HomeMy WebLinkAbout047-060-046047-060-046 99-2400
CILARK, ROBERT
6281 BROYLES ROAD, CHICO
Coj�'TR: McCLELLAND
HVAC, GAS LINE & MISC WIRING
-1- 1;174./ /4� - 2-0 - 91��
047-060-046 05-0338
DUGAN,JFANNL
6281 BROYLES RD ' CHICO -
C0111: OWNER
NEW POOL HOUSE
047-060�046
DUGAN, SEAN & 1�k 05-)639
628
Co�': BROYLES :D cl 0
. ��E' -
EAGAN ELE6i�lc
UPGRADE ELECSERV
047-060-046
DUGA14, JEANNE 05-3046
6281 BROYLES RD, CHICO
Cont: GREENE ROOFING
ADDITION,LIV 3
7, Alp Al
,7.
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NOTES RESIDENTIAL
PERMIT NO. 05-163��!_
DUGAN, SEAN& JEANNE
1�n r-uwn I
Cont: EAGAN ELE&RlC
"UPGRADE ELEC-StRV
A,
I
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
OFF /4Wk/ qq L�lo r_ rN
OFFICE COPY
Addres's
GAS
Meter By Date
ELECTRIE�2—
Meter By D
-23 0 (p
JOB FINALED (Date)
Sig nature fy\ mc,(—v
4 = 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; Specidl MH Support Sketch
3. Sewer-, Location -Test -Fall -C/0 -Concrete
4. Water; Localtion-Test-Easement Needed (Sketch)
S. Electricity-, Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or/ /" L "ftJ P LPG
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date
7. Well Clearance & Disconnect
8. Liblity Clearance
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs- Rails
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except Ws
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test-Dernand-Valve-Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6., Water MH Test -Regulator -Connect&
7. Water and Sewer.Connected-C/0 to Grade -HD Approval
Date
8. Gas and Electricity Tagged
Date
9. Tie Downs -Type -Installation Eert.
Date
10. Exits; Insp.-Sketch
11. Cert. of Occupancy
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Blocking
4. Gas; MH Test -Demand -Valve
5. Electricity; MH Test
6. Water MH Test
7. Water and Sewer Connected
Date
8. Gas and Electricity Tagged
Date
9. Exits
10. License Decals
11. Verify Ws with Office
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Vs
1 . Zoning Requirements -Setbacks- Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs- Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg- Frg- Bracing
5. AJurn. 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
Roof; Shthg-Roofing
-10.
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #s
1 . Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. EJec.; Pool Lighting; 15 Vofts-GFI
6. EJec.; Enclosures; Conduit Entries-Terminals-Usted
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 Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
-4 = OK
0 = Not OK
= NotApplicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #s
1 . Zoning -Setbacks -Easements -Rood -Slope
2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Sternwalls, Garage; Steel- Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access &Ventilation
16. Insulation
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Atng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions
52. Garage Fire Protection Frarning-RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One X -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh-Dfip Screed -Fd. Vents-Underfir. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nding-Bofts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date Card B-1 Date Card B- I
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.ELA13ath Fixtures & Tub Access -Spa
09rTlec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs& Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.El.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
83. Following tnsUdJ[Mve 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
84. Stucco Brown -Finish
85. A -C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, P[bg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date,5-2-3 -0 6 Card B-1 toQo �,Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (F!ermit) OK except #s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. 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
23. Fire Sprinkler, Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRjeAL (Permit) OK except #'s
124. pAure & Transformer Clearance -ins. Protection
TS-. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in KAchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or APA.C. Wire Sizet /ga Cu or A]
31. Range Circle/ Iga Cu or Al -Oven Circ. /ga Cu or AJ
152Med Neutral 0 Yes 0 No
113200"Service-Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels- Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs-Naiffing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proofI
45, Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Atng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions
52. Garage Fire Protection Frarning-RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One X -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh-Dfip Screed -Fd. Vents-Underfir. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nding-Bofts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date Card B-1 Date Card B- I
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.ELA13ath Fixtures & Tub Access -Spa
09rTlec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs& Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.El.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
83. Following tnsUdJ[Mve 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
84. Stucco Brown -Finish
85. A -C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, P[bg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date,5-2-3 -0 6 Card B-1 toQo �,Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
BUTTEI�COUNTY
DEPARTMENT.OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buftecounty.neAdds
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect.
License Class: Q License Number: LLY
'_ -1 - &4 C—C 6(--fl2 ( C,
2 �Contractor. L`_1V
Date: MZ a
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuande,,,also requires the applicant for such permit to file a
signed statement that he or she is licensed, OUrtUant 161hi� Or&sibIris of
the Contractor's State License Law (Chapter 9 commencing with Section
7000� of Division 3 of tl�ebusiness and Professions Code) or that he or
she is'exempt therefr6rTi.'a nd the basis Jor the -alleged exemption.. Any
violat:on of Section u I
. I - Z031.;� by any al�'plicant for a permit s bjec s the
applicant to a civil, penalty of not more than five hundred dollars ($500).):
1, as owner -6f the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
in s
44 P ofessions
Code: The Contractors" State License Law does not apply to an
,,owner.,of,propq0y w�q,,builds or.-imp�oves thereon, and.who does
....-such wo.rk,himself. q�,Oerse.lfpr through his or her own employees,
pfovided.,that..such..improveme�ts are not.. intended or.offered.for
- � "'! he bbildin"g"'o-r- i mip'rovements'are sold with . in one
sale. Ifhowe er, t
year of completion, the owner -builder will have the burden of
OrovAdthat he or -she did noi,66ild"6r' improve for the purpose of
sale.).
U_ 4.11�as_owner_of� the- property—am. .exclusively contracting with
licensed contractofs7t6,don*stf@ct'the project (Sec. 7044, Business
and Professions Code.. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
I am Exempt under Article 3 of the Business*and Professions Code
I I
Date: Owner:
WORK ' ERS'COMPENSATION DECLARATION
I hereby affirm. under. penalty of perjury one of the following declarations:
0 .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 . ued.
I have and will maintain workers' compensation insurance, as
required. by Sect -ion 3700. the Labor. Code, for the performance of
-the work for, which this permit is issued. My workers' compensation
.insurance carrier and-po�iqy gumber,are:
Carriec:
Policy#: L2=N J 0 P,
I cerfify that in-�Ih4'pirforiiiahci df -the work for which this permit is
issued," I shall not -employ any person in any manner so as to
become subject to. the workers' compensation laws of California,
and agree that if* 1* should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:—
Applicant:
WARNING: Failure to secure workers' co4ensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is:a.construction lending agency for the
performance of the work for m.,�ich this permit is issued (Sec 3097 Civ.)
Name:
Address: I - .. - -
PERMIT NO.
BP051639
Issued Date: 06/23/2005 APN: 047-060-046-000
Site Address: 6281 BROYLES RD CHI
Map Index:
Description: upgrade elec service
Owner: DUGAN SEAN A& JEANNE; M
6281 BROYLES RD
',CHICO, CA.,-�_
95973-9206
.._._,Applicant: EAGAN
PO BOX 7193
CHICO, CA
530-345-7264
Contractor: EAGAN ELECTRIC
PO BOX 7193
CHICO, CA
530-345-7264*.
License,#: 621449
Architect:
Engineer:
Total Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
This permit is �sreby issu—ed hd a licable rovisions of the Bijite County CodA entilor
e -the
hi
Resolutio do work indicyat above or w , fees have been paid.
By: Date: 3,6
PERMIT EXPIRES ON:
1 here6y certify'that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous.materials.
EI Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
0 Attached are copies of thie-required E.P. A. notification forms.
I hereby certify that I have read this ' application. that the above information is coirr'ect,"and that I am the owner or the duly authorized agent of the owner. 1* agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to after the substance of -any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos s.
Print Name: &-:;,fW 605001C Signature:
I V
Date:
El Owner "ntractor
0 Agent for Owner
C3 Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 -,CHICO: (530) 891-2834
OFFICE 4: (530) 538-7541 ' "
A FEE WILL BE REQUIRED A T TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
x /Ve�r-
OWNER
Last Name
�U Q A-tJ
P,6\) EL'r_�7r_ I C_
TFirstNangn
1
Address
&-cy
city
State
State
P
TE
Phone
Fax
Fax
E-mail
Lic. #
x /Ve�r-
CONTRACTOR
Name r—'67
P,6\) EL'r_�7r_ I C_
Address :PC
tq'_�
City O'LL
I e- 0
State
lip
Phone ""S
L(
Fax
E-mail
E-mail
Lic. #
Class
x /Ve�r-
APPLIC4WTSANATURE
X
For off i6e use only:
ARCHITECTIENGINEER
Name
Flood Zone
Address
tv±� 6 (e
City
city
State
Zip
Phone
Phone
Fax
E-mail
E-mail
State License Number
APPLIC4WTSANATURE
X
For off i6e use only:
APPLICANTNAME
Name
Flood Zone
ss Street f _-1
tv±� 6 (e
Address IZ? –7 01
city
Occ. I
State Cil -
I zip q)—f 2 - 7
Phone
Page
Fax
E-mail
Date Approved:
APPLIC4WTSANATURE
X
For off i6e use only:
Zoning
Property d
g V`t> / 1
Flood Zone
ss Street f _-1
SRA
Yes
I No
Occ. I
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\B1dgApp1SubRqmts.doc
PERMIT
NO.
RP
BIN #
LOCATION
AP# 49 60 -01/ 6)
Property d
g V`t> / 1
City 0
ss Street f _-1
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Page 1 of 2
Description or Scope of Work:
Sq. Footage
0 Structure Built without Permits
El Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received b Amount: ldg
(Ic SRA
Receipt #: I Sheriff
'10 SMIP
Date: Other
Total
REV 2-24-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
0 1 . Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
El 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
0 3. Engineered truss details and layouts in duplicate (if required). No faxes!
0 4. Energy compliance design and supporting documentation in duplicate.
r-1 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
0 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
0 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
0 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
0 9. Site plan and business license approval from the City of Biggs.
0 10. Letter of intent for non-residential buildings.
0 11. Detached Accessory Building Form filled out by the owner (if required).
El 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
El
1 .
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
r_1
2.
Impact Fees.
0
3.
California Department of Forestry plan approval (if required).
r_1
4.
NPIDES Form.
El
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
r_1
6.
Contractor's license information. (Number, Name Style, Classification).
0
7.
Worker's Compensation Carrier and Policy Number.
El
8.
Owner -Builder Verification (if required).
0
9.
Letter of Signature authorization (if required).
0
10.
Recorded copy of Agricultural Acknowledgment Statement.
0
11.
0 Grant Deed, 11 M.H. Title/Statement of Facts,
El
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSWILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 REV 2-24-05
'J
NOTES RESIDENTIAL
r
PERMIT NO. 047-060-046 05-03 8
DUGAN, JEANNE
NJ281 BROYL�S RD, CHiCO
I-ont: OWNER
tiEW POOL HOUSE
�:POOL HOUSE
4V,
SPECIAL CONDITIONS
..CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
IAL INSPECTION ITEMS
VERIFY
u USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED
Signat
OK
0 = Not OK
- = NotApplicable
= Not Ready
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Req u i rements-Setbacks- Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/0 -Concrete
4.
Water; Location -Test- Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
P Nat. or/ /" L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
10.
Roof; Shthg-Roofing
11.
Ext.; Steps- Doors- Landings
Date
12.
Card B-1 Date Card B-1
i� Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1.
Zoning Requ irements-Setbacks- Easements
Card B-1 Date Card B-1
2.
Footings; Size-Spaci ng -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- Regu lator-Con nector
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
10.
Plumb.; Cir. Test -Water Supply Test
Date
11.
Card B-1 Date Card B-1
Date
12.
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1 .
Zoning Requ i rements-Setbacks- Easements
Card 8-1 Date Card B-1
2.
Footings; Size-Spaci ng -Marriage Line
Card B-1 Date Card B-1
3.
Blocking
4.
Gas; MH Test- Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1 .
Zoning Requ i rements-Setbacks- Easements
2.
Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3.
Decks, Girders and/or Joists- Decking- Bracing-Stai rs- Rai Is
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Col um ns -Con nections-Splice- Decal- Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco- Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps- Doors- Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1
. Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Term inals- Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panel boards- Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card 8-1 Date Card B-1
Date
Card B-1 Date Card B-1
4 = OK
0 = Not OK
- = NotApplicable
= Not Ready
FRAMING (Continued) ,
RESIDENTIAL
Date
IJINDV�FJOOR (Plans) OK except #'s
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
2f*'Ftg.,
,eing-Setbacks-Easements-Flood-Slope
Main; Soils-Elec. Grnd.-� a/" Ftg. Depth
Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles
3.
Ftg., Garage; Soils-Steel-Elee. Grnd.-/ /" Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Sternwalls, Main; Steel- Blockouts-Wrapped
6.
Sternwalls, Garage; Steel- Blockouts-Wrapped
§a.
U Id Downs and Special Anchors
��,,W,�Slab,
8.
Steel -Wrapped
rZs-Fireplace Ftg.-Steel
-9��D.W.V.;
Fall-Fifting-Test-2 Way C/O-Sewse2st V(-V2�
Date I IT
10. UF, Gas Pipe; Size Anchors -Yard GjV'iping; Size Test
4__
B- 1 Date Card B-1
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Card B-1 Date Card B-1
12.
Electric Underground
Shear Walls; Nailing -Bolts
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Brace Interior/Exterior Wall Panels
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Insulation -Walls -Ceilings C
15.
Access & Ventilation
Infiltrationi-WaXSindows
16.
Insulation
(Single & Duplex)
Date
FRAMING (Continued) ,
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #s
Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles
17.
Wiger Htr.; Vent -Access -Combustion Air Baffle
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
S�er Pipe; Test & Anchor -Nail Protection
A�D.W.V.;
Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Te6t Tub & Shower, Second ELaoL-Zjh Arrpss
k'x�Gas
Pipe; Sixe & Anchors( House -resT Y
23.
Fire Sprinkler; Test
Date I IT
Vocard
4__
B- 1 Date Card B-1
Date
54,.,O'Glazing
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Shear Walls; Nailing -Bolts
24.
Fixtyre & Tmhsformer Clearance -ins. Protection
Brace Interior/Exterior Wall Panels
25.
EXc. 5e6eptacles Spacing -Lights & Switches at Doors
Insulation -Walls -Ceilings C
/Of'��,Roqrex
oxes o.o on uc ors ape
installed Close to Edge of Studs & C.J.
quip.Xound made up w/Mech Fasteners -Bond Gas & Water
Infiltrationi-WaXSindows
2 Oliance Circuits in Kitchen & Conductor Size GFI
e1V_ruhfPPr1
Wirpqi7A/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or A
FINAVPlans) OK except #s
91.
Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or Al
Insulated Neutral Q Yes QNo
Steps -Door & Sidelight Protection- Landings
32.
Service -Riser Conductors & Ground Main Disconnect
Smoke Detector
33.
Equip. Clearances Panels- M otors- Mech. Equip.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
34.
Clothes Closet Light -Shower Light -Spa Light
Bedroom iting
35.
Smoke Detector
G.F.!!fnath Fixtures & Tub Access -Spa
61.-Slec.
Datelo
4 1_1CCard
B-1 R_ Date Card B-1
Date'
-Card
B-1 - Date Card B-1
Date
MECHANICAL (Permit) OK except #s
72. Elec. Outlets at Wood Panel, Int. & Ext.
36.
A.C. Ducts Insulation & Support
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
37.
Vent Fan, Exhaust above insulation
Elec. Outlets & Receptacles at Kit. Counter
38.
Condensate Drain & Overflow, Size & Grade
Garage Fire Door; Swing- Land i ng-Closu re
39.
Fu mace -Vent Access -Comb. Ait- Return Air Vent 115 Outlet
A.C. Duct in Garage -Damper
40.
Aftic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRA2�G (Permit) OK except #'s
80.
1 nsulation-Foam- Looked in Aftic
Proper Materials & Anchors
81.
4.ad"'Walls
Studs -Nailing Spacing & Braces- Plates -Sou nd
82.
43.
Bearing Walls over Girders & Floor Nailing
44.
ft Stop in Walls (rat proof)
83.
#<pre
Stops, Furred Ceilings -Stairs -Chasers -Tubs
84.
4f#
Headers & Beams -Size & Bearing�
Date
FRAMING (Continued) ,
47. Hapgers-Post Caps -Anchors -Connectors
41&oo0ing.
Joist-Rftr. Ties- Pu rlin- Roff Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat �_Iearance
50.
Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53.
PLpprty Line Firewall & Openings
34,000Ext.
Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
St�rs; Width -Headroom-Rise- Ru n- Landing- Fire Protection
5��ood
on Roof Overhang-Aftic Vents -Rafter Outriggers
V,Aiding-Nailing
Veneer
58.
��o Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
54,.,O'Glazing
Area -Glass Protection-Skyl ights- Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings C
63.
Infiltrationi-WaXSindows
Dat*j.Z,"
Date-
Card B- Date Card B-1
Card p�,T Date Card B-1
Date
FINAVPlans) OK except #s
f64o.0'Ext.
Steps -Door & Sidelight Protection- Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom iting
68.
G.F.!!fnath Fixtures & Tub Access -Spa
61.-Slec.
Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, C learance- Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing- Land i ng-Closu re
76.
A.C. Duct in Garage -Damper
r. r.; en s- earance- orn . ir
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
1 nsulation-Foam- Looked in Aftic
81.
Guard Rails & Deck Construction- Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor El Yes
83.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters Q Yes 0 No
84.
Stucco Brown-Finio�
85.
A.C. Unit Disc��ect, Electrical -Plumbing
86.
Vents Ab %,--<Oof, Plbg-Appliance-Fireplace-Clearance to Openings
6WrExterior
Disconnect, Electrical, Plumbing
Elec. Trim, G.F.I. Receptacle- U ndergrou nd
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/0 to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted --7
96.
Fire Sprinkl
�at�-
6
Card B-1 Dat 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
7 County Center Drive - Oroville, CA * (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
6�
+-D (jr<
�A / 1�1 V 11
Date - Inspector
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
COUNTY OF BUTTE
Poll,
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive - Oroville, CA - (530) 538-7541
ril
CORRECTION NOTICE
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinance's exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below. A.
le
5
41
A A(,
Date 42 t)— 0!�7 Inspector J
REV 4/05 Phone#
FOR RE -INSPECTION., CALL: 538-7636 OR 891-283'4
4%:'
Law—
.... ..... ......
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive * Oroville, CA * (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additiona
exp ion, please contact the Building Inspector as indicated below.
/Ze/- -7 VIZ
Vme, 5— Z--
___'?
VA/
7'
Date Inspector -
REV 4/05 Phone #
FOR RE -INSPECTION C' L.�.
OR 891-2834
c6UNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive Oroville, CA (530) 538-7541
ZI;
CORRECTION NOTICE'
—OWNER PERMIT NO.
A
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to,this matter, or need additional
explanation, please contact thie Building Inspector as indicated below.
oog<
r rg�
A
A
Date Inspector "'S IAI 5 -5 01
REV 4/05 Phone#
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP050338
B. C. Building Permit 01-16-04 pg 1
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 06/06/2005 APN: 047-060-046-000
the Business and Professions Code, and my license is in full force and
effect.
