior outlets (Sec. 210-8). 'Light fixtures, switches, receptacles, and exterior receptacles for maintenance of chanical equipment. cations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, And•closer (Sec. 503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). 1�' Fireplace location. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS Foundation plan complete enough to construct building. 2� Floor construction details complete enough to construct building. .Elevations and wall construction details complete enough to construct building. oof construction details complete enough to construct building. ireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). • is .. E. MISCELLANEOUS ITEMS -TO LOOK OUT FOR }/ CCX plywood -on exposed locations and overhangs. Zoe Stairway details (Sec. 3305). 3e' Guardrail details (Sec. 1716). JoK Brick or stone veneer (Chapter 30). VExterior plaster - weep screeds (Sec." 4706 & 4708). 74Proper roof pitch •for roof covering (Chapter 32). . Rafter ties or bearing ridge beam. 8/ 'Garage door or, porch header sizes. 5i/. dequate bracing. 10 Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. 11/ Two (2) exits on three-story dwellings (Sec. 3302)." `� � PERMIT NO. �' E.M PERMIT EXPIRES OWNER Mike Westlake CONTR. owner ASSESSOR PARCEL 63-01-120 wv LOCATION S/S Nicholas Rd.,app.4/10 mi.W. of Doe Mill Rd. ,Forest Ranch ,1 all.• f UJ-j2.- SAW 7 S () Temp. Power Pole Called PG&E 1,fr-�o 74- 5�jd A k FI Temp. Elec. Service?r,yt-- ,kms - Called PG&E Temp: Gas Service Called PG&E i JOB ONALED (Date) Signature ' 0 Water Pipe Te-Arkhars-44ega#eAor-Service Test 1 - Port -Ins. iehol ots�CciPples Card -BI 'Date Card -BI Card -BI -. Date _ - Card -BI rl oL - r 1 %7fT�'��`�� 2 Lf T� Card -BI„ Date Card -BI Date - Card -BI " Date ,/72�� v Date . ` - . , Card -B 11 Date;,z"Z, Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Date PLUMBING (Permit) OK except q's 57. s Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - 15. Water Pipe; Test & Anchors -Nail Protection : In Garage; Above Floor -Ducts -Meeh. Protection I' 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59., Bedroom Exiting i 17. Shower Pan; Test, First Floor -Tub Access y 60. G.F.I. & Bath Fixtures & Tub Access' 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 1� 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap-CookingCl f Card -BI Date Card -BI Date 66.' Elec. Outlets & Receptacles at Kit. Counter ti Date Date � rice I/ 67. Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK exce t H's Card -BI .68. A.C. Duct in Garage -Damper 20. Fixture &Transformer Clearance -Ins. Protection Card -BI Date - ��lo,,Applicable 4 {VofReadY RESIDENTIAL (Single I and Duplex) , Elec. Receptacles Spacing -Lights & Switches at Doors = _4 37. ,� 22. Size Boxes & No. of Conductors -Stapled Bearing Walls over Girders & Floor Nailing___ 70. Plb., Elec. &Mech. Equip. Listed for Location Date1 NDERFLOOR Plans OK except #'s Romex Installed Close to Edge of Studs & C.J. FRAMING Continued 71. J-- -4--Zoning requirements -Setbacks -Ease 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 48. Property Line Firewall & Openings a 72. Main; Soils-Steel-Ele / Ftg. Depth 2 Appliance Circuits in Kitchen & Conductor Size 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 73. lile'Ftg., Garage; Sous -$Jell- / /': Ftg. -Depth Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 74. " 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth Range Circ. / / ga. Cu or AI=Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes El 51. ,Plywood on Roof Overhang -Attic Vents -Rafter Outriggers s r•_,�,i�-�•--r-•--�� Rlnrkn r��ty�BpS{ab - - 52. Siding -Nailing -Veneer - - -- .- r. - Stenyua<s, Garage; S I-Bluets=Wrapped=SC44 -' No 53. ;Stucco Mesh -Drip Screed-Fdn, Vents-Underflr: Access el ti Service -Riser Conductors -& Ground -Main Disconnect' ' t 54. 'GI zing Area -Glass Protection -Skylights -Plastic ' 76. D.W.V.: F iEPi' gs-Tfest' 2 w / ewer Te Equip. Clearances; Panels-Motors-Mech. Equip. hear Walls; Nati4iri1g=Bolts 77. - s } Clothes Closet Light -Shower Light 78, 0 Water Pipe Te-Arkhars-44ega#eAor-Service Test 1 - Port -Ins. iehol ots�CciPples Card -BI 'Date Card -BI Card -BI -. Date _ - Card -BI rl oL - r 1 %7fT�'��`�� 2 Lf T� Card -BI„ Date Card -BI Date - Card -BI " Date ,/72�� v Date . ` - . , Card -B 11 Date;,z"Z, Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Date PLUMBING (Permit) OK except q's 57. s Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - 15. Water Pipe; Test & Anchors -Nail Protection : In Garage; Above Floor -Ducts -Meeh. Protection I' 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59., Bedroom Exiting i 17. Shower Pan; Test, First Floor -Tub Access y 60. G.F.I. & Bath Fixtures & Tub Access' 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 1� 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap-CookingCl f Card -BI Date Card -BI Date 66.' Elec. Outlets & Receptacles at Kit. Counter ti Date Date � rice I/ 67. Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK exce t H's Card -BI .68. A.C. Duct in Garage -Damper 20. Fixture &Transformer Clearance -Ins. Protection Card -BI Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V:- 21. Elec. Receptacles Spacing -Lights & Switches at Doors •'� _4 37. In Garage; Above Floor-Mech.. Protection 22. Size Boxes & No. of Conductors -Stapled Bearing Walls over Girders & Floor Nailing___ 70. Plb., Elec. &Mech. Equip. Listed for Location I' 23. Romex Installed Close to Edge of Studs & C.J. 40. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E) Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps _ 26: Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents &Crawl Hole Door -Drainage &Wood -Earth Clearance Looked Floor ❑Yes _ 27. Range Circ. / / ga. Cu or AI=Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes El under 75. Following instld.: Drive ❑ Yes , ❑ No; Walks ❑Yes ❑ No; No Planters•. El Yes ❑No - 28. Service -Riser Conductors -& Ground -Main Disconnect' ' t 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78, Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing -Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground_„ Card -I, FJ Card -BI Date 81. Ventilation throughout House / Card B-1 Date Card -BI Date G 82. Glass Protection f 83. Corrections from Previous Inspections Date MECHANICAL (Permit) OK except q's 84. Gas Test -Meters Tagged; Gas -Electric t 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade=HD Approval •. _ 32: Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade _ 34._ Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet , _ '35. Attic Access & Platform if Furnace in Attic ' S Card -BI Date j Card -BI Date Card -BI Date r ' jlouj' ^, Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI • Date Card -BI Date Date FRAMING(Plans) OK except p's Comments at Final: 36. Sills; Proper Material & Anchors •'� _4 37. _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing___ 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub -__41._Header & Beam -Size & Bearing _ 42. 43. 44. Hangers -Post Caps -Anchors -Connectors_ Cing. Joist-_Ritr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat 45. _^ _46. -47. -Attic-Access: Size & Romex Protection -Draft Slop -Ins. Baffles Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) ' S Card -BI Date j Card -BI Date Card -BI Date r ' jlouj' J = OK 'f. r. ". A 0 Not OK 1 =Not Applicable'~ MOBILEHOMES rv' Not Ready MISCELLANEOUS ! � = - � _ r Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) 0., accept R 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Con nee. -Shthg.-Rfg. Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc.os..tes 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ -/"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card - BI Date . Card -BI Date Card -BI Date Card -BI Date Card -BI Date '.Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date _ POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining__ 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date [1J J COUNTY OF BUTTE J DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 { 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE - BUILDING OR PROPERTY AODRESS� A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this Q�matter, or need additional explanation, please contact this office immediately. /I - FK /O ri112 T Alai IGt Gar // /6X 3 - i CnUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 f 7 County Center Drive, Orovi Ile — Phone: 534-4541 t Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57, r CORRECTION NOTICE r BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist' at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this . matter, or need additional explanation, please contact this office immediately. 9 / /J/I/) f'—r. s e�ov1 ds . R NO Pe Date �7 /UC COUNTY OF BUTTE' A DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE �jff�/ BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. �7,J,,7// -r/ "t i 4s L A;0 -7 a .Sul ,/' / r n Inspector�ana Z94k- z Date L/,d 2`�L COUNTY OF BUTTE r DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — F.hone: 89I ;2751 7 County Center Drive, OroviIle— Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961,, Ext. 57 BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector �i�i1�'� ��l��. Date /� Z RAW COUNTY OF BUTTE ` DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 "Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. (7/ IA."; �% (c r<.., /)//r) /ilo%!st/4r 1.La"0 ,Ile -., /;f1 sd LC'Tru'j of Gvloas 4_� Inspector. //'y�y"�`1 Date COUNTY OF BUTTE DEPARTMENT OF PUBLI&WaktI-' {{ f 196 Memorial Way, Chico —'Phone: 891-2751 ' 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. F<1 Inspector Cf� // � ea:� Date T.23N R3E. MD3. & M o� � ����� `', m I ,ss5 a; 45A - — 544c 1 / 5Q M ti� 122 COLA an 41 93 99 P 119 2 O 8' LOr3 LOT 4 @r24 or /)26.9,1 (LOT 4) LOTd 13 07.1c 120 121 ro I' AC 126 33.4 0 17Q 3 s`' ,C. a Ar 100 42.35 L C. o;n ' 41.67AC v `, 120.21 I I 2 194)AC. (3 I 98 65.03AC .7r 6 I LOT 5 LOT 5 19.6/A 95> I (LOT 7 I 6 I LOT 5 LOT 6 _ ► 1 /CE;� LO 6 311 5--�. OT B; 12 3941 I 4/AC 21152AC 97 46.15AC I f --� 5AC I (34)l a c 48 1 12.10 A C f 13 , /9.SW AC C27� 23' I.. 1z.1 <lc J 'T 9 I� 7 /O 7- Lor �LOr /2 Lor Lor /2 26 J r 9) �csz1 54 1.3.78132 70 ,- Fn, ,3 `Il? AC 3948 AC. I 196/AC PM 6_'-4 6' _ ►33 O"7,3 3I I ' /9.58 AC '8 /g 1 A"r� I I • 12 I Lor // LOT l5 LOT /5 LOT 16 I LOr /3 I LOT /y I 62 63 /7 IBJ -39.92,c 60 200 AC09 67 90 -;004/ �-J R/S 54.84 l35 AC. 478 6 AC 298 07 -10. l3 59 901 260493 25 A 40 AC. 91 4 0.24 AC "1 261184 . 13115 411,/20.17aC I ' `' 21.0 >C 20.i�AC1 1' 10 f 6' — C. 2n24tC 1 r12 \ AC T � �l 16/of �\ - 7't 109 °' 105 3 In' - ,-20.31AC_. i 2 t i 114 i6 21.05AC �� 8' I10 - 20.37AC 910 tk� Sl SBF• /35-4-5 Mike Westlake P. 0 .. Box 143 Forest Ranch, CA Dear Mr . vWestlakd : . 77LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY. Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 WILLIAM (dill) CHEFF R January .19, 1984. eputy: Director RE: Building Permit No. 4327-81 Expires 12/1/83 95942 (A. P. No. With reference to the above subject, our records indicate that your Building Permit will expire on the above date. Building permits are valid for one year and should construction be started but not completed by the expiration date of the permit, the permit shall be renewed for 1/2 the original Building Permit Fee (plus•a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an additional year from the original expiration date. Should you not renew your permit in a timely manner, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any question concerning this matter, please contact the _1'h ico office. For your convenience, we are enclosing a renewal application form and an owner - builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter._ Yours very truly, Clay Castleberry Director of. Public Works JFG:aj Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Chico .F. Glander Chief Be_ uilding Inspector Chico - 196 Memorial Way/891-2751 Paradise - 74.7 Elliott Rd/872-2961, Ext. 57 ,6utte6tountil If your construction is completed or should you have any question concerning this matter, please contact the chic o office. For your convenience, we are enclosing a renewal application form and an owner - builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Thank you in advance for your prompt attention concerning this matter. Yours very truly, Clay Castleberry Director of Public Works JFG:ds cc: Building Inspector, Chico Enclosures: Permit Application Owner -Builder Information Owner -Builder Verification Chico - 196 Memorial Way - 891-2751 .F. Glander Chief Building Inspector Paradise - 747 Elliott Rd - 872-2961, Ext. 57 LAND OF NATURAL WEALTH AND BEAUTY �-� DEPARTMENT OF PUBLIC WORKS i CLAY CAST LEBERRY Director o» d L� 9r,�Ae,` •' ' 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 WILLIAM (Bill) CHEFF Deputy Director Jcmuax:y 27y 1983 1 RE:. Building Permit No. AA!�7 Al(n-ni i." 6', 1)..(3_..uexX 143 Expires? 