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064-620-021
I I I ,I 64-62-21 e. WARREN WYMAN E/end Fern Glen Way, app 645' E Nimshew Rd, Mpga lia lot #2 F1 h4 , P/01/9,3 Permit#3021-82B,P,E,M(new S/P) 64-62-21,^ ..Conte: Calif Comfort �( -! hermit'#2197-85E,M(intalll AC/SF 01 066-62-0-021 9 264. BE, MEYER, Scarlett 5937 Glfnn Way,'ggagaliat-�- � -(garage., cov porch .e tr t J9% 064-62-0-021 99-2049'E MEYERS, Scarlett 5937 Fern Glen Way, Magalia. ((elec/garage) 064-62-0-021,j Lpt4 00-1560 KETTELL, CARY & SCARLETT. 5937 FERNGLEN WAY, MAGALIA F CONTR:' JL BUILDING & DESIGN 064-62-0-021 93-191 MEYER, DARREL & SCARLETT .r-- --- _ 5937 FERN GLEN WAY, MAGALIA" AGRICULTURAL EXEMPTION PERMIT .HORSES, HAY, TACK 3 f 'M I ) a Iy` 1 rr ?# Y ij z a , NOTES , RESIDENTIAL - 064-62-0-021 00-1560 PERMIT NO. _,--KETMLL,•CARY&°SCARLETT� 5937 FERNGLEN WAY, MAGALIA - CONTR: JL BUILDING & DESIGN r - E f t S' i• r F y. 'i 4` SPECIAL C DITIONS CHECKED ! BY�-� t� SRA f FLOOD CERTIFICATE REQ. :y FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS t; SUB -STANDARD HOUSING LETTER • yj f / 1 i } r JOB FINALED (Date) 1� Signature - .P s • M i V= OK , ,•. . r 0= Not O_< a_• r +i s: ' = Not Applicable MOBILE HOMES �. ' MISCELLANEOUS = Not Ready. Date ` MOBILE HOME UTILITIES (Plans) OK except #'s i Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements " 1. Zoning Requirements -Setbacks -Easements ' 2. Soils; Special MH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location-Test-Fall-C/O-Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed'(Sketch) 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors 5. Electricity; Location-Clearances-Grnd-/ • /Amp -Concrete f Shthg.-Frg-Bracing 6. Gas; Location -Test -Wrap;-/ /" L'ft.- 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / P Nat. or / /"L'ft./ /'LPG 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric ` k 8. Utility Clearance - i 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 11. Ext.; Steps -Doors -Landings Date Card B-1 Date -- Card B-1 12. Braced Wall Panels Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Date Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector Date FINAL (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector .. ++ 3. Pool Structure; Steel -Connections -Thickness 7. Water and Sewer Connected -C/O to Grade -HD Approval Dead Men -Lining 8. Gas and Electricity Tagged - 4. Elec.; Receptacles and Lighting, Distance-GFI 9. Tie Downs -Type -Installation Cert. 5. Elec.; Pool Lighting; 15 Volts-GFI 10. Exits; Insp.-Sketch - - - '� 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 11. Cert. of Occupancy 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 12. Permanent Foundation Only; License Decal 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes•Enclosures-Panelboards-Ins. to Main in Conduit + Date Date Card B-1 Date Card B-1 9. Health Department Approval Card B-1 ,Date Card B-1 10. Plumb.; Cir. Test -Water Supply Test ✓ t • ., 11. Light Niche Date Card B-1 Date Card B-1 -� t Date Card B-1 Date Card B-1 CIO- _ p . s • M i V = OK 0 = Not OK - = Not Applicable = Not Ready 14. RESIDENTIAL Date 15. derfloor (Plans) OK except #'s 16. gni eibacks-Easements-Flood-Slope tg., Main; Soil s-Elec..Gwtd'-//,Z9-Ftg. Depth Date 146VQ 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Date 4. Ft rches & Decks; Soils -Steel-/ /" Ftg. Depth Date Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Holq.Dovvhs and Special Anchors 8. 9. lab, Steel -Wrapped Piers -Fireplace Fig. -Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Pipl ize Test 11. Water Pipe; Test -Anchors -Regulator -Servicer Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. Ili (Single '& Duplex) Date ECTRICAL (Permit) OK except #'s F' lure & Transformer Clearance -Ins. Protection 2 C. Receptacles Spacing -Lights & Switches at Doors ize Boxes & No. of Conductors Stapled R mex Installed Close to Edge of Studs & C.J. le"Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 8. 2 liance Circuits in Kitchen & Conductor Size GFI c9-90tTeed Wire Size / / ga. Cu or M-A.C. Wire Size / / ga Cu or AI 3� Ram Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral I] Yes ❑ No 53t--9gwice-Riser Conductors & Ground Main Disconnect �9P-- Eeluip. Clearances Panels-Motors-Mech. Equip. lothes Closet Light -Shower Light -Spa Light oke Detector Date 57L Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s V. /j - Ducts Insulation & Support Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 7F9 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s i4§ its Proper Materials & Anchors 4/,Walls Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing 4X Draft Stop in Walls (rat proof) ire Stops, Furred Ceilings -Stairs -Chasers -Tubs 4Y Headers & Beams -Size & Bearing Date FRAMING (Continued) 4Q. ngers-Post Caps -Anchors -Connectors 4 lii)g. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 40place Ties or Type A Flue -Fireplace Throat Clearance 49. Otic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 55'. Urn Windows or Exiting Doors -Sill Ht. & Dimensions -37—Garage Fire Protection Framing 92 --Property Line Firewall & Openings 53. . Doors -One 3' -Check Garage 3rd Story, 2 Exits r tairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer 4�StuLco Mesh -Drip Screed -Fd. Vents-Undertlr. Access ST. -Glazing Area -Glass Protection -Skylights -Plastic 09-thear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels Insulation -Walls -Ceilings' 62. Infiltration -Walls -Windows Date 4 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s s -Door & Sidelight Protection -Landings 601"Smoke Detector r05. rumace Vents -clearance -Comb, Air -Connector - I arage; Above Floor -Ducts -Mach. Protection Bpdroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa `�8 E19C frim & Subpanel, Breaker Sizes & Labels -fiU Stairs & Rails '9�-fR€place or Stove, Clearance-Hearth -.:-rcco. Outlets at Wood Panel, Int. & Ext. �Fixt. & Appliance; Ground -Air Gap -Cooking Clearance Ele . Outlets & Receptacles at Kit. Counter �4"l^arage Fire Door; Swing -Landing -Closure 6-f1-6. Duct in Garage -Damper -Thr-W+r,Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. ip-Garage; Above Floor-Mech. Protection 7 Plb., Elec. & Mech. Equip. Listed for Location 48 --Stec. Receptacles in Garage (F.F.I.)-Romex Protection :'T9�ulation- Foam- Looked in Attic . pdaard Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth learance Looked under Floor ❑ Yes wing Instld./Drive ] Yes Q No/Walks 0 Yes ❑ No/Planters p Yes J No 'Imucco Brown -Finish Above Roof, Elec. Trim, G.F.I. Rec m Throughout House Previous Inspections Tagged, Gas -Electric 91. Water & Sewer Connected -C/O to Grade -HD Approval 93�/Energy Compliance Certificate -Other Certificates 9,4/Address Posted Date pJjjt,--n Card B-1 Date Card B-1 Date I Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date 146VQ Card B- Date Card B-1 Date Card B -f Date Card B-1 Date PLUMBING (Permit) OK except #'s Water Htr.; Vent -Access -Combustion Air Baffle 18/5ater Pipe; Test & Anchor -Nail Protection D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ECTRICAL (Permit) OK except #'s F' lure & Transformer Clearance -Ins. Protection 2 C. Receptacles Spacing -Lights & Switches at Doors ize Boxes & No. of Conductors Stapled R mex Installed Close to Edge of Studs & C.J. le"Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 8. 2 liance Circuits in Kitchen & Conductor Size GFI c9-90tTeed Wire Size / / ga. Cu or M-A.C. Wire Size / / ga Cu or AI 3� Ram Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral I] Yes ❑ No 53t--9gwice-Riser Conductors & Ground Main Disconnect �9P-- Eeluip. Clearances Panels-Motors-Mech. Equip. lothes Closet Light -Shower Light -Spa Light oke Detector Date 57L Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s V. /j - Ducts Insulation & Support Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 7F9 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s i4§ its Proper Materials & Anchors 4/,Walls Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing 4X Draft Stop in Walls (rat proof) ire Stops, Furred Ceilings -Stairs -Chasers -Tubs 4Y Headers & Beams -Size & Bearing Date FRAMING (Continued) 4Q. ngers-Post Caps -Anchors -Connectors 4 lii)g. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 40place Ties or Type A Flue -Fireplace Throat Clearance 49. Otic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 55'. Urn Windows or Exiting Doors -Sill Ht. & Dimensions -37—Garage Fire Protection Framing 92 --Property Line Firewall & Openings 53. . Doors -One 3' -Check Garage 3rd Story, 2 Exits r tairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer 4�StuLco Mesh -Drip Screed -Fd. Vents-Undertlr. Access ST. -Glazing Area -Glass Protection -Skylights -Plastic 09-thear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels Insulation -Walls -Ceilings' 62. Infiltration -Walls -Windows Date 4 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s s -Door & Sidelight Protection -Landings 601"Smoke Detector r05. rumace Vents -clearance -Comb, Air -Connector - I arage; Above Floor -Ducts -Mach. Protection Bpdroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa `�8 E19C frim & Subpanel, Breaker Sizes & Labels -fiU Stairs & Rails '9�-fR€place or Stove, Clearance-Hearth -.:-rcco. Outlets at Wood Panel, Int. & Ext. �Fixt. & Appliance; Ground -Air Gap -Cooking Clearance Ele . Outlets & Receptacles at Kit. Counter �4"l^arage Fire Door; Swing -Landing -Closure 6-f1-6. Duct in Garage -Damper -Thr-W+r,Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. ip-Garage; Above Floor-Mech. Protection 7 Plb., Elec. & Mech. Equip. Listed for Location 48 --Stec. Receptacles in Garage (F.F.I.)-Romex Protection :'T9�ulation- Foam- Looked in Attic . pdaard Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth learance Looked under Floor ❑ Yes wing Instld./Drive ] Yes Q No/Walks 0 Yes ❑ No/Planters p Yes J No 'Imucco Brown -Finish Above Roof, Elec. Trim, G.F.I. Rec m Throughout House Previous Inspections Tagged, Gas -Electric 91. Water & Sewer Connected -C/O to Grade -HD Approval 93�/Energy Compliance Certificate -Other Certificates 9,4/Address Posted Date pJjjt,--n Card B-1 Date Card B-1 Date I Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY' OF BUTTE k BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES.', 411 Main Street • Chico; CA • (53.0),-89172751- 7 53.0),891-27517 County Center Drive • Oroville; CA (530) 538-7541 r. F . 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 �s completed. If you have any questions pertaining to this matter, or need additional explanation, .r please contact this office immediately. �t Date ,Z. I +`REV 10/92 COUNTY OF BUTTE - DEPARTMENT,OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERPT NO. (Rev. 12/96)' APPLICATION AND PERMIT o _ /2 o ASSESSOR P,gf;CfyL NIJM�F�_021 ZONING AR 2-21_ BUILDING PERMIT OWNER CARY AND SCARLETT KETTELL TELEP 873-4787 SO. FT. OCC. BUILDING VALUATION OWNERS 7 S / `MN GLEN WAY MAGALIA 95954 oNT c"OftNMILDING AND DESIGN TELA ONE 873-6913 CONTRACTTb MI+I`Jf{Q,AC1j'Td2 , PARADISE 95967 L . CONSTRUCTION LENjDEERx Fireplace 1500.00 LENDER'S MAILING ADDRESS Total Valuation Is AR49 AHN 45,24U.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 382.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 248.30 BUILDING 19T7 FERN GLEN WAY, MAGALIA Energy Plan Checking Fee $ 23.00 PERMIT FEE $ 673.30 LOT NO. \ SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF EX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 5 7.00 35.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 15.00 TYPE OF WORK New ❑ Addition CK Remodel ❑ Utilities ❑ Installation ❑? Other ❑ Describe Work: ONE BR AND 0 BATH, UR SQET Gas piping stem 1 - 5 outlets 15.00 15.00 Buildin sewer 15.00 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 115.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service .00R LLEEss 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i full force and effect./ ��/ �SY License Class Lic. No. to OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall hwit ly with those provisions. _ _ Date 7_2 - PO Anatuof Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excava Ions over 60" deep and demolition or onstruction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING ffUP. S OR ADONS. ( a ACC. BLDS. 3.5Cr: 20.91 ,.,Gµp�IpT' MULTI.OLrtLET @7.50 POWER APPARATUS 8 SINGLE OUR.Er CIR. Ex. Occup. OUTLET OR FIXTURES BAS p': 0 PP Ex. Occup. ourFIX�is I'M.OEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 71.9.0 MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling 15.00 Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee IT 46.00 OCC R3 PE VN TOTAL FEE $ 956.20 CONST. T�FFE HAZ. D. IMP 1� FLOOD 11 iDF !� PARCEL A PD HD SS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By b ) D to Z 0, � PERMIT EXPIRES ON L[ G pe Receipt No.7$34285 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN OD-APPL ANT 17- �/`erV . 4OUNTY OF BUTTE - DEPARTMENT.OF DEVELOPMENT SERVICES - BUILDING DIVISION - 7 County Center Drive - Or_oville, California 95965 - Telephone (530) 538-7541 PERMIT NO. I IRev 1 o) - . - '# APPLICATION AND PERMIT ASSESSOgPARCEL NUMBER Obq —low -OFzoNl G 7 �/� / BUILDING PERMIT 0OWNER E Q_aE_Trt ter, ALL- T HONE J- -47S7 SO. FT. OCC. I BUILDING VALUATION _.—ERC.. OWN'S MAILING DRESS -9- 7 Frit WAY ' CONTRACTOR'S NAME TELEPHONE ' CONTRACTOR'S MAIUNG ADDRESS, _ r. 23oz 104it,sE CA QS19I✓7 CONSTRUCTION LENDER , LCNDER'S MAIUNG ADDRESS Fireplace G Total Valuation 1 $ 2 ARCHITECT OR ENGINEER LICENSE NO. Filing Feb $ 20.00 Permit Fee 't' , 5g'r. .VRCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee 0 t > BUILDING ADDRESS `, - 5 Energy Plan Checking Fee $ 3,Lp $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE j SF B� Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap qT 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 EO Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe /Work: om 12 X, -/C/ y! s Gas piping system 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S � ELECTRICAL PERMIT Fling Feel 20.00 Main Service oA oA LEss 23.00 9316/6 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION lereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall 1' not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction ' of structures over 3 stories in height. Main Service 200A TO +conA 46.00NEW [ _ vJ CONST. DWELLING OCCUP. SO OR ADDNS. 6 Ace. BLDS. 3.5¢x; NE'" BONS MULTI-oUTLET NON•RESID. 97.50 0(0 l POWER APPARATUS 8 SINGLE OUTLET CIR Ex. Occup. OUTLET OR FIXTURES 20 @ I'00 SAL O .so FIXEI Ex. Occup. ors as D.DEA 1 5.00 Temporary Service 1 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Gj —Cooling (y Hood 6.50 Ventilation PERMIT FEIr $ DCII Mobile Home Installation Fee $ Energy Inspection Fee $ . c coNST. r TOT FEE $ HAZ D. F!0 IMP D 1 CDF PARC �.PD (nSUE This permit is here y issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Dale) ReceiptiVo. �� S WHITE-D.O.S.