Site Address: 6281 BROYLES RD CHI
License Class License Number:
Map Index:
Date: Contractor:
Description: NEW POOL HOUSE(600)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: DUGAN SEAN A & JEANNE M
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
6281 BROYLES RD
signed statement that he or she is licensed pursuant to the provisions of
CHICO, CA
the Contractor's State License Law (Chapte ' r 9 commencing with Section
95973-9206
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil'penalty of not more than five hundred dollars ($500).):
;4 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 (Sec. 7044, Business and Professions
Applicant: DUGAN SEAN A & JEANNE M
Code: The Contractors' State License Law does not apply to an
6281 BROYLES RD
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
CHICO, CA
provided that such improvements are not intended or offered for
95973-9206
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale -)-
.0 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and ' Professions Code. The Contractors' State License L aw does
Contractor:
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
0 1 am Exempt under Article 3 of the Business and Professions Code
Date:'& 5 Owner: Q
License #:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
0 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
Architect: NORLIE, THOMAS
is issued.
Engineer:
El I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code,,for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 600 S. F.
Policy #:
Valuation: $39,000.00
Census Code:
Q 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 the 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.
Date: 6
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
P, 0
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
/
AXv,1)61"_7 tv 111b,
f - . - I _
_-,
J79
CONSTRUCTION LENDING AGENCY
This p hereb s Ii able provisions of the Butte County Code and/or
erm' 'Z p
'h e:f
sir'id�id. 2ed"
I hereby affirm that there is a construction lending agency for th
performance of the work for which this permit is issued (Sec 3097 Civ.)
e Ilution - do wor'� ov opr w'Chich fees have been paid
By 1d("_111J1 Date:
Name:
Address:
PERMIT EXPIRES ON: (Date)
0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
• Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
• Attached are copies of the required E. P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: 'Jeerng), �� L& V1 Signature. J�
Date:
'llowner 0 Contractor 0 Agent for Owner El Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
'BUILDING PERMIT _17
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP050338
B. C. Building Permit 01 -16-04 pg 1
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 06/06/2005 APN: 047-060-046-000
the Business and Professions Code, and my license is in full force and
effect.
Site Address: 6281 BROYLES RD CHI
License Class License Number:
Map Index:
Date: Contractor:
Description: NEW POOL HOUSE(600)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: DUGAN SEAN A & JEANNE M
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
6281 BROYLES RD
signed statement that he or she is licensed pursuant to the provisions of
CHICO, CA
the Contractors State License Law (Chapter 9 commencing with Section
95973-9206
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
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 (Sec. 7044, Business and Professions
Applicant: DUGAN SEAN A 8t JEANNE M
Code: The Contractors' State License Law does not apply to an
6281 BROYLES RD
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
CHICO, CA
provided that such improvements are not intended or offered for
95973-9206
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
CI 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Plrofessions Code. The Contractors' State License Law does
Contractor:
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
El I am Exempt under Article 3 of the Business and Professions Code
Date: 05 Owner: 0
License #:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
0 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
Architect: NORLIE, THOMAS
is issued.
Engineer:
0 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 600 S. F.
Policy
Valuation: $39,000.00
Census Code:
Q 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 the 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.
Date:
Applicant::
WARNING: Failure to secure workers' compensation coverage i
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
We C-4 4 (-711 3�9147OUr?tl ',VI(01 q4
CONSTRUCTION LENDING AGENCY
This per it' h b 'issue I* ble provisions of the Butte County Code and/or
'ere"
m' y u the ' 'ca
'
ZIbovealopr
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
R I tion work indid which fees have been paid.
/v
Name:
Bv: Date:
\Z z;12— /'IV
PERMIT EXPIRES ON: /0 Ltle2
Address:
(L)ate)
0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
I handling and use of hazardous materials.
0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
El Attached are copies of the required E. P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: Jee*rn nc Z) LL Signature:
Date:
11`�Owner Ell Contractor 0 Agent for Owner IZI Agent for Contractor
B. C. Building Permit 01 -16-04 pg 1
4&A
V
03 T r BUTTE COUNTY
0 0 DEPARTMENT OF�DEVELOPMENT SERVICES
0 BUILDING PERMIT APPLICATION
a AND SUBMITTAL REQUIREMENTS
0 24 HOUR rNSPECTIOM: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
0 OFFICE #: (530) 538-7541
A FEE WrLL BEREQUIREDAT TIME OFAPPLICATIONAo-
00 14 Websi-Ce: www.buttecounty.net/dds
x 5s. 7' **PLEASE PRINT CLEARLY"
1j
OWNER
Last Nam
b "!� C? -.r,
I Flood Zone
ame
rr1j. A. v -1—e
Address (
'v oe\ <>
ke_,, p_o_�L8
I
City
State ap,
1 -7 1
Phone
Fax <313 :� " '5 14 IR
E-mail (2 1,) t C C." ne t -Z_</-'�" - C�"
1j
For office use only:
CONTRACTOR
Name
I Flood Zone
Address
ARCHITECTIENGINEER
city
'ty
State
Zip
Phone
Fax
E-mail
Uc. #
Class
For office use only:
Zoning
A - Lin
I Flood Zone
I V I
ARCHITECTIENGINEER
On'\c>
`5 t\-)0rt%_e.
r s�Eb
cit'q 31 -fL —
Tyl5e-tonst.
city
C ln' co
Book
zip
14-,5q ';L'K
Phonn:e�jq
Ll
Fax
ail
mail
E -m
Statg_License Number
C') 010
APPLICANT NAME
am
Name
A r
d�dress
city
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
A - Lin
I Flood Zone
I V I
SRA
I Yes JQ]P,
Occ.
Tyl5e-tonst.
Subdivision Name Map
Book
I Page
Planner
Date Approved:
LOCATION
PERMIT
NO.
0
,5,63
BP
BIN 9
AP#
Property Address C'
C-5 c c>
Cross Street vo -1 9 C�
I WORKER'S COMPENSATION I
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
1 Address
Descdption or Scope of Work:
Sq.
0 Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan che:cked and other department costs are not
refundable.
0 /�b ��o q 14
Receive Amount: 3 /w) Bldg
SRA
Receipt#: Sheriff
I SMIP
I Date:
OVER FOR SUBMITTAL REQUIREMENTS L
... 1, _'� An, PAnp I of 2
Other
q 14 Total
REV 7-27-04
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
0
1.
Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
0
2.
Complete plans, 3 or4 sets, signed by the preparerof the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
0
3.
Engineered truss details and layouts in duplicate (if required). No faxes!
11
4.
Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
0
5.
Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
0
6.
Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down
or fnd plans, all in duplicate.
0
7.
Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and caics in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the enginee
0
8.
Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
0
9.
Site plan and business license approval from the City of Biggs.
0
10.
Letter of intent for non-residential buildings.
0
11.
Detached Accessory Building Form filled out by the owner (if required).
0
12.
Hazardous Material Form (for Commercial Buildings only).
11
13.
Sanitation and site plan approval from the Environmental Health Department.
Remaining
items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
0
1 .
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
0
2.
Impact Fees.
0
3.
California Department of Forestry plan approval (if required).
11
4.
NPDES Form.
0
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
0
6.
Contractor's license information. (Number, Name Style, Classification).
0
7.
Workers Compensation Carder and Policy Number.
0
8.
Owner -Builder Verification (if required).
0
9.
Letter of Signature authorization (if required).
0
10.
Recorded copy of Agricultural Acknowledgment Statement.
0
11.
El Grant Deed, 0 M.H. Title/Statement of Facts, El Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORIAS\BUILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 REV 7-27-04
Butte County Department ofDevelopment Services
YVONNE CHRISTOPHER, DIRECTOR
WILLDAN
%3Tr
0 0 0 0
0 0
0
0 0
C. OU f4l
Scott Rutherford (530) 538-7160
srutherford(a)buttecounty.ne
Plans Transmittal For Review Per Contract
2/11/2005
Applicant: Dugan,Jeanne Permit No: 05-0338
Project Type: Pooll-louse APN: 047-060-046
100% 70%
Plan Check Fees $ 340.94 $ 238.66
$ 340.94 $ 238.66
IWILLDAN Fee $ 238.66
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
co
TO:
FROM:
LO
SUBJECT:
0
DATE:
WILLDAN
%3Tr
0 0 0 0
0 0
0
0 0
C. OU f4l
Scott Rutherford (530) 538-7160
srutherford(a)buttecounty.ne
Plans Transmittal For Review Per Contract
2/11/2005
Applicant: Dugan,Jeanne Permit No: 05-0338
Project Type: Pooll-louse APN: 047-060-046
100% 70%
Plan Check Fees $ 340.94 $ 238.66
$ 340.94 $ 238.66
IWILLDAN Fee $ 238.66
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICE&-BUILDI �DXVIS19N
7 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541,Fax(530)538-2 40
PERMIT APPLICATION DATA SHEET
OWNER: ASSESSOR PARCEL NUMBER
Proposed Building Use: Counter Technician: Date:
Items required in order to Ypofyfor a p-eftift.-All boxes MUST be c�-ec-ked OR marked NA in order to apply.
P 1 . Site plans, 3 or 4 sets, signed by the preparer of the plans.
0 2. Complete plans, 3 or 4 sets,, signed by the preparer of the plans.
11U- 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. Letter from Engineer or Architect for truss design review.
0 6. Energy compliance design and supporting documentation in duplicate.
0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
0 8. Manufactured homes: (A) Data sheets and installation inst, (6) Marriage line info, (C) Floor Plan, (D) Tie down or frid plans, all in
duplicat .
0 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the enginee .
0 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
0 11. Site plan and business license. approval from the City of Biggs
0 12. Letter of intent for non-residential buildings
0 13. Detached Accessory Building Form filled out by the owner
0 14. Hazardous Material Form
15. Sanitation and site plan approval from the Environmental Health Department in P<hico 0 Oroville, as applicable.
16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
0 17. Fire Sprinklers ............................................................................................
0 18. Agricultural Buffer cIr and site plan apr from the Ag Commissioner Sent by_..
0 19. Soils Report and/or Engineered Foundation required ........................................... . ........
0 20. Erosion Control Plan Required ........................................................................ ........
Fees as shown on the attached Schedule of Fees Due Sheet ..............................
0�� (42. City of Chico Plumbing permit .........................................................................
0 California Department of Forestry plan approval 0 paid. Sent by: .............
t -f' 24.)Planning approval (A) Use: Aw B)Parking:
-(C) Parcel Checkr
-F '---2-5. Contact Land Development about - Improvements, - Drainage .........................
26. NPDES Form .............................................................................................
27. Encroachment Permit for driveway from the Public Works Dept ...........................
0 28. Pre -Inspection for required .......
El 29. Contractor's license information. (Number, Name Style, Classification) ...................
0 30. Worker's Compensation Carrier and Policy Number ..........................................
'T- 31. Owner -Builder Verification (-IZiven to owner, -Mailed to owner) .....................
El 32. Letter of Signature authorization ................................
El 33. Recorded copy of Agricultural Acknowledgment Statement .................................
0 34. Manufactured home utility clearance ...............................................................
35. Existing violations and/or expired permits .........................................................
nX Deed Restriction ....................................................................
0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Lega*1*0wn'er,'0 Check to H.C.D. $
0 38. Other:
0 39. Other:
Wheri'issued Telephone 62r and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
I
r q - n,
Applicant: 4 a ),4-A qe",,. - 110* -V-- --/, ' Date: C� - 5
1. Index permit application for the-Tbove items numbe)ed-: Plan Check Letter
2. Additionalite e
es (
Contractor, d i�gane owner as advised of the above data by Fw( phone, 0 mail, 0 counter, b Dat
r.
Contractor, designer, 5ner.,�wwas advised of the above data by 0 phone, 0 mail, 0 counter b Date.
Plans reviewed by: -Date: Plans approved by: Date: Q1 lhr--
Vj
Structural reviewed by: Date- Structural approved by:k)\J� LAY/'- Date: A -1
Note transfer by: ����Date': -7h-W
-1 Yellow: Building Division
TO: Building Departme.nt
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.H. USE ONLY
Plat'Plan AnzcMd YIS'
Mi4d; ftn AWrt%.�
Sam to G.O.
D ogc.,o . 6281 lel,— 4 7-,)ZO -0 4 6
O%Vner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private We I I
Clearance for — dwelling. Other 0,:�az
Hold final for:
Final clearance O.K. for:
NOTE:
SY, 7 -
Environmental Health Specialist Date
8/96
I . <3 LIS- 6
COUNTY OF BUTTE /0
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
(7-1�
OWNER Y7 e-
PROPROSED BUILDING USE be,) ROL "'e-
-Z 1. BUILDING PERMIT FEES
--- Balance Due .....................
Additional Fees Due ...........
--- Revised Plan Checking Fee .... $
2. SCHOOL DISTRICT FEES
(paid at School District Office) (form iv7ailible after Plan Check)
A.P. # 0/
DATE
RECEIPT # DATE REC.
3. SHERIFF FEES (paid at Building Division)
Residential ............ X $360.00 =$
Units
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit) - - - - - x $
# Units Amt.
Commercial (Sq. Ftg.).... x
Sq. Fig. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone x
Zone # Units Amt.
Commercial (sq. ftg.) ......... x
Sq. Fig. Amt.
Cfi
10. OTHER_ SIM Ito
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan checking process.
APPLICANT
DATE c9- 910 e2
Pursuant to Government Code Section 66020, you are hereby notif led that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days ftom 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 Division Yellow -Applicant Pink -Owner (rev. 2/2003)
?WT1AF_N7. OA,
T
0 0
0
0 4
--ft=E0- 49
Department
J. Michael Crump, Director
Public Works
LAND DEVELOPMENT DIVISION
Storm Water Management Program
7 County Center Drive
Oroville. CA 95965
(530) 538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase 11
Construction Storm Water Permit and Storm Water Pollution Prevention
Plan (SWPPP) Acknowledgement [LESS THAN I ACRE -
Project Description:
Project Location and/or Parcel Number Z2
B-5Ffigiffg below, 1, the project owner/owner's agent; certify that �this---project Wfff:&�Df§TURB
7,
'land -and that1i therefbre�7.dd notne-ed.,,to— plk-,for�,, bni.h
-dr-thore of . ". -,!-. !�
ap �,y
.?,prpj
6' -State, 'of Califomia-Region�l.-Wa:tet'Qu�l-ity-Cont-ro'l-go6�E"-�Phge&'..�"'
m -0—
u -lp -e- '�Iibs
site build -outs of less,than ond:acre, but- when combined.�wfth-_J eq,,Lhe- iW.Jphas_6s:Tto.tal more
--than—one �acre of disturbed soil will require a Construction Storm Water Per mnit Irom —the , State of
California Regional Water Quality Control Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction
Storm Water Pen -nit from the State of California Regional Water Quality Control Board for a project
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by law.
Si gned: !9; Q_
Title:
Date:
Less than I Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/24/04
E1
MUREY(
M-P-M)MRS 'N'
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary
delay in processing and issuing your building permit. No building pern-iit will be issued until this
verification is received.
I . I personally plan to provide the major labor and material for construction of this proposed
property improvement: YES ] NO [ vf
2. 1 HAVE HAVE NOT signed an application for a building permit for the proposed
work.
3. 1 have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:
4. 1 plan to provide portions of the work, but I have hired the following person to coordinate,
supervise, and provide the major work:
5.
NAME:
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:
I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
-7
i n 4 -fn �l cc,,%J-rr.�+ c>� -f�v r 4J -i:,5 , Wr
nc, -t- c-4 'a� cv, ct-s� c +K,,-3 I . A--f-
SIGNED:
PROPERTY OW`NER:
DATE: �— 9,0 5 ,
NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.
Rev'd ) 1/4/2004
Butte County- Department of Development Services
ADMINISTRATION * BUILDING * GIS * PLANNING
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 Telephone
(530) 538-2140 Facsimile
''A
Dear Property Owner:
An application for a building permit has.been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as '.owner -builder" you are the responsible party of record on such a
pen -nit. Building permits are not required to be signed by property owners unless they are personally performing their own
work. If your work is being performed by someone other than -yourself, you may protect yourself from possible" liability if
that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of Califomia and to have a business license
from the city or county. They are also required by law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be
aware of the following information for your benefit and protection:
• If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
• If you are an employer, you must register with the state and federal govemment as an employer and you are subject
to several obligations including state and federal income tax withholding, federal social security taxes, workers'
compensation insurance, disability insurance costs, and unemployment compensation contributions.
• There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
• For more specific information about your obligations under federal law, contact the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
state law, contact, the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contacting, the Contractors' State License Board in your
community or at 1020 N Street, Sacramento, Califomia 95814.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is retumed.
Micyael C. Vieirl C.B.O.
Marfager, Building Inspection
C,
NOTE: This Own"er-Builder Information is required by Section 19830 of the California Health and Safety Code.
2.
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
Building Department No.
School District
A.P. Number Jurisdiction: city I X -lCounty
Property Owner
property Location/A
Subdivision
Residential Developrrie nt
No #oUVIng Mobile Home
Un installation
Commercial/Industrial
New- Addifion
Building Department Representative
Lot No.
.......................... . .................................. ; ... . . ...............................
I Sq. Footage
Addition/ *Supplemental to (Gmup R)
Conversion Permit #
-(No foundation Inspection)
........................ . .........................
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Umited Use Facility docunri�nt)
M
Sq. Footage
Date
District Identification No.
School District certifies that
(Applicant)
N
/-/3
(Street Address) (Phone Number)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
representing 0 square feet.
School District Representative
Paid by Check # A -e Remarks:
C
by paymedof $
" V126 $
IFUU MM"TI0N $
61ol.k
Date
No**: You maylprotest the Imposition of the ftes; klontilled above by submIftIng a written protest to the DI In compliance with
Gov Knnmd Code Section 66020(a), within 90 days from the date fen are paid. Failure to submit a timely written protest win'prohibit
y6u from challenging the Imposition of do fen In any court action.
N, subsequent to the School DistrIct Representative signing this Butte County Schools InVact Fee Cerdftatlon Fonn, the District Is
WIN by the applicable Local Planning Agericy that this project Is being reviewed 6darths California mnmental Quality Act (CEQA�
this V al A may be subject to additional school few to,fully miltigals.fts Impact on the school distriers schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xls 0 0/03)dmm
(including Exterior
Roofed Areas)
Date
District Identification No.
School District certifies that
(Applicant)
N
/-/3
(Street Address) (Phone Number)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
representing 0 square feet.
School District Representative
Paid by Check # A -e Remarks:
C
by paymedof $
" V126 $
IFUU MM"TI0N $
61ol.k
Date
No**: You maylprotest the Imposition of the ftes; klontilled above by submIftIng a written protest to the DI In compliance with
Gov Knnmd Code Section 66020(a), within 90 days from the date fen are paid. Failure to submit a timely written protest win'prohibit
y6u from challenging the Imposition of do fen In any court action.