12-1--62 - 7 orort 111an_ch 95942 (A.P. No. 63-01_120 ) / With reference to the above subject, our records indicate that your Building Permit\IJ 3q_t1-:11 expireem the above date. Building permits are valid for one year and should construction be started but not completed by the expiration date of the permit, the permit shall be renewed for 1/2 the original Building Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an additional year from the original expiration date. Should you not renew your permit in a timely manner, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any question concerning this matter, please contact the chic o office. For your convenience, we are enclosing a renewal application form and an owner - builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Thank you in advance for your prompt attention concerning this matter. Yours very truly, Clay Castleberry Director of Public Works JFG:ds cc: Building Inspector, Chico Enclosures: Permit Application Owner -Builder Information Owner -Builder Verification Chico - 196 Memorial Way - 891-2751 .F. Glander Chief Building Inspector Paradise - 747 Elliott Rd - 872-2961, Ext. 57 Mike Westlake P.O. Box 143 u�`te Count LANDOF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Qirector 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 WILLIAM (Bill) CHEFF Deputy Director December 7, 1982 Forest Ranch, CA 95942 RE: Building Permit No. 4327-81 Expires 12-1-82 Dear Mr. Westlake: (A.P. No. 63-01-120 ) With reference to the above subject, our records indicate that your Building Permit will expire on the above date. Building permits are valid for one year and should construction be started but not completed -by the expiration date of the permit, the permit shall be renewed for 1/2 the original Building Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit.will extend the Building Permit for an,additional year from the original expiration date. Should you not renew your permit in a timely manner, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any question concerning this matter, please contact the Chico office. - For your convenience, we are enclosing a renewal application form and an owner - builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. 11 . Thank you in advance for your prompt attention concerning this matter. JFG:ds cc: iBui ld ng Inspector; Ch1co Enclosures: Permit Application Owner -Builder Information Owner -Builder Verification Chico - 196 Memorial Way - 891-2751 Yours very truly, Clay Castleberry Director of Public Works j.F. Glander Chief Building Inspector Paradise - 747 Elliott Rd - 872-2961, Ext. 57 a Michael Westlake NATURAL WEAL'rF1 A1,,!D DEPARTMENT.OF PUBLIC WORKS BEAUTY 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 WILLIAM (Dill) CHEFF December 21, 1984 Director P.O. Box 143 RE: Building Permit No.999-82&4327-81 Forest Ranch, CA 95942 Expires_ 5/24/83 & 12�f83 (A.P. No. 63-01-120 ) Dear Mr. Westlake: With reference to the above subject, our records indicate that your Building Permit will expire on the above date. Building permits are valid for one year and should construction be started but not completed by the expiration date of the permit, the permit shall be renewed for 1/2 the original Building Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an additional year from the original expiration date. Should you not renew your permit in a timely manner, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any question concerning this matter, please contact the Chico office. t For your convenience, we are enclosing a renewal application form and an owner - builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter. JFG:aj Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc Building Inspector - Chico Yours very truly, William Cheff Director of Public Works F. Glander Chief Building Inspector Chico - 196 Memorial Way/891-2751 Paradise - 747.'Elliott Rd/872-2961, Ext. 57 F t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS' PERMIT NO. 7 Gounty Center Drive - Oroville, Californiar95965 - Telephone 916/534- 41 i —/7 / y APPLICATION AND PERMIT ( ,A , ASSESS ,RPAR'CEL NUMBERING - Q/ — 0 p✓f —1 O BUILDING PERMIT O WNETELEPHONE e�� SPS,77 SQ. FT. OCC. BUILDING VALUATION 0 A'S MAILING ADDRESS X ✓e C N,R/A�CyTOR•S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CO STRUCTION LENDER .. UNKNOWN Total Valuation I $ 6, 0V Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ,,,j ,SO ARCy{�TECT q§t ENGIpIEER /JO GG lr LICENSE NO. O' Plan Checking Fee $ 29 _ Penalty $ AR HITECT OR E GINE R'S MAILING ADDRESS /� Z Gam/ Permit fee $ BUDI G A DRE •�G - PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping DO LOT NO. SUBDIVISION NAME PARCEL MA;, 7 a�0-5 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets -t USE OF STRUCTURE, SF ❑ Duplex❑ Mobilehome❑ Other _1' /L/�� - SPECIE Building sewer !J Lawn sprinkler system 5.00 —fG G f- QC) TYPE OF WORK NewAddition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: - Permit Fee $ egU Contractor c ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS Q Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING P. 51) OR ADDNS. ACC. BLDG S it I q V 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. (Cense No. Classification 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 CO ID R BRANCH CIRCTITS 2.50 ea NEw -CONSTR POWER APPARATUS e\ NON RESID. SINGLE OUTLET CIR, / - Bo L asc EX. DCCUp OUTLETS OR FIXTURES_ BAL@1 FIXED APPLNS. OR' EX. OCCup.�OUTLETS (RESID•) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor C 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 Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 -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 cons quen f the granting of this permit. %E Date Signature of Applicant — Owner Contractor ❑ Agent F1 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ .� TOTAL PERMIT FEE $ J OCCUP. GROUP I TYPE OF CONST, I PARC PD /415� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC BY PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. � j(j L� WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT'OF'PUBLIC WORKS - BUILDING DIVISION -� 7 COUNTY CENTER�DRIVE - OROVILLE, SAL" IFORNIA 95965 - TELEPHHO,NE: 916/534 541 PERMIT APPLICATION DATA SHEETL Permit No. OWNER �� ,L-���/Prt`GI�� A. P. No.o!�,—O` Proposed Building Use Permit Fee Based Upon: Complete Contract Price 4_—' - DPW Valuation Other ( xplain) // O Building Inspector //i2� GGA/ Date At time of permit application, I wa adrvi.sed`t a following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1.. All items have been submitted. . . . . . . . . . . . _ Plot plans i duplica /triplicate. . . . . . . . . . .-�� 3. Complete plans in duplicate/triplicate. . . . . . . . . _j4�:`34. Complete engineered plans and calcs. C,cJ ;�u.� /jc1•i1:, �.' 5. Plans with Energy Design Compliance Statement. 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ • • • • • • • • 9. Letter of signature authorizatio . . • • • 0,Li�i0. Sanitation approval from /�� Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . ..'13. Contractor's License Information (no., namestyle,s�tyle, classif.) 0K� 14. Owner -Builder Verification (Given to ownerQ, Mail to owner ❑•)/� 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . • • • • •Pre-Inspec. request to (Dote) 17. Pre -Inspection for Required. Building Inspector 18. Other When�ydu issue the permit, process as follows: Mail to owner. Mail to contractor. � Telephone?V7 lJ7l'3 and hold for pickup ag ed office. Deliver w/inspector. Other Applicant's (�/Q�c Datej/�� � 7 Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Plans checked by Plans approved b, Other Telephone Mail Other By Date Copy—DPW COUNTY OF BUTTE - Department• of .Public Works 7 County Center Drive,.Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: i An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity'to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) x Pg '2, I (have/have not) signed an application for a building permit.for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name 0 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 A d 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 Security number Dates/ Zj /a/ NOTE: This Owner -Builder Verification is'sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted'to issue the permit. I N-1 .BACHMAN.' & r _ ASSOCIATES 3012 The Esplanade, Chico, California 95926 Telephone: (916) 342-4136 Date • November 24, 1981 TO COUNTY OF BUTTE' Attention Mr., Steve bowman Building Department P' #7 County Center Drive Project Westlake Oroville, :California 95965 Job No. Our job -#81-141 WE ARE TRANSMITTING: THE FOLLOWING:. -FOR:' _ 'Under •separate cover Your approval x Herewith Two copies -garage ca lcs . , - xx Checking A revised. .. Y Via mail Your files. Via U.P.S. ' �` Quotation K ^ Via Greyhound.. f Construction.. • ..: .. • �, ` _ , � � Payment , ,.. .. ' Processing REMARKS: _ .. :Tfz.f� y 4 i t !j' t�tF BACHMAN ENGINEERING , By - CwB/ch ��----_-- ENGINEERING 'SURVEY:IN -PLANNING DESIGNING Nape° b 9-5 -ii/D SIL e I • s "'h7 "rQ u s 5 = 2.0 VIZI -r jQL = 13, c) Fs F L.L. I4 f'Sr sc.�►�� ,� Q;�Z T, L , 3,5 f's sox 14 = 10 21. 41 �" 13y'355 = 131i.� PSI 14-x/4 o /c- A)*®. ¢� 2 ZA 4 Z.® v Q =� 10,50 I°S r- ---mom � Q�oFEss�oN . t U No. 1680. x' CIVIL NOV :���� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P IT aunty Center Drive - Oroville, California 95965 - Telephone 916/534 1 APPLICATION OD PERMIT ASSES R PARC�•Lf,NUMG R 7 NG �I BUILDING PERMIT OWNTELEPHONE I �,5'I 3 SO. FT. OCC. BUILDING VALUATION OWN 'S M I G ADDRESS s ®i /-dit �.rUli ONTRACTOR'SNA E TELEPHONE CONTRACTOR'S MAILING ADDRESS - Fireplace ' CONSTRUCTION LENDER UNKNOWN. LE ER'S MAILING ADDRESS - A ITEC OR E GINEER LICENSE NO. G U AR HITECT OR E INE R•5 MAILING ADDRESS p Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Penalty Permit fee $ 10.00 $ $ $ $ BUIL DLN AD —ES PLUMBING PERMIT Filing Fee 10.00 LOT NO.SUBDI VISION NAME PARCEL MAP Each Trap r Repair drainage or vent piping Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets 2.00 (�Q 5.00 5.00 USE OF STRU SF ❑ Duplex❑ Mobilehome❑ OtherCTUR SPECIF Building sewer Lawn sprinkler system 5.00 TYPE OF WORK Ne Addition ❑ Remodel ❑ Utiliti s ❑ Inst�a la 'o Other Describe work: iJ c, //'c.�G, /`,� �%'f�/ Permit Fee $ �} Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1 S 00 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.EI� OR ADDNS. ACC. BLOGS. _ 2� Sq ft - - CONTRACTORS LICENSE LAWNEW 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. No: Classification —C_I (, as the owner, or my employees with wages as their sole compen- —el, sation, will do the work,and the structure is not intended Qr 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 COEsio R BRANCH CIRCTITS 2.50 ea NEW CONSTR. POWER APPARATUS e\\ NON-RESID. SINGLE OUTLET CIR. 1 Ex. Occup OUTLETS OR FIXTURES s ICC FIXED APPLNS. OR EX. Occup.�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less.- ess.❑ I have placed on file with the County of Butte Building Department E]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 10.00 Heating Cooling Hood 3.00 Ventilation iperrnit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize. representatives of the County of Butte to enter upon the above-mentioned property.for inspection purposes. I also agree to save, indemnify and keep harmless the County Of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again s said County in consequence of the granting of this permit. Date ;9 � Signaturepplicant — Owner-ETContractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33 stories in height. [Mobile Home Installation Fee $ TOTAL PERMIT FEE $ CCUP. GROUP I TYPE OF CONST. I PARCEL PD ND ISSUE This permit is hereby issued under 3ions of the Butte County Code and/or work indicatedabove for which Al C OR Of PUBLIC By. -Date DERMIT E the applicable provi- resolutions to do fees have been paid. WORKS f ./ Receipt No ,: WHITE-D.P.W., YELLOW-ASSE's OR, PINK -INSPECTOR, GOLDENROD -APPLICANT ' J •----••..-.-.-,.....- -cs.air...wn..+^w+ro•......-+c:.S=.�-.:ir..K..::.-Lti•-'rr��r �,,;,w:+...._*.-.--.....�.r.-`----...,-w�-..r----�..-`.�,_ ....rte. --- .. COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS - BUILDING DIVISION . d 4- - —, � 1 7 COUNTY CENTER DRIVE - OROVIL.LEktAL'IFdR'NIA 95965 - TELEPHONE: 916/534-4 4,T(f{.I -1 PERMIT APPLICATION DATA SHEET/ i Permit No. OWNER_Y/�&�i' //�'��.5-� Zil`� I r A. P. NO. ,f Proposed Building Use Permit Fee Based Upon: Complete Contract -Price, L_—DPW Valuation Other (Explain) Building Inspector �% `i%//A� Date At time time of permit application, I was advised-sedfollowing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . ' . . . . . . 2. Plot plans in duplicate/triplicate. 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13 -Contractor's License Information (no., name style, class)- j'- ./, 4 i�. Owner -Builder Verification (Given to owner0;-'aAOwner Q) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . •. . 