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HomeMy WebLinkAbout079-100-013i t R c ° f I O 94-1297BPEM: LASIK, DONALD & CHRISTINE $ 91 55 MELROSE DR.,-OROVILLE' ,CONT: LAWSON & SPARKS •9 NEW SINGLE FATHILY 0;6-;6 Hi3— _ ' 02-1081 LASIK, DON 55 MELROSE RD., OROVILLE CONT: EMERALD POOLS NEW POOL 3' I R f I O t l t . { E E • 94-1297BPEM: LASIK, DONALD & CHRISTINE $ 91 55 MELROSE DR.,-OROVILLE' ,CONT: LAWSON & SPARKS •9 NEW SINGLE FATHILY 0;6-;6 Hi3— _ ' 02-1081 LASIK, DON 55 MELROSE RD., OROVILLE CONT: EMERALD POOLS NEW POOL 3' I ^Uv�Ii �-rO NOTES s s RESIDENTIAL 036-600-01— 3 02-1081 PERMIT NC LASIK, DON 55 MEL,ROS'E'PD�, OROVIL,L,E CONT: EMERALD POOLS NEW POOL 11 SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CvT 7) - 21 .d t"'K JOB FINALED (Dat Signature CHECKED BY kom V = OK 0 = Not OK - = Not Applicable * = No0eady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements -1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ /'LPG Electric 7. Well Clearance 8 Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. 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 ;,'-Setbacks- 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation 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 Z! A' S J MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s I5� 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s ;,'-Setbacks- Easements oils; Compaction -Structure Stability 3,,Pool Structure; Steel -Connections -Thickness Dead Men -Lining / 4. Elec.; Receptacles and LiglXing, Distance-GFI Vic.; Pool Lighting; 15 Volts-GFI Alec.; Enclosures; Conduit Entries -Terminals -Listed Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater IA-Efec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pan elboards-Ins. to Main in Conduit la -Ke' aRrDepartment Approval b.; Cir. Test -Water Supply Test Light Niche Date 2 o-'? Card B•1 Date Card B-1 Date Card B-1 Date Card B-1 I5� /= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date Underfloor (Plans) OK except #'s 7. 1. Zoning -Setbacks -Easements -Flood -Slope Hangers -Post Caps -Anchors -Connectors - 2. Fig., Main; Soils-Elec. Grnd.-/ r Ftg. Depth Piers -Fireplace Fig. -Steel 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth 9. 4. Ftg., Porches & Decks; Soils -Steel-/ r Fig. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Blackouts -Wrapped UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 11. 6a. Hold Downs and Special Anchors Property Line Firewall & Openings Date 7. Slab, Steel -Wrapped Hangers -Post Caps -Anchors -Connectors - 8. Piers -Fireplace Fig. -Steel 48. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 51. 11. Water Pipe; Test -Anchors -Regulator -Service Test Property Line Firewall & Openings 12. Electric Underground 54. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 57. 15. Access & Ventilation Glazing Area -Glass Protection -Skylights -Plastic 16. Insulation 60. Brace Interior/Exterior Wall Panels 73. Date 74. Card B-1 Date Card B-1 Date A.C. Duct in Garage -Damper Card B-1 Date Card B-1 Date 77. PLUMBING (Permit) OK except #'s 78. 17. Water Htr.; Vent -Access -Combustion Air Baffle Insulation -Foam -Looked in Attic 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Date 20. Shower Pan; Test, First Floor -Tub Access Date 21. Test Tub & Shower, Second Floor -Tub Access Date 22. Gas Pipe; Sixe & Anchors Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mach Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes D No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. 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 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors - 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring. 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 Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One T -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 t 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 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Date Card B-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 -Connector - In Garage; Above Floor -Ducts -Mach. 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. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles 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 -Mach. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-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 O Yes 82. Following Instld./Drive J Yes No/Walks 7 Yes :1 No/Planters ❑ Yes J No L 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 Throughout 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 94. Address Posted 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 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 '4 7�sa"� I qlz-..- e z 1e--)19 R 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 o tact this office immediately. 0 �:�A a ✓f C U d3 Inspector 4'`/-/ REV COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 •Telephone (530) 538-7541 PERMIT o. (Rev.12/96) - APPLICATION AND PERMIT ASSESSORPARCEL NUMBER 036-600-013 ZONING BUILDING PERMIT OWNER LASIK DON__ TELEPHONE 34-8003 SO. FT. OCC. BUILDING VALUATION Cont 26 000.00 OWNERS MAIUNG ADDRESS 55 MELROSE RD. OROVILLE CA 95966 CONTRACTOR'S NAME EMERAI 1) PMT TELEPHONE IR99-11 023 CONTRACTORS MAILING ADDRESS 1009 D FRANCES DR. MGM CA 95973 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $26.000 00 ARCHITECT OR ENGINEER LICENSE NO. Flirt Fee $ 20.00 Permit Fee $ 258.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 55 MELROSE RD. OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 307,50 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: POOL MASTER #513-97 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 35,00 ELECTRICAL PERMIT Fling Fee 20.00 800VOR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full flull force and effect. � � License Class ` ••.� J 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. SO OR ADDNS. ( 6 . BLDS. 3.5¢FT. MULTI.OUTLET 97,50 97.50 POWEA APPARATUS a SINGLE ourLET CIR. 20 @ 1'50 OUTLET OR FIXTURES Ex. Occup. 94L .so Ex. Occup. OF»LUTELF°rsA Aao°EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 Pool electric 30.00 PERMIT FEE $ 50,00 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. B I 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 arrier and policy number are: Carrier 5fate. �t. , Y Policy Number !QQ — 7A'/ QC-'% (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' co pensation provisions of section 3700 of the Labor Code, I shall forthwit I h those provisions. X Date '— a �� Sign ure o Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE TO AL FEE $ 386-50, HAZ. -- D. FEES I _ °�° CDF r PARC HD IS E This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By at -L PERMIT EXPIRES ON � O ate ReceiptNo. 353385 $386.50 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT il!yl'�"1'.a�S•%sw�iG'`'�'A#4+AN''3'YT.:.:.Z'�:�q4+�i::.ti�aY.n`.-w...�.-�''.:�i►'cW!a�xter.��w�.E:.�.�ust--Ran+..r,,✓;,�=,�M-,`".i....--�•.�+r-n''.r.•"-.. .:...v:-, w•=; - ` COUNTY OF BUTTE-DEPARTMEN�JF DEVELOPMENT SERVICES -BUILDING DIVISION ,,7.Qounty Center Drive, Orovo ,CA 95965 Phone (530)538-7541 Fax (530)538-2140 7 ,C =k,.a PERI 1VIAPPLICATIONDATA SHEET OWNER: [.SCIS �` `ASStSSORPARCEL NUMBER. Kk `--'' ��JJ�• �`'" (-� Proposed Building Use: �j �1`_01,� Counter Technician: Date: !y� Items required in order to apply for a permit. All boxes MUST be checked OR mak d NA in order to apply. . Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the' plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items. required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................. ❑ 9. Plot plan and business license approval from the City of Biggs .................................... O 10. Letter of intent for non-residential buildings......................................................... ❑ 1 Y `Detached Accessory Building Form filled out by the owner ..................................... -. ❑ 12. Hazardous Material Form ................................ :............................................... ❑ 13. Other' Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Statement of Intent for Non -heated and A/C Buildings ....................................... 'Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (5)< (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage .............................. ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22 ,.Pre -Inspection for required ................ 'r❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25: Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .......... :......................... ❑ 28. Manufactured home utility clearance.........:...................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner ❑ Check to H.C.D. $ ❑ 31. Other: _ When issued Telephone I and hold -for pickup. t.: _1� I have been informed of bo it s and requireme is f r obtaining a building permit. Applicant: Date Index permit application for the above items numbered: ek os s/.✓ Plan Check Letter 2. Additional items required on rac o designer, owner, was advised of the above data by P" h e, ❑ mail, El counter, by Date: — $ -0 Z o_ c , designer, owner, was advised of the abo e data by one, ❑ mail, ❑ counter, by rLjb Date: P ans reviewed by: K,6. Date: 5 y Plans,approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division �. RESIDENTIAL • r�, 94-1297BPE 036-600-013 ALD & CHRISTINE 55 MELROSE DR., OROVILLE CONT: LAWSON & SPARKS NEW SINGLE FAMILY 3-�d3�9Sr fi lr,�lf y p,° �� s 6s a� �� Lf-e,,-� `i { i OFFICE COPY I Address GAS Meter By Date? e E��,,; Mee er y _ ADe+e_ I -I j Nl er-By DetT ELECTRIC I Meter By Dat JOB FINALED (Date) Signature V=OK O = Not OK - = Not Applicable = Not Ready - OK except #'s RESIDENTIA1 (Slagle & Duplex) 2. Ftg., Main; Soils-Elec. Grnd: Ftg. Depth LJbil 3. Ftg., Garage; Soils -Steel -Elect ar �.-/ii{''Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg: Depth' 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. old Downs and Special Anchors 67.'Slab; Steel -Wrapped 8. P' rs-Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -t st 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING Permit OK except #'s ter Htr.; Vent -Access -Combustion Air -Baffle . Water Pipe; Test & Anchor -Nail Protection W.V.; Fittings & Anchor-Naii Protection g19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access Gas Pipe; Size &Anchors Date/initials ELECTRICAL Permit OK except #'s Fixture & Transformer Clearance -Ins. Protection Ele . Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled omex Installed Close to Edge of Studs & C.J. f;26�E fp. Ground made up w/Meth. Fastners-Bond Gas & Water Lrr2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. I sulated Neutral ❑ Yes ❑ No Service -Riser Conductors & Ground -Main Disconnect t Equip. Clearances Panels -Motors -Meth. Equip. L.32: OTothes Closet Light -Shower Light -Spa Light ',t . Smoke Detector Date/Initials MECHANICAL Permit OK except #'s AC. Ducts Insulation & Support Vent Fan; Exhaust above insulation Condensate Drain & Overflow; Size & Grade Py, Furnance-Vent; Access -Comb. Air -Return Air Ven 115 outlet Attic Access & Platform if Furnance in Attic Date/Initials FRAM!NG Plans OK except #'s SiI,4,Proper Material & Anchors ells Studs -Nailing, Spacing & Bracing -Plates -Sound Baring Walls over Girders & Floor Nailing Draft Stop in Wells (rat proof) 'CO3 Fire Stops; Furred Ceilings -Stairs -Chases -Tub Headers & Beam -Size & Bearin 1 Date/Initials FRAMING (Continued) tAS—Hangers-Post Caps -Anchors -Connectors Cing. Joist-Rftr. ties- Puri ln=roof Brec-Truss-Shthng.-Rfng. or Type A Flue -Fireplace Throat clearance Att Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bd . Windows or Exiting Doors -Sill Hgt. & Dimensions Gee Fire Protection Framing Praperty Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd Story. 2 Exits 28�tar idth-Headroom-Rise-Run-Landing-Fire Protection L,A<`pbp6Lpod on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer cco Mesh -Drip Screed -Fd. Vents-Underflr. Access Wal / 60. Infiltration -Wells -Windows ZzWft- . IVH Dote/IniPals FINAL (Plans) OK except #'s /11—;114rjh41. Ext. Steps -Door & Sidelight Protection-Landinas / 4Y62. Sp3oke Detector LeT—Furnace; Vents -Clearance -Comb. Air -Connector - In garage; Above Floor -Ducts -Mach. Protection & Bath Fixtures & Tub ; Breaker Sizes & Labels & Rails G& Eireplaoam Stove; Clearances -Hearth e utlets at Wood Panel; Int. & Ext. it.F' . & Appliance; Grnd.-Air Gap -Cooking Clearance ec. utlets & Receptacles at Kit. Counter // arage Fire Door; Swing -Landing -Closer 94'-Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. ,!p6ef , Above Floor -Meth. Protection q rPj0,.1Elec. & Mach. Equip. Listed for Location ( tM-Eloc-Receptacles in Garage; (G.F.I.)-Romex Protection /U -r Insulation -Foam -Looked in Attic Cl Yes -i&-GuardRalls_& Deck Construction -Post Caps rawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive as o; Walks C3 Yes o; Pers 13Yes No ; Brown -Finish Vents Above Roof; Plbg.-Appliance-Fireplace -Clearance to er nett, Electrical, Plumbing W. erior Elec. Trim; G.F.I. Receptacle -Underground LA&IVentilation Throughout House lass Protection i 88. Corretions from Previous Inspections Gas -Electric A /90 & Sewer Connected -C/O to Grade -HD ADDroval at V=OK O =Not OK = Not Readyable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plane) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 8. Gas; Location -Teat -Wrap: / /"L"ft. / /"Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect & Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except M's 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve --Connector 4. Electricity; MH Test-Crossovers-Breakere-Clearances S. Drain; MH Test -Fall -Flex Connector 8. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval S. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy i MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soile-Size-Depth-Spacing-Connectore-Steel 3. Decks; Griders and/or Jolste-Decking-Bracing-Stairs-Rails 4. Wood Awn.; Posts-Beams-Rftm. Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Col umns-Connections-Splice-Decal-Enclosuroe 8. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftm-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except M's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Ughting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI & Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main In Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test - COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA c (916) 538-7541 G ' 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Tj Date Inspector REV 10/ 2 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico,'CA - (916) 891-2751 7 County Center Drive, Oroville, CA. - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 t CORRECTION NOTICE k- 1) PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work Date Inspector REV 10/ 2 COUNTY OF BUTTE t BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891=2751 7 County Center Drive, Oroville, CA - (916) 538-7541 I 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 7 :x OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date Inspector REV 1042 Installation Certificate: Residential CF -6R BUILDING OWNER: t"" C `5 N 5 %/6► BUILDING PERMIT 07 2.1� .;7 3/a�,✓i�, BUILDING LOCATION:407 i 100011411 ` An installation certificate is