N, subsequent to the School DistrIct Representative signing this Butte County Schools InVact Fee Cerdftatlon Fonn, the District Is
WIN by the applicable Local Planning Agericy that this project Is being reviewed 6darths California mnmental Quality Act (CEQA�
this V al A may be subject to additional school few to,fully miltigals.fts Impact on the school distriers schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xls 0 0/03)dmm
41
I
Date:
�N REVIEW APPLICATION
AP# 7- 660 0 c -1v
Permit Number (if applicable) 07-- Bin Number
APPLICANT INFORMATION
Owners Name:
Owners Address:
Telephone No.:
Situs Address:
Proposed Use:
Parcel Size:
. I e- w
u Ir
�22§
Residential
New Single Family Residential
0 Single Family Addition
Mobile Home
Residential Accessory
Permanent Second Dwelling
Temporary Mobile Home (Aunt Minnie)
Temporar-y.-Travel-Trailer-
Multi-family
Non-residential
F] New Commercial
F� Commercial Addition
New Industrial
F1 Industrial Addition
Other
El Single Family Remodel
F1 Commercial Remodel
f_� Industrial Remodel
F1 Septic Fj Well
F1 Agricultural Exempt Building Agricultural Buffer Form Applicable E:1 N./A
F1 Other:
Brief Explanation (if necessary): 04y
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERYICES INFORMATION (For Staff Use)
Approved Conditionally Approved E] Resolve Problems Prior to Approval
s proved
By Date
Pncr,- 1 r%f 1;
ILI
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
F-1 Snow Load Area:
F] Land Conservation Act Minimum Acreage: Ej Verify residence can be built per contract
Fj Nitrate Action Plan (See Envirom-nental Health for standards)
Watershed Protection Overlay Zone (See attached standards and requirements)
Expansive Soils (Test for expansive soils and if venified proper foundation design required)
E] SRA - (CDF to determine specific requirements)
100 -Year Flood Plain: (See attached)
Flood Zone: X
Flood Panel No.:
Index Date:
F-1 Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
M Feather River Reclamation District (Approval must be obtained from -the California Reclamation Board)
North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
Chapman/Mulberry (See attached standards and requirements)
Cohasset Area (See attached standards and requirements)
Grading Zone (See attached handout)
Use Requires:
F-� Use Permit Minor Use Perrmit E] Administrative Permit
Minor Variance Variance
-------- : ------------------------------------------------------------------------------------------------------
F1 Detached Building Use� Form F1 Encroachment Permit.
F1 Agricultural Worker Affidavit F] Agricultural Acknowledgement Statement
Zoning:_ 6 - y (0 r-6 )
Applicable Building Setbacks:
F� Setbacks drawn on site Plan. F-1 CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
Izo
Side
25-1
Side Street
Rear
Height
Waterway
N/A
N/A
N/A
F� Setbacks drawn on site Plan. F-1 CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
I
Applicable Development Fees:
Standard Fees Amount Formula
F -I Fire
F� School*
F -I Parks/Recreation
El Roads
Sheriff
Drainage
NCSP/CSA 87
F] Chico Urban Area — Road
F� Therr n*alito Drainage Area
F-1 Thermalito Urban Area
F1 Other
Subdivision Map Special Fees
F�
Water Tender
Fj
Road Improvement
F�
North Oroville Area
F�
Other (per map)
Check with school district to verify.actual fee if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
F-1 Deeds:
Date of Creation: Legal Access Provided: [_� No EJ Yes
Deed of Reference: Legal Access Required E] No El Yes
Parcel Frontage on Publicly Maintained Road: El No El Yes, Road Name:
Complies with C. I ty Standards for Deed Creation'TI No F -I Yes
Comments:
F-1 Parcel Deemed to be legal
E]. Verify Legal Parcel . 0 Verify Legal Access F-1 Provide Deed of Creation
F -I Obtain a Certificate of Compliance
F-1 Obtain a Merger F-1 Obtain a Lot Line Adjustment
F1 Comply with Old Siibdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
F -I Construct road to: F� Meet Parcel size required by zone
F� Meet current Environmental Health Department requirements .
Page 3 of 5
F-1 Subdivision Mqp/Parcel MM:
Map Date of Recording:
Lot: Book:
F -I Use PermiV`Minor Use Permit
Permit Number:
Date of Approval:
Page:
Parcel Map/Subdivision MapIUse Permit Conditions
F -I Comply with the following Conditions of Approval:
F-1 Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
F-1 Automatic fire suppression sprinkler system ' s shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
E] Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
F Provide an erosion control plan for building and land disturbance. The Erosion Control Plan
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
F� Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
F -I Engineered foundations are required.
F-1 Class A roofs are required.
Property owners responsible for road maintenance, and stop sign maintenance.
F -I
FO -1
Page 4 of 5
0
0
0
Summary of Specific Requirements:
This information provided in this summary is based on the application information and on the best available data at the time
of review.
CALarrys\Building Pennit Site Plan Reviewl.doc
Page 5 of 5
WILLDAN
Serving Public Agencies
March 9. 2005
Scott Rutherford
Butte County Building Department
7 County Center Drive
Oroville, CA 95965
Tel: (530) 538-7169
Fax; (530) 538-2140
SUBJECT: COUNTY OF BUTTE PLAN REVEEW APPROVAL
117 C Street
Marysville, California 95901
530/749.2373 fax 530/749.2199
www.willdan.com
Willdan Project No:
14353-1401.
Jurisdiction Job No:
05-0338
Applicant:
Jeanne Dugan f
Description:
Pool House
Dear Mr. Rutherford:
Willdan has completed a plan review of submitted plans and documents for the above referenced project
and recommends your approval with the conditions noted on the 2 nd page of this letter. The plans and
documents provided for this review that have been found in compliance with the applicable codes are:
0 Plans: Two (2) copies sheet 1, by Thomas Norlie AIA.
0 Truss Calculations: Two (2) copies dated 10/18/02, by Longfellow Lumber Inc.
The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to
our previous letters relating to this project, the superseded plans and documents will be discarded within 10
days unless we receive other instructions.
On the pages to follow is the identification of the codes and standards applicable to the project, a code
analysis, conditions -of -approval and identification of any deferred submittals.
APPLICABLE CODES
Unless noted otherwise, all comments are based on requirements of the 2001 California Building
Standards Code found in the California Code of Regulations, Title 24:
• Part 2, known as the California Building Code and abbreviated herein as "CBC".
• Part 3, known as the California Electrical Code and abbreviated herein as "CEC".
• Part 4, known as the California Mechanical Code and abbreviated herein as "CMC".
• Part 5, known as the California Plumbing Code and abbreviated herein as "CPC".
• Part 6, known as the California Energy Code, and Energy Commission Standards, and
abbreviated herein as "CECS".
CODE ANALYSIS
Our plan review revealed the following information regarding the occupancy designation, type of
construction, and other pertinent features. This information is consistent with that shown on the plans.
Specific Type of Type of Stories V Floor 2 "d Floor Total
Use Occupancy Construction Sq Ft Sq Ft Sq Ft
Pool House R-3 V -N 1 600 0 600
CONDITIONS OF APPROVAL
1. Approval is contingent upon the review, requirements and approval of other departments
and/or agencies that have jurisdiction over this project.
2. Revisions and/or notes as red -lined on the plans.
3. Because this Detached Accessory Building is a Pool House, approval is contingent on a deed
restriction being recorded. Please contact Butte County as soon as possible about initiating
the required deed -restriction recording process. County of Butte Residential Accessory
Building & Space -Use Matrix
DEFERRED SUBMITTALS
Our plan review reveals no deferred submittals noted at this time.
SPECIAL INSPECTION NEEDS
Our plan review reveals no special inspection needs pursuant to CBC 1701.
Sincerely,
Michael LeBeau
Plans Examiner
Cc: E-mail Alice Mefford at: amefford(j'&buffecounty.net Thomas Norlie, 569 E. 18th Street Chico, CA 95928
Jeanne Dugan, 6281 Broyles Road, Chico, CA 95973 Email: chicodu2ans(&,netzero.com
Pa(�e 2 of 2
Willdan'14353-1401 PCIF
Butte County 05-0338
FIV :DUGANS LANDSCAPE
RECORDING REQUESTED 11Y
MIDVALLEY TITLE AND ESCROW CO.
AND WHEIN RECORDED MAIL TO:
Sean A. Dugan
Jeanne M. Dugan
FAX NO. :5308934548
Mar. 29 2005 08:17AM P2
Recorded
Official Records
Coy"tv Of
BIME
CANDACE J. SRUM
Recorder
I REC FEE aie
I TAX 368.89
NOMJWY 10.09
ROSEMARY DICKSON
Assistant
89-,0" 16-apr-M
I Barbara
I'Page, I of 3
Above This Line fur RecurticritUxe OnLy
A.P,N.: 047-060-046 Order No.: CHI/C &-crow No.; 204917DM.P
GRANT DEED
THE UNIA.PWUNED GRANTOF4s) DECLARE(s) THAT DOCUMENTARY 1RAN!�)�LRTAX IS: COUNTY $�08.00
I X ) coinputcd on full valuc of propurty conveyed, or
co!nputed on full valueless value of liens or encumbrances renlaiiiing at time of sale,
ummorporatcd area, j -I L-Ity of_, and
FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged,
Robert P. Clark and Katharine C. Getchell, HUSBAND AND WIFE
hereby GRANT(S) to .
Sean A - Dugan and Jeanne M. Dugan', HUSBA ND A ND WIFE A S JOINT TF NANTS
the following described property in the uuincurpolrated Wa, County of Butte State of California;
See 2�descriptinu attached hare -to and made a part hereof.
Robert P. Clark Katharine C. Getchell
Document Date; March 18, 2003
STATt OFCALItORNIA
COUNTY Of
On !I —4�n- - q—
personally appeared _AZ_ (:) 0
personally known to me (or proved
innmmcnt and acknowledged to
the ingilimcrit the pcoton(om
WYNESS my hand a.; 4=119
sig.lAbLurc.
)ss
Wore
"Oil the basis of SatiSfactory evidence) to be the per,.qnn(q) whose narne(a) Warc—�UhRcrtbCd to the with"n
fit/she/they executed the same in his/her/theif authorized capecity(ics) and that by his/hcr/thcir 3iguturc(s) on
upou hChalf of Which like pCrSon(O acted, executed lite ii6truinent.
This sirce for official rintarial qcal.
VISEEM PRICE
Commission 0 1341260
Notary Public; - California
Butte County
*my Comm. Expires Jan 24,20061
Mail Tax %ternents tn: SAME AS ABOVE 4)T Adc[Tess Noted Below
16
I
When recorded return to:
County of Butte
Department of
Development Services
Building Division
7 County Center Drive
Oroville, CA 95965-3397
(rev.5/04)
Owner Name:
Building Permit No:
— Jeanne Ducian
t
05-0338 (pool house)
COPY of Document Recorded
6 -Jun -2005 2005-0032116
Has not been compared with
original
BUTTE COUNTY COUNTY RECORDER
Space above for Recorder's Use
DEED RESTRICTION AND
NOTICE OF LIMITED USE FACILITY
All
1. WHEREAS, on this 6th day of June , 2005, Jeanne Dugan
hereinafter referred to as owner(s), is the record owner of the following real property:
6281 Broyles Road, Chico, CA 95973 and Assessors Parcel Number 047-060-
046
, and as further set forth in Exhibit "A" attached
hereto and hereby incorporated by reference, hereinafter referred to as "the subject
property"; and
11. WHEREAS, the Building Division of the Butte County Department of
Development Services is acting on behalf of the People of Butte County; and
WHEREAS, the owner applied to the Building Division for a building
permit in order to develop the subject property described above; and
IV. WHEREAS, Building Permit No. 05-0338 was applied for on
February 9. 2005 by the owner in accordance with the provisions of the Butte County
Code and the California Building Code; and
V. WHEREAS, the use allowed by Building Permit No. 05-0338 has
been reviewed and approved for only the limited purposes set forth below;
and
VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited
Use Facility shall constitute an enforceable restriction and remain in effect until a
change in use or character of use has been approved by the Butte County Building
Official or a change in law has occurred, either of which change allows the uses
otherwise restricted herein to be conducted on the real property described herein.
Under either circumstance allowing such change in use, Owner shall be entitled to have
this Deed Restriction and Notice of Limited Use Facility rescinded by the execution of a
subsequent document entitled Rescission of Deed Restriction and Notice of Limited
Use Facility by the Director of Development Services; and
VII. WHEREAS, Owner acknowledges that Owner will comply with the limited
use restrictions that were incorporated in reviewing and approving Building Permit No.
05-0338 which enabled Owner to undertake the limited use authorized by this permit.
NOW, THEREFORE, with the issuance of Building Permit No. - 05-0338 to
Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited use
facility, as set forth below, which establishes restrictions on the use and enjoyment of
this limited use facility. The undersigned Owner, for himself/herself and for his/her
heirs, assigns, and successors in interest, acknowledges and agrees to those
restrictions.
This limited use facility shall be utilized in compliance with those limitations
prescribed by the California Building Code occupancy classification assigned by the
building official, except the following uses are not allowed: no sleeping or cooking.
Additionally this pool house will not be heated or cooled.
If any provision of these restrictions is held to be invalid or for any reason
becomes unenforceable, no other provision shall be thereby affected or impaired.
This deed restriction and notice of limited use facility shall remain in full force
and effect during the period that this permit, or any modification or amendment thereof,
remains effective, and during the period that the development authorized by this permit,
or any modification of this development, remains in existence in or upon any part of,
and thereby confers benefit upon, the subject property described herein, and to that
extent, this deed restriction and notice of limited use facility is hereby acknowledged
and agreed to by Owner to restrict the use and enjoyment of this limited use facility and
shall be binding on Owner and all his/her assigns or successors in interest.
Y v o n n e C q Ks"t -o"p '
,�e
Director , D�DS
Owner agrees to record this Deed Restriction and Notice of Limited Use Facility
in the Recorder's Office for the County of Butte as soon as possible after the date of
execution. This document shall be recorded and returned to the Butte County
Department of Development Services, Building Division prior to the issuance of Building
Permit No. 05-0338 .
DATE: 2 0. -6 <7
Owner Signature:
J
Print or Type Name of Above
Owner Signature:
eA-(\
Print or Type Name Above
Yvonne Ch�dsbp�er�
Dire S-
NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing
on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat
(acknowledgment) as explained in your Notary Public Law Book.
STATE OF CALIFORNIA
SS.
COUNTY OF BUTTE
-2 -7-
On 0 (a., , before me,
Public!� personally appeared. -7),-, i��!A.Alj _,-, - d
Notary
V V , personally known to me
(or proved to me on the basis of satisfactory evidence) to be the person(s) whose
name(s) is/are subscribed to the within instrument and acknowledged to' me that
he/she/they executed the same in his/her/their authorized capacity(ies), and that by
his/her/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.
3D. (�.
t.,> (LA
Signature
STATE OF CALIFORNIA
COUNTY OF BUTTE
On
Public, personally appeared
(Seal)
M. E. CHATMAN
Commission* 1366761
Notary Public - Caliromi2
SS. Contra Costa County
MY CAMM. EVires Jul 27,2006
before me, , Notary
, personally known to me
(or proved to me on the basis of satisfactory evidence) to be the person(s) whose
name(s) is/are subscribed to the within instrument and acknowledged to me that
he/she/they executed the same in his/her/their 46thorized capacity(ies), and that by
his/her/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.
Signature
(Seal)
Yvonne Christopher
Director, �DS
' This is to certify that the Deed Restriction set forth above is hereby
acknowledged by the Director of the Department of Development Services and that
Butte County consents to its recordation thereof.
Qated:
YV0,
Del:
STATE OF CALIFORNIA
Ss.
COUNTY OF BUTTE
o�her,'Director
evelopment Services
on JLLAjE b ef o re m e. k )1-A �4 �- M ) L LAJ K1r%fnnj
Public, personally appeared Y—V 0 " 1-1 e. <!f�"Q 1 P' 0. ( 6�1-2-
personally known to me
J,GFpfoved4e-me-ofi4-he4asis-efsatis4betepy--evideRGe�to be the persorL(s-y"whose
name�o is/am subscribed to the within instrument and acknowledged to me that
beishe/they-executed the same in-bis1her/their-authorized capacity.(jes),,-and that by
hWherft-he-w-signature�4on the instrument the person(--rY, or the entity upon behalf of
which the personjs�acted, executed the instrument.
WITNESS my hand and official seal.
SVI tu re
1567051
Notwy Ftfift - Cowwft
Suft County
Sn'l ftb" APF 6.20
(Seal)
FROM :DUGANS L@NDSCAPE
EVEMBIT'A' ,
Attachmsint to DetAd of Tru. -t
Dated: March 12, 2003
T
Loan No. 3733955
Sean A. and Jeanne M. Dngan
Page 1 of 2
MCEL 1:
FAX NO. :53OB93454B Jun. 02 2005 06:42AM P2
1.
F.x �i i a i T "" A Is
A PORTION OF THE S0U`n-fWEST QUARTER OF SECT70M 9, TOWNSKIP 23 NORTH, RAXGE
I WEST, M.D.B. & M.. MORE PARTICULARLY DESCRIBED AS FOLLO'vVS:'
BEGTNNTNry AT A PnTNT ON THE EAST AND WEST CWnW1J1Q OF SAID SEC�r.ON 9 MOM
WHICH POINT THE CIRTM COP14ER BEARS NORTH 890 46' FAST A DISTANCE OF 10.6
FEET; THENCE CONT5WING ALONG SAID CETrERLINE AN -D TIM ClINTIM OF A COUNTY
ROAD, SOUTH 89'k..46? WEST, -1 299A FEET- TO A POINT,-- THENCE SOUTH 0- 03" INEST, 6918
FEETALONGA FENCELDIE TOA CORNERPOST; THENCE NORTH89" 48' EAST, 1300.3 pmf-
TO A FENCE CORNIER ON THE NORTH AND SOUTH CENTERLINE OF SAID SECMON 9.
THENCE ALONG LAST MENTIONED LINE, NORTH 439.0 FEET TO A FENCE CORNER; THENCE
SOUTH 89- 46' WEST, 10.6 FEET TO THE SOUTHWEST CORNER OF THE PARCEL Op LA.ND
DESCRIBED IN THE DEED FROM ARDEN A. ANDERSON, ET M To THE plNg CREEK
CEMETERY DISTRICT, DATED FEBRUARY 20,1948 AND RECORDED FEBRUARy 24.194g, IN
BOOK 450, PAGE 23, OFFICIAL RECORDS; THENCE NORTH AND PARALLEL TO THE SAID
NORTH AND SOUTH CENTMJNE, 255.5 FEET TO THE POINT OF BEGINNING. .
'EXCEPTING THEREFROM THE PARCEL OF LAND DESCaMED IN THE DEED pROM W.
rskoyus-. ET AL. 'm THE COUNTY OF BUrM, DATED MAY 299 1976 AND WORDM YUNE
27,1976, IN BOOK 16 OF DEEDS, PAGE 436, BUrM COUNTY RECORDS,
ALSO EXCEPTING THEREFROM THE PARCEL OF LAND DESCRIBED IN THE DEED FROM
JOHN MOORE, ET AL, TO THE COUNTY OF BUTTE, DATED APRIL 23,1974 AND RECORDED
MAY 4,1874, IN BOOX 14 OF DEEDS, PAGE 500, BUTTE COUNTY RECORDS.