17. Pre -Inspection for Pre-Inspec. request to Required. Building Inspector 18. Other (Date) When you issue the permit, process as follows: Mail to owner. Mail to contractor. T,e•tephone and hold for pickup at office. Deliver w/inspector. --Other. AppI icant, E•�'�, /�_. r' Date ir- � Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) �- -, 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by --L Telephone Mail Other By Plans checked by Date Plans approved by Date Other: Copy -DPW Date UF M X k COUNTY, OF BUTTE = DEPARTMENT OF, PUBLIC WORKS tt 7 Pounty Renter Drive- OrovIIIe, California 95965- Telephone 916/534-4541 APPLICATION ANU, ERMIT �PERMIT NO. ASSESSOR PARCEL NUMBER - 63-01-120 ZONING TM -10, ' BUILDING PERMIT OWNER - - "" Mike Westlake TELEPHONE 893-8377 .'SO: FT. ' OCC. BUILDING VALU-A1_L9V--- 1st Ren wal . OWNER'S MAILING ADDRESS _ • P.O. Box 143 Forest,Ranch _ ' - CONTRACTOR'S NAME - _ Owner ELEP THONE' ' , ' CONTRACTOR'S MAILING ADDRESS - -- r Fireplace CONSTRUCTION LENDERt None UNKNOWN Total:,Valuation $ Filing Fee $ 10.00 - LENDER'S MAILING ADDRESS • - , y -. Y ' Permit Fee z of Original. $ 28.25 AR HITECT OR ENGINEER - Ca � Bachman, LICENSE NO. 16803 ;Plan Checking Feb $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 3012 Esplanade, Chico ,,. Permit fee , $ 38.25 BUILS/SDING NicholasSRd app 4%l0 mi W of Doe Mill Rd PLUMBING PERMIT FiIingFee' 10.00 o Each Trap 2.00 Solar Water Heater 20.00 Forest -Ranch Water piping' 5.00 LOT NO. 2 SUBDIVISION NAME- e jy . PARCEL MAP 70=85 'Each qas water heater or vent 5.00 Gas piping syst"em 1 - 5 outlets 5.00 -USE OF STRUCTURE 11'Building sewer 5.00 Mobile Home S G-1 W 10.00 e SF F-1Duplex ❑ Mobi lehome ❑ Other ' SPECIFY - TYPE OF -WORK Permit Fee _ $ ; New❑ AdditionRemodel'[]Utilities❑, 1nstallation❑ Other D' Contractor. ELECTRICAL, PERMIT , ' Filing Fee 10.00 Describe work: - lst Renewal to 4327-81 .for New Private 'Garage . Main service.;°oo AMP ORSLESS 10.00 Main service EA. ADD'L too AMP 2.50 • NEW�CONST. (/DWELLING OCCUP.& OR ADDNS, l ACC. BLDGS. 2/22sq ft - CONTRACTORS LICENSE LAW ' • I declare under penalty of perjury (check one):NEW ❑ I am licensed, under'provisionssof Chapt.•9, Div; '3,of the Business and. Professions Code and my license is in full force and effect.1. License No. Classification • r ,IrI,, NEW c0NSTR.( ULTI-OUTLET NON -RE SID; `BRANCH CIRCUITS2.50 ea CONSTR. (POWER APPARATUS &) NON.RESI D. SINGLE OUTLET CIR. / 1 Ex.Occup(OUTLETSOR FIXTURES eA @304t FIXED APPLNS, OR EX.-.00CUp. OUTLETS (RESID,) EA, 2.00 _Te mporary service. 10.00 as the owner, or my employees with wages as their, sole compen- I `Mobile Home Facilities ,15.00. ` 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. 1 Business and Professions Code Misc. Wiring 15.00 i Permit Fee. $ Contractor for this reason' ' t MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE a declare under penalty of perjury(check one):' Heating r Q 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-lnsure.r I I'shall not employ any person in any manner so as to become .subject ',Cooling . Hood 3.00 Ventilation to the W. C. laws of California. I Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor. Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. permit Fee $ Contractor I certify that I have read this application and state that the above information. Mobile Home Installation Fee $ " is correct. I agree to comply to all County Ordinances and'State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter.'upon the above-mentioned property for inspection purposes.:,TOTAL ' PERMIT FEE $ �' 38.25 I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, a6d expenses which may in any way accrue' Occup. GROUP TYPE OF CONST, I PARCEL I PD_ .PD. ; I ISSUE agains s d County in onsequenc"of t ra ting of this'permlt. ,- Date /- Z Signature of AppIi on O nei��Contractor ❑- Agent r' r •: This permit is hereby issued under the applicable provi- sions, of the Butte County Code and/or resolutions to do . roork" indicated above' for which fees' have been paid. Ari OSHA permit is required for excavations over 5'0"• deep and demolition or construct- ion of structures over 3 stories in height.. f's' - IRE OR F PUBLIC WORKS 3y_ — — Date�r�`�'�3 I�ERMIT EXPIRE ate 12-1-83 Receipt'No. 4" Z � '.• `.' J WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT - 1 uv`G ..'mss." w�«. vy,:.i'"y-L-r.�•`<.✓"+-+l--v�".�^at;.Y't'� .j.J'w+....... �- ..-..+-w �.,. -aa.- _ ,...+s...-a•.� ..'is{"r r„l .r.. :1....... .a .._ ..��. L COUNTY OF BUTTE - DEPARTMENT OF PU(;?L ,CAVI',ORKS - BUILDING DIVISION r '"`7'1 OUNTY CENT&DRIVE - OROVILLE G'AL�I,�,ORN'FA 95965 - TELEPHONE: 916/5344541 PERMIT APPLICATION DATA SHEET Permit No. OWNERE%1/�f Ij i✓G��� A. P. No. &12-?- Proposed Bu44da-ng-44se r Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector ----./'G �. Date 4Ze_Z Zw:� At time of permit application, Iwas advl ed the fol'l'owing data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . -. 2. Plot plans in duplicate./triplicate,. 3. Complete plans in duplicate. /triplicate. . . . . . . 4. Complete engineered plans and calcs. 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and'AC Buildings. 8. Fees of $ . . . . . . . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . �13.,--Contractor's License Information (no., namestyle, classif.) 14. Owner -Builder Verification (Given to owner[!],,- ail to owner ❑ )1%?_:I- 15. Improvements may be required. . . . . . . . . . . . - ll 16. Mobilehome Installation Data. . . . . . . . Pre-Inspec. request to (pate•) 17. Pre -Inspection for Required. Building Inspector 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. ther :fl/ Applicant e/� Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: , (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone By Plans checked by Date Plans approved by Date Other: Copy -DPW Mail Other Date COUNTY.OF BUTTE - Department of Public Works 7 Xounty Center Drive, Oroville; CA. 95965. Phone:. 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: ` An "owner -builder" building permit has,been applied for in',your name and bearing your signature. Please complete•and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay -in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan'to provide the major labor and materials for -construction of the proposed property improvement (yes or no) 2. I (have/hive-•not) signed an application for a building permit for the proposed work. 4 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 : 4 / _ ICity 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 AV Signed: • / , Property Owner Social Security_ number7� Date,. 3 c NOTE: This Owner -Builder Verification is sent to you as required'by Sections 19831- and 9831and 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. ., LAVER L. ROPER & ASSOCIA` ES, IN, ' Geotechnical Consultants • Engine%ring Laboratories F r 1805 Tribute Road, Suite A • Sacramento, CA 95815 Phone (916) 929.9267 Janaury 28;. 1982 Robert Slater x„ Custom Home Designs •' 806 C -Normal,. Chico, California'95926 Subject: Foundation Study Residence ,Mike Westlake Nicolas Road Forest Ranch, California Our Job Number 81143 Dear Sir: This office prepared a foundation study for the subject project.. It was our understanding that the maximum height of the retaining wall would be 8 feet. Itis now our -understanding that one wall will be 18 feet high and will retain soil that slopes downward. If this wall is free to rotate and adequately drained, it can be designed to withstand a lateral force of 35 pounds per cubic foot equivalent fluid pressure. If the retain,ing'walls are not free to rotate, they should be designed to withstand the lateral earth pressures indicated on Plate No. 1.. Very truly yours, LAVER ROPER & ASSOCIATES, INC.,• j Laver L. Roper, President LLR : p t 2 lcc: Roy Rothschalk S Rt. 6"Box 399P Chico, CA 95926 t lot . LAY R L.. ROPER IL-A;SS_OCIATE'S', INC. Geotechnical Consultants - Engineering Laboratories 1805 Tribute Road, Suite A • Sacramento, CA 95815 - r Phone (9 16) 929.9267 _ N' ' - =`44 j - October '29, 1981 ++_ . k ,.••� r ,ys.- � t' , :-,. to Robert Slater Custom Home`Designs' i 806-C" Norma Chico, California 95926 'Subject: Foundation Study . Residence Nike Westlake Nicolas Road Forest Ranch, California - Our .Job Number 81143 Dear Sir: Nike Westlake proposes the construction of a residence on Parcel 2, Book 70, Page 85 on Nicolas Road, Forest Ranch, California. - The structure will be,'constructed in the hillside and soil will be placed on a portion of the roof. Retaining ,walls will be constructed to withstand the later -al load of the soil. .The maximum height of the retaining wall will be 8 feet. Foundation loads will be.moderate. The site plan and foundation loading data were furnished by Robert Slater, Custom Home Designs, Chico, California. Ttie.-foundation study conducted at this site was prepared for the uvse of the architect and structural engineer for application to the design of the building in accordance faith generally accepted geotechnical engineering practices. No warranty is expressed or Amplied• This report presents the results,of this stud The geology of 'the area indicates that the soils at this site are alluvial over residual. The general topography,.of the area is rolling terrain being in the foothills. r r ' 1 s f, r Robert S1.4.te.r -2- October 29, 1981 The field investigation conducted at this site consisted of excavating two test pits to depths of 5 to 9 feet. The test pits were excavated by a backhoe. The soils in the test pits were visually classified. The approximate location of th-e test pits is shown on the Location.Map, -Plate Number 1. The location of the test pits was determined•by`pacing. Hence, accuracy can be implied only to the degree that this method warrants. The log of the test pits is presented in Table No. 1. The surface soils to a depth of 2 to 2.5 feet consisted of sandy.silt with lots of roots. These soils are relatively loose. The surface soils were underlaid with a strata of clayey sandy silt which was underlaid with various strata of'sandy silt. This material had the appearance of a mud flow. The Log of Test Pits show subsurface conditions at the date and location indicated and it is not warranted than they are representative of subsurface conditions at other locations and times . . No ground water was encountered in the test pits at the time they were excavated. In order to provide adequate and uniform support for the proposed foundations, it will be necessary to carry the foundations through the upper loose soils and the root zone. The foundations should be carried to a minimum depth of 2 feet below finished floor and 2.5 feet below existing grade. The greater depth will govern. The foundations must also be carried through.the root zone. These foundations can be loaded to bearing capacities of 2000 pounds per square foot for real load and 3000 pounds per square foot for total load. Real load is defined as dead load plus that portion of the live load acting most of the.time. The foundations should be reinforced. Minimum width of footing should be established as 12 inches. It is recommended.that•a minimum of 4 inches of clean gravel be placed beneath the slab on grade. The gravel should be well graded between a maximum size of 1 inch and a minimum size of 1/4 inch with zero percent passing the No. 4 sieve. The retaining walls should be backfilled with'a granular material and adequately drained to prevent the accumulation of water behind the wall. If the walls are free to rotate and adequately drained, LAVER L. ROPER & ASSOCIATES, INC. Robert Slater r -3- '� 4°` October 29,' 1981' they can be designed to -withstand a lateral force of, 40'"'� pounds per cubic foot equivalent fluid pressure. The 'recommendations. of this report' are based on the information, provided nformation- provided regarding the proposed"construction, as well 'as the subsoil conditions encountered_ at th-e test pit locations. If the proposed construction is modified or resited, or if it -is found during'construction`that subsurface conditions differ'. - from 'those, described on the Log of Test Pits, the conclusions . . and recommendations in this report shall be considered invalid unless the changes are reviewed and the'conclusions and recommend- ations modified or approved in writing. .The analysis, conclusions and recommendations contained in this report are based on the site conditions as. they existed at the time we excavated the test pits: 'It was assumed that the test pits are representative of the subsurface conditions throughout the site. Our professional services were performed, our findings obtained, and our recommendations proposed in accordance with generally accepted engineering principles -and practices. Test findings and.statements of professional opinion do not constitute a guarantee or warranty, expressed or implied. LLR : p t 2 2cc: Mike Westlake P.O. Box 143 Forest -Ranch, CA 95942 LAVER ROPER & ASSOCIATES, INC. Laver L. Roper, President Civil Engineer No. 15555 LAVER L. ROPER & ASSOCIATES, INC. LAVER L. ROPER & ASSOCIATES, INC. PLATT HUMDEL 1 r _ LAVER L. ,ROPER &,ASSOCIATES, INC, Geotechnical Consultants: En_ gin?ering Laboratories 1805 -Tribute Road, Suite A Sacramento, CA 95815 .Phone (916) 929.9267 Janaury 28., 1982 Robert Slater.'.' . 'Custom Home Designs 806 C Normal Chico, California 95926 Subject: Foundation Study Residence` Mike Westlake Nicolas Road Forest Ranch, California Our Job Number 81143 Dear Sir: This office prepared a foundation study for the subject project. It was our understanding that the maximum height of the retaining wall would be 8 feet. It is now our understanding that one wall will be 18 feet high and will retain soil that slopes downward. If this wall is free to rotate and adequately drained, it can be designed to withstand a lateral force of 35 pounds per cubic foot equivalent fluid pressure. If the retaining walls are not free to rotate, they should be designed to withstand the lateral earth pressures indicated on Plate No. 1. Very truly yours, LAVER ROPER & ASSOCIATES, INC. Laver L. Roper, President LLR:pt 2 lcc: Roy Rothschalk Rt. 6 Box 399P Chico, CA 95926 LAVER L. R:O P.L R A,,,-S S.O C I AT E S, INC. , �. . -. . 