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063-240-062
V w doo, w -a . V Irl 063=24 0-062 92- 51 TRAVEL TRAILER W/O PERMITS 63-24-62 .952-1377P,e QUIGLEY.,.Tom ' Rte' 5/20/93 _,,L 12685 All Seasons .Dr, Forest"Ranch / ���� QUIGLEY, Tom %� /`� g_j__ mnt; on Permit } 2785 All Season Dr Forest Ra h ' �hay, .grain, equipment s f�`lJ� travel trailer,.utlities s 063-24-0-062 93-.1476 P,E u6s-� Iu-c►�2 ,QUIGLEY, TOM VANCEVELDF, EIENNIE 12SEASONS_��;,FO� .--S. TRAN✓CH785A LSEASONS DR; _.R UTILITIERANCHENVIRONMENTAL TtAVEL-TRAILE.1 .1ki'A- l Cont: OWNER HEALTH GAS- � �� ONL. 'I':M E TO.FINAL . DATE Z --0 3 COMPACTION, TEST, REQ SUPPORT STRUCT REQ 063-240-062 _ 063 240 062 x p —� f'Al QUIGLEY; TOi7 DeedRestrlction'fgr BP#02 1363 L" 12788 ALL SEASONS DR., FOREST RAV `� H L fOT,WOrkshQpr ELE POLE. FOR FUTURE LOT DEVELOPMENT w., -- --- -- - – - _ -. - — � •� ` ^'. 063-240=062 94-0070B,P,EJ1 QUIGLEY., THOMAS 12785 ALL 'SEASONS ,DR-. FOREST_ .RANCH NEW .SINGLE FAMILY 063-240-062 PERMIT#94-1407BP M POOL, MICHAEL 3�f� / 4 12785 ALL SEASONS DR., FOREST RANCH TRANSFER BP#94-0070 FROM THOMAS QUIGLEY 063-240-062 2-3521 VAN DE VELD, HENNIE & BARBA 'aux s 5QW4 SEASONS V I*r FO RANCH 1711 CONT: LARRY WRIGHT NEW SINGLE FAMILY 063-240-062 03-1363 VAN DEL VELDE, HENNIE 12185 ALL SEASONS, FORE ' .CONVERT LIVING TO SHO d.. J Ak�l 063-240-062 - - 12785 ALL SEASONS DR., FOREST RANCH NEW SINGLE FAMILY V=OK O = Not OK - = Not Applicable = Not Ready Date/Initials UNC Main; Soils-Elec. Grnd.-/ P' RESIDENTIAL (Single & buplex) / ' 1 4. Ftg-Porches &Decks; Soils -Steel-/ /Ftg. Depth tills, Main; Steel-Blockouts-Wrapped 6a. Wd Downs and Special Anchors lab; St -W d ff .;.i 8. Piers -Fire a Ftg.-Steel 9. D. .; Fall -Fitting- -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Teat Electric; Underground //- j —1 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING Permit OK except #'s Water Htr.; Vent -Access -Combustion Air -Baffle 1 Water Pipe; Test & Anchor -Nail Protection 1 .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 E CTRICAL 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 Installed Close to Ground made un � LiQT2 Appliance Circuts in Kitchen & Conductor Size/GFI bfeed Wire Size/ / ga. Cu or AI-A.C. Wire Size/ / ga. Cu or Al- �". inge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 3 ervice-Riser Conductors & Grou -Main Disconnect l.-�I. EgylprClearances Panels -Motors -Mach: Equip. at 9_ C Closet Light -Shower Light -Spa Light t/39- Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A�%bucts 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 FRA G Plans OK except #'s WSIWIPropfir Mgafial & Anckorf 4 St - ailing, Spacing & Bra"—Plates—sound 4XAearing Wells over Girders & Floor Nailing . Draft Stop in Wells (ret proof) #-43. Fire Str Furred Ceilings—irs-Chases-Tub 44. Heacrers & Beam-Siko4riearing Date/Initials FRAMING (Continued) , Hangers -Post Caps -Anchors -Connectors „ /4"t g oast-Rftr. ties -Purling root Brec-Tr-Shthno.-Rfna. -48Att cress; Size & Romex Protection -Draft Stop -Ins. Baffles L,4976drm. Windows or Exiting Doors -Sill Hgt. & Dimensions �Fire Protection Framing Lope ine Firewall & Openings xt. Dooa 3' -Check Garage -3rd Story, 2 Exits oukmr-'Readroom-Rise-Run-Landing-Fire Protection } 5_4,fd5wood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding-Neilina Veneer Mesh -Drip Screed -Fd. Vents-Underfir. Access Area -Glass Protectlon-Skvliahts-Plastic 9 -Windows Date/Initials Elbk*L (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings moke Detector urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 4. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66.. Elec. Trim & Subpanel; Breaker Sizes & Labels Rails G -68 -Fireplace or Stove; Clearances -Hearth r Outlets at Wood Panel; Int. & Ext. it.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance tLL_Elee.-0u-tlets & Receptacles at Kit. Counter ge Fire Door, Swing -Landing -Closer _ uct in Garage -Damper 'I% . Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. V In Garage; Above Floor -Mach. Protection -X75`'Pib., Elec. & Mach. Equip. Listed for Location �c.Receptacles in Garage; (G.F.I.)-Romex Protection Garage; (G.F.I.)-Romex Protection nsulation-Foam-Looked in Attic ❑ Yes i__Z8-G9a—rgRaiW& Deck Construction -Post Caps n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. F mg,instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Pesters ❑ Yes ❑ No v81Stucco; Brown -Finish t -Disconnect, Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Fireplace: Clearance to Openin Wa�gWlle , Disconnect, Electrical, Plumbing _ Exterior . Trim; G.F.I. Receptacle -Underground --86 Ventilation_lhroughout House X88. Corretions'f-rom Previous Inspections Gas Test -Meters Tagged; Gas -Electric ,_9D,Water- Sewer Connected -C/O to Grade -HD Approval Comments at Final: -7, a. /: --C-/Q n V=OK O = Not OKNot A ` = Not Ready ble MOBILE HOMES' r MISCELLANEOUS Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fell -C/O Concrete r 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete, 6. Gas; Location -Teat -Wrap: / P'Uft. / /"Net. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance ' Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements ' 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector ' 4. Electricity; MH Teat -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 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.; Posts-Beams-Rftrs: Connectors Shthg -Rfg.-Bracing 5. Alum. Awn.; Columns-Connections-Spilce-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mash 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 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main In Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test COUNTY OF BUTTE -,DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV 7 County Center Drive - Oroville, CaliforniW.95965 - Telephone (916) 538- 1 PERMIT NO. APPLICATI01Y,4ND PERMIT ASSESSOR PARCEL NUMBER 063-240-062 ZONING BUILDING PERMIT TM10 OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION MICHAEL POOL OWNER'S MAILING ADDRESS PO BOX 402 FOREST RANCH CA 95942-0402 CONTRACTOR'S NAME TELEPHONE OWNER CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 1 LENDERS MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS PERMIT FEE $12785 ALL SEASONS DRIVE, FOREST RANCH 20.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 i Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 I Each gas water heater or vent 15.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 SF VX Duplex O Mobilehome ❑ Other SPECIFY Mobile Home S G W @20.00 TYPE OF WORK . PERMIT FEE g New ElAddition ❑ Remodel ❑ Utilities 1:1Installation ❑ Otherj Contractor Describework: TRANSFER BE 94-0070 TO NEW OWNER ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 000V OR LESS ) 23.00 2OOA OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLINGO OR ADONS. ( 8 ACC. BLDSCCUP. SD.. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON,RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ( POWER APPARATUS ) a SINGLE OUTLET CIR. 1. Ex. Occup. ( OUTLET OR FIXTURES ) BAS @ 1.60 ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do Ex. Occu FIXED APPWS. OR p' OUTLETS IRESID.I EA. 5.00 ( ) Temporary Service 23.00 Mobile Home Facilities 20.00 the work, and the structure is not intended or offered for sale. (Sec 7044) I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code Misc. Wiring 23.00 forthis reason WORKER'S COMPENSATION INSURANCE PERMIT FEE $ 20.00 Contractor 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a MECHANICAL PERMIT Filing Fee 20.00 Heating ACertificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Cooling Hood 6.50 Ventilation Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ ' Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to Mobile Home Installation Fee $ Energy Inspection Fee $ OCC i CONST. TYPE TOTAL FEE $ enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all HAZ• D. FEES IMP FLOOD CDF PARCEL PD ND ISSUE liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the gr ng this permit. This permit is hereby issued under the applicable provisions XDate S �— 9 T Signature of Appli ant Owner U Contractor ❑ Agent of the Butte County Code and/or Resolutions to do work An OSHA permit is required for excavations over 5"0" deep and demolition or indicated above for which fees have been paid. construction of structures over 3 stories in height. BY ate 5 Receipt No. 162$47 PERMIT EXPIRES ON 95 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT [Da tel i �r90-o-,rz s-vdu�a"^'� �JJp 58LCr � COUNTY. OF BUTTE Department of-Deyelopment Services Building Division Orovilie: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 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 planto 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 construction: Name Address City'. Phone Contractor's License No. .4. I plan to provide portions . of this work, but 1, have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5.1 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 .S d 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.. Date Inspector rf REV 10/92 COUNTY OF BUTTE 's BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES . F 1469 Humboldt Road, Chico, CA - (916) 89.1-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE poo) -f OWNER PERMIT NO. P A routine inspection indicates that the following violations of Butte County Ordinances exist at s:( 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, of need additional explanation, " please contact this office immediately. Y !�v �L Z��� Date Inspector rf REV 10/92 COUNTY OF BUTTE " BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 4 CORRECTION NOTICE ql-/- L() PERMIT NO. A routine knpection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is conpleted.lfyou have any questions pertaining to this matter, or need additional explanation, plecontact this office immediately. ' ��C. /1 n n ��"��> fir!/ ���_�! ■ ►t lar_ ������ • � :. 11 � is _ � � i .�• Date Inspector REV low Insulation Certificate , 01 BUILDING OWNER: BUILDING PERMIT # BUILDING LOCATION: I Description of Installation ROOF Material Thickness (inches) Brand Name Thermal Resistance (R -Value) CEILING -Batt or Blanket Type Brand NameL. Thickness (inches) . Thermal Resistance (R -Value) Loose Fill Type Brand Name Contractor's minimudi installed weight/ft lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL Brand Name � l tel/ Material - - % . � � - Thickness (inches) Thermal Resistance (R -Value) /% . I — RAISED FLOOR Material Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) FOUNDATION WALL Material Brand Name Thickness (inches) Thermal Resistance (R-Vaiue) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. Generai Cuntramor (Buiider) License Number ` Signature an "e Dace Sub-C.unaac (Insulationlnscailer) License Number, ;A' ':;fro 0 o 3 '6 — T --C . Signature and Title Date THIS CERTIFICA`PE MUST BE PROVIDED TO T`HE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN 'IZiE .BUILDING. JANUARY 1993' ti•; r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT o IL on 2 o ASSESSOR PARCEL NUMBER 061-940-069 ZONING TM -10 BUILDING PERMIT OWNER THOMAS UIGLEY TELEPHONE p WON, �qO SO. FT. OCC. BUILDING VALUATION 660 R 33 79_. OWNER'S MAILING ADDRESS P.O. BOX 723 FOREST RANCH CA 959542 CONTRACTOR'S NAME 014NER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 1 500. CONSTRUCTION LENDER UNKNOWN Total Valuation $ 35,292. Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 323.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 210.30 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty ', j $ BUILDING ADDRESS\ 12785 ALL SEASONS D PERMIT FEE $ 576.80 PLUMBING PERMIT Filing Fee 1 20.00 Each Trap 4 7,00 128.00 Solar or heat pump water heater 23.00 Water piping 15,00 15.00 LOT NO. SUBDIVISION'S NAME pqp Each gas water heater or vent 15.00 15-00 USE OF STRUCTURE SFX] Duplex ❑ Mobilehome (3 Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15-00 Mobile Home S G W 20'00 TYPE OF WORK New R Addition ❑ Remodel ❑ Utilities ❑ Installation O Other O Describe Work: PERMIT FEE 108.00 $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 260 0V OR LESS ) 23.00 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW OR ADDNS T. ( D 8, ACCGBLDS. ) 3.50 FT.- 23.10 CONTRACTORS LICENSE LAW declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and ofessions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. 20 @ 1.000 Ex. Occup. ( OUTLET OR FIXTURES ) BAL. 0 Ex. Occu FIXED APPLNS. OR p (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Ilding Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not.employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 6-50 Ventilation PERMIT FEE $ 90 —96 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes.V 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 ;,conseq u of the granti of this permit. _ at .� Signature of App nt er ❑ ontractor ❑Agent An OSHA permit is require fore avations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ x5a 4r, nn T PE V TOTAL FEE $ HAZ• I D. FEES IMP FLOG c=F PARCEL Po `���`�.� HD UE This permit is hereby issued under the applicable provisions of the Butte Count Code and/or Resolutions to do work indi a ab a for which fees have been paid. TOR OF PUBLIC WORKS B °` Date PERMIT EXPIRES ON �G (Date Receipt No. 153663 WHITE-D.D.S.-9.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER/ry / ` O L////�//1 w/ ZONING ,/' / BUILDING PERMIT OWNER r TELEPHONE SQ. OCC. BUILDING VALUATION OWNER'S V•� CON TRAC rU R'S N TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace O O CONSTRUCTION LENDER UNKNOWN Total Valuation $ 3S 2 v LENDER'S MAIUNG ADDRESS Filing Fee G • (9c) $ 20.00 Permit Fee _37-3-50 $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee A ( -3O $ Energy Plan Checking Fee .23 $ % ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILOIriG ADDRESS G % % 7�� G// G r s7b- PERMIT FEE $ 0te 5 PLUMBING PERMIT Filing Fe -e -T 20.00 Each Trap 7.00 f8, CxP- Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 15— 5— USE OF STRUCTURE USE SFJ Ips Duplex ❑ Mobilehome ❑ Other (/ SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New Addition ❑ C�Remodel O Utilities ❑ Installation O Other O Describe Work:y--P�Q49r'�n PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( "OR LESS ) 200A OR LESS 01> 23.00 Main Service ( 200A TO IODDA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONIS. ( & ACC. OLOS. ) 3.SC SO f l'� FT.. o CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed underrovisions of Chapter 9, Division 3 of the Business and p p Professions Code and my license is in full force and effect. License No. Classification O 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.REslo. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 1@ .50 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ - D Contractor MECHANICAL MIT Filing Fee 20.00 Heating . Cooling Hood 6.50 -50 Ventilation PERMIT FEE $• 5-0 Contractor I certify that 1 have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of B tte against all liabilities, judgments, costs, and expenses which may in any way acc a agai st said County in consequence of the granting of this permit. X Date I ! I C% Signature of Applicant - ❑ Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and d olition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Q OCC CONST. TYPE TOTAL FEE $ U �� HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ON /Deft/ Receipt No.✓(r/ WHITE-D.O.S.-9.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT E.H. USE ONLY Floor 1'I:m Auach d Scnt to TO: Building Department "' r FROM: Environmental• Health SUBJECT: Sanitation Clearance 2 7M3 O ner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for J_ bedroom I home. Other Hold final for: Final clearance 0. K. for: ` NOTE: Environmental Health Specialist Date . S/92 I�i�'`6"res.,.i%�'i�i�`'�.i�$+Y#�`+%''*+T+.-�•-r.'�`""*Tn�"7f-+,rTMC,yr->-�---k rs••-,••76'�'"�;,"-'-`v,y}�.""1.Y'C "�'1-'W",�",;,, t�''"^n•.t`� COUNTYOFBUTTE - DEPARTMENTOFDEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER c 165k A. P. No. d ti3 - Z -yo - Dti 2 - Proposed Buil ing Use 1 - moo Building Inspector Date / c� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: fl DATE RECEIVED BY 1, All items have been submitted . ...................... V3Plot plans, 3/4 sets, signed by preparer of plans. ... �J'L�. 0. . _ Complete plans, 3/4 sets, signed by preparer of plans. .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ........................................... . 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... . 1. Fees f$ ............................... Y-11 .... 1. Impact fees as shown on attached schedule. ........ ... .............. . 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engi eer. . ................. . 14. Sanitation and plot plan approval i ,o Health Department. ........... . 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . I,Inspedion request 20. Pre -inspection for required. . to Building Inspector. (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _)............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. G 4 25. Letter of signature authorization . ................................. 0 ...... 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 y . issue the permit, process as follows: • Mail to owner. Mail to contractor. ✓ Telephone III?- /c,;9r9 and hold for pickup at _CD eoc„t jtga office. Deliver with inspector. Other Parcel Creation Acreage Appliq, l-, Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution l3late % Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to perm' (Circle 1. Index permit for above items No. 2. Additional items required: i 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 _/ /f Plans approved by 04 Date /raj Sets of plans on hold in File cabinet AP folder Copy - Department of Public Worics COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER Ulan'// A. P. # PROPOSED BUILDING USE — �--- DATE l o REC. # DATE REC 1'. SCHOOL DISTRICT FEES (paid at District Office) ......................... �7 SHERIFF yFEES (paid at Building Department) Residential...... x unit amt. .. � Commercial (sgft) x _$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential -(per unit) x _$ # units amt. Commercial (per sq.ft) x _$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) .......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division):.............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00 (paid at Building Department) 7. OTHER t 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE .COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,' Oroviile, 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;,,Pe issued until this verification is received. I personally plan 'to. provide .the major labor and' -,m. terials for -construction of the proposed property improvement (yes or no)',j 2. I (have/have not) signed an a plication for a building permit. for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone " .Contractors License No. 4: I plan to provide* portions iof this work, but' I have hired' the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors'License Nd'. S. I will provide some of the work,but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work .. -- Signed: P perty Owner ocial Security Number 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 per- mitted to issue the permit., Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Building Division -FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 -of the Butte County Code requires . this acknowledgement be recorded prior to issuance of a building,, permit. 94-0040501 Red Fee 6.00 The property described herein is adjacent to land or included I Cash 6.00 within an area zoned for agricultural purposes, and residents Recorded I of 'this property may be subject to inconveniences or Official Records I discomfort arising from the use of agricultural chemicals, County of I including, but not limited to herbicides, pesticides, and Butte I fertilizers; and from the pursuit of agricultural operations Candace J. Grubbs I including, but not limited to cultivation, plowing, spraying, Recorder I pruning, and harvesting which occasionally generate 9:07am 26 -Jan -94 I PUBL XX 1 dust,smoke, noise, and odor. Butte County has established agricultural 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- C? ollows:o C° ,' Date: State of California ) . County of - SV- rC ) PROPERTY OWNERS: 7 v On 1 -LS -94 beforeme, Wtl_L1r4IMS-LArA9CRT personally appeared S� person proved to me on the basis of satisfactory evidence)' to be the person(s) whose name(s) islam subscribed to the within instrument and acknowledged to me that hefshe/they ' executed the same in hisAteritheir authorized capacity(ies), and that by his/tier-/heir signature(s) on the instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal.uuuunnutwturnutnnuournouutnunnniouuuuul,. iMi I OFFICIAL SEAL _ 873628 11lt ,� _ w•� N m- WILLIAM J. LAMBERT Signature Jl �M Ste: NOTARY PUBLIC - CALIFORNIA 4; COUNTY OR BUTTE :My Commission Expires Sept. 20, 1886 - A.P. # s; �unauuraminrutuanuumitrunuuniru:�uu:ru:f RESIDENTIAL PLAN CHECKING GUIDE �S.F.,- DUPLEX & MISC. ONLY) 8/91 Bldg. Permit # OWNER A.P. # 63 - W7, Plan Checker �� _ /" C,F.NF.RAT. VItoning requirements: (sideyards and number of permitted living units). Valuation. Tans signed by designer. Proper description of work on application. Existing violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PT.nT PLAN 1. Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb- ustible, and foundations). FAU & FA+S21road.�'set-back,. , rBuilding or utilities across�lo A ln`es+(Record form). FLOOR PLAN, Complete to scale plan with dimensions. Required windows for light and.ventilation .(Seca equired windows for second exit (Sec. 1204).�.w�i -� Skylights (Chapter 34 & Sec. 5207).'' man impact glass (Sec. 5406)., Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior._,ou{tyets (Aet ele 210-8): Light fixtures, switches, receptacles, and exterior receptacles for main- enance of mech_ana e uipment. Locations o dater heater, heat ^^ ^ a ^ "-- - �µ -�, other electrical or gas equipment. Garage firewall, door size, and closer (Sec. 503(d)(3)). 3'O exterior exit door (sec. 3304 (f). replace and wood stove location, alcoves, and clearance. oke detectors (Sec. 1210). E.�Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. loor construction details complete enough to construct building. levations and wall construction details complete enough to construct Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. "Rafter ties or bearing ridge beam. 7Garage door or porch header sizes. stud heights. Adobe soils - special foundation design. Retaining walls requiring design. - Special Inspection required. building RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR 8/91 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT ti _ No. Sts? .;�>tateof raIifc)rnia County of Butte On _ -� before me, Patsy L. Carter, Notary Public DATE A I NAME, TITLE OF OFFICER - E.G., 'JANE DOE, NOTARY PUBLIC' personally appeared ❑ personally known to me - OR -proved to me on the basis of satisfactory evidence to be the person( -T) whose name(,&) is/ate subscribed to the within instrument and ac- knowledged to me that he/&4eAbt-y executed the same in hisAie'r/•t-h-eir authorized capacity(is), and that by hisJftk,eir `tr PATSVLCAMM signatures) on the instrument the person(s�, or the entity upon behalf of which the �. WOW BtmEcOMAY 17.1096 COMM person(,s� acted, executed the instrument. wA►.,�.. s VJITNES • hand and official seal. i SIS ATURE OF NOTARY � _ -. - (1nTlll ll Al nrnTini -- ,ECTION CAPACITY CLAIMED BY SIGNER Though statute does not require the Notary to till in the data below, doing so may prove ii ivaluable to persons relying on the document INDIVIDUAL ❑ CORPORATE OFFICER(S) nTLE(s) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: dstAty,= OF PERSON(S) o ENn v�tEs) i L> T - 93 29612 ; tura to D)'W AGRICULTURAL STATEMFrNT OF ACKNOWLEDGEr`2ENT FOR RESIDENTIAL DEVELOPMENT Section .26-8.1 of -the. Butte County Code requires this acknowledgement be recorded prior to . issuance of . a building permit. The property described herein is adjacent 9 3-029 612I I Rec Fee 8.00 to land or included within an area zoned. I Cash 8.00 for agriculturalpurposes, and residents) Recorded I COUNTY OF BUTTE of this property may be subject to incon-, Official Records I BUILDING DEPT veniences or discomfort. arising from the County of I , use of agricultural chemicals, including, Butte I J U L 2 3 1993 but not .limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers.; and from the pursuit f Recorder. I of - agricultural operations including, 8:01am 14 -Jul -93 I PUBL JJ 2 but not limited- to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and 'odor. Butte County has established agricul- tural zones which have as a priority .use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that*real.property situate in the County of. Butte, State of California., described as follows: G Date: 3 State of 4-- - : ) SS. County of*-, ) .PROPERTY OWNERS - On this the -. - day of .. - . , 19 undersigned Notary Public, personally appeared , biBfore me, t're �] Personally known to me. Proved to me on the basis of satisfactory evidence. to be.the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same for the purposes therein.contained.. IN WITNESS WHEREOF, I hereunto set my'hand"and official seal. .. • t Psent A.P. No':"r Notary Public f , All that certain real property situate in the. 'County of Butte, State of California, described as follows: , A portion of Section !!,,Township 22 North, Range 4 East, M.D.B. & M.,' described. as follows: Parcel 2, as shown on�that certain Parcel i.:ap-recorded in the office of the`Recorder of the County of Butte, State of California, on November 13, 1975,�in �bok 53 of Parcel Paps, at page 96. � p TOGE"'IIM 'AIITIH an easement for -road purposes, as sho-,in on that certain Parcel ?.ap recorded P'ovemer 13, .1975°in -the _ofi ice_ of the Recorder Of "tfi'te 'ot Cali.f'drn a,, in 'Eook' 3 of Parcel ''!aps , a.t page 96. u5 �vl! used L'OL4 ' •� ot��ers =for .road purposes ' and public utilitypurposesover a strip of land 60.00 feet in -W` dth, lying 30.00 feet or, each side of a centerline descri';:ed,as - follo.rs COT::EI�:CING. at. the `nest quarter corner of said Section 112 Township 22' 'North, Range 4 East, M.D.B. & M; thence along the ';,rest line of saic ^e'ction Louth 000 59' 15" ',gest, 664.53 feet.•, thence North 820 15' 28" blest, �. v�.. i cE3 �'O"' a point on she C :'iitc?')-1)_ne Of ti7c �viicow �ioad, -said poi .' t being the'true point of beginning for the easement herein de'scribed.;,thence leaving said true point of beginning along the certerlinec'of said "60,,00 - foot easement, South 823 �5' . 28" Jast, 449.8'5 feet; thence South 8g0 321 13" Last, 2639.15 feet to a point on the T'orth and South centerline of said ;Section 3_1; thence continuing along said road. centerline and also. along the said D1or ,h and South centerline; of said Section, South 003 181 15" 'gest, 328.30 feet;thence South 890 37' 39" East 1295.92 feet to the end -of said easement. ..:.. .. CO IND ' `4,' END OF DOCUMENT. 0 Eft! OF DDCUMNT C'YF*� a�^"'++•^'7;r�'ryw��*�.—^4!"'lwi.�sw�ii,�•'�"�r$�y��` _ "S:i�'�=�r� ^�i..�1��"L�,K',...;•.4c-r- BUTTE COUNTY,SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School DistricBuilding Department No. A.P. Number (J63 -111p Gd2' Jurisdiction 0 City County Property Owner Property Location/Address`17 Subdivison Lot No. Residential DevelopmentL 0 Sq. Footage leo No. of Living MHI Addition (Gr&6p R)' Units Commercial/Industrial 0 ' Sq. Footage New Addition (including Exterior x Roofed Areas) ` i D Building Department Representative Date / (Floor Plans reviewed by School District Personnel) District Identification No. 90,R 57 School District certifies that (Street Address).-'- (City) ddress) '- (City) has complied with the requirements of Resolution No. representing square feet. School District Representative (State) 4 (Applicant) CJ (Phone Nu (Zip Code) by payment of $ Date Paid by Check Number Remarks: aid by Cash �-� If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.I. r r White (applicant), Yellow (building department), Pink (school district) 1. feeform.wkt (4/92) - i NOTES t T RESIDENTIAL 063-240-061 ,:,1 � 2-3521 - PERMIT NO. IVA D VELD, HENNIE & BARBARA A� , SEASONS WAY, FOREST j PIec c l Cc. C�c� .� �� i CONT: LARRY WRIGHT i NEW SINGLE FAMILY FICE COPY • ;� . Adess 42 a bAS a Date— Meter By— ELECTRIC y ELECTRIC Date• 'F Meter By SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY -USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER -JOB FINALED (Date) Z f Signature J=OK 0 = Not OK = Not Applicable . = Not Ready Date FA RESIDENTIAL (Single & Duplex) OK except #'s BJF ; Soils-Elec. Grnd.-/ /" Ftg. Depth Ga ge; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 14- Ft o hes &Decks; Soils -Steel-/ /" Ftg. Depth .i . 5. t w-nlfs!Main; Steel-Blockouts-Wrapped ft5. Hol wns an5.§225na Anchors lab rapped - ire lace Ftg.-Steel �W.V; Fall -Fitting -Test -2 Way C/O -Sewer Test f, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test.=; Ul'Water Pipe; Test -Anchors -Regulator -Service Test ttl�ctric Underground Plenums & Ducts; Clearance- Material-Support=Ins., 1 Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation •:16. Insulation Date Card B-1 Date Card B-1 -Date _ Card B-1 , ... Date Card B-1 Date:- PLU G (Permit) OK except#'s r Htr.; Vent -Access -Combustion Air Baffle'_ gKize Boxes•& No. of Conductors Stapled 7 omex Installed Close to Edge of Studs & C.J. 7S E2ip. Ground made up w/Mech Fasteners -Bond Gas & Water ::-20"2- 2 Appliance Circuits in Kitchen & Conductor Size GO "'- eed Wire Size/ / . u or AI-A.C. Wire Size/ /ga Cu or Al W. Range Circle — Cu r AI -Oven Circ. / /ga Cu or Al In ulated Neutral , O Yes . O No rvic6-Riser Conductors & Ground Main Disconnect`- E i . Clearances Panels-Motors-Mech. Equip. ��!pthes Closet Light -Shower Light -Spa Light Smoke Detector - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s" 26-A.C. Ducts Insulation & Support a 6.7- Vent Fan, Exhaust above insulation - Condensate Drain & Overflow, Size & G'rade 99- Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 4T Attic Access & Pla rm if Furnace in Attic Date j , Card B-1 L_ ..Date Card B.1r ^M Date • Card B-1 Date Card B-1 ,•. Date FRA"G (Permit) OK except #'s - 4 ills Proper Materials & Anchors Walls Studs -Nailing Spacing & Braces -Plates -Sound 4113.Aearing Walls over Girders & Floor Nailing . Draft Stop in Walls (rat proof) -" iY F're Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Bea :. ms -Size & Bearirig. Date FRA NG (Continued) D. .V.; Test Fittings & Anchor -Nail Protection 6, .0 0. ower Pan; Test, First Floor -Tub Access T t?ub & Shower, Second Floor -Tub Access Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Gas -Pi e; Sixe & Anchors - Q& -Fire Sprinkler; Test Mic Access; Size & Romex Protection -Draft Stop -Ins. Baffles . Date Date Card B-1 ` Date Card B-1 Card -1' Date Card B-1 Date ELE RICAL (Permit) OK except #'s roperty Line Firewall & Openings F ure & Transformer Clearance -Ins. Protection . •� FA. Doors -One 3' -Check Garage 3rd Story, 2 Exits . 26/Ejec. Receptacles Spacing -Lights B,Switches.at Doors gKize Boxes•& No. of Conductors Stapled 7 omex Installed Close to Edge of Studs & C.J. 7S E2ip. Ground made up w/Mech Fasteners -Bond Gas & Water ::-20"2- 2 Appliance Circuits in Kitchen & Conductor Size GO "'- eed Wire Size/ / . u or AI-A.C. Wire Size/ /ga Cu or Al W. Range Circle — Cu r AI -Oven Circ. / /ga Cu or Al In ulated Neutral , O Yes . O No rvic6-Riser Conductors & Ground Main Disconnect`- E i . Clearances Panels-Motors-Mech. Equip. ��!pthes Closet Light -Shower Light -Spa Light Smoke Detector - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s" 26-A.C. Ducts Insulation & Support a 6.7- Vent Fan, Exhaust above insulation - Condensate Drain & Overflow, Size & G'rade 99- Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 4T Attic Access & Pla rm if Furnace in Attic Date j , Card B-1 L_ ..Date Card B.1r ^M Date • Card B-1 Date Card B-1 ,•. Date FRA"G (Permit) OK except #'s - 4 ills Proper Materials & Anchors Walls Studs -Nailing Spacing & Braces -Plates -Sound 4113.Aearing Walls over Girders & Floor Nailing . Draft Stop in Walls (rat proof) -" iY F're Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Bea :. ms -Size & Bearirig. Date FRA NG (Continued) ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings - H ers-Post Caps -Anchors -Connectors 4 . Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. fireplace Ties or Type A Flue -Fireplace Throat Clearance -614- Mic Access; Size & Romex Protection -Draft Stop -Ins. Baffles . Bdrm. Windows or Exiting Doors -Sill Ht.'& Dimensions X52. Garage Fire Protection Framing -RC Channel G4s Test -Meters Tagged, Gas -Electric roperty Line Firewall & Openings - ' 54. FA. Doors -One 3' -Check Garage 3rd Story, 2 Exits . '•< - St ' ; Width -Headroom -Rise -Run -Landing -Fire Protection 66. 'Plywood on Roof Overhang -Attic Vents -Rafter Outriggers X57. Siding -Nailing Veneer _^- 58. §tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access SeGlgazing Area -Glass Protection -Skylights -Plastic OlShear Walls; Nailing-B91ts �1 Brace Interior/ExtU06r Wall Panels 62. Insulation -Walls -Ceilings 63. lnfilt4ti6n-Wal!p.Windovis Date 03 Card B-1 s Date Card B-1 Date O Card B-1 Date Card B-1 n.fu C Dhnc1 nK —... T Nuc & Sidel Smoke Detector -66-Fur ace Vents -clearance -Comb, Air -Connector - I Garage; Above Floor-Ducts-Mech. Protection LU , V ` ' ('99 G.F.I. & Bath Fixtures & Tub Access -Spa 69. E c. Trim & Subpanel, Breaker Sizes & Labels (VOFStairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74c. Outlets & Receptacles at Kit. Counter . Garage Fire Door; Swing -Landing -Closure �2f-A . Duct in Garage -Damper 7 tr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. iyi Garage; Above Floor-Mech. Protection PI .; Elec. & Mech. Equip. Listed for Location - _ c. Receptacles in Garage (F.F.I.)-Romex Protection <.Xulation-Foam-Looked in Attic 8N*.5Lerd Rails & Deck Construction -Post Caps dn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor O Yes .e5 --Following Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84 Stucco Brown -Finish _A.C. Unit Disconnect, Electrical -Plumbing • ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings - 74 . ater Well, Disconnect, Electrical, Plumbing . Ex rior Elec. Trim, G.F.I. Receptacle -Underground `er Iilation Throughout House Glass Protection ections from Previous Inspections G4s Test -Meters Tagged, Gas -Electric W. ter& Sewer Connected -C/O to Grade -HD Approval (r 0 E9�rgy Compliance Certificate -Other Certificates Address Posted DA fe' ( ire Sprinkler ,qTard B-1 Date Card B-1 Date and B-1 Date Card B-1 ; Date Card B-1 Date Card B-1 Corthments at Final: J=OK . 0 = Not OK N tR adj MOBILE HOMES. Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 3. Sewer; Location -Test -Fall -C/O -Concrete 6. 4. Water; Location -Test -Easement Needed (Sketch) Electric 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 9. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG Roof; Shthg-Roofing 7. Well Clearance & Disconnect 12. 8. Utility Clearance 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Date 8. Card B-1 Date Card B-1 Date 9. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Plumb.; Cir. Test -Water Supply Test 1. Zoning Requirements -Setbacks -Easements Light Niche 2. Footings; Size -Spacing -Marriage Line Enclosure; Fencing -Alarms 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Card B-1 Date Card B-1 5. Drain; MH Test -Fall -Flex Connector Card B-1 Date Card B-1 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 .......,„ . COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. . A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation,, pieea—s-e contact this office imm diately. 11 ,f'��� �t-� � �f- , �rd-. 12 CJI �,� � t� "\0 �.✓!T l / A ) I/1 *1.,- for-) o l -+-, W e, z;, L • +M Date"r� �— V V� Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT:SERVICES 411 Main Street • Chico, CA • (530)'891,,-2751. 7 County Center Drive • Oroville, CA • (530) 538=7541 CORRECTION NOTICE =t OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the f, above address and should be corrected. Please notice this office when correction of work is comp/ ted. If you have any questions pertaining to this matter, or need additional explanation, ple3oe �contact this (office immediately. :\t /] t REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF -DEVELOPMENT SERVICES f. 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE / P Is 7-����� OWNER 9 /o 3 PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. REV 10/92 f A i a F J _ REV 10/92 f A COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF -DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected: Please notice this office when correction of work is completed. If you have any questions pertaining to this -matter, or need additional explanation, please contact this offic immediately. O ✓L C r v N>✓ c o DateJ ' Inspector _ V REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 ORRECTION NOTICE V 1 L OWNER PERMIT NO. '• A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is .. comp ed. It you have any questions pertaining to this matter, or need additional explanation, ple a contact this office immediately. -5- �� - / •t r V\ W i Y c REV 10/92 ... ..v . a ..` ��.- . v� ti_ -w :r ,. -n .. 1, t �ti`....✓.' �(� .(ate .+ ww--.-. .: y)T-r`..;... COUNTY OF BOTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES—. 411 Main Street o Chico, CA • (530) 891-2751 Y� 7 County Center Drive • Oroville, CA • (530) 538-7541 €' CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is 'r',• completed. If you have any questions pertaining'to this matter, or need additional explanation, please contact this office immediately. a.. �: , 77• — iso ti •' L_: REV 10192 M8 27/2004 13:10 PAYLESS BUILDING SUPFLY 4 8934039 NO. 453 D01" • rr MEASSi �.AgV Certificate of Confo*rm'ance Certificate L"154086 THIS IS TO CERTIFY that the -glued laminated timber producls identified with a collective maek of tR yf.'....• _j v,0_9 Ojpjdv v rr'i#Mr urn►n mrNm&9 lfllr rj in 'lP/hlrr1anrC with thA anrtllCAhlla ,t, -in lark and associatea specincations )naicatea celow: ANSI Standard A190.1-199-2, For Wood Products -- Structural Gued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITG 11.7-93 — Manufacturing — Standard Speoifioations For Structural r G€ue d Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIE D that the IPA EWS trademarked struc:ural glued laminated timbef members f surae produced'in a manufacturing facillty subject to regular audits-in,accordance with the Engineered Wdad Systdms (EWS) Quaallty Ass uranca'P,rogram-. Routine audits"include insp.eMion..of tn!a manufacturing p�oeess. and evaluation of the. in -plant OA program.—with, adequate sampling 10 %�rjrify conformance to indusiry standards for lumber grade and gluellne 'aond quality. ,,}1►�Lli1/ark + W 0 =k+A Cry T�` j 5A][.; t .� P try _.:.•' r. _. x �: Thomes-G: Williamson � -Executive Vice President v, ,N E•N&NEFR60 WOOD BYSrEMS s a raleted corporaden of APA - TKE BA'Cr rNERRFO WOOO ASSOC(AfION 7011soulh IRnStioei -RO Boy 11700-7fi rm W;,A8nrr-0700 Yg10riA0n0: ;283) M-6800 "Paz Numoer, (283) MS -72U ' Y'all baTlei roeg MOIN dmf 5pooM uaa%%aM dia=20 1'0 r..2 !;rely • 4Z'C T�b�.D�S 4 • f LOERIE INSULATION CO., IWC_ INSULATION CER TWICATE I'2-q$5molmamumm �S��So�S Q'� �OtLES-r Y.�NC►t ---•- MINK _r1 ^''rl T�i't 4i':1 _- _- _ _- -- �5•1��1•(11�V=1 DESCRIPTION OF INSTALLATION 1. ROOF Mobdw TWwkr m 2. CEIUNG Batt or Thidmese m" Loose Fill Type _ Contracso m min. mwwh t huwos in 4. RAISED FLOOR Brand Nam Themed Reese Brand Name Jo Thermal Raddwm Brand Name John id sQ. �, Mk*nZ:::;;Vakw) inches, weW Per toot Ito addm TMhwwn d MBtwiel _ Fp elms Batt Thickness ( esl b S & SLAB FLOOR / PERIMETER POnirneter irasulallon a3. FOUNDATION VVA DECLARATION Brand Jd1rls �nvple Rhe (RrVa�e) - Man Name mns wipe 1Trermal R (R-Vatue) �1 1ci Brand Name Thermal Rgiblerme (R Value) ,.,^;i, 'LTi... ^:7 ' :, : • 08/28/2004 THC; 13:48 FAX 530 894 2475'CHICO INSULATION Z001/001 INSULATION CERITFICATE, Job Number. 3785 Lennie Van De Velde 12785 All Season& Forest k?�ach Contractor/Owner Name. Job Addriss (streeq city, state) , Butte County Subdivision Name Lot Number ; DESCRIPTION 1. ROOF Material: Brand Name: TW�wwv �Wrrwf• 'A"Mp-2�.lVa7WM►.YVY IA— .«wMr/• 2. CF.II.ING Batt or Blanket Type: Fibem sss Brand Ns:ime: Johns Manyikanauf Thiclnen (inches): Thermal Resistance (R -Value): Loose 1161 Type: Fiberglass Brand Name Johne Manville/Kmuf MWmitm installed Welght/it lb Minimums Thickness: inches Installed weight per square foot to achieve Thermal Resistance (R -Value) of: 3. EXTERIOR WALL Frame Type: " A. Cavity Insulation, Werlal: • Fiberglass Brand Nerve: Johns Manyille/Knnuf T1hidmess (inches): b (RVaue):y19 B. *Exterior Foam Shfathing 1uteriah Brand Name: Thiclmiss'(inckies)s Thermal :Resistance (R -Value): 4. RMSED FLOOR Material: Fiberahm Brand Name, JohnsManville/Knauf Thus (inches): Thermal :his (R -Value): 5. SLAB FLOOR/PERIlVIEM Material: Thickness (inclies): Perimeter Insulation Depth: 6. FOUNDATION WALL Material: Thickness (inches): Brand Name: Thermal Resisuince (R -Value): Brand Name: 'thermal 'Resistance (R -Value)': DECLARATION I hereby certify that the above insulation was installed in the building at the above"location in conformance with the current Eai ov Efflekncy Standards foe r+esidentitil buildings (Tide 24, Part 6, California Code of atlonS) as indicaW on the Certificate of Compliance, where applicable. r Chico Insulation Item Nnms6es's Signature and Date /� knetdliag Subcontractor (Co. Name) or V Y General Contractor (Co. !!Tame) or Owner Cte n Number's Signature and Rate Installing Saluentractoe (Co. Name) or General Cootmetor (Co. Name) or Owaer COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, ,California 95965 • Telephone (530) 538-7541 I o (Rev 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING 71 ['Al BUILDING PERMIT OWNER V�N DE ti TELEPHONE 4039 OCC. BUILDING VALUATION 71 A. 0 . OWNERS "UNG ADDRESS n 0 74C U� ?-4�-3?