required to be posted at the building site prior to the issuance of the occupancy peri. This form may be used to meet these requirements. All appliance categories listed below are the actual equipment installed. Note that the efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of Compliance (CF -1 R). This certificate (or its equivalent) shall be prepared and signed by the person(s) assuming overall responsibility for the appliance installation. I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition. I have verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards for residential buildings. HVAC SYSTEMS Note: Hydronic boiler information is entered here. Other hydronic or combined hydronic equipment is listed under Water Heating Systems. Heating Equip. CEC Certified Actual Distribution Duct or Heating Load Heating Type (fumace, Manuf. Make & Efficlency Type and Pipping Before Over. Equipment heat pump, etc.) Model Number AFU etc. Location R•Value sizing Bt Ca ac Btuh CEC Certified Cooling Equip. Compressor Unit' Actual Distribution Duct or Type (air Gond.; Manuf. Make & Efficiency Type and Plping heat pump, etc.) Model Number, SEER Location R -Value The bui ing desi eat loss and design heat gain rate have been determined using a method specified in Section 150(h) of the E rgyffi ' nc'S` t rd , nd are two of the criteria used for equipment sizing and selection, f Si ature Qate HVAC Subontractor (Co. Name) or General Contractor or Owner WATER HEATING SYSTEMS Water Heating CEC Certff led Energy External Rated' Tank Factor or Tank System Type Manuf. Make & Input (kW Capacity Recovery Standby Insulation (storage gas, etc. Model Number r Btuh(gallons) Eff Iclency Loss 9'o R -Value t' -5w C, a A4 , oov t_. For small gas storage (rated input:5 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input >75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. For Instantaneous electric water heaters, list Rated Input. FAUCETS & SHOWER HEADS All faucets and showerheads installed are listed in the Commission's Directory of Certified Faucets and Showerheads, pursut� Title 24, Part 6, Subchapter 2, Section 111. re , ' D# 7(ABlumbing Subcontractor (Co. Name) or Ggderal Contractor or Owner THIS CERTIFICATE MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL Atr;, A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 re'rott No. __......-_.r..__.___.._._.ENEROY UgR.�YTIaAT10H 55 Melrose Drive, Oroville, Ca._ _.��--------•- -- �t-�, - -•.--- ••__._-I.IX:A'I1�)N A.P. No. DESCRIP'floli or 1118MATION • kk HOOP - kdnd >�Ilae►e ---_ ! Chlta(►iR�a(.lnuhes)� Ti4dXlW1 R4siata"ce (R Valul:)_,, ....�., 1�.K'I'I+RIOh W1L1.1� ttal: tI01t $food �Jtpe MANVILLE-SCM_.,,,�Y,•---- l'hioknt:se(,lncbee) 3�" y�,,,,, Th'tl►Wl Re+istance (R I?) L. i N(3 untl: ()-e Hl enket 1,ype FIBUR(I_ASS E11L", Nca•nd littme F{ANVILLk-S(:llll_i.l:fi: LhlCknutte(lnCheB) I: T�1e>npnl Resl8tance(It Va1ue'1___E�.r,...__.. CE:RTA INTEL D imine »1-I1. 'eype_ F1-B-U-R(i S 71'Numb6R of Sage 27 wt, Broad Hamra 14.lniinuin Thlrkuas�(Iuches) 152'_,•,,,", per baQ{ 4L_-•-I1, Area covered(ft. )1015 111010al Resietonce(tt z F1,001111 ELEVATED � pK#tad 1Naaae , __. ' { I t:r *Tn-_,.. xh�>na►Sl Reeietallce(R 'I'lll.ckneee (inches) Vpluej___ ''"^?`Tsr-*-- F I.o(w o SIM u t material— _ -• U IfAt Nom-..--;,yr--r- 1'l�lcknet�e(lncltes) tr4elppal Reslstance(R Wldth(lnchee) - F! II I NI)Af ION WALL stand Nea►a _ -1'1,ickneua(incites) Thetr>twl iteeietsnce(R Vsi.ue:)__•-_.�,.•_._.. 1 Ierol►y r'i�rl:ify that the above tnNulstioll W*# lnetralled to tha 8buvu boli.dlN'g In cunfurroiance With the State of Califo><n'1* llntaFtY Requirements. I CII. ItKE: al•ISU_Al UM CO • , INC . 499150 E. ,��.�__..-... _""�- ---1-- EN9W0. _..._. �'� pgfiTRAC'TOR S I,IC F NAMEOWN T G.J September 20, 1994 #' S I(;1iA RE OF INS'TA I.A. I APPI.II:ATAR DATE { i I Lereby certify tl►e above insulStion Nad 1111 Tpqui red items aN phrnin gn..lj�e Elul Uling Dapar.tment approved plains And 440RM44"te have been '"tala(sd u:i re,pil.red by the state of CalifornlM 11riM4Y RO(Plltcementa. A 1 l e.qn I pment devl eas and msterlall; Ott 611 the quality prescribed or arli �alr.cl.l'icttl.ly approved by the State 0t CA1.1. 0V1Mt4- 0upso^1 cD157 I'11t11 1iA11!!/()+IN1tR (Please nt) T1l CA011TiACTOA 9I�+ItA'CU11 1)lt (1pNERA[. ti 'RACT011 P (,.hft,rl.g):CATK MIST BE ON f'tl•d Wltll xilg SUI-LI)ING DEPARTMENT PRIOR TO j`XNA:I• •IIISPI?CTICIN APPIIOVAI. AND A COPY aNAl•l. 04 l'PdTilp NXTl11.N THE BUILDING{ . .Ianoo ry r f � 314$8: MEEKS'/ SEE REVERSE SIDE FOR LEGEND Glib, � DATE ISE SIZE LGTH DESCRIPTION 1 LJY` T " t'•l t'IX1� 2'1' �: icJ .17 f X�z . ', � _� l l s z— 1/ !I' / I A� ` (I -I' X11.. 413 / 7 \ CASH I CHAR C:O.D. MDSE. RETURNED -RE=EIVED BY - X . SUB TOTAL /I CHECKED BY CASH CREDIT- TAX IMPORTANT: ALL MERCHANDI ERETURNED SUBJECT T4D' A%EEST9CKING CHARGE. SEE REVERSE SIDE FOR TERMS AND CONDITIONS. ``� • ( h �: / TICKET NUMBER LOCATION OF YARD PREFIX R T- 1045 TWIN VIEW BLVD. - REDDING, CA 96003 E 905 E. CYPRESS AVE. - REDDING, CA 96049 Y 1414 COLUSA AVE. - YUBA CITY, CA 95092 CC 2869 NO. CARSON ST. - CARSON-eITY, NV 89701 EG 10549 STOCKTON BLVD. - ELK GROVE, CA 95624 _ TERMS OF SALE TICKET NUMBER LOCATION OF YARD PREFIX S 2050 WEST LANE - STOCKTON; CA 95201 C 100 E. 20TH ST. - CHICO,, CA 95928 T 2763 HWY. 50 - SOUTH LAKE TAHOE, CA 95731 V 1000 HUME WAY - VACAVILL•E, CA 95688 Rd 424.3 DOMINGUEZ RD..- ROCKLIN, CA 95677 f All orders, sales contracts, or shipments will be accepted and executed by MEEKS BUILDING CENTER with the following, TERMS and CONDITIONS: 1. TERMS: PAYMENT IN FULL IS DUE BY THE 10TH OF MONTH FOLLOWING DATE OF PURCHASE, AND, PAST DUE THEREAFTER. In consideration of the extension of credit (and not as penalty, but as LIQUIDATED DAMAGES based upon the impractibility of fixing actual damages) a charge on all past due accounts will be computed by a PERIODIC RATE OF 1 i/s% per month which is an ANNUAL PERCENTAGE RATE OF 18%. The undersigned agrees to pay all reasonable attorney fees and collection costs which may be assessed in collecting any past due balance. c - 2. Delay in or,failure to make deliveries (total or partial) due •in whole or -part to strikes; lockouts,, labor troubles, fires, inclement weather, acts of God, inability to secure merchandise and/or any other causes beyond,ourcontrol will not constitute a default. 3. Shipments shall be inspected upon receipt and if any errors, shortages or irregularities exist; they must be reported on the delivery invoice. 4. A handling charge will be made on stock goods returned for credit. No goods shall Ce- returned to us wilthout•our+consent. No returns or exchanges, regardless of condition, after 30 days. ALL SPECIAL ORDER items, including window units, pre -hung do5rs, and trusses are not returnable for credit. 5. Any adjustment for defective material shall be made on an exchange basis of the material and no other basis. 1 6. The Purchaser is responsible for adequate access to delivery location and assatmes liability for damage to property or equipment when trucks are required to leave highways or accepted streets. 