'Geotechnical Consultants • Engineering Laboratories y 1805 Tribute Road, Suite. A • Sacramento, CA 958151 ' Phone (916) 929.9267 4 ' October 29, 1981 ' - Robert Slater"!„ Custom~. Home ,Designs 806-C Normal Chico,, California 95926 Subject: Foundation Study • Residence Mike' Wes Make NicolasRoad Forest Ranch, California Our Job Number 81143 Dear Sir: Mike Westlake proposes the construction of a residence on Parcel 2, Book 70, Page 85 on Nicolas Road, Forest Ranch, California. The structure will be constructed in the hillside and soil will be placed on a portion of the roof. Retaining walls will be constructed to withstand the lateral load of the soil. The maximuui height of the retaining wall will be 8 feet. Foundation loads will be moderate. The site plan and foundation loading data were furnished by Robert Slater, Custom Home Designs, Chico, California. The foundation study conducted at'this site was prepared for the use of the architect and structural.engineer for application to the design of the building in accordance with generally accepted geotechnical engineering practices. No warranty is expressed or implied. This report presents the results of this study. The geology of the area indicates that the soils at this site are alluvial over residual. The general topography of the area is rolling terrain being in the foothills. r Robext $14te.r -2- October 29, IL981 The field investigation conducted at this site consisted of excavating two test pits to depths of 5, to 9 feet. The test pits were excavated by a backhoe. The soils in the test pits were visually classified..' The approximate location of the'test pits is shown on the Location Map, Plate Number 1.'r'he'location of the test pits was determined by pacing. Hence, accuracy can be implied only- to nlyto the degree that this method warrants. The log of the test pits is presented in Table No. 1,. The surface soils to a depth of.'2,to 2.5 feet consisted of sandy silt with lots of roots. These soils are relatively loose. The surface soils were underlaid with a strata of clayey sandy silt which"was underlaid with various strata of'sandy silt. This material had the -appearance of a mud flow. The Log of Test Pits show subsurface conditions at the date and location indicated and it is not warranted that they"are representative of subsurface conditions at other locations and times. No ground water was encountered in the test pits at the time they were excavated. In order to provide adequate and uniform support for the proposed foundations, it will be necessary to carry the foundations through the upper loose soils and the root zone. The foundations should be carried to a minimum depth of 2 feet below finished floor and -2.5 feet below existing grade. The greater depth will govern. 1 The foundations must also be carried through the root zone. These foundations can be loaded to bearing capacities of 2000 pounds per square foot for real load and 3000 pounds per square foot for total load. Real load is defined as dead load plus that portion of the live load acting most of the. time. The 3-;Y foundations should be reinforced. Minimum width of footing should be established as 12 inches. It is recommended that "a minimum of 4 inches of clean gravel be. placed beneath the slab on grade. The gravel should be well graded between a maximum size of 1 inch and a minimum size of 1/4 inch with zero percent passing the No. 4 sieve. The retaining walls should be backfilled with a granular material and adequately drained to prevent the accumulation of water behind the wall. If the walls are free to rotate and adequately drained, j a I LAVER L. ROPER & ASSOCIATES, INC. Cobert- Slater. October 29, 1981 w� is VF c. they can be designed to witlast.�nd a lateral force of 40 r'�ra*,css=rc+, Pounds per cubic foot equivalent fluid pressure. The recoizanei-dations of this report a',.--,- *based on t1_-i.e information' Oro regarding the propo�3ee construction, as well as the -subsoil conditions encountered .at the test pit `locations. 1.f the 'proposed construction is modi�i.�d or 'resited, or if it � s found' during cots truc tion that subsurface conditions differ C rom those, described on the Log of Test fits., the conclusions and rdc or, miiendations in this report shall be considered invalid Bless the changes are rev e♦i,zed' and the conclusions and reco L e.nd- a,t.: ons 'modified - car approved iii writing. o A The analysis,,, conclusions 'and .recormrnendat:ons contained in this Fy _ 4 repot t -are based. on the site' -cord Ions as they existed at, the ti -me we excavated the test pits. 'It w:as assumedthat the test" ,pits .are representative 'of the subsurface conditions throughout thr' situ. Our professional -services. -weae performed, our .findings dbt i*.n(�d, and. o,ir recoi=end.ations proposed in accordanc'e- with generally accepted tr, gineei:ing, principles and practices{. Test iinditigs ,and. statements—,of prb-f-essional opinion do' -not. constitute• a g:tlarantee 'or warranty, e -*,pressed or implied. ZAV$R ROPER 6: ASSOCIATES, , INC; . . ' Laver L. Roper°',, -Pres ider t� Civil Engineer No. 1555 •LLR.pt 2cc: '�Hke`Westlake F...0 Box .143, Fo�rest -Ranc Y;:,C:A- 95942 LAVER L. ROPER & ASSOCIATES, INC. • - r i 4 �� • � �..,.�.ew- �..-...mss ..::.!^^•-.4..1......-b.� .. �.....r.. +..•..-......-......••...+...+... .. � '� +lam �j, ; +iy� ��• • . y xG,. �t A iie,it s:.: 1S'rRs 110 1O TP1 s TP2 105 Reriiios No. Date B_ MIKE WESTLAKE PARCEL 2 BOOK 70 PAGE 85 FOREST RANCH, CALIFORNIA LOCATION MAP LAVER L. ROPER & ASSOCIATES Geotechnical Consultants - Engineering Laboratories 1805 Tribute Road, Suite A - Sacramento, CA 95815 DATE 10-23-81 81143-1 iEGISTER� DRWG N0. Ctvll [MGt. Mo. PLATE HUMIE:t 1 — BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: (916) 538-7541 AGRICULTURAL`�B'UILDING�EX'EMPTION PERMIT 1 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESS P,,A EL N ®_ � 0 ZONING OWNER /.0 /PHONE A/) )�Tc, k e- PHONE NO. 4)15�s OWNER'S4PYF,SO w A4, / O re ` 0 ' (75-9 � LOCATION F BUILDING USE OF I DING e) r a 1 � ra Lf 0r' SIZE OF STRUCTUR SO. FT. TYPE OF CONSTRUCTT WOOD FRAME _K_ STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF OVERING i^ BnC. FLOOR TYPg Con Cf^e'te, ESTIMATE COST OF CONSTRUCTION $ So o _�, AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT S� SIDES l REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. 0 Date e6-1 Signature of Owner 00 to Permit Fee - $ 00 The above described AG Building is exempt fr9m a buildinq permit. Receipt No. "No -Ulm, Manager Building Division By Date / 9� White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant .Kr*' COUNTYOF BUTTE - DEPARTMENTOF DEVkLOPMENTSERVICES -BUILDING DIVI ON 7 COUNTYCENTER DRIVE - OROViLLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER /r/ Proposed Building Use P A. P. No. Building Inspector Date At time of permit application, 1 was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted...........I.............................. 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 si nature 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 IreInspect'on reque-s . 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. .' .................. 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. When you issue the permit, process as follows: X Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applican (9 j Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date. _ Contractor, designer, owner, was advised of above, required data by _ phone -mail Counter by _ Date Plans checked by Date" Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Worics COUNTY OF BUTTE - BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES PHONE: 916-338-75= 7 County Center Drive, Oroville, CA 95965 DATE June -8, 1993 iael D. Westlake - 4 Summer"place Rd. RE: B.P. .#93-1617 est Ranch, CA 95942 A. P. 063-240-032 r Mr. Westlake: :h reference to the above subject: 1. Attached is: Mobilehome Utilities Installation Sheet Application for permit Mobilehome Installation Information Sheet Building Plans Typical Plan Sheet Engr. CalcsList of Codes Enforced Owner -Builder Verification Form OT MR We need the following information: Permit application signed and completed where indicnty ated with all -copies returned . �- Fees of $ 202.00 payable to Butte Certre ificate of Workmen's Compensation Insurance or check exemption statement. __ Contractor's License Law information including plotr check ion plansatement.� Complete plans in Plot plans in .Structural details in by registered engineer or architect. Complete plans and calcs in Energy design -including royal from Land Development Section (DPW). Street and drainage -improvement plan app _ sets of plans in accordance with'the changes marked in red. Sanitation approval from Butte County Rea-Ith Department at: _ 1469 Humboldt Road; Chico _ 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise _ Planning approval from Butte County Planning Department, 7. County Center Drive, Oroville, for Completed Owner -Builder Verification form. _ Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER All ex fired ermits must be finaled before permit Lor new lU.,l-- 'A extern tion ermit will be issued Should you have any gnestioas concerning the above, plEase contact Scott Rutherford - of this office. Yours very truly, DP:hla 4avPurvis manager, Building Inspection 3,07. ---- � -�. _ _"_ � - _i.._ I_—i Y---. --- tea, ��,: � .._... , 14 �� moi` . � i.. !�.J �' _ ,... _ _ `---I --r J'5,15 497 54, . e, 2`7 7. 6 T 57. 3 )615 i 5.7 e2. 2 2,' /5b 27,'b 7,'b g. T51 ""PL. tit C 14E( -g- 31k 4-' 57 t ...,_.-<,.a_. _ _ . 1... t 1.4 Pr; ->,L:9 -l.ow.ZooF ?-Un►�. - q �..o f S� f 2 ,5 �,vZ 1 .0�� ,4� _ LN S i rj� wl\ — 7 (�o �rvo N As i 4. r � dye • CN C--cv, GENT. 6.,ILttb,--c.jtire. ' L ( Oji G.7 .51� b50" .. IOµ -r6 ����•� _ ?,J �,,,A�� ':z,�� .9.c-•- ��.• � .. . .. - � ' ri.� - •r.•n � 2.4i• _ 167 - "' Lent- 17 Ao I� � 5r` _ O ON S+IT , . r r' V 14'1 7U4 EN. � - , . - - '- __. � I'��. ...._ � -: -- --- -•-�' Vii. — J { i 1N 5 20 I {— I � 1 i 1 I � - -C co CPL; rl U Ll �._!° � -- --•'•- G �1 G—siw- G', ''1' I ,;J i�l • I �� // � T! c� 1`� �� G ; ' _ /'Fa0(c',`� r'�J' �.�p f � . . r`i_::._ _�___l _���I_—_.__ . G� -___.� CJ _—,.� f►�,,,/-1-`T _j ��, ,)_'__.I � rf� L.�?���-`i i i ' . GI -I G�rt.� (� _(� . cti-i�T C'_ 211n kyr . Cf.) � O F=' W� ►Z.�aa/d' - � - ASsUrP N Fw. G N ei v� STU ISS �. IA ►, s l: rN 03 (tZ) I) 1 Coo 7) 5 1(., I:oAP - - (, l t 1 S� 1, 75 ,oZ �r�� i1= i ilC7 •c rGl''� rFS , .. _�. '�,SCo i .21 r ),f2 �1.�� mak-• C.NCGhc.. lQ.�j D�,a(.�1• � y..1 � �sffc�wN. U � '1—C G N EX FP -t -Y P 1 YV C . -----�-JAJ eO_. 60 . I. 1 i r1 �L Zoo F OVrrZ r✓ NTP- Y_ .055�/�'� -1 to VJA V /ALIO Com. I -C- Fr 1 or_ 6711 Y\i r ( .45 51 rl P50u Hu(.b �o►ST HAQ ,,7rd �I ST U/JS -TO N e 2.I , • /��� . (oX U R AT►� r� 6-A %q x I.�'�z' , s '`��"CJ % Ld li - o -3,7113) 1►1 3�Xc�' AS A-5 'Q-� . 2X Co @� (OIo, c . �ur_-_�r1NG� _%�Cf?055� } J- : i I j r l •�- -, I II t iI - - - - l- —1 --_- , LaT i4cLr, A 5 i�. I: XIX � � ---�- � ' -_____.--j..__. �_,-_.�G <�, _ I ' - ---'�•--�� I Xr�< iT- r -/ - { = 399 � 5� � —_ 5 0�� • i n � - � , r . - ._-- . ----- ' I I&OCOPKIGHYS-1979 A ED WILSi=N4 .VER ION 1v5C:) ,.!(-lel 1981 "THE A _ E:R JS RE:5PiN =; I BLE- F iR AL.I_ ,E:_;I ILT: , 'PRODUCED VY 0 SAP-804, —_--= Dia. NOT .REMiiVE. THESE .STATF:Nf:.:NT'c;---=----' � I NF1 IT FILE = DIRT TOTAL NUMBER OF JOINTS 5 a TOTAL NUMBER . i iF LOAD CONDITIONS SYSTEM, INFORMATION- NF )RMATI i iN'1757 1,50 1 D=l 7 1; ), i_i., i:) 7 a 1. 727 1 ' R=07 i. 7 t:), 0;0. 0, ' 57010 R= 1 7 1 7 t-) , 61 07 7 (_) E)-UILIBRIUlh EQ IATI iN''NUMBER - F R J� i]:PLT -Li I.'_PL.ACIMENT'=; JOINT # U(X) U(Y) U(Z) jC;V M Rl Z) ii. o i_) i) (j `l. 4 _ 9 ii ti' ii 1ij `i i)` O f) O f1 1.1 JOINT INTI IT DATA .1 C V) 7 t_i ; c i 2 0=5;070 . _, C=107 i);i) 4 C=107170 5 C=1 =„ t_i , c) i GENERATED JOINT DATA'' .JOINT #k X Y .. Z. 0.000 0.000 04000 :-' .1t), 000 ij, 0.00 ti, tit)t.j' 10, 000 1.000. 0.000 .Ji i I I I T LOAD X—F i iWE - &F iR E Z—FORCE'X—MOMENT Y-"M OMENT Z—K HEENT 4 1 7.900 WOW O t.) i) ' t_i , 00C) . i 1, 0 t 1 t_i 0. , i t_i 0 .0.00(-) T W Cl —. D I M E N': ]:- 0 N. AV 1= . R A E M E ISI Ia L::: R 1NI IMBf_=_R i iF MEMPER � 1='FiOPERT I E A __ a .NUMBER OF MEMBER LOADINGS MEMBER PROPERTY ILS -NUMBER--= 1 AXIAL AREA-------- -----=--=- 00 31-9 31.' -' Mi �MENT i iF LINEf TIA—=-------= 0.0008 MODULUS -OF E=LAST I i= I TY-----=. , 4176 0 ); 0 is is i '=HEAR S I FFNESS—i A_-_---=— 0, t p it) ( NE0LEGT I F- AERO ) WEIGHT i HT PET I_IN I T LN TH----=-. 010000 )00 (I_ SED FOR TOTAL. WE I i BHT ) MASS PER .UNIT LFNi STH --L---.—== 0.0000 (I SED NOR DYNAI`1'1' i=: ONLY ]: Li 1: _I M P' LR _IR . AR. AV (a,_I ' Ll L2 L:-, L_4 1._5' I_.6 I.-.7 - L8 L_'-; LO T' 1 2 1 1 t) , 0 i_i 0.000 0. 006 4 — 5 1. is c_i t) t) i i e i i0 ti . (_1, too o t r. TOTAL WEIGHT OF MATERIAL,- ` 0. to F . END OF FRN2 ' PRi ii RAM--=TYI=CThI_ISS; `RM 3 OR ASK: f j!"' IL'Tg -F'ROM CED FROM INPUT FILE " D I R T LOAD CONDITION ]. MISPLACEMENTS CEMENT`=; "i l AND ROTATIONS O R " _IOINT— U(X) U(Y) R(l) 1 0.0005 0.0000 0.0001 — A A.0005. 