�i _ CONTRACTOR'S NAME - `- • -? .. j2 , TELEPHONE 11080 COV .I q04- CONTRACTORS MAILING ADDRESS -- 11�1 41RME _i. r CONSTRUCON LENDEA - ' TI Fireplace 1500.00 - LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER - LICENSE NO. Fee $ 0.00 —Filing Permit Fee ., $ r ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ ' L D �„ .,,r T 09 S�. 60,�S i AY . F0: I. Energy Plan Checking Fee $ $ _ PERMIT FEE $ 13' LOT NO. SUBDrWSIO SNAME PARCEL MAP PLUMBING PERMIT Filing Fee Each Trap 1 7.00777 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 5 QQ TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: [�Ir�v1 ST�JQT r F:'��IILY 1�iZ Gas piping stem 1 - 5 outlets . 15.00 5. Buildingsewer 15.00 5 . Mobile Home S G W @20.00 PERMIT FEE S -7 XX � 1 5 ] . 1 ~20.00 S!'10i:1 LOAD: 2000-2500 ft. FLOOD:X.0375c Sn[� ELECTRICAL PERMvoRLEss Filing Fee Main Service .A OR LESS 23.00 1_, . QQ 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 i in full force and effect. ��// License Class Lic. No. z(( 7--1 � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ [,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 Mein Service 200A TO I000A 46.00 NEW CONST. DWEWNG OOCUP. ."ICI* OR ADDNS. ( Acc. BLDS. SO .�r `3.5¢FT. 0 �1. NG" N.REGSID. MULTI-GIUTLET 97,50 PowER APPARArus 8 SINGLE OurLEr CIR. EX. OCCU OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 Ex. Occu .GFIxxEEDrs aEsGREA_ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 1G.a.A Q WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 43* -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 works co nsati h in ranc carr rand olicy number are: ire- r � i-c.M-2:� Carrier 1'2+� j � Policy NumberD ions n (The above secteed not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith c ply with those provisiop� 1 9 q,l •j`t,V/Y�&a '"J dam' Fh_/3 0 O _ Signatur f Appli nt ❑ Owner ErContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constr on of structures over 3 stories in height. Receipt No. g ,D�1. �% WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT MECHANICAL PERMIT Filing Fee 20.00 Heating 15. 00 Cooling 5.00 Hood 6.50 Ventilation 5 4.50 22. PERMIT FEE $ 8101. 0Q Mobile Home Installation Fee $ Energy Inspection Fee $ L, 6 . Q Q occ CONST. TYPE TOTAL FEE $ _ HAZ. D. F ES P FLOOD CDF PARCEL 1 10 5 E This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. /?3 By ate V PERMIT EXPIRES ON � d fe 00 00 E.N. USE C LY Plat Pian Attachad Phar PlanA%&s ad Sant Ya ®.00 / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other, Hold final for: ,/A114- e9AI Final clearance O.K. for: 8/96 t`7 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: Heriwt Vv Be. Veld ASSESSOR PARCEL NUMBER Proposed Building Use: /Vr✓J 64,,- Counter Technician: CH1 L 0 Date:- '-'' Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. V4,1'.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. Q'Pi. Complete plans, 3 or 4 sets, signed by the preparer of the plans. L3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4 Engineered truss details and layouts in duplicate. No faxes. �oNerV —'' . Energy compliance design and supporting documentation in duplicate. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or ���! foundation plains, all in duplicate. :��%1 Metal buildings: (A) Meta Building Plans, (B)�Fouddatior •plans 'and calculations in triplicate, (C) Elevation views in triplicate. ` (D) Floor plans in triplicate. All of these must be'stairipedand.wet-si ng ed by the engineer. Items required for initial plan review'! items•have noxi been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. PloYplan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other R maining items needed to issue the permit. (May require additional plan review upon receipt of the, following items.) W. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... *15.. Statement of Intent for Non -heated and A/C Buildings....................................Sanitation and plot plan approval from the Environmental Health Department in�City of Chico Plumbing permit ........ ............ ....................... ®rrcel .................. ❑ 18. California Department of Forestry plan approval fl paid. Sent by:...................... ❑ 19. Planning approval for (A) Use: © K (B)Parking: (CCheck: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ...... ........:.......... .................... ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to. owner) ..................... Letter of Signature authorization................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... 28. Manufactured home utility clearance..:............................................................ ❑ 9. Existing violations and/or expired perm.......................................................... 0. ❑Grant Deed, ❑ M.H. Title/Sta C of Facts, ❑Letter from Legal Owner, ❑Check to H.C.D. $ 31. Other: r en issued Telep ne afltLh`old for pickup.V �,,.y o�� P y �P W 4 eJ 11SO e D o Ung )� I/e/e/ave bee idform, of th ab*�5 is and requir ents for obtaining a building permit.// � !0— � /U I A icantc �`v/ \ �/'LO„r� Date; �(UZ a3/p��% 03^TD 1. Index permit application for the above items numbered:Plan Check Letter 2. Additional items required Or- \,,- I — , _ r Contractor, designer, owner, was advised of the above data by ❑ phone, `❑ mail, ❑ counter, by Date: Contractor, designer, owwas advised of the aboy,e dpt y ❑ phone, ❑ mail, ❑ counter by Date: n r Plans reviewed by: L Date: p��l 03 Plans approved by:Date: Structural reviewed by: Date: Structural approved by;._ Date: Note transfer by: At-�' Date: Yellow: Bwlding ivision (� COUNTY OF BUTTE • . DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE �� e %et 6 ,�- V4eJ Ole- Ve �� OWNER. A.P. # PROPOSED BUILDING USE / v Q''J 3 DATE 2232— DATE Z-3O—DTE REC. V1.UILDING PERMIT FEES --Balance Due ........................................................ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ X--Revised Plan Checking Fee ................................. $ 2. SCHOOL DISTRICT FEES (paid at District Office) �.J 3. SHERIFF FEES (paid at Building Division) Residential .................................... 'I x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. —195. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) _Z 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) S7 1/-0 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER /L g o ni At time of perit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be chang�d during the plan checking process. APPLICAN �6�1�_ DATE(b— &-Pursuant to Governme ode Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) r `�? ^ BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District �� (� S� Building Department No. A.P. Number 06 3' 2qo - ,h42..Jurisdiction: � City County Property Owner y �� (�2 / ,{ JdZ� Property Location/Address n Subdivision Lot No. Residential Development © ............................. ... ...... .................... € Sq. Footage 3 a .No of Living_ Mobile Home i Addition/ 'Supplemental to ,{ , , ,, (Group R) _ Units ' Installation— Conversion Permit # has complied with the requirements of Resolution No. _ 3 y ` 0 A by payment of $ `(No foundation inspection): €................................................................................................................... Commercial/Industrial Building Department Reps s 1 District Identification No ,I (Street New Addition (Floor,Plans reviewed by School District Personnel) U C1p School District certifies that D nr)nh Sq. Footage (Including Exterior Roofed Areas) Date (Applicant) Kgo- (Phone Number) Paid by Check 1t / ^pk 7 Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with;,. Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent td the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the Califdmia Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10198)dmm (City) (State) r (Zip Code) has complied with the requirements of Resolution No. _ 3 y ` 0 A by payment of $ q ✓ representing square feet. AB 2926 FULL MITIGATION S School District Representative Date Paid by Check 1t / ^pk 7 Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with;,. Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent td the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the Califdmia Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10198)dmm 20 DECLARATION DRIVE CHICO, CA 95973 PANts Lstar FAX 530-893-26 1113 ' ENGINEERING' ........... - -.--- .,_. --- _..-.... ...... . Civil Engineers • Planners • Surveyors STRUCTURAL CALCULATIONS PROJECT: Lateral / gravity design of wall for Larry Wright LOCATION: 12785 All Seasons Road, Forest Ranch, CA OWNER: Hennie / Barbara Van de Velde� JOB NUMBER: fi mev:.: 8119 '} _ DATE: r{d December-02 CODES: California Building Code, 2001 Edition, ' CODE ENFORCEMENT: Butte. County Building Department LOADS: Seismic Zone: 3 Pf- 37 psf Wind Speed- 75 mph " Exposure: B (Method 2 used, u.n.o.) Soil Bearing: 1000 psf (per CBC TABLE 18-I-A) Min. Footing Depth: 12 inches NOTES: Are Special Inspections req'd for Engineering Elements Designed by NorthStar Engineering? No. - -NorthStar Engineering is not responsible for these calculations unless this sheet is stamped by a registered professional engineer and wet signed with RED or BLUE ink. " GENERAL.'w - Any structural or non-structural items that are not specifically addressed in the following calculations and/or details are designed by others and are not • the responsibility of NorthStar Engineering. =r Page 1f I l No' rthStar DATE: L 2-- o z 20 DECLARATION DRIVE CHICO, CAL.IFORNlA 95973 JOB NO: 530-893-1600 PAGE 2 . OF Civil Engineers • Planners • Surveyors FAX 530 893-2113 4 1. _ r 146 2-z„ NO' •�- LLL 1 Ballo or.: JJ�I i 8°lo J !V\a3ed _Irc l Lrr\ , - x bwc.PFb jo5o Nos} So 1C t 1 r I _- - - \I • k---- -- IS 2;/�-- IIf 2ub�F Ib�O•C.. * M I .. 1 C.�. allow4raw.a -� li\oma\t G�' 1' e I - 6vt°Of "i Poa+ i Io. / • � I - - - -_. ._4`T..:f:3..s� .. ....603o II_xtd � _ 4°:G-.p.g,...a. - f _- - � r � " wOR 1 , �6vb Of 1 /T• mer C \w.r W„do.4 Pouts j, � ` ewo{l o`oo�a. ' NorthStAr": . 20 DECLARATION DRIVE ENGINEERING CHICO, CA 95973 ` BY: SM / JR 530-893-1600 DATE: Dec -02 FAX 530-893-2113 JOB NO: 8119 PG. 3 of . DESIGN CRITERIA BASED ON: CALIFORNIA BUILDING CODE, -2001 EDITION GRAVITY ROOF: ROOF SHINGLES 2.5 psf LOADS OSB OR PLYWOOD 2.0 psf FRAMING • 3.0 psf INSULATION 2.5 psf • GYPSUM WALLBOARD 3.5 psf MISCELLANEOUS 1:5'psf ADDI FOR ROOF SLOPE, 0.0 psf (FOR LATRL. CALC.). DEAD LOAD 15.0 psf r SNOW LOAD (PQ 37.0 psf TOTAL LOAD 52.0 psf LATERAL SEISMIC: Zone =. 3 LOADS Rx = 4.5 FOR OTHR LT-FRM WLUSTL OMRF _ Ry = '4.5 -FOR OTHR LT-FRM WLUSTL OMRF Soil type = SD- FOR STIFF SOIL PROFILE = . 1 'PER CBC TABLE 16 - K Ca= 0.36 r PER CBC TABLE 16 - Q Cv = 0.54 PER CBC TABLE 16 - R Ct = . ' 0.02 • *22.0 FOR ALL OTHER BUILDINGS hn.= ft T= 0.20 secs Vx .= 0.54 *1/ (4.5 * 0.20) = 0:591 W Vmax (x) = 2.5 * 0.36 * 1 / 4.5 = 0.200 W { Vmin (x)= 0.11 " 0.36 e *1 0.040 W For seismic zone,4: Vmin (x)= 0.8 * 0.30 * 0.0 1 / 4.5 = 0.000 W ' - Use Vx = 0.200 W Vy = 0.54 *1/ ( 4.5 * 0.20) = 0.591 W ' Vmax (y)• _ 2.5 *'0,.36 *1/ 4.5 = 0.200 W Vmin (y)= ' 0.11 * 0.36 * 1 = 0.040 W For seismic zone 4: Vmin (y)= 0:8 * 0.30 * 0.0 *1/ 4.5 = 0.000 W Use Vy = 0.200 W Calculate redundancy factors: Calc. ox Calc. py Max v % (x) = . 40 % Max v % (y) = 40% Lw (x) = 6.0 ft Lw (y) = 6.0 ft AB = 1400 ftA2 N®rthStar 20 DECLARATION DRIVE ~CHICO, CA 95973 BY: SM i JR ENGINEERING 530-893-1600 DATE: Dec -02 r a • FAX 530-893-2113 JOB NO: 8119 b PG. of 4 r(max) = max v % (x) * (10/Lw) r(max) = max v % (y) * (10/Lw) = 40% *10/6.0 = 40% *10./6.0 0.67 = 0.67 px = 2 - 20 / (r -max * (Ab)^0.5) py = 2 - 20 / (r -max * (Ab)"0.5) = 2-20/ (0.67 * 1400^0.5) _ ,2-20/ (0.67 * 1400^0.5) = 1.20 = 1.20 " NET FORCE (x)= px * VW = 0.200 W • / 1.4 = 0.143 W * px PER CBC EQ. 30-1 NET FORCE (y)= py * VW = 0.200 W / 1.4 = 0.143 W * py PER CBC EQ. 30-1 Ex = 0.171 W ` Ey 0.171 W. WIND: EXP.= B ' SPEED = 75 mph Cq = 1.3 METHOD 2 'DESIGN qs = 14.5 psf PRESSURE 0'- 15'.= 0.62 • Cq*qs" Ce = 11.7 psf 15'- 20'= 0.67 = 12.6 psf 20'- 25'= 0.72 = 13.6 psf 25' - 30' 0.76 = 14.3 psf ' 30'- 40'= '0.84 15.8 psf Uplift: Primary frames / systems Cq 0.7 . METHOD 2 6.3 psf Roof eaves Cq = 3.1 -METHOD 2 .27.9 psf ` General Notes: 1. The'engineer is responsible for the structural items as noted in the following calculations. -Should any changes be made to the design as detailedin these calculations w/o written approval from the engineer then the engineer assumes no responsibility for the entire structure or portions thereof. 2. All waterproofing and flashing (roofs, foundations, retaining walls, decks, garage floors, etc.) is the responsibility of the contractor or owner. 3. These calculations are based on a completed'structure. Should an unfinished structure be subject to loads then the engineer shall be contacted for an interim design or if not, will assume no responsibility. 4. Building sites are assumed to be drained and free of clay or expansive soil. Any other conditions. must be brought to the attention of the engineer. 5. These calculations assume stable, undisturbed soils, and level stepped footings. Any other conditions encountered must be brought to the attention of the engineer. 6. All footings shall bear on undisturbed soil with a footing depth below frost line (per local requirements). ' By: SM / JR NorthStar 20 DECLARATION DRIVE Date: 12/30/02 ENGINEERING CH ICO,' CA 95973 Job No: 6(tv) 530-893-1600 Page of FAX 530-893-2113 ' PARTIAL LATERAL DESIGN FOR: SEGMENTED SHEARWALL SHEAR WALL: Location: Grid A f INDICATES LENGTH OF DIAPHRAGM INDICATES SHEAR WALL WITHOUT SHEAR PANEL, TYP. PANEL SECTION, TYP. L1 Lswl L2 sw2 L3 sw3 L4 1- L5 Lsw5 L6 H / W ratio L1 = 0.0 ft Lswl = 6.0 ft 2.83: 1 L2 = 17.8 ft , Lsw2 = 6.0 ft 2.83:1 l' L3= 0.0ft Lsw3= 0.0 ft A L4= 0.0 ft Lsw4= 0.0 ft - • L5= 0.0 ft Lsw5= 0.0 ft ROOF DIAPHRAGM L6 = . 0.0 ft , LENGTH OF SHEARWALL (LswTOT) = 12.0 ft WALL HEIGHT = 17.0 ft TOTAL LENGTH OF WALL (L) = 29.8 It SEISMIC ZONE = 3 USE px (and Rx) OR py (and Ry) FOR SEISMIC CALCS? 1 Enter: 1 - px (and Rx) PARALLEL WALL 2 -py (and Ry) CONSTANT FOR SEISMIC CALCULATIONS (K) = 0.171 W SNOW LOAD, % TO INCLUDE (SL) _ 25 % or 9.3 psf TRIB. COMPONENT LENGTH HT. OR W DL CG A wDL vegDL %wDL to use ROOF DIAPHRAGM 33.5 ft 17.5 ft 15.0 psf 21.0 ft 586 ft^2 30 Ib/ft 125 Ib/ft .10% PARALLEL WALL 29.8 ft 21.0 -ft 10.0 psf 10.5 ft 625 ft^2 210 Ib/ft 89 Ib/ft 100%. PERP. WALL 32.0 ft 17.0 ft 10.0 psf 10.5 ft 544 ft^2 0 Ib/ft 78 Ib/ft 0% OTHER 0.0 ft 0.0 ft 0.0 psf 0.0' ft 0 ft^2 0 Ib/ft 0 Ib/ft 0% OTHER 0.0 ft 0.0 ft 0.0 psf 0.0 ft 0 ft^2 0 Ib/ft ` 0 Ib/ft 0% Total wDL = 240 Ib/ft Total vegDL = 292 lb/ft %wSL to use TOTAL AREA OF TRIB. COMPONENT LOADED WITH SNOW = 585 ft^2 20 % C.G. OF SNOW,LOAD FROM BASE OF THIS SW, cgs = 21.0 ft TRIB. SNOW LOAD TO SHEARWALL (wSQ = SL "Adia / L = 36 Ib/ft TRIBUTARY WALL AREA FOR WIND (AY) = 275 ft^2 BUILDING HEIGHT70 USE FOR WIND PRESSURE, (Hbuild) = 21.0•ft (up to 40'-0" max) WIND PRESSURE (P) = 12.8 psf C.G. OF WIND PRESSURE FROM BASE OF THIS SW, cgw = 17.0 ft LAT. EQ FORCE (vegTOT) = vegDL+ K'SL" Adia/LswTOT = 369 Ib/ft LAT. WIND FORCE (v w) = AwP / LswTOT 294 Ib/ft GOVERNING LATERAL FORCE v ov = 369 Ib/ft SEISMIC GOVERNS By: SM / JR N®rthStar 20 DECLARATION DRIVE Date: 12/30/02 ENGINEERING CHICO, CA 95973 Job No: 8 0 <� 530-893-1600 Page ' of FAX 530-893-2113 SHEAR WALL: (CONTINUED) Location: Grid'A UNIT OVERTURNING MM'T (mo), EQ = veq(dia) * CGdia + veq(extwall) * . = 6006 ft - Ib /ft WIND= (v w) * cgw = 4994, ft - Ib /ft max (mo) _ _ 6006 ft - Ib /ft OVERTURNING MOMENT (Mo) = mo * Lswi ' RIGHTING MOMENT (Mr) = ([0.66 - wind] or [0:85 -`eq] * wDL * Lswi^2) / 2 (Add wSL to wDL if veq controls) NET UPLIFT FORCE (MID) = (Mo - Mr) / Lswi , SEISMIC ZONE = 3 SHEAR DESIGN FOR SHEARWALL - '. ' Nails to use in sheanwall? 1, Enter: 1 -sinkers 1/2 in dia. anc. bolt 5/8 in dia. anc. bolt 2 - common Sill plate Anc. bolt Sill plate Anc. bolt thick. in spacing ft thick. in spacing (ft) Sill plate thick.? 1 Enter: 1 -2x 2x 1.03 ' 2x 1.50 2, 3x Req'd:. , SHEAR WALL NO. 3 HOLDDOWNS FOR SHEARWALL Uplift, A-307 Retrofit Length Mo Mr M/D allthrd dia. ', HD Holdowns Lswl = 6.0 ft 36034 ft -Ib 4222 ft -lb 5302 Ib 5/8 RFB#5xl6 / ET -22 PHD6 / 4x / SSTB34 Lsw2 = 6.0 ft 36034 ft -Ib 4222 ft -Ib 5302 Ib 5/8 RFB#5x16 / ET -22 PHD6 / 4x / SSTB34 Lsw3 = 0.0 ft Oft -lb '0 ft -1b 0 lb Not req'd NOT REQ'D NOT REQ'D Lsw4 = 0.0 ft 0 ft -Ib 0 ft -Ib .'.0.1b Not req'd 'NOT REQ'D NOT REQ'D Lsw5 = 0.0 ft . O ft -Ib 0 ft -Ib 0 Ib " Not req'd NOT REQ'D NOT REQ'D DRAG STRUT FORCE - DSF1 = (vgov * LswTOT / L) * L1 = DSF2 = vgov * Lsw1 - (vgov * LswTOT / L) *. (L1 + Lswl) _ DSF3 =vgov * Lsw1 (vgov * LswTOT / L) * (L1 + Lswl + L2) _ DSF4 = vgov * (Lswl + Lsw2) - (vgov * LswT.OT /-L) * (L1 + Lswl + L2 + Lsw2) = a DSF5 = vgov * (Lswl + Lsw2) - (vgov * LswTOT / L) * (L1 + Lsw1 +12.+ Lsw2 + L3) _ DSF6 = vgov * (Lswl + Lsw2 + Lsw3) - (vgov . LswTOT / Q * (L1 + Lsw1 + L2 + Lsw2 + L3 + Lsw3) DSF7 = vgov * (Lsw1 + Lsw2.+ Lsw3) - (vgov * LswTOT / Q * (L1 + Lswl + L2 + Lsw2 + L3 + Lsw3 + L4) _ DSF8 = vgov * (Lsw1 + Lsw2 + Lsw3 + Lsw4) - (vgov * LswTOT / L) * (L1 + Lswl + L2 + Lsw2 + L3 + Lsw3 + L4 + Lsw4) _ DSF9 = vgov * (Lsw1 + Lsw2 + Lsw3 + Lsw4) - (vgov * LswTOT / L) * (Lt + Lswl + L2 + Lsw2 + L3 + Lsw3 + L4 + Lsw4 + L5) _ DSF10 = vgov * (Lsw1 + Lsw2 + Lsw3 + Lsw4 + Lsw5) - (vgov * LswTOT / L) * (L1 + Lswl + L2 + Lsw2 + L3 + Lsw3 + L4 + Lsw4 + L5 + Lsw5) MAX. DRAG STRUT FORCE = 1322 Ib MIN. DRAG STRUT FORCE _ -1322 Ib USE: LSTA36 STRAP AT ALL TOP PLATE SPLICES .0 Ib 1322 Ib -1322 Ib 0 Ib O lb O Ib 0 Ib O lb 0 Ib 0 Ib BY: S" /J 0 -- DATE: NorthStar JOB NO: Ig I 'q PAGE -7 OF Civil Engineers - Planners • Surveyors 20 DECLARATION DRIVE CHICO, CALIFORNIA 95973 530-893-1600 FAX 530-893-2113 SHEAR WALL SCHEDULE SHEAR WALLIO 0 03 ® ® 0 ALLOWABLE LOAD/FOOT 208 304 392 512 608 184 940 12 8 PLYWOOD 3/8" 3/8" 3/8" 3/8" 3/8"CDX 3/8"D CX 3/8"CDX CDX CDX CDX CDX 2 SIDES 2 SIDES 2 SIDES EDGE NAILING 4 8d 0 6" 8d a 4" 8d A 30 8d 0 2" 3 8d 0 4" 3 8d 0 3" 3 "3 10d A 3113 FIELD NAILING 4 8d 0 12" 8d 0 12" 8d 0 12" 8d 0 12" 8d 0 12" 8d 0 12" 10d 0 12" FOUNDATION BILL 5 PLATE THICKNESS 2X 2X 2X 2X 3X 3X 3X CLIP, BLOCKb L650 L550 L590 L590 L590 L590 L690 TO PLATE 0 24" 0 I6" 0 20" A 14" 0 12" 01011 0811 -1.10 5/8,10 5/8,10 5/8,10 5/8,10 5/8110 5/8110 5/8,10 ANCHOR BOLT 48" oz. 34" oz. I6" oz. 12" oz. 26" oz. 20" oz. 18" oz. SPACING 1/2" m 1/2" 0 1/2" m 1/2110 1/2110 1/2" m 1/2" m 34" o.c. 24" o.c. II" o.c. 8" o.c. IS" O.C. 14" o.c. II" o.c. RETROFIT ANCHOR 9 12FB*5x10 RFB*5x10 12FB*5x10 12FBs5xIO 12F1305WO 12FB*5x10 BOLT SPACING 48" oz. 42" oz. 112IF1505WO 16" oz. 12" oz. 26" oz. 20" oz. 18" oz. NOTES. 1. OVER DOUGLAS FIR STUDS 0 16" O.C., HEM -FIR TOP PLATES ARE OKAY 2. ALL PANEL EDGES BACKED WITH 2 -INCH NOMINAL OR WIDER FRAMING U.O.N. 3. ALL VERTICAL STUDS RECEIVING EDGE NAILING FROM ABUTTING PANELS SHALL BE APPLIED OVER 3 -INCH NOMINAL OR WIDER FRAMING WITH NAILS STAGGERED. 4. NAILS SHALL BE SINKERS, IF MACHINE NAILS ARE USED, NAILS WITH A PARTIAL HEAD ARE NOT PERMITTED. 5. PRESSURE TREATED HEM FIR BILLS REQUIRED. 6. SIMPSON MANUFACTURED CLIPS AT 24" O.C. FOR ENTIRE BALANCE OF WALL LINE. "BLOCK" MAY BE TRUSS CHORD OR RAFTER PER DETAIL. 1. ANCHOR BOLTS SHALL HAVE A MINIMUM 2" X 2" X 3/16" THICK PLATE WASHER. S. OSB WITH ALLOWABLE STRESS AND THICKNESS EQUIVALENT TO SPECIFIED PLYWOOD MAY BE SUBSTITUTED FOR 3/8" CDX WHERE OCCURS. OSB SHALL BE RATED FOR EXTERIOR USE. 9. FOR ANCHOR BOLTS REQ'D IN RETROFIT .SITUATIONS, SEE NOTE 6-3 ON SHEET 5-1. 10. USE 5/8" DIA. ANCHOR BOLTS (MINIMUM) 1N SEISMIC ZONE 4. BY: S M /J X - DATE: ( 2, -L- JOB N0: 81 ( ;) PAGE a OF NorthStar Civil Engineers- Planners - Surveyors 20 DECLARATION DRIVE CHICO, CALIFORNIA 95973 530-893-1600 FAX 530-893-2113 DE51GN VALUES FOR ANCHOR BOLTS AND SILL NAILS SHEAQ WALL ID 20 p3 ® 0 © Q ALLOWABLE LOAD/FOOT 208 304 392 512 608 784 940 SILL NAIL i Ibd 0 4" 16d 0 4" 16d 0 3" SDS 1/4x SD5 1/4x SD5 1/4x SDS 1/4x 6 06 roll goo 6 goo 6 03 SILL CONN. CAP. 342 342 456 574 861 861 1149 2 5/8" m 5/8" m 5/8" m 3 5/8" m 3 ANCH012 BOLT 48" 34" 16" 12" 26" 20" 18" SPACING 1/2110 1/2110 1/211,0 3 1/2" m 3 1/2" 0 1/2110 1/2110 34" 24" 11" 8" 18" 14" 11" SILL THICKNESS 2X 2X 2X 2X 3X 3X 3X 1/2" m ANCHOR 4 BOLT CAPACITY 208 304 413 568 620 798 1,015 5/8" m ANCHOR BOLT CAPACITY 276 304 413 551 638 829 1037 NOTES= 1. NAILS PER NER-272 CAPACITY OF 16d SINKER = 86*1.33 = 114 / NAIL SIMPSON SDS 1/4 x 6" WOOD SCREWS PER ICBO REPORT NO. ER -5268 CAPACITY OF SDS 1/4 x 6" WOOD SCREW = 216 *133 = 287 # / SCREW 2. DESIGN CAPACITY OF BOLTS PER TABLE 8.2E OF THE '97 NDS. CAPACITY OF 1/2" m ANCHOR BOLT IN 2X SILL = 133 *'570# = 758 / BOLT CAPACITY OF 1/2" 0 ANCHOR BOLT IN 3X SILL '= 1.33 * 700* = 931 / BOLT CAPACITY OF 5/8" 0 ANCHOR BOLT IN 2X SILL = 133 * 830 = 1103 / BOLT CAPACITY OF 5/8" m ANCHOR BOLT IN 3X SILL = 133 $1040 = 1383 / BOLT (NOTE: FOR PERFORATED SHEAR WALL DESIGN, ANCHOR BOLT CAPACITY MAY BE CONTROLLED BY CONCRETE STRENGTH.) 3. REDUCE ANCHOR BOLT CAPACITY IN NOTE 2 BY 50% FOR 2X BILL PLATE WHEN ALLOWABLE SHEAR PER FOOT IB > THAN 350 PLF < 600 PLF. 4. NOT ALLOWED IN SEISMIC ZONE 4. NorthStar Engineering 20 Declaration Drive Chico, CA 95973 Page q of Rev: 560000 User: KW -0603075 Ver 5.6.0, 2 -Sep -2002 (c)1983-2002 ENE�tCALC Engineering Software Description larry wright Title: Dsgnr: SM %J(z- Description Scope: Timber Beam & Joist Job # 0. 