-8.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Aa�1�t';5�'`��..i �``:?m-�{��'„��:tiiZ:�r'!!1!Ce,':�:r ''v'iur''r`:r.�`�_'�'.St/'+�y��l!Tv'�.r.'�.T.�`�.tlC.Jfy�'{'iti j7ilJ4_ ..� wiY.:WR.�i��r'�1✓.%�;' t •°�':i�y.�_'•-;jr�,-,,.�' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER D - 09 VILLE CALIFORNIA 95965 -/TELEPHONE (530) 538-7541 Z-7" PE IT APPucAn o DATA SHEET OWNER: �� ASSESSOR PARCEL • ER: O�� a o- 02 J Proposed Building Use: Building Inspector: /\ Date: 7 7 �Q 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 .-----------------------'------------------------------------------------------------- ❑ of ans, 3/4 sets, signed by the preparerof plans. ------------------------------------------------------------ mplete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- gmeered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- r : ngineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ nergy Design Compliance and supporting documentation. -------------------------------------- 7------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardous Material Form. ufactured Home data and installation instructions including Tie DSp wSpec* cation - s.---------------- Fees of $ -------------------- ------------------------------5-= ❑ 11 Impact fees as shown on the attached schedule.-------------------------------------------------------- ----- - `1. California Department of Forestry plan approval/fee 1-E•�---� i ----- ----`�-�^-1---� ❑ lood elevation certificate. ----------------=----------------------------------------------------------------------- anitation and plot plan approval L Cl Health Department. ------------------------------------------- 1115. City of Chico plumbing permit. ---------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required.. Request to Building Inspector on (Date) ntractor's license information. (Number, Name Style, Classification). ------------------------------------ 2. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------- ------------------ ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment,Statement. -------------------------------------------------- ❑ 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑ 27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑ 28. Existing violations and/or expired permits.---------------------------------------------------------------------- ❑29. ❑433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- ❑30. Other: S / `f 1 � 10— ------- you issue the permit, rocess as follows 11 Mail to owner, ❑Mail to contractor. elephoneand hold f r pickup at (moi/CQ f � o ce Deliver with inspector. S T72 -UG J; 12EV/� ! I �O Applicant: Date:? 7— &90 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Po lu ion Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other. Date: By: 1. Index permit application for the above items numbered:_0.Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by one, ❑ mail, ❑ Building Division counter, by�,�.ate: ZI Contractor, designer, owner, was advised of the above required data by one, ❑ mail, ❑ Building Division counter, by � Date: '7, 2.00 Cgntr=4, designer, owner, was advised of the above required data by phone, ❑ mail, ❑ Building Division; counter, by Date:0/ N. o�c Contractor, designer,owner, w sed of the above required data by ❑ phone, ❑ mail, ❑ Bliildin Division counter, by Date: Plans reviewed by: Date: 00 Plans approved by: /�_A' '' Date: GO 1 ^Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: VAri-tv 1 nmr - T)P ,ftT —t r.fTlo. 01 ,.... e..F Co...: u..aa:--^:--:-:-- COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER ti— PROPOSED. BUILDING USE 1. BUILDING PERMIT FEES -- Balance Due ................. -- Additional Fees Due ........... $ -- Additional Fees Due ........... -- Revised Plan Checking Fee ....... CHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) x : = $_ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) OnK7. SRA FIRE INSPECTION AND PLAN CHECK 00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. #-06Y- 6�0-00 DATE 7— ` 0 RECEIPT # DATE REC �21 7 q7V .7-2 �2��7y3 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be ch uring the plan checking process. APPLICANT DATE Pursuant to 'mm Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) v` Y+`rrY ♦ .,h-4'+'- � - �.•.. —. i.N• �. .. ..-+c•.'rC�,+�- `. F .. �.. .. . .'.5-' i ti'•'%Yii.�C'..'1•'watN`Y• �'OM1/Lf��rF���,,.,.,,�°�i,.'1 � �!r^�R+��M� ... COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received -By 111. All items have been submitted .------------------------------------------------------------------------------------- t..,. ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ' 6. nergy Design Compliance and supporting documentation. ---------------------------------------------------- N. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑ 9. anufactured Home data and installation instructions including Tie Down Specifications.----------------- eesof ------------------------------------------------------------------------------------- ❑ l 1 pact f s o gn th attached schedule. ----------------------------------------------------------------- ❑ 12. ' orni o elan approval/fees. --------------------------------------------------------- ❑ 13. F : cate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval e - epartment- ------------------------------------------- ❑ 15. City of Chi pl b etrmi ------------------------ -- ----------------------------------------------------- ❑ 16. Plot plan �ess h ns p al from the Ci s. -d---- --- ---- -------------------------- El 17. PI royal for Use. (B) P ' g. ❑ 18. Contact Lary Dev o ent ab ut Improvemen ramage, --------------------- 1:119. Encroac t P 't f drive construction approval ' r to occupancy). - --------------------------- ❑20. Pre -inspection for �y ]= uest to Building Inspector on (Date) 021. Contractor's license information. (Number, Name e, Clas ' cat oq). ------------------------------------ ❑22. Workers' Compensation carrier and policy numb -- -------- s-fi--- -- ,�---------- --- ----------- ❑� 2 . Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ---------- ---------------------------- 4. Letter of signature authorization. ----------------------------- ----------- - _ _ _ 025. Recorded copy of Agricultural Acknowledgment Statement. -------------------------- -------------------- ❑26. Letter of intent on building use. ----------------------------------- - -- ---,�\ ❑ 27. Manufactured Home utility clearance. -------------------------- - ----------------------------------------- ❑28. Existing violations and/or expired permits. ----------------------------------------------------------------------- ❑29. 11433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- 1130. Other: ------- When you issue the permit, process as follows ❑ Mail to owner, []Mail to contractor. ❑Telephone and hold for pickup at office. ❑ Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sA ❑ be � kep nt, ❑ Fire Department, 11 Air Pollution Date: By: Copy of plans sent ❑ Health Department, iepartment,_ ❑ Other: Date: By: 1. Index permit applicati ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was ad ' the above r d Date:, , ,y Contractor, designer, owner, w advised of the above required data by.❑ phone, ❑ mail, ❑ Building Division counter, by Date: "0 Contractor, designer, owner, advithe above required data by 13phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, the W�2veequired data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans Teviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, p A.P. folder. N6te`transfer by: Date: I BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (bne form per Building) School District Pj�i1,(l ( e( {' Building Department No. A.P. Number L�(o�{'(o Za 'DZ�. Jurisdiction: City County Property Owner �(,� f QY le f K e t 1 1 Property Location/Address 57 37 ter, SubdivisionLot No. P. Residential Development 0 ..............,.......................................................... EU Sq. Footage. ' O Y No of Living Mobile Home Adit n/ `Supplemental to (Group R) ' Units Installation Conversion Permit # J '(No foundation inspection): r o _ :•. e .� f t . c.e: .. �. .j. *F«w F` •f` .................................. ..t ti � ...............fi.. . .....� . *..................� .r •� Commercial/Industrial Sq. Footage `" New Addition (Including Exterior Roofed Areas) n I I2 LAI-/ Building Department Represe7 1ve - Date ,poor rndrtb rev,eweu oy >cnoo, vistncc rerson District Identification No. /6 School District certifies that (Applicant) 9-7 3 -65l 3 (Street�li� (Phone Number) (City) (State) (Zip Code) has ccmplied with the requirements of Resolution No. representing /V square feet. School. District Representative ".Paid by Check tJ Remarks: ; by payment of $ /l &/& . AB 2926 $ FULL MITIGATION $ Date s 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 66020(x), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the.School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency,that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school frees to .fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) I feeform.xls (10i98)dmm 11 October 23, 2000 Cary and Scarlett Kettell_ e 5937 Fern Glen Way. . Magalia, CA 95954 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Parcel Number: 064-620-021 Building Permit Number: 00-1560 This office reviewed the building plans for the permit application referenced above. The plan examiner's comments are listed in Part - I below. Please respond in writing to each comment in Part - I by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. INDICATE WHICH DETAIL, SPECIFICATION OR CALCULATION SHOWS THE REQUESTED INFORMATION. Additional response information is included on the response form. Your complete and clear response will expedite the recheck and approval of this project. PART - I Provide additional informatiori and/ or make revisions to the plans, specifications and calculations as follows: 1. Provide revised truss calcs which show trusses sized for mechanical loads. 2. School fee form and permit fees cannot be determined until I hear back regarding the conversion of garage. Plan review will continue upon receipt of the above items. Additional comments may be generated from your response above where plan documents were incomplete, inconsistent or not, adequate to depict code compliance. PART - II The items identified below must be submitted prior to permit issuance. These items were noted at the time of permit. application on the PERMIT APPLICATION DATA SHEET. • 1. Permit fees to be refigured 'upon answer to letter regarding conversion. , 2. New school fee form to be sent after letter is answered. ,If you wish to discuss any requirements in Part I, you may contact me at (530) 538-7541 between ,the hours of 1:00p.m. and 4:00 p.m.; Monday through Friday. The attached checklist must accompany corrected items. &AN REVIEW RESPONS FORM In order to expedite the review of y plans, please complete the following inform=h and return this form with your m.s„ bmitw this form is not complete, as to all eomection items. we will not be able to accept your resubmittal for review. 'there mud be a v response to every item requested in our plan conation lew. "By odwf is not considered a valid response. please indicate y response to each item and the location where the information can be found on the pWWcalcs_- ------ el- 14 SESSORS PARCEL NUMBER b&C/'-- 62D --02-1 RESPONSE FOR R DATED: 9-/2 -00 /O --/O - c>0 PERMIT NUMBER PLAN CHECK ITEM 0 / RESPONSE BY: p,eoyl�rNG caPrEs LOCATION ON PLANS/CALCS: COMMENTS: COMMENTS: 5E7C--M 0V 'OVett. HCA -0 D DOAZ HA -S -6 EEnJ ®✓ CA PLAN CHECK ITEM p RESPONSE BY: ?P'04 %.C) C o C-0-::no LOCATION ON PLANS/CALCS: Z y COMMENTS: COMMENTS: 5E7C--M 0V 'OVett. HCA -0 D DOAZ HA -S -6 EEnJ ®✓ CA PLAN CHECK ITEM # 3 RESPONSE BY: F"J l D'r 10FO . LOCATION ON PLANS/CALCS: S H EE`Ts if � LOCATION ON PLANS/CALCS: COMMENTS: 5E7C--M 0V 'OVett. HCA -0 D DOAZ HA -S -6 EEnJ ®✓ CA QEAAee W' S i l tJ L. -3e W4,L D 1 I S- 'LtD -EQR L_ Q 7 l OUj" PLAN CHECK ITEM N (� 1 RESPONSE BY: po-r S H Olay i'Tp� S N to T- V- St7-0 c -"s s r ouT'. LOCATION ON PLANS/CALCS: S H EE`Ts if � COMMENTS: 2 COMMENTS: { D (LS % -WA-i-,% E A-azE s PLAN CHECK ITEM 0 RESPONSE BY: NDe- slzr. dt2Od 9c—� LOCATION ON PLANS/CALCS: Sf-1 2 COMMENTS: { D (LS % -WA-i-,% E A-azE s RESPONSE FOR PLAN CHECJLETTER DATED: PLAN CHECK REM N 00 (® RESPONSE BY:�J LOCATION ON PLANS/CALCS: 1TTA<-14E�_0 W&i4,js COMMENTS: P4DV I.Dt-'D 97A)41 OV'ti3Z- A I je r& k /V F0 AV AtZLN l <Tr-C'TT PLAN CHECK REM M 7Fa RESPONSE BY: ` P -0V l d / a 6 REV ISi O til A- C 1..A-2 ITY LOCATION ON PLANS/CALCS: H >EL� `r z &eD Re.aea2 PLAr h(E PT �- KD K-P L ,,J T/cap COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: O"v 0 00 COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: PLAN CHECK REM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: (PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: s COMMENTS: PLAN REVISION Please complete the following information in order to process your submittal. If this form is not complete, correct and legible. it may cause a delay in processing. Owner's Name: Received BYY: A.P. #: O Permit #: ContactPhoneNumber: Purpose of submittal: ❑ Permit Application Data Item ❑ Engineering ❑ Plan Revision Date: /�) -/& �0 /5CV0 Time: ❑ quested by Building Inspector or Correction Noti - Inspector's Name: 12�e uested By Plan's Examiner - Examiner's Name: q ❑ Other: If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisions for plan review. If engineering is involved in this revision, the engineer must put his requirements on these drawings and stamp and sign the drawings. Include two (2) sets of wet signed engineering. Revised drawings must cl arty show When Approved, Process as Follows: ❑ Mail to Owner at this address: ❑ Mail to Contractor at this address: ❑ Call and hold for pickup at the ❑ Chico Office ❑ Oroville Office ❑ Deliver with next inspection. ❑ $46.00 Recei t #: ❑ Additional Fees Not Required Revised Plan Check Fee: P Additional fees may be due based upon complexity and time involved to process this submittal. Additional Fees: Receipt #: I October 18, 2000 Cary and Scarlett Kettell i 5:937 Fern Glen Way Magalia, CA 95954 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530)5 38-7541 (530) 538-2140 FAX Parcel Number: 064-620-021 Building Permit Number: 00-1560 4 I t . Regarding:the change of use for the former garage: Occupancies are determined by use of a space or structure. This area was previously a garage. With removal of the garage door it is no f longer a garage or a "U" occupancy but now must be reclassified to the use is more nearly resembles, which in this case is and "R" occupancy, additional living space. This space is not occupied by cars but rather by people. As such the following is required: You may either add this occupancy change to this permit or ' you may apply for a separate permit. Please call me regarding these options and I can let you know exactly what would be required for each option. If you wish to discuss any requirements in Part I, you may contact me at (530) 538-7541 between the hours of 1:00p.m. and 4:00 p.m., Monday through Friday. The attached checklist must 4 accompany corrected items. i Sincerely, Martha Whitney Plans Examiner cc: JL Building and Design September 12; 2000 Cary and Scarlett Kettell 5937 Fern Glen Way Magalia, CA 95954 0 • Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Parcel Number: 064-620-021 Building Permit Number: 00-1560 This office reviewed the building plans for the permit application referenced above. The plan examiner's comments are listed in Part - I below. Please respond in writing to each comment in Part - I by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. INDICATE WHICH DETAIL, SPECIFICATION OR CALCULATION SHOWS THE REQUESTED INFORMATION. Additional response information is included on the response form. Your complete and clear response will expedite the recheck and approval of this project. PART - I Provide additional information and/ or make revisions to the plans, specifications and calculations as follows: 1. Provide floor plans of existing house with all window sizes shown. This may be provided on a separate sheet but an additional copy is needed to make two complete sets of plans. Orovide location of new HVAC system. Is this new system for the entire house or just the addition? Has the existing garage been converted to living space? If so, provide use of room. A[" 1QA6V .S014_ / . Remove or cross out plans and details which -Will not be used. Plans are to be specific and are not to show options. / Provide header size for new door at the top of the stairway. 