0.6000 6000 —i) ,i )i ic_) 3 0.0005 r0.00Q 4 0.0041 —.0.0059 —0.0040 0n.0Qi')0 0.00 25 ------ _ . TWO70 FRAME MEMBER FORCES )RCES-------- MEMBER LOAD -JOINT MOMENT. AXIAL_ LEFT* RIGHT, D I : T AN=:E NUMBER CASE I I FORCE SHEAR SHEAR FROM I ]. 1 ]... O 090 .0-000 0i ii) --0. 07,x, i.' 77.9 ic_) —V000, 7.90Q 4 4.623 17000 —6.578 Ts 4%4,,4 �/Go /r Q 7 I Fa )2. f' Z3 Fb'= 21,G V-5 ti 5 5 y,'5 X X; I iEAi=:T I i iNA -AND APPLIED FORCES FQR L_i=AD i:: A _ E :I: JOINT-., X—FORGE Y7Fi iRCE A--FORCE MOMENT Y--MOMENT Z--MOMENT I Q„ C)(_)00) -t_Y„ t_)%.%i' 'O„:(_)f)(_)(_) f=). 0000 0.0006- 006 -.O„t_)(i0 i i c.;c_ oo "LU0001 , c: 001 0. c:)c")0i i' 0,0000 -c`) , Q000 4 7,9000 —0. 060 ' . 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Tow 2 rJ (11; OF /owner L r /C Gross Floor Area if Low -Rise (from Calculations) ............................................ Gross Wall Area if High -Rise (from Calculations) ............................................ �l project ft2 ft2 checked by _ Designed Glazing Area (from. Calculations)............ r ` / �i''i'% l_1'' system type -y - /�-1 date e- Description of Assembly ill / tation author / date SITE INFORMATIONO r OF. Heating Degree Day (from Appendix C) .......................................................... HDD 1 day Outside Design Temperature (from Appendix C or Appendix G1 .................•.... Tow 2 rJ (11; OF PROPOSED BUILDING ENVELOPE INFORMATION Gross Floor Area if Low -Rise (from Calculations) ............................................ Gross Wall Area if High -Rise (from Calculations) ............................................ Af Aw ^ 3. 4 J ft2 ft2 Designed Glazing Area (from. Calculations)............ r ft2 Basic Glazing Area (16%of Line if low-rise or 40% of Line4 if high-rise)........ Abg 6 S 7 ft2 Description of Assembly Glazing �Z-' �� rJ i Ug1 7 ' Btu/ (hr•ft2 -OF 0,, :� i.. r l9 r I.e i Ug2 8 i Btu/ .(hr.ft2•°F'. Ug3 9 Btu/ (hr.ft2•°F'. r Wall /"' ( ! :'r il. , Uwi ` 10 t Imo.} Btu/ (hr .ft2•OF' Uw2 11 Btu/ (hr.ft2.°F y. /1 } �, F,7 //• rr �1�.' Uw3 12 r��'%L� Btu/ (hr.ft2.°F Uw4 13 Btu/ (hr-ft2-°F1 Vr• Ceiling/Roof )r .f; d i 't -r% i1 ='r r' Ey P4 1� �2i��'% U, 1. 14 + N� Btu/ (hr.ft2•°FI Floor�< a.),t. i �t U c2 15. R:.R:,'C�~ '+ � Btu/ (hr .ft2•°Fl ti; Ufl 16 y Btu/ (hr •ft2 -OF l ! �_1 Uf2 17 f_'7 Btu/ (hr.ft2 •OF) PROPOSED SPACE HEATING SYSTEM (Chapter 7) Gas Furnace Building Design Hourly Heat Loss (from Form 2) ............................:....... qh 18 Btu/hr Maximum Allowed Bonnet Capacity, 1.5 x Line 18.%-.., ....................................... 19 Btu/hr Proposed Furnace Make -Model Description Rated Bonnet Capacity Electric Resistance Alone Electric Resistance Life Cycle -Cost (from Form 5) .................................... sLCCe 20 $ Lowest Life Cycle Cost -of the Other Systems (from Form 5) ................... sLCC1O.,,,ml 2-1 I $ Non•Depletable Energy w/Electric Resistance Back -Up Percentage of Annual Heat Loss Met by Non-Depletable Energy Source (from Calculations)........ ............................................................... / 22 fC%E`✓ % Heat Pump with Electric Resistance Supplementary Heat Percentage of Annual Heat Loss Met by Electric Resistance (from Calculations) ......................... ............. 23 % PROPOSED WATER HEATING SYSTEM INFORMATION (Chapter 8) Electric Resistance Alone Electric Resistance Life Cycle Cost (from Form 6) ............ :.................... wLCCe 24 $ Lowest Life Cycle Cost of the Other Systems (from Form 6) ................... wLCCiowet 25 $ PROPOSED SWIMMING POOL HEATING SYSTEM INFORMATION (Chapter 9) `J Solar Life Cycle Cost (from Form 7)............................................................... pLCCs 26 $' Natural Gas Life Cycle Cost (from Form 7) ...................................................... pLCCng' 27 $ HOURLY AND ANNUAL Form rm 2 R BUILDING HEAT LOSS RATE (8/81) Check One: Proposed Design Standard Design r" Enforcement Agency Use Only owner l? t✓ ,i i r i%ll �� P,! project location I r .� ., orolect• ! / / � y�"�'' : 7 :. � ,r 2; l��Gr 5 ! f t ;� j•r �{ l f %'[Y!-'jl j system tyoe V For Slab -on Ground Floor . . . .. . . . .. oul olnq permit numoer / !_.i.� .r,•I Cnecke° By documentation autnor Tian from above / ate Cate SITE INFORMATION Heating Degree Day (from Appendix) . . . .. . .. . .. . . . . HOO "=���� r% 0P_day Outside Design Temperature (from Appendix)% - ° ............... Tow F Outside January Mean Temperature (from Appendix) .. .. .. .... ... •T jan - 1/1 / F . PROPOSED BUILDING ENVELOPE INFORMATION Gross Floor Area (from plans) . ..... ..................... Al 7-, l U S fit Gross Well Area (from plans) . ....... . ..... . . .... .. .. .. . AW 2' i � ft2 O"gned Glazing Area (from plans) .................... .. . Ag r� ft2 Basic Glazing Area (16% of Af if low-rise or.40% of A. if high-rise) . . .Ay ft2 HOURLY HEAT LOSS DESIGN TEMPERATURE DIFFERENCE For All Assemblies Other Than The Three Below ...70'F — C:2� _°F . ATh 1°F Tow from above For Insulated Floor Over Vented Unheated Space • . • • • • • , , • Line 1 =2 •OZhi2 °F m / For Uninsulated Floor Over Vented Unheated Space. ....... Line 2 — 5°F .OT 3°F TOTAL HOURLY HEAT LOSS, c 9 S to/hr line line ANNUAL HEAT LOSS, a °F'day/yr X �� C% J Ll Btu/hr x " •,!j Cl ,' a Moo' x 24hrJday -}�_ F . 10 5987f�6 Btu/yr Mousy (-feat Loss C from „-- from aoove !ram Lane 9 • ��Tn from Table 3-a Line 1 hu For Slab -on Ground Floor . . . .. . . . .. •. C 70'F — 41 °F ��Ths 4 / of CONDUCTIVE HEAT LOSS Tian from above Average U Oeserlptldn of Assembly Of Assembly, Area, ft2 or or F2 from L^ T hourly neat Glazing �l ' i / ,�/ Length,/ Graaon 4-1 from above r�loss. Q /t % !�'^' 0L/ X X r Z2 Rtu/hr Wall - f X X / ,j X X = Ceiling/Roof 3 _ Floor PPI?; t : ,, t ; :,;, ( " j y =� �` i X i77- i X [ ' ' „� x . 6 r. x Other--L-L— x X' volume Subtotal 5 to/hr _ INFILTRATION ...... 2 /0`D ft2x -C' ftX`aiC'J`'%X 2� umthe aoove Q 6 Al from above `Neignted from Th from Average Taole 3.7 Calling Meignt Una 1 Subtotal 7 �� DUCT HEAT LOSS (Enter 0 if there are no ductal OAS to/hr line - line o 0 .... .. x Line 7 . B TOTAL HOURLY HEAT LOSS, c 9 S to/hr line line ANNUAL HEAT LOSS, a °F'day/yr X �� C% J Ll Btu/hr x " •,!j Cl ,' a Moo' x 24hrJday -}�_ F . 10 5987f�6 Btu/yr Mousy (-feat Loss C from „-- from aoove !ram Lane 9 • ��Tn from Table 3-a Line 1 HOURLY AND ANNUAL BUILDING HEAT LOSS RATE Check One: Proposed Design Standard Design Form 2R (8/81) Enforcement Agency Use Only ou, aing permit numoer Cneckeo oy aocumentation autnor Oa'te I oats SITE INFORMATION Heating Oagree Day (from Appendix) . .. .. . . ..... . . . . . . . . . . HOD �U OF. day Outside Design Temperature (from Appendix) . . .. . . . . .. .. .. .. . Tow °F Outside January Mean Temperature (from Appendix) . . . . . . . .. . T,an / °F PROPOSED BUILDING ENVELOPE INFORMATION OF - QThs 4 Co°F Tian from aoove Gross Floor Area (from plans) ........ ................... Af 0 S ft2 Grow Wall Area (from plant) ... ... ... .... AW 1 owner ♦ prolect ,?/ `�' Sr�7 ft2 Basic Gluing Area 116% of Af if low-rise or 40% of A. if high-rise) . . . . . . .ASa 33 / ft2 Project location ystem typo ., Form 2R (8/81) Enforcement Agency Use Only ou, aing permit numoer Cneckeo oy aocumentation autnor Oa'te I oats SITE INFORMATION Heating Oagree Day (from Appendix) . .. .. . . ..... . . . . . . . . . . HOD �U OF. day Outside Design Temperature (from Appendix) . . .. . . . . .. .. .. .. . Tow °F Outside January Mean Temperature (from Appendix) . . . . . . . .. . T,an / °F PROPOSED BUILDING ENVELOPE INFORMATION OF - QThs 4 Co°F Tian from aoove Gross Floor Area (from plans) ........ ................... Af 0 S ft2 Grow Wall Area (from plant) ... ... ... .... AW 1 ft2 Designed Glazing Area (from plans) ................ ... . A9 ,?/ `�' Sr�7 ft2 Basic Gluing Area 116% of Af if low-rise or 40% of A. if high-rise) . . . . . . .ASa 33 / ft2 HOURLY HEAT LOSS DESIGN TEMPERATURE DIFFERENCE Q For All Assemblies Other Than The Three Below . .70°F — 2 OF - QTh 1 '7 °F Tow from aoove For Insulated Floor Oval, Vented Unheated Space ..I ° ........ Lina 1 =2 -QThi 2 F For Uninsulated Floor Over Vented Unheated Space... ..... Line 2 — 5°F . QThu I - /. 3 °F 3F 4t For Slab -on Ground Floors ........... 70°F _ CONDUCTIVE HEAT LOSS OesCrlotlon of Assentoty - Glazing Wail T j Ceiling/Roof �. rili J �r^i r r• >r"� f Floor P'f.:. ,. IF';'t. %N Ji ?J•• 1 J Other J J 41 OF - QThs 4 Co°F Tian from aoove Area, tt2 of Average U of Assembly, or F2 from n [._ T �. hourly neat Len th, K G Graon 4.1 X / from above x �� tots, q 5 4 �) (' to/hr � X =Kp 49LXX 7449&- X X - /h X • ' f 'x 117- 117— L 2 •7, � X / X X '4 %_ x z- volume I Subtotal INFILTRATION .......... 1i` �~ ft2 X 0,,'S f ft x 0059 x'F Af'from aoove weigntea from Th from Average Tapia 3.7 Line 1 Calling Heignt Subtotal DUCT HEAT LOSS (Enter 0 a there are no ducts) 0.15 x Line 7 • TOTAL HOURLY HEAT LOSS, cL 9 to/hr um of Eno aoove q 6 61761 Z74Z3Z- c atu/hr un♦ = i,ne o 6 , 0 7,23 Z-- 9 , J to/hr ,inell .une X71.2st- ANNUAL HEAT LOSS, OLY3(.11 %✓j: `+'0 tO°F .day/Yr X+�` .. ter` Btu/hr X X 24hr/dav }� _ =_oF • 10 C �..p HOD' H.Ouriy Heat Loss , C from Btu/yr TM from ` Q �9� s��� from aoove .'rpm Line 9 Ta Ole 3-8 Line 1 'r,7 4 -r �.�. �. I - ,•�tL''.l l:J��`�' C� -; J L � j... '7� L ' HOURLY AND ANNUAL BUILDING HEAT LOSS RATE Check One: Proposed Design Standard Design owner Project. Project location system type cocumentation autnor ate SITE INFORMATION Form 2R A 1. (8/81) Enforcement Agency Use Onl ouf sing permit numoer Cneckao by Cate Heating OeWee Day (from Appendix) HOO OF. day Outside Design Temperature (from Appendix) ° To,N F Outside January Mean Temperature (from Appendix) . .° .......... T1an F PROPOSED BUILDING ENVELOPE INFORMATION Gross Floor Area (from plans) . ....... ................... Af ft2 Gross Wall Area (from plans) ......................... .. Aw ft2 Designed Glazing Area (from plans) ........... . A9 ft2 Basic Gluing Area'116% of Af if low-rise or 40% of A,w if high-rise) .. ..Ay ft2 HOURLY HEAT LOSS DESIGN TEMPERATURE DIFFERENCE For All Assemblies Other Than The Three. Below .. ,70°F — of .QTh 1 °F Tow from apo" For Insulated Floor Over Vented Unheated Space .. , , , , , , , line 1 =2 •QThi 2 °F For Uninsulated Floor Over Vented Unheated Space, .. , ... Line 2 — 5°F -&Thu 3-- —_ F For Slab -on Ground Floon 70°.FaF �Ths 4 of Tian from aoove . CoNnucnvF HFAT_1 t'1CC Of Assembly, ^ or FZ from T- ' Oescrfptlon of Assembly Area. ft or L: hour) heat Y 1 / Length, ft Grape 4-1 from above i Glazing r-! t Ci .,rC Y t U I �� t` 1 r rti /r i --�--e r X X f c.._ s loss, b Z= ,1 1 c 'Gl ��F,'.)?!r.1_`;i/ X�_ xtzl'�= / t to/hr z r Wel) / -1 �� ( X 074 -3 /� z JI Cr- X X = X—x - - 4l = Cailing/Roof .�-_ T c%/"7 !' CJ S Floor �tj i i�:ti•'. ,fv117ri7��('r'}u,i l 'c' X _ X J` 7 x e2 1/7 x = Other X X x = volume' Subtotal 5 P C' jPt->I atu/hr um of the aoove P INFILTRATION' ...... ft2 x tt x 'F, x Af from above 'Neigntea fromTn from 6 —ZY. Average Table 3-7 ' Calling Heignt Line 1 Subtotal 7 �T atu/hr line n fine o DUCT HEAT LOSS (Enter 0 it there are no ducts) .... 0.15 x Lina 7 g TOTAL HOURLY HEAT LOSS, OL 9 to/hr na une ANNUAL HEAT LOSS, OL F day/yr x Btu/hr x x 24 hr/dav + aF 10 MOO Hourty Heat Loss C from - from Tn from Btu%yr above from Line 9 Tapjs 3$ Line 1 I i HEAT TRANSFER COEFFICIENT PROPOSED CONSTRUCTION ASSEMBLY =y ' Form 3R (8/81) Enforcement Agency Use Only owner project title Dulloing permit numtxr Project location - CneCkeC by documentation autnor Cate nwr• Sketch of Construction Assembly List of Construction Components R (for section between framing members] (from Table 3.1) . 2. 17 a. �ZI D'1l SC 5. _ 51 TZf.%H[:'1)E ZL14 r�tz PAQ9,9111C; Z Framing Sizex 6.-B Framing Soacind O.C. 7. Check one: Ceiling/Roof ... . 8. Inside Surface Air Film (from Table 3.181... . . ... ' ' ' Floor 9. Outside Surface Air Film (from Table 3.18):...:....... V/ Wall A If WallTotal Thermal' Resistance (RT) apprOp , check the weight: sum of the above less than 25 Ib/ft2 25 to 40 Ib/ft2 AVERAGE U VALUE OF ASSEMBLY greater than 40 lb/ft2 • Framing AT from above Btu/(hr . ft2 Factor from Table 3.6 Use this U value for heat load calculation or Code comparison r L HEAT TRANSFER COEFFICIENT Form 3 PROPOSED CONSTRUCTION ASSEMBLY (siet) • Enforcement Agency Use Only Owner project title - Duiloing permit number Project location . - - Cneckeo Dy aocumentation autnor Cate Sketch of Construction. Assembly List of Construction Components R (for section between framing members) (from Table 3-1) 5h"Fl,8E Gl.� S_ -13A--% 7 --- - - 3. 4. 5 .�/8 .1. �nFORCED37Z _ f3 Framing Siie s•' 'Ff amino Soacina n " O.C. 7. Check one: Ceiling/Roof / Q 8. Inside Surface Air Film (from Table 3-18).. Floor Wall 9: Outside Surface.Air Film (from Table 3-18)..... •.... • If Wall, check the .. - Total Thermal Resistance (RT) approoriate weight: - _ sum of the above less than 25 Ib/ft2 �. 25 to 40 lb/ft2. AVERAGE U VALUE OF ASSEMBLY greater than 40 lb/ft2 Framing RT from Btu/(hr.ft2 •°F) above Factor from Table 3.6 Use this U value for heat load calculation or Code comparison HEAT TRANSFER COEFFICIENT F®rm 3 R PROPOSED CONSTRUCTION ASSEMBLY (BieU Enforcement Agency Use Only owner project title Dullaing permit number Project location Cneckea by documentation autnor Cate Sketch of Construction Assembly List of Construction Components R �{--------- G (for section between framing members) (from Table 3-1) <�;y,D: _ _ 45 2.2 r 4. 