1 /,1 Date: 7:37AM, 30 DEC 02 Page 1 .19 wriahLE Timber Member Information Calculations are designed to 1997 NDS and 1 7 YfiC Requirements B1 . Timber Section 5.125x12.0 G Beam Width in 5.125 Beam Depth in 12.000 Le: Unbraced Length ft 6.50 Timber Grade Douglas Fir, 24F - V Fb - Basic Allow psi 2,400.0 Fv - Basic Allow psi 190.0 Elastic Modulus ksi 1,800.0 Load Duration Factor 1.000 Member Type GluLam Repetitive Status No Center Span Data Span It 6.50 Point #1 DL lbs 1,910.00 LL lbs 4,720.00 @ X ft 3.250 Results Ratio = 0.4421 Mmax @ Center in -k 129.29 @ X = ft 3.25 fb : Actual psi 1,051.1 Fb : Allowable psi 2,377.5 Bending OK fv : Actual psi 80.9 Fv : Allowable psi 190.0 Shear OK Reactions @ Left End DL lbs 955.00' LL lbs 2,360.00 Max DL+LL Itis 3,315.00 @ Right End DL lbs 955.00 LL lbs; 2,360.00 Max. DL+LL lbs 3,315.00 Deflections Ratio OK Center DL Defl in -0.014 L./Defl Ratio 5,487.2 Center LL Dell in -0.035 LlDefl Ratio 2,220.5 Center Total Deft in -0.049 Location ft 3.250 L/Defl Ratio 1,580.8 BY- SM / JR NORTHSTAR ENGINEERING December -02 20 DECLARATION DRIVE JOB NO: Q f -/I CHICO, CA 95973 PG. o OF ?, (530) 893-1600 CHECK COMBINED AXIAL AND BENDING (DUE TO WIND) FOR STUDS' BASED ON 1997 NDS SECTION 3.7.1, AT 24" O.C. MAX. COLUMN PROPERTIES:, ' C! _ 0.8 .8 FOR SAWN, .85 FOR ROUND, .9 FOR GLULAM / MFRD.,- YOU FRD.YOU HAVE SELECTED A RECTANGULAR COLUMN *** DEPTH 5.5 IN WIDTH = .. 1.5 IN' ° F LENGTH (L) = 18.5' FT L / DEPTH =•40.36 OKAY < 50 AREA 8.3 SQ.IN -S = 7.56 ` CU.IN Ke = 1 SEE 1997 NDS APPENDIX G KcE = 0.3 .3 FOR VISUALLY GRADED, .418 FOR GLULAM / MFRD. KbE = 0.438. .438 FOR VISUALLY GRADED, .609 FOR GLULAM / MFRD. Fb — 900: PSI Fb Cf = 1.3 SIZE FACTOR PER TABLE 4A IN NDS Fb Cr = ti 1.15 REP. MEMBER FACTOR PER SECTION 4:3.4 IN NDS Fb* = 1345.5 PSI ( TABULATED VALUE'* ADJUSTMENT FACTORS) , Fc _ 1350 PSI ` - Y Fc Cf = 1.1 SIZE FACTOR PER TABLE 4A / 2.3.1 IN NDS Fc* = 1485 PSI ( TABULATED VALUE * ADJUSTMENT FACTORS) E' = 1.6 E6 PSI FcE _ 294.7 FcE KcE*E' / ( (L/d)(L/d) ) Fc = 281.5 PSI Fc = Fc*( (1 + FcE / Fc*). / 2c' - SQRT((1+ FcE /Fc*)/2c')((1+FcE /Fc*)/'2c') (FcE /.Fc*) / c!) ) LOADING CONDITIONS: AXIAL LOAD = 830 LBS fc = P / A = 100 PSI F c = 282 PSI OKAY F'c > ft WIND LOAD = 14.4 "PLF MOMENT = 7393 IN -LBS (MAX.), F b 1790. PSI = Fb * 1.33. (LOAD DURATION FACTOR) F fb = M / S 978' UNITY -CHECK UNITY = (fc / Fc) (fc / F'c) + fb / Fb [ 1, - (fc / FcE) ] , < 1.0 OR ELSE NO GOOD UNITY ,= 0.95 < 1.0 OKAY FOR COMBINED AXIAL AND BENDING DEFLECTION CHECK 0 = 5 * w * L ^4 / (384 * E * I' L/180 OR ELSE NO GOOD O = 5 * 14.4/12 * (18.5' *.12)^4 / (384:1.6E6 * 20.8 IN A4 = 1.14 IN L/195 , >= L/180 DEFLECTION OK ' USE: 2X6 DOUGLAS FIR LARCH #2 STUDS 0 16" O.C. Spread Footing Calculations Fc: 2.5 ksi Load factors - DL: 1.60 Col.dim., x-dir.: 3.5 in " Fy: 40.0 ksi LL: Fcol. dim.; -dir.: 3.5 in Allow. soil brg.: 1.0 ksf Min. reinf. ratio: 0.0020 Lt. wt. conc. fact.: 1.00 D O D Actual soil brg. kks O m W Z -1 m Vpunch vu / phi ksi As req'd (x-dir) ult. min. s. in. s. in. O 0.9 � 0.95 0.95 1.00- 1.00 0.90 0.45 0.47 8.00 O 0.000 N C 0.29 0.00 0.29- 0 0.0 1.45 1.45 1.50 1.50 , Loads DL LL kis kis Min. req'd. ftg. dims. (ft) X Y Actual ftg. dims. (ft) X' Y Actual soil brg. kks Depth req'd (in) Beam Punch. shear shear Act. "d" to rebar in1 Ftg. thick. kin. Vpunch vu / phi ksi As req'd (x-dir) ult. min. s. in. s. in. As req'd (y-dir) ult. min'. s . in. (sq. in. 0.9 0.0 0.95 0.95 1.00- 1.00 0.90 0.45 0.47 8.00 12.00 0.000 0.00 0.29 0.00 0.29- 2.1 0.0 1.45 1.45 1.50 1.50 , 0.93 0.79 1.02 8.00 12.00 0.006 0.02 .0.43 0.02. 0.43 3.9 . 0.0 1.96 1.96 2.00 2.00 0.96 1.15 1.67 8.00 12.00 0.015 0.05 0.58 0.05 0.58 6.0 0.0 2.45 2.45 2.50 2.50 0.96 1.48 2.33 8.00 12.00 0.026 0.10 0.72 0.10 0.72 . 8.5 0.0 2.92 2.92 3.00 3.00 0.94 1.79 2.98 8.00 ' 12.00 0.039 0.17 0.86 0.17 0.86 11.5. 0.0 3.39 3.39 3.50 3.50 0.94 2.10 3.67 8.00 12.00 0.054 0.28' 1.01 0.28 ,1.01 15.0 0.0 3.87 3.87 4.00 4.00 0.94 2.43 4.37 8.00_ 12.00 0.072 0.43 1.15 0.43- 1.15 19.0 0.0 4.36 -4.36 4.50 • 4.50 0.94 2.76 5.08 8.00 12.00 0.093 0.63 1.30 0.63 1.30 24.0 0.0 4.90 - 4.90 5.00 5.00 0.96 3.15 5.88 8.00 12.00 0.118 0.90 1.44 0.90 1.44 28.5 0.0 5.34 5.34, 5.50 5.50 0.94 3.43 6.53• 8.00 12.00 0.141 1.20 1.58 1.20 1.58 34.5 - 0.0 5.87 5.87 6.00 6.00 0.' 96 3.81 7.33 8.00 12.00 0.172 1.60 1.73 1.60 1.73 44.5 0.0 6.67 6.67 6.50 6.50 1.5 4.51 8.51 14.00 18.00 0.081 1.27 2.81 1.27 2.81 51.5 0.0 7.18 7.18 ' 7.00 7.00 1.05 4.86 9.27 14.00 18.00 0.095 1.60 3.02 1.60 3.02 59.0 0.0 7.68 7.68 7.50 7.50- 1.05, 5.21 10.03 14.00 18.00 0.109 1.98 3.24 1.98 3.24 67.0 0.0 8.19 8.19 8.00 8.00 1.05 5.57 10.79 14.00 18.00 0.124 2.41 3.46 1 2.41 3.46 5 .�z Note: Increases for depth have been taken for the allowable soil bearing per 2001 CBC Table 18-1-A T O M o ccnn • .. o70 n CCc W W p M O N O Z D Z O . - to < w M NorthStar ENGINEERING Civil Engineers • Surveyors Job #: 811'9 Date: Apr -i123, 2003 Keith Long Plan Review Consultant Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 Reply to plan -check dated April 3, 2003 .for: Hennie and Barbara Van de Velde (residence) Forest Ranch, CA APN: 063-024EO62 Building permit no.: 02-3521 To Whom It May Concern: NorthStar Engineering is providing this plan check response to Larry Wright (our. client), addressing items that may or"may`, not have been within our original scope of work. Specifically, only item #8 was'within our original scope; one that we contracted for, that.we provided a stamp and wet sign for and which we bear responsibility of. The gable -end wall' at the living / dining room is the only portion of the structure which falls under the umbrella -of our stamp, as stated under the "General Notes" (item #1) on sheet S-1 of the plans. We have provided responses to the rest of the plan check items to assist in the completion of - the plan check process. These responses are an attempt to explain the design methodology, used by the original designer, as we understand it. It is not a guarantee or claim that the design of the rest of the structure is acceptable or approved by us. Non -Structural Comments: o To be addressed by Larry Wright. BUTTE COUNTY Structural Comments: APR 2 2003 4 IDEVELOPAIENT 1. See attached letter.. SERVICES 3. The braced wall schedule has been revised to accommodate type "A" braced wall panels on the first floor of a two-story structure. 20 DECLARATION DRIVE CHICO, CALIFORNIA 95973 530-893-1600 FAX -893-2113 4. Type "B" braced wall panels will be used continuously at all cripple walls. This has been noted on the plans. 5. The braced wall between the master bedroom and master bath has been removed. Also, the braced wall at the 6'-6" wall of the closet has been removed. Both of these walls were unnecessary to make the structure comply with the braced wall requirements of the code. 1 know I've commented on this to you before, but I've really got to ask again. Let's assume the whole structure complied with the braced wall requirements of the code (if items #3, #4 and #6 of the plan check had been correct prior to your second plan check). Does it really matter if additional braced walls, that in and of themselves do not comply (i.e. the two aforementioned walls that have been removed), are added wherever on the structure? 6. The 3'-7 %" dimension is the length of the exterior wall panel segment. Larry Wright would like to continue that sheathing into the thickness of the wall (at the return near the bathtub) to achieve the full 4'-0" of length required by the code. A note to this effect has been placed on the plans. 8. It appears as though you are referring to the deflection criteria spelled out in table 16-D of the '97 UBC / CBC. If so, this table specifically addresses (under "Type of Member") a "Roof member supporting plaster or floor member". It is not explicitly applicable to wood stud wall (load bearing or non load bearing) deflection criteria. Section 1611.5 of the '97 UBC / CBC provides for a deflection of walls with brittle finishes of 1/240 (max) of the span and 1/120 (max) of the span for walls with flexible finishes (again neglecting the type of material used for the structure of the wall). We calculated a deflection of 1/195 of the span (if we interpolate, 1/180 of the span would sufficient for a finish halfway between brittle and flexible, and we are deflecting even less than that). The question then becomes, is a gypsum board finish brittle or flexible or somewhere in between? Certainly, the gypsum board itself is flexible. I've seen an 8'-0" long sheet supported at either end deflect an inch or more (deflection of 1/96 of the span, minimum) without breaking. The taping and mud at the joints then comes into question. Do we really know how flexible it is? Technically, only the taping and mud at the horizontal joints could present a problem, not the vertical joints (as they run parallel to the span). Is it possible that the amount of incremental deflection from sheet to sheet (along the length of the span) would be so slight as to not cause cracking at the horizontal joints? Is it possible that each of these joints are large (flexible) enough that they allow (relieve) a slight amount of movement at each joint so as not to cause cracking at any of the joints? Is it possible that if a crack PARC Z of 9- y' in one of the joints were to occur, it would be unnoticeable to the casual observer , (remember this wall, at the point of our'analysis,.is 18%6" fall and surrounded by windows)?Surely the view out the windows is more interesting to look at than a potential (maybe,possible) hairline crack in the gypsum board? With a limit of 1/240 (as you've suggested), the deflection at mid -height would be . ` 0.93 ".With a limit of 1/195 (as .we've calculated), the deflection at mid -height would be 1.14". That's a difference of 0.21" over 18'=6"' Is that small amount really the . difference between an acceptable amount of deflection and'too much deflection? How accurate is our deflection calculation? You'll note we do not, include any possible composite action that may. occur (the exterior 3/8" plywood sheathing and / or the / interior gypsum board workin&together with the studs). ` I realize that the code and building official require us to design to certain criteria, but is it possible that the wind pressures may never get as high as 75 mph, exposure B on this wall? With respect -to the deflection criteria you've cited, ceiling joists or rafters (roof members supporting plaster) are supporting dead and live loads with a°load duration of anywhere from seven days to permanent (section 2316, table 2.3.2, '97 UBC / CBC). Wind loading, on the other hand, is transient in nature with an assumed load duration of ten minutes (conservative, have you ever known wind to gust to the pressures prescribed by the code, continuously for this period of time?). Regardless, the. period of time assumed for the load duration of dead and live loads is approximately 1000 times longer (minimum) than that assumed for transient loads. , Does transient loading (in this instance) really require the same deflection criteria as - semi -permanent or permanent, loading?. , If you have any questions or need further{clarification, feel free to call me at (530) 893-1600. End of x i Jeff Richelieu, PE Q�MEBSP NorthStar Engineering Rt . .. a a NorthStar ENGINEERING Civil Engineers • Surveyors Job #:.8119 Dater April 23, 2003 Keith Long Plan Review Consultant Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 RE: Van de Velde.Residence Forest Ranch, CA To Whom It May Concern: I have reviewed the truss design and submittal for the Van de Velde residence prepared by Design Assistance. The purpose of the review was to. observe whether the truss designer used the proper loading and span criteria in the design of the trusses. This review does not relieve the truss designer and manufacturer from designing and providing trusses that meet the design criteria for the project. The structural design of the individual trusses, .framing configuration, -dimensions, truss -to -truss connections and other applicable design criteria are the sole responsibility of the truss designer and manufacturer. They shall design and construct the trusses as required per plan. If you have any questions, or need further clarification, feel free to call me at (530) 893-1600. Sincerely, Jeff Richelieu, PE NorthStar Engineering 20 DECLARATION DRIVE CHICO, CALIFORNIA 95973 530-893-1600 FAX -893-2113 IPA<_tF4- of' f- Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX FACSIMILE COVER SHEET Date: April 30, 2003 c elieu From: Linda Simpson/Philo Hunt Subject: Van de Velde Number of pages (including this cover sheet): 2 Telephone Number of Receiving Telecopier: 893-2113 If you do not receive all of the pages, please call (530) 538-7541 as soon as possible. Sincerely, in a Simpson Plans Examiner Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX t April 30, 2003 Hennie and Barbara Van De Velde P.O. Box 240 Forest Ranch, CA 95942 Assessor Parcel Number: 063-240-062: Building Permit Number: 02-3521 Thank you for submitting the plans for your building project. The plans have been reviewed, and . the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your` complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: ' 1. Please provide plans and apply for a permit to convert your existing dwelling to a shop. This permit must be issued along with the house permit.. 2. You show an 8x18 shed on the property. A permit is required for this building also. Please ; provide plans and apply for this permit. STRUCTURAL COMMENTS: 1. Provide engineer's seal on all plan sheets containing engineering requirements. 2. Provide shear walls as required on the front wall of the second floor on plan sheet 6 of 9. r If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. -and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Linda. Philo will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Linda Simpson Philo Hunt, P.E. Plans Examiner Plan Check Engineer cc: Jeff Richelieu, P.E., Northstar Engineering. ' I of 1 April 3, 2003 Department -of Development. Services Building Division 7 County Center Drive Oroville, CA"95965 (530)538--754-1 (530) 53&2140 FAX Hennie and. Barbara Van de Velde PO Box 240 Forest Ranch, CA 95942 Assessor Parcel Number: 063-024-062 Building Permit Number: 02-3521 Thank you for resubmitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response -will ekoeditethe re -check and approval of -this project. 1. Please comps with -the ng items in italics remaining unresolved from the previous P. an review; iathing. TRUCTURAL COMMENTS, ase�sh_o_w .._._a_1=3/8" SC door with self. -closer. Please modify the partial section on, Sheet 8 to reflect�the- (comp osition roofing and Furring would not be utilized. U URAL COMMENTS: The engineer shall certify review of the truss calculations for this residence, and concurrence with loading and span criteria. This was not provided. Note also that the response, given -is -riot the -response to this question. 3. The Type A braced wall padel. on the first floor of a two story structure, these alternate raced wall panels must h'ave.plywood both sides, anchor bolts at 115 points, and a holdown with 3000 lb capacity per CBC 2320.11, 4.2. Please revise BWP schedule, Revise on both sets of /pri ts. Please .f' s eci crle wall bracing per CBC T 23 -IV --C-2. Please specify n p �i pp p p Y the construction' method, not just a code reference. We have found that most framers do not carry a copy of the co with them. Interior braced wall lines must have a b. w.p. within 8' of the end of the braced wall line A braced wall line must extend to the perimeter of the area. The 2"d floor line between the MBR and`Mba does -riot comply, -nor the* 6' 6" wall at the' closet. This second floor -inay -require engineering for compliance. 1 of 2 13 February 15, 2003 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Hennie and Barbara Van de Veld PO Box 240 Forest Ranch, CA 95942 Assessor Parcel Number: 063-024-062 Building Permit Number: 02-3521 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan ekaminer's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: 1. Please provide one additional set of truss calcs and truss layout. Trusses have not yet been reviewed in the absence of a truss layout. 2. Note that a separate permit is required for the Future Barn. 3. Please show 5/8" type X gypboard in the garage/residence common wall, along with a 1- 3/8" SC door with self -closer. 4. Provide an additional 30 sf of openable window in the LR/DR/Kit area; 46 sf is required, and 16 sf is provided. 5. Please modify the partial section on Sheet 8 to reflect the composition roofing and. sheathing. 6. Please show a guardrail and handrail at porches > 30" off grade. STRUCTURAL COMMENTS: 1. The engineer shall certify review of the truss calculations.for this residence, and concurrence with loading and span criteria. 2. Sheet 6: please call out Type 3 shear walls at the front wall. 3. The Type A braced wall panel: on the first floor of a two story structure, these alternate braced wall panels must have plywood both sides, anchor bolts at 1/5 points, and a holdown with 3000 lb capacity per CBC 2320.11.4.2. Please revise BWP schedule. 4. Please specify cripple wall bracing per CBC T 234V -C-2. 5. Interior braced wall lines must have a b.w.p. within 8' of the end of the braced wall line. 6. The 3/8" plywood wall at the second floor shower must either. be 4' in length, or be engineered. � ' . . I of 2 7. Per calculation p. 2, show a type 3 SW at Line A. 8. Justify use of a L/180 deflection criteria for an exterior gypboard wall. Note the minimum ceiling joist criteria (gypboard) is L/240, not because it's a ceiling but because of the gypboard finish. Generally, L/180 is limited to structure without any finish. If you wish to discuss any of these requirements, please call (530) 872-2646 between the hours of 1:00 p.m. and 4:00 p.m., Tuesday through Thursday. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your perni t.) The counter staff will answer any questions concerning the Data Sheet. Keith Long, Architect Plans Examiner Consultant r G Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE -' 5 Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for.residential use. Exception: Garages and Carports. Owne : AV Phone: 6'Y - 99: q D3q Mailing Address _ . Site Address: A0 5 (�n��" 1 Assessor's Parcel Number: aQ , a Li D'- Q 6p o _ Zone: f Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form. GENERAL INFORMATION: 1. Is there a primary dwelling on the property? Yes ® No ❑ 2. Is the structure already built, under construction, or under notice of code violation? Yes No 3. Will items produced in this building be offered for sale? Yes No 4. Will the public have access to this building? Yes ❑" No 0 5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ No SITE CONDITIONS: 6: Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ . No 8. Do you plan to add a driveway or modify existing access to a county maintained road? Yes Q No 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? /, Yes No 11. Will this building be heated or cooled? _ I Yes No 12. Will this building have a water closet/toilet? IYes No ❑ 13.. Will this building have a sink? Yes No El 14. Will this building have a water heater?, Yes No ❑ 15. What type of floor covering will the building have? 16. What, type of wall covering will the building have? oj ` PROPOSED USE: (check only one box) 1. X Residential Storage Shed — I will be storing _ �'S ►-^i�m�E in this building and it wi11 not be used for any other purpose (no bathroom and no heating or cooling). 2. ❑ Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A garage door is reouired. 3. ❑ Residential Carport — A covered stricture intended for parking of vehicles. Two or more sides must be entirely open. 4. -0 Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport. If you checked #4, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office .'Workshop 1 ❑ Home Occupancy Z ❑ Other— Use = I. Descnbe type or Worbhop 2. Must be approved by the Butte County Plarming Division. Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. qr Owner's Name: Please Print 1� C1� `%R N DE Vr Ui _- Owner's Signature: Date: �) 09,z I O 0 �J 2 of 2 HEMMING Klrr0tfi"� � �U BY: MI© WIEY TITI_* RECORDING REOUESTED_BY ' u1NHEN RECORDED MAIL TO 'LO 0 HENNIE VAN DE VELDE 12785 All Seasons Drive Forest Ranch, CA 95942 0(01 -'2<<I O -Oto IIII III III VIII I III III I III II I IIIII 203—�>m�7823 Recorded 'I REC FEE 20.00 Official Records I Countyy Of 1 rE CANDACEUJJ. 