6. hank you for providing the construction detail for the exterior walls/roof however, upon view of this detail the upper floor still does not meet the requirements of the code for bracing and is, by definition, unusually shaped. In addition, you are now opening a wall on the lower floor for access to the new room which also eliminates bracing on the existing lower wall. You do not have sixteen feet of bracing in the front upper wall as you have a bathroom window in this wall. These conditions will require a lateral analysis to be made of this addition. Plans are to be stamped and signed by engineer or architect of record and requirements of calculations are to be on the plans. • • ` 4. Windows in upstairs bedroom appear to extend out from the structure much like the upstairs windows on the existing House. Is this the case? Please provide construction detail for this area as you have not provide the extended floor area for construction of this area and plans are unclear as how this will be accomplished. 5. Provide stud.size you will be using for the lower floor. Plan review will continue upon receipt of the above items. Additional comments may be ; generated from your response above where plan documents were incomplete, inconsistent or not adequate to depict code compliance. j PART - II The items identified below must be submitted prior to permit issuance. These items were noted at the time of permit application on the PERMIT APPLICATION DATA SHEET. 1. Pay balance of building Permit fees to. be refigured upon recheck of plans. 2. Complete and return the Butte County School Impact Fee Certification form. If you wish to discuss any requirements in Part I, you may contact me at (530),538-7541 between the hours of 1:OOp:m. and 4:00 p.,m., Monday through Friday. The attached checklist must accompany corrected items. Sincerely, Martha Whitney Plans Examiner t PRC -ECT PROCESSING RF -CORD APPLICANT: OWNER: 4,67CI i PERMIT #: 00 -PD- un A. P. #: WORK DESCRIPTION: DATE DESCRrM N OF STEP _ -p J 40' - �(0 06t Y)ljQ� c li e-�Illb6t ' D c 6&1 o-' A-'-Ck rrD� CG �'� Clod t o •23 • ni�o ��t� �►� �� (o . Please complete the following information in order to process your submittal. If this form is not complete, correct and legible. it may cause a delay in processing. Owner's Name: Received Bye*, Date: A.P. #: C;7-1 Permit #• Time1-2!!0— ContactPhoneNumber: ?ur )ose of submittal: :1 Permit Application Data Item 0 Engineering O Plan Revision ❑ Requested by Building Inspector or CorrectionNotice - Inspector's Name: O Requested By Plan's Examiner - Examiner's Name: O Other: If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisrfnor ped review. If engineering is involved in this revision, the engineer must put his requirements on these gs stamp and sign the drawings. Include two (2) sets of wet signed engineering. Revised drawings must clearly show When Approved, Process as Follows: ❑ Mail to Owner at this address: ❑ Mail to Contractor at this address: - ❑ Call and hold for pickup at the ❑ Chico Office 0 Oroville Office ❑ Deliver with next inspection. 1J 546.00 Recei t #: O Additional Fees Not Require Revised Plan Check Fee: P Additional fees may be due based upon complexity and time involved to process this submitt' Additional Fees: Receipt #:� PLokN-.I�E"S*ON Please complete the following information in order to process your submittal. If this form is not complete, correct and legible. it may cause a delay in processing. Owner's Name: Received Bye*, Date: A.P. #: C;7-1 Permit #• Time1-2!!0— ContactPhoneNumber: ?ur )ose of submittal: :1 Permit Application Data Item 0 Engineering O Plan Revision ❑ Requested by Building Inspector or CorrectionNotice - Inspector's Name: O Requested By Plan's Examiner - Examiner's Name: O Other: If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisrfnor ped review. If engineering is involved in this revision, the engineer must put his requirements on these gs stamp and sign the drawings. Include two (2) sets of wet signed engineering. Revised drawings must clearly show When Approved, Process as Follows: ❑ Mail to Owner at this address: ❑ Mail to Contractor at this address: - ❑ Call and hold for pickup at the ❑ Chico Office 0 Oroville Office ❑ Deliver with next inspection. 1J 546.00 Recei t #: O Additional Fees Not Require Revised Plan Check Fee: P Additional fees may be due based upon complexity and time involved to process this submitt' Additional Fees: Receipt #:� APPLICANT: OWNER: PERMIT: WORK DESCRIPTION: PRC --ECT PROCESSING RFrORD DATE Z 3 60 RESIDENTIAL PLAN REVIEW GUIDE SINGLE FAMILY, D UPLEXAND MSCELLAAEO US ONLY ' Owner: Building Permit Number: 00 —1 S&D q Plans Examiner: AL P. Number: f� CO GENERAL: 1 Zoning requirements - (number of permitted living units). Building permit valuation. �C4 Plans signed by the designer. I'l Proper description of work on the application Existing violations+(fj ) on the property. P - YDU -[Congla.9 op Recorded notice of violation. cojo 0 6Y61.0-0 16 9�L0 nit ,P).OT PLAN: A -) Qu 5 ' Complete parcel size and dimensions. j n2 bJ:�Oea et 0-d 6 Setbacks, side yard, easements, kc. &bq� Other buildings or structures. 4. Grading, fills and/or drainage. I L 5. Flood hazard 6. Special conditions on Parcel Map (Noise, SRA, Fire Sprinklers, Water Tender, Traffic Drainagefees). -C4 7. FAU & FAS road setback. <7 /Ft Building or utilities across lot lines (record form). _?I I- VL - FLOOR PLAN: 11. Plans and specifications drawn to scale with dimensions and of sufficient clarity (Uniform Building Code section 106.3.3). 10% of natural light and 5% of ventilation (Uniform'Building Code section 1103). 3. Egress windows (Uniform Building Code section 310.4). ',.,Skylights (Uniform Building Code section 2409 & 2603.7). 7 Glazing in Hazardous locations (Uniform Building Code' section 2406). Required room sizes and ceiling heights (Uniftm Building Code section 310.6). GFCl in baths, garage, kitchen, wet bar;` ind exterior iiceptacles (NEC 2 10). waa LVIA� ILt Wn'. C11 L i Prohibited locations of gaswaterh 'ifofm NuMi-bmi- "'Code 509& 1213.5). r cmobe'-b-00 g Prohibited locations of gas heatihg-e q uipirieiit(UhMii6 Mechanical Code 304.5). . 10 Garage firev.-all separation - re eA on side including supporting walls and posts (Uniform Building Code section 302.4 exception 43). Wood stove location"- Alcove clearance (UMC section 205 confined space & 223 unconfined space). 12. Smoke detectors (Uniform Building Code section 310.9.1). AlD Water closet clearances (Uniform Plumbing Code 408.5I&). - . Shower compartment minimum 1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7). Page 1 of 2 o { i b� —'to ' — ,VIL moo ui Gt 2� Ok LITRUCTURAL DETAILS: aw &k b Conventional & - Conventional construction — Unusually shaped buildings (Uniform Building Code section 2320.5.4). Standard bracing or engineered design (Uniform Building Code sedtion 2320.11.3). CGt/VU'�9' C Uh W -,-f 3: Clerestory requiring balloon framing and/or engineering. �e 4 Three story building requiring engineered calculations and plans.I a $Roof Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. tk) Elevations and wall construction details complete enough to construct building. construction details complete enough to construct building. Rafter ties or bearing d8 . ridge beam. 10. Fireplace construction details and calculations if necessary. / .'Garage door header size(s). �42.�•- CC Cit d 6-y Porch header size(s).�}v �—�D &Or g _Stud heights. V � Expansive soil —special foundation design required. . Retaining walls requiring design. 16 Specl Inspection requirements. &_154.i�'ue_! sizes.. _dpmwallboard nailin ins ection re uired.g P q �2�kJ►'� MISCELLANEOUS ITEMS:' C2 r lzrt YC_ S4 - _ 4_" 1. Stairway details — landings, rise and run, head clearance, handrails (Uniform Building Code section 1006): f V� CI® r-16 2. Guardrails (Uniform Building Code section 509). �"nu-ck nck or stone veneer (Uniform Building Code section 1403). j1 Ext6nor plaster— weep screeds (Uniform Building Code section 2506.5). lb Roof pitch for roof covering (Uniform Building Code Table 15-B-1 & 2,15-D-1 & 2). I - ........:.. Roof coveiing type - (fire hazard). — Fc, QJZM oam uisulaxion -protection. 8. 36" halls and stairways (Uniform Building Code section 1004.3.3.2). Two exits on three — story dwellings (Uniform Building Code section 1004.2.3.2). Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). Attic access and ventilation (Uniform Building Code section 1505). Combustion air for fuel burning appliances - LPG requirements. 14. Energy design compliance and supporting documentation. Flashing at all exterior openings. )X. CDF responsible area requirements. 17. Building Permit requirements: 17.1. SRA. 17.2. Flood elevation certificate. 17.3. Fire Sprinklers required. 17.4. Special Inspection requirements. 17.5. = : Use Permit conditions. 17.6. Sub -Standard Housing letter. Page 2 of 2 CARY AND SCARLEIT KETTELL 5937 FERN GLEN WAY, MAGALIA, CA 95954 leutte Count, L A N D O F N A T U R A L W E A L T H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Re: Building Permit # 00-1560 Expiration Date: 11/2/01 A.P. # 064-620-021 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the category marked below: [X] Permit work started, but not completed.. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your. permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the CHICO office. Thank you for your prompt attention concerning this matter. YWrs very truly, C. Vi6ra, C.B.O. -, Building Inspection MCV:lt Attachments CC:. J.L. BUILDING AND DESIGN. P.O. BOX 2302, MAGALIA, CA 95967 Chico Office - 411 Main Street, Chico / 891-2751 Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 6512; Oct -30-00 12:19PM; Page 2 A.0 r Roc Ain AnocWW Rwr Ain Atwh" 1&-30 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance SiV3 Z MAW fum Cil - L ZC2- 02 I Owner Location AP# Pian Approved for; -Sewage Disposal Water Supply: Public Private Well Clearance for c4weftg. tfie ;Az��' 6=2m•�.�1 ,o.G:�,y+•� r /Jai+ .�G--s Eris Mold final for. Final clearance. O.K. for: NOTE: 2A _C0 Environmental Health Specialist Date 5196 9 Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530 8956512; Oct -30-00 12:19PM; Page 1 B UTTE CO LINTY DEPAR TMENT OF P UBLIC HEAL TH DIVISION OF ENVIRONMENTAL HEALTH P.O. BOX 5364 (411 MAIN STREET), CHICO, CA 95927 (530) 891-2727, FAX (530) 895-6512 FAX COVER SHEET FROM: DATE:�NUMBER OF PAGES 3 (including this one) TO: CO/DEPT: PHONE:„ .2,1 41!) FAX #: ( ) COMMI:'NTS: J OUmanoaffmcoaver. 4 ' - 5440,oL r CD CD LEAcat riC4p (Ni OD o d .. 214" w Roy* uP-0 Ti�E z r1 H z J jn z C m z n t A 1 t= �E�� lc= � ir too`..�EAcH a oo GAS. c�Nc { E% m co ,. TAKIK rn N Gj �p RF�GE o 0 0 Ervironre o N (D JUL _ 7 2000 Ch co, California D CD -:.9 cl Z. Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 6512; Oct -30-00 12:19PM; Page 4/5 �- --- . - -_ - z L • t q. ., 1 LP 6AS D.V. V5' x09 G� F� R c R n m: 18" vt: �: l--• �-� aQ r o �3 v rl r vOL Z C t N i�p t c In Z I g r ' , t :7d�N s^ o 6'm3 O A A K a r G 1 V y c, C` --- f 1n M U 5TA I125 I f;.X�S'rlr.l� r Z. O \ � x Ll,v6a f N w b N r ;y�' � N (TI 11 � z � z. o L 01" U) COD WAu- ulmmga 7' C LG HT.:2 C u IL . �-j u - -1 E 0 ToIL iuu NOOSE r," t Wd�j-,)ows 140-r SI-40wtj -Rool-As, DLo fLid.., T$LE J I (L VMlf ?RoPCs�D -ri�_c ?,RD pebC) C Lf l -i T. T646 LARQET .1 1 a . I ruc E: 1 —47112`1 11 & /I t-, TO F, j a c 1.1 TILE sip 5)4 vi h L L. r-, 130T A. �r �NO. C212113� AEN. fI �� 22-141 50 SHEETS AMPAD 22-142 100 SHEETS. 22-144 200 SHEETS .�.. -�5 - mss: -s • �"���:� - _ !J J ND _ -�: . -._ ' _ - .moi_ _ i _ _. .. .- - • �-.-��- - _ _. _ v ,_ _C � �. _ -- _ 1 _ __-_ i .._1 �.. �.. . r_ /�" .1=, 'j{� .`���t. �...Q. �� � rT''�:^ _ t �- --.�_+f'r .w,�...r +�. _ t.t".=._aT" �r•.. A._ :y:.Y "1�=4• ,. ;.,w...,L.a..:..-...,.- ... ��,.- lr___-T., _ �'F'." - __i'--`<`—� - •-----•.+. p i Beam[ 97 UBC (91 NDS)1 StruCalc 4.06' j, Multi -Loaded ' By: Greg Peitz, Gregory A. Peitz Architect on: 10-11 2000,.,011¢,i' y Proiect: - Location: entry beam at opening in existing wall Summary:. .. 3.125 IN x 12.00 IN x 7.4 FT / 24F -V4 - VISUALLY GRADED WESTERN SPS - DU rv?se Section Adequate By: 352.8% Controlling Factor: Section Modulus / Depth Required' 5.64 In 4 i,fj Deflections:0.01 DLD— `} IN Dead Load: LLD= ' :: 0.02 IN = L/4515 Live Load: Total Load: TLD--' ' .0.03, IN = L/2741 End Reactions(Left Side): RL1= 546 LB Live Load:... Dead Load: RD1= 366 LB Total Load: ; RT 1='- 912 LB End Reactions(Right Side): RL2= ' 546 LB Live.Load: Dead Load: RD2= 366 LB Total Load: RT2= 912 LB Bearing Length Regd.(Left) : BL1= 0.45 IN Bearing Length Regd.(Right): B = 0.45 IN Camber Reqd.: C= C 0.02 M Beam Data: L= 7.4 FT Span: Maximum Unbraced Span: ' Lu= Cd= 0.0 1.00 FT Live Load Duration Factor: L/ 360 Live Load Deflect. Criteria: Total Load Deflect. Criteria: L/ 240 Camber Adjustment Factor: CAF= 1.5 X DLD Uniform Load: wL= 0 PLF Live Load: Dead Load: wD= 0 PLF PLF Beam Self Weight: BSW= wT=. 