1x4 5 : _ /5',�EL Framing Sizef " x ��<' 6 FramingSoacind r+U/.1o.c. 7. Check one: Ceiling/Roof 8. Inside Surface Air Film (from Tattle 3.18).:..........•. Floor 9. Outside Surface Air. Film (from Table 3.18) Wall If Wail, Total Thermal Resistance (RT)' ' 77 check the approori/ate weight: SUM d1 the above less than 25 Ib/ft2 25 to 40 16/ft2 AVERAGE U VALUE OF ASSEMBLY greater than 40 Ib/ft2 ! -'7 Framing AT from above ' Btu/(hr .ft2 .°F) Factor from Table 3.6 .use this U value for heat load " calculation or.Code comparison J HEAT TRANSFER COEFFICIENT PROPOSED CONSTRUCTION ASSEMBLY A - Form •3 R t (8/81) Enforcement Agency Use Only owner Oro lett title hulloing permit number Project location . cneckeC by 1. °ocumentation author °ate nar• Sketch of Construction Assembly List of Construction Components R (for section between framing members) (from Table 3-1) I, iii : 2..A/I FOR�L�.SS 3. 3/11. EX. T :LiliZ)L?, 4. 47 Framing Size -, •, x -A Framing Soacino P.C. Check one: Ceiling/Roof Floor �L Wall If Wall, check the appropriate weight: - - less than'25 Ib/ft2 25 to 40 Ib/ft2 greater than 40 Ib/ft2 6. 7. 8. Inside Surface Air Film (from Table 3.18)....... 9. Outside Surface Air Film (from Table 3-18).......:..._ Total Thermal Resistance (RT) r - sum of the above AVERAGE U VALUE OF ASSEMBLY J-— _ '•� 2� _ /3,77 — -• o�1Y Btu/Ihr.ft2.°F) Framing RT from aoove Factor from Table 3.6 Use this U value for heat load calculation or Code comparison -HEAT TRANSFER COEFFICIENT Form 3 R. PROPOSED CONSTRUCTION - ASSEMBLY (8/81)' Enforcement Agency Use Only owner .. _ prOlect Citle builaing permit number' project location cneckeC OY cocumentatlon author Cate Sketch of Construction Assembly List of.Construction Components R (for section between framing members) (from Table 3-1)77. 1,-��J 4. Framing Size " x 6. Framing Spacing O.C. 7. Check one: / Q Inside Surface Air Film Ifrom Table 3.18).. 6 ,•Celllrlg/Roof Floor 9. Outside Surface Air Film (from 'Table 3.18)... _ Wall If Wall, check the Total Thermal Resistance (RT) • approoriate weight:' SUM of the aoove less than'25.lb/ft2 25 to 40 Ib/ft2 AVERAGE U VALUE OF ASSEMBLY V greater than 40 ib/ft2 1 ; Framin Btu/(hr.ft2OF) 9 R,T from above Factor from Table . 3.6 Use this U value for heat load calculation or Code comparison HEAT TRANSFER COEFFICIENT Form rm 3 R PROPOSED CONSTRUCTION ASSEMBLY (8/81) anrorcemenx Akgoncy use pnly owner - Project title - Dulloing permit number - Prolect location CheCkeC by bocumentation autnor bate Sketch of Construction Assembly List of Construction Components R (for sectionbetween framing members) (from Table 3-1) 2 s• 10, —r1 D. b-, 7;�ZI4 X19... A jRV I�V2rfL, �- �•� b �y Framing Size x 6. C (..i/? ,.. f , Framing Soacino " o.c. Check one: Ceiling/Roof Floor Wall If Wall, check the approoriate weight: less than 25 Ib/ft2 _i_ 25 t040 Ib/ft2 greater than 40 Ib/ft2 %. 8. Inside Surface Air Film (from Table 3.161 ............ . 9., Outside Surface Air Film (from Table 3-18) ............. , f 7 Total Thermal Resistance (RT) sum of the above AVERAGE U VALUE OF ASSEMBLY r' 0 . v _ l.J r� 9ramin9 RT from above Btu/(hr Factor from Table 3.6 Use this U valuefor heat load ' calculation or Code comparison Sketch of Construction Assembly List f C 0 onstMCL ron Components R (for section between framing members)' (from Table 31) 2. y V J/. MIME' •fir I ! 1;;..•��. / l r _�.��.. C✓.' G. /�! I„/ l _"—' � ! lr' 4. U3. i�� Y . 5. . Framing Sze / x 6. Framing Scacina O.C. 7. Check one: Ceiling/Roof 8. Inside Surface Air Film (from Table 3.1 B).. .. , • .. .. . Floor 1 Outside Surface Air Film (from Table 3.1.8)........::. . Wall. Total Thermal Resistance (RT) �0, �✓� If Wall, check the sum of the above approori/ate weight: - - W less. than 25 lb/ft2 25 to 40 Ib/ft? AVERAGE U VALUE OF ASSEMBLY greater than 40 Ib/ft2 l 60 6 "% - S •' - .. _ Framing RT from aoove Btu/(hr fT2) Factor from , Taole 3.6 Y y • _ Use this U value for heat load calculation or Code comparison �, 1�`, .HEAT TRANSFER COEFFICIENT Form 3R PROPOSED CONSTRUCTION. ASSEMBLY (8/81) - - Enforcement Agency Use Only owner project title bullaing permit numoer Project location- - j - � CheCkOC ay - aocumentation autnor Gate Sketch of Construction Assembly List of r—+— t' C c ton omponents R (for section between framing members) (from Table 3-11 . 7 tMI i 3 F. 47 ,. 5 ' 6. Framing,Size i.! • x t,-1 Framin Spacing �� " O.C. 7.` Check one: q ~ 8. Inside Surface Air Film (from Table 3.18)...... I Ceiling/Roof Floor ] 9. Outside Surface Air Film (from Table 3-t8).. ... .. • / Wall Total Thermal Resistance (RT) If Wall, check the • approp'�ri ��ate weight:sum of the aoove ., _1_ less than 25 Ib/ft2 25 to 40 lb/ft2:, AVERAGE U VALUE OF ASSEMBLY greater than 40 Ib/42 / Framing . RT from aoove Btu/(hr .ft2 •0F) Fa_tor from Taple 3.6 Use this U valuefor heat load calculation or Code comparison owner drolec' title Protect location documentation author data ENVELOPE COMPONENT ADJUSTMENT Standard Design Hourly Heat Loss (from Form 2R) . . . . . . .. . .. . . . . . . . qL 1 �, ! .� r t.% ' ' Btu/hr Proposed Design Hourly Heat Lose (from Form 2R).... ......... ... qL 2�ir %i [' •� 7 8.1u/hr If line 2 is less than or equal to line 1, there is compliance. t . COOLEDBUILDINGSWITH EXCESS GLAZING Designed Glazing Area (from building plans) . .. . . . ... . . . . .. .. .. . .. Ag 3 ft2 Basic Glazing Area (from Form 28) . . .. .. .. . Abg 4 tt2 Northerly Glazing Area (from building plans) . . . .. . . . . . . . . . . . .. .. .. ... Ang 5 n2 Glazing Area Under Regulation T20-1 403(c) (4) .. . . . . . . . line 3 - lino 4 — lino 5 6 ft2 If line -6 is.less than or equal to'0, there is compliance. Otherwise, complete lines 7 and 8. Shaded Glazing Credit•. . . . . . . (Area of glazing meeting shading requirements. A�) x 2 m 7 ft2 Area of glazing which must be tinted... .. . . . .. . .. .. . line 6 —line 7 8 ft2 If line 8 is less than or equal to 0, tinted glazing is not required, PASSIVE SOLAR EXEMPTION Total Thermal Mass, MT (from calculations) .. ... ; g ... . , . . .. , Btu/dF Basic Thermal Mass, Mb .... , ft2 x 5:0 + ft2 x 2-25 10. Btu/dF area of slao on ground gross floor area Effective Mau for Credit . .......... .. ...... , , . ..line 9—tine 10- 11 Stu/OF: Area of Special Glazing Meeting Mau Requirements, A . .. line 11 - 30 12 ft2 Area of Special Glazing 'Mearring Shading Requirements, A 9 (from calculations) . , 13 n2 Area of special glazing exempted is the lesser of linea 12 and 13: Proposed Hourly_ HeavLoss (from Form 2R) ... ..... .. .. .:'. 14 Btu/hr Standard Oesign Hourly Heat Loss (from Form 2R) . tfi ..:. . Btuihr If line 14 is leu than or equal to line 15, there is compliance. NONDEPLETABLE ENERGY SOURCE CREDIT Standard Design Annual Hen Lou (from Form 2R using line 1 above) .. .... Q �y c"� —7 / 16 /_ ~ /r04 Btu/yr t Proposed Design Annual Heat Loss (from Form 2R using line 2 above) .. .. ... , .. . QL 17 Btu/yr Annual Heat Lou Met by Nondeoletable Energy Source (from calculations-) . 18 Btu/yr Annual. Heat Loss:Met by Deoletable Energy Source . . .' line 17 —line 18 19 /"7 Btuiyr ; If line 19 is less than or equal to line 16, there'is comoliance. _ Akt �x �.tf.• ,r '�,�s; F �,- 999-82B P,E,M ••+a# '? �''K4C +n Vr, 7"'.i` .ay1•'",!tc, i''`"{y,%is4 i•' —_ ... _ 1?•��'>r � �,�'�`• �- '�:' '�es lege W-1; ` i. .rIt, ra• ..✓; .+ cF..ra� ,•,, _aF 6.. 3b=°'s�.:. 'ter r �` 3•�CII OICE f.VAr F W.Of TIFON, °-� " � ` .rx � ,�,�''^ �- � n� a`'�'•''�,;�BOrest�8aach Z gt gip;. +. �. Y'b� • .:'� r'^'r'3'r, yhh n, w i� ,; t - � u r '��+�. i c is � f .. tv < e•N a-.�tLgy,L N�.��, �.. •f 3 � J� 1 T ..w�r��s .r"[dC",.3`&`i.7� IV' 5V � � .��, �B.��sf`'�, 9.c r+i�:-,..� ci !� w,� �y �'s� t t, : r� .r .� �,.i.•• a+ • J "4 "V -Temp. Power Pole yrc Called PG&E • - _ S arc-) �- J i :,��EPl. b dS,�. � P..4:�," I em Elec. Service —' =� 8'$3 L Called PG&E i Temp - Gas Service i Called PG&E JOB FINALED (Date) Signature d. d ;K -�; mop icable y or Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plansl OK except#'s Date FRAMING (Continued) ryA�, 2. _�4 Zoning rdquirements-S acks-Easements Fig., Main: S-5eieeaArrltl.- ! ' /" tg. Depth 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits �.rT� 4. 6erog-• c cr Bepth Ft g, Porches & Decks;,Soils-Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -landing -Fire Protection , 51.. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers -LleStemwalls, Main: Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer b 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access . r ers-Firepl tg.-St -13 54. Glazing Area -Glass Protection -Skylights -Plastic D.W.V.: Fdti-Fi s- t w /O ew st 3 Shear Walls; Nailing -Batts ,{Wc sc sN T . ater Pipe; T-An{lwK F% or-Servi4-Tess' 1 lectric: Undergrounds 14 PI it -H ir yG/ p3iC'i s- ' -An pits- s -Veil Cs+pploe Card -BI Date 7, Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI -a Date e- Card -BI Date % _ 7, Date ' FINAL (Plans) OK except #'s Card -BI Dat5imE22 Card -BI Date Date PLUMB NG (Permit) OK except #'s 56. ; Ext. Steps -Door & Sidelight Protection andings�_ Smoke Detector 1` . ater Ht.: beat -Ac -C>y 58., Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection _ 15. Water Pipe; 12st &Anchors -Nail Protection 16 D.W.V.;.Test-Fttngs &Anchors ail ectl Bedroom Exiting 17. 18. Shower Pan: Test, First -Floor -Tub ccess Test Tub & Shower, 2nd Floor -Tub Access 60; GEJ. at Fixtures & Tub Access Trim & Subpanel; Breaker Sizes Label 6:1�._ --- Qnac - pity cl,e c anchors �E�lec_�. 1Lv& Rails . Fireplacgor Stove; Clearances -Hearth ��rr Ele at Wood P Int. & Ext. . Outlets Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date ELECTRICAL Permit) OK except #'s ir. Fixt. & Appliance- Grnd.-Air Gap -Cooking Clearance . V6 ,Elec. Outlets'& Receptacles-et'Kit. Counter 67. Garegor; wing- an Ing - 6$ 6 - earance- omb. Air-Connector-P.R.V.- Ive loor-Mech. Protection 20. Fixture &Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors 7 b., Elec. &Mech. Equip. Listed for Location M. SizeBoxes & No. of Conductors -Stapled 71_ '- C. — 3 Romex Installed Close to Edge of Studs & C.J. s VZ. -Insulation -Foam -Looked in Attic es 24. Equip. Ground made up w/Mech. Fasteners nd Gas & We 73. e /2 �. 2 Appliance Circuits in Kitchen & Conductor Size 14IFdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Loo d under Floor ❑�Ces��. - ze% ga. wr AI -A. I _ Subfeed Wire SiC ( Ra-nge Circ. / / ga;-Cu or AI -Oven Circ. /gyp/ ga. et, e►At, In laced Neutral _Yes ED No 7 ollowing insildd -Drive es ❑ No; Walks ❑ s C] No; Planters ['Yes ❑No Service-Ris c,l uctors & G nd-Main nett LU - 29. Equip. Clearances: Panels-Motors-Mech. Equip. 7 - clef _.__-•— - 78 " Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Card 8-I Dat j' Card -BI Date ---!� 179.: Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G. .. Receptacle-Undergrourid . Ventilation throughout House Card B -I Date _ Card -BI Card -BI Date Card -BI Date MECHANICAL (Perrr,it) OK except #'s Fa----- pport j1 Fan: an: Exhaust above Insulation Vent V 33 Conden verflow: Size & Grade _ omb._Air-Return Air Vent -115V outlet Attl orm if Furnace in Attic Dale�i_�'z�y Card -BI -_ Date Date Card -BI Date 82�Glass Protection _ 83. Corrections from Previous Inspections 84. - eters agge as- ectric 85. ter & Sewer Connected -C/0 to Grade -HD Approval 8g . Energy Compliance Certificate -Other Certificates Card -BV- • j Date! % Card -BI Date Card -BI Date Card -BI Date C;rd-BI Date Card -BI Date Dale ' FRAMING(P!ans) Dri except -'s 36. nils: Proper Maierial & Anchors -_ 37. Walls. Studs -Nailing• Soacing & Bracing -Plates -Sound _u:! 38. Bea nc `Nalls rw,, G;,aers & Floor Nailing [:19. Drnll -SIOD m 10r.tr5 ;rat proof) `11:: t-trr !ops Fwr?6 Cd1lin(;S—SIa1rS—Cha SeS-TUb __ -i i. Heaar,! a Bean -5,:e & Bearing r . H:urar.r=-Post Cans -Anchors-Connectors :3. Clnu. T-es—Purlul—Roof Brac.—Truss—Shlhng.—Rfnq. (�. u -u.,... ,�•.. .v T �ra Fiu.-F uePlace TIIrOtil t --'_' .� .. (• , .,,, - ns. Bnifles -t' .iu., .•.:.cc.. _.rym:: 1gOiC-Sill Hat. & Dnnaalslons Comments at Final: - Oar /J /�rQ. yam_ ! f�j ✓�_� G{J�_�--_ --- - - - ^-- _--- _ — � —_-'-- (NOTE F:nennynlustbe nrt,:•limy: ,r,n ...,I og.,.. . r 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 063-240-032 ZOtJING 'lTM-10 BUILDING PERMIT OWNER Michael & Teresa Westlake TELEPHONE 894-2535 SO. FT. OCC. BUILDING VALUATIO Est. 2,000.00 OWNER'S MAILING ADDRESS P.O. Box 143 Forest Ranch 95942 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 2,000.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 37.50 ARCHITECT OR ENGINEER Bob Slater LICENSE NO. Plan Checking Fee $ Ener Plan Checkin Fee gY g ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 52.50 PLUMBING PERMIT Filing Fee 15.00 4968 Surrimprplare, Forpst Ranch 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❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition u Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Permit to Complete r 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. )cense .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. ) 3.60 sq.ft. NEWCONSTR ULTI.OUTLET NON-RES,D BRANCH CIRCUITS) @ 5.00 /POWER APPARATUS fi (SINGLE OUTLET CIR. ) p OUTLETS OR FIXTURES Ex. Occup( 20 76x1 AL 464 D APLNS. Ex. Occup. our LE P(RESI 0.)