APN 047-060-046-000 (PORTION)
PARCEL 11
BEING A PORTION OF - THE -SOUTHWEST QUARTER OF SECTION 9, TOWNSHIP 23 NOR. M -
RANGE I WEST, M.D.B. & M., MORE PARTICULARLY DESCRIBED AS FOLLOWS:
A S71LIP OF LAND 16.00 FM IN WZYM, JYING SOUTHERLY OF, ADJACENT To AND
PARALLEL WITH THE FOLLOWING DESCRIBED LINE:
BEGINNING AT THE SOUTHEASTERLY CORNER OF THAT CERTAIN PARCEL OF LAND AS
DESCRIBED IN THAT CERTAIN DEED RECORDED IN BOOK Sol, PAGE 449, OFRCIAL
RECORDS; THENCE SOUTH 89* 48' 00" WEST ALONG THE SOUTHERLY LWE OF SAID
Ff mark, W -N �flmlfllolfl
P&RrFT nP I AWn. A nISTANCT. OF 1270.30 FV1.7 TO 41POIRMT. 34&M lxPQWr J;MG NORTH
99* 48'00"EAST A DISTANCE OF 30.00 FEET FROM THE SOUTHWESTERLY CORNER OF SAID
PARCEL OF'LAND AND THE TERMINUS OF SAID LINE.
APN 047-060-046-000 MMAADMER)
PARCEL III:
....BEING A PORnON OF_MfE. SOUTH-WEST QUARTER OF. SECTION 9, TOWNSVIP. 23 NOR490
RANGE I WEST, M.D.B. &M., MORE PARTICULARLY DESCRIBED AS. FOLLOWS:
A NON-EXCLUSIVE EASEMENT 30FM IN WII)TH FOR ROADWAY PUIURQSES, ALONG WrM.
THE RIGHT OF USE AND MAINTMANCE FOR SAID PURPOSES. LYINQ WESI-ERLY OF AND
ADJACENT TO THE FOLLOWING DESCRIBED LINE:
BEOWNING AT THE NOWINFAM' CORNER Uji PAIUAtL. I AN NAW FARL&L lb ljbbL;KLblW
IN THAT CERTAIN MEMORANDUM OF LEASE RECORDED IN BOOK 1344, PAGE 567,
OFFICIAL RECORDS, SAID POINT ALSO BEING ON THE CENTERLINE OF BROYLES ROAD;
THENCE SOUTH 000 03'.00" WEST AL074G THE EAS71MLY LINE OF SAID PARCEL I A.- -
DISTANCE OF,693.80 FEET; THENCE CONTINUING ALONG SAM EASTERLY LINE OF SAID
PARCEL 1, SOUTH 00* 00'37" WEST, A DISTANCE OF 60.00 FM TO THE TERMIWS OF SAID
EASEMENT.
t.A.D. J.M.D.
t - I
When recorded return to:
County of Butte
Department of
Development Services
Building Division
7 County Center Drive
Oroville, CA 95965-3397
Space above for Recorder's Use
(rev.5/04)
Owner Name: Jeanne Ducian
Building Permit No: 05-0338 (pool house)
DEED RESTRICTION AND
NOTICE OF LIMITED USE FACILITY
WHEREAS, on this 6th day of _June , 2005, Jeanne Dugan
I
hereinafter referred to as owner(s), is the record owner of the following real property:
6281 Broyles Road. Chico, CA 95973 and Assessors Parcel Number 047-060-
046
and as further set forth in Exhibit "A" attached
hereto and hereby incorporated by reference, hereinafter referred to as "the subject
property"; and
11. WHEREAS, the Building Division of the Butte County Department of
Development Services is acting on behalf of the People of Butte County; and
Ill. WHEREAS, the owner applied to the Building Division for a building
permit in order to develop the subject property described above; and
IV. WHEREAS, Building Permit No. 05-0338 was applied for on
February 9, 2005 by the owner in accordance with the provisions of the Butte County
Code and the California Building Code; and
V. WHEREAS, the use allowed by Building Permit No. 05-0338 has
been reviewed and approved for only the limited purposes set forth below;
and
VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited
Use Facility shall constitute an enforceable restriction and
remain in effect until a
change in use or character of use has been approved by the Butte County Building
Official or a change in law has occurred, either of which change allows the uses
otherwise restricted herein to be conducted on the real property described herein.
Under either circumstance allowing such change in use, Owner shall be entitled to have
this Deed Restriction and Notice of Limited Use Facility rescinded by the execution of a
subsequent document entitled Rescission of Deed Restriction and Notice of Limited
Use Facility by the Director of'Development Services; and
V11. WHEREAS, Owner acknowledges that Owner will comply with the limited
use restrictions that were incorporated in reviewing and approving Building Permit No.
05-0338 - which enabled Owner to undertake the limited use authorized by this permit.,
NOW, THEREFORE, with the issuance of Building Permit No. 05-0338 to
Owner by Butte County, Owner hereby affirms Owners desire to develop a limited use
facility, as set forth below, which establishes restrictions on the use and enjoyment of
this limited use facility. The undersigned Owner, for himself/herself and for his/her
heirs, assigns, and successors in interest, acknowledges and agrees to those
restrictions.
This limited use facility shall be utilized in compliance with those limitations
prescribed by the California Building Code occupancy classification assigned by the
building official, except the following uses are not allowed: no sleeping or cooking.
Additionally this pool house will not be heated or cooled.
If any provision of these restrictions is held to be invalid or for any reason
becomes unenforceable, no other provision shall be thereby affected or impaired.
This deed restriction and notice of limited use facility shall remain in full force
and effect during the period that this permit, or any modification or amendment thereof,
remains effective, and during the period that the development authorized by this permit,
or any modification of this development, remains in existence in or upon any part of,
and thereby confers benefit upon, the subject property described herein, and to that
extent, this deed restriction and notice of limited use facility is hereby acknowledged
and agreed to by Owner to restrict the use and enjoyment of this limited use facility and
shall be binding on Owner and all his/her assigns or successors in interest.
Yvonne Cvl—sto'�
Director, '%0
Owner agrees to record this Deed Restriction and Notice of Limited Use Facility
in the Recorders Office for the County of Butte as soon as possible after the date of
execution. This document shall be recorded and returned to the Butte County
Department of Development Services, Building Division prior to t he issuance of Building
Permit No. 05-0338
DATE:
Owner Signature:
Owner Signature:
Yvonne o,her
Director, D S MAP/
20
Print or Type Name of Above
Print or Type Name of Above
I
NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing
on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat
(acknowledgment) as explained in your Notary Public Law Book.
STATE OF CALIFORNIA
COUNTY OF BUTTE
Fort
Public, personally appeared
before me,
SS.
, Notary
, personally known to me
(or proved to me on the basis of satisfactory evidence) to be the person(s) whose
name(s) is/are subscribed to the within instrument and acknowledged to me that
he/she/they executed the same in his/her/their authorized capacity(ies), and that by
his/her/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.
Signature
STATE OF CALIFORNIA
COUNTY OF BUTTE
On
Public, personally appeared
before me,
SS.
(Seal)
, Notary
, personally known to me
(or proved to me on the basis of satisfactory evidence) to be the person(s) whose
name(s) is/are subscribed to the within instrument and acknowledged to me that
he/she/they executed the same in his/her/their authorized capacity(ies), and that by
his/her/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.
Signature
(Seal)
Yvonne Ch * to h
Director, DS
This is to certify that the Deed Restriction set forth above is hereby
acknowledged by the Director of the Department of Development Services and that
Butte County consents to its recordation thereof. i I
Depa
STATE OF CALIFORNIA
SS.
COUNTY OF BUTTE
on JLwe 4-1 before me,
Public, personally appeared Y—V 0 to " e
I risjobher, Director
t Development Services
Notary
personally known to me
(eF pr-eved be the persorWwhose
name�o is/am subscribed to the within instrument and acknowledged to me that
belshe/they-executed the same in bWherfteirauthorized capacity(L-W, and that by
hWher/tbeirsignature*on the instrument the person.(9-y, or the entity upon behalf of
which the person*acted, executed the instrument.
WITNESS my hand and official seal.
Son ture N1-
--4 - -
9�06' MMMCMMM I
COMMMdon 1567031
Notwy P#Aft COMWja
bift CM*
MV CMM ftkft AM 6
M wwwwo - -
(Seal)
FROM :DUGANS LANDSCAPE
EVWBIT 'A
Attachment to Deed of Trust
Dated: March 12, 2003
Loan No.3733955
Sean A. and Jeanne M. Dugan
Page 1 of 2
PARCEL 1:
FAX NO. :530893454B Jun. 02 2005 06:42AM P2
1.
XHIBIT %% A is
A POR71ON OF THE SOUTHWEST QUARTER OF SEC77ON 9, TOWNSHIP 23 NORTH, RANGE
I WEST, M.D.B. & M.. MORE PAR71CULARLY DESCRIBED AS FOLLOWS."
BEGTNWNry AT A POTNT ON THE EAST AND WEST CENIMJ[bM OF SAM SECTION 9 M -OM
WHICH POINT THE CENTER CORNER BEARS NORTH 99* 46' EAST A DISTANCE OF 10.6
FEET; THENCE CONTINUING ALONG SAID CENTERLINE AND TIM CEN7M Or, A COUNTY
ROAD. SOUTH 89q..46? WEST, .1299.1 FFJF-T- TO A POINT,-- THENCE SOUTH 00 03' WEST, 6918
FEET ALONG A FENCE LINE TO A CORNER POST; THENCE NORTH 89* 48'EAST, 1300.3 FEET
TO, A FENCE CORNER ON THE NORTH AND SOUTH CENTERLINE OF SAID SECTION 9,
THENCE ALONG LAST MEN71ONED LINE, NORTH 439.0 FEET TO A FENCE CORNER; THENCE
SOUTH 999 46' WEST, 10.6 FEET TO THE SOUTHWEST CORNER OF THE PARCEL OF LAND
DESCRIBED IN THE DEED FROM ARDEN A. ANDERSON, ET UX, TO THE PM CREM
CEMETERY DISTRICT, DATED FEBRUARY 20,1948 AND RECORDED FEBRUARY 24, 1949, IN
BOOK 450, PAGE 23, OFFICL4,L RECORDS; THENCE NORTH AND PARALLEL TO THE SAID
NORTH AND SOUTH CEN7MJNE, 255.5 FEET 7-0 THE POINT OF BEGINNING. -
'EXCEPTING THEREFROM THE PARCEL OF LAND DESCRIBED IN THE DEED FROM W.
bRUYUS. ET AL,'TCP THE COMM OF BUrM, DATED MAY 29,1976 AND RECORDM Am
27,1976, IN BOOK 16 OF DEEDS, PAGE 436, BUTTE COUNTY RECORDS.
ALSO EXCEPTING'INEREFROM TH E PARCEL OF LAND DESCRIBED IN THE DEED FROM
jOHN MOORE, ET AL, To THE COUNTY OF BUTTE, DATED APRIL 23,1914 AND RECORDED
MAY 4,1874, IN BOOX 14 Of DEEDS, PAGE 500, BUTTE COUNTY RECORDS.
APN 047-060-04&000 (PORTION)
BE . ING A pORTION OF - TIM -SoUnIWEST QUARTER OF SECTION 9, TOWNSHIP 23 NORM -
RANGE I WEST, M.D.B. & M., MORE PARTICULARLY DESCRIBED AS FOLLOWS:
A STRIP OF LAND 16.00 FWr IN WWW. LYING SOUTHERLY OF, ADJACENT TO AND
PARALLEL WITH THE FOLLOWING DESCRIBED LINE:
BEGINNING AT THE SOUTHEASTERLY CORNER OF THAT CERTAIN PARCEL OF LAND AS
DESCRIBED IN THAT CERTAIN DEED RECORDED IN BOOK SOI, PAGE 449, OFFICIAL
RECORDS; THENCE SOUTH 89* 49' 00' WEST ALONG THE SOUTHERLY LINE OF SAID
I OFZ
I
p &R rFt nip I A Nn. A I)ISTAN(T.. OF 1270.30 IFEET TO A PORS S&W FQM JAING NORTH
890 48'00"EASTA DISTANCE OF 30.00 FEETFROMTHE SOUTHWESTERLY CORNEROF SAID
PARCEL OF LAND AND THE UYJvENUS OF SAID LINE.
APN 047-060-04"00 (R.EMAINDER)
PARCEL M-,
m.xm-g. 80Lr M..WEST.QUARTER OF. SECTION 9, TOWNSW- 23 NORMl-
....BEING A PORTION
RANGE I WESTF M.D.B. & M., MORE PARTI[CULARLY DESCRIBED AS. FOLLOWS:
ANON-EXCLUSIVEEASEMENT30FEE1 IN WZVrH FOR ROADWAY PURPOSES, ALONG Wrm.
THE RIGHT OF USE AND blADMENANCE FOR SAID PURPOSES. LYING WESTERLY OF AND
ADJACENT TO THE FOLLOWING DESCRIBED LINE:
BEGINNING AT IM NOW17HE"l* CORNER Of PAKt�bL. I AN bAlU FAXUk-L lb VftbL;KWZ"
IN THAT CERTAIN MEMORANDUM OF LEASE RECORDED IN BOOK IS44, PAGE S67,
OFFICIAL RECORDS, SAID POI!NT ALSO BEING ON THE CENTERLINE OF BROYLES ROAD;
THENCE SOUT71 000 03'.00" WEST ALONG THE EASTERLY LINE OF SAID PARCEL I A...
DISTANCE OF,693.90 FEET; THENCE CON71NUING ALONG SAID EASTERLY LINE OF SAID
PARCEL 1, SOUTH 000 00'37" WEST, A DISTANCE OF 60-00 FM TO THE TERMINUS OF SAM
EASEMENT.
t.A.D. J.M.D.
2 OFZ
N 0 T E S
-th
C2,4
Butte County Department of Development Services -
o n
7 County Center Drive, Oroville, CA 95965
(530) 538-7601 vAvw.buttec u. tyn(ZVq0s
R E S I D E N T I A L
AP N: Permit No.
047-060-046
Owner DUGAK JEANINE
Site Address: 6281 BROYLES RD, CHICO
Cont: GREENE ROOFING
Contractor ADDMON-LIV
i it Type of Permit—
�4
r
05-3046
c5 - 03-3 Y
OFFICE COPY
Address
GAS
Meter By
ELECTRIC
Meter By Date
I—
SPECIAL CONDITIONS CHECKED BY
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
A
DATE JOB FINALED:
SIGNATURE:
OFF HWV cH dO(zT74
OF Het -FUR -
, = OK
0 = Not OK
RESIDENTIAL (Single & Duplex) I
DATE I U N DfiR F L 0 0 R k, . I DATE IP L U MZI N G_ . . I
Aero -Setbacks-Easements-Flood SI
F16 Dpth
Ftg Garage; Soils -Steel-Elec Grnd Ftg Dpth.
' 04'Ptg Main; Soils-Elec Grnd
2
-4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
L'&�mwalls Main; Steel-Blockouts-Wrapped
lj�.�nwalls Garage; Steel-Blockouts-Wrapped
0,jIbld Downs and Special Anchrs
Nlab7
, St�e�erappecl LAYL�
-8 Pie5,-Flplc Ftg-Steel
JJAIV; Fall-Fitting-Test-2-Waf�10-Sewer Test
.10 UF, Gas Pipe; Sz Anchrs-Sz Test
Ij Wtr Pipe; Test-Anchrs-Rgitr-Service Test
12 Elec Undrgmd
13 Plenums & Ducts-, Cirnc-Material-Support-Insultn
14 Girders -Sills-Anchr B oltsJ oists-Vnts -Cripples
15 Acc, & Vntltn
16. Insulation
DATE IF R A -M I blG
41('
J�r
WaS
oper Materials & Anchrs
FsS uds-Nalling Spacing & Braces -Plates -Sound
e n
��g Walls over Girders & fir Nailing
raft St,
raft Stop in Walls, (rat proof)
21 FlipeItops. Furred Cei Ii ngs-Stairs-Chasers -Tubs
_32-'6S,ade'rs',& Beams-Sz & Bearing
er;-Post Caps-Anchrs-Cnnctns
=01 95_�Is
ei, Joist-Rftr Ties -Purlin-Roof Brac-Truss-Shthg
2S,Frp�les or Type A Flue-Frplc Throat CImc
2 5'1e�ffi c; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
=drm Wndws or Exiting Doors -Sill Ht & Dimensions
2 -
.28 Garage Fire Prtctn Framing -RC Channel
29 Prp Line Firewall & Opngs
30'61: Doois--One T -Check Garage 3rd Story, 2 Exits
i31 Stai , idth-Hdrm-Rise-Run-Landing-Fire Prtctn
�ywd on Roof Ovrhng-AfficVnts-Rftr Outrgrs
33 Sidi5@114' ailing Veneer
34 Pdbjc
'9�th-Weep Screed+ndtn� Vnts-Undrfir Acc
3VGWjnqArea_GI ss Prtctn-SkyLts-Plastic
3* -fl Walls. ailing -Bolts
xt Wall pnls
ce 15;�
t 3 sultn-Walls-Ceilings
39 Infiltration-Walls-Wndws
041"
DATE E L E_o-_rx'i C A L
40'W& Trnsfrmr Clmc4ns Prtctn
41,-flec RcptqIs Spacing-Lts & Switches at Doors
42 Sz Bo)�ei!�'No Of Cndctrs Stapled
43 R e nstalled Close to Edge of Studs& CJ
Grnd made up w/Mech Fstnrs
4. rndng Electrode Bond Gas & Wtr
46 2 Appinc Circs in Ktchn & Cndctr Sz GFI
47 Subfeed Wire Sz ga CU or DAL
AC Wire Sz 98 CU or [::] AL
48 Range Circ ". [:] CU 0, MAL
Oven Circ qaD CU or EJAL
lnsula.�teduir�I_EJYes D No:"
ut
Cndctrs & Grnd Main Dsr-nnct
49 S -Ri�.. I
5 ! 0 E ncs pnis-Motors-Mech Eqp
hes Closet U-Shwr U -Spa U
5 moke Detector
tr Ht e ent-Acc-Cmbstn Air Baffle
54 W ipe Test & Anchr-Nail Prtctn
T T.