6RUBBS ' A Recorder I ROSEMARY DICKSON I Assistant I Kathy 09:00AM 01-14ay-2003 I Page.1 of 3 .SPACE ABOVE THIS LINE FOR RECORDER'S USE MEMORANDUM AGREEMENT OF SALE AND ASSIGNMENT Contract No.934593 THIS AGREEMENT is made and entered into this 15th Day of Apni, 2003by and between the DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA, hereinafter called DEPARTMENT, and HENNIE VAN DE VELDE , hereinafter called Purchaser. DEPARTMENT hereby agrees to sell to Purchaser and Purchaser hereby agrees to purchase from Department, at the price and upon the terms and conditions set forth in that certain unrecorded Cal -Vet Loan Contract, of even date and number herewith, entered into by and between the parties hereto and on file in the office of Department. All that certain real property lying and being in the City of Forest Ranch and in the County of Butte , State of California, particularly described as: SEE EXHIBIT A ATTACHED STATE OF CALIFORNIA COUNTY OF SACRAMENTO ? On 4/15/2003 , before me, Paul M. Tompkins , NOTARY PUBLIC, personally appeared Rita Boyd, personally known to me (or proved to me on the basis of, satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her authorized capacity and that by his/her signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal.. Notary Public in'ar said County and State DEPARTMENT OF VETERANS AFFAIRS -OF THE STATE OF CALIFORNIA s . By AUTHORM3b dFRCER Purchaser 1. 4,4 � U - Veteran Purchaser's Signature PAUL M. TOMPVJNS COMM. 81315529 '� NOTARY PUBLIC • CAUFORM SACRAMENTO COUNTY Comm. Exp. JULY 29 2005 ASSIGNMENT ON NEXT PAGE ES -3437 REVISED 811999 MAIL TAX STATEMENTS TO DEPT. OF VETERANS AFFAIRS 1227 O STREET, ROOM 403 SACRAMENTO, CA 95814-5840 ASSIGNMENT We h&kt w t -e Jca Kwir- lie -ale and&OMP A VA N D 6. VCI E Husband and Wife, hereby assign and grant unto ourselves all of our rights and privileges under the foregoing contract and the real property therein jointly described and assume all of the obligations incident. thereto, to be hereafter owned and held by us as joint tenants. Husband. Date 4121103 Wife V -� STATE OF CALIFORNIA SS. COUNTY OF (fir On this'day f )'6—� �k I L. �yo , before. me, _ F . +ice rL-(-<--k NOTARY PUB IC personally appeared + -SA A) r personally known to me (or proved to me on the basis of satisfactory evidence) .to be the person whose name is subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her authorized capacity and that by his/her signature on the instrument the person, or the entity upon behalf of which the* person acted, ' executed the instrument. WITNESS y nd d (ficial al. Notary P bli and for said County and State . DALE E. MILLER Comm. ! 1381 39 N NOTAAy PUIIIC CALIFORNIA Butte County My Conan. E>�WS 001.11,7008 S E April 30, 2003 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Hennie and Barbara Van De Velde P.O. Box 240 Forest Ranch, CA 95942 Assessor Parcel Number: 063-240-062 Building Permit Number: 02-3521 Thank you for submitting the plans for your building project: The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. ON -STRUCTURAL COMMENTS: 1` Please provide plans and apply for a permit to convert your existing dwelling to a shop. This permit must be issued along with the house permit. 2. You show an 8x18 shed on the property. A permit is required for this building also. Please provide plans and apply for this permit. STRUCTURAL COMMENTS: 1. Provide engineer's seal on all plan sheets containing engineering requirements. 2. Provide shear walls as required on the front wall of the second floor on plan sheet 6 of 9. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural. items, ask for Linda. Philo will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form .when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. e , Linda Simpson Philo Hunt, P.E. Plans Examiner Plan Check Engineer cc: Jeff Richelieu, P.E., Northstar Engineering x_ 1of1 tV O.B. 1 '-0,4 ONVNIER-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- ajor labor and materials for construction of the proposed . p/ property imp vement : YES NO ❑ 2. I HAVE HAVE NOT ❑ signed an application_for a building permit for thero osed work. P P '3. I have contracted with the'following person (firm) to provide the proposed construction: NAME • , ADDRESS: CITY: PHONE: CONTRACTOR'SLICENSE NO. ' 4. I plan to provide- portions of this, work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED - "ROPE S t ---------------- NOTE. This Owner -Builder Verification is required by Section 19831 and. 19832 of the California Health and Safety Code. This - verification must be completed and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION Dear Property Owner: O.B.= I 7 An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: i ♦ 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. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry. out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor; only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally: -Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. qy,l l C. Vi ira, C.B.O. r, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 9- OVER i May 13, 2003 Hennie Van de Velde P.O. Box 240 Forest Ranch, CA 95942 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 063-240-062 Building Permit Number: 03-1363 Restriction: Workshop only ---no living, sleeping, cooking, etc. Thank you for submitting the plans for your building project. The plans have been reviewed, and comments are listed below. 1. A "Deed Restriction and Notice of Limited Use Facility" must be recorded for your workshop.. Please provide a.copy of your grant deed for the property.so that we may prepare the document. You will be required to sign, notarize, and record the "Deed Restriction and Notice of Limited Use Facility" prior to issuance of the building permit. 2. Please provide three plot plans showing all buildings on the property. Plot plans are required. for each permit If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you -applied -for your -permit.-) The -counter -staff -will -answer -any -questions -concerning -the Data Sheet. Lin a Simpson PlanChecker 1 of 1 �` � n. r } , ILII III III I IIII I III i 1111111111 IN 2(aga 00.Es4Q) 1 6. r ' + Recorded. 1 'REC. FEE 22.10 Official Records '> I CONFORM .00' When recorded return to: ' County Of I BUTTE " Count of Butte Y CANDACE J. GRUBBS 1 Recorder i, '*Department of ROSEMARY DICKSON i y Development Services Assistant I; Travis 10:08AM 15 -Sep -200s t Page i of 6 Building Division 7 County Center Drive Oroville,.CA 95965-3397 Space above for Recorder's Use Owner Name: Hennie Van de Velde and Barbara Van de Ve'lde Building Permit No: 03=1363 -Workshop DEED RESTRICTION AND NOTICE OF LIMITED USE FACILITY I. WHEREAS, on this 13th., day of_Nay, 2003, HennieVan de Velde and Barbara Van de Velde, hereinafter referred to as owner(s), is the'record owner 'of tli'e , following real property: 12785 All Seasons Drive Forest Ranch; CA 95942 APN# 063-240-062; and as further set forth in.Exhibit "A" attached hereto and hereby incorporated by referen'ce, hereinafter referred to as "the subject property"; and IL WHEREAS, the Building Division of the Butte County Department of Development Services is acting on behalf of the'People of Butte County; and III. WHEREAS, the owner applied to the Building Division for a building permit in order to develop the subject property described above; and IV. WHEREAS', Building Permit No. 03-13.63 was applied for on M'a'y 9, 2003 by the owner in accordance with the provisions of the Butte County Code and'the' California Building Code; and V. WHEREAS, the use allowed by Building Permit No. 03-1363 has been reviewed and approved for only the limited purposes set forth below; and VI. WHEREAS, if is intended that this .Deed Restriction and Notice "of Limited Use Facility shall constitute an enforceable, restriction and remain in effect until a -new application for a different use has been approved; and - J t, VII: WHEREAS, Owner acknowledges that.Owner will comply with the limited Fuse restrictions that were incorporated, in re'view-Mg and approving Building Permit No. .03-1363 which enabled Owner to -undertake the limited use authorized by this permit. NOW, THEREFORE, with the issuance of Building Permit No. 03-1363 to Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited -use facility, as set forth below, which establishes restrictions on the use and enjoyment of this limited use facility. The undersigned Owner, for himself/herself and for his/her heirs; assigns, and successors in interest, acknowledges and agrees to those restrictions. .. This limited use facility shall be utilized in compliance with those lirriitation's prescribed by' the California Building Code 'occupancy 'classification assigned by the- building hebuilding official, except the following uses are not allowed: sleeping, cooking; dwelling unit, overnight guests. Additionally, the space will not be heated an'd or cooled.. The 'counter space is limited to 10 square feet with''a maximum 15"x 15" bar sink in it. No cooking facilities are allowed. If any provisionof these restrictions is held to be invalid or for any reason becomes unenforceable, no other provision shall be thereby affected or impaired. This deed restriction and notice of limited use .fa'cility shall remain in full force and effect during the period that.this permit, or any modification or amendment thereof, remains effective, and during'the period that the development authorized. by this permit, or any modification of this development, remains in existence in or upon any part Of, and thereby confers benefit upon, the'subject property described herein, and to that extent, this deed restriction and notice of limited use facility is hereby acknowledged and agreed to by Owner to restrict the use and enjoynient.of this limited use facility and shall be binding on Owner and all his%her assigns or successors in interest. Owner agreess to record this Deed Restriction and Notice of Limited Use Facility in the Recorder's Office for the County of Butte as soon as possible after the date of execution. This document shall be recorded and 'returned to the Butte County Department of Development Services, Building Division prior to the issuance of Building Permit No. 03-1363. DATE:. 30 , 20 NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat (acknowledgment) as explained in your Notary Public Law Book. STATE OF CALIFORNIA ) SS. COUNTY OF BUTTE ) On �, - 3(� 03 before me, IVtQiVI� N�.Y�,1�1 Notary Public, personally appeared r' xA P.�,hyjte. VOLA IY _VeWe, y. .��,�F!�'�/�,'I'l�;, ,p (or proved to me on the basis of satisfactory evidence) to be the persons) whose name(s)-4s°/are subscribed to the within instrument and acknowledged to me that 4�skie/they executed the same in his4her/their authorized capacity(ies); and that by .,hi6/14er/their signatures) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. MELISSA NORDEN WITNESS my hand and official seal. COMM. / 1399913 Lip NWAWPUK*e GMAQW" BUM COUM Signature (Seal) STATE OF CALIFORNIA ) SS. COUNTY OF BUTTE ) On before me , Notary Public, personally appeared personally known to me (or proved to me on the basis of s isfactory evidence) to be the persons) whose name(s) is/are subscribed to t within instrument and acknowledged to me that he/she/they executed the s e in his/her/their authorized capacity(ies), and that by his/her/their signature(s n the instrument the person(s), or the entity upon behalf of which the person(s) ed, executed the instrument. WITNESS my nd and official seal. Signatqf'6. ` I JO - YT ~ ,. ' This is to certify that the Deed .,Restriction. set forth above 'is hereby acknowledged by the Director of the bepartment of Development Services and 1h;6t Butte County consents to ,its recordation thereof. ated:D 03 Yvo he Chr s opher, Director. De.. artment Development Services STATE OF CALIFORNIA ) SS. COUNTY OF BUTTE ) `' 1 On 3 03. ,_ ki'efore me, � ID�P � � �►%� ;Notary Public, perse -ally ppeared « Y�SUt�k! ...... t perso°Wally known to 'me ( ) to be the pe'eson(sj whose name(s) is/afe-subscribed to the within instrument and *acknowledged to me that e/she/tl r executed the same in *is/her/the authorized capa6ity06e r), and that by #is/her/tom signatur0H on the instrument the person*, or tlie'entity upon behalf of which the person -(0 acted, executed the instrument. ooioaEs a NM WITNESS my hand and official seal: commbdon # 1416610, N(*W haft - cdoom eu�. carr (� /a � � Mlr comm. e� Mo�►4. X07 Signature. _ (Seal) •1 4 v4u�? i .A Z:'aS 0JOU piAt'. f ?d { ct�ii?dit�'9Ytoa �� GSnK�f'i tri • ss?���R +��te�t� ' , s �,;,• AV EXHIBIT ."All PARCEL 1: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF'BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 25,1985,. IN,BOOK 98 OF MAPS, AT PAGE(S). 90 AND 91. EXCEPTING THEREFROM ALL MINERAL RIGHTS AND THE RIGHT OF INGRESS AND EGRESS, AND THE RIGHT TO CUT TIMBER AND USE IN MINING, AS RESERVED IN A 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; PAGE 293, BUTTE COUNTY RECORDS. APN 063-240-062-000 PARCEL 11: AAIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE NORTH 60 FEET OF PARCEL 7, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 15, 1977, IN BOOK 63 OF MAPS, AT PAGE(S) 54, 55 AND 56. -PARCEL M: NON-EXCLUSIVE EASEMENTS FOR INGRESS AND -EGRESS AND FOR PUBLIC UTILITMS OVER ALL SEASONS DRIVE AND .SUMMER PLACE ROAD, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 25, 1985, IN BOOK 98 OF MAPS, AT PAGE(S) 90 AND .91. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL 1, DESCRIBED HEREIN. .RECORDING Mtniti o a uj BY: IMO -VALLEY TITU RECORDING REQUESTED BY �1NHEN RECORDED MAIL TO HENNIE'VAN DE VELDE 12785 All Seasons Drive Forest Ranch, CA 95942 0 r 0 -0l0 -Z_ fllf III III VIII I IINlf l lf!!I I IIIII� i2�@3—�tfa27823 Recorded I REC FEE 20.00 Official Records .1 CoBuOnty Of CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON 1 Assistant I Kathy" 09:00AM 01-14ay-2003 I Page 1 of 3 SPACE ABOVE THIS LINE MEMORANDUM AGREEMENT OF SALE AND ASSIGNMENT DER' Contract No.934593 THIS AGREEMENT is made and entered into this 15th Day of April . 2003, by and between the DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA, hereinafter called DEPARTMENT, and HENNIE VAN DE VELDE -hereinafter called Purchaser. DEPARTMENT hereby agrees to sell to Purchaser and Purchaser hereby agrees to purchase from Department, at the price and upon the terms and conditions set forth in that certain unrecorded Cal -Vet Loan Contract, of even date and number herewith, entered into by and between the parties hereto and on file in the office of Department. All that certain real property lying and being in the City of Forest Ranch and in the County of Butte , State of California, particularly described as: SEE EXHIBIT A ATTACHED STATE OF CALIFORNIA ss. COUNTY OF SACRAMENTO On 4/15/2003 , before me, 'Paul, M._TMpkkins , NOTARY PUBLIC, personally appeared Rita Boyd, personally known to me (or .proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within .instrument and acknowledged to me that he/she executed the same in'his/her authorized capacity and that by his/her signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument.- WITNESS nstrument:WITNESS my hand and official seal. 10-1 f Notary Public in an!�said County and State DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA By 4— AUTHOREM6 6PFICEP Purchaser '-8,44�►�+.r-e c - Veteran Purchaser's. Signature QPAUL M. TOMPKINS n ICOMM. # 1315529 " NDTARY PUBLC CALIFORNIA SACRAMENTO COUNTY Comm. Exp. JULY 29 2005 ASSIGNMENT ON NEXT PAGE ES -3437 REVISED 8/1999 MAIL TAX STATEMENTS TO DEPT. OF VETERANS AFFAIRS 1227 O STREET, ROOM 403 SACRAMENTO, CA 95814-5840 31 P ASSIGNMENT Wei-/-k_t^ LW (%aK�� /� and 6 VUDE Husband and Wife, hereby assign and grant unto ourselves all of our rights and privileges under the foregoing contract and the real property therein jointly described and assume all of the obligations incident thereto, to be hereafter owned and held by us as joint tenants. Husband Date 1121 103 Wifedo—\/e&Q--1 STATE OF CALIFORNIA SS. . COUNTY OF < <- S� On this day?f before me. F . IM rL-(-EyZ,NOTARY PUB IC personally appeared --+Lf-/ 0 JQ+- �::�� personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her authorized capacity and that by his/her signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. WITNESS y' nd d (ficial al. Notary P tli ' and for said County and State GALE E. MILLER Comm. l 1381 f 39 JA N NOTARY PUBLIC•CAL F0fl" Bm1e County fdy Carom. E.Vsai Oct,22,2008 ES -3437 REVISED 8/1999 1 k ` EXHIBIT "Ai! PARCEL I: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 25, 1985, IN BOOK 98 OF MAPS, AT PAGE(S) 90 AND 91. EXCEPTING THEREFROM ALL MINERAL RIGHTS AND THE RIGHT OF' INGRESS AND EGRESS, AND THE RIGHT TO CUT TIMBER AND USE IN MINING, AS RESERVED IN A 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, PAGE 193, BUTTE COUNTY RECORDS. APN 063-240-062-000 PARCEL II: ARIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE NORTH 60 FEET OF PARCEL 7, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 15, 1977, IN BOOK 63 OF MAPS, AT PAGE(S) 54, 55 AND 56. PARCEL III: NON-EXCLUSIVE EASEMENTS FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES OVER ALL SEASONS DRIVE AND SUMMER PLACE ROAD, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 25, 1985, IN BOOK 98 OF MAPS, AT PAGE(S) 90 AND 91. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. 0 NOTES RESIDENTIAL 063-240-062 03-1363 PERMIT NO. _. - .. VAN -DEL VELDE; HENNIE -• ---_ �--- , 12785 ALL SEASONS, FOREST RANCH ' ,y CONVERT LIVING TO SHOP n , t+ - SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER f ' t . 01 J06 FINALED-(Date) ' �� V = Signature J=OK 0 = Not OK . = Not Readyable Card B-1 Date Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location -Test -Fall -C/O -Concrete Drain; MH Test -Fall -Flex Connector . 4. Water; Location -Test -Easement Needed (Sketch) Plumb.; Cir. Test -Water Supply Test 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Cert. of Occupancy 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Siding; Nailing -Veneer -Stucco -Mesh Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector . 2. 6. Water; MH Test -Regulator -Connector Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 7. Water and Sewer Connected -C/O to Grade -HD Approval Zoning Requirements -Setbacks -Easements 8. Gas and Electricity Tagged • Footings; Soils -Size -Depth -Spacing -Connectors -Steel Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 9. Tie Downs -Type -Installation Cert. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 9. 10. Exits; Insp.-Sketch- nsp.-Sketch11. Plumb.; Cir. Test -Water Supply Test 5. 11. Cert. of Occupancy 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Date Siding; Nailing -Veneer -Stucco -Mesh Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM -(ONLY) Braced Wall Panels 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line Date 3. Blocking POOLS (Plans) OK except•#'s 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and'Sewer Connected 8. Gas and Electricity Tagged' '9: Exits 10. License Decals' 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 2. Soils; Compaction -Structure Stability MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Elec.; Receptacles and Lighting, Distance-GFI 1. Zoning Requirements -Setbacks -Easements 6. 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 9. 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing Plumb.; Cir. Test -Water Supply Test 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 12. 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except•#'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval . 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date . Card B-1 - Date Card B-1 0 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 5. Stemwalls, Main; Steel-Blockouts-Wrapped 50. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 7. Slab, Steel -Wrapped 52. 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Property Line Firewall & Openings 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 54. 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 13. Plenums & Ducts; Clearance -Material -Support -Ins. 56. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Siding -Nailing Veneer 16. Insulation 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Brace Interior/Exterior Wall Panels 18. Water Pipe; Test & Anchor -Nail Protection 62. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access Infiltration -Walls -Windows 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date 23. Fire Sprinkler; Test Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive O Yes O NoMalks O Yes O No/Planters D Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 �' P T (Rev.12/9a), APPLICATION AND PERMIT r ASSESSOR PARCEL NUMBER 063-240-062 ZONING BUILDING PERMIT OWNER VAN del VELDE,.HENNIE TELEPHONE 893-4039 SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS PO BOX 240, FOREST RANCH CONTRACTORS NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 138.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS 12785 ALL SEASONS DR FOREST RANCH Energy Plan Checking Fee $ $ PERMIT FEE $ 158.00 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 ❑ Des9QVR;c: LIVING TO WORKSHOP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Fee 20.00 V OR Main Service . ' OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License kl_aVi for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. °t I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. SO 3.50 so NEW CONST. NON•RESID. MULTI.OUTLETIS @7.50 APPARATUS .714.. SINOLE OVn.ET CIR. Ex. Occup. OUTLET OR FIXTURES 20 00 BAL @':50 FIX PMA. Ex. Occup. GimtTsR.16JOER 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed R the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply With those provisi s. X �►-�—� Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Age An OSHA permit is required for excavations over 5'0" deep and demolition or construction�� of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ � TOTAL FEE $ 158.00 LHAZ. . FEES IMP FLOOD CDF PARCEL I PD I HD LJSSU s hereby issued under the County Code and/or ove for which fees have ty. PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. ate (D4b) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR P K -INSPECTOR GOLDENROD -APPLICANT i �ri-ee '� ""1+3" ,,J�a 'l(�? ?