9 9 PLF Total Load: Concentrated Load P 1: PL1= 1092 LB Live Load: Dead Load: PD1= 665 LB Total Load: PTI= 1757 LB Location: X.1= 3.7 FT Properties For: 24F -V4- VISUALLY{ GRADED WESTERN SPS ± Bending Stress: Fb= Fv= 2400 190 PSI PSI ' Shear Stress: Modulus of Elasticity; Ex= 1800000 PSI Ev= 1600000 PSI Stress Perpendicular to Grain: Fc_perp= 650 PSI . Adjusted Properties: Fb'= 2400 PSI Fb' (Tension): Adjustment Factors: Cd=1.00 Fv'= 190 PSI Fv': AdiustmentFactors: Cd=1.00 .... Design Requirements: _._......__. ' _... M- 3313 FT -LB - - Mazimiim Moment: 3.7 FT From Left Support V= 903 LB Shear ((@ d from beam end): Comparisons With Required Sections: Sreg= 16.6 IN3 Section Modulus: S= 75.0 [N3 Area: Areq= 7.2 IN2 A= . 37.5 IN2 Moment of Inertia: Ireq= 39.5 IN4 I= 450.0 IN4 y +� l I 8 Multi-Loaded.Bear►rj 97 UBC (91 NDS) I StruCalc 4.06 By: Greg Peitz, Gregory A. Peitz Architect on:. 10-11-2000 Project: - Location: e Summary: 3.125 IN x 12.00 IN x 8.0 FT / 24F -V4 - VISUALLY GRADED WESTERN SPS - Dry Use Section Adequate By: 37.1% Controlling Factor: Area / Depth Required 10.18 In Deflections: Dead Load.- DLD= 0.05 IN Live Load: LLD= •0.09 IN = L/I 121 Total Load: TLD.=. 0.14 IN = L/710 End Reactions(Left Side): Live Load: RLI= 2731 LB Dead Load: RD 1= 1574 LB Total Load: RTI= 4305 LB End Reactions(Right Side); Live Load: RL2= 2649 LB Dead Load: RD2= 1524 LB Total Load: RT2= 4173 LB Bearing Length Regd.(Left) : BL1= 2.12 IN Bearing Length Regd.(Right): BL2= 2.05 IN Camber Reqd.: C= 0.07 IN Beam Data: Span: L= 8.0 FT Maximum Unbraced Span' Lu= 8.0 FT Live Load Duration Factor: Cd= 1.00 Live Load Deflect. Criteria: L/ 360 Total Load Deflect. Criteria: _,• : L/ _. -,.. - 240 ....C.amber-Adjustment Factor: -- ..... ..... - — CAF= 1.5 -X DLD Uniform Load: Live Load: wL= 536 PLF Dead Load: wD= 295 PLF Beam Self Weight: BSW= 9 PLF Total Load: wT= 840 PLF Concentrated Load P1: Live Load: __ PL1= 1092 LB Dead Load: PDI = 665 LB Total Load: PT 1= 1757 LB Location: X 1= 3.7 FT Properties For: 24F -V4- VISUALLY GRADED WESTERN SPS Bending Stress: Fb= 2400 PSI Shear Stress: Fv= 190 PSI Modulus of Elasticity: Ex= 1800000 PSI Ey= 1600000 PSI Stress Perpendicular to Grain: Fc_perp= 650 PSI Adjusted Properties: Fb' (Tension): Fb'= 2262 PSI Adjustment Factors: Cd=1.00 C1=0.94 Fv': Fv'= 190 PSI Adjustment Factors: Cd=1.00 Design Requirements: Maximum Moment: M= 10177 FT -LB 3.7 FT From Left Support Shear ((a, d from beam end): V= 3465 LB Comparisons With Required Sections: Section Modulus: '+ Sreq= 54.0 IN3 S= 75.0 IN3 Area: Areq= 27.4 1N2 A= 37.5 IN2 Moment of Inertia: Ireq= 152.2 IN4 1= 450.0 IN4 8 AR�ti% �@r p Pio. C 21283 r AEId. $UfLDING DEPARTMENT � 2s ce� S 17 To WW W ( 1 W W W VINN .... ( 1. coo '.. - h c O rrr �i �r. vt %jam' � � � eLl��--� �,•1Ghl •f.�-7�►,•'`i .� ; �- '' {�,'47' �,�;..�:' , III LP • i „ 1 I. '� F ! ' � r - '�. t � ..1 .� I•rt.'- .!•'�'tl�j}''i. \ .�, r Y, i r , ,, ,� . ,. �� . 4i' 3 .., t"Z" j- fir' b ��"•: '_a ,� �� e 3,i< ;r'- /�.��(4„~I� rw'O��Ii4�.t�'I•r, Y�z���G����i I�Gr•,r��, - t��- • � 3 r ' Yo is i + �D { -, �-� . ; -�.p .:!.. +-ty.C8'xt , i • Multi-Loaded Beam( 97 UBC (91 NDS)1 StruCalc 4.06 Bv: Greg Peitz, Gregory A. Peitz Architect on: 10-11-2000 Proiect: - Location: entry beam at opening in existing wall Summary_: . f 3.125 IN x 12.00 IN x.7.4 FT_/ 24F:V4 -.,VISUALLY GRADED WESTERN SPS - Dry.Use r Section Adequate By: 352.8% Controllig Factor: Section Modulus / Depth Required 5.64 In C Deflections: ' • DLD= 0.01 IN ' .. Dead Load: LLD= 0.02 IN = L/4515 Live Load: TLD= 0.03 IN = L/2741 Total Load: End Reactions(Left Side): � RL1= 546 LB Live Load: RD 1= 366 LB Dead Load: RTI= LB Total Load: .912 .-End Reactions(Right.Side)' ..__. RL2= 546 LB Live Load: RD2= 366 LB Dead Load: RT2= 912 LB Total Load: Bearing Length Regd.(Left) : BL1= 0.45 IN Bearing Length Regd.(Right): BL2= 0.45 IN Camber Reqd.: C= 0.02 IN Beam Data: L= 7.4 FT Span: Maximum Unbraced Span: Lu= 0.0 FT ; Live Load Duration Factor: Cd= 1.. Live Load Deflect. Criteria: 3660 0 Total Load Deflect. Criteria: ' L/ CAF=.._ 240 1:5 X DLD Camber Adjustment Factor: Uniform Load: wL= 0 PLF Live Load: wD= 0 PLF' Dead Load: Beam Self Weight: ' BSW= 9 PLF' ' Total Load: wT= 9 PLF Concentrated Load P1:. PL1= 1092 ' LB Live Load: ;, Dead Load: • �� PD1= 665 LB Total Load: 1= 17 LB Location: X = X 1 .7 3.7 FT Properties For: 24F-V4- VISUALLY GRADED WESTERN SPS Bending Stress: Fb= 2400 PSI Shear Stress: Fv= 190 PSI Modulus of Elasticity: Ex= 1800000 PSI Ey= 1600000 PSI Stress Perpendicular to Gi,ain: Fc_perp= 650 PSI Adjusted Properties: Fb'- 2400 PSI Fb' (Tension): Adjustment Factors: Cd=1.00 Fv': Fv'= 190 PSI Adiustment Factors: Cd=1.00 Design Requirements: M= 3313 FT-LB Maximum Moment: 3.7 FT From Left Support Shear (a, d from beam end): V= 903 LB Comparisons With Required Sections: Section Modulus: Sreq= 16.6 IN3 S= 75.0 , IN3 Area: Areq= 7.2 IN2 A= 37.5 IN2 Moment of Inertia: Ireq= 39.5 IN4 1= 450.0 IN4 i 4 , . ��, . • I. S.; , 1 :111 `r 1 _ Multi-Loaded Beam[ 97 UBC (91 NDS)1 StruCalc 4.06 h °�� w )1de ►,. By: Greg Peitz, GregoryA..Peitz Architect on:.10-1 I-2000 Proiect: - Location: a _. Summary: L3.125 IN x 12.00 IN x 8.0 FT / 24F -V4 - VISUALLY GRADED WESTERN SPS - Dry Use Section"Adequate By: 37.1% Controlling Factor: Area / Depth Required 10.18 In Deflections: Dead Load: D'LD= 0.05 IN " Live Load: LLD--' 0.09 IN = L/1 121 Total Load: TLD= 0.14. IN = L/710 .. End Reactions(Left Side): �c . Live Load: RLI= 2731 LB Dead Load: RD 1= 1574 LB Total Load: RTI_ 4305 LB End Reactions(Right Side): Live Load: RL2= 2649 LB Dead Load: RD2= 1524 LB Total Load: RT2= 4173 LB Bearing Length Regd.(Left) : BL1= .-2.12 .1N Bearing Length Regd.(Right): BL2= 2.05 IN Camber Reqd.: C= 0.07 IN Beam Data: Span: L= 8.0 FT Maximum Unbraced Span: Lu= 8.0 FT ` Live Load Duration Factor: Cd= 1.00 Live Load Deflect. Criteria: L/ 360 Total Load'Deflect. Criferia: L/ 240 Camber Adjustment Factor: CAF= 1.5 X DLD Uniform Load: Live Load: wL= 536 PLF Dead Load: wD= 295 PLF Beam Self Weight: BSW= .9 PLF Total Load: wT= 840 PLF Concentrated Load PI: Live Load: PL1= 1092 LB . Dead Load: PD1= 665 LB - Total Load: PTI= 1757 LB Location: X 1= 3.7 FT Properties For: 24F -V4- VISUALLY GRADED WESTERN SPS Bending Stress-, .Fb.= -. -•- - 2400 PSI ..............Shear -'Stress: • .. _.__..._— -- Fv= 190 PSI Modulus of Elasticity: Ex= 1800000, P91 Ey= 1600000 PSI' Stress Perpendicular to Grain: Fc_perp= 650 PSI Adjusted Properties: Fb' (Tension): Fb'= 2262 PSI Adjustment Factors:.Cd=1.00 C1=0.94 Fv': -- Fv'= . 190 PSI Adiustment Factors: Cd=1.00 Design Requirements: Maximum Moment: M= 10177 FT -LB 3.7 FT From Left Support Shear ((@.d from beam end): V= 3465 LB Comparisons With Required Sections: Section Modulus: Sreq= 54.0 IN3 S= 75.0 IN3 Area: Areq= 27.4 IN.2 A= 37.5 IN2 Moment of Inertia: Ireq= .. 152.2 IN4 I= : -454d0.0 IN4 11� 1 i LONGFELLOW LUMBER CO. INC. Quality Truss Design 0 Roof & Floor Systems ` (800) 678-0112 (5130) 893-0112 o. FAX (530) 893-0140 89 Loren Avenue Chico, CA 95928-7434 Customer: Zodrinl- Address: -rerinalno AP#: Job -No: Ae #e // Alpine Engineered Products, Inc. Christian W. Chappell 8351 Rovana Circle Sacramento, CA 95828-2522 (916) 387-0116 Id rd melm C1 DA lolov. wen I'swinno Lima Timber Products 49ffifoioffip"A';. P.O. Box 20455 -� Portland, OR 9722 PROVen (503) 254-0204 GABLE [III) II[IAIL FS IRUIGUA(K MAIL IU LEOGER 12' U.C. I IDRACEO AT 55' U.C. . A35 LEDGER (NAIL 10 VERTICAL 113(K ) Vi2—IUII IIAILS) —LA0. IKI SPA0116, FUR 113 = 56,0' O.C. REFER, Ili SM)SOIJ CATALOG C-9411-1 FOR PRODUCT AIIACIVIENf S1110FICA11ON (ATTACH A35 III FI DIREC11174 (PI) (M) 2X4 F.L. OR H.F. 12 OR BIP. SIMIGOACK BRACE IIIIS UNG PREPARED TI(UH COH1'111(i1 INPUT (LOADS L DIMENSIONS) S0011111(0 BY IRUSS Ht R. is RULT HAIERIAL r1Ulkl IKER II (C) GAVLE ENO ,15 I 2X LEDGER jjj\ II\(p•uIDN �I 1P.USSES I SIRONGOACK BRACED AT 55' D.C. (C) IX4 (UN111RIUIIS LAIC -PAL OPACING FOP BRACE I SIRUNGOACK) HLHUER LONGER THAN 721. ATTACH AT HlOPUIHI OF EACH GRACE %/2-0J CCl➢B(Uti HAILS. 24' HAX ->,_ /GABLE E110 (PI T PEAK PLATE 10 HAICII COMM TRUSSES. MOIE:.CHOPUS TO BE 2x4 FIR-LARCII 12 Hill. (SII SPLICE PLATE IO HATCH [(!iHON TRUSSES. NOIE: MIS DETAIL HAY BE USED FOR (III ) IEEL PLATE 10 MATCH [0191011 TRUSSES. MISSES VITA PITCIIED O.C. ALSO. (0) 0Pf1011 10 WED FLAIIIIG: USE (3)-2' VIRE STAPLES (0.072 OIA.i15 GA.) IOEIIAILEO IIIRU 111ORD 11110 WEB 6 111RU WED INTO CIIURO OH ONE FACE FOR A TOTAL OF 6 STAPLES. (PI I. ( SI) L (111 ) HUST BE PLATED. (G) GABLE END DESIQI BASED DN 75HPN WIND LOAD. EXPOSURE '0' AT 0-25 FT. HEAN PLATE_ HAX, WEB LENGTH IX3• 2-o—o 2X4• 0-1-0 3X4• 13-6-0 UUILOOKER I�lo4r. , PLT TYP. Wave TPI 95 R Design Criteria: TPI 95� O O Q Q ••PANNI NO•• INVSftf A(OUTA( [LININ( CAA! IA FABRICATION, NANOI IND, SNIP►IND, INS 1AIIIND ANO IRACING. At►(R 10 NII•PI (NANOLINO INSIAtt IND AND DRACINO), PUILISN[O OF III (TRUSS IIAI[ SIJIII IM OX, No O O PI Af OINIOR to INO IN($(,FUNCIIDNS. OXOFIO • Unit" OINIAVl$(SINDICAIJO, f IOP ICIIOIO1. R SNALI IMAI[ A►ROIGIYCIICIS NAI IACH(0 Q O SIIUCIURAI 1AN(lf. IOIIOM CNOAO SNAIL NAI[ A PAOP(RLY AIIACN[O AIOID CI(I IND, Coll OF INIS 10 INSIAttAIIOM •►ADD CIfAN IAC, fNAIII NOTSM A I( N[S►ONf III( TON MANY 1 [ IAIIONFROM IMISI O(SION: WIN[ (4011((AiD o ALPI N L ItlIlO IN lAtl1i(f II COAFOANANC( YIIN 111: ON FAIIICAIINO, NANOl IND, fN1►IIND, AN I IIAC►NO OF INUSft f. N00 NIS D[SION CONFOAMf YIIN APPt ICAIt( PROVISIONS OF ADS (NAIIONAL 0(S(ON R (try C III. AtrIx( CONNICIOASIAN(ON PHAD(fOFO[ODAIASIN01 MACfSAOASFAOAIV,LNS1((ltN[IC(►I(ASINOIJO`O A►PlY CONI(CIOIS 10 rF1--��Ur. S (ACM FAC[ OF IIUff, AND EMITS OIN(NYIf[ IOCAI(0 ON ISIS O(SION, POSITION CONN(CIOIS P(p I� DIAYINCS ISO, Ifo AND 1[0 A•►, AN (NOIN[!R•S SIAL ON INIf DNAY IND A►►11[f ONIV 10 IN( VISION 1.—•.1 Of IN( IAUSS OIPICIIO N(I( AID SIIAII N01_I( A[111D UPON IN AM, nrur• ,... 6 — IBJ CrAP(1N BLACK HAILS BRACE 3—IBJ NAILS EACII EIIO OUTLOOKER M TERIA 3.5' HAX. T•rp. 1101CH " N 24' O.L. MAX. I. 12' Hill 24' HAX 2x4 F.L. UPBER GRADES LENGTH TIIIX)1 ACNIG (tl) k�EEIIc 1 Vi SIRDIIGDACK GRACE ( S I STAIIOARD f11AX- 11-0 II -10-0 �w 'A y� TC DL 15.0 03/19/98 01 7-9-0 15-6-0 11 L DEFTEP. 7-9-0 15-8— SS 7-9-0 15-6-0 )FESS/pyo TC LL 30.0T R992 �w 'A y� TC DL 15.0 03/19/98 Cdee�S� DC UL �D�RW o112 OC LL 0.0 TOT.LO. 50.0 IYIIOURJAC. 1.15CAul POC SPACING `..tKETT072'6-L'AOR"INI 7'KETTELL - Al COM) THIS DWG PREPARED FROM COMPUTER INPUT (LOADS A DIMENSIONS) SUBMITTED BY TRUSS MFR. TOP CHORD 2x4 DF -L #1 IN LIEU OF STRUCTURAL PANELS OR RIGID CEILING USE PURLINS: BOT CHORD 2x4 DF -L #1 TO BRACE TC @ 24.00' OC. BC @ 72.00' OC. WEBS 2x4 DF -L Standard � `D DEFLECTION MEETS L/240.00 LIVE AND L/180.00 TOTAL LOAD. LATES DESIGNED FOR GREEN LUMBER PER NDS -97 TABLE 7.3.3. i10 PSF BC LIVE LOAD PER UBC. 0 co N' O ' W5X4e W1.5X4 147,W1.6X4 4 4 4 A - A W a W _91-0D - D W T x W3X8( 1) W4X4B W3X4® W4X4- � N3X8(A1) - z W w - z A• I_ 12-0-0 I 12-0-0 1 24-0-0 Over 2 Support R-1212 W-3.5' Y� R-1212 W-3.5• W 0 N PLT TYP. Wave TPI -95 R Desi n Crit i • TPI STD 1 I O 0 O N L� N ti '3'4Mi -PRO VAT) A L P I N E �S� `ori .0 Esimemd� � er a. -BR►AC IMG— TRUSSES NG. REFER TO MIB 91U1RE (HANDLING INSTALL) G AN BRACINGE IN FABRICATION. ) AH PUILISNto Of iii INSTALLING (TRUSS PLATE IIsrITlrt. $B] D'ORDFRIO DR., slrrE too. MAOtsol. WE 33)19). FOR SAFETY PRACTICES ORION TO PINYOIMIIG THESE fUNCTIONS. UILESS OTMI WISE INDICATED. TOP CHORD SNAIL HAVE PROPEALT ATTACHED STRICTURAL PANELS. 807TOM CIO to SMALL HAVE A PROPERLY ATTACHED RIGID CEILING. •IMPORTAMT•• FURNISR A COPY Of THIS 0E3161 TO THE INSTALLATION CORrNACrOI. ALPINE ENGINEERED •PIODICTS. INC. SMALL NOT 8E RESPONSIBLE FOR ANY DEVIATION FROM THIS DESIGN: ANY FAILURE TO BUILD TIE TRUSSES IR COMFOIMANCE WITH TOT: OR FABRICATING. HANDLING. SNIPPING. INSTALLING AID I ACING Or TRUSSES. THIS DESIGN CONFORMS WITH APPLICABLE PROVISIONS Of NDS (NATIONAL DESIGN :111C s►EC1nCATIon PUBLISHED By THE AMERICAN FOREST AID PAPER ASSOCIATIOI) AND r►I. AVE E CONNECTORS ARE MADE Of to" ASTIR A553 GM GALI. STEEL. EXCEPT AS NOTID. APPLY COINECTORS TO EACH FACE Of TRUSS. AND UNLESS OTHERWISE LOCATED 01 THIS DESIGN. POSITION CONNECTORS PER CRAVINGS LBO A-E. THE SEAL 01 THIS DRAWING INDICATES ACCEPTANCE Or PIOrESStONAL ENGINEERIIB CON-RENTSPONSIBELY FOR THE TRUSS 091LOINS IS THET019191 RESPONSIBILIITTY Of THE BUILDIVGITY AM OESIGNER USE OF THI!N ANSIITPI 1.1995 SECTION t. ////.... A � * VP• - L - -In/ - TC LL 33.5 PSF TC DL 1 0.0 PSF BC DL 7. U PSF BC LL 0.0 PSF TOT. LD. 50.5 PSF j"IC REF R427--67246 DATE 07/27/00 DRW CAUSR�27 00209003 CA -ENG AE B /CHC SEAN - 19618 D UR .FAC . 1.15 FROM K D SPACING 24.0 Up to 24' 1 3/12 1 8' • 17 12 Over 24' - 42' 3/12 1 7' 10 6 Over 42' - 54' 3/12 1 6' 6 4 Ove- 54' See a registered professional engineer DF - Douglas Fir -Larch SP - Southern Pine v HF - Hem -Fir SPF - Spruce -Pine -Fir ti Q0� 411 Diagonal brace also required on end verticals. Top chords that are laterally braced can buckle togetherand cause collapse inhere is no diago- nal bracing. Diagonal bracing should be nailed to the underside of the top chord when purlins 2q• are attached to the topside of the top chord; Or /eSS PLUMB i i Truss Depth D(in) 1 =45° 12 —13 or p greater \ 6• All lateral braces lapped at least 2 trusses. Continuous Top Chord Lateral B. -ace —� Required 10' or Greater Attachment Required AWARNING: Failure to follow these recommendations couldresultin severe personal injury or damage W trusses or buildings. 