st Fittings & Anchr Nail Prtctn
15fr'Shwr3An_,_`Test, First flr-Tub Acc,
57 ��ub & Shwr, 2nd flr - Tub.Acc
Zoonas e; Sz & Anchrs
p,,Fr
!e Sprinkler; Test
1lo"ard Gas Piping
UAlt IM E ANICAL
frT ��Lucts Insultn & Support
612'Vpt-Fan, Exhaust abv Insultri
6
.�_donclensate Drain & Ovrflw, Sz & Grade
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Acc & Pltfrm if Furnace in attic
------- 41
F I N
& SideLt Prtctn-Landings
_6T Smoke Detector
68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr
rage; abv-flr-Ducts-Mech Prtctn
68'11ettr6om Exiting
0 Bath xtrs & Tub Acc-Spa
GFIAr-c Fault
72*flec Trim & SubpnI, Breaker Sis & Labels
73 Stairs, Guard[Handrails
74 Frplc or Stove, Clmc-Hearth
_7Z��e Outlets at Wood Pnl, Int & Ext
Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc
--77"Elec Outlets & Rcptcls at Ktchn Counter
7.8 Garage Fire Door; Swing-Lancling-Closure
_79_6P�Buct in Garage -Damper
.,8trWtr Htr; Vnts-Cimc-Com Air Cnnctr-PRV; abv fir
Mech Prtctn; LPG AppInce Undr House 3" drain
81 Plmb; Elec & Mech Eqp Listed for Loctn
__82 Elec. Rcptcls in Garage (GFI) Romex Ortctn
83 Insultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 CIrnc Drnge Planters ElYes DNo
87 SturcTBrown-Finish
AC -Unit Dscnnct, Elec-Plmb
eg Vnts abv Roof, Plmb-AppInc-Frplc-CImc to Opngs
tr Well, Dscnnc% Elec, PImb
P-EIT'ffilec. Trim, GFI Rcptci-Undrgrnd
P',V-5fUn-thru House
.�,G�Ias, ctn
C Correctic,
orrections from previous lnspctns
s est -Meters Tagged, Gas-Elec
ewer Cnnctd-C10 to grade -HD ApprvI
OTE
��Cmpinc Cert -Mer Certs
91rAddress Posted
99 Fire Sprinkler
, = OK
0 = Not OK
.MA�UFACTURED HOMES
M I S C E L L A N E 0 U S
DATE PERMANENT FOUNDATION " SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fall/C/0-Concrete
4 Wtr; Loctn-Test-Eatement Needed-Re�ulator
5 Elec Loctn-Cirncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-T6st-Wrap Nat L_j or LP[:)
Inch Sz — Ft Lngth
7 BIckng; Sz-Spacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Cirncs
10 Drain; MH Test -Fall -Flex Cnnctr
I I Wtr & Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs Foundation
14 Exits
15 Cert of Occupancy
16 HUD Labellinsignia Numbers Serial Numbers
DATE IDECKS-COVERS*CARPORTS*GARAGES
I Zoning -Setbacks -Easements
2 Ftgs; Soils-Sz-Dpth-Spacing-Cnnctrs-SteeI
3 Decks. Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg
Frmg-Brcng
5 Alum Awn; Columns-Cnnctns-Splice-Decal-Encisrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Si I Is -Anchrs-Stu ds -Rftrs -Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors-Lan d! ngs
12 Braced Wall prils
DATE IPOOLS
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel -C nnctns -Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; IS volts-GFI
6 Elec EncIsrs; Conduit Entrles-Terminals-Listed
7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr
8 Elec Grndng; Eqp w/5'Crcltng Eqp-Pool Ightg
Bokes-EncIsrs-pniboards-Insultn to Main Conduit
9 Health Dept ApprvI
10 PImb; Cir Test-Wtr Supply Test
I I Lt Niche
12 Encisr; Fencing -Alarms
13 Bonding, Diving board or Slide
4�
Pool Drawing
, 1 ; ; .. : � - : ; ; , , ; : 4 : I I I t
COUNTYOFBUTTE,
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive - Oroville, CA e (530) 538-7541
CORRECTION NOTICE
(:5WNVR PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at -
the above address and should be corrected. Please call for re -inspection when corre�tion of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
. r,
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
A.W
Date In6pecto
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
APPLIED TESTING CONSULTANTS -
MATERIALS TESTrNG, ENGMEERING AND INSPECTION
REPORT OF PROOF LOAD
TESTING OF EPO XY-GROUTED ANCHORS
DATE: 10-9-06
CLIENT: Egan Construction Inc.
702 Mangrove Ave. # 315
Chico, CA 95926
Anchor Dia.: 5/8"
Anchor type: Threaded Rod
PROJECT: , Dugan Residence
6281 Broyles Road
Placement: Drilled epoxied threaded rod anchor into existing foundation.
DESCRIPTION OF WORK:
Arrived at job at I 100 hours. To provide proof load testing of epoxy -grouted seismic anchors at
the following locations: 2- S5TB 16 anchor bolts (�/8") at South basement entry wall per Braced
Wall schedule note AB on sheet S3 of approved drawings.
A total of 2 anchors were tested to 2800 lbs in tension per detail engineers direction. Test loads
were applied using a hollow core hydraulic ram. A steel bridge was used to distribute the reactive
load away from the potential failure zone. No failures were noted.
Probldms/Discrepancies:
Brad Fersythe
Inspector
C-038692 Exp. 3/31/07
Staff Engineer
3060 Thorntree Drive, Suite 10 e Chico, CA 95973 e Telephone: (530) 891-6625 9 Facsimile: (530) 891-4243
Loerke Insulation Co., Inc.
insulation Certificate
Bq;�'A� Qz� G" I C-C�)
W�v Stmet City
Comity Subdivision Lot Numb=
Description of Installation
ROOF
Material Brand Name
Thickness (inches) Thermal Resistance (R -Value)
CEILING
Batt or Blanket Type Fiber -glass Batts Brand Name Johns Manville
Thickness (inches) — Thermal Resistance (R. -Value)
Loose Fill Type Fiber -glass Brand Name Johns Manville
Contractors minimum installed weighVttz .6 % G lb Minimum thickness IS. -4S inches
Manufacturer's installed weight per square foot to acF Fieve Thermal Resistance (R -Value) --Ff�
EXTERIOR WALL
Material Fibe m -lass Batts Brand Name Johns Manville
Thickness (inches) Thermal Resistance (R -Value)
RAISED FLOOR
Material Fiber -glass Batts Brand Name Johns Manville
TNckness (inches) Thermal Resistance (R -Value)
SLAB FLOORIPERIK4ETER
M'ateriW' Brand, Name
Thickness (inches) Thermal Resistance (R -Value)
Width (inches)
FOUNDATION WALL
Material Brand Name
Thickness (inches) Thermal Resistance (R -Value)
Declaration
I hereby certify that the above insulaWn was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Administrative Code.
Item Vs Siq&ture, Date
Item Vs Signature, Date
Item WS Signature, Date
Loerke Insulation Co., Inc
Installing Subcontirador (Co. Name) or
General Contractor (Co. Name) or Owner
Installing Subembador (Co. Name) or
General Contractor (Co. Name) or Owner
Instaging Subcontractor (Co. Name) or
General Contractor (Co. Name) or Owner
0999-L69 OES Z810 OP941V d9C:ZL LO 9Z qe=l
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 2) CF -4R
Project kddress I Broyles Rd. I
Duct Pressurization Test Res�fis @ 25 Pa)
Builder / Installer
6281 Broyles Rd. / Chico / CA / 95973
I
Lugenbeel Mechanical Services
Builder / Installer Contact
Telephone
Plan Number / Permit Number
Paul Lugenbeel
5303436966
Broyles Rd.
HERS Rater
Telephone
Sample Group Number
Mike Croman - CJHJEJEJRJS@ ED #CCNMC630582
5308922125
0
Compliance Method (Prescriptive)
6 Enter Reduction in Leakage for Altered Duct System [ Line #4 Minus Line #5] (Only, if Applicable).
Climate Zone 11
Certifyin
Date
Sample House Number
Pass if Leakage Percentage < 15% [ 100 x [ Line #5 / Line #2
53046
Firm
Pass if Leakage to Outside Percentage < 10% [ I OTx [ Line #7 / Line #2 ] ]
HERS Provider
Comfort Air & Electric
I I
CJHJEJEJRJS@
Address
0 Pass 0 Fail
City/State/Zip
14286 State Hwy 99 N.
Chico /CA /95973
Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
This house was: V Tested
As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic
tested compliance requirements as checked on this form. The HERS rater musft check and verify that the new distribution system is fully ducted and
correct tape is used before a CF4R may be released on every tm'te� b�ilding:fie4RS rater must not release the CF4R until a properly completed
and signed CF -6R has been received for the sample and'idsteibuillngs.
The installer has provided a copy of CF -6R (Installation Ceriificate)'.'!��
v1 New Ducts are fully dueled (i.e., does not use building cavities as plenums ortplitf rretturas in lieu of ducts).
New ducts with cloth backed, rubber adhesive duct t�pe is installed, mastic and draw b2ds are–used in combination with cloth backed, rubber
adhesive duct tape to seal leaks at duct conoectioiis�. ' ' � ' . " � �!
1>
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Proceduresforfield verification and diagnostic testing of air distribution systems are available in RA CM, Appendix RC4.3.
Duct Diagnostic Leakage Testing Results
System # 1
NEW CONSTRUCTION:
—(CFM
Duct Pressurization Test Res�fis @ 25 Pa)
Measured Values
I
Enter Tested Leakage Flow in CFM
90.3
2
Fan Flow: Calculated (Nominal: / Cooling El Heating 0 Measured)
Enter Total Fan Flow in CFM:
2000
3
Pass if Leakage Percentage < 6% [ 100 x [ Line #1 / Line #2
4.5%
V Pass 0 Fail
ALTERATIONS: Duct System and/or RVAC Equipment Change -Out
4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct
System Alteration and/or Equipment Change -Out.
5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct
System Alteration and/or Equipment' Change -Out.
6 Enter Reduction in Leakage for Altered Duct System [ Line #4 Minus Line #5] (Only, if Applicable).
7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable).
8 Enter New Duct System - Pass if Leakage Percentage < 6% [ 100 x [ Line #5 / Line #2 0 Pass 0 Fail
TEST OR VERIFICATION STA ARDS: For Altered Duct System—and/or HVAC Equipment Change -Out
Use one of the following four Test or Verification Standards for Compliance
9
Pass if Leakage Percentage < 15% [ 100 x [ Line #5 / Line #2
0 Pass Q Fail
10
Pass if Leakage to Outside Percentage < 10% [ I OTx [ Line #7 / Line #2 ] ]
0 Pass C1 Fail
I I
Pass if Leakage Reduction Percentage > 60% [ 100 x [ Line #6 / Line #4 ] ] and Verification by Smoke
Test and Visual Inspection
0 Pass 0 Fail
12
—
Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection
0 Pass 0 Fail
Pass if One of Lines #9 through #12 Pass
i
10
—
Pass 0 Fail
Residential Compliance Forms Generated by CJHJEJEJRJS@ http://www.CHEERS.org December 2005
0
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 2 of 2) CF4R
Project Address I Broyles Rd. I
6281 Broyles Rd. / Chico / CA / 95973
Builder / Installer
Lugenbeel Mechanical Services
V THERMOSTATIC EXPANSION VALVE (117XV)
Procedures forfield verification of thermostatic expansion valves are available in RA CM, Appendix R1.
Sy4em # 1
--I—
V Yes El No
s
Acces is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on the system and
installation of the specific equipment shall be verified.
Yes is a pass Pass 0 Fail_
11
i
Residential Compliance Forms Generated by CJHJEJEJRJS@ http://www.CHEERS.org December 2005
1
INSTALLATION CERTEFICATE
Site Address
3 of 12) CF -6R
Permit Number
An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The
information provided on this form is required) After completion of final inspection, a copy must be provided to the building
department (upon request) and the building owner at occupancy, per Section 10-103(a).
t
RVAC SYSTEMS:
Heating Equipment
Equip Type
(pkg. heat pump)
CEC Certified Mfr.
Name and Model
Number
# of
Identical
Systems
Efficiency
(AFUE, etc.)
(;->CF-IRvalue)
Duct
Location
, etc.)
(avic
Duct or
Piping
R -value
Heating
Load
03ftft)
Heating
Capacity
(BMft)
C 2 0 5q
tl
13
477-, C
fi—,r�
111001093
Coofing Equipment
Equip Type
(pkg. heat pump)
CEC Certified Mfr.
Name and Model
Number
#of
Identical
Systems
Efficiency
(SEER or EER)
(2�CF-]Rvalue)
Duct
Location
(anic, etc.)
Duct
R -value
Cooling
Load
Cooling
Capacity
MhOr)
13
1. > symbol reads greater than or equal to what is indicated on the CF -IR value.
include both SEER and EER if compliance credit for high EER air conditioner is claimed.
1:111, the undersigned, verify that equipment listed above is: 1) is"the actual equipment installed, 2) equivalent to or
more efficient than that specified in the certificate of compliance (Form CF -IR) submitted for compliance with the
Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate
requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable.
Installing Subcontractor (Co. Name) OR General
Contractor (Co. Name) OR Owner t -,L) 6c pi c— Wr,
:Si:.ggnature- Date: - V-510- �K C --
'MR MW ADVITIr A 111 V'k UT rn W%1W
)pies to: BUILD DEP NT. ]WERS, RATFU I
ixestuen"at i—omptiance P orins April 2005
Z",
BUTTE COUNTY PERMIT NO.
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT BPO53046
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMITS BECOME NULL AND VOID I YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury, that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 03/10/2006 APN: 047-060-046-000
the Business and Professions Code, and my license is in full force and
effect.
License Class License Number:
Site Address:'6281 BROYLES RD CHI
Date: Contractor:
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: ADDITION (11112) COV (114)
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: DUGAN SEAN A & JEANNE M
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
6281 BROYLES RD'
the Contractor's State License Law (Chapter 9 commencing with Section
CHICO, CA
7000) of Division 3 of the Business and Professions Code) or that he or
95973-9206
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
0 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 (Sec. 7044, Bu - siness and Professions
Code: The Contractors' State License L�w does not apply to an
Applicant: DUGAN SEAN A & JEANNE M
owner of property who builds or improves thereon, and who does
6281 BROYLES RD
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
CHICO, CA
sale. If however, the building or improvements are sold within one
95973-9206
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor:
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
1 am Exempt under Article 3 of the Business and Professions Code
Date: 0- -0 (,Owner:,J�1_4�,a JbA w
License #:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declaration,':
L3 I 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.
Arch itect-:,,NOR L I E, THOMAS
El I have and will maintain workers' compensation insurance, as
Engineer'
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 1226 S.F.
Policy #:
Valuation: $74,104.00
I certify that in the performance of the work for which this permit.is
Census Code:
issued, I shall not employ any person in any manner so 'as to
become subject to the 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.
q0
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost, of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit i ereby i , ued'und the ppli ble provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending . agency for the
ResDiutio to do wo Jn6icated bove fo hich fees have been paid
performance of the work for which this permit is issued (Sec 3097 Civ.)
By:_ Date:
Name:
.
PERMIT EXPIRES ON: _/0
Address:
(DatO
0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the'California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials. -
C3 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
0 Attached are copies of the required E. P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: L'�,) C�n Signature:
Date::
/10 wrier EI Contractor 0 Agent for Owner EI Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED A T TIME OFAPPLICA TION
"PLEASE PRINT CLEARLY"
a
APPLICANT SIGNATURE
X Uo���
For officeAjsq only: . 1 4
OWNER
Last Name
-7�) Q (I �
irst Name
Address
city
city
C
State
'Statp-
C,4
4'-C, Q 7
Phone
lax
E-mail
i Date Approved:
Nov (C(. 2C
a
APPLICANT SIGNATURE
X Uo���
For officeAjsq only: . 1 4
CONTRACTOR
Name
-7�) Q (I �
Address
Yes
city
occ.
State
Zip
EPhonZe
L(
Fax
E-mail
i Date Approved:
Nov (C(. 2C
u1c. #
Class
a
APPLICANT SIGNATURE
X Uo���
For officeAjsq only: . 1 4
ARCHITECTIENGINEER
Name
-7�) Q (I �
Add ress
Yes
City
occ.
State C'A
Subdivision Name
10 F_�� — P 1
Phone
L(
Fax
E-mail
i Date Approved:
Nov (C(. 2C
State License Number
a
APPLICANT SIGNATURE
X Uo���
For officeAjsq only: . 1 4
APPLICANT NAME
Nam �j le 111�ro_cve
I �,
Address
Yes
City C
occ.
The Const.
Subdivision Name
10 F_�� — P 1
Phone'c6 0,
L(
lax Lf
E-mail C
i Date Approved:
Nov (C(. 2C
a
APPLICANT SIGNATURE
X Uo���
For officeAjsq only: . 1 4
Zoning
Flood Zone
I �,
SRA
Yes
Policy Number
occ.
The Const.
Subdivision Name
10 F_�� — P 1
Map Book
Z71s-s _tz__7
I Page
h)
Lot #
Planner cl //
'a Z!
cli�s P _T
C49
i Date Approved:
Nov (C(. 2C
OVER FOR 80BMITTAL REQUIREMENTS
PERMIT
NO.
CS
BP
Be
LOCATION
AP#. tz'o — 0
Property Addr rIP71
I �Ss
city
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a cerdricate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
–Addre s
Description S k
Xopj of Work:
Aj"�
I I , Id
Sq. Footage
0 Structure Built without Permits
0 Proposed Change of Occupancy
(Note previous use):
K:TORMSMILDING FORMS\BldgAppISubRqmts.doc Page 1 of 2
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new appfication, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount: & C� Bldg
SRA
R ceipt M Sheriff
SMIP
Date: 10 o Other
I Total
REV 6-16-04
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building'Division in order to apply
for a permit.' INCOMPLETE SUBMITTALS 07LL NOT BEACCEPTED. ALLPLANSMUSTBE
LEGIBLE AAD IN INK.
Residential, New, Remodels, Additions, and Accessory Structures:
1.
3 Site Plans, signed by the preparer. No GRAPH PAPER!
0
2.
3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER!
OR
3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped andsigned
calculations.
El
3.
2 Engineered truss details and layouts (if required) (NO FAXES!).
Ei
4.
Letter from Engineer or Architect for truss design review.
0
5.
2 Energy compliance design and supporting documentation. (Note: Not requiredfor additions to
mobile or modular homes.)
o
6.
2 Flood Elevation Certificate, wet -stamped and signed (if required).
o
7.
Detached Accessory Building Form, filled out by the property owner (if required).
0
8.
Sanitation and site plan approval from the Environmental Health Department.
o
9.
Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and cales in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these 'must be stamped and wet -signed by the engineer.
Mobile,
Manufactured, or Modular Homes:
*
I .
3 Site Plans, signed by the preparer. NO GRAPHPAPER!
*
2.
2 Data sheets and installation instruction manual.
* 3. 2 Marriage line information.
* - 4. 2 Floor plans.
* 5. 2 Engineered Tie Downs or Foundation plans.
* 6. Sanitation and site plan approval from the Environmental Health Department.
* 7. 2 Flood'Elevatioh Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
D 1. . 4 Site Plans, signed by the preparer. NO GRAPH PAPER!
0 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
o 3. - 2 Engineered truss details and layouts (if required) (NO FAXES!).
o 4. Letter from Engineer or Architect for truss design review.
0 5. 2 Energy compliance design and supporting documentation (if required).
o 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
* 7. Statement of Intent for Non -heated and A/C (if required).