0 0 MEEIi;S S -�b� 320,27 SEE REVERSE SIDE FOR LEGEND LAWS 0 N 8 SPARKS DRIVER DATE ' 55 MELROSE DRIVE DESCRIPTION EM -M % , f' t: SOLD BY f,) CASH CHARGE C.O.D. MDSE. RETURNED REC IVED BY X TSUB OTAL CHECKED BY CASH CREDIT r , TAX IMPORTANT: ALL MERCHANDISE RETURNED SUBJECTrT&AF°.Eo^T KING CHARGE. /1 SEE REVERSE SIDE FOR TERMS AND CO DITIONS. / V N ,' TICKET NUMBER. LOCATION OF YARD PREFIX R 1045 TWIN VIEW BLVD. - REDDING, CA 96003 E 905 E. CYPRESS AVE. - REDDING, CA 96049 Y 1414 COLUSA AVE. - YUBA CITY, CA 95992 CF 2869 NO. CARSON ST. - CARSON CITY, NV 89701 EG - 10549 STOCKTON BLVD. - ELK GROVE, CA 95624 + TERMS OF SALE TICKET NUMBER PREFIX LOCATION OF YARD ' S 2050 WEST LANE - STOCKTON, CA 95201 C 100 E. 20TH ST. - CHICO, CA 95928 T 2763 HWY. 50 - SOUTH LAKE TAHOE, CA 95731 V + 1000 HUME WAY- VACAVILLE, CA 95688 RO 4243 DOMINGUEZ RD. - ROCKLIN, CA 95677 All,orders, sales contracts, or shipments will be accepted and executed by MEEKS BUILDING CENTER with the following TERMS and CONDITIONS: 1. TERMS: PAYMENT IN FULL IS DUE BY THE 10TH OF MONTH FOLLOWING DATE OF PURCHASE AND PAST DUE THEREAFTER. In consideration of the extension of credit (and not as penalty, but as LIQUIDATED DAMAGES based upon the impractibility of fixing actual damages) a charge on all past due accounts will be computed by a PERIODIC RATE OF 11h% per month which is an ANNUAL PERCENTAGE RATE OF 18%. -The undersigned agrees to pay all reasonable attorney fees and collection costs which may be assessed in collecting any past due balance. I 2. Delay in or -failure to make deliveries (total or partial) due in whole or part to strikes, lockouts, labor troubles, fires, inclement weather, acts of God, inability to secure merchandise and/or any other causes beyond our control will not constitute a default. 3. Shipment6 shall be inspected upon receipt and if any errors, shortages or irregularities exist, they must be reported on the delivery invoice. 4. A handling charge will be made on stock goods returned for credit. No goods shall be returned to us without our consent. No returns or exchanges, regardless of condition, after 30 days. ALL SPECIAL ORDER items, including window units, pre -hung doors, and trusses are not returnable for credit. -5. Any adjustment for defective material shall be made on an exchange basis of the material and no other basis. --6.. The Purchaser is responsible for adequate access to delivery location and asssimes liability for damage to property or equipment !when -trucks are required to leave highways or accepted streets. i COUNTY OF BUTTE - DEPARTMENT OF DEVEV)PM!5NT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califor;K 95965 - Telephone (916) 538-7541 94-12�ffRMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-60-0-013 ZONING AR BUILDING PERMIT OWNER DONALD A & CHRISTINE LASIK TELEPHONE 534-5293 SQ. FT, OCC. BUILDING V L ION 2036 R 109 944 OWNER'S MAILING ADDRESS 2340 MITCHELL DR., OROVILLE CA 95966 672 M 12,096 CONTRACTOR'S LAWSON & SPARKS 1589- 0784 519 C 6,447 CONTflACTO R'S MAILING ADDRESS P 0 BOX 782 OROVILLE CA 95965 Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ i28,787 Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 741.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 481.65 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS ME DR OROVILLE PERMIT FEE S PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 77.00 Solar or heat pump water heater 23.00 Water piping 15,00 15.00 LOT NO. 72 SUBDIVISION'S NAME COPLEY ACRES PARCEL MAP 30-38,39 Each gas water heater or vent 15.00 15.00 USE OF STRUCTURE SF Duplex ❑ Mobilehome Cl Other SPECIFY Gas piping system 1 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home S G W @20.00 TYPE OF WORK New IXAddition ❑ Remodel O Utilities ❑ Installation ❑ Other O Describe Work: 3BR PERMIT FEE $ 157.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( III OR LESS 00AORLESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW OR ADONST. ( DW& ACCLLINGOLDS. ) 3.50' F°: 99.75 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code nd y license is in full forc�ld effect. License No � .�� Classification / i El 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.50 Ex. Occu FIXEDAP%NS. OR p' (OUTLETS (RESID.) EA. ) 5•00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $ 100.00 (valuation) or less. I& I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 142.75 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating SPLIT 15.00 Cooling 15.00 Hood s.50 6.50 Ventilation 4.50 EVAP PERMIT FEE $ 15.00 Contractor 76.00 1 certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 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 consequences of the Wanting of this permit. Dater Igna of Applicant ❑ caner Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is 46.00 occ R3 CONST. TYPE V -N TOTAL FEE $ - 1687.40 HAZ. - I D. FEES Y IMP X I FLOOD X I CDF X I PARCEL ?pI - XI HD X1 I ISSUE X This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ab for whic f have been paid. By Date PERMIT EXPIRES ON ,46 lDetel ReceiptNo. 162762-582.35//163138-1105.05 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT AUG -16-1994 b9:41 WESTERN BUYERS, k'' 9166852831 P.11 APAIWIFVO Att hl'"&�nt Number 2 TO CEATiFICATE OF CONFORMANCE NO. 24944 DATED Job Mame WESTERN BUYERS INC. ELK GROVE, CALIFORNIA Job Location Customer's Order No. WB -22922 Dated 5-12-94 Mfgr's Order No 09-02018 The following gives the additional specifications that were used in the manufacture of the members on this job: 1. Lumber Species DOUGLAS FIR/LARCH Grading rules WCLIB #16 Paragraph 154 thru 1540 Grades 24T 22T 20T -L1 1.20 L2 L3 Slope of grain 1:16 1:14 1:12 1:08 2. Moisture Range 9--129' content Variation per member 5% 3. End Joint HORIZONTAL F114GER.JOINT a. Adhesive " Conforms to ASTM 2559-82 Type PENACOLITE R-300 5. Gluing Pressure 100 psi minimum Glue spread 62 lbs. specifications. Batch No. CB -104 Pressure Period 12 hours minimus &. Fabrication Cor>Iforms to specification of AIJSI. Standard A190.1-1983 BOISE CASCADE CORPORATION visor r Mill Quality Contra! Supervisor company Date ANORrAN wow SYSTEMS— A RELATED CORPORATION OF AMERICAN PLYWOOD ASSOCIMON TOTAL P.11 AUG -16-1994 09:40 WESTERN BUYERS:DC Boise Cascade Timber and Wood Products Group P.O. BOX 62 • BOISE, IDAHO 83707 397 9166652831 P.10 USTOMER ORDER DATE AGE DERIINV ICE N' 5/12/94 L09-02018-00 CUSTOMER ORDER NO. " ORDER DATE .CD ADF..15 DAYS.,NET F.O.13- 16 DAYS ADI 5864 12 94 SHIP WEEK OF 2174 FREIGHT_ PREPAID 1,440 _ 6/09/94 _ COPIF,S TO: 4561 480 5,760 10426 780 1,560 2824 560 2,239 4053 . ..::....:: ,... ::.• �:.:...:' • 1 523693.::..:''::��:��:`::•''..:�':::'r::�r 3475 0563.:� ,`.:.':::•::::,:.::::.�:�.:�;::•;. .�• .: r •:;.:...... :.: ...'.::. ESTERN BUYERS w INC' : ...::..::.` :::::.:;::::;::::.:: .:::::::......:::...:�..::'::•s.:::..::.... • :::::.:::;.SAME:::::.::;:;:.>:;'.::::.:.::`:..:: .. �:.:...:.::.. '•. ATTN_'�; •ACCOUNTS :;.�:'::':.-: ••::;:.-:::;` ::::�:�;•:�:•�::;::�::.:.;: •�•� '.:.:,�:•: •:: ;;::r,:::'•":; .:..;:,::,'.. P 0 BOX', 5574.9. ::::::: :::;.::::°:...: :...::...:.:::;;;:E K•'GROVE..CALIFORNIA SACRAMENTO CA.•:95865-5749':::• :r::`'••'';..:::'.r:;. ;'':` `.:,'`:::.:. MILL DELV RDFT TOTAL EST. PCS MARK SIZE LENGTH PRICE PRICE / PC SOFT WGHT STOCK•ARCHITECTURAL BEAM 9 D31360 3-1/8 X 13-1/2 X 60' 3 E31560 3--1/8 X 15 X 60' 4 A5960 5-1/8 X 9 X 60' 6 B51060 5-1/8 X 10-1/2 X 60' 12 C51260 5-1/8 X 12 X 60' 2 H51960 5-1/8 X 19-112 X 60' 4 861060 6-3/4 X 10-112 X 60' 2 061860 6-3/4 X 18 X 60' 2 J62260 6-3/4 X 22-112 X 60' MILL AMOUNT FREIGHT MISC CNG 360 3,240 5864 400 1,201 2174 360 1,440 .2606 420 2,520 4561 480 5,760 10426 780 1,560 2824 560 2,239 4053 960 1,920 3475 1200 2,400 4344 AMOUNT PIECES FOOTAGE ESTIMATED 44 22,280 40,327. F4IP PA E,.;;;: :.. CA NUM R.; .,.:.: .:.:;:: Bfl' N MER : • EfG NTR.Y. NUMBER SUBJECT TO ALL TERMS AND CONDITIONS -ON REVERSE SIDE HEREQF AUG -16-1994 09:40 WESTERN BUYERS DC Boise Cascade 11011 Timber and Wood Products Group P.U_ BOX 62 • 1301SE, IDAHO 83707 397 2 CD ADF 15 DAYS,NET 16 DAYS ADI. Q L FREIGHT PREPAID COPIES TO;_ . 