12" 114" 1 1' 24" 1'2" 2' 36" 3.'4" 3' 48" 1" i7- 60 1-1/4" 5' 96" 1 2' 1 8' 108" 1 2' 1 8' i ±+T L(in) Length L(in) Lesser of U200 or 7' BOW L(In) Lesser of I� I Lesser of U200 or 2" D/50 or 2' Maximum Plumb Misplacement Line L(m) U200 L(ft) 50" 1/4" 4.2' 100" 12" 8.3' 150" 3/4" 12.5' OUT -OF -PLUMB INSTALLATION TOLERANCES. OUT -OF -PLANE INSTALLATION TOLERANCES. DANGER: Under no circumstances should WARNING: Do not cut trusses.A construction loads of any description be Placed on unbraced trusses. Frame 6 V ` 200" 1" 16.7' 250" 1-1/4" 20.8' 300" 1-1/2" 25.0' OUT -OF -PLUMB INSTALLATION TOLERANCES. OUT -OF -PLANE INSTALLATION TOLERANCES. DANGER: Under no circumstances should WARNING: Do not cut trusses.A construction loads of any description be Placed on unbraced trusses. Frame 6 V ` This safety alert symbol is used to attract your attention! PERSONAL SAFETY IS INVOLVED! When you see this symbol - BECOME ALERT - HE =D ITS MESSAGE. ACAUTION: A CAUTION identifies safe operating practices or indicates unsafe conditions tha. could result in personal injury or damage to structures. HIB -91 Summary Sheet COMMENTARY and RECOMMENDATIONS for HANDLING, INSTALLING & BRACING METAL PLATE CONNECTED WOOD TRUSSES ° Itis the responsibility of the installer (builder, building contractor. licensed Xntractor. erector or erection contractor to propedvreceive, unload, store, handle, install and brace metal plate connected wood trusses to protect life and property. T'ie installer must exercise the same high degree of safety awareness as with any otherstructural material. TPI does not intend these recommendations to be interpreted as superior to the project Architect's or Engineer's design specification for handling, installing and bracing wood trusses for a particular roof or floor. These recommendations are based upon the collective experience of leading technical personnel ir. the wood CAUTION: The builder, building contractor, licensed contractor, erector or erection contractor is advised Ato obtain and read the entire booklet "Commentary and Recommendations for Handling, Insta ting & Bracing Metal Plate Connected Wood Trusses, HIB - 91" from the Truss Plate Institute. DANGER: A DANGER designates a condition where failure to follow instructions or heedwarn- ing will most likely result in serious personal injurf or death or damage to stru--tures. AWARNING: A WARNING describes a condition .Mere failure to follow instructions could result in severe aersonal injury or damage to structures. T,RUSS'PLATE INSTITUTE 583 D'Onofrio Dr., Suite 200 Madison, Wisconsin 53719 (608)833-5900 truss industry, but mist, due to the nature of responsibilities involved, be presented as 3 guide fo the use of a qualified building des gner or installer. Thus, the Truss Pla'.e ,nsttute, Inc. expressly disclaims any responsibility for damages arising from the use, application or reliance on the recommendations and information contained herein by building designers, installer, and others. Copyright © by Truss Flare InstiLite, Inc. All rights reserved. This document or any part thereof must not be reproduced in any form without written permission of the publisher. Printed in the United States of America. CAUTION: All temporary bracing should be no less than 2x4 grade marked lumber. All connections should be made with minimum of 2-16d nails. All tr.tsses assumed 2' on -center or less. All multi -ply tr uses should be connected together in accor- dance with design drawings prior to insta-lation. JRUSS'•STORAGE- CAUTION: Trusses should not be unloaded on rough terrain or un- even surfaces which could cause damage to the truss. CAUTION: Trusses stored horizontally should be supported on blocking to prevent excessive lateral A CAUTION: Trusses stored vertically should be bending and lessen moisture gain. graced to prevent toppling or tipping. 9 9 AWARNING: Do not break banding until installation DANGER: Do not store bundles upright unless begins. Care should be exercised in banding re- A properly braced. Do not break bands until bundles moval to avoid shifting of individual trusses. are placed in a stable horizontal position. WARNING: Do not lift bundled trusses by the DANGER: Walking on trusses which are vying flat A bands. Do not use damaged trusses. A is extremely dangerous and should be strictly rohi-oited. Frame 1 DF -!Douglas Fir -Larch SP - Southern Pine HF - Hem -Fir SPF - Spruce -Pine -Fir 9 `\,01 L The end diagonal brace for cantilevered trusses must be placed on vertical webs in line with the support. 2x4/2x6 PARALLEL Continuous CHORD TRUSS Top chord TOP CHORD DIAGONAL BRACE MINIMUM LATERALBRACE ;SPACING (DB i SPAN DEPTH SRACING(LBs) #trusses .. €. SP/DF. SPFIHF. Up to 32' 30" 8' 16 10 Over 32'- 48' 42" 6' 6 4 Over 48'- 60' 48" 1 5' 4 1 2 Over 60' 1 See a registered professional engineer DF -!Douglas Fir -Larch SP - Southern Pine HF - Hem -Fir SPF - Spruce -Pine -Fir 9 `\,01 L The end diagonal brace for cantilevered trusses must be placed on vertical webs in line with the support. 2x4/2x6 PARALLEL Continuous CHORD TRUSS Top chord Lateral Braci Required Top chords that are laterally braced can buckle togetherand cause collapse if there is no diago- 10° nal bracing. Diagonal bracing should be nailed to the underside of the top chord when purlins are attached to the topside of the top chord. All lateral braces lapped at least two trusses. End diagonals are essential for stability and must be du lcafed on both ends of the truss system. =45° Attachmer —11 Required 201(013 4� SPF�MF 2 °•c. AWARNING: Failure to follow these recommendations could result in severe personal injury or damsge to trusses or buildings. A Tor chords that are laterally braced can buckle' tog,ptherand cause collapse If there is no diago- nal bracing. Diagonal bracing should be nailed. to Vie underside of the top chord when purlins are attached to the topside of the top chord. 30" or greater Continuous Top Chord Lateral Brace Required I 10' or Greater L Attachment / 1y 1 Required 1,05 30'(D@s) 1h 15 TruSSes @?,° c 1= 31/2° i p Trusses must have lum- ber oriented in the hori- All lateral zontal direction to use ° braces lapped this brace spacing. at least two trusses. = 45° . End diagonals are essential for stability and must be duplicated on both ends of the truss system. Frame 5 I A WARNING: Do not attach cables, chains, or hooks to the web members. Tag Line 7 60° � or less Approximately Approximately %truss length 1/3 truss length Truss span less than 30'. Spreader Bar Toe In Spreader Bar Approximately Less than or equal to 60' Tag Line 1AWARNING: Do not lift single trusses with spans greater than 30' by the peak. the lifting device until the ends of the Approximately \truss are securely fastened and tempo- V3 to 3/4 truss length rary bracing is installed. Greater than 60' Tag Line Toe In ' Less than or equal to 60' Tag Line Strongback/ SpreaderBar At or above mid -height � Approximately ?/3 to 3/4 truss length Tag Tag Line Line Greater than 60' Lifting devices should be connected to Atrusses the truss top chord with a closed-loop Strongback/ attachment utilizing materials such as slings, chains, cables, nylon strapping, SpreaderBai Toe In etc. of sufficient strength to carry the weight of the truss. Each truss should be set in proper position per the building designer's framing plan and held with the lifting device until the ends of the Approximately \truss are securely fastened and tempo- V3 to 3/4 truss length rary bracing is installed. Greater than 60' Tag Line Toe In ' Less than or equal to 60' Tag Line Strongback/ SpreaderBar At or above mid -height � Approximately ?/3 to 3/4 truss length Tag Tag Line Line Greater than 60' 1 Typical horizontal tie member with multiple stakes (HT) .01 Frame 2 I ,"truss of braced o oup o1 trusses 1 (ES) CAUTION: Temporary bracing shown in this summary sheet is adequate for the installation of Atrusses with similar configurations. Consult a registered professional engineer if a different bracing arrangement is desired. The engineer may design bracing in accordance with TPI's Recommended Design Specification for Temporary Bracing of Metal Plate Connected Wood Trusses, DSB-89„ and in some cases determine that a wider spacing is possible. 1 Typical horizontal tie member with multiple stakes (HT) .01 Frame 2 I ,"truss of braced o oup o1 trusses 1 (ES) 12 --� 4 or greater Bottom cl-ord diagonal bracing repeated at each And of the building and at same spacing a. top chord diagonal bracing. DF - Douglas Fir -Larch HF - Hem -Fir SP - Southern Pine SPF - Spruce -Pine -Fir All lateral braces lapped at least 2 trusses. BOTTow.q.HORD PLANE AWARNING: Failure to follow these recommendations could result in severe personal injury or damage to trusses or buildings. A Cross bracing repeated at each end of the building and at 20' Intervals. 0� 12 1 4 or greater Over 32' - 48' 4112 6' 1 10 7 Over 48'-60' 1 4112 1 5' 1 6 1 4 Over 60' 1 See a registered professional engineer DF - Douglas Fir -Larch SP - Southern Pine HF - Hem -Fir SPF - Spruce -Pine -Fir Continuous Top Chord All lateral braces Lateral Brace lapped at least 2 Required trusses. 10" or Greater Attachment Required ot�egg 3jI WARNING: Failure to follow W.ese recommendations could result in severe personal injury or damage to trusses or buildings. A . ;',TOP CMORD O Os/ MINIMUMTOP CHORD DIAGONAL BRACE: SSSP PITCH LATERAL BRACE' SPACING (DBS) SPAN DIFFERENCE SPACING(LBS) #trusses] 0 •� i l Top chords that are laterally braced can buckle Up to 28' a X45° togetherand cause collapse if there is no diago- Over 28' - 42' 3.0 6' nalbracing. Diagonal bracing should be nailed Over 42' - 60' o to the underside of the top chord when purlins Over 60' 1 See a registered professional engineer are attached to the topside of the top chord. - Over 32' - 48' 4112 6' 1 10 7 Over 48'-60' 1 4112 1 5' 1 6 1 4 Over 60' 1 See a registered professional engineer DF - Douglas Fir -Larch SP - Southern Pine HF - Hem -Fir SPF - Spruce -Pine -Fir Continuous Top Chord All lateral braces Lateral Brace lapped at least 2 Required trusses. 10" or Greater Attachment Required ot�egg 3jI WARNING: Failure to follow W.ese recommendations could result in severe personal injury or damage to trusses or buildings. A DF - Douglas Fir -Larch SP - Southern Pine HF - Hem -Fir SPF - Spruce -Pine -Fir Continuous Top Chord Lateral Brace All lateral braces Required� lapped at least 2 trusses. 10" or Greater Attachment Required _ —� 2�QSS T45° Frame 3 12 5 . ;',TOP CMORD MINIMUMTOP CHORD DIAGONAL BRACE: Cryo. c PITCH LATERAL BRACE' SPACING (DBS) SPAN DIFFERENCE SPACING(LBS) #trusses] nal bracing. Diagonal bracing should be nailed '� Up to 28' 2.5 7' 17 12 Over 28' - 42' 3.0 6' 9 6 Over 42' - 60' 1 3.0 1 5' 1 5 3 Over 60' 1 See a registered professional engineer DF - Douglas Fir -Larch SP - Southern Pine HF - Hem -Fir SPF - Spruce -Pine -Fir Continuous Top Chord Lateral Brace All lateral braces Required� lapped at least 2 trusses. 10" or Greater Attachment Required _ —� 2�QSS T45° Frame 3 12 5 �o• Cryo. c ao0� Top chords that are laterally braced can buckle y5 �� togetherandcause collapse if there isnodiago- nal bracing. Diagonal bracing should be nailed '� to the underside of the top chord when purlins are attached to the topside of the top chord. CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... Kettell Addition Date..08/15/00 11:42:24 Project Address........ 5937 Fern G1enIWaX ******* Magalia, California *v5.10* Documentation Author... Donna Wallace ******* 399 East 9th Avenue Chico, CA 95926 530-893-4982 Climate Zone.. .. ..... 11 Compliance Method...... MICROPAS5 v5.10 for 1998 Standards (� ✓(5(00 Building Permit JC ,en P a ec c Date Field Check/ Date by Enercomp, Inc. MICROPAS5 v5.10 File-KETTELL Wth-CTZ11S92 Program -FORM CF -1R User#-MP0995 User- Run-Kettell Addition GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building.Front Orientation. Number of Dwelling Units... Number of Stories.......... Floor Construction Type.... Glazing Percentage......... Average Glazing U -value.... Average Glazing SHGC....... Average Ceiling Height..... Component Frame Type Type 810 sf Single Family Detached Addition Alone Front Facing 270 deg (W) 1 2 Slab On Grade 18.6 % of floor area 0.43 Btu/hr-sf-F 0.4 8 ft BUILDING SHELL INSULATION Cavity Sheathing Total Assembly R -value R -value R -value U -value Location/Comments Wall Wood R-13 R-0 R-13 0.088 Typical Wall Wood R-17.8 R-0 R-17.8 0.065 1st Floor Roof Wood R-11 R-27 R-38 0.025 2nd Floor Roof Wood R-38 R-0 R-38 0.030 1st Floor SlabEdge n/a R-0 R-n/a 0.330 F2=0.760 to Outside Front (NW) 4.5 FENESTRATION 0.330 Standard Over - Exterior hang/ Shading Fins Standard None Standard Area U- None Interior Orientation Standard (sf) Value SHGC Shading Window Front (W) 9.0 0.390 0.330 Standard Window Front (W) 9.0 0.390 0.330 Standard Window Front (W) 6.0 0.390 0.330 Standard Window Front (NW) 4.5 0.390 0.330 Standard Window Right (SW) 4.5 0.390 0.330 Standard Window Left (N) 30.0 0.390 0.330 Standard Window Left (N) 24.0 0.390 0.330 Standard Door Back (E) 33.3 0.550 0.650 Standard Window Back (E) 15.0 0.390 0.330 Standard Window Back (E) 15.0 0.390 0.330 Standard Over - Exterior hang/ Shading Fins Standard None Standard None Standard None Standard None Standard None Standard None Standard None Standard None Standard None Standard None JU [TE WLdl i',, 1U)JNG DEPA RIMEN CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title.......... Kettell Addition Date..08/15/00 11:42:24 MICROPAS5 v5.10 File-KETTELL Wth-CTZ11S92 Program -FORM CF -1R User#-MP0995 User- Run-Kettell Addition Equipment Type Furnace ACSplit SLAB SURFACES Area Slab Type, (sf) Standard.Slab 426 HVAC SYSTEMS 'Minimum Duct Efficiency Location 0.800 AFUE Attic 10.00 SEER Attic REMARKS Duct Tested Duct ACCA Thermostat R -value Leakage Manual D Type R-4.2 No No Setback R-4.2 No No Setback 1st Floor Square Footage = 26 x 16 + 0.5 x 1.5 x (5 + 8) = 426 sf 2nd Floor Square Footage =.24 x 16 = 384 Total Square Footage = 810 sf The French doors have been assigned the CEC default U -value and default SHGC-value. The windows shall be vinyl -framed, dual -pane with low -E squared glass by Milgard. These units have a 0.39 maximum U -value and a 0.33 maximum SHGC-value. Reference: NFRC data provided by Milgard Manufacturing, Inc., ban -McAndrew, 1-800-645-4273. As part of this project, a new split HVAC system will be installed. The new furnace is a Payne PG8DAA048095. This unit has a 75,000 Btu/hour heating output and an 80.0 AFUE. The new condensing unit shall be a Payne PA10JA042. The unit has a 40,500 Btu/hour cooling output and a 10.1 SEER. Reference: CEC database files downloaded by the documentation author. ILU APPROVED CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project Title.......... Kettell Addition Date..08/15/00 11:42:24 MICROPAS5 v5.10 File-KETTELL Wth-CTZ11S92 Program -FORM CF -1R User#-MP0995 User- Run-Kettell Addition COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California. Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features Modeling Assumptions section. DESIGNER or OWNER Name..-.. Jim Ladrini Company. JL Building & Design Address. P,0, Box 2Soz PA -R" 15.G. C,4 RSR(o 7 Phone... 530-873-6913 License. Signed.. -y 00 ate ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. (date) DOCUMENTATION AUTHOR Name.... Donna Wallace Company. Address. 399 East 9th Avenue Chico, CA 95926 Phone... 530-893-4982 Signed.. �r� SI5/o0 ( ate) MANDATORY MEASURES CHECKLIST: RESIDENTIAL (Page 1 of 2) MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures *150(a): Minimum R-19 ceiling insulation. R-38 150(b): loose fill insulation manufacturer's labeled R -value. N/A *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal framed walls (does not apply to exterior mass walls). R-13 Typical N/A *150(d): Minimum R-13 raised floor insulation in framed floors. 150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. N/A Fiberglass 118: Insulation specified or installed meets insulation quality standards. Indicate type and form. Batts 116-17: Fenestration Products, Exterior Doors and lnfilitration/Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field -fabricated) have label with certified U -value, By Contractor certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. N/A 150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Section 151 meets Commission quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs N/A 1. Masonry and factory -built fireplaces have: a. Closable metal or glass door b. Outside air intake with damper and control By Contractor c. 