* 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet-sig!jed by the engineer.
cl 9. Letter of intent.
o 10. Hazardous Material Form.
0 11. -Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Pen -nit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSMILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 REV 6-16-04
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA.95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OVINER: ASSESSOR PARCEL NUMBER (A-1 64J�
aay\
Proposed Building Use: Permit Technician: Date:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order topply.
4�- 1 . Site plans, 3 or 4 sets, signed by the preparer of the plans.
55? 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
5-P 4. Engineered truss details and layouts in duplicate. No faxesl
5. Letter from Engineer or Architect for truss design review.
6. Energy compliance design and supporting documentation in duplicate.
7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
C1 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
0 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the enginee .
0 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
El 11. Hazardous Material Form
�D 12. Acknowledgement of building permit application without required clearances.
0 13. Other
/Z
0 R ining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
14. San ' itation and site plan approval from the Environmental Health Department in 0 Chico 0 Oroville, as applicable
0 15. Fire Sprinklers ............................................................................................
0 16. Agricultural Buffer cIr and site plan apr from the Ag Commissioner Sent by-..
0 17. Soils Report and/or Engineered Foundation required ....................................
0 18 Erosion Control Plan Required .........................................................
AJ 19*. Fees as shown on the attached Schedule of Fees Due Sheet .............................
0 20. City of Chico Plumbing permit ..........................................................
0 21. Site plan and business license approval from the City of Biggs ..............................
0 22. California Department of Forestry plan approval 0 paid. Sent by: . ..... .....
23. Planning approval for (A) Use: 4�k_- (B) Parking: _(C) Parcel Check:1 ...... 4M, 11
0 24. Contact Land Development about - Improvements, - Drainage ..........................
0 25. Fire Marshall Review (commercial projects only). Sent by: . ...................... .
::§ 26. NPDES Form ................................................................. ** ..... * ...... * ........ -
0 27. Encroachment Permit for driveway from the Public Works Dept ...........................
0 28. Contractor's license information. (Number, Name Style, Classification) ...................
0 .29. Worker's Compensation Carrier and Policy Number ..........................................
0 30. Owner -Builder Verification (_ Given to owner, -Mailed to owner) .....................
0 31. Letter of Signature authorization ....................................................................
El 32. Recorded copy of Agricultural Acknowledgment Statement .................................
0 33. Existing violations and/or expired permits ................................................. ** ......
11 34. Deed Restriction ................................................................................. ...
0 35. 0 Legal description, 0 M.H. Title, title search, registration or MCO .........................
11 36. Other:
0 37. Other:
15r� o - 9 3 9
When issued Telephone and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: '�� Alp -A & �, Q 1�� C C-�, _V/ Date: h -(O -os
1. Index permit applicati.on for the ve itevmYered: Plan Check Letter
2. Additional it eauireA M .
":mser ta byi� oo
Contractor,de ign owner, asad i edb(theaboveda phone, 0 mail, 0 counter, by ILK Date:
Contractor, designe , wn , was advised of the above data by 0 phone, 0 mail, 0 counter, by - Date:
Contractor, designer, owqer, wps advised of the above data by 0 phone, 0 mail, 0 counter, by Date:
Plans reviewed by: I 1127- � 0 In _J)are'_'ff Plans approved by: Date: A15 0c;
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140
SCHEDULE OF RECEIPT OF FEES
Website: www.buftecounty.net/dds
OWNER
PROP ED BUILDING U
1. BUILDING PERMIT FEES
-- Balance Due ..................... $
--- FEMA Flood elevation review ... $
Additional plan checking Fee .... $
SCHOOL DISTRICT FEES
A
(paid at School District Office) (form available after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
t
4. RECREATION DISTRICT FEESCAT_�
(paid at Recreation District Office) (form available after Plan Check)
5. RESIDENTIAL DEVELOPMENT IMPACT FEES
COUNTY WIDE (per dwelling) $
CHICO URBAN AREA (per dwelling) $
EL MEDIO FIRE DISTRICT (per dwelling) $
NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning
6. SRA FIRE INSPECTION AND PLAN CHECK FEE
$204.98 (paid at Building Division)
A.P. # 6 _)_�
,I - OL<'- 64(,,o
DATE kc,� G -q:-5
RECEIPT #
40bo
7. WATER TENDER FEES BATTALION #
$200.00 (paid at Buildi Division)
SMEP. � T] 4
9. DRAINAGE FEE
10. OTHER
11. OTHER
DATE REC,
In /
'71
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan checking process.
I — I
APPLICANT
DATE ( I — ( C>— 0 5
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05)
BUTTE COUNTY SCHOOLS IMPACT.FEE CERTIFICATION FORM
(One form per Building)
. 1____P
School District Building Department No. 0�>o
A.P. NumberOq7-060-0(/6 Jurisdiction: city _JCounty
Property Owner -2 v 4 . - .
Property Location/Address AD - ef-H
Subdivision Lot No.
...................................
%Cd6tial Development Et :Sq. Footage 02L
No of Living Mobile Home Addition/ *Supplemental to (Group. R)
Units Installation Conversion Permit #
.(No n
......................................
!?��j?��?_Vqw
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document).
.Commercial/Industdal Sq. Footage / ( � 1 �2_
Ne (including Exterior
Roofed Areas)
Building Department Representative Date
District Identification No.
wa�rj
(0 0 14 (0 -5
School District certifies that
R-) r o U � e s A R -J ..
(Street Address)
TC 0 r\ I) (L 6 U I 6� /-)
(Applicant)
(Phone
0,1k 1"C_0 C��A
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. 9_01;� - 6 1 by payment of $ ;� LTJ�1, 0 - S �
representing / / /,P- , square feet.
Paid by Check # Remarks:
�AB 2926 $
�FULL MITIGATION $
Da
lm.qV :)t7101o(b
Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In coh*iance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a Iftnely 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 Suite County Schools Irnpact Fee Certification Forrn, the School District is
1 1-1
notified by the applicable Local Planning Age_ncy that this project Is being rrviewed under -the California Environnuntal Guality Act (CEQA),
A
this project may be subject to additional school fan to fully mitigate Itii I"Wed on the school district's schools.
White (school district), Yellow (building department),,Pink (applicant) laeforni-XIS (3(05*m
BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM
0 FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD)
XCHIC , 0 AREA RECREATION AND PARK DISTRICT (CARD)
0 PARADISE RECREATION AND PARK DISTRICT (PRPD)
0 DURHAM RECREATION AND PARK DISTRICT (DR.PD)
Assessor Parcel Number (s) e!�� Y7-0 60 — Oet'16 Buildino. Permit Number
Property Owner (s)
I
Project Location /Address e�
Subdivision Name Assessable Sq. Ftge
Type of Residential Development (check one)
New Development
Alteration/Addition(s)
Mobile home
Demo Permit (date issued
Comments:
Single Family -Detached
Non -Residential to Residential
Mobile home replacement
Date
Building epartment RIpresentative
Single Family -Attached
Multi -Family Dwelling -
verified by Assessor -Department
�— 1efied Tby B�uilding Department
0 FRR.PD 0 CARD 0 PRPD 0 DRPD certifies that:
_D"!a
Applicant Name Phone Number
65A,
Mailing Address City State Zip
Has complied with requirements of the Butte County Board of Supervisors Resolution No. SIq - (S81
by Payment of'.
Remarks:
Dwelling Units @ $
Square Feet @ s
per unit for a total of $
per sq foot for a total of $
:, _��e_w LAA -t 6' K)
- — —_ - I J
—At Fp—')B� 1(0—a2_
Paid by Ch
on and Park District Representative
Cash:
Receipt No:
16
� -Ikl, A !� : -
q.
W
I'v!
0 LI VA'\
LIC
Department of Public
C o u n t . Y 0 f B U t...t
J. Michael Crump, Director
Works
e
LAND DEVELOPMENT DIVISION
S,,orm Water Manao.ernent PTOcar-am
7 C6un-,y Center Drive
oroville, CA 95 965
(530) 538-7266
(FAY) 538-7171
k
nt Dlsch;�rge Eli ination System (NPDES) Phase 11
National Polluta L M L L
Construction Storm Water Permit and Storm Water Piollution Prevention
Plan (sWPPP) Acknowledgement
Project Description:
Project Location andlor Parcel Number.
��n
610.0�,6. 6z�c
By si&n.g below, L the project ownerlowner's agent, certify that this project NO C DISTURB
I acre or more of land and that L therefore, do not -neta to apply for a Construction StonnWater Perridt
ftorn the� State of California Regional Water Quality Control Board. Phased projects that contain
multiple site build -outs of less than one acre but when combined with subsequent phases total more
than one. acre of disturbed soil -will require a Construction Storm Water Permit from the State of
California Regional Water Quality Control B oard.
I am aware that sub�mitting false and/or inaccurate information or failure to apply for a Construction
0 tat' of Califonaia Regional Water Quality Control Board for a project.
Storm Water Permit from the S e
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provide;d by law.
Si gned:
Title-.
Date: t I — 1 0 _0
Butte County Department of-DevelopinenL Serrices
$0 r
0
0 0
7 County Center Drive
Oroville, CA 95965
0 0
0 0
(530) 538-7601 Telephone
0 0
00
(530) 538-7785 Facsimile
U t4l
BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES
I request and authorize the Building Division to process this building permit application through the plans
examination process WITHOUT first obtaining all necessary, related permits and clearances from other
regulatory entities, including but not limited to, Planning, Environmental Health, Land Development,
County Fire, and Agriculture.
I hereby acknowledge:
0 1 need to submit applications for septic andlor well to Butte County Environmental Health
immediately.
0 1 am required to bring the approved Environmental Health site plan and approved sanitation
clearance to the Building Division as soon as clearance is obtained..
a I am responsible for notifying Development Services*, in writing, to stop processing of the
application and to arrangefor disposition ofplans.
The Building Division will process the application through the plans examination process, as submitted,
without input from other regulatory entities that could prohibit issuance of the building permi! or require
submission of amended building plans to the Building Division. Once the plans examination process
begins, there will be no refund of plans examination fees. Any changes requiring submission of amended
plans to the Building Division will incur additional fees.
Within one year from the date of application for a building permit, all other required permits and clearances
from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances
will voidthe application.
Typically other required perm. its/clearances include, but are not limited to, verification the parcel was
legally created, adherence to ' all mitigations and conditions imposed on the parcel at time of creation, as well
as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture
buffer zones, and habitat/species).
Please print:
Applicant Name: APN: ib C-) G o'
Building site address: �R ��O�v Permit No.: o S'
I have read, understood and accept the terms and conditions as expressed herein as indicated by my
submission of the above -referenced building permit application and my signature below:
SIGNATURE OF APPLICA-NT— DATE
PLAN REVISION/RETURN
Owner's Name: 1A C-,�n Y--\"
BP#: ':-2'
Date: �_Al I ob
Contact Person & Phone Number:
AP#:
Received By:
Time:
b�, o - z>L��o
PURPOSE OF RE -SUBMITTAL OR REVISION
0 Permit Application Data Sheet Item
0 *Engineering
• *Plan Revision
• *Requested by Building Inspector's Correction Notice — Inspector's Name:
Requested by Plan's Examiner — Plan Examiner's, Name
0 Other:
*If revising a plan which has already been issued, submit two (2) drawings reflecting the revision
for plan review along with your approved plans. If engineering is involved in this revision, the
engineer must put his requirements on these drawings and wet stamp and sign two sets of
engineered drawings. Revised drawings must clearly show changes proposed and locations
involved.
WHEN APPROVED, PROCESS AS FOLLOWS:
0 Mail to Owner/Contractor at this address:
0 Call
[I Deliver with next inspection.
and hold for pick-up.
Minimum revised plan check fee to be collected at time of submission of revision, plans
examiner will determine if additional plan checking fees are needed:
rm-
701
Is]
Minimum $54.99 Receipt#:
Fee not required for revisions requested by plans examiner prior to issuance of permit.
Additional Fee Amount:
Receipt #:
Revised 2/04
_7
PLAN REVIEW RESPONSE FORM
In order to expedite the review of your plans, please complete the following information and return this form with your re -submittal. I
this form is not complete, as to all correction items, we,%rill not be able to accept your re -submittal for review. There must be a vali(
response to every item requested in our plan correction letter. "By othere' is not considered a valid response. Please indicate yow
response to each item and the location where the information can be found on the plans/calcs.
ATTACH THIS FORM TO A COPY OF YOUR PLAN REVIEW LETTER AND RETURN WITH RMSED AND ORIGINAL PLANS.
OWNE �S -NAME
DATE:
— L) &AN
- —'� . — I - I & - 0
ASSESSORS PARCEL NUMBER PERMIT NUMBER
0 CC2 — --7204-4;o,
RESPONSE FOR PLAN CHECK LETTER DATED:
rg-ruv %.rim"r. 4 jr-M IRESPONSE Br. LOCATION ON PLANS/CA
Tomtsl 0 A— L 1 (5 6TA
COMMENTS:
r;� r2 ef v r� A C, e VV Ar L11 L, VV &-to rz E N C --
RESPONSE BY. LOCATION ON PLAN�/C�ALCS.
^7-T^C1H6FD
+-f
N CKECK ITEM # -k-E-SPONSE BY: LOCATION ON P-LA5
X,X� � - 4-
IMENTS:
X rrEM #
RESPCMSE BY: LOCATION ON PLANS)
A4 -
:K ITEM # RESPONSE BY: LOCATION ON PLANS/I
��,? T� g54 -
D
PLAN REVEEW RF..qPnl%T V VnDXX
In order to e)Tedite the review of your plans, please complete the f011Owing information and return this
this form is not complete, form with your re -submittal. I
as to all correction items, we will not be able to accept Your re-subn-dttal for review. 'Mere must be a vali,
response to every item requested in our plan correction letter. "By othere' is not considered a valid response. Please indicate you,
response to each item and the location where the information can be found on the plans/calcs.
ATTACH THIS FORM TO A COPY OF YOUR PLAN REVIEW LETTER AND
OWNE -10 114t%mr- WITH REWSED AN— ----INAL PLANS.
N&A tJ DAT I — I & C) 5
4SSESSORS PARCEL NUMBER PERIVIII FMUMtStK
04-7- 0 &61- 0 4-( a 0.-
'�7 04 (,o
AN CHECK U: I TF -K DATED:
RESPONSE tST:
LOCATON ON PURS�/CALcS-
TR44
RESPONSE FOR
6 a P . vrzjjt�j,�,
L- A
FA
LOCATION ON P LANSXA�Lc
Tt4 C 6c 1, 6, �,
P
A
tment of Develop efit.
-Services
M
_0
Building Division'
.0
7 County Center Drive
0
OrbvMe,. CA 95965
(530) 538-7541- (5M 538-2140 FA
X
7
U M
Assessor Parcel Number: .'047-060-046
Building Permit Number: 05-3046
Think you for submitting the plans for your building project.." The plans have been reviewedand
comments are listed below. Please respond in writing to each item by completing and returning the
enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the
re -check and approval of this project.
V/ CONSfENTS:
1. The new great room does not comply with the'bracihgrequirements' of CBC 2320.' Please provide
an additional braced wall panel. (within 8' from the left- side) along the wall line between the
kitchen and the great- room or provide a lateral force analysis (wind and seismic) for the great room
poTtion of the structure.
2.' The master. suiWmaster bath area does not comply with the brai cing requirements of CBC 2320.
a lateral force analysis for this portion of
Please provide additional braced wall panels or provide
V the. structure.
3. Provide a lateral force analysis for -the new covered porch area. This portion of the roof is not
laterally supported by braced wall lines and extends over the 6' allbwed by exception per CBC
23:20-5.4.2.
4. Please specify how the new ridge and 1hp rafters over'the covered porch will be supported and
coi.mected. .$pppify size of new ridge.
Speci�� size, spacing, and direction of ceiling joists or engineered wall ties over thenew master
bedroom.
6 -Specify size of all new ridge beams and hip rafters and show any required supporting members.
7. Please revise section A detail on sheet A4 to match the roof framing plan. Show size 'and spacing
of framing members and location of any purlins and struts to be installed.
Specify whatekisting walls are bearing and non-bearing; show the existing ceiling joist direction
-and existing roof framing, provide required ceiling beams and supports for removed interior walls.
9". Specify beam required to support the existing roof and new overframing over the removed wall
�.belween the new kitchen and the new great room.
t*.?( 10. Provide calculations for the Fx 12" ceiling "Beam X' over the master bedroom and the
supporting posts and footings.
I of 2.
0
0
.0
tment of Develop efit.
-Services
M
_0
Building Division'
.0
7 County Center Drive
0
OrbvMe,. CA 95965
(530) 538-7541- (5M 538-2140 FA
X
7
U M
Assessor Parcel Number: .'047-060-046
Building Permit Number: 05-3046
Think you for submitting the plans for your building project.." The plans have been reviewedand
comments are listed below. Please respond in writing to each item by completing and returning the
enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the
re -check and approval of this project.
V/ CONSfENTS:
1. The new great room does not comply with the'bracihgrequirements' of CBC 2320.' Please provide
an additional braced wall panel. (within 8' from the left- side) along the wall line between the
kitchen and the great- room or provide a lateral force analysis (wind and seismic) for the great room
poTtion of the structure.
2.' The master. suiWmaster bath area does not comply with the brai cing requirements of CBC 2320.
a lateral force analysis for this portion of
Please provide additional braced wall panels or provide
V the. structure.
3. Provide a lateral force analysis for -the new covered porch area. This portion of the roof is not
laterally supported by braced wall lines and extends over the 6' allbwed by exception per CBC
23:20-5.4.2.
4. Please specify how the new ridge and 1hp rafters over'the covered porch will be supported and
coi.mected. .$pppify size of new ridge.
Speci�� size, spacing, and direction of ceiling joists or engineered wall ties over thenew master
bedroom.
6 -Specify size of all new ridge beams and hip rafters and show any required supporting members.
7. Please revise section A detail on sheet A4 to match the roof framing plan. Show size 'and spacing
of framing members and location of any purlins and struts to be installed.
Specify whatekisting walls are bearing and non-bearing; show the existing ceiling joist direction
-and existing roof framing, provide required ceiling beams and supports for removed interior walls.
9". Specify beam required to support the existing roof and new overframing over the removed wall
�.belween the new kitchen and the new great room.
t*.?( 10. Provide calculations for the Fx 12" ceiling "Beam X' over the master bedroom and the
supporting posts and footings.
I of 2.
December 1, 2005
Jeanne Dugan
6281 Broyles Rd.
Chico, CA 95973
-0 0
Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
Assessor Parcel Number: 047-060-046
Building Permit Number: 05-3046
Thank you for submitting the plans for your building project. The plans have been reviewed and
comments are listed below. Please respond in writing to each item by completing and returning the
enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the
re -check and approval of this project.
COMMENTS:
1. The new great room does not comply with the bracing requirements of CBC 2320. Please provide
an additional braced wall panel (within.8' from the left side) along the wall line between the
kitchen and the great room or provide a lateral force analysis (wind and seismic) for the great room
-.Portion of the structure.
1,_� The master suite/master bath area does not compl� with the bracing requirements of CBC 2320.