►�y y;�' t '; S: e ,� •-3°.4.".'_9i !�'�":; ._' v �5a, l.�Y 1�' `i`''.i 7G'4 " X+`� .'f ^< � �r ,'1 ,^Ji�eh'. ,�WKiMO"' 4,k; 7 JS . ; COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION a 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 ERMIT AP • ' ICATION DATA SHEET OWNER: ASS S O PARCEL NUMBER,, roposed Building Use: a c t r e chnician: �� (/' Date: ems required in order to applyor a permit. All boxes MUST bchecked R 'arked NA in order to apply. Plot plans, 3 or 4 sets, signedty the preparer of the plans. � v 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By O 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... 10. Letter of intent for non-residential buildings......................................................:.. Detached Accessory Building Form filled out by a owner ..................................... ❑ 12. Hazardous aterial F m.....................� ......�... 1 13. Other p i -PI. Remaining items needed to issue the permit. (May require additional Van review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑S. Statement of Intent for Non -heated and A/C Buildings ................................ IB" 16. Sanitation and plot plan approval from the Environmental Health Department in. LjV ❑ 17. City of Chico Plumbing permit ....................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sentby: . . ❑ 19. PlanningApproval for A Use: B Parkin ` pp ( ) O g: :: ,(C) ParceLiDheck: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.......:............................................................ ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... s ❑ 28. Manufactured home utility clearance............................................................... 29. Existing violations and/or expired permits......................................................... ❑ Grant Deed, ❑ M.H. le/Statement f Facts, ❑ Letter from Legal Owner, 0,Checkto H.0 $ Other: en issued Telephoned for pickup. I have been informed of the above items and requirements for obtaining a building per Applicant:° Da - 1. Index permit application for the above items nu a .e Plan Check Letter 2. Additional items re uipodl Contractor, designe ,.owner as advised cf the above ata by phone, ❑ m&f,D ❑ counter, by Ir Date: �— Contractor, designer, owner, as advised of the above data by ❑ phone, ❑ mcounter, by. Date: Plans reviewed by: Date: Plans approved by: Date:, -' Structural reviewed by: Date: Structural approved by: Date: Note transfer by: _�g�Date: Yellnw- Rnilrlino n;vicinn 4. +fir+' '• -4 3 43 ,Q&do E.H. USE ONLY Piot Pian Attached Floor Pian Atter hod V. Sent to B.D.9 19 / �A1 TO: Building Department FROM: Environmental Health SUBJECT:, Sanitation Clearance Owner Location'AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well `'- Clearance for dwelling. Other • , Hold final for: Final clearance O.K. for - N . . . Z _� I _/ Environmental Health Specialist 8/96 Date ' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecciunty.net\dds PERMIT NO. BP043293 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perl'ury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/16/2004 APN- 063-240-062-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 12785 ALL SEASONS DR FRN Date: Contractor: Map Index: Description: to final whirlpool tub per correction notice OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: VANDEVELDE HENNIE & BARBARA (CB permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a DVA) signed statement that he or she is licensed pursuant to the provisions of 12785 ALL SEASONS DR the Contractor's State License Law (Chapter 9 commencing with Section f 7000) of Division 3 of the Business and Professions Code) or that he or FOREST RANCH, CA she is exempt therefrom and the basis for the alleged exemption. Any 95942 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): t I ❑ I, as owner of the property, or my employees with wages as their i sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: VANDEVELDE HENNIE &BARBARA (CB owner of property who builds or improves thereon, and who does pp such work himself or herself or through his or her own employees, DVA) provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one t year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of i sale.): ❑ I, as owner of the property, am exclusively contracting with ) licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ 1 am Exempt under Article 3Z0, 0o the Business and ssions Code rProof - "O Owner:��"vLZ`4 Date:/1-2/_ i WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for License #: 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 Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy #: Total Square Ft:. 0 S. F. ❑ I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: L ` and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. • , l/. . 111/616 � Date: /� Applicant* l!-._ (mac WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. = �-A CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Coda anritor I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: PERMIT EXPIRES ON: Date Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos S. ��t= Print Name:- 4_Gt C yC�l Y ![ASignature: /!i() Date: ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor ♦ . BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netkdds PERMIT NO. BP043293 LICENSED CONTRACTORS 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 Issued Date: 11/16/2004 APN: 063-240-062-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 12785 ALL SEASONS DR FRN Date: Contractor: Map Index: Description: to final whirlpool tub per correction notice OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: VANDEVELDE HENNIE 8r BARBARA (CB permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a DVA) signed statement that he or she is licensed pursuant to the provisions of 12785 ALL SEASONS DR the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or FOREST RANCH, CA she is exempt therefrom and the basis for the alleged exemption. Any 95942 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: VANDEVELDE HENNIE BARBARA (CB owner of property who builds or improves thereon, and who does pp such work himself or herself or through his or her own employees, DVA) provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ 1 am Exempt under Article 3 oo the ,Business and Prof sosions Code ' "Q �•-�`-v Dater Owner. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of pedury one of the following declarations: ' ❑ 1 have and will maintain a certificate of consent to self -insure for, License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: S. F. Policy #:0 ❑ 1 certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: 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. J —G/� -6> // /� 6 Date: << (� Applicant• 44—,a/, WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. �- r Alm mmdsl c - CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Bette County CodA anNor I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: PERMIT EXPIRES ON: Date Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the mmentioned property for inspection purpos S. �above `�Gt L4 - �� �G/�' 17i, Print Name: (it) C � ✓Z Signature: --p Date: 0 Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor ' � ` � ; 1 � �T .' _ � � .� � + - `+r .. .. ' i l • 1� 1 � �T .' _ � � .� .. � � s� . .. � y ' 9 ��, -tr�v ily .. 1�'. }.K�•Y.'• :�.^Y ,. �. M ..-� _ � ? • �r�. �. .. _�*%i'.TM.,.-rs'x �. COUNTY OF BUTTE PERMIT NO. Gir A routine inspection indicates that the following violations of Butte County Ordinances exist at 1 1he�above dress and should be corrected. Please notify this office when correction of work x.. is completed. If you have any questions pertaining to this matter, or need additional explanation, i}. please contact this office immediately. e, ;x s: k. x� p g' Date �' �8' �� Inspector. `" REV 11/91 DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 F 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE `- I?.. v Q PERMIT NO. Gir A routine inspection indicates that the following violations of Butte County Ordinances exist at 1 1he�above dress and should be corrected. Please notify this office when correction of work x.. is completed. If you have any questions pertaining to this matter, or need additional explanation, i}. please contact this office immediately. e, ;x s: k. x� p g' Date �' �8' �� Inspector. `" REV 11/91 BUTTE. COUNTY �. DEVEL7f?%- .*y'T S,FrRVICES Complaint Form �5 / �y Complaint Date: �.�-, - G� A.P. # (P "S L�} -d1 Owner: Zoning: f (1 Address: ���� %� : S'��C%.SF„ �' JK Supervisorial District: Taken By: Complaint Q; Q Location: VIOLATION TYPE: BUILDING +. HEALTH PLANNING COMPLAINT: CAUTION: Yes No / PERMIT HISTORY ON FILE: NONE ��i/ AS FOLLOWS: ------------------------------------------------------------------------------ FIELD INFORMATION: TENANT:.f o Address: %� CJ Description of Violation: ne1L rp t f .M.- V_� Approximate Building/ obile Home tSizpe: �JC Approximate Buildi g/Mobile Home Under Construction Built0for: Present Owner Previous Owner Occupied '7 6 Has.Power Has Gas Has Sanitation Facilities Written Notice Given & Attachedi Person Contacted Describe Action Taken: (,- 30 Day:`Letter 10 Da Letter By: Y Date: Complaint Unfounded Other waT-' t 0 i v� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. Calilornb!; 91965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT ERM IT N0. ASSESSOR PARCEL NUMBER 63-240-062 ZONING TM 10 BUILDING PERMIT OWNER TOMUIGLEY TELEPHONE SO. FT. OCC. I - BVfLDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 723 FOREST RANCH 95942 CONTRACTOR'S NAME OLJNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace I. CONSTRUCTION LENDER UNKNOWN Tot I Ion $ III ee $ 15.00 LENDER'S MAILING ADDRESS P r i e $ ARCHITECT OR ENGINEER LICENSE NO. PI n c i g Fee $ Energy n Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ALL SEASONS DRIVE FOREST RAPICH Permit tee PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 ( Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP O Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomen Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home W I @ 15.00 'in nn TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [X Installation❑ Other ❑ Describe work: _T T _ , $ X 30) _ Permit Fee $ 49.00 Contractor T ELECTRICAL PERMIT I Filing Fee 115.00 Main service 600VORLESS 200A OR LESS 18.50 18.. Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In full force and effect. ` License ;Jo. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.5 OR ADONS. ( ACC. BLOGS. 3.6p sq.ft. NEW CONSTR. MULTI -OUTLET NON.RESI BRANCH CIRC ITS /� 5 00 l: POWER APPARATUS g (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 764 EX. Occup. OUTLETS (RESID )FIXED APLNS.REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring g '15.00 Permit Fee $ 48.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 liabilities, judgments costs, and expenses which may in any way accrue against s id C my in nsequence of the granting of this permit. X 4(- a 9– l Date Signature of Appli nt _ Owner I�r Contractor El Agent ❑ EX An OSHA ion of structures over r 3gstories oineheight Ions over 5'Q" deep and demolition or construct- Mobile Home Installation Fee S Ener Inspection Fee $ 9Y P occ CONST TYPE TOTAL FEE $ 113.50 HAz DFEES IMP - FLoD CDF PARC�I PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date applicable provi resolutions to do � have been paid. WORKS Date Receipt No. WNITE-O.P.W.. LLO W -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMt Ny OF. PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL�'CAL [FO RNIA' 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. i OWNER 7aln.�V A P ��O"O6 Z- ' Proposed Building Use l/ Building Inspector + ^I i" Date At time of permit application, I was advised the following data must be submitted p i r to permit processing and/or issuance: CjATE RECEIVED APPROVED 1. All items have been submitted. 2. Plot plans in duplicate/triplicate, signed by preparer of p a s, �. • �� 3. Complete plans in duplicate/triplicate, signed by prepare of fl I,an) . 4. Complete engineered plans and calcs, with wet signature on pla.i s .. 5. Hazardous Material Form ....... ............. .� ......... 6. Energy Design Comp1' nce and supporting'docurflejntation ......... 7. Statement of Intent for Non -Heated and ACJ;1a6I1dings ....... 8. Engineered truss details and layout in duplicate-(t�\q 1 iced prior to plan check) 9. Mobilehome installation data including manuf1acturer's installation instructions....................................................... 10. Fees of $ ...........:............ 11: Chico Urban Area fees paid ....................................... 12. Park fees paid ................ 13 School Distr• t fe s paid.............. 4. Sanitation approval from ( (/SHealth Department L J` 15. City of Chico plumbing permit .,,.z7�t[�£a/..�l�o ......... 16. Plot plan and business license approv;l from/City of (see City for other requirements) .17. Planning approval for (A)1Usg:) '� (B) Parking: ...... provements may be rewired. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) required . Pre-Inspec. request to . Pre -Inspection for p q ' 'Building Inspector (Date) 21. Contractor's license information.(No., Na a St01Q-Classification) ... 22. Certificate of Wror �ans� {o erasatlo' �/ . p ns'ati' n lnsurance .................. 23. caner -Binder yer�fi'ca.tron (Gi en to ovine?1A, MaiI to owner ❑) ..... YY Recorded copy ofAgri`cu'ItLirallAckn�wletrgment Statement ......... 25. Letter ofrsigliature authorizatjon�. •t .... 26. �A 27. e� When you issue the permity fl, pr6ccess as follows: ' Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other �} ��A/ I i an ` l Pp & Date ' � - s t Copy of !.az-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following d a u i3 9 rior to nerr,,mit issuance: rile new item not checked above). 1. Index permit for abo a items No. �`� 19nce: ((v7 , 2. Additional items required:�' -e Contractor, designer, o er, was advised of above required data by_phone ail_Counter by date L— _- Contractor, designer, o ner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date L Plans approved by Date Sets of plans on ho—On File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovifle, Ce;lforgla35965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMB y` ZONI BUILDING PERMIT ow TELEPHO SQ. FT. OCC.1 BUILDING VALUATION W AILI G ADDR CON TOR' N TELEPHONE CON ACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee - $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERA MAILING ADD 5 Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FiiingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USq OF STRUCTURE SF ❑ Duplex[] MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home _FSTG W1 @ 15.00 Q TYPE OF WORK New! AdditionU Remodel ' Utilities I stallation❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 18.50 200A OR LESS , Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. ` License :Jo. Classification 17I, 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 th(Sece owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM 3.64 sq.tt. OR ACDNS. ACC. BLDGS. I NEW CONSTRESID, RANCH TLET NON.R ESI BRANCH CIRC ITS @ 5,00 CIRCUITS) POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 760 FIXED APLNS. EX. Occup. OUTLETS (RESID.)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee S — WORKMEN'S COMPENSATION INSURANCE I declare under.Penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C._ laws of California.- Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor - MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation - Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant – Owner❑ Contractor ❑ Agent ❑ An OSHA ion of structuress over r 3q stories in height.Ions over S't1" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ , HAz I DFEES I IMP FLOOD CDF I PA L PD I 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 PERMIT EXPIRES Date Receipt No. WHIT C•D. r. W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ti COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 t DATE 5-11-92 TOM QUIGLEY RE: 92-1377 P.O. BOX 723 A.P. #FOREST RANCH 'CA 95942 63-24-62 With reference to the above subject: Attached is.: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER % /.We need the following. information : Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete' -plans in , including plot plans. Plot plans in -Structural details in Complete plans and talcs in by registered engineer or architect. Energy design including - -Street and -drainage -improvement plan approval from Land Development Section'(DPW). sets of plans.in accordance with the changes marked in red. X Sanitation approval from Butte County, Health' Department. at: 146.9 Humboldt.Road, Chico. X 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. /X / OTHER 1.- Driveway permit. 2. Recorede copy of agricultrual acknowledgement statement 3. One plot plan stamped by Health Dept. Should you have any questions concerning the above, please.contact 'rom May. :.:. of, this office. _ _. _.. BETWEEN -3 &.. 5 -P.M. _ Yours very truly, William Chaff .Director of Public Works �l..F. Glander C:UUN•1Y Ur BU11L - MXLUIflti UlVIalUN DEPARTMENT OF DEVELOPMENT SERVICES ' 7 County Center Drive, Oroville, CA 95965 Tom Quigley P.O. Box 723 Forest Ranch, CA 95942 Dear Mr..Quigley: With reference to the above subject: Attached - is : Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form PHONE: 916-338-71_-_-'-'_ DATE 16-338 -- DATE Tune 4. 1993 RE:'Building Permit Application #93-1476 A.P. # 063-240-062 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information: Permit application signed and completed where indicated with all'copies returned. Fees of $ payable to Butte County Treasurer._ Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License. Law information or check exemption statement . Complete plans in , including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage- improvement plan approval from Land Development Section (DPW). sets of plans in accordance with'the changes marked in red. XXXXX Sanitation approval from Butte County Health Department at: XXXX 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 XXXX Recorded copy of agricultural acknowledgement statement. / /OTHER Should you have any gnestions concerning the above, PlanSe contact Dave Wasney of this office. Yours very truly, DP:hla av Yd Purvis Manager, Building Inspection + s BUTTE COUNTY DEVELOPMENT_SERVICES. Y /� Complaint Form' / Complaint Date: A ��—'A.P.# L Owner: i Zoning:% / y Address:` L e Supervisorial ,D,/istrict: �dY'eS7 lJiiC`1 Gf S 9 � 'Taken By: 013, Complaint c , Location: VIOLATION TYPE: BUILDING HEALTHPLANNING COMPLAINT : / /� U/ l TZ y),e ` CAUTION• Yes No PERMIT HISTORY' ON FILE: NONE_ AS FOLLOWS: c FIELD INFORMATION: + TENANT: .,Address: Description of Violation: "OTHER COMMENTS: Approximate Building/Mobile HomeSze:' Approximate-Building/Mobile Home Age: Under Construction - - Built by/for: Present Owner Previous Owner • Occupied Has Power Has Gas Has Sanitation Facilities Written Notice Given & Attached Person Contacted. Describe Action-Taken:- ction-Taken: ACTION ACTION RECOMMENDED: • Information Only, File ;.' 3v Hold for Days 30 Day Letter Complaint Unfounded , 10 Day Letter., " Other By: Date: COMPLAINANT: ADDRESS: PHONE NUMBER: OTHER COMMENTS• BUILDING DIVISION COUNTY OF BUTTE.- DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE ® OROiLL14 CALIFORNIA 05005 — TELEPHONE, (010) 53&-7641 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. . ASSESSOR PARCEL NO 104 v ZONING OWNER PHONE NO. < . OWNER'S ADDRESS LOCATION OF BUILDING G r i�2 C �V X Gt 77F�- USE OF BUILDING A,, 4^ aciWe rs SIZE OF STRUCTURE / X = SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE* OTHER (Specify) fi TYPE OF SIDIN ROf1ECOVERING FLOOR TYPE r— lee C ESTIMATED COST OF CONSTRUCTION ` $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT 1�`� 14 1, `;L SIDES /0 " REAR / O ' 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 conforms 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 f-13- 92 - Permit Fee — $50.00 Receipt No. White — DPW, Yellow — Assessor, Signature of Owner /�%,r, The above described AG Buildinq is exempt from a building permit. F__ FLOOD PARCEL P.D. ROOFING ISSUE -1 Manager Building Division By Date X,f I., Goldenrod — Applicant �^�;;;ilwr�M1'�y}�i'�d�'^'}f.t :�'i.�.,.��+'"�tlv')'RyMW1!'��{��'FH1'Ri'�'S.*•�"Y„�s`'ti"'„•'�'lY�'i,�y�i'�'�``rC'�*,,,•,,.-�}��"i�ti,'Y��'-+`^=�'�rtis-a.,.