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. By Contractor 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. Attached 150(1): Setback thermostat on all applicable heating and/or cooling systems. By Contractor 150(j): Pipe and Tank Insulation 1. Storage gas water heaters rated with and Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater). 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water N/A systems. 5. Cooling system piping below 55 degrees Fahrenheit insulated. 6. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. All ducts and plenums constructed, installed, insulated, fastened, and sealed to comply with the 1CBO 1997 UMC sections 601 and 603; ducts insulated to a minimum installed R-4.2 or ducts enclosed entirely within conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant or other duct closure system that meets the applicable requirements of UL181, UL181A, or UL181B and other applicable specified tests for longevity given in Section 150(m). 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. By Contractor Residential Compliance Form July 1, 1999 UNG DEP,&a7VErj_ � 0 MANDATORY MEASURES CHECKLIST: RESIDENTIAL (Page 2 of 2) MF -1R NOTE:' Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEMENT Space Conditioning, Water Heating and Plumbing System Measures (continued) 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. N/A 2. System is installed with: a. At least 36" pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light. (Exception: Non -electrical L.P. Gas - N/A cooking appliances with pilot < 150 Btu/hr.) Lighting Measures 150(k)l: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. By Contractor 150(k)2: Rooms with•a shower or bathtub must either have at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this requirement allowed in Section 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. Residential Compliance Form July 1, 1999 4 _ q a- lf x COMPUTER METHOD SUMMARY Page 1 C -2R Project Title ........... Kettell Addition Date..08/15/00 11:42:24 Project Address........ 5937 Fern Glen Way ******* Magalia, California *v5.10* Documentation Author:..' Donna Wallace ******* Building Permit 399 East 9th Avenue Chico, CA 95926 530-893-4982 Climate Zone.... ..... 11 Compliance Method...... MICROPAS5 v5.10 for Plan Check Da e Field Check/ Date 1998 Standards by Enercomp, Inc. MICROPAS5.v5.10 File-KETTELL Wth-CTZ11S92 Program -FORM C -2R User#-MP0995 User- Run-Kettell Addition Zone Type HOUSE Residence MICROPASS ENERGY USE SUMMARY Energy Use (kBtu/sf-yr) Space Heating.......... Space Cooling.......... Standard Proposed Compliance Design Design Margin 15.46 15.91 -0.45 15.51 12.60 2.91 Total 30.97 28.51 2.46 ADDITION CoMPI-IES )4C- Water lcWater Heating not calculated *** GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -value.... Average Glazing SHGC....... Average Ceiling Height..... Floor Area Volume (sf) (cf) 810 6480 810 sf Single Family Detached Addition Alone Front Facing 270 deg (W) 1 2 ReducedYear Slab On Grade 1 6480 cf 426 sf 18.6 % of floor area 0.43 Btu/hr-sf-F 0.4 8 ft BUILDING ZONE INFORMATION # of Dwell Cond- Units itioned Thermostat Type 1.00 Yes Setback Vent Vent Air Height Area Leakage (ft) (sf) Credit 8.0 Standard No JU ITE Il ' RIM.a iii #; • A 3 COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... Kettell Addition Date..08/15/00 11:42:24 MICROPAS5 v5.10 File-KETTELL Wth-CTZ11S92 Program -FORM C -2R User#-MP0995 User- Run-Kettell Addition Surface OPAQUE SURFACES U- Insul Act Solar value R-val Azm Tilt Gains Form 3 Location/ Reference Comments 0.088 13 Area Surface (sf) HOUSE - New Typical 1 Wall 224 2 ?,all 12 3 Wall 12 4 Wall 370 5 Wall 95 6 Wall 114 7 Roof 384 8 Roof 42 Surface OPAQUE SURFACES U- Insul Act Solar value R-val Azm Tilt Gains Form 3 Location/ Reference Comments 0.088 13 270 90 Yes W.13.2X4.16 Typical 0.088 13 315 90 Yes W.13.2X4.16 Exterior Shade 0.088 13 225 90 Yes W.13.2X4.16 Azm 0.088 13 0 90 Yes W.13.2X4.16 0.065 17.8 90 90 Yes W.19.2X6.16 1st Floor 0.088 13 90 90 Yes W.13.2X4.16 0.330 0.025 38. n/a 0 Yes R.38.2X4.24 2nd Floor 0.030 38 n/a 0 Yes R.38.2X12.16 1st Floor PERIMETER LOSSES Length F2 Insul Solar (ft) Factor R-val Gains Location/Comments HOUSE - New 9 S1abEdge 59 0.760 R-0 No to Outside Orientation HOUSE - New 1 Window 2 Window 3 Window 4 Window 5 Window 6 Window 7 Window 8 Door 9 Window, 10 Window Slab Type HOUSE Standard Slab Area (sf) 426 JU I -TE GO IV 111LJNG ®EPARTME �� � �� f A �! 1�� y41..r• � � FENESTRATION SURFACES Area U- Act Exterior Shade Interior Shade (sf) Value SHGC Azm Tilt Type/SHGC Type/SHGC Front (W) 9.0 0.390 0.330 270 90 Standard/0.76 Standard/0.68 Front (W) 9.0 0.390 0.330 270 90 Standard/0.76 Standard/0.68 Front (W) 6.0 0.390 0.330 270 90 Standard/0.76 Standard/0.68 Front (NW) 4.5 0.390 0.330 315 90 Standard/0.76 Standard/0.68 Right (SW) 4.5 0.390 0.330 225 90 Standard/0.76 Standard/0.68 Left (N) 30.0 0.390 0.330 0 90 Standard/0.76 Standard/0.68 Left (N) 24.0 0.390 0.330 0 90 Standard/0.76 Standard/0.68 Back (E) 33.3 0.550 0.650 90 90 Standard/0.76 Standard/0.68 Back (E) 15.0 0.390 0.330 90 90 Standard/0.76 Standard/0.68 Back (E) 15.0 0.390 0.330 90 90 Standard/0.76 Standard/0.68 SLAB SURFACES Slab Type HOUSE Standard Slab Area (sf) 426 JU I -TE GO IV 111LJNG ®EPARTME �� � �� f A �! 1�� y41..r• � � COMPUTER METHOD SUMMARY Page 3 C -2R Project Title.......... Kettell Addition Date..08/15/00 11:42:24 MICROPASS v5.10 File-KETTELL Wth-CTZ11S92 Program -FORM C -2R User#-MP0995 User- Run-Kettell Addition HVAC SYSTEMS Minimum , Duct System Type Efficiency Location, HOUSE Furnace 0.800 AFUE Attic ACSplit 10.00 SEER Attic REMARKS Duct Tested Duct ACCA Duct R -value Leakage Manual D Eff R-4.2 No No 0.767 R-4.2 No No 0.669 1st Floor Square Footage = 26 x 16 + 0.5 x 1.5 x (5 + 8) = 426 sf 2nd Floor Square Footage = 24 x 16 = 384 Total Square Footage = 810 sf The French doors have been assigned the CEC default U -value and default SHGC-value. The windows shall be vinyl -framed, dual -pane with low -E squared glass by Milgard. These units have a 0.39 maximum U -value and a 0.33 maximum SHGC-value. Reference: NFRC data provided by Milgard Manufacturing, Inc., Dan McAndrew, 1-800-645-4273. As part of this project, anew split HVAC system will be installed. The new furnace is a Payne PG8DAA048095. This unit has a 75,000 Btu/hour heating output and an 80.0 AFUE. The new condensing unit shall be a Payne PA10JA042. The unit has a 40,500 Btu/hour cooling output and a 10.1 SEER. Reference: CEC database files downloaded by the documentation author. AJ RE E .R L_)!NG.DEPA 6;V HVAC SIZING Page 1 HVAC Project Title.......... Kettell Addition Date..08/15/00 11:42:24 Project Address........ 5937 Fern Glen Way ******* Magalia, California *v5.10* Documentation Author... Donna Wallace I ******* Bui ing Permi 399 East 9th Avenue Chico, CA 95926 530-893-4982 Climate Zone.. ... 11 Compliance Method...... MICROPASS v5.10 for 1998 Standards Plan Check Da e Field Check/ Da e by Enercomp, Inc. MICROPASS v5.10 File-KETTELL Wth-CTZ11S92 Program -HVAC SIZING User#-MP0995 User- Run-Kettell Addition GENERAL INFORMATION FloorArea ................. Volume.. ... ............ Front Orientation.......... Sizing Location............ Latitude... .... ........ Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... SummerRange........ ..... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... Description 810 sf 6480 cf Front Facing PARADISE 39.8 degrees 30 F 70 F 99 F 78 F 34 F No No Yes 0.20 HEATING AND COOLING LOAD SUMMARY 270 deg (W) Heating Cooling (Btuh) (Btuh) Opaque Conduction and Solar...... 5062 1820 Glazing Conduction ............... 2558 1343 Glazing Solar .................... n/a 3949 Infiltration ..................... 3686 1112 Internal Gain .................... n/a 2100 Ducts ....................... ... 1131 1032 Sensible Load .................... 12436 11357 Latent Load ...................... n/a 2271 Minimum Total Load 12436 13628 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. JU FrE W -f V -.�`�3,_ ... •. -..s.... ��.., , - _ .��_. _":ice- :.�v;• --v:�•, a� �r.,�.r 3 _ f 064-62-0-0212049 MEYERS , Scarlett r 5937 Fern Glen Way, Magalia ((elec/garage) s y 0 I 1^ 1 1 ES. E COPY Date Date .,..--_..,, ;fit�'��u �. •-'^-r'r—r-'��3w+eR[►r.. �v�q.gr�a:-.rte.. ,,,o—r. . L 77 - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT -NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 064-62-0--021 ZONING AR 2. s BUILDING PERMIT OWNER Sr,kRLFTT MEYERS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 5937 FERN GLENN WAY. MAGALTA CONTRACTOR R'.S NAME 1.R ' (WER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING SS FM G py WT MAGWA CID�'1'1Y1 VL191� A 1 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑X Describe Work: MEC/GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 V OR UE 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. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. & ACC. BIDS. SO 3.5¢Fr. fd RES;,p.' MULTI -OUTLET @7,50 POWER APPARATUS 8 SINGLE OUR.ET CIR. Ex. Occup. OUTLET OR FIXTURES � Q ,,� 0RURES B0 p .0 PLNS OR Ex. Occup. DFLIucEDs R 6.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 j PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 'bl I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Xh/.� Date Signature of" Applicant - ETOwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ COLT. TYPE TOTAL FEE $ 66.00 FEES IMP I FLOOD COF 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. b_ By Skate 7-1 PERMIT EXPIRES ON {�/ 'a 'Data Receipt No. tlKw WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERM i o. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 064-62-0-021 ZONING AR 2.5 BUILDING PERMIT OWNER SCARLETT MEYERS TELEPHONE 873-4787 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 5937 FERN GLENN WAY MAGALIA CONTRACTOR'S NAME OWNER - TELEPHONE CONTRACTORS MAILING ADDRESS - CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5937 E000000= FM GLEN WY MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDN5ION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other Describe Work: ELEC/GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W F @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '.OA OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law.for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. �l 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. - X ADate Signature Applicant - IV Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service -0ATO IO -A 46.00NEW CONST. DWELLING OCCUR SO OR ADDNS. ( a ACC. BUDS. 3.5QFT: T. TNjpµpESID. RANCHO CIRCUITS 97,50 POWER APPARATUS a SINGLE oImET cIR. .00 OR EX. Occup. OUTLET OR FURES BAL @ I. 0 Ex. Occup. Du ETS An.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE s 66.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ' E This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ate 14 Det Receipt No. 274007 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT RESIDENTI J_ _ 066-62-0-021 _ 98-1264 BE MEYER, a�rlett 5937 G1 nn Way, Ma alia cov porch, o g PERMIT NO. p , entry) ,PERMIT EXPIRES 'OWNER CONTR. f ASSESSOR PARCEL LOCATION i t •F � 1 4s CHECKED 1 SRA BY FLOOD CERTIFICATE REQ. q FIRE -SPRINKLERS REQ. SPECIAL INSPECTION ITEMS } VERIFY. i Temp. Power Pole Called PG&E ?-Temp: Elec. Service Called PG&E r jemp. Gas Service r Called PG&E JOB FINALED (Date) 41 Signature r V=OK 0 = Not OK =Not Applicable =Not Ready MOBILE HOMES ` Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location-Test-Fall-Cj"oncrete , 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; LocationClearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /,UtL / /Nat. or/ /'Lt./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance 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 . 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Dep"pacingConnectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7 Electric nng. •.Sils-Arichors•Studs-Rttrs-Trusses ids; Nailing -Veneer -Stucco -Mesh oof; Shthg-Roofing 11. Ext.; Steps-Doors-Lsndings 12. Braced Wall Panels Date ZeZ M, Card B- Date Card B-1 Date Card 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/SCirculatlng Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.: Cir. TesirWater Supply Test 11. Light Niche,' `- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = NotOK - = Not Applicable * = Not Ready I i^ RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. ningSetbacks-Easments-FloodSlope -2. F)g., Main; Soils-Elec. Gfad.d_,_ /" Ftg. Depth 47. tg. Garage; Soils-Steel-Elec. Gmd/Z/' Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ C Ftg. Depth 49. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 50. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors Garage Fire Protection Framing 7. Slab, Steell -Wrapped Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 53. 9. D.W.V.; Fall -Fitting -Test -2 Way C/OSewer Test 54. 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 55. 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation Shear Walls; Nailing -Bolts 16. Insulation 61. Insulation -Walls -Ceilings Date 62. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except S's Date 17. Water Htr ; Vent -Access -Combustion Air Baffle Card B-1 Date Card B-1 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 63. 20. Shower Pan; Test, First Floor -Tub Access 64. 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors 66. Bedroom Exiting Date 67. Card B-1 Date Card B-1 Date 68. Card B-1 Date Card B-1 Date 69. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size B2 es & No. of Conductors Stapled 26. Romex I stalled Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI A.C. Duct in Garage -Damper 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No Plb., Elec. & Mech. Equip. Listed for Location 31. Service -Riser Conductors & Ground -Main Disconect Elec. Receptacles in Garage (G.FI.)-Romex Protection 32. Equip. Clearances Panels-Motors-Mech. Epuip. Insulation -Foam -Looked in Attic 33. Clothes Closet Light -Shower Light -Spa Light Guard rails & Deck Construction -Post Caps 34. Smoke Detector 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes Date Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No Card B-1 Date Card B-1 Date Stucco Brown -Finish Card B-1 Date Card B-1 Date A.C. Unit Disconnect, Electrical -Plumbing MECHANICAL (Permit) OK except #Is 85. 35. A.C. Ducts Insulation & Support 86. 36. Vent Fan, Exhaust above insulation 87. 37. Condensate Drain & Overflow, Size & Grade 88. Ventilation Throught House 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet Glass Protection 39. Attic Access & Platform if Furnace in Attic Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors Card B-1 Date Card B-1 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 42. Bearing Walls over Girders & Floor Nailing Card B-1 Date Card B-1 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Fumed Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rfr.. Ties-Purlin-roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card 0-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fact. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND -PERMIT' --- ASSESSOR PARCEL NUMBER 17164-69-0-091 ZONING ARMH-3 BUILDING PERMIT OWNER SCARLETT MEYER TELEPHONE 873-4787 SO. FT. OCC. BUILDING VALUATION 49 R , 646 . OWNERS MAILING ADDRESS BOTTN CONST 576 U , CONTRACTOR'S NAME TELEPHONE 299 C 3,88/ CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARM R DTIONS LICENSE NO. Filin Fee $ 20.00 Permit Fee $ 162.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADOR SS 5937 FERN GLENN ,SAY, MAGALIA Energy g Fee Ener Plan Checking $ 23.00 $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFX❑ Duplex ❑ Mobilehome ❑' Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition M( Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GARAGE. COV PORCH, ENTRY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Feel 20.00 aOOV OR LE Main Service 200" OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith wit those provis'ons. ` Date Signature of Applicant - ADwner Contractor ❑ Agent An OSHA permit is required for excavatigns over 60" deep and demolition or construction of structures over 3 stories in height. ' Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. sLnS. 7 3.5QFT. 20.15 T. NO"ON.RESID MULTI. OUTLET @7,50 POWER APPARATUS 6 SINGLE OunET CIR. OUTLET OR FIXTURES 20 Q 1.00 Ex. Occu srl @ ,50 LNS Ex. Occup. ouri PCPREES,D.oen 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ 40..15 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ 6.00 occ co TOTAL FEE $ H �' D. FEES IMP F CDFPAR D This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By EXPIRES N the applicable provisions Resolutions to do work been paid. Date q — 3 Date Receipt No. 31367 168.30%PC rp7PERMIT WHITE-D.D.S.-B.D. CANARY -ASSESSOR K -INSPECTOR GOLDENROD -APPLICANT til i I ? E.H. USE ONLY Plot Plan Attached—R-1— .- Floor Plan Attached ex Sent to B.D.9 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �MevPr• s9-3 Fern Glehr► Weil. (e9'6ZU'®21 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for---drnreftg. Other 6AA="e, cp,Le- Hold final for: Final clearance O.K. for: NOTE: EMS Ert ironmental Health Specialist 8/96 7-6-95 Date ''+�}'.itJ `�rr''r 1G+•' t%tt � ��� tir}i.�"'y�,rh'.,� 'N.�rw .� r.t T"\ii'�,,..�!~'•v:,r�hY•J�yti;Y"`y..••-. ^.: ..rt..i� .n,.,r ti, COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95-965 - TELEPHONE (916) 538-7541 A Y. PERMIT APPLICA TION DA TA SHEET OWNER: = " r ASSESSOR PARCEL NUMBER: }• Proposed Bui ding Use: Buildinglnspector: Date: At time of permit application, I was advised the following'data must be su miffed prior to permit processing and/or iseuauce: Date Received By ❑ 1. All iiems have been submitted ----------------------------------------------------------------------- --------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. -------------= --------------------------------------------- 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- Engmeered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- ngineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 6. nergybesign Compliance and supporting documentation.---------------------------------------------------- ? ❑7. Statement of Intent for Non -Heated and A/C Buildings. ❑ 8. Hazardous Material Form. --------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ _ Feesof $---------------------- ------------------------------------------------------------- _ } , ❑ 1. Impact fees as shown on the attached schedule. �Q �-------------------------------------------- -- _ California Department of Forestry plan approval/feestoq_mu-------77 - - -- - d-� 13. lood elevation certificate. -----------=- --------------------------------------------------------------------------- _ ' 4. Sanitation and plot plan approval Health Department. ------------------------------------------ S P 15. City of Chico plumbing permit. ----------------- !----------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ------------ ---------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- , ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------=------------- 4 1122. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ---------------------------------------- ------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑ 28. Existink�;r g violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .-------- ------ E130. other: When you issue the ermit, rocesss� as follows ❑ Mail to owner, ❑ ail to tractor. L (Telephone g �� �%U - and hold for pickup at V � � office. ❑ Del' er th inspector. ApplicanDate: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Dep nt, ❑ 0 Dater By: 1. Index permit application for the above items numbered: / ❑ Plan Check L'§t 2. Additional items required: _ i Contractor, designer, owner, was advised of the above required data b phone, ❑ mail, ❑ Building Division counter, bylAd Date: 8 Contractor, designer, own , was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Dater 3 Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildin i ion counter, bye - Plans reviewed by: Date: Plans approved by: Date Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 % /PEA I No. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PAf , McER arc V a AT ,3 BUILDING PERMIT DWNER . (? 0 7, ^ if e&/"- TE1 F3.3NE SO, Fr. OC9. BUILDING VALUATION OWNERS MAILING ADDRESS -L IM e P A /e Jf rt R)lq /� S 95 S' / 6 CONT RS I/^ , i - TELEPHONE . CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S ?"UNG ADDRESS Fireplace Total Valuation b ARC OR ENGINEER L I N , / LICENSE NO. Filing Fee b 20.00 Permit Fee b ARCHITECT OR GINEERS MAILING ADDRESS - Plan Checking Fee b 10S aULDING ADDRESS C, Energy Plan Checking Fee b b PERMIT FEE b -20.00 LOT NO. SUBDN6gN9NAME PARCEL PLUMBING PERMIT Filing Fee USEOFSTRUCTURE SF Duplex ❑ Mobilehome O 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 O AdditionC� Remodel ❑ Utilities O Installation O Othe�0_ Describe Work: (` i (q rC l/ Ile Gas piping system t - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W (920.00 PERMIT FEE b ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2�o. oa LLEEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commeET %Wh Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Convectors License Law for the following reason: O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) O 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'�. compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Cade, I shall forthwith comply with those provisions. X Date _ Signature of Applicant - ❑ Owner O Contractor O)ent An OSHA permit is required for excav o s er S e demolition or construction of structures over 3 stories in heightll� Main Service 200A TO 1000A 46.00 NEW CONST. DWEl111JCi OCCUP. SO HR DNS '� 3.5¢Fr; ncing MS T.ULrFOSUDS. NON-RESIO. (97.50 owER APPARATLs 6Psm OUTLET d. Ex. Occu GvnET OR FanmFs 20 ® 1.00 akL .e0 FLII Ex. Occup.ouTiEEDTs�EEsID.0 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE b MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE _ Mobile Home Installation Fee $ Energy Inspection Fee $ p _ occ CONST. TYPE / TOTAL FEE $ , D FEEs IMP FLDoO COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid.• rReceiptNo. c r. D HITE-D.D.S.-8.0. CANARY -ASSESSOR PINIOINSPECTOR GOLDENROD -APPLICANT FG V'-' . 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 OWNE 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. 'F BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOP E T ERVICES 7 COUNTY CENTER DRIVE – OROVILLE�,ALIFORNIA 95965 – TELE HONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTIO PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, Iivestock, 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. /%� / _ ZONING A P— M H 0 OWNER A_k� PHONE NO. OWNER'S ADDRESS LOCATION OF BUILDING 7 F E (LV � Fr WE�,-r0F US US OF BUILDING Hnee-IC— A / SIZE OF STRUCTURE 3 X 33 , -42q SO. FT. TYPE OF CONSTRUCT N: WOOD FRAME STEEL CONCRETE OTHER (SpecHy) TYPE OF SI I G� � ROOF COVERING � FLOOR TYPE ESTIMAT� COSTQFCONSTRUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: r i 1 � , FRONT 5s SIDES l REAR / AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as AG Building definition. If any change in use or occupancy of the b obtain any necessary permits, inspections, and approvals to compl occupancy. A Date `% — / Signature of Owner Permit Fee - $60.00 Receipt No. j11-16 zt�7 I above and the purposed use confirms with the is made, I will contact the Building Division and the requjfements in effect at that time and before The above described AG Building is exernfrtrom a bui ding permit. FLOG I PARC P.D I ROO NG I ISSU 9 Manager Building Division By ��� Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant + �r'M}y�i'Zs' T;�t-,V�:�;rv+.'�ti+�"R.��`f'�'v+y7�`70h- ��.{.�,.�prRe�.R'V�,+ad.`.Fl:.y9'a11�'v.r'-'• t: . P COUNTY OF BUTTE - DEPARTMENTOF DEVEUOPMENT SERVI%ES BUILDING DIVISION 7COUNTYCENTERDRIVE-ORC0kLE,.0QALIFORNIA95965-TELNE 916)538-7541 PERMIT APPLICATION DATA SHEET OWNER o.' CJ `� -�Zf _11511 Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/& issuance: o DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ........................... . 6. Energy Design Compliance and supporting documentation . ................. 7. Statement of Intent for Non -Heated and A/C Buildings . ............. . 8. Engineered truss details and layout in duplicate (required prior to plan check). . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule., ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley.............. . 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. .. s ";�� 9 �w�eat - (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 c ntractor. 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 ate 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 10 . � t w t COUNTY OF BUTTE - DEPAXMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Calitprnia 911965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS I CONTRACTOR'S NAME1,TELEPHONE CONTRACTOR'S MAILING ADDRESS - J Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS - ' PLUMBING PERMIT Filing Fee 10.00 ' Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G JW I 10-00ed TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherE1_ Describe work: i — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. t 2/20sgff CONTRACTORS LICENSE LAW of p I y (check one): I declare under penaltyperjury ElNON-RESID. I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2,50 ea NON.RESID BRANCH CIRCUITs NEW CONSTR ( POWER APPARATUS &) SINGLE OUTLET CIR. 20e50e Ex. Occup(o TS OR FIXTURES BAL@ 30 FIXED APP LNS. OR ED Ex. Occup. OUTLETS (RESID,) EA.) 2.00 ; Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE I PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC r By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovihle, .Gal'n•ornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. I _ ASSESSOR PARCEL NUMBER ZONING BUILDING YERMIT OWNER • TELEPHONE SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS r � CONT CTOR'S AME ELEPHONE r CONTRACTOR'S MAIL I ADDRES /44 Fireplace CONSTRUCTION LENDERNOWC�_i Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADD ESS ' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME cEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ0.00 e TYPE OF WORK New Addition ❑_Rem del❑ Utilitie ❑ Instal atio Other Describe work: fiv►S ,�� �uY _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP S ORLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ACDNS. ( ACC. BLDGS. t 2/20sgft CONTRACTORS LICENSE LAW I declare UpAer 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. �f (f {� -" X0 License No. � / v �� Y 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 NNEW ON-1;ON5TR BRANCH CIRCU, TSL_ 2.50 ea NEW CONSTR. IPOWER APPARATUS & NON-RESID• ISINGLE OUTLET CIR. Ex. Occup(OUTLETs OR FIXTURES 20@50a SALO 30 Ex. OccU FIXED TS (RESAPPLINIS. OR p• OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 1 '9 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 6o ` Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 my i se ue 0y,a granting of this permit. f' %� Date j ��i85 Signature of Ap cant tl Owner ❑ Contractor ❑ Agent RY An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEEI0 01 © ` OCCUP. GROUP TYPE OF CONST. PARCEL 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. (2DfC PUBLIC WORKS p-� BY ` Date PERMIT EXPIRES Date '_ Receipt No. D 6 r Is" WHITE-D.P.W.• YELLOW-ASSe SSOR, PINK -INSPECTOR• GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 53541 „PERMIT NO. _ (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER SCARTRTT MEYER TELEPHONE- 8- 7_3_ZL7R7_ SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS cONr�n f1A�NST TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDMrVERN GLENN WAY, MAGALIA Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other Each Trap 7.00 Solar or heat pump water heater 23.00 Water Water pi ing 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX Describe Work: 1ST RENEWAL/98-1264 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A To toolA 46.00 NEW CONST. 01 ENG OCCUP. SO OR ADONS. a ACC. S. 3.50FT. REOSIT. MULTI -OUTLET ACCITS T Q7,50 POWER APPARATUS a SINGLE oLmEr as 20 O 1.00 Ex. Occup. OUTLET OR FIXTURES BAL @ .5I FIXEDI Ex. Occup. OLI � RRES,,PPLNS O.oF. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE s MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL: $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE e HAZ. 1 o FEES IMP I FLOOo I CDF PARCEL PD HD I ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date 11 o/i/,)nnn n „ s 4 PERMIT NO. 3021-82B.P,E,M PERMIT EXPIRES , �� l (211 OWNER WARREN L' WYMAN CONTR. owner l�--r ASSESSOR PARCEL 64-62-21 j LOCATION E/end Fern Glen Way, 645' E Nimshew Rd, lot 2, Magalia e i �%IM� air V \ Temp. Power Pole Q k Called PG&E /J '/ !r n Temp. Elec. Service `b � � ` Called PG&E _ D Z � ii%/T �A Temp. Gas Service Called PG&E j. JOB FINALED (Date) Signature t ;� F J = OK 0 = Not OK — = Not .Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except b's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2• Footings; Size-Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C%O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location-Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /."L"ft./- /"Nat.or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows—Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances, 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts=GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'=Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK r r = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERF OR Plans OK exce t#'s Date FRAMI Continued 1, n' g requirements -Setbacks -Easements 48 r rt Line Firewall & Openings 2 tg., in; Soils-Steel-EIiFd.