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department 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 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 liabilitI s, judgmen cos s, and expenses which may in any way accrue ag C my i co enc f he granting of this permit. X —/�j — �� Date 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 $ Ener Inspection Fee Energy P $ OCC CONST TYPE I TOTAL FEE $ 52.50 HAz I DFEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued der the Bions of the B Co de and/or work indi a v r which fees OF PUBLIC BY PERMIT EXPIRES Date applicable provi- � resolutions to do have been p Id. ORKS Date p @ `''eceipt No. / �`= TELL W -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ���"L+ �:+Z;i"y;;9f�rKv'y `v'a'aii`'`mat'kw.y,.�{�t7'.i''�}%i�`,�7"'�"iK'y''M"""`i.�Hl���•-a- ., v..,rl,-�,..r.n-v.r- sr----...q,...-...s,:i5:k�:� `.,y.e:.�.� -�� y ....,�.�.. ... - � ... _ COUNTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION r. 7COUNTY'CENTER DRIVE - ORO+V ILLS, ALIFORNIA 95965 -TELEPHONE (916) 538-7541 ' PERMIT APPLICATION DATASHEET OWNER RICA 41el A. P. No.' 6.3- 2Y0 - O'' 2 Proposed Building Use ��T� /� �� Building Inspector _ j'_ Date la /j S' At time of rmit 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 . ............ i 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.a bout (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . 20. Pre-inest spection for required. .. Building redo (Date) 21. Contractor's license information. (No., Name Style, assification). ............. . 22. Certificate of Workmans Compensation Insura ........................ 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=�..r_ .r �.•�.' ' t, .. ................................... . 29. Documentation of legal access ......................:.................. 30. Documentation of 50% sdbdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33 34. When you issue the permit, process as follows: ---_JiMail to owner. Mail to contracr. Telephone' and hold for pickup at office. 'Deliver with inspector. Other Parcel Creation `lor �Acreage -�` Applican Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in `File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916 538-7541 1 APPLICATION AND PERMIT AS ESSOR PARCEL NUMB R ZOG , %O BUILDING PERMIT O 1C 6rlK e-- `F3'S TELEPHONE `�j � b/ S0. FT. OCC. BUILDING VALUATION C -j gam' O M (LING AD RE� nc 7 ✓ ' oZ CO*R;AC TOR *S NAME (UPJ r TELEPHONE COTRACTOR'S MAILING ADDRESS Fireplace C N,$TRUC�pTTION LENDER 7*LENDER'S M UNKNOWN Total Valuation $ Filing Fee $ 15.00 (LING ADDRESS Permit Fee 5 ------37,.F3 H ECT NGINE�E -- LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ AR CHITEC OR ENG E 'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee , $ PLUMBING PERMIT Filing Fee 15.00 e ` J v M e4 e e - —e -e Each Trap 5.00 aper ��%G 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 �Q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.001 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition: Remodel U " ities ❑ Installation❑ Other El Describe work: ��/ oLl� iLLyo ✓li! P/, fP_ t Permit Fee $ Contractor ELECTRICAL PERMIT FiI!ngFee 15.00. Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty ur p y of perjury i y (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business Za Professions Code and my license is in full force and effect. ;Jo. Classification 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. I 3.6Csp.ft- NEWCONST R. MULTI -OUTLET LET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIense Ex. Occup( OUTLETS OR FIXTURES 20 464 Ex. Occup. OUTLETS ttRESID 1FIXED APPLNS. REA.� I 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 f Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 I Ventilation pernit 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, indem ify d keep harmless the County of Butte against judgments c st , and expenses which may in any way accrue all ffin�oun a atyn nc fe granting of this permit. X Datela ^ Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA ion of structures over 39stories oin height. excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz 0FEES IMP FLOOD COF PARCEL PD 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 I 0 Q,--® Receipt No. (IV V Q D WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF,BUTTE -.Department of Public -,Works. 7 County Centee Drive,'Oroville,,CA 95965 Phone: 9167538-7541. . r. OWNER -BUILDER VERIFICATION Attention Property,Owner: An 'owner=builder" building permit has been applied for in your name -and bearing your. signature. Please -complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit: No building.permit ..will be issued until this verification is: received`. 1. I personally plan to provide,the major labor and materials for construction of the proposed property improvement (yes or no) r� 2. I (have/have 'not) f signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone h, 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: o 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: j` Property Owne ` Social.Security umber — ( Date. U/I _zz _z7 _. NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. I.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSP RMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 63-01-120 ZPNING BUILDING PERMIT OWNER Mike Westlake TELEPHONE 893.-8377 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. 1 2nd to 4th renewals CONTRACTOR'SNAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER none UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee Z FEE X 3 $ 84.75 ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee . $ 94.75 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 SIS Nicholas Rd., a .2/5 Mi. W Doe Mill Rd. Each Trap 2.00 Solar Water Heater 20.00 FOrgst Ranch Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other pri - garage SPECIFY Building sewer 5.00 Mobile Home S I G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[:] Other ❑ Describe work: — 2nd to 4th renewals permit #4327-81 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS toe AMP OR LESS 10.00 (1st renewal #447-83) Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.& OR ADDNS. C ACC. BLDGS. 2ftsgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NON-RESCO ID R_ BRANCH CIRCTITS 2.50 ea NEW CONSTR. POWER APPARATUS &\ NON-RESID. %SINGLE OUTLET CIR. / Ex. Occu 20@50a P(o TS OR FIXTURES SAL030C FIXED FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under p nasty 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. a Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that 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 nst said County in consequence of the granting of this permit. X Date Ignature of Applicant — Owner ❑ Can tractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 94.75 OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date p PERMIT EXPIRES Date- 12/1/05 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 63-01-1-20 ZONING BUILDING PERMIT OWNER Michael Westlake TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING A DRESS P.O. Box 143, Forest Ranch CONTRACTOR'S NAME _owner TELEPHONE 1st to 3rd renewals CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER none UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee FEE x 3 $ 444.00 ARCHITECT OR ENGINEER np LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 454.00 BUILDING ADDRESS ( PLUMBING PERMIT Filing Fee 10.00 S Each Trap 2.00 Solar Water Heater 20.00 Forest Ranch Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF[Z Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ .10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: — 1st to 3rd renewhs Permit #999-82 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 e0ov OR LESS Main service 100 AMP OR LESS 10.00 Nil Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. Z�Is2Sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for th's repson NEW NON-RESID R BRANCH CIRCUITS 2.50 ea NEW CON ST R. POWER APPARATUS & NON-RESID. ( SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES 20@50t SALO 30 FIXED APP LNS. OR Ex. OCCUp. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under p nalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 a inst said County in consequence of the granting of this permit. Vlgn.lul. of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 4 54-00 OCCUP. GROUP I TYPE OF CONST, PARCEL PD HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date 5/24/86 the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW-AS5ESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .. utte punt ML BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 Michael D. & Teresa E. Westlake P.O. Box 143 +' 4 Forest Ranch, CA 95942 RE: Building Code`Violations 4968 Summer Place Road, Forest Ranch Dear Mr, and Mrs. Westlake: June 16, 1997 A.P. #: 063-24-0-032 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above referenced location: Failure to obtain approval of previous corrections and failure to obtain final inspection prior . to occupancy and permit expiration for construction of single family residence and construction of new roof structure for single family residence. Since permits and inspections are required for the above work, apply for the required permits to make corrections and complete project and pay the appropriate fees. All work .must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot,be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program. which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance .of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have questions concerning this matter, please contact Michael Vieira or Scott Rutherford in this office at the address or telephone number listed above. ours very truly MCV: dms '"-"""` Mic ael C. Vieira, C.B.O. Man ger, Building Inspection cc: Assessor 1863 - 9�, 999 -$z DATE 77 FROM: Name: 11P/Yi-5G- Address: i��r'6 ^ S c� �-,� .-� �. l� cA A---"� Attn: Phone: Fax: } TO: Butte County Building Division 7 County Center Drive Oroville, CA 95965 Phone (916) 538-7541 Fax (916) 538-2140 SUBJ: Request for Building Permit Information Request you research the building permit records for the following parcel: A.P. # ADDRESS OWNER'S NAME • y Please 'research -any building permits applied for, issued and finaled on this property. I understand a research fee of $23.00 (minimum) is required by the Building Division. Research and report time in excess of 30 minutes will be billed at $46.00/hour in 30 minute intervals. (Butte County Ordinance #3075, effective 7/12/93, requires payment of this fee.) Please ❑ Mail ❑ Fax report to me at address/Fax # above. Signature of Requester Atch: Check for $23.00 (Payable to Butte County Treasurer) AFFIDAVIT REQUESTING DUPLICATION OF PLANS . (California Health and Safety Code Section 19851) The official copy of the building -plans may not be duplicated_without written permission from the certified, licensed, or registered professional, if any, who signed the plans and the building owner. I hereby request duplicate copies of the building plans on file- with the Butte County Building Division for Permit Number - and the building known as (Residence or B ess Name). . I am aware of the following three provisions of the Health and Safety Code `as*follows: 1. That the copy of the plans shall only be used for the maintenance, operation, and use of the building. 2. That drawings are. instruments of professional service and are incomplete without the interpretation of the certified, licensed, or registered professional of record. 3. That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a licensed architect who signs plans, specifications, reports, or documents shall not be responsible for damage caused by subsequent -changes to, or use ot those plans, specifications, reports, or documents where local governmental agencies, are not authorized or approved by the licensed architect who originally signed the plans, specifications,. reports, or documents, provided that. the architectural service rendered by the architect who signed the plans, specifications, reports, or documents was not also approximate cause of the damage. - Current Building Owner: l-9-1' , `/." �- Design Professional of Record: ', Ale, l _e Signature of person requesting copies: Printed or typed name of person requesting copies: % ✓ c.- Date: `�'� l S % Address: Reason for requesting duplicated set of plans: % For Building Department Use 0 Owner Permission received - Date Sent. ❑-Professional Permission received Date Sent. DakReceived DateReceived Receipt Number. Mardi 1996 California Health and Safety Code 19851 Inspection of records; duplication of plans a. The official copy of the plans maintained by the building department of the city or county provided under Section 19850 shall be open for inspection -only on the premises of the building department as a public record. The copy may not be duplicated in whole or in part.except (1) with the written permission, which permission shall not be unreasonably withheld as specified in subdivision (f), of the certified, licensed or registered professional or his or her successor, if any, who signed the original documents and the.written permission of the original or current owner of the building, or, if the building is part of a common interest development, with the written permission of the board of directors or governing body of the association established to manage the common interest development, or (2) by order of a proper court. Any building department of a city or county, which is requested to duplicate the official copy of the plans maintained by the building department, shall request written permission to do so from the certified, licensed, or registered:professional, or his or her successor, if any, who signed the original documents and from (1) the original or current owner of the building or (2), directors or other governing body of the association established to manage the common interest development. C. The building department shall also furnish the form of an affidavit to be completed and signed by the person requesting to duplicate the official copy of the plans, which contains provisions stating all of the following: 1. That the copy of the plans shall oaly-be used for the maintenance, operation, and use of the building. 