�.v�'7+,��i rKy �� - " COUNTY, BUTTE:,_ ,DEPARTME�tTbF,P�UBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OR�IrVLLLE, CALIFQRNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed. Building Use i Building In Date At time of per it 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 $ t'" .................................. . 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). ..... . ,g 20. Pre -Inspection request Pre -inspection for required. .. to Building inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance. _ 23. Owner -Builder Verification (Given to owner , Mail to owner �. ... : ..........-` 24. Recorded copy of Agricultural Acknowledgement Statement . ................ 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 . ............... r 31. Existing violations/expired permits . ........................... •N .......... 32. Plan check list.............................................'s.... . 33. 34. When you issue the permit, process"as follows: "Telephone and hold for Other Parcel Creation \ l Acreage �( Copy of Haz-Mat forma t' ept. Copy of plans sent ealth epi. I wail to owner. _ at ' Appl"can irg Dep . Air r Mail to contractor. office. Deliver with in Dept. Other ..Date .The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1? Index permit for above items No. 2. Additional items required: Date J// a 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 eoqtt*af JJutbe OROVILLE, CALIFORNIA GENERAL CLAIM ' /. � UKG 2. Pc: CG:K• - i�ETuP RA��tll•IJb` i CLAIMANT: TOM QUIGLEY PO BOX 723 - — -- moo` 13 _. ADDRESS: CITY & STATE: FOREST RANCH, CA 95942 IMPORTANT SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE i DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) _ AMOUNT OWNER HAS DECIDED NOT TO DO WORK. (BLDG PERMIT APPL.#93-1476 A.P.#063-240-062, RECEIPT #141374, OWNER: TOM QUIGLEY). TOTAL FEES PAID.. $113.50 i. RETAIN REFUND PROCESSING FEE ............$ 25.00 RETAIN BLDG PLAN CHECK FEE ..............$ 20.00 RETAIN PLUMBING PERMIT FILING FEE.......$:.15.00 RETAIN ELEC. PERMIT FILING FEE .......... $ 15.00 AMOUNT TO BE RETAINED .................... $ 75.00 i 1 TOTAL REFUND DUE.. ,$ 38.50 $38 150 TOTAL 50 I, the undersigned, ieclare under penalty of perjury that the services or articles claimed have b en perform or delivered, and that this claim is true and correct as stated. ,�/ �7 Dated this .1. ,J .......................... day ofL.............. 19 at �..��.Gl. Calif. ........................... .... g ....... ... ' ... ........... Si natu of lai an ^^ . I, the undersigned, hereby certify that, to the best of my knowledge, the services or articI s ied above e: be en ,6erfotmed or de• livered and that there is a Budget Appropriation U or Specific Board Approval],--', (Check one41orrtQm Dated this 20TH Authorized Deputy .................................... day or ...DECEMBER.. 19...9�t ...OROVILLE.. ,call(. .:........ .Dept,f�/� 7/��TCTDTTT�TrtmDepntDH�,Ta�d�+or Code .....4�?0:..0 1.2 .................. Code ...... A2.J.Q,5100 ..................... PAYABLE FROM .-CONSTRUCTION FUND :. DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. i ,ri tCOUNTY-OF BUTTE - DEPARTMENT OF PUBLIC WORKS to 1 1 a %7 County Center Drive - Oroville, California 95965 - Telephone; 916,'538-7541 APPLICATION AND PERMIT PERMIT NO. Iv ASSESSOR PARCEL NUMBER - 063-240-062 ZONING TM -10,: BUILDING PERMIT AOIii Quigley OWNER To TELEPHONE SO. FT.,,,. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P,O, Box 723, Forest Ranch 95942 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS ' Fireplace CO STFFUCTION LENDER None UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS, 111 Permit Fee $ ARCHITECT OR ENGINEER!' None , LICENSE NO. Plan Checking Fee $20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS i Penalty $ BUILDING ADDRESS ! Permit fee $20.00 PLUMBING PERMIT Filing Fee 15.00 12785 All Seasons Dr., Forest Ranch Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF❑ Duplex❑ MobilehomefA Other SPECIFY Gas piping system 1 - 5 outlets Building sewer E[E Mobile Home Is G W 2@ 15.00 30.00 TYPE OF WORK New ❑ Addition jJ Remodel El Utilities' Installation❑ Other ❑ Describe work: Travel Trailer Permit Fee $ 45.00 Contractor ELECTRICAL PERMIT Filing Fee -15.00 Main service 600V OR LESS 200A OR LESS 18.50 C^ 1�., 50 Main service 20GATO 1000AI 37.50 CONTRACTORS LICENSEI.LAW -• I declare under penalty of perjury (check one): :� ❑ 1 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 Ao. Classification r -1I, 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) Q' I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.g\ OR ADDNS. ( ACC. BLDGS. // 3.6psq.ft. NEW CONSTR ULT' -OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 7611 FIXED Ex. Occup. OUTLETS PIRESIO.IAPLNS.REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 1 15.00 ''1.S.E1L1 Misc. byirin g '15.00 Permit Fee $48.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. Q 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County,in consequence of the granting of this permit. X r I Date Signature of Applicant — Owner Contractor.❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - on of structures over 3 tories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE 8213.50 HAz I DFEES IMP I FLOOD I CDF 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. DIRECTOR }'O -F PUBLIC WORKS By !YL V alt /1 �J .e Date PERMIT EXPIRES Datef- ' l , 0,t/ Ca " -s ��.- xwY yrs. Receipt No. WHITE-D.P.W., FELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT V=OK O = Not OK r Not Rpeaadyable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location-Teat-Wrep: / /" L"ft. / /"Nat. or/ /'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -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 #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK -_ - = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready _Date/initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Fig. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd:/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth S. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 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 -Neil 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 Conductors -Stapled 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 -Mein 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 #'a 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (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. Battles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on 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 Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plana) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector - 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom 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. Pib., 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-Drainagge & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following inatld.; 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-Freplace.-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 Comnwnts at Final: =ONP,',. -3953 j r : 06`3 '2,40-062 QU:IGLEY:; TO12`788 ALL SEST RANCH ELEVELOPMENT l V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 �. PERMIT NO. --G'---+ APPLICATIO AND PERMIT ASSESSOR PARCEL NUMBER Til O BUILDING PERMIT OwNEjlWJM QUIGLEY §M598 SO. FT. OCC. BUILDING VALUATION °W t"�1.iaL D° ° X 723 Forest Ranch CA 95942 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ eUIL41ffSgSSA11 Seasons Drive, FR 11 LL'' PERMIT FEE $ - PLUMBING PERMIT Filing Fee 20.00) Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF 1:1 Duplex ElMobilehome El Other pole electric sPEc IFr Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @ 20.00 TYPE OF WORK New ❑ Addition ❑ Remodel El Utilities Installation ❑ Other ❑ elec for future lot development, Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 101 OR LESS ) 23.00 • 00 200A OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. SD. OR ADONS. ( 6 ACC. BLDS. ) 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification /10 I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. , Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.000 Ex. Occu FIXED .OR p' ( OUTLETS (RESTRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. Cl I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. /4 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 3.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X LJ Date �%- f�' 3 Signature of'Applicant - Owner ❑Contractor O Agent An OSHA permit i equired for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEES 1 C-4 (R) HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. I DIRECTOR,OF PUBLIC WORKS ) By / /l.��L-Date DCI ` 3 ef .y� PERMIT EXPIRES ON ;Iy Xe W (Date) Receipt No. 153610 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 959165 - Telephone (916) 538-7541 PERMIT NO. - APPLICATION AND 9'ERMIT ASSESSORPARCEL NUMB 69 TMN, 110 1r BUILDING PERMIT ow' MM QUIGLEY P� F�00 1598 SQ. FT- OCC- BUILDING VALUATIO oWtrIA NOX °723 Forest Ranch CA 95942 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIL I G o Ess /�� All Seasons Drive, FR PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ElDuplex ❑ Mobilehome ❑ Other pole electric sPECIFv Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New 1:1Addition ❑ Remodel ❑ UtilitiesXff Installation ElOther O elec for future lot development Describe Work: PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 2ODA ORLESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. So, 0R ADDNS. ( & ACC. BLDS. ) 3.50 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification A1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions CodeEL forthis reason NEW CONST. MULTI -OUTLET -NON-RE-SID.- ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.50 Ex. Occup. ( OUTLEDS RES D.1 R ) 5.00 Temporary Service 23.00 Mobile Home Facilities20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a , Certificate of Consent to Self -insure. /11 1 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County, n consequence of the granting of this permit. q� X Date ��,fx' / S' nature App1i ant - Owner ❑ Contractor ❑ Agent An OSHA per i required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ I CONST. TYPE TOTAL FEE $ 43.00 HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/ r Resolutions to do work Inaebov,e for whi fees ave been paid. O , F PLIC WORKS By CC/�Bate ZDECD ' PERMIT EXPIRES ON Vo LL:G c IDatel Receipt No. 154h1� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF.DEVELO IMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIi A959605'- TELEPHONE (916)538-7,541 PERMIT APPLICATION DATA SHEET 4 OWNER V % C� ; A. Proposed Building Use W Buil�'ing. Inspecto Date At time of pe it application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted . ................. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3_ Complete plans, 3/4 sets, signed by preparer of plans. .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. .................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................�`... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees.......................... 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 1T 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 required. .. ; Build s ��to (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: Mail to owner. Mail to contractor. Telephone and hold for pickup at - office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - Department of, Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538_7341 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit -has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1% I personally plan .to provide the major labor and materials for construction of the proposed property improvement (yes or no) —2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person,(firm) to .provide the proposed construction: Name Address City Phone --Contractors License No. 4. I plan -to provide portions of this work, but I have hired the following person to coordinate, 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 :Date Zi- /T— 472 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. t V=OK r4 O = Nof'OK • - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'a 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd. / P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clears nce-Material-Su pport- Ins. 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 -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 #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled '25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/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 -Mein 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. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (ret proof) 43. Fire Stops; Furred'Ceitings-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 3' -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 Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Wells -Windows Date/Initials FINAL (Plana) 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. Pib., 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-Drainagge & 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: V= OK O = Not OK Not Applicable Not Ready MOBILE HOMES _. Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /" L"ft. / /"Nat. or/ /'L"ft./ P'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/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 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test COUNTY OF BUTTE BUILDING DIVISION r 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 -9307 - CORRECTION NOTICE --.r O 19R PERMIT NO.- .:.; A routine irispection indicates that the following violations of Butte County Ordinances exist at'�: the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. O / VM 12 T=om Date , Inspector REV 1002 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS .. , / 7 County Center Drive - Oroville, California 95965 -Telephone: 916.538-7541 ✓ APPLICATION AND PERMIT PERMIT NO. ASSES OR PARCEL NUMBER 063-240-062 ZONING TPI -10 BUILDING PERMIT OWNER Tom Quigley TELEPHONE S0. FT. OCC. BUILDING VALUA ION OWNER'S MAILING ADDRESS P.O. Box 723, Forest Ranch 95942 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is Filing Fee $ An LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee -.$20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 12785 All Seasons Dr., Forest Ranch Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 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 IN 1 2@ 15.001 30,00 TYPE OF WORK New u Addition LJ Remodel ❑ Utilities [X Installation[! Other ❑ Describe work: Travel Trailer Permit Fee $ 45.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License .Jo. Classification U I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOA1 37.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. SLOGS. 3.64 sq.ft. NEW CONST R.ULT I -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20 760 J,AL. 464 EX. Occup. OUTLETS PIRESID,IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 1 15.00 15.00 Misc. bYirin g '15.00 Permit Fee $48.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County consequen of the granting of this permit. X Date Signature of Applicant — Owner Contractor E] Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE$113.50 HAz I DFEES I IMP I FLOOD I 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 �OF PUBLIC By PERMIT EXPIR S Da applicable provi- resolutions to do have been paid WORKS D to 1 137 Receipt No. WNITE•D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF D VELOPMENT SERVICES -BUILDING DIVIS,ION 7 COUNTY CENTER DRIVE - OROVILLE,.CALIFORNIA 95965 -:TELEPHONE (916) 538-7541 �PERMIT APPLICATION DATA SHEET P y1rN I ,d i " OWNER LQ& Proposed Building Use A. -P. -No. Inspector Date.y 5` At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ............................. ........... . 2. Plot plans, 3/4 sets, signed by preparer of plans. .. ....................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ....................... A. Engineeredsplans 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 $ I'. . ........................................ . 11. Impact fees as shown on`attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood).,by California Engineer. . . 14 'Sanitation and plot plan approval C-0HealthDepartment. ............ . !� . City of Chico plumbing permit . ......................................... __z --j' plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: ........ 18..%C6'ntact Land Development.a bout (A) Improvements (B) Drainage. . ,r', , _19. 'D�iveway permit (construction approval required prior to occupancy). .. .. .. . 20. Pre -inspection for t. Bu sae °" req° required. . to Building Inspector (Date) 21..Contractor's license information. (No., Name Style, Classification) . .............. 22: 'Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner _). . fe ........ Q'ecorded copy of Agricultural Acknowledgement Statement . .................?+ etter 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. .......... t ..................... • • • • • , , .. . 29. Documentation of legal access._ �`"' ....................... 30.- Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcelmeets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. ' 32. Plan check list. 33. 0 ..- ... n ............. When you issue the permit, process as follows: Mail to owner. - Mail to contractor. Telephone and hold for pi up at .r office. Deliver with inspector. Other r Parcel Creation`�� ,F� Acreage Applicant'*-, Y `j Date � ^'� � -9 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air PollufD,ae Copy of plans sent Health Dept. Fire Dept. Other ��[�a"t��t� ts``(`�-'C1��'"`""'gy The following data must be submitted prior to pe s ance: (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 Coun 'r by _ Date' Plans checked by Date Plans approved by lZgn Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 'ddORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916 '538-7541 APPLICATION AND PERMIT PERMIT NO. FAS SSOR F'„9RGL N MU ti{—Z(JNINIa l/,.✓//�BUILDING PERMIT e _ TE EPHON SO. FT. OCC.1 BUILDING VALUATION © m 0- OWNE,Rt'S MAILING ORES 9S9� CONTRACTOR'S NAME C31 TELEPHONE /�Mn Kc -r Fireplace CONST R CT 0N LENDER UNKNOWN Total Valuation $ �n Filin FeeiAww g $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHIjrVCT OR ENGINEER LICENSE NO. Plan Checking .Fee $ Al V ® f1 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADD Ess Permit fee $ �S r PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.001 _ -,5 reL f - n 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 Gas piping system 1 - 5 outlets 5.00 Building sewer 15.001 SF ❑ Duplex[] Mobilehomeo Other Mobile Home CSJ G @ 15.00 SPECIFY TYPE OF WORK New, Addition;_ Remodels UtiHtiesg Install tion❑ Other[:] Permit Fee $ Describe work: �Y�lt ✓R 7' t �(� 1� Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 J sol Main service 200A TO I000AI 37.50 CONTRACTORS LICENSE LAW NEW CONST./ DWELLING OCCUP.lr\ ( 3.6Qsq.ft. I declare under penalty of perjury (check one): OR ADDNS, ACC. BLDGS. // NEW CONSTR ULTI.OUTLET @ 5.00 I� 0 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business NON. R. SID BRANCH CIRC ITS POWER APPARATUS & and Professions Code and my license is in full force and effect. (SINGLE OUTLET CIR. License No. Classification Ex. Occup(OUTLETS OR FIXTURES 20 @0 76d (J I, as the owner, or my employees with wages as their sole compen- IXE EX. DCCUp. OUTLETS P(RESID )APPL RE A.) 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I, the licensed Mobile Home Facilities O 15.00Misc. as owner, am exclusively contracting with contract- ors. (Sec. 7044) - Wiring g 15.00 ❑ 1 am exempt under Sec. Business and Professions Code for this reason Permit Fee $ 14 — Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling g I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation 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 Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee SAl is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE !TOTAL I also agree to save, indemnify and keep harmless the County of Butte against FEE $ all liabilities, judgments, costs, and expenses which may in any way accrue HAz 0FEES IMP FLOOD CDF PARCEL P. .0 ISSUE i against said County in consequence of the granting of this permit. I 1 I 1 I X Date This permit is hereby issued under the applicable provi- Signature of Applicant — Owner F—! Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do I An OSHA over 5'0" deep and demolition or construct- }overr work indicated above for which fees have been paid. ion of structures 39storiesoineheigvhttions DIRECTOR OF PUBLIC WORKS By Date Receipt No. PERMIT EXPIRES Date 'N 41r E-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLOENROO-KPPLICANT i Y NOTE:—All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices'and This set of plans and specifications MUST be of a quality prescribed for the Spe ,ified use in the kept on the job at all times and it is .unlawfui to Uniform Building, Plumbing.