916685=1 P.09 AtA%NV VVLCIU%jlVICIy 1 USTOMER ORDER DATE ACE ORDER I OICE N' 5/12/94 _ 1 _09-02018( )MER ORDER NO. ' ORDER DATE 22922 :EK OF 5/09/94 _ SPECIAL INSTRUCTIONS- ---- SPECIFICATIONS ---- *DOUGLAS FIR/LARCH *EXTERIOR GLUE *STRESS 2400-F V-4 *ARCHITECTURAL APPEARANCE - S3S *INDIVIDUAL WRAP *ENDS & SIDES SEALED *A.P.A./E.W.S.CERTIFIED *ONE END SQUARE ONE END WILD *CAMBER 2000' RADIUS *NO SHOP DRAWING w *ANSI A190.1-1983 REPLACES VOLUNTARY PRODUCT STANDARD PS 56-73. * *****NOTE TO MILL***** VARIABLE ITEM IS 5-1/8 X 121S S IQ DA :...:. CAR !?..B1L.NUM .......BER:...::..:: _EtGk7.::.::. ENTRY• NunnptFi...:..... . SUBJECT TO ALL TERMS AND CONDITIONS- ON REVERSE SIDE HEREOF AUG -16-1994 09:39 WESTERN BUYERS.DC 9166852831 P.08 ENA10 A PA ,EvvRo AttachmentNumber I _ TO CERTIFICATE OF CONFORMANCE NO. . 29944 DATED WESTERN BUYERS INC. Job Name ELK GROVE, CALIFORNIA Job LOcativn WB -229225-12-94 Mtgr's Oder No. 09-02018 Customer's Order No. Dated The toilowing identifies the members and gives the basic specifications that were used on this job: lumber Species: DOUGLAS FIR/LARCH Adhesive Ap=dem Camber Member Size Combination Type Identification Qr►anbhf *** SEE ATTACHED ORDER ACKNOWLEDGMENT FOR EXACT SPECIFICATIONS. *** 00 BOISE CASCADE GORPORAT ION thin poetry ntroi supervisor Company Date AMEpAN WOOD Srs«MS A BELAY@D CORPORATION OF AMERICAN PLYWOOD /lS-�C I �CAtiON AUG -16-1994 09:39 WESTERN BUYERS,DC 9166852831 P.0'7 AAA Er V %7 Certificate of Confonnmce N? 29944 Certificate THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood products identified below and marked with a collective mark of American Wood Systems (AWS) were man- ufactured in accordance with the specifications indicated below. fI ANSI Standard A190.1-1992, for Structural Glued laminated Timber O D Job Name WESTERN BUYERS INC. Job Location ELK GROVE, CALIFORNIA Customer's Order Na WB -22922 Date 5-12-94 AMgr's Order No_ 09-02018 Signature ;� Tltie QUALITY CONTROL SUPERVISOR company BOISE CASCADE CORP. Address P. 0. BOX 50 Data 5-'13 —51V BOISE, ID 83728 IT 1S HEREBY CERTIFIED that the structural glued laminated timber production of the above-named manufacturer which carries a collective mark of American Wood Systems (AWS) is subject to regular audit by American Wood Systems, such audit consisting of the inspection with reasonable frequency of the manufacturing process, with adequate sampling to verify the quality of glulam construction and the adequacy of glue bond. �Sp— wnoo'atw, j by SEAL r- �ASHING � Thomas G. Williamson Executive Vice President A%Arnlram amnn RvRTFM.9 — A RF1 ATED CORPORAMN OF AgA[mCAN PLYWOon A4SpCIATiON AUG -16-1994 0938 WESTERN $UYERS XC 9166852831 P.OE s� APAC��►� Attachment Number 2 TO CERTIFICATE OF CONFORMANCE NO ?9 8S DATED Job Name WESTERN BUYERS INC. Job Location Customer's Order No, WB -22934 ELK GROVE, CALIFORNIA Dated 5-31-94 Mrg"$ order No. 09-02052 The following gives the additional specifications that were used in the manufacture of the members on this job: 1. Lumber Species DOUGLAS FIR/LARCH Grading rules WCLIB #16 Paragraph 154 thru 154C Grades 24T 22T 20T L1 L2D L2 L3 Slope of grain 1:16 1:14 1:12 1:08 2. Moisture Range 8-12% Content 3. End Joint 4. Adhesive 5. Gluing Variation per member 5X HORIZONTAL FI14GER JOINT Conforms to ASTM 2559-82 specifications. Type PENACOLITE R-300 Batch No. CE -104 Pressure 100 psi minimum Pressure Period 12 hours minimus+ Glue spread 61 1 bs . 6. Fabrication Conforms to specification of BOISE CASCADE CORPORATION Company ANSI Standard A190.1-1983 Mill Quality Control Supervisor �z Date AMERICAN WOOD SYSTEMS — A RELATED CORPORATION OF AMERICAN PLY WOOo ASSOCIATION AUG -16-1994 09 38 WESTERN I�UYERS,DC esois.09:3e %,ascaae .Timber and Wood Products Group P.O. E3UX 62 • SOISE, IUAIIO 83707 TERMS 2% CD ADF 1.5..DAYS,NET 16 DAYS ADI TEE FREIGHT PREPAID COPIES 10_ INVOICE TO: 1 623693 WESTERN BUYERS INC ATTN: ACCOUNTS PAYABLE P 0 BOX 255749 SACRAMENTO CA 95865 -5749 - PCS MARK SIZE LENGTH STOCK ARCHITECTURAL BEAM 3 B31060 3-1/8 X 10-1/2 X 60' 4 B51060 5-1/8 X 10-1/2 X 60' 32 C51260 5-1/8 X 12 X 60' 2 J52260 5-1/8 X 22-112 X 60' 4 C61260 6-3/4 X 12 X 60' 4 E61560 6-3/4 X 15 X60' 2 G61860 6-3/4 X 18 X 60' MILL AMOUNT FREIGHT MISC CNG 9166852831 P.05 AI;KNUWLt:UEi lzN U 396 1 5/31/94 CUSTOMER ORDER NO. ___,02_ ' WB -22934 ._ I$H;P WEEK OF ., 5/30/94 2 09-02062-00 ORDER DATE 5/31/94 G CRANDLEMIRE DE3TINATION! X00563 SAME ELK GROVE CALIFORNIA MILL DELV BDFT TOTAL EST_ PRICE PRICE / PC BDFT WGHT 280 841 .1522 420 1,680 3041 480 15,360 27802 900 1,800 3258 640 2,561 4635 800 3,199 5790 960 1,920 3475 TOTAL BOARD ESTIMATED AMOUNT PIECES FOOTAGE WEIGHT 51 27,361 49,523 HIP DATE CAR NUMBER. BIL NUMBER WEIGHT . ENTRY NUMBER SUBJECT TO ALL TERMS AND CONDITIONS ON REVERSE SIDE HEREOF AUG -16-1994 09:3e WESTERN PUYERS,DC 9166852831 P:04 Iou�a� �.aac:auc_ AUl%NVVVLl:UUIVltN 1 Timber and Wood Products Group C:USIOMER ORDER DATE AGE O DERIINVOICE NO, P.O. BOX 62 • BOISE. IDAHO 83707 396 5/31/94 1 09-02062-00 TERMS CUSTOMER ORDER NO. ORDER DATE L.. Z% CD ADF 1.5 DAYS.NET 16..OAYS ADI-_ 02 WI3-22934 5/31/94 F.O.B. • SI IIP WEEK OF . FREIGHT PREPAID _ — 5/30/94 CQPIE$ -F(5,'-- _ — - -- — - - G CRANDLEMIRE INVOICE Tc7 DESTINATION:. 1 623693. :: X00563 WESTERN BUYERS INC SAME' ..... ATTN: ACCOUNTS PAYABLE P 0 BOX 255749 ELK -GROVE CALIFORNIA SACRAMENTO CA 95865-5749 ROUTE: CALIFORNIA LOAD: LEGAL COMMON CARRIER TRUCK SPECIAL INSTRUCTIONS- ---- SPECIFICATIONS ---- *DOUGLAS FIR/LARCH *EXTERIOR GLUE *STRESS 2400-F V-4 *ARCHITECTURAL APPEARANCE - S3S *INDIVIDUAL WRAP *ENDS & SIDES SEALED *A_P.A_/E.W.S.CERTIFIED *ONE END SQUARE ONE END WILD *CAMBER 2000' RADIUS *NO SHOP DRAWING * * :ANSI A190.1-1983 REPLACES VOLUNTARY PRODUCT STANDARD PS 56-73. *NOTE TO MILL: USE THE 5-1/8 X 12 AS VARIABLE ITEM TO ADJUST WEIGHT ON TRUCK IF NECESSARY. SHIP DATE CAR NUMBER BIL NUMBER WEIGHT ENTRY NUMBER SUBJECT TO ALL TERMS AND CONDITIONS- ON REVERSE SIDE HEREOF AUG -16-1994 09:3? WESTERN PUYERS,DC 9166852831 P.03 lei 10 1 lilil flwl ENA AM A10FAWN Att Number 1 TO CERTIFICATE OF CONFORMANCE NO. , 29986 _ DATED .lob Name Job Location Cuslomer's Order No WESTERN BUYERS INC. WB -22934 oaten ELK GROVE, CALIFORNIA 5-31-94 Mtgr's Order No. 09-02062 The following identifies the members and gives the basic specifications that were used on this job: Lumber Species: DOUGLAS FIR/LARCH Member Adhesive Appearance Identification Ouantity size Combination Type Grade Camber *** SEE ATTACHED ORDER ACKNOWLEDGMENT FOR EXACT SPECIFICATIONS. *** BOISE CASCA08 CORPORATION Company Mill Quality ont/rot supervisor /�' ` Date AMERICAN WOOD SYSTEMS — A RELATED CORPORATION OF AME FdGAN PLYWOOD ASSOC-'fAWN AUG -16-1994 09:37 WESTERN )3UYERS,DC 9166852831 P.02 ejzvgj APACIAle -KYWO Certificate of Conformance N° 29986 Certificate THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood products identified below ,and marked with a collective mark of American Wood Systems (AWS) were man- ufactured in accordance with the specifications indicated below U ANSI Standard A190.1-1992, for Structural Glued Laminated Timber E) n Job Name WESTERN BUYERS INC. Job Location ELK GROVE, CALIFORNIA Customer's Order No, WB -22934 Date 5-31-94 Mfgr's Order No. 09-02062 Signature. _ Title.. QUALITY CONTROL SUPERVISOR Company BOISE CASCADE CORP. Address P. 0. BOX 50 Date l® — BOISE, ID 83728 IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the above-named manufacturer which carries a collective mark of American Wood Systems (AWS) is subject to regular audit by American Wood Systems, Such audit consisting of the inspection with reasonable frequency of the manufacturing process, with adequate sampling to verify the quality of glulam construction and the adequacy of glue bond. 4 er' 1 J SEAL Thomas G. Williamson •'• j Executive Vice President ■.tom IF( COUNTY OF BUTTE - DEPARTMENT OF DEVELGMENfi SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT ' q� /a 7 ASSESSOR PARCEL NUMBER 'ZONING x BUILDING PERMIT OWNER Nf2� s tijV L AS I �' �J� �E�4 � t � SO' FT' OCC. BUILDING VALUAT ON UOWNEWAIAD ESS ��n4 9x CONTR17-4 W/Ltf&e �L CONTRACTOW G ,y` Freplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee S 20.00 Permit Fee I, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee �. $ ARCHITECT OR ENGINEEWS MAILING ADDRESS Penalty . $ BUILDING ADDRESS 5-5 A7E4A0_1;_E PERMIT FEE PLUMBING PERMIT riling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT !f / _ SU DIVISI N /I/� PARCEL MAP /ft�p1�VAV�LpC�rf�l6 Each gas water heater or vent 15.00 , Q0 USE OF STRUCTME kFSDuplex O Mobilehome ❑ Other sPECIFr Gas piping system 1 - 5 outlets 15.00 f< 0,0 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK Ne_X Addition ❑ Remodel ❑ Utilities ❑ Installation C1Other El Describe Work: S� PERMIT FEE$ 9 Contractor ELECTRICAL PERMIT Fling Fee 20.00 Main Service ( "OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. 