- / /" Ftg. Depth 49. s -One 3' -Check Garage -3rd story, 2 exits 3 ., Garage; Soils -Steel- / /" Ftg. Depth 50 S ' s; -Headroom-Rise-Run-Landing-Fire Protection 4. F , orches & Decks; Soils -Steel- / /" Ftg. Depth 5 PI ood on Roof Overhang -Attic Vents -Rafter Outriggers 5. tem s, Main; Steel-Blockouts-Wrapped-SI 52P -Siding -Nailing -Veneer 6. temwalls, Garage; Steel-Blockouts-Wrapped-W53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer st 55. Shear Walls; Nailing -Bolts 9. G Pipe; Size -Anchors 1 W er Pipe; Test -Anchors -Regulator -Service Test / 1 Electric; Underground 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI i Date and -BI Date Card -BI c Date "T k%eard-BI Date Card -BI Date Card -BI Date Card -BI ate rd -BI Date Date FI Plans) OK except N's Card -BI Date Z I Date Date PLUM NG (Per ' f<except N's5L.-Smoke Ex eps-Door & Sidelight Protection -Landings Detector 1q. er HL V ccess-Combustion Air 5 urn learance-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 1 a r Pipe; Test & Anchors -Nail Protection 16 .W.V.; Test-Fttngs & Anchors -Nail Protection . Be m Exiting +Z SbD P oa• Test, First Floor -Tub es , F._L,& Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floo - ub s 61tj im & Subpanel; Breaker Sizes -Labels �! Gas Pipe; Size & Anchors 6 2A,,Ttajga1& Rails 6 ire ce or Stove; Clearances -Hearth 64 . Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 6 • Fixt. & A liance; Grnd.-Air Gap -Cooking Clearance Card -BI Date ( 7 rd -BI Date 6 . Outlets &Receptacles at Kit. Counter Date ELE ICAL Permit OK except q's 677 Garage Fire Door; Swing -Landing -Closer Garage-Damperin fixture & Transformer Clearance -Ins. Protection 6 . Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In age; Above Floor-Mech. Protection 2 Ele eceptacles Spacing -Lights & Switches at Doors 7 lec. & Mech. Equip. Listed for Location 22. ize Blies & No. of Conductors -Stapled 71. lec. Fteceptacles in Garage; (G.F.I.)-Romex Protec. 23. x Installed Close to Edge of Studs & C.J. 72.a ' n-Frnam-Lrooked in Attic ffr7es 2 . uip. Ground made up w/Mech. Fasteners -Bond Gas & Water 7g rd Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 7 & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under F o0 _ 26. �ubieed-Wire Size / / ga. C or AI-A.C. Wire Size / / ga. Cu or AI 27. Range Circ. 1141 ga. Cu - Cu o Oven Circ. / / ga. Cu or At, Lv Insulated Neutral Yes ❑No 75. F)flowing instld.: Dr've El Yes No; Walks E] Yes No; Planters []Yeso 28. Service -Riser Conductors & Ground -Main Disconnect 76 RSLrccef Bim -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, it; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78 nts bove Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79 Well; Disconnect, Electrical, Plumbing for Elec. Trim; G.F.I. Receptacle -Underground 414 Card B -I DateCard BI Date 84--VerLUlation throughout House Card B -I Date , L (1 )..Card -BI Date 8 lase -Protection Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 8 orre io om Previous Inspections /j 84,# Ga st-Meters Tagged; Gas -Electric g a r & Sewer Connected -C/O to Grade -HD Approval rgy Compliance Certificate -Other Certificates 32. Vent Fan; Exhaust above Insulation _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card- Date and -BI Date - Card -BI Date Card -BI Date Card -BI rJ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date - Card -BI Date Date FRA Plans) OK except M's C mments at Final: 3 . SiII ; roper Material & Anchors 37_ Studs -Nailing, Spacing & Bracing -Plates -Sound 38. 39. BeApiorrg Walls over Girders & Floor Nailing aft Stop in Walls (rat proof) 4 e Stops; Furred Ceilings -Stairs -,Chases -Tub der & Beam -Size & Bearing gers-Post Caps -Anchors- nectors g. Joist-Rftr. es -P n Roof B .-Truss-Shthng.-Rfnp. 4 CinTi 44. Fire ce Ties or Ty e� ce Throat 45. c A ss: Size Rome rotection- raft Stop -Ins. Baffles 4 B Windows or Exiting Doors -Sill Hgt. & Dimensions _ Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE .DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORR ET -ION NOTICE w B ILDING'OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining'to this matter, or need additional explanation, please contact this office immediately. 1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 `7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, oXed additional explanation, please contact this office immediately. I Inspector " Date ZES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUgI12N COMPLIANCE CERTIFICA^PI THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONF010"CE WWTH A gURREN� ENERGY CONSERVATION REGULATIONS Ferran AT Fen Glen Way., ,.ms ewj (location) BUILDING PERMIT NO. A. P. N0. ' THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not. applicable) INSULATION: GLAZ INC : Slab Edge. NA Single Clazed _ Fdn. Walls Special (Insulated) Floors CENT. & LABELED WDS. Walls R-11 6. SLIDING DRS.'_ Ceiling/Roof R-30 WEATIIL•'RSTRIPPL•+D DRS. Ducts NA BACK DAMPERED FANS Circulating PipQSNA INTERMITTENT IGNITION DEVICES APPROVED HEATER CERT. APPLIANCES�� APPROVED WTR. }ITR �RR� ist. Floor Ceiling 1.1-19 (House) Garage Ceiling R-il I DECLARE THAT ALL REQ'JIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE. ENF.R 2NSE VATION : REQU I S AND AGREE TO THE COMPLETENESS OF TII.':S 'RTI, CA � AS SUBMTI~TED Insulation Applicator N e �� b s ZES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUgI12N COMPLIANCE CERTIFICA^PI THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONF010"CE WWTH A gURREN� ENERGY CONSERVATION REGULATIONS Ferran AT Fen Glen Way., ,.ms ewj (location) BUILDING PERMIT NO. A. P. N0. ' THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not. applicable) INSULATION: GLAZ INC : Slab Edge. NA Single Clazed _ Fdn. Walls Special (Insulated) Floors CENT. & LABELED WDS. Walls R-11 6. SLIDING DRS.'_ Ceiling/Roof R-30 WEATIIL•'RSTRIPPL•+D DRS. Ducts NA BACK DAMPERED FANS Circulating PipQSNA INTERMITTENT IGNITION DEVICES APPROVED HEATER CERT. APPLIANCES�� APPROVED WTR. }ITR �RR� ist. Floor Ceiling 1.1-19 (House) Garage Ceiling R-il I DECLARE THAT ALL REQ'JIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE. ENF.R 2NSE VATION : REQU I S AND AGREE TO THE COMPLETENESS OF TII.':S 'RTI, CA � AS SUBMTI~TED Insulation Applicator N e �� .,.,.,,;.c ) , Sig..nf-ua .,f � e rat Insulation Applicatoz ate LuatraCL'urb 1 ' ricense No. 378407 General Contractor/Owner Namo—Atlekr yman, Owner.'`: , (p ease print) Signature of General Contractor/Owner Date ' State Contractors License No. t. T11 IS CERTIFICATE MUST -49. ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CQNSPICUOUS LOCATION Wmlili T11E IMri-LING. s r a ♦i ir. .a .,.,.,,;.c ) , Sig..nf-ua .,f � e rat Insulation Applicatoz ate LuatraCL'urb 1 ' ricense No. 378407 General Contractor/Owner Namo—Atlekr yman, Owner.'`: , (p ease print) Signature of General Contractor/Owner Date ' State Contractors License No. t. T11 IS CERTIFICATE MUST -49. ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CQNSPICUOUS LOCATION Wmlili T11E IMri-LING. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT • /, '01... �Ll ASSESSOR PARCEL NUMB ZONING 2 BUILDING PERMIT OWN RTE H NE i— SO. FT. OCC. BUILDING VALUATION NER N�AILING ADDRESS 'd CONTRACTOR'OS NAME tp vi ex - T L PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ a Penalty, $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING DDRESS PLUMBING PERMIT Filing Fee 10.00 S / Each Trap 2.00 , Repair drainage or vent piping 5.00 Water piping ; LOT NO. SUBDIVISION NAME PARCEL M P �.5''�Jr if Each qas water heater or vent 5.00 � Gas piping system 1 - 5 outlets r USE OF STRUCTURE SF I"1 Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Ck-'Addition❑ Remodel❑ Utilities ❑ Installation❑ Other❑ Describe work: Permit Fee $ O r Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR001 OR LESS00 Main service EA. ADD'L 100 AMP NEW CONST. DWELL OR ADDNS. ACC. BI P, Fk Sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIne$S and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ® I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CO ID R BRANCH CIRCUITS) 2.50 ea NEW CONSTR. / POWER APPARATUS e% -RESID. SINGLE OUTLET CIR, EX. Occup(OUTLETS OR FIXTURES S OR F1. gA��j (FIXED OR Ex. Occup. �0UTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent,to Self -Insure. f�7 I shall not employ any person in any manner so as to become subject 4� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10%`0 Heating Cooling 0� Hood 3.00 JI ' IU Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemn' y and keep harmless the County of Butte against all liabilit'es, judgments, o ts, a d expenses which may in any way accrue again t d County in o s uenc�of the granting of this permit. X Date �® ��� �/ Signature of Applicant — Owner Contractor ❑ Agent E] An OSHA permit is required for exc atiOns over 5'0" deep and demolition or construct- ion of structures over 3 stories in hei ht. Mobile Home Installation Fee $ TOTAL PERMIT FEE occDP. CROUP _ TYPE OF CONST, PARCE P N ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR 0 UBLIC / a BY / PERMIT EXPIRES Date the applicable provi- resolutions to do' have been paid. WORKS Date 0M Receipt No. 7/ p7 `� WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT•OF ACKNOWLEDGEMENT 82--30726 RES TIAL DEVELOPMENT VAD IE DN !)FF►G!A,. Section 26-8.1 of the Butte County Code requires this acknowledgement ::' C;,;0(JD' RE()i be recorded prior to issuance of a building permit. The property described herein is adjacent to -land or included OCT IZ IG UO �QA? within an area zoned for agricultural purposes, and residents of ELEANOR H: t►fKt. this 'property may be subject to inconveniences or discomfort arising CLERK - RECORQkR from the use of agricultural chemicals, including, but not limited to herbicides, 4MEJ pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established.agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort -from normal, necessary farm operations. All that real property situate in the County of Butte, State. of California, described as follows: _ J Jou 1543 v C. �- T Date: October 12, 1982 State of Calif. ) On this the 12th day of October , 19 82, SS. before me, the undersigned Notary Public, personally ,County_ of Butte ) appeared Warren L. Wyman 1 OFFICIAL SEAL 1 DANIEL F. HUM ire.. NOTARY PUBLIC - CALIFORNIA tit, �: "moi PRINCIPAL OFFICE IN 0i BUTTE COUNTY MY COMMM10N EXPIRES Oct. 16 1986 known to me to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that he executed the sa e)for the purposes therein contained. IN WITNESS WHEREOF, I he epnto set my ani and official seal. Notary Putl Daniel F. Bunt L A� Warren L. Wyman P.O. Box 832 Rancho Sante Fe, CA COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. 95965 PHONE: 916-534-4541 DATE October 14, 1982 RE: Building Permit #3021-82 92067 With reference to the above subject: Attached is: Application for permit Building Plans Engr. Calcs Labor Code Information OTHER. A.P. # 64-62-21 Mobilehome Utilities Installation Sheet. Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced /X / 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. Contractors License Law information or check exemption.statement. Letter authorizing signature of Complete plans in including plot plans. Plot plans in Structural details in . Complete plans in prepared by registered civil engineer or architect. Engr. calcs. sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, 'Oroville, for ..Copy of recorded parcel declaration. Recorded copy of deed showing /x / OTHER Reduce glazing to comply with State Energy Requirements for area of } construction, max 16% of habital floor area. Provide a method of heating first floor area (Recreation Room) to comply with Sec 1211 11 BC, min 70° att3 0" all habital rooms. Should you have any questions concerning the above, please contact this office. Yours very truly, Clay Castleberry Director of Publi Works ,AA. Glancrer JFG:dd Chief Building Inspector 9 .m A. GENERAL Zoning requirements ,;I;- ''' Valuation. Signature by R.C.E. RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUP�EX,•;i, MISC. ONLY) Bldg. Permit #C2/-�%�2/ A.P. # (sideyards and parking). or Architect (if required). B: PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. .84m, Other buildings or structures. 4' Grading, fills, drainage. C. FLOOR PLAN Yom'/r 7D ,,Y.' Complete to scale plan with dimensions. / pp -,2/ Required windows for light and ventilation (Sec. 1405). �e d t� Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per State law). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). �7! G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). . Light fixtures, switches, receptacles, and exterior receptacles for ipmen ,,A-"%ocations of water heater, heating & other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). Fireplace location. 3- Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. 13. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on -exposed locations and overhangs. /2�Stairway details (Sec. 3305). Guardrail details (Sec. 1716). �4C Brick or stone veneer (Chapter 30). <'o.Exterior plaster - weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). .Rafter ties or bearing ridge beam. �E3. Garage door or porch header sizes. Adequate bracing. Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance b-> _ %-0 E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.D. /D- C,,j ,4. Ke -&G Q 5937 MAW Fe—A.," t&,- 0&/-] - C. ZO Oz I Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Othe IAdc ;;{tcs--x- '/i .eIVI C4 A� e- � Ery' V`i ' & v. = Z I . v Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 El U 00 J J'A T L:YL W LI> 1,J I r1 L A D I -S tio r A L- ,Au(IrwrecT. e-1- 0 i�41 L -'-' -1-------f�j I --- r 77 7,7 77"l- f 7, CHECKED DATE 2— 0 (D SCALE JOB NO. SHEET ZI OF SHEETS -'-' -1-------f�j I --- r 77 7,7 77"l- f 7, I 1',(4 WA -LL 2 D. 0 Lie' ISH s W —it tl 1 it Ll , o 61 d'i F) tv a U ."o, APPROVED Burf-e- County Environmervitail Headth ---- ta Date ti c 'KADF FP,+VMC CEi,17E-Y, -T-0 V T V A y1i - T, -ii i �J PRINTED ON CLEARPRINT 1000H L -I-- �JZ d F LI -12 Ul f4 IN, jt --Z I C,%, f (V) J J A 7t roti A 0 t", C. 'T I U- 0 Mj'f - TL izo V D orM Em plof. N'T. Fw-5T L 0« L E C i\ I- I 4 3G tj c L FA 1-1 Vy LI GV1 -T TV, 41 -7v IT, VAI'! IT L1 (' 1-1 T FLOUR, vl V -V - FLOIA PRINTED ON CLEARPRINT 1000H T k-1 �\ I D K -T "A A—V c>iLA 1 2 - i>F- Se P Ffef'W T C uCT F bF, oai�f C Ct-G,F-415 -fa (AVC Diiomf,-A —V P, r`j i L, I (-,, I- 1 —1 1. 11 5 :-" I- I L I- I T- i,;, tA (E) H otA.S-;r- i. -rsrs, L �— /' f I 20 0- F ----- -- --- -------- —-7 —F- F;T jj7 --7 \b II HF I---- I � o 1 of oc K �L-/- q ( N T, -/?, CZ �, - ,,V A t-L- -&OCK C TI -115 VIAL. L- I'l "y Ise) I I '� I J I i -T I F(�' i -7 I VIf C 0 1-1 T. 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