& Me hanical Codes anis p. „ ,Q , terations.on same without the National Electrical Code. written permissioni from the Department of Public Works, County of Bate n - < _ 300 isj Ofi vc cvpq ClIz Location of -structures & equipment shah be as shown t & clear of all easements. sv ' C5� BUTTE COUNTY _ BUILDING DEPARTM . o R'0 V E D d. Vl"I't'.�r'-'"C-�.''J X"'; 'KV v 4. �Y S. � u ✓ 3 -. - �.,# »r+ir'� 3�t.��S,.tt +�� rr$���„�^c i.. Y,+^:. � -4. .;N...T','.'v '7'""x,� G.H. USE ONLY t Hot Plan AUaclmd Floor Han Atiaclwd Sent to B.U. TO: Building Department 4 ♦` 1 f FROM: Environmental Health SUBJECT: Sanitation Clearance Ow(Ir �- Location AP// Plan Approved for: Sewage Disposal _V Water Supply: Public Private Well+ Clearance for bedroom mobile home. Other M 1� , - 1 Hold final for: Final clearance O.K' for: NOTE: ` Envir nmental ealth Specialist 1 8/92 Date NOTE:—All Materials & Workmanship. Shall Be in Accordance with Recognized Good Practices and of a qualify proscribed for the, c:,;e � � � This set of pla s and specifications MUST be Uniform Building, Plumbing & Mechanical Cedes and p e on i f all times and it is unlawful to the National Electrical Code. make any Chang s or alterations on same without written perf nisi ' from.the Department of Public Works, County o Butte. Ic WAW T / ri vc cvsy aN� Location of structures & o f .= equipment shah be as shown =- �" & clear of all easements. All �.'• • �" ��� is EA 4 ya-4d e: �E BOUNTY < FxisTw9 we pPR gD11.D1ND► D pV�D iI I..AJa?hr r,__.. .�fe�5 1., COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,,Oroville, CA 95965 Phone: 916-538-7541.'.` OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied.for'in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this'verification is received. • t 1.. I personally.p,lan to provide the major labor and mater* is for construction of the proposed property improvement (yes or no) ' 2. I (have/have not) k' signed an application for a building .permit for the proposed work.. ,- 3. 'I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. J plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5.' I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: , Name Address.. Phone Type of Work Signed: ~ Property Owner Social Secuity Num S` 7 3 - y `� 1 Date j NOTE: This Owner -Builder Verification is sent to you as required by Sections 19,831 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.- A OWNER Tom Quigley 1 7 iESSOR PARCEL NU BER 063-240-062 . c Ty OF BUT T E -IDE AR• MENT OF PUBLIC',,WO:RK� �,. PERMIT NO. �- Center Drive - Oroville, Cal' orpia 95965 - Telephone: 916.538-7541 ��—'—'- 44 APPLICATIbN AND PERMIT ZONING TM -10 BU11 ILDING PERMIT TELEPHONE SQ.TT. OCC.. '-BU.I.LDING VALUATION *R6.S MAILING ADDRESS Box 723, Forest Ranch _O r:TR A CTOR'S NAME Owner G CONSTRUCTION LENDER None LENDER'S MAILING ADD' RCHIT ECT OR ENGINEER None RCHITECT OR ENGINEER'S MAILING A BUILDING ADDR 95942 SS 12785 All Seasons Dr., Forest Ranch LOT NO. SUBDIVISION NAME USE OF STRUCTURE HON NKNOWN PARCEL MAP SF ❑ Duplex❑ Mobilehome® Other SPECIFY TYPE OF WORK New:—Addition'.. Remodel', ' Utilities Installation[ Other Describe work: Travel Trailer CONTRACTORS LICENSE LAW Fireplace Total Valuation S Filing Fee Permit Fee I Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each pas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S =W declare under penalty of perjury (check one): I 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. License ;Jo. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is for sale. (Sec. 7044) am -exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec. Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate /of Consent to Self -Insure. R7' shall not employ any person in any manner so as to become subject iLLL=== 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County,.�n consequeggle of the granting of this permit. i X Date I'F� El Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required For excavations over 5'0" deep and demolition or construct ion of structures over 3 stories in height. 1 13 Receipt No. WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT $ $ s 1 11 FiIingFee 5.00 20.00 7.00 7.00 5.00 L-1 500 1)@ 15.00 15.00 Permit Fee $ 45.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service sooVORLESS 200A OR LESS 18.50 Main service 20GATO1000AI 37.50 CONST. ( DWELLING OCCUP.&) NEWC OR ADDNS. ACC. SLOGS. 3.54 sq.tt. NEW CONST R. ULT I.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 ppy.�R APPARATUS 61 SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 76d Ex. Oc FIXED AP EA 3.00 emporary service 15.00 15.00 Mobile Home Facilities 1 15.00 Misc. Wiring '15.00 Permit Fee $ 48.50 Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling 6.50 Hood Ventilation Permit Fee $ ractor Mobile Home Installation Fee S Energy Inspection Fee $ OCC I CONST TYPE TOTAL FEE $ 113.50 u 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 PERMIT EXPIRES Date INTER -DEPARTMENTAL MEMORANDUM To: BUILDING DIVISION, OROVILLE FROM: ENVIR. HEALTH, CFHC0 DATE: 3-17-•03 RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME: 1/4 c-- . vo h SEPTIC: 'WELL: OQ ADDRESS/LOCATION: Comments: r GUmemostreleaschold Mandatory Measures Checklist: Residential MF -1 R NOTE: Lownse residential buildings subject to the Standards must -contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures -§150(a): Minimum R-19 oeiling insulation. §150(b): Loose fill insulation'manufacauer's labeled R -Value. §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). - §150(d): Minimum R-13 raised floor insulation in framed floors: minimum R-8 in concrete raised floors. §150(0: Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 pemvinch. §118: Insulation specified or installed meets California Energy Commission quality standards. Indicate type and form. §116.17: Fenestration Products, Exterior Doors and Infiltra6oNEufi1tration Controls a. Doors and windows between conditioned and unconditioned spates designed to limit au leakage. b. Manufactured fenestration products have label with certified 11 -value• and infiltration certification. c. Exterior doors and windows weatherstripped: all joints and penetrations caulked and seated. §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(Q: Special infiltration barrier installed to comply with §151 meets Commission quality standards. §150(e): Installation of Fireplaces. Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a Closeable metal or glass door b. Outside au intake with damper and control a Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110.13: HVAC equipment, water heaters. showerheads and faucets certified by the Commission. §150(1): Setback thermostat on all applicable heating systems. §150(j): Pipe and Tank Insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined intenomexterlor insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank non -recirculating systems. insulated (R-4 or greater). 3. All buried or exposea'piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 5VF insulated. 5. Piping insulated between heating source and indirect hot water tank. §150(m): Ducts and Fans 1. Ducts constructed. installed and seated to comply with UMC Sections 1002 and 1004: duan insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust tan systems nave oackdrah or automatic dampers 3. Gravity venuiatind systems servma conditionea space have either automatic or reaaily accessible. manually operates campers.. §114: Pool and Spa Heating Systems and Equipment 1. System is certifieti with 18% thermal efficiency, on -oil switch.,weatherorooi operating instructions. no eiectric resistance neatina and no Pilot light. 2. System is instailea with: a. At least 36' ice between filter ano heater for future solar heating. b. Cover for outecor pools or outdoor spa 3. Pool sysiem has arectionan inlets ana a circulation puma time switch. §115: Gas-fired cenirm furnace. pool neater, spa neater or household cooxina appliance have no continuously buena pith light. (Exception: Non -electrical cooking appliance with pilot c 150 Stwhr.) Lighting Measures § I50(kl: 40 Iumenswar, cr areater for general lighting in kitchens and rcoms with water closets: and recessea ceiiino fixtures iC (insulauon ccven approved. COMPUANCESTATEMENT This certificate of compliance lists the building features and performance specificatlons needed to compy with Title 24, Paris 1 and 6. or the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be burin in multiple orientations, any shading teatime that is varied is indicated in the Special Features/Remarks section. 1 Designer ,.Owner (Pere a nese & Profee one Code) Documentation Author. Name: Name: TidwFirm: TitlWFirm: Address: Address: Telephone: Telephone: Lic. a: (signature) (date) (signature) (date) Enforcement Agency Name: ride: Agency: Telephone: (signatureistamp) (date) Certificate of Compliance: Residential Climate Zone 11 B UII.PING SHELL INSULATION - Component Insulation Locaiioo/Commc--ts Tyne R -Value (Sone, to E ram tvsi-crL er-11 Roof ........ ..— _..4 Roof........ ..— Wall .............. Wall.......... Moor.............. Floor ............. . Slab Edge._; FENESTRATION -Eenestration. Area Orientadon (if) (9 North North. ( ) East ( ) East ( ) South South ( ) West ( ) West ( ) Skylight....... 0 TliERMAL AMASS Type/Covering Type Interior Area Thickness Shading Nvices etc. P Exterior Overhang Framing.Type HVAC SYSTEMS Minimum Duct Type (furnace. air Efficiency Location conditioner. hent Dump) (AF UE.SEERMSPF) (attic, etc.) Duct Heat Pump R -Value Thermostat Tyne (split or pkg) IIOT NATER SYSTEMS Tank R Value ,'ystcm Type (storage gat. etc.) Capacity Number Energy Factor Ext, i}i Stri hx SPECIAL FEATURES/REMARKS Point System Summary: Climate Zone 11 1. Ceiling Insulation or R -v J U -value (0.028] 2 Wall insulation or F; -value [19[ U -value [0.0651 Point Scores y� 3. Raised Floor Insulation Numoer at stones or R -value - One Two '7*66 - R -value 1191 U -value 10.0371 -4 -27 R-19 4. Slab Edge Insulation -4 or R-30 -1 -1 0 R -value (01 F2 factor [0.751 0 0 2. Wall 5. infiltration Any Ducts in Unconditioned Space? ( Y / N) (Yl .61 .56 6. Fenestration Heat Loss Single, - .41 .36 Family Family Mtillti- Type U -value (0.651 Total % Fenes. 1161 to Sum 1.6 7. Fenestration Heat Gairt to to to to to % Fenestration SCsftade open Eft. % Fenes. Shade Eft. Rath Fenesttanon more 130 North A. 3 x 1.10 1.00 .90 80 .75 East 2-7 x. 65 60 55 50 45 South3 x less 501. -100 -i6 a West / _ x -55 = -41 4-1 -34 Skylight U x •27 _ 19_ -13 Overhangs? ( Y / N) 40% 77 -S8 -52 -47 8. Interior Thermal Mass 0%".,or v0 -27 ,^, ll V .22 -19 % Expnt . Slab [201 IMass/cr-A -11 -8 4 I 9. Exterior Wall Mass -66 -4 .44 -39 -34 -29 Ext wad Mass -22 •20 •17 Sum 7- 9 10. Heating System -10 x -5 -3 307: -54 AFUE or HSPF [78% or 6.81 Ouct Effie. [1 story: 0.83:2+ story: 0.681 Effective AFUE or HSPF Zonal Control Adjustment 101 -23 11. Cooling System •17 x = -11 -8 -6 SEER 110.01 Duct Effie (1 story: 0.81: 2+ story: 0.871 Effective SEER ZonaLC,oraw Adlustrrtent (01 -50 12. Water Heating -32 -28 -25 -21 -17 System 1 -13 -11 -9 Distribution •5 Heater Type [SG501 Energy Factor [0.531 Ext Ins. R -value [121 Au)ttiary Input [None( [STDs -33 System 2 -25 -22 -18 -14 O Heater Type (None( Energy Factor Ext Ins. R -value Auxttiary Input Oistnoution -2 0 2 24% -41 Pont Ictal: -26 1. Ceiling Insulation R-0 Numoer at stones -43 R -value - One Two '7*66 - R-0 -74 -4 -27 R-19 -5 -4 -2 R-30 -1 -1 0 R-38 0 0 0 2. Wall Insulation Numtler of stones .61 .56 Sintoo., Single, - .41 .36 Family Family Mtillti- R-0 72 -57 -43 R-11 -7 -6 -4 R-13 -5 -4 •3 R-15 .4 -3 -2 R-19 0 0 0 R-21 1 1 1 3. Raised Floor Insulation- 1.01 .91 Insui-chm in Floor .76 .71 Numtler of stones .61 R-0 -14 -9 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 2 1 4. Slab Edge Insulation Numoer of Stones R -o D 0 0 5. Infiltration (Duct Air Leakage) R-5 6 4 2 Ducts to Uri=adtoned Soave 0 R-7 7 4 2 No Ducts in Uncortaittonea Soave 3 6. Fenestration Heat Loss 7. Fenestration Heat Gain (based an Shoe Eftecuveness Ratio) Elf % Fen- estra- non North .87 .67 -52 or to to more .86 .66 .51 or less East .87 .67 .52 or to to more .86 .66 .51 or less .87 or more Sotto .67 .52 to to .86 .66 .51 or less tJ-rdue west .67 .52 to to .86 .66 .51 or less Skyught .67 .66 or or more less 18% -5 -4 .3 Total 1.31 1,21 1.11 1.01 .91 .81 .76 .71 .66 .61 .56 .51 .46 .41 .36 .35 Percem or to to 10 to to to to to to to to to to to or Fenesttanon more 130 1.20 1.10 1.00 .90 80 .75 70 65 60 55 50 45 40 less 501. -100 -i6 a -62 -55 -t8 -41 -38 -34 -31 •27 -24 -20 -17 -13 -10 40% 77 -S8 -52 -47 -41 -36 v0 -27 -25 .22 -19 -i6 -13 -11 -8 -5 35% -66 -4 .44 -39 -34 -29 -25 -22 •20 •17 -15 -12 -10 •7 -5 -3 307: -54 -t0 •36 -31 -27 -23 -19 •17 -15 -13 -11 -8 -6 -4 -2 0 28% -50 -36 -32 -28 -25 -21 -17 -15 -13 -11 -9 -7 •5 -3 1 1 261. -IS -33 -29 -25 -22 -18 -14 -13 •11 -9 -7 -5 -4 -2 0 2 24% -41 -29 -26 -22 -19 -16 -12 -11 -9 .7, -6 -4 -2 .1 1 3 221. -36 -25 •22 -19 -16 -13 -10 A -7 -5 -s -2 -1 1 2 4 20% -31 -22 -19 -i6 •13 •11 -8 -6 -5 -t -2 -1 1 2 3 5 18% -27. •18 -16 -13 -11 -8 -6 -t -3 -2 •1 1 2 3 4 6 16% -22 -14 •12 -10 -8 -6 -3 -2 -1 0 1 2 3 4 6 7 14% -18 -11 -9 -7 -5 -3 -1 0 1 2 3 4 5 6 7 8 12% -13 -7 -6 -t -2 -1 1 2 3 4 4 5 6 7 8 9 1a% -8 -t -2 1 1 2 3 4 5 5. 6 7 8 8 9 10 81. -4 0 1 2 3 4 6 6 7 7 8 8 9 9 10 11 7. Fenestration Heat Gain (based an Shoe Eftecuveness Ratio) Elf % Fen- estra- non North .87 .67 -52 or to to more .86 .66 .51 or less East .87 .67 .52 or to to more .86 .66 .51 or less .87 or more Sotto .67 .52 to to .86 .66 .51 or less .87 or more west .67 .52 to to .86 .66 .51 or less Skyught .67 .66 or or more less 18% -5 -4 .3 •2 -21 -20 -15 •12 -26 -23 -16 -12 -36 -32 -23 -16 -75 -50 16% -4 -4 -2 -1 -18 -i6 -13 -10 -21 -19 -13 -9 -31 -27 -19 -14 -65 14 14% -4 -3 •2 -1 -14 -13 -11 -8 -16 -14 -10 -7 -26 -23 -16 -11 -S5 -38 121. -3 -2 -1 -1 -11 -10 -8 -6 -12 -10 -7 -4 -21 -18 -13 -8 -46 -31 11% -2 -2 -1 0 -10 •9 -7 -6 -10 -8 -5 -3 -19 -16 -11 -7 -41 -28 101. -2 -2 -1 0 -8 -a -6 -5 -8 -7 -4 •2 -16 -14 -9 -6 -37 -25 9% '-2 -1 -1 0 -7 •7 -5 -4 .6 -5 •3 -1 •14 .-12 -8 -5 -32 -22 81. -1 -1 -1 0 -6 -5 -4 -4 -4 -4 •2 0 -11 -10 -6 -4 -28 -19 71. -1 -1 0 0 -5 -4 -4 •3 -3 -3 -1 0 -10 -8 -5 -3 -24 -17 6%' -1 -1 0 0 -4 -4 -3 -2 -2 -2 -1 0 -8 -7 -4 -2 .20 .14 5% -1 0 0 0 -3 -3 -2 -2 -2 -1 0 0 4 -5* -3 -1 -16 -12 41. 0 0 0 0 -2 -2 -1 -1 -1 -1 0 1 -4 -4 -2 0 •12 -10 3% 0 0 0 0 -1 -1 -1 0 0 0 0 1 -2 -2 0 1 -9 -7 2% 0 0 0 1 0 0 0 0 0 0 1 1 0. 0 1 2 -6 -5 1% 1 1 1 1 1 1 1 1 0 0 0 0 1 1 2 2 -3 -2 0% 1 1 1 1 1 1 1 1 0 0 0 0 3 3 3 '3 0 0 8. Interior -Thermal Mass Housis Extenor Method A (Slab -on -grade Construction Only) Percm one Family Two Three Exposed Story Almond Stones Stories 0 0 -3 0.20 -2 3 i 10 7 -2 4 -1 9 1 20 0.80 0 10 0 1.00 0 30 9 1 17 1 10 1 . 40 14 3 1.60 2 17 1 50 23 4 14 3 24 2 60 1. 5 0 3 7.4 2 70 4 6 2 4 1 2 80 7.6 8 7 5 4 3 90 95% 9 8.0 6 9 3 100 4 10 1001. 6 8.5 4 it 9 Method B 4 2 Int AC Slab Roof -15 Raised Roar Mass (AFUE or HSPF x duct eRiciency) Sttsies Effective 5 3 Stones .4 /CFA One Two Three One Two Three 0.0 •11 -8 -6 4 •1 0 0.1 -10 ••7 -6 0 0 0 0.3 -9 6 -5 1 1 1 OS -8 -5 -4 2 2 2. 1.0 -6 -3 •1 4 4 5 1.5 -4 -1 1 6 6 6 2.0 •2 2 4 8 8 8 25 1 3 5 9 9 9 3.0 3 '6 • 5 11 10 10 4.0 4 6 7 13 13 13 5.0 4 6 8 14 14 14 6.0 5 7 9 15 15 15 7.0 7 8 10 16 16 16 8.0 8 9 11 18 17 i7 9. Exterior Wall Thermal Mass Housis Extenor Single-- Single-• mufti wall Family Family Family Mass Detaated Almond -24 to -14 to 0.00 0 0 0 0.20 3 3 2 0.40 7 5 4 0.60 9 8 6 0.80 12 10 7 1.00 14 12 9 1.20 17 13 10 1.40 18 14 11 1.60 21 17 13 1.80 23 18 14 2.00 24 19 14 I 10. Heating -System Housis with Ducts (R.a=) waror 1leatirtg SEER to Houses With Ducts (R-42) Sum of 7-9 1499 -30 Split Prig -25 or -24 to -14 to Sum at 1.6 16 or AC Gas Split Pkg -25 •24 -14 -4 +6 16 AFUE HP HP or to to to to or - HSPF HSPF less -15 -5 +5 +15 more 78% 6.8 6.6 0 0 0 0 0 0 801. 7.0 6.8 1 1 1 1. 0 0 85% 7.4 7.2 5 4 3 2 2 1 90% 7.8 7.6 8 7 5 4 3 1 95% 8.3 8.0 11 9 7 5 4 2 1001. 8.7 8.5 13 it 9 7 4 2 AC AC Effective AFUE or HSPF -15 -5 +5 (AFUE or HSPF x duct eRiciency) more Effective 5 3 -a .4 Sum at 1.6 5.0 Gas Sola Pkg •25 -24 -14 -4 +6 16 AFUE HP HP or to to to to or -6 HSPF KW IeSS -15 -5 .5 +15 MOM One Story House 0 0 0 0 0 8.1 33% Z9 Z8 -62- -53 -44 -34 -25 -16 401. 3.5 3.4 -40 -34 -28 - -22 -16 -10 501. 4.4 4.2 -19 -i6 -13 -10 -7 -5 60% 5.2 5.1 -4 -4 -3 -2 -2 -1 64% 5.6 5.4 0 0 0 0 0 0 70% 6.1 5.9 6 5 4 3 2 1 801. 7.0 6.8 13 it 9 7 5 3 90% 7.8 7.6 19 16 13 11 8 5 100% 8.7 8.5 24 20 17 13 10 6 Two or Three Story House 7.0 6.8 •11 A 33% Z9 Z8 a -58 48 -37 -26 -15 40% 3.5 3.4 -46 -39 -32 -24 -17 -10 501. 4.4 4.2 -24 -20 -16 -13 -9 -5 601. 5.2 5.1 -9 -8 -6 •5 -3 -2 691. 6.0 5.8 0 0 0 0 0 0 70% 6.1 5.9 1 1 1 1 0 0 80% 7.0 6.8 9 8 6 5 3 2 90% 7.8 7.6 15 13 10 8 6 3 100% 8.7 8.5 20 17 14 11 8 4 Zonal Control Adlusunem System Type Resistance 6 4 3 2 1 0 Other 3 3 2 1 1 0 11. Cooling System AdJus>ment for Ho Taal Insuattioo H mow of water lisales water Heater rvoe One Two SG50 -2 -5 SG75 -3 -6 SE -5 -9 HP •2 -4 Have Sba AdJU-cot House Size (rt') smolal Housis with Ducts (R.a=) waror 1leatirtg SEER to Poen Socre Sum of 7-9 1499 -30 Split Prig -25 or -24 to -14 to -4 to +6 to 16 or AC AC less •15 -5 .5 +15 more 10.0 9.7 0 0 0 0 0 0 11.0 10.7 4 3 2 2 1 0 iZ0 11.6 8 6 5 3 1 0 13.0 126 11 9 6 4 2 0 14.0 13.6 13 11 8 5 2 0 15.0 14.6 i6 12 9 6 2 0 IE Al Effective SEER -21 -12 (SEER x duct e8ldenc7) HP 6.11,13.15 EN SEER 4 7 5 Sum of 7.9 -1 4 Said Pekg -25 or -24 to -14 to -4 t0 .610 i 6 ar AC AC less -15 -5 +5 .15" more One Story Howse 5 3 -a .4 1 5.0 4.9 -29 -23 -17 -11 .4 0 6.0 5.8 -16 -13 -9 -6 -2 0 7.0 6.8 -7 -6 -4 -3 -1 0 . 8.0 7.8 -1 0 0 0 0 0 8.1 7.9 0 0 0 0 0 0 9.0 8.7 5 4 3 2 1 0 10.0 9.7 9 7 .. 5 3 1 0 11.0 10.7 12 10 7 4 2 0 1ZO 11.6 15 12 9 6 2 0 13.0 126 18 14 10 6 3 0 14.0 13.6 20 16 11 7 3 0 15.0 14.6 22 17 12 8 3 0 Two or Three Story House 5.0 4.9 -35 •27 -20 •13 •5 0 6.0 5.8 -21 -17 •12 -8 -3 0 7.0 6.8 •11 A -7 -4 -2 0 8.0 7.8 -4 -3 -2 -1 -1 0 8.7 8.4 0 0 0 0 0 0 9.0 V 2 1 1 1 0 0 10.0 9.7 6 5 4 2 1 0 11.0 10.7 10 8 6 4 1 0 120 11.6 13 10 7 5 2 0 13.0 1Z6 16 12 9 6 2 0 14.0 13.6 18 14 10 6 3 0 15.0 14.6 20 16- 11 7 3 0 AdJus>ment for Ho Taal Insuattioo H mow of water lisales water Heater rvoe One Two SG50 -2 -5 SG75 -3 -6 SE -5 -9 HP •2 -4 Have Sba AdJU-cot House Size (rt') smolal lass 1000 waror 1leatirtg tnm to Poen Socre 1000 1499 -30 -17 -5 -25 -14 .4 •20 -11 -3 -15 -9 -3 -10 -6 -2 -5 -3 •1 0 0 0 5 3 1 to 6 2 15 9 3 20 it 3 25 14 4 House Sbe Adjustment Sam Al Hf1UW Size lft�1 Suotanl 1500 2ppp Water H mlg to or Pont Score 1999 mora •30 0 3 5 ZO 0 2 .15 0 1 .10 0 t 5 0 0 p 0 0 5 0 0 10 •0 -1 15 a •1 M 0 2 25 0 Z Zonal Control Adjustment All 6 5 4 2 1 0 17- Water Heating One Www Hmur - No AUZMwr Credits Ofmfamott Syuant2 Remi Systema water CUmass ErmV Si0 HWR Roe No Timor Oamd Hester Tvoel Innes Facor POU Insul M1 Sam Al am 0 3 1 -9 -5 0 M63 5 8 6 -4 0. 5 0.73 8 it 9 0 4 8 SG75 Al 0.48 -2 1-1 -12 -7 •2 0.583 6 5 -5 -1 4 am 7 10 8 -1 3 7 SE All 0.87 -21) -12 -17 jt 32 -19 0.83 -17 -0 -13 38 -28 -16 IC Al am 2 5 3 IE Al 093 -21 -12 HP 6.11,13.15 1.80 4 7 5 5 -1 4 Two Wets Heaters - No Alaatllar7 Credits S1350 Al am -7 .4 -6 -17 -12 -7 0.63 1 5 3 -a .4 1 0.73 6 10 8 -2 2 7 SG75 Al 0.48 -12 4 -i1 -22 -17 -12 0.58 -1 3 a -11 -6 -1 0.68 6 9 7 -A 1 6 SE A9 0.87 -22 -14 -19 48 -35 -22 0.93 -16 -7 -12 -39 -28 -15 :G Al 0.80 .4 -1 -3 IE Al 0.93 -21 -12 HP 6.11.13.15 1.80 -1 3 1 -10 b 0 ISO r Vic, llr�,, %A + r ro ell COO 0 �X\ environmental Healtrk JAN 0 6 2003 Chico, Califomia coke- A rem 63— 01-- CA 31 rA*,;p,I)t .... ....... 7 ON 9 AWN" 2` ISO A ZkN4. -rf , pc x 1.3 0 APPROVED IILY)syK) Butte County Environmental Health Si tura P7 4A V r-nvironmental Health JAN 0 6 2003 Chico, California Z4' JC# awbellya -W VAC, *4 1 Sex Snm U I �0v3 z n� I � cnvironmentai F JAN 0 6 20( Chico, Califon SYS GI., t-•�v+� AVVP, N t+ktr OIL AS,. 'over Uv%"rwe W:wdakb w. 3 V)1v,do%0 ah�Ic�o�� TO T Top, r Vic A tali + U. ;ILI ct _j V A V _*4c 4 (ql)!ro / �j tA7 coke- A rtp. -1 f fl-oa-11� t CA NOTE. A PROVED fee% so-, Bu C ��Ched unty el, En fO I Healy i4l�k1 • 'ev Date tur Signa le cp ,"-=ENVIRONMENTAL HEALTH AUG 0 12003 /00, C7 00 CHICO 1CALIFORNIA '00 ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL e!F c! FE'S _NTS. a A SET B.40r,, 073 0 :!SND TO ..J".!ES AND SHALL BE MENT EXCEPT V BUT" BUILD..4f" "'..310N AP.'.'. 2\l'cD C- / 2_-7g5,. AZZ S SA50NS OR, po / oK AHo aZti m,�,3- z(JO-- o4 2- A/ f9 //,t A7j-,v6 o /�31A T3.LPf40Z-"3S'Z( PA,,u H e `73 ,da3'1 A No It SraA iq i W(�Yw• - �cs�sr� 5 i o iZ A6 $ z2' - -14- -0/0 B' C E COUNTY 13UILDING DEPARTMENT APPROVED '0 ly Cady.- A -a Q- - 14 9 CA 1. Tea ���On r rt IV4P_ A4N Irr Loc 1 1f, Ir )4,111 (91 v IS \ � sem! \ -. N� � 0 wj,.0 le (z 1 50V cple ,q C-7 1000 0 0 ALL STRUCTURES AND EQUIPMEN' INCLUDING OVERHANGS SHALL P. r- CE,R.III r '7 ENTS. ASET SAVE ! °' 3 o AND 5(0 JiES AND c SHALL BE MEN'r EXCEPT 11M ligUn:k�- cot Ary BUT`. FY B U I LD S7 10 N D Cady.- A -a Q- - 14 9 CA 1. Tea ���On r rt IV4P_ A4N Irr Loc 1 1f, Ir )4,111 (91 v IS \ � sem! \ -. N� � 0 wj,.0 le (z 1 50V cple ,q C-7 1000 0 0 ALL STRUCTURES AND EQUIPMEN' INCLUDING OVERHANGS SHALL P. r- CE,R.III r '7 ENTS. ASET SAVE ! °' 3 o AND 5(0 JiES AND c SHALL BE MEN'r EXCEPT 11M ligUn:k�- cot Ary BUT`. FY B U I LD S7 10 N D