1 S 3.50 , CONTRACTORS LICENSE LAW I declare under penalty Of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the struct•••- i- not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclu _ -' -^..mod contractors. (Sec 7044) ❑ 1 am exempt under Sec. , Professions Code forthis reason WORKF I declare under penalty of pe ❑This permit is for $100 ❑ I have placed on file v elopment Services, Building Division a C on Insurance or a Certificate of Consent ❑ 1 shall not employ any ( .)ject to the Worker's Compensation laws o Notice to Applicant: If afterT,la...., __ come subject to the Worker's Compensation provisions of the Labor Cooe, y.........__frthwith comply with such provisions or this permit will be revoked. NEW CONST. MULTIOUTLET NON RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 6 SINGLE OUTLET CIR. Ex."Occup. ( OUTLET OR FIXTURES ) BA20 @ 1L. .50 FIXED APPLNS. OR Ex. Occup.OUTLETS IRES10.1 EA. ) ( O S.00 Temporary Service 28.00 Mobile Home Facilities 20 00 Misc. Wiring 23.00 PERMIT FEE $ ' Contractor j, MECHANICAL PERMIT Filing Fee 20.00 Heating i Cooling Hood 6.50 _ Ventilation PERMIT FEE $ 0 Contractor , I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accr a against said County in consequence of the granting of this permit. X Date 5 - 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. 1/0 ,r)�^ . (/ 7 Mobile Home Installation Fee $ Energy Inspection Fee $ �0 c coN T TOTAL FEE rl I HA2. 1 D. FEE IMPFLoO — CD PARCEL PD D UE — 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 PERMIT EXPIRES ON lOe tel r Receipt No. 6 &21 3 J r 4, WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSP C OR GOLDENROD- CANT TO: Building Department FROM: Encroachment Permit Section RE: Dtlueway Clearance 2 owner location AP # Driveway permit n b �ea s igna jAre has been issued for the above property. date _ .a, -. ..-.v wr�o.x.�.'*t:ir.e .iflM+ ! s fir. . ,y,.�_. +.vim ` •G a ,_rULU r COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER A P. ��—CO O Q Q/ . Proposed Building Use Building Inspector Dateloel At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items have been submitted. Plot plans, 3/4 sets, signed by preparer of plans. 3_ Complete plans, 3/4 sets, signed by preparer of plans. �...................... —7? .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 da: d a ufacturer's installation instructions, 2 sets: ° Fees of $ //0 ! O.S'.......................... Impact fees as shown on attached schedule. ... . California Department of Forest lana rova es s--rl- 13. Flood elevation letter (100 year floodb Mia Engineer . ................. . 14. Sanitation and plot plan approval (_ (i ealth 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: Contact Land Development.about (A) Improvements (B) Drainage. ......... . Driveway permit (construction approval required prior to occupancy). .. .. .. . ff- 20. Pre -inspection for required. .. oB�ild 9 �spado; (Date) 21. Contractor's license information.,(No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... .Owner -Builder Verification (Given to owner Mail to owner �. ........::: . 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 . ............... e-lancheck sting violations/expired permits . ..... :............................... . list. ..................................................... 01357 .34. -- When you issue the permit, s as follows: Mail to owner. Mail to contractor. proce Telephone and hold for pickup at 04. e-�D office. Deliver with inspector. Other Parcel Creation Acreage Applican — Date —� / Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: above). ContraAor, designer, owner, was advised of above required data by one — mail Counter by &4Yate —Z Contractor, designer, owner] �s%�dvised of above required data by _phone _ mail Co �ef bye_ Date Plans checked by lrC, I`'— Date Plans approved by �CL� Date /Sets of plans on hold in ' File cabinet AP folder Copy - Department of Public Works _ads ,s ---x3 -s',V PERMIT NO: 25-94 Lake Oroville Area Public Utility District 1960 Erin Street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the. Butte County Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. - Date: - April 21 , 1994 Applicant: DONALD & CHRISTINE LASIK (LAWSON SPARKS CONSTR.) Applicant Address: 3430 Mitchell Ave., Oroville, CA 95966 Applicant Phone No:: 534-5293 589-0784 Property Location (s): Melrose Drive Copley Acres Subd. No. I - Lot 72 A. P. No. (s): 36 -60 - Fees due: $400.00 Connection Fee and $900.00. q(' -QR Facility Charae Due Application for service approved: LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: M Date: Lake Oroville Area Public Utility District release .to close permit: Date: By: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER �/�� 1 A. P. PROPOSED BUILDING USE ISP DATE REC. # DATE REC SCHOOL DISTRICT FEES 42 %.0 (paid at District Office) ......................... R Ay 2. SHERIFF FEES (paid at Building Department) Residential ...... x =$-3(,5�, 9 nit amt. ' Commercial (sqft) x _$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building'Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. /VI.IVI. T 4. RECREATION DISTRICT FEES , (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 7. OTHER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE OWNER LAEIV, RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # 9y- 149-7 A.P. # I0 -l00 - 13 Plan Checker Q) $'-1 $-g GENE L nin requirements: equirements: (sideyards and number of >�.�Vv l ation. 4009*a ' CDans signed by designer. oper description of work on application. misting violations on property. permitted living units). Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc) ecorded notice of violation. PLOT PLAN l omplete parcel size and dimensions. 2. Setbacks, sideyards, easements, etc. 3----Gther buildings or structures. 4-'. /Grading, fills, drainage. 4 Flood hazard. 6`7pecial conditions on creation map, ustible, and foundations). T --TAU & FAS road setback. (noise, CDF, fire sprinklers, non -comb - 8'. Building or utilities across lot lines (Record form). FLOOR LAN Complete to scale plan with dimensions. 2'Required windows for light and ventilatiori,(Sec. 1205). ]! Required windows for second exit (Sec. 1204). ghts (Chapter 34 & Sec. 5207). nan impact glass (Sec. 5406). Y.- Required room sizes, ceiling he,ightts (Sec., 1207). , 9 _ CIs in baths,'garage, `kitchen;'andYexterior;outlets•(Articl,e 210-8). 81 Light fixtures, switches, receptacles,;and exterior receptacles for main- �'enance of mechanical equipment. sI" �! Locations of water heater, heating and cooling equipment, other electrical rr gas egpipment, r 1 Garage firewall,;' doors'(Sec.. 563(,d)(3)6)'." and closer (Se503(;d)(3)): 3'0" exterior exit door (sec. 3304 (f). 