2. That drawings are instruments of professional service and are incomplete without the interpretation of the certified, licensed, or registered professional of record. 3. That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a licensed architect who signs plans, specifications, reports, or documents shall not be responsible for damage caused by subsequent changes to, or used, those plans, specifications, reports, or documents where local governmental agencies, are not authorized or approved by the licensed architect who originally signed the plans, specifications, reports, or documents, provided that the architectural service rendered by the architect who signed the plans, specifications, reports, or documents was not also approximate cause of the damage. d.. The request by the building department to a licensed, registered, or certified professional inay be made by the building department sending a registered letter to the licensed, registered, or certified professional requesting his or her permission to duplicate the official copy of the plans and sending with the registered letter, a copy of the affidavit furnished by the building department which has been completed and signed by the person requesting to duplicate the official copy of the plans. The registered letters shall be sent by the building department to the most recent address of the licensed, registered, or certified professional available from the California State Board of Architectural Examiners. e. The governing body of the city or county may establish a fee to be paid by any person who requests the building department of the city or county to duplicate the official copy of any plans pursuant to this section, in an amount which it determines is reasonably necessary to cover the costs of the building department pursuant to this section. f. The certified, licensed, or registered professional's refusal to permit the duplication of the plans is unreasonable if, upon request from the building department, the professional does either of the following: 1. Fails to respond to the local building department within 30 days of receipt by the professional of the request. However, if the building department determines that professional is unavailable to respond within 30 days of receipt of the request due to serious illness, travel, or other extenuating circumstances, the time period shall be extended by the building department to allow the professional adequate time to respond, as determined to be appropriate to the individual circumstance, but not to exceed 60 days. 2. Refuses to give his or her permission for the duplication of the plans after receiving the signed affidavit and registered letter specified in subdivisions (c) and (d). 19852 Fees; limitations The governing body of a county or city, including a charter city, may prescribe such fees as will pay the expenses incurred by the building department of such city or county in maintaining the official copy of the plans of buildings for which it has issued a building permit, but the fees shall not exceed the amount reasonably required by the building department in maintaining the official copy of the plans of the buildings for which it has issued a building permit. The fees shall be imposed pursuant to Section 66016 of the Government Code. 19853 Exclusion of banks, financial institutions or public utilities This chapter shall not apply to any building containing a bank, other financial institution, or public utility. nm. a -4641 ,y 61. Ext. 67 s i `o !of notifyCounty Ordinance thhisceOffi dl' atQat the ,gyp _ A�lt!Sy � . ���pertaining to this y 'n c� $ist et�'tbe ah e .• f a �H: +. �h�ra�r7 �g'Y'L, Ofilce. immediately. } f�; 11 ase,snoufy` 14 ` { rorVzl9%;Ympleted., _ i tnattec,*koro ti�ec��. u � � nes Please Foa>Ea-jt., iL { g i!,'a it + f r ° �O 4 ...... . k ;lh try G�h'`1•T \��I ^ t �„ t µMiit��'N. +t p_ -;a;."* ii^f) lu'a iC�3+� 1, .y.•r'J.!' T C� C _ :VJ..'1 r..<r.''3yv ��y, { ^° p�`l• 1.. A}.�vit} Al•9F/`i ,vr!F.. / i..,l/� �f' ;';�reh r, .e.� .., , � i.i F,:r .Y • f�G � y, �`��f�t���5, ��'r'.�.���`-s'{,t�i,• •• • ...... :.:.. ..p;f� a F�r;y.. .. _ - :jbfY11 :`f�:,{i•�'� ii=tt�... •�% ��1+��,�, r�'t, .+it��,,p F�?,�t J'f..i,.. �� � {'p•.a,r f�. ' _ _ • - �'!•_�t�" .' 4 ^l 9i w�j '�.` �'r y4Fy 11 �•`,'d 'ni'!! �/r, ,/!• • ham,:, , ;., .x. ;iiy.�t .�i;. _ « ;,� c • e �. h :��,: ` sr�j'!} l �ii� t . i ) �" ;�, �' q • t\ µ}d�Y, . 1 dTY�. is � ;. Z �, ' @ i �`�•�+ ,%7vlC ,!./ , ,i ,c rr,+ Y��S" I yi-�' . � ! 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X „� 1 Y �* ��� r, c y; �?•l/ � ,a. % nrS', � S*�C+R✓'ilst t .•. +° ti F ✓ rj a Y 1 * -i• ,�,,•'3=P_�?�i�*^4-�"� �� .14.E .r-�%8tiec�r• one:' a-:872 I ice ice* tt;��g r. Zi. gr go V QV '41nkl�'-'A MR; 52 .01 -PA X1 I A� Pl 71 4 Ik 51 . • -4541 i 961. Ext. 57 p CE t ,rs of County Ordinance tttwa �Rttoa. ate 4e,�. 'ase notify this office following olauons o Goun+' r^ir, stlon pertaining to this Drdtnan xts at,�the ,�ahooe .Jls office immediately. +dcwund, hould a corrected: a leas ewnou office when ,cortecuon of ahaa t � anY ro .work is ;coin 'le'te 9uest-Ionettalnin oto thrsI matter do r additional: eaplanatton, }please comtact, this office ? ' �lmmedtately`C`"r' , yri��r4s4 x* w l y Q� Q ' �r�� `4,M; M 7`�� F'..F. 'ta 'fix. ��n 4%4 ti`�`7 �t�'� r<�` � { �� / .✓fL " v 10, /i + a$i�-�" ,gry�.�'>r.'�+�Ft$ •3"l' r'i' L'r h � , +- , a ' �, a�, . �� r�� ��1�•n q� ��' > ixi•rP�'�: L "2���f '� �^?�t�t '� <o. �,i* i•//1 fil/ • / ��{ f (fr..fR.��,so._.! ll►�,���' Y.�/,y'/7•r �'r"���/G r.;.,,+'?k � .i�r�'{T;4? �I f' EEL AP'^vc^ f . S '•fiir !:'L t!.(� .I KfcR ! ; ;A- 7.;, " �lt �'�Y+<t•'f�. if +L `t' �' ;r.,' 3-.FVGY Y ky'/ "*.T t/fit" 1F! >Kd K �. ��%`'YF}rj yT�;• 4.�iaj ' r' /,r / j / Ti... '�` r',. .c�r`J- i �""Xt��r 1 i -+-t n• ) . Y t�IC �[ + ted` �..'n !r fir•')' R� ..v� E Da nspector �r ; • t .ate ?: -%Y "'},'. +" :4t7 F 5-' '.. y,yr,� �ti T [ . . Remove Thls Tak "` r r rte•' u �� w - 4 19 /�vu r CA 4/'/sZ�Uf C� f rt' rr K i Ole 4x cq/; 'ooro i ' ;Inspector % ''moi Date / r �BU11`DING`.DMSI6Nl r .NT OF;DEVELOPMENT E MdES T,00ldt fload, Chico, CA - (9161 8-I 751 ' +' -; /enter Drive Oroville CA - - (914638 X7541 "�-4 :1 - Se,..0 - _ _-� f ,? .COUNTY OF BUTTE r� DEPARTMENT OF PUBLIC WORKS 196 Memorial W 7 Count ay, Chico – Phone: 891j1 County Center.Drive, Oroville– phone Skyway and Elliott Road., Paradise -- Phone: .�_.. 872 �iZL957 ,_�ORREC?1011U 140��kt L .?ROPERTY ADO - rOUi�n@ I Bp�Ctl.'r S ,.�,. e Indicates thatthe'?followinviola r statAll e �pove addressRand should 9 tl ire�MI a rl en _•:,�4 be corrected.: h comectlon+4f wor 43 -co, pleted`"�Ifyou have an �tnatte%`o needladditlonal aXp y y'QYe y lenatlon, xplease conte1E v Elm } - _ �' J �+"'s ;�`r+'�.c t' , -•� t..wy�i kms-: i �`,���•�'`��' ��� p '� 7��' r'� �~'��i.o��'i 'fir ,�.,, !- ... ':s.+� i✓ �.+4 >, _�. �L tip, i,., ._ �. .-max � e ;� � � f 5p 74TE:IE PUBLIC' wol none: r v nt 17, It! P one:.f —'Q15 NO 0 that W lOwI94, 09faut Violet fit a Zvv% bbvg Whit a— hd� "7h —u djW - ddrriCted it Wd &'wo=N� t'i6mPtited'-jf,-yOjq tt _have,any'A' 02 lanatl6dw- -w dltlWg[47@x contact"* �7pFit, -.Plwuve. M., oil, JL W P, I f. j i, �1TTEy 1CWORgi s �- � .,,4 � � � *a•.F�� one ,gg1 "' �W shat f lo>wa+ { 9vtoM=t(bove r�wr - Y�'brdinance { w k 'wc t sbt tsmp ed At You,h, y � �ifed 7hddltlonaxplanatlon If "' In7�thls s ? p easetconta �« ,r ctY: t r� `',. ^.s...i's�.�,-v7... i�.Gst�s•NfF�} '� �'}� `�` �- '.{�.� Y+'. -a.:. yr ., -._ r.• - �' � .9 _ •Z `� �+. _fir`` �� S '•M�`-, �, ,p.. •5,,� •`} Nor-7`�{G:;• ���'��}•. /;'' X '� .1.:� J�'7j`y_,Y�{�,,�r ».� n. -�.,.y� �1ay,.�,�r is : - ,. .+ -I r" F,/�''a,v°"', :tib,;, t+•"'.-t...,vx..... ' ,�'• . ,4} - ^ i. a -71 Ar a •vilFj e.0 � ••vsyox� v A� �� �,,'..4�y���..r�+, w:+k t]4.ns5�5•r„f.°�' �1'�- 'i.HV' L:��,�.!!.r���r�.��,, LL "_ �;��,�f *��> �� � � . �. 'n t.., �b"'i: S s'V•'ja:. ��� '�h,.r ..,.yq,.��wr7.�4-. r.:Fr 7�. ., ��-y. bv'=�v 1y � 'y �,. ,y � � �. .. �•;.:: t+., m fir_ + f ; '" _-. M� � t.'y y��' �_ �r.--'""'+'!'v'.t,•.�`t hw�•,.. t`3...� r+„v�,r•w.,,t; _. •a+ . ti r,.F, a' �.. x. - Jt¢ � [ � 1 gip...,......•.. .��,e.-�..,.......— ,. ' '-'�".^�" ,. ""^'"•.-.^'''.�-..yle�-�.Gs_. �' �- �' sem. � i .. --•.., � -- D.n •.naw5 � S4r 7aid'Yc-i .� s? ti_ _ �✓. : �_ jj +���-� r"" �� r�Ln`•it%!• r�.,r -s� 'R'4'r s '•'1 ( ., - ' ' .».�... ."''" ,rc a •ay.•-,.•yy..�.. ..-v,. •�!i .�1, v�r�w w M.. •�'G ••A4�aF �'�u, ���N'�r�S.'ipl A�iiN � - G T.}j ti-' � - S � a qky-,i.� y,N,isrv� r�v,F k � L4 tis-.«:�:._ �',:,..s' tx` •y f ,y. • � ��'�' i j(4-.;,'"+ ::xy .:r'" M..;y.."�}.,''tt'•ee'+a :7 ".7""""+.sr^.. _ rti �;'+ y 3" - / • . IJl CtOf 'X m Da v6. +w•L'iF�n=:'}��.. - ..._ - - s x '� �"�$ �.{ '�f� � �' Y� ' 1 ���R � t, 1 _ " - , r, \� I b 3 3 � �'.�c.- �� � .� 4� i ' COUINTY.OF BUTTE 'BUILDING•DIVISION °NT,OF DEVEL OPiE jcoldt Road, Chico, CA _ --- _—. . f1t@f'nf11/@,��fOV COUNTY OF BUTTE 1 � BUILDING DIVISION VICES ' DEPARTAAENTrOF_DEVELOPME ,7 "1469 Humboldt'RoadreKco, CA (91 - Orovillei CA : '30741 7 County'Center dnve, K �74TEIliott Paradise, CA s i'R fid,-`-•,-dE • .r 4 K-. n - J � 1 t#7' S .T i'i+ .,., �;.,'!r�- �`1 .r.4'R � 1 R -;C �' �3t• 4;, RECTION r a RMIT NOta' t�OWNER+. �1 rN4 3srz`�v�4+c4� #yArdinonooaaxiot�t;� t r�"-Y€ offa • tsv routine inoPoction indicetea that the following violeuana of ut�e i 0q, k the .above address end should be collects Hing to thiame r�ar.� is completed 1f You hevo any 4 Chia offico:immedietolyw.� w,;r� •�s� ^�>, •ploeoo�tontect � "Q .or + '�.� tom. -,�1, ..,.;. �.� �. �.`sTJ�•J+'zi �,r - ..// - f J�74 ..-,r y3-'*nf•�v r.s{`�•; ;'x•73 " .J. '�„� . la,'- " ~y V---=--^..�- :, "' 4si: V yp if - _ � 7K It9`. ..srt•'"�'• slSrr. .• �,. _ � �K• M VI d� � ��,J`4.z:tJY1`:,�v'��1Y ►'C^h ?S v"PL +i � 5 � ��'�" � S ' may-. 1 • �R �� !, Cr f.� �-y'kt[�2 sC`''1'�.h4t`1.F�,,,. ' . - .t• Tr-,� �' ��.. .c_�s !-,•'�R-�v' � r�'"a;fr i-� !Y�v.-.iT �^. 9 a s �' --,Cat„' yn' - _. �'�Sj� Y4 � . x�fa t i � i r r�'�'Ft "C.r � �3 i' .. "• � { s 'Y--"�._" - #a ,r�°'tq.+�y�. yam.,+ � . _` (�-. �-' y.-. yr`•.L'a 1�' i s� t•, 7,7 71 s_ y �,>R..-ti �F° �i � � � x •� rw, � . c s n, F { Y-dx ; � r— "" — +r� st - � � i�rr > � 'v '+ .�.�.pm.orais ,�;. •*/ ^,x+h71:. d "Y.4' x r rJ, 9f ,Jj r tJ p� �f'+' Y � rM:o � � �: N 511;c . ..` . � ,ra ''if•+ 5 f _ .� i" x�' '.n.., *W"'i+�t^^i zr,,. YS•Y- r"..s:. �} y . tr.° 1 Pp� �• � !+�! .....:`� �. �) ➢ f � �. r tiG - Q ��.�;` ---,fit,. +,^ ; L t\" ' Inspector �, u Date a� � =^��,� ��,�..,•�,`�+�,' � � � . l.rt -. v_; � t" r -� r'w'i is. Y� 4 d4+". •y� "� .4. ] 4+ t , :r r : �+. �..� r a.' J -'y- .'�k"'tfy s �. �s �+�l'[rn.• ' =OK = Not OK =N0•a2A-apli6abf6 RESIDENTIAL (Single & Duplex) = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s _ 1. Zoning -Setbacks -Easements -Flood -Slope _ 2. Ftg., Main; Soils-Elec. Grnd :/ /' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks: Soils -Steel-/ /Ftg. Depth 5. Stemwalis, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Be. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test - 12. Electric; Underground 13.- Plenums & Ducts; Clearance -Materiel -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nall 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/Initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection . 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Ught 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'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/Initials FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initlals FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 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 Protectlon 54. plywood on Roof 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 Wells; Nailing -Bolts 59. Insu lation-Wal to-Ceill ngs 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 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 -Meeh. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. 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 ❑ Yea 80. Following instld.; Drive Cl Yes ❑ No; Walks ❑ Yes D No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof: Plbg: Appliance -Fireplace: 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. Corrections 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 :omments at Final: For ))Yt Urgent Date Time While ou Wee Qut M Of Phone} AREA CODE NUMBER EXTENSION Telephoned ❑ Please Call Came To See You ❑ Will Call Again ❑ Returned Your Call ❑ Wants To See You ❑ Message Signed 9711 r" ADAMS BUSINESS FORMS 1� .1kr. 1