,01- Please provide additional braced wall panels or provide a lateral force analysis for this portion of
the structure.
Provide a lateral force analysis for the new covered porch area. This portion of the roof is not
S, - laterally supported by braced wall. lines and extends over the 6' allowed by exception per CBC
23205-42.
Pleas'e specify how the new ridge and hip rafters over the covered porch will be supported and
_;onnected. Specify size of new ridge.4-
Specify size, spacingand direction of ceiling joists or engineered wall ties over the new master
bedroom.
Specify size of all new ridge beams and hip rafters and show any required supporting members.
,.��Please revise section A detail on sheet A4 to match the roof framing plan. Show size and spacing
o framing members and location of any purlins and struts to be installed.
,X" Specify what existing walls are bearing and non-bearing; show the existing ceiling joist direction
,and existing roof framing, provide required ceiling beams and supports for removed interior walls.
Specify beam required to support the existing roof and new overframing over the removed wall
between the new kitchen and the new great room.
Provide calculations for the 6"x 12" ceiling "Beam A" over the master bedroom and the
supporting posts and footings.
I of 2
0
9
If you wish to discuss any of these requirements, please call (530) 538-7541. Please refer to your Data
Sheet for remaining non -plan check items. (You received this form when you applied for your permit.)
The counter staff will answer any questions concerning the Data Sheet.
Jim Peterson
Plans Examiner
cc: Tom Norlie, Architect
2 of 2
6?"
Philo Hunt, P.
Plan Check Engineer
Plot Plan AftachW
Floor Plan Attachtwl
Spq to BQ S
TO: Building Division — Development Services
P
r
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owr(or Location AP#
Plan Approved for: Sewage Disposal: A Water Supply: Public Private Well -X
Clearance for 4we]Iing- Other ref77eekJ 1,o)4;m
Hold final for:
Final clearance O.K. for:
NOTE:
6"6V#,e,YV411'1 ----> / /-,Ws- /- 6 - e56
Lh,
Environmental Health Specialist Date
Building Clearance 9/2005
I
When recorded return to:
County of Butte
Department of
Development Services
Building Division
7 County Center Drive
Oroville, CA 95965-3397
(rev.5/04)
Owner Name: Jeanne Dugan
Building Permit No: 05-0338 (pool house)
2005-0032116
Recorded I REC FEE 25. N
Official Records I
County of I CONFORMB copy I. go
Butte I
CWMCE J. GRUBBS I
County Clerk-Recorderl
I
I LR
02:13M 06 -Jun -M I Page I of 7
Space above for Recorder's Use
DEED RESTRICTION AND
NOTICE OF LIMITED USE FACILITY
WHEREAS, on this 6th day of June , 2005,- Jeanne Dugan
I
hereinafter referred to as owner(s), is the record owner of the following real property:
6281 Broyles Road, Chico, CA 95973 and Assessors Parcel Number 047-060-
046
, and as further set forth in Exhibit "A" attached
hereto and hereby incorporated by reference, hereinafter referred to as "the subject
property"; and
11. WHEREAS, the Building Division of the Butte County Department of
Development Services is acting on behalf of the People of Butte County; and
III. WHEREAS, the owner applied to the Building Division for a building
permit in order to develop the subject property described above; and
IV. WHEREAS, Building Permit No. 05-0338 was applied for on
February 9, 2005 1 by the owner in accordance with the provisions of the Butte County
Code and the California Building Code; and
V. WHEREAS, the use allowed by Building Permit No. 05-0338 has
been reviewed and approved for only the limited purposes set forth below;
and
V1. WHEREAS, it is intended that this Deed Restriction and Notice of Limited
Use Facility shall constitute an enforceable restriction and remain in effect until a
L-dU
change in use or character of use has been approved by the Butte County Building
Official or a 'change in law has occurred, either of which change allows the uses
otherwise restricted herein to be conducted on the real property described herein.
Under either circumstance allowing such change in use, Owner shall be entitled to have
this Deed Restriction and Notice of Limited Use Facility rescinded by the execution of a
subsequent document entitled Rescission of Deed Restriction and Notice of Limited
Use Facility by the Director of Development Services; and
VII. WHEREAS, Owner acknowledges that Owner will comply with the limited
use restrictions that were incorporated in reviewing and approving Building Permit No.
05-0338 - which enabled Owner to undertake the limited use authorized by this permit.
NOW, THEREFORE, with the issuance of Building Permit No. 05-0338 to
Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited use
facility, as set forth below, which establishes restrictions on the use and enjoyment of
this limited use facility. The undersigned Owner, for himself/herself and for his/her
heirs, assigns, and successors in interest, acknowledges and agrees to those
restrictions.
This limited use facility shall be utilized in compliance with those limitations
prescribed by the California Building Code occupancy classification assigned by the
building official, except the following uses are not allowed: no sleeping or cooking.
Additionally this pool house will not be heated or cooled.
If any provision of these restrictions is held to be invalid or for any reason
becomes unenforceable, no other provision shall be thereby affected or impaired.
This deed restriction and notice of limited use facility shall remain in full force
and effect during the period that this permit, or any modification or amendment thereof,
remains effective, and during the period that the development authorized by this permit,
or any modification of this development, remains in existence in or upon any part of,
and thereby confers benefit upon, the subject property described herein, and to that
extent, this deed restriction and notice of limited use facility is hereby acknowledged
and agreed to by Owner to restrict the use and enjoyment of this limited use facility and
shall be binding on Owner and all his/her assigns or successors in interest.
Yvonne 0'1'�So
Director,
Owner agrees to record this Deed Restriction and Notice of Limited Use Facility
in the Recorder's Office for the County of Butte as soon as possible after the date of
execution. This document shall be recorded and returned to the Butte County
Department of Development Services, Building Division prior to the issuance of Building
Permit No. 05-0338 .
DATE: 20 0 C�,
Owner Signature: Jepta A e- C��
Print or Type Name of Above
Owner Signature: "—�, V,� -�,
Print or Type Name df Above
Yvonne Chr* o r
Director, D S
NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing
on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat
(acknowledgment) as explained in your Notary Public Law Book.
STATE OF CALIFORNIA
SS.
COUNTY OF BUTTE
On �?-Ms- beforeme, 'M-9. CA—&�A44,alm Notary
Public� personally appeared_
V V , personally known to me
(or proved to me on the basis of satisfactory evidence) to be the person(s) whose
name(s) is/are subscribed to the within instrument and acknowledged t6"me that
he/she/they executed the same in his/her/their authorized capacity(ies), and that by
his/her/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.
Signature
STATE OF CALIFORNIA
COUNTY OF BUTTE
On
Public, personally appeared
(Seal)
11 "a'� a M1
M. E. CH4TUAN
Commission* 1366761
Notary Public - Calilomia
Contra Costa County
SS. My Comm. Expires Jul 27,2006
W
before me, , Notary
, personally known to me
(or proved to me on the basis of satisfactory evidence) to be the person(s) whose
name(s) is/are subscribed to the within instrument and acknowledged to me that
he/she/they executed the same in his/her/their uthorized capacity(ies), and that by
his/her/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.
�7
Signature
(Seal)
Yvonne Ch ' to
Director, DS
V
This is to certify that the Deed Restriction set forth above is hereby
acknowledged by the Director of the Department of Development Services and that
Butte County consents to its recordation thereof. t I
Yvd-riq Ghrisjo�her, -Director
Depaqment Development Services
STATE OF CALIFORNIA
SS.
COUNTY OF BUTTE,
0 n J LL#4 F_ 4-, ;1,n) c, 5 -beforeme, 4<--1" Notary
Public, personally appeared
personally known to me
(eF preved4e-me-G",e, basts l�-"'-s-C;I"LisfOet&FY-OViCIOPeGe�to be the persorWwhose
name�O is/am subscribed to the within instrument and acknowledged to me that
h4Edsh e/ther executed the same in bWherftheWlauthorized capacity(i&�, and that by
hWher/tbeif-signature*on the instrument the person.(sry, or the entity upon behalf of
which the personjoacted, executed the instrument.
WITNESS my hand and official seal.
Son ture
I
I MA MCM_U_M__---j
cwm**m # va6m, r
W" Reft. Caftffft
ftftcau*
N__ *--It* CMM ft*ft A P 6.
(Seal)
FROM :DUGANS LANDSCAPE
E)dMIT'A'
Attachment to Deed of Trust
Dated: March 12, 2003
Loan No.3733955
Sean A. and Jeanne M. Dugan
Page 1 of 2
PARCEL 1:
FAX NO. :.5308934548 Jun. 02 2005 06:42AM P2
11
XHIBIT %% A is
A PORTION OF THE SOUTHWEST QUARTER OF SECnON 9, TOWNSHIP 23 NORTH, RANGE
I WEST, M.D.B. & M.. MORE PAR77CULARLY DESCRIBED AS FOLLOWS:'
BEGTNNING AT A MINT ON THE EAST AND WEST CENTERLINK OF SAED SECTION 9 M -OM
WHICH POINT THE CENTER CORNER BEARS NORTH 99* 46' EAST A DISTANCE OF 10.6
FEET; THENCE CONTINUING ALONG SAID CENTERLIKE AND TIM CENTER OF A COUNTY
ROAD. SOUTH 89'!..46! WEST. .1299.1 FEET TO A POINT,-- THENCE SOUTH 0* 0V WEST, 6918
FEET ALONG A FENCE LINE TO A CORNER POST; THENCE NORTH 891* 48- EAST, 1300.3 Pmri-
TO A FENCE CORNIER ON THE NORTH AND SOUTH CENTMJNE OF SAID SECTION 9.
THENCE ALONG LAST MEN71ONED LINE, NORTH 439.0 FEET TO A FENCE CORNER; THENCE
SOUTH 89- 46- WEST, 10.6 FEET TO THE SOUTHWEST CORNER OF THE PARCEL OF LAND
DESCRIBED IN THE DEED FROM ARDEN A. ANDERSON, ET UX. TO THE PM CREM
CEMETERY DISTRICL DATED FEBRUARY 20,1948 AND RECORDED FEBRUARY 24.1948, IN
BOOK 450, PAGE 23, OFFICIAL RECORDS; THENCE NORTH AND PARALLEL TO THE SAID
NORTH AND SOUTH CENIERLINE, 255.3 FEET TO THE POW OF BEGINNING. -
EXCEPTING THEREFROM THE PARCEL OF LAND DESCRIBED IN THE DEED FROM W.
BROYLES. ET AL, T6 THE COUNTY' OF BUTrE, DATED MAY 29, 1976 AND RECORDED Mm
27,1976, IN BOOK 16 OF DEEDS, PAGE 436, BUTTE COUNTY RECORDS.
ALSO EXCEPTING THEREFROM TH E PARCEL OF LAND DESCRIBED IN THE DEED FROM
JOHN MOORE, ET AL, TO THE COUNTY OF BUTTE, DATED APRIL 23,1974 AND RECORDED
MAY 4,1874, IN BOOX 14 Of DEEDS, PAGE 500, BUTTE COUNTY RECORDS.
APN 047-0604)46-000 (PORTION)
PARCELU:
BEING A PORTION OF'THE-SOLrMWEST QUARTER OF SECTION 9, TOWNSHtP 23 NORTH,
RANGE I WEST, M.D.B. & M., MORE PARTICULARLY DESCRIBED AS FOLLOWS:
A STRIP OF LAND 16.00 FWF IN WWW. LYING SOUTHERLY OF, ADJACENT TO AND
PARALLEL WrIll THE FOLLOWING DESCRIBED LIKE:
BEGINNING AT THE SOLMEPASTERLY CORNER OF THAT CERTAIN PARCEL OF LAND AS
DESCRIBED IN THAT CERTAIN DEED RECORDED IN BOOK SOI, PAGE 449, OFFICIAL
RECORDS; THENCE SOUTH 89* 49'00* WEST ALONG THE SOUTHERLY LINE OF SAID
I OFZ
40
I APPA& �
Di I I.) N1
P&RrFl nlP I Awn. A T)ISTAN(T.. OF 1270.30 Far To A, Poin. um rowr viNG NORTH
99" 49'00"EASTA DISTANCE OF 30.00 FEETFROMTHE SOUTHWESTERLY CORNER OF SAID
PARCEL OF LAND AND THE ITRUMUS OF SAID LINE.
APN 047-060-046-000 (REMAINDER)
PARCELM:
...BEING A PORMON OF_'EHE. SOUTHWEST QUARTER OF -SECTION 9, TOWNSW 23 NOR=,
RANGE I WEST, M.D.B. & M., MORE PARTICULARLY DESCRIBED At. FOLLOWS: -
A NON-EXCLUSIVE EASEMENT 30FEET IN WMTH FOR ROADWAY PURPOSES, ALONG WTM.
THE RIGHT OF USE AND MAINTENANCE FOR SAID PURPOSES, LYING WESTERLY OF AND
ADJACENT TO THE FOLLOWING DESCRIBED LINE:
BEGINNING AT THE NOKINE"t' CURNLK Uli IlAlt(;M. I AN b;AUJ PAKL;k.L Lb lJbbt-;Iul%j!kU
IN THAT CERTAIN MEMORANDUM OF LEASE RECORDED IN BOOK 1544, PAGE 567..
OFFICIAL RECORDS, SAID POINT ALSO BEING ON THE CENTERLINE OF BROYLES ROAD;
THENCE SOUTH 000 03'.00" WEST ALONG THE EASTERLY LINE OF SAM PARCEL I. A...
DISTANCE OF,693.90 FEET; THENCE CONTINUING ALONG SAM EASTERLY LINE OF SAM
PARCEL 1, SOUTH 00* 00'37"WEST, A DISTANCE OF 60.00 FITT TO THE TERMINUS OP SAID.
EASEMENT.
im-Q-
t.A.D. J.M.D.
2 OFZ
0-47-060-046 99-2400
,�LARK, ROBERT
6281 BROYLES ROAD, CHICO
CONTR: McCLELLAND
HVAC, GAS LINE & MISC WIRING
OFFICE Copy
Address
GAS
Meter By
Date
ELECTRIC I 1-91-11-v
Meter By Date
11
',X, � --. ;,-
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive o Oroville, Carifornia—Va-965 9 Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 1?4?_ 94M
ASSESSOR PARCEL NUMr
ZONING
BUILDINGPERMIT
OWNER eA
0_Q
TELEPHONE
3�0:73(
SO FT OCC. BUILDING VALUATION
OWNER'S MAIUW
/ -s- A a AL^_ P 6;-4-e
CONTRACTOR'S NAME TAILEPHONE
Jamm /
CONTRACTOWS MAIU2PJRE:!7Jf1,tM"
40
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEEWS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO.
SUBDrVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF)( Duplex 0 Mobilehome 0 Other SPECIFY
Each Trap
1 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 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: 4: UAC ( I ffia k04'. Q"01' /0
AQ. &fJ �;tdl �Wah O&A Mv_
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G
.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20-00
R LE::
"OOV LE
Main Service .A OCR
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.
LicenseClass C-zo 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:
0 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 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:
0 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.
0 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' compen e carrier and policy number are:
s tion insuranc
Carrier
Policy Number #4 -7
(The above sections need not be completed 4 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 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' compensafi�p,7 provisions of section 3700 of the Labor Code, I shall
forthwith cornply with'.5th olvisions.
X Date AQ - q!9
Sig`nattlire of AppIiqrn_t,--*t3_ O—wner 0 Contractor 0 Agent I
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING =UP.
OR ADDNS. & ACC. S.
-
so.
3.50FT..
NEW CONST. OUTLET
NOWRESID. =Tl CIRCUITS @7.50
OVIE.RAP� 6RATU
&PSIN. . C SIR.
Ex. Occup. OUTLET OR FIXTURES @
SAL @ .50
Ex. Occup. t.n .) E 5.00
OUT.ED APP . OR".
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wirina 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
K K,bb KID()
Cooling L',JL- ).S,eL> /6%w
Hood 6.50
Ventilation
PERMIT FEIE $
Mobile Home Installation Fee s
Energy Inspection Fee $
Occ
CONST. ry PE TOTAL FEE$ I A -
HAZ]
IMP
_
FLOOD
I _
CDF
I _
PA�CEL
fl)]_�
D
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indi above for which fees have been paid.
By . 4 Date 10-154'7
PERMIT EXPIRES ON 6 -c:9 00 0
I (Date)
ReceiptNo. e
WHITE-D.D.S.-B.D. CANARY -ASSESSOR ' PINK -INSPECTOR GOLDENROD -APPLICANT
11
tOUNTY OF BUTTE - DEPARTMENT OF.DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Oroville, California 95965 * Telephone (530) 538-7541 P 4ER ;I TrN 0.
(Rev.12/96) . APPLICATION AND PERMIT L?4?- /
ASSESSOR PARCEL NUmM4,71 (6 6— i��,
ZONING
BUILDINGPERMIT J,/
OWNER
TELEPHONE
3Y9:�
SO. FT. OCC. BUILDING VALUATION
OWNER IUNb
;SA- Ila 0-nAtex, OA -V 0-k U
CONT7( FV �NAME HONE
CONTRACTOR`SrI1J�6RE:7
0
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENNSE
Filing ee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF,kDuplex 0 Mobilehome 13 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 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work:
Gas piping system I - 5 outlets
15.00 15.110
Building sewer
15.00
Mobile Home I S I G
@)20.00
PERMIT FEE
-f
IVJAr--:� ):LA�
ELECTRICAL PERMIT
Filing Fee 20-00
I
�
800V OR LES
Main Service .200A OR LES
23.00
%J
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.
LicenseClass C -7-C) Lic. No. 3y S -
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWEILUNGUCUP.
OR ADDNS. & ACC. S.
so
3.50FT.
NEW CONST. MULTI-OVTLET
NON-ReSID. BRAmH CIRCUITS
@7.50
&POWER APPARATUS
NGLE OUTLET �10
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
BAL @ .50
Ex. Occup. PRM.) E
O.FIXED A P - OR.,
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, forthe performance of workforwhich this permit is issued.
My worke% compeription insurance carrier and policy number are:
Carrier (-,4(- LIOMf
Policy Number -7 95 - C1 If
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 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'
com,ensation I
, comp:ws of California, and agree that if I should become subject to the
orl I".
w nsafiqw7 provisions of section 3700 of the Labor Code, I shall
f with comply w' visions.
Date 10 -16 -q -g
Stgn-a Jure of- Appligf �t 405-e--r!�:0 Con 0 Agent I
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating /"�/t* /6-10D
Cooling
15,.tA)
Hood 6.50
Ventilation
PERMIT FEt $ 5_0�0()
Mobile Home Installation Fee 1 $
Energy Inspection Fee s
occ
C-ONST TYPE
TOTAL FEE$ 1,4R. OC)
-M -
HAZ-
D. FIE IMP
9
I FL�DOD
C!L]
PI�RCEL
1'�D
_41
IS
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicat above for which fees have been paid.