1 1 place and wood stove location, alcoves,. and clearance. .,. moke detectors (Sec. 1210).' "' ` 14/.'Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS r Standard bracing or engineered design (Table 25V) ms -u -al shape, size, or split level house requiring lateral design. �--- restory requiring balloon framing and/or engineering. ree story building requiring engineered calculations and plans. oundation plan complete enough to construct building. loor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building Roof construction details complete enough to construct building. eplace construction details and calcs if necessary. ties or bearing ridge beam. age door or porch header sizes. �/after d heights. 1"3• --Adobe soils - special foundation design. 1 ---Retaining walls requiring design. 1-5r.�ecial Inspection required. 8/91 8/91 .y RESIDENTIAL PLAN -CHECKING GUIDE MISCELLANEOUS. ITEMS ••T6`100K OUT FOR d�."Stairway 'details:' landings, rise and run, head clearance, handrails 3306). ­2u:% Guardrail details (Sec. 1711 &.3306(j). ��ick or stone veneer (Chapter 30) . Exterior plaster - weep screeds (Sec. 4706). �.. .�..r" 5� groper roof pitch for roof convering (Chapter 32). iRoof covering type - (fire hazard). nsulation - protection. 36" halls and stairways. -9---Lzr-i-Rg-area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 1&-e*its on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1•. ttic access and ventilation (Sec. 3205). 1:— access and ventilation (Sec. 2516). 1 Combustion air for fuel burning appliances - L.P.G. requirements. ise requirements on duplexes. 1 sign. 1 ing at all exterior openings. 1 CDF responsible area requirements. C,reo7- ✓Z �� � �o� Oq d_ _L , p L4 5 5h419q U LI V 3- -5 _6.360 IPLI P T T� 0 P --9-q exel ca."� 94-021129 94-021129 194-0211 9+ ~ 9 021 Q 1 • 1 j l Rec Fee 6! I COP 00 { Recorded I 1.00 Official Check 7.00 Records I County of Butte 1 _ andace J. Grubbs I Recorder i 17 -May -94 I PUBLXX 1 Return to: AGRICLAr_TUR kL STATEMENT OF ACKNOWLEDGEMENT Building Division FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this MAY 17 199.4 acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or NpT COMPARE® WITH discomfort arising from the use of agricultural chemicals, ®qV,-! .IAL DOCUMENT including, but not limited to herbicides, pesticides, 'and fertilizers;. and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use' for productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: the real propertj in the Unincorporated Area County of BUTTE as — LOT 72, AS SHOWN ON THAT CERTAIN MAP ENTITLED, 'COPLEY ACRES SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 1, 1963, IN BOOK 30 OF MAPS, AT PAGE(S) 38,39 AND 40. Date: /Z 7 PROPERTY OWNERS- State of California. ) County of ) On 6117Lqy before me, QZAJ (,. �T-iE( (L ►2y personally appeared D 0 M A LSD 4, C �i Q S ZN16 L A S Z K_ ersonally kno o me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are su cri ed to the within instrument and acknowledged to me thatelthey executed the same inr/their authorized capacity(ies), and that by. himik P /their signature(s) on the instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. SHARON L ATTEBERRY _ COW4 #955489 Signatures p�, Seal: ]� • ® BUTTE COUNTY 1 MY comm. MINS FFR rw Ion.- r A.P. #�lo4Q—G�� �` _...."'•ry ;i:xT 'i�•' �`'�7' ar. x 1�}^�;�i'�,"�''Q%' _ �,�X',�'t'y ..:.i ir�:. �.� • i 4 ,►,qac ry+ YY:,, r,� 't��i � •rNr� ` �1+,r a.-t��'•^ BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) E. School District 0�� Building Department No. +ry A.P. Number31 p0� / ` 3 Jurisdiction 0 City �ounty Property Owner T>(�4141- �'cHA/ S 7'1 Al 5� Property Location/Add 0& Subdivison Y� s . Lot No. Residential Development Ee.0 0 Sq. Footage 7 No. of Living MHI Addition (Group R) Units Commercial/Industrial 0 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Departrqnt Repre entative -,!5-zl-s LiF!� Date (Floor Plans reviewed by School District Personnel)` District Identfication.No: :! School District certifies that (Applicant) (Street Address) (CRY) (State) (Phone Number)) &Y6 (Zip Code) ` I has complied with the requirements of Resolution No. 934V -0j by payment of $ representing 03 6 square feet. School District Representative Paid by Check Number Remarks: Bank Number" -74- 11 Paid by Cash a• ,5-- / 7 Date If, subsequent to the School District Representative signing this ButtekCounty 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 (CEQ' ), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) , feeformmkt (4/92) t Certificate. of Compliance: Residential (Page 1 of 2) CF -1 R GENERAL INFORMATION Total Conditioned Floor Area: ft Building Type: ✓ Single Family Addition (check one or more) Multi -F ''�( Existing -Plus -Addition Front Orientation: � North /(Easy/ South / West / All Orientations (Input onen tion in degrees and circle one.) Number of Dwelling Units: Floor Construction Type: lab Raised Floor (circle one or both) BUILDING SHELL INSULATION Buil din P it # -Cl LF Plan Cheek/ Date Field Check/ Date Enforcement Agency Use Only Construction Component Insulation Assembly Location/Comments3r�jD®� Type R -Value LI -Value attic, to garage, typical, etc. N% j9 Wall .............. Wall. Roof ............. [ . ' :T�� j Roof . J�- Floor ............. T 4�70 Floor ............. Slab Edge .... FENESTRATION Fenestration Are Orientation L(sl Shading Devices Fenestration Interior fvL14alue-3 (roller.blind, etc. Front..... (�) �l L. !L- _ _� �(/�u/ �y6.C�G Front..... Left....... Left ....... Rear ..... Rear..... Right..... Right..... ( ) _ Skylight ....... Skylight ....... Tr HERMA'_L.MASS TvDe/Coverina Area Thickness (Slab/exposed, tile, etc.) (sf) (inches 40 71 st_ ._Rz sed December 1992 Exterior Overhang Framing Type (shadescreen, etc.) (yes/no) (metal/wood/vinyl) ion/De etc. 103 if 2 'Certificate of Compliance: Residential (Page 2 of 2) CF -1 R Project Title Date HVAC SYSTEMS Note: Input hydronic or combined hydronic data under Water Heating Systems, except Design Heating Load Heating Equipment Type (furnace, heat Atum , etc. % y.�-- Minimumf cy," AFU . SPF) . Distribution Type and Location ducts/attic, tc. Duct or Piping Thermostat R:Value' -"*.-,,,Type,/ x iL �G• Cooling Equipment Type (air conditioner,•Efficiency� heat pump, evap. cooling) Minimum, (SEER) /_ Duct Location (attic, etc.) Duct fR=Value Thermostat TVDe, WATER HEATING SYSTEMS Water Heater Type Rateds Tank Distribution Number Input (kW Capa Type in System or Btu/hr) (aallc Heat Pump Configuration (split or acka e Configuration (split or acka e zyaur_ G &�i�! 0 External'-''"• or jTank- _j By. Standbys Insulation icv Loss (%) rR-Value r 1. For small gas storage (rated input 5 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input 2 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Recovery Efficiency. SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) " COMPLIANCE STATEMENT T4is 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/Remarks section. Designer or Owner (per Business & Professions Code) Documentation Author Name: Title/Firm: Address: Telephone: Lic. #: (signature) Enforcement Agency Name: Title: Agency: Telephone: (date) (signature/stamp) (date) Revised December 1992 tsiunarurel ;nares Point System. Summary: Climate Zone BUILDING DATA C ,aditioned Floor Area tt Number of Stories ,'- L Raised Floor � Check all applicable Unit Type condition(s): [W Single Family Detached (SFD) [ ] Addition Alone [ ] Single Family Attached (SFA) [ } Existing Building [ J Mufti -Family (MF) [ ] Existing -Plus -Addition SCORE CARD Measures 1. Calling Insulation — � ? (f or � —val'ue— U -value 2. Wall Insulation I3 or R-val U -value 3. Raised Floor Insulation N.A or R -value U -value 4. Slab Edge Insulation -or :Y R -value F2 factor 5. Infiltration Any Ducts in Unconditioned Space? '.(Y / N )� 6. Fenestration Heat Loss c� ,�S • %''L / 3 U -value Total % Fenestration 7. Fenestration Heat Gain Fenestration SCShade Open Eff. % Fenes. Shade Eff. Ratio North x nn �— East x _77 — South (, x = G West ee x Skylight x Overhangs ? -r/ TN) S. Interior Thermal Mass Q or . 96 Ex Slab Int. Mass/CFA 9. Exterior Wall Mass Ext Wdli Mass 10. Heating System �$^. r x AFUEE��or HSPF uct E cien 11. Cooling System (� If `7• � x • 00-3 _ SEER Act Efficien 12. Water Heating System 1 1:56 i�b Heater T pe System 2 ---71 Heater Type Form Revised January 1992 Energy Factor Energy Factor Ext Ins. R -value Ext Ins. R -value P -1:R Fenestration Area % 6 2, 15� '3 Z-_ _ Gam- Point Scores Effective AFUE Zonal Control or SPF Adjus ent a Effective SEER Zonal Control Adjustment Auxiliary Input Auxiliary Input Distribution Distribution Point Total: Point Goal: Sum 1-6 i NO 14 -6- �.� N1. - � Kk •v �.J \{1 �j�� A"z 31 1 • + Cit IA ' � `? . '��� `• % `" Thermal Mass Worksheet EM INTERIOR THERMAL MASS: METHOD B WS -1 R Method B is one of the two possible options for calculating interior mass as explained in Section 4.2 of the Residential Manual (RM). The other option, Method A, is a simplified method to take thermal mass credit for concrete slab -on -grade only. This worksheet is not required for Method A. Method B must be used to take thermal mass credit for any mass elements other than concrete slab -on -grade. Calculate the Interior Mass/CFA value using the worksheet space below. Look up the Unit Interior Mass Capacity (UIMC) for each interior mass surface in RM Tables 4-9a, 4-9b and 4-10. Include the interior surfaces of exterior mass walls. For interior mass walls exposed on both (two) sides to conditioned space, enter the surface area of only one. side. Include the inside surfaces of exterior mass walls as explained in Section 4.2 of the RM. Unit Interior De)cription Mass Area Mass Capacity .��x /• _ X = X = X = X = X = X = EXTERIOR WALL THERMAL MASS Interior Mas Capacity _ u dd G Total c�- f l 243(i = 2•� CFA Interior Mass/CFA Calculate the Exterior Wall Mass of all exterior walls. Look up the Exterior Mass Factor for each opaque wall element from RM Table 4-10. Only exterior mass wall surfaces maybe included in this calculation. Opaque Exterior Description Wall Area Mass Factor onventionaI Walls ed December 1992 X = X = X = X = X = X = X 0 = Total -� A4 Total Opaque Exterior Wall Area Wall Mass Fenestration Worksheet: Heat Gain (Part 2 of 2) Form Orientation (circle one): North/ East/ South / est Skylight (Note: All values on Part 2 of Form WS -3R are for one orientate onl Overhangs Description (2 tG%►i� Description /2 �� Fenestration Height Overhang Overhang Projection Depth (H) Height (V) Ratio OH Factor SC SC Shade (Shade Shade Open(w/ Open) Open Overhang) x .7 = • -P x x = x = x = OH Factor OH Factor (Shade (Shade Open) Closed) -Ir .q<, OH Factor SC SC Shade (Shade Shade Closed (w/ Closed) Closed Overhang) x rz *-=. —�3 —X—= x = x = (:x4 uAk1W1A1h1& 'moi Area. -Weighted Average SCshade open & Shade Effectiveness Ratio SC SC SC Shade . Shade Shade Shade Shade Fenestration Open Eff. Ratio Description Closed' Open' Eff. Ratio Area x Area x Area /' ! 4,�,a// •SD = 0 : C v 20 7d VK Orientation Total: Orientation Total Orientation Total Average Orientation Total Orientation Total Average SC Shade Open Fenestration SC Shade. Shade Eff. Ratio Fenestration Shade x Area Area. Open x Area Area Eff. Ratio Note: Shading coefficients should include overhangs if applicable. 10 Percent Fenestration ( 3 x 100 / 3 C. — lam. % Orientation Total Multiplier Conditioned Percent Fenestration Floor Area Fenestration Area (per orientation) Form Revised January 1992 -- c-* - - Mandatory Measures Checklist: Residential MF -1 R 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 binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Building Envelope Measures * §150(a): Minimum R-19 ceiling insulation. §150(b): Loose fill insulation manufacturer's labeled R -Value. * §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). * §150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. §150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. §118: Insulation specified or installed meets California Energy Commission quality standards. Indicate type and form. §116.17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(f): Special infiltration barrier installed to comply with §151 meets Commission quality standards. §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control 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. §150(1): Setback thermostat on all applicable heating systems. §1500): Pipe and Tank Insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55°F insulated. 5. Piping insulated between heating source and indirect hot water tank. * §150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC Sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers 3. Gravity ventilating systems serving conditioned.spaos have either automatic or readily accessible, manually operated dampers.. lu _x§114: Pool and Spa Heating Systems and Equipment 1 a � 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, OM o � ' no electric resistance heating and no pilot light. .0 o c.� 2. System is installed with: } o o a. At least 36' pipe between filter and heater for future solar heating. zb. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. §115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously buring pilot light. (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.) Ighting Measures 50(k): 40 lumens/walt or greater for general lighting in kitchens and rooms with water closets; and oessed ceiling fixtures IC (insulation cover) approved. evised January 1992 DESIGNER I ENFORCEMENT I V V/ 94-21129 Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Building Division FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The nronertv described herein is adiacent to land or included +—�+' 11 G I Rec Fee A_ nn within an area zoned for agricultural purposes, and residents I COP 1.00 , of this property may be subject to inconveniences or I Recorded I Check 7.00 I discomfort arising from the use of agricultural chemicals, Official Records I including, but not limited to herbicides, pesticides, and County of I i fertilizers; and from the pursuit of agricultural operations Butte I '' including, but not limited to cultivation, plowing, spraying, Candace J. Grubbs I pruning, and harvesting which occasionally generate Recorder I dust,smoke, noise, and odor. Butte County has established 2 : 28 p m 17 -May -94 I P U B L XX 1 agricultural zones which have as a priority use for productive -- agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: the real property in the Unincorporated Area ..BUTTE _ ;State of -California, described County of - __ _. _ _ _ --- - - as LOT 72, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "COPLEY ACRES SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 1, 1963, IN BOOK 30 OF MAPS, AT PAGE(S) 38,39 AND 40. Date: PROPERTY OWNERS: State of California �� ) County of-=�� )+ On r I% 9 before me, 5)41; QJDAJ L. A T T EbEgA4 personally appeared 30M A LD CHP T -51T- & LA52K_ ersonally know o me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) 4/are su scribed to the within instrument and acknowledged to me that/they executed the same irr.er/their authorized capacity(ies), and that by- /their signature(s) on the instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. , SHARON L ATTEBERRY COMM. #955489 Z : `® Notary Public -California Signatr / BUTTE couwrY My Q or Seal: comm. exolres FPR M loo# A. P. i 1{ END OF DOCUMENT