By In h AA A Date/()-/ ��_q,7
PERMIT EXPIRES ON /0--/5-c�t000
I (Date) — I
ReceiptNo. T-775!7727 le 73F.65
WHITE-D.D.S.-B.D. CANAIRY-ASSESSOR ' PINK -INSPECTOR GOLDEN ROD -APPLICANT
In
i COUNTY OF BUTTE - DEPARTMENT QF.DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Oroville, California 95965 - Telephone (530) 538-7541 7 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT - 4K- 7_0L)
ASSESSOR PARCEL NLIMBER
ZONING
BUILDINGPERMIT
OWNER
TELEPHONE
-06T
SO. Fr. OCC. BUILDING VALUATION
OWNER'S MAIILINQ ADDREM
15 pwy,�
coNT777 Altz,
PC"/u/m �_ 6
W_ Z__
CONTRACTD�; M&ILING ADDRESS
90 -7-11ellGrDA54-1
CONSTAVCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCWECT OR ENGINEERS MOULING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVIBION'S144ME
1
1
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
Solar or heat pump water heater 23.00
Water piping 15.00
SIX Duplex 0 Mobilehome 0 Other
SPECIFY
Each gas water heater or vent 15.00
TYPE OF WORK
15—
Gas piping system I - 5 outlets 00
New 0 Addition 0 Remodel Utilities 0 Installation C3
Other 0
Building sewer 15.00
Describe Work:
Mobile Home ISI GI W1 @20.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20-00
11 LESS
Main Service 00. 23.00
Main Service 200A TO 1000A 46.00
NEW CONST. so.
OR ADONS. D=ELCOUP. 3.50FT.
Ntw uuNST
NON-RESIO. uLT,'o @7.50
POWER APPARATUS
& SINGLE -OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES @ 1.00
L SAL @ .50
FUED APPLNS. OR
Ex. Occup. OVTLETS (RESID.) EA -L 5.00
Temporary Service 23.00
—Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
—Ventilation
PERMIT FEt $
Mobile Home Installation Fee
Energy Inspection Fee
I
C �CONST. TYPE TOTALFEE$
I 'MP
MP [ FLOOD I COF PARCEL 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
PERMIT EXPIRES ON
(DA to)
TO CORNING A9
TO is PWY
19
CANA PINE CREEK RD. 1101
BROYLES RD
AAALANE YUHNKELN
SOUTHERN PACIFIC RAILROAD
C3
0
z
z
VICINITY MAP
NOT TO SCALE
@ THOMAS W. NORLIE -ARCHITECT
These documents and their contents are the property of Thomas W, Norlie -
Architect and are to be used for this project only. Any changes to thew ptatis,
regardless of how minor, without the "t(en approval of Thomas W. Norrie -
Architect. or any construction executed from these plans without review and
approval of all equipment and materials, or any change of scope, design or InterA
for any reason, by any person other than Thomas W. Nodle - ArqhttecL shall
automatically tender Thomas W. Norlis - Architeet, harmless to any liability claims,
suits or litigation by any Interested parties In the project Spedflca�ons my
accompany these plans and should be read carefully for additional conditions.
i"wm
KEEFER LN
-00 11296.90'
PROPE
(X)
165.00
(E) RESIDENCE
ABANDON RESIDENC
(E), SEPTIC TANK . ., 1.
LAN" "
,ke
f 0 (E) AG WELL
267.96 f
ORCHARD ORCHARD
1,300-24'
PLOT PLAN
V = 30'-0"
LINES, TYP.
APN: 047-060-046
ENVIRONMEUTAt. HUITH
JAN 0,3 2006
OHI(,�P, CALWORNIA
NOX20606
O:;A EXP. 112-31-05
CA
0 30, 609 120'
6mmw�
BAR SCALE
PIEV. DATE 5y
EV
No.
L'"I'",
MR
CHtMD DY
Vq
VATC
10-07-05
SCAW
AS SHOWN
JM NO.
1511W
PER BUTTE COUNTY
HEALTH DEPARTMENT
rZ
6.60 S.F. REMODEL
1, 111 S.F. ADDITION
(E) HOUSE WELL
& PUMP HOUSE
NEW SEPTIC SYSTEM
PER BUTTE COUNTY
HEALTH DEPARTMENT
(E) POOL
HOUSE
W
ORCHARD
C)
0,,-ICHARD
z (0
cr)
C3
co
ox,
,voe
LAN" "
,ke
f 0 (E) AG WELL
267.96 f
ORCHARD ORCHARD
1,300-24'
PLOT PLAN
V = 30'-0"
LINES, TYP.
APN: 047-060-046
ENVIRONMEUTAt. HUITH
JAN 0,3 2006
OHI(,�P, CALWORNIA
NOX20606
O:;A EXP. 112-31-05
CA
0 30, 609 120'
6mmw�
BAR SCALE
PIEV. DATE 5y
EV
No.
L'"I'",
MR
CHtMD DY
Vq
VATC
10-07-05
SCAW
AS SHOWN
JM NO.
1511W
(N) 3050:
(N) 3050
@ THOMAS W. NORLIE - ARCHITECT
These documents and their contents are the prop" of Thomas W. Nodle-
Architect, and are to be used for this project only. Any changes to these plans.
regardless of how m i Inor, without the written approval of Thomas W Norlie -
Architect, or any construction executed from these plans witimut review and
approval of all equipment and materials, or any change of scope, design or intent
for any reason, by any person other than Thomas W. Notile - Architect, shall
automatically tender Thomas W. Nodie - Architect. harmless to any liability claim.
suits or litigation by any interested parties In the project, Specifications may
accompany these plans and should be mad carefully for additional conditions.
27-13"
T-730
4 1. 11 �-O" I � 111-0"
303U $ILL @ 7'8-11 A 11 3D30 $ILL @ 7'8*
WINDOWABOVE
6030 $ILL@ TV
Cl C�
WO
(N) GREAT ROOM
STAINED CONCRETE
B . ..... 21
4-
05
CX 2 - 6" STEPS
M
LOW WALL
A
M --7
ON DW
7 P. (a) ALL <-- ON
�D I STAIRS
LOVi WALL H H ST0.
T VINYL
(N) LAUNDRY RM
VINYL
(0
0
3V -
(E) DINING ROOM (N) BUTLERS PANTRY
WOOD
— — — — — — --- -
N) A4
CAB
(N) CAB (N) CAB
RANGE
IF --
REF
00 (E) BEDROOM #2
5T7
.0 0, CARPET
2W
(N) KITCHEN:
WOOt)
100 OVENS 2 -Ir — — — — — — — — — — —
ST03LIN.
(E) BATH
AT11C
TU =i ACCM
L — J
B
A4
A
A4
(>
VP
C-4
tj 4040 TEMP.
HALL PICTURE GALLERY (N) MASTER SUITE
CARPET
20 LINE OF LIGHT, CARPET
�E) LIVING ROOM WELL ABOVE
WOOD M
4X6 6T
4X6 POST
2468 (N)CLOSET
(N) MASTER BATH
TILE
2668
JE) BEDROOM #1 3050
24M
CARPET
=33 it
(N) 6040
2'-O"CLR,
2468
OL
..... ...... ..... M' , a
(N),CLOSET C40SET
S ER Q
CARPET _LCA�PET TOILET TIL
TILE
PWAN10#4 PER I.
1068 1068 (N) 4040
to 2030 20X 2030
I. T
(N) COVERED PORCH t
f -go 4 " I 1" 6.0; ENVIRONMENTAI HFAITH
DEOKING 7 2
JAN 01,11200�6
33'-0*
A4
NO -C20606
4�f 4!-W F-xp.
PROPOSED FLOOR PLAN
(E) HOUSE: 1673 SF
(N) ADDITION (SOG). 429
(N) ADDITION (RF): 683
(N) COVERED PORCH: 114 SF 0 2' 4�
N
BAR SCALE
M
KEYNOTE SCHEDULE
ATTIC ACCESS 22* x 30" MIN. W1 ELEC. SWITCH& LIGHT,
E
8
C14 Io-
O'D
=
CL
so 8
Cell 0)
0
4-4
4-4
0 P-04
0
z
0
0
04
W
0
RAWN 13
MK
CHEMO OY
T1,111
DATE
10-07-05
SCALE
A5 5HOWN
JOB NO.
SHUT
Al
k. -I. J
Quality Truss Design * Roof & Floor Systems
Avenue * Chico, CA 95928-7434
112
-0112 9 (800) 678 0
(530)893
Fax (530) 893-0140
E -Mail: trusses@longfellowlumber-com
q
L
Customer: NORLIE
Address:
AP#:
C -20E (Rev. 3/03)
1
6281 BROYLES RD.
�b
CHICO
U
job No: DUGAN POOLHOUSE
ENGINEER
Mitek Industries, Inc.
Redong(Ray)Yu
7777 Greenback Lane, Suite 109
Citrus Heights, CA 95610
(916) 676-1900
APPROVED INSPECTION AGENCY
Timber Products Inspection, Inc.
P.O. Box 20455
Portland, OR 97220
(503) 254-0204
ne,
ji-
G E
A1
E
1
:-A
1
�A
A 1
A 1
A 1
1
--A
A 1
A 1
A 1
A 1
Ix4 GONT BRACE AT BRACE
MEMBERS LOWER IRAN 12'
ATTACH AT MIDPOINT OF BRACE
W 2-&d NAILS
GABLE END 5TLV
2x4 HF 5TRONSBAcK
(RAIL TO LEDaR
VV 10d 0 12* OL)
2X4 HF LE06ER (NAIL
TO VERTICAL W 10d
NAILS� -
BRACE TO FLAT
H-3 AT 4V OL.
F�� 11
NOT: TH15 DETAIL MAY BE USED FOR
Tlq6sm MT14 PITOW BL. ALSO.
(0) OPTION TO YEB PLATING. L)5E (3) - 2'
KRE 5TAPLE-5 (O.G72 VIA.A5 r7A)
TOENAILW THRIJ C+IORD INTO INEB I
THFIJJ KB INTO CHORD, ON ONE FACE
FOR A TOTAL OF 6 STAM-E5. (PI).
(51) t NO K6T BE PLATED.
A
Yo� HA
18693
RBL
CK
.4X't DLLX�N
21 Dd
IL
MAILS
EACH END
6 -IW CAOMWK
2xb VIA50NAL NAILS
BRACE a 46* o.c. MAX V6RACEP LEN5TH
OF OA13LE END STUD.
(2X4 FIR-LAIROW
- STANDARD = V-1 I'
- 01 AND BTR.
TRU5X;5
2x4 F.L. OR HF. #2
8TR. STRMON68ACK
1 (62 0. ro-1.
I(, LL 30D FSF
Tcl DL 154 pSF
NOTE: C?AI3LE END PM16N BASED W VL FSF
ON -5 M KNE), EWOWRE '13' ly, LL ---Qkf2
TOTID. 50D FSF
AT 0-25 FEET MEAN HEIC71HIT. DURPA6. 1.15
r(M MTAIL Date: 10-1&-0;? Gary Hawkins
06 NAME LowAT-LLopi Lumm Drawn: AK ARCHI I "C -r
OITY,5TATE CHICO, CALIFOMIA Job no.: 02-11 (9 1370 RIDGEWOOD DR., STE. 10 (530)892-2700
FAXX530)893�0532
CHICO, CA 95973 garvarchGsbc&balT'6t
Symbols
PLATE LOCATION AND ORIENTATION
rk_ 1 3/�' *Center plate on joint unless x, y
offsets are indicated.
Dimensions are in ft -in -sixteenths.
Apply plates to both sides of truss
and securely seat.
0-1/16"
*This symbol indicates the
required direction of slots in
connector plates.
Plate location details available In MiTek 20/20
software or upon request.
PLATE SIZE
The first dimension is the width
4 x 4 perpendicular to slots. Second
dimension is the length parallel
to slots.
LATERAL BRACING
Indicated by symbol shown and/or
by text in the bracing section of the
output. Use T, I or Eliminator bracing
if indicated.
BEARING
indicates location where bearings
(supports) occur. Icons vary but
reaction section indicates joint
number where bearings occur.
Industry Standards: ification for Metal
ANSI/TP11: National Design Spec
Plate Connected Wood Truss Construction.
nen QO* Design standard for Bracing.
Building Component Safety Information,
Guide to Good Practice for Handling,
Installing & Bracing of Metal Plate
Connected Wood Trusses.
Numbering System
648 dimensions shown in ft -in -sixteenths
2 3
TC)P CHORDS
8 7 6 5
JOINTS ARE GENERALLY NUMBERED/LETTERED CLOCKWISE
AROUND THE TRUSS STARTING AT THE JOINT FARTHEST TO
THE LEFT.
CHORDS AND WEBS ARE IDENTIFIED BY END JOINT
NUMBERS/LEITERS.
CONNECTOR PLATE CODE APPROVALS
BOCA 96-31, 95-43, 96-20-1, 96-67, 84-32
ICBO 4922,5243,5363,3907
SBCCI 9667,9730,9604B,9511,9432A
MiTek Engineering Reference Sheet: Mll-7473
,& General Safety Notes
Failure to Follow Could Cause Property
Damage or Personal Injury
1 . Additional stability bracing for truss system, e.g.
diagonal or X -bracing, is always required. See BCS11.
2. Never exceed the design loading shown and never
stack materials on inadequately braced trusses.
3. Provide copies of this truss design to the building
designer, erection supervisor, property owner and
all other interested parties.
0
0�
0 4. Cut members to bear tightly against each other.
M
U 5. Place plates on each face of truss at each
CI_
0 joint and embed fully. Knots and wane at joint
locations are regulated by ANSI/TPII.
6. Design assumes trusses will be suitably protected from
the environment in accord with ANSI/TPI I.
7. Unless otherwise noted, moisture content of lumber
shall not exceed 1?% at time of fabrication.
8. Unless expressly ncted, this design is not applicable for
use Vith fire retardant or preservative treated lumber.
9. Camber is a non-structural consideration and is the
responsibility of truss fabricator. General practice is to
camber for dead load deflection.
I o. plate type, size, orientation and location dimensions
shown indicate minimum plating requirements.
11. Lumber used shall be of the species and size, and
in all respects, equal to or better than that
specified.
12. Top chords must be sheathed or purlins provided at
spacing shown on design.
13. Bottom chords require lateral bracing at I o ft. spacing,
or less, 'if no ceiling is installed, unless otherwise noted.
14. Connections not shown are the responsibility of others.
15. Do not cut or alter truss member or plate without prior
approval of a professional engineer.
16. Install and load vertically unless indicated otherwise.
@ 2004 MiTek@
0
For 4 x 2 orientation, locate
U
plates 0-146" from outside
a�
0
edge of truss.
1-_
*This symbol indicates the
required direction of slots in
connector plates.
Plate location details available In MiTek 20/20
software or upon request.
PLATE SIZE
The first dimension is the width
4 x 4 perpendicular to slots. Second
dimension is the length parallel
to slots.
LATERAL BRACING
Indicated by symbol shown and/or
by text in the bracing section of the
output. Use T, I or Eliminator bracing
if indicated.
BEARING
indicates location where bearings
(supports) occur. Icons vary but
reaction section indicates joint
number where bearings occur.
Industry Standards: ification for Metal
ANSI/TP11: National Design Spec
Plate Connected Wood Truss Construction.
nen QO* Design standard for Bracing.
Building Component Safety Information,
Guide to Good Practice for Handling,
Installing & Bracing of Metal Plate
Connected Wood Trusses.
Numbering System
648 dimensions shown in ft -in -sixteenths
2 3
TC)P CHORDS
8 7 6 5
JOINTS ARE GENERALLY NUMBERED/LETTERED CLOCKWISE
AROUND THE TRUSS STARTING AT THE JOINT FARTHEST TO
THE LEFT.
CHORDS AND WEBS ARE IDENTIFIED BY END JOINT
NUMBERS/LEITERS.
CONNECTOR PLATE CODE APPROVALS
BOCA 96-31, 95-43, 96-20-1, 96-67, 84-32
ICBO 4922,5243,5363,3907
SBCCI 9667,9730,9604B,9511,9432A
MiTek Engineering Reference Sheet: Mll-7473
,& General Safety Notes
Failure to Follow Could Cause Property
Damage or Personal Injury
1 . Additional stability bracing for truss system, e.g.
diagonal or X -bracing, is always required. See BCS11.
2. Never exceed the design loading shown and never
stack materials on inadequately braced trusses.
3. Provide copies of this truss design to the building
designer, erection supervisor, property owner and
all other interested parties.
0
0�
0 4. Cut members to bear tightly against each other.
M
U 5. Place plates on each face of truss at each
CI_
0 joint and embed fully. Knots and wane at joint
locations are regulated by ANSI/TPII.
6. Design assumes trusses will be suitably protected from
the environment in accord with ANSI/TPI I.
7. Unless otherwise noted, moisture content of lumber
shall not exceed 1?% at time of fabrication.
8. Unless expressly ncted, this design is not applicable for
use Vith fire retardant or preservative treated lumber.
9. Camber is a non-structural consideration and is the
responsibility of truss fabricator. General practice is to
camber for dead load deflection.
I o. plate type, size, orientation and location dimensions
shown indicate minimum plating requirements.
11. Lumber used shall be of the species and size, and
in all respects, equal to or better than that
specified.
12. Top chords must be sheathed or purlins provided at
spacing shown on design.
13. Bottom chords require lateral bracing at I o ft. spacing,
or less, 'if no ceiling is installed, unless otherwise noted.
14. Connections not shown are the responsibility of others.
15. Do not cut or alter truss member or plate without prior
approval of a professional engineer.
16. Install and load vertically unless indicated otherwise.
@ 2004 MiTek@
Job
Truss
Truss Type
Qty
Ply
POOLHOUSE
DUGG0118
At
SCISSORS
14
Plates Increase 1.25
R14925550
I —f.11—' I —k— — —
nl:-- —
—'-- —
>999
240
Job Reference (optional)
tD.uvu s jun I f ZUU4 Mi I eK Inclustries, Inc. rue Jan 18 08:33:58 2005 Page 1
-2-0-0 5-4-13 10-0-0 14-7-3 20-0-0 22-0-0
2-0-0 5-4-13 4-7-3 4-7-3 5-4-13 2-0-0
4x4 =
4
Scale = 1:45.9
5-4-13 10-0-0 14-7-3 2G-0-0
5-4-13 4-7-3 4-7-3 5-4-13
LOADING (psf)
SPACING 2-0-0
CS1
DEFIL
in
(loc)
I/defi
Ud
PLATES GRIP
TCLL 16.0
Plates Increase 1.25
TC; 0.32
Vert(LL)
-0.15
9
>999
240
MT20 2201195
TCDL 10.0
Lumber increase 1.25
BC 0.37
Vert(TL)
-0.31
9
>771
180
BCLL 0.0
Rep Stress Incr YES
WB 0.67
Horz(TL)
0.35
6
n/a
n/a
BCDL 7.0
Code UBC97/ANS195
(Simplified)
Weight: 88 lb
LUMBER
TOPCHORD 2X4DFNo.I&BtrG
BOTCHORD 2X4DFNo.l&BtrG
WEBS 2X4DFStdG
REACTIONS (lb/size) 2=762/0-3-8,6=76210-3-8
Max Horz2=1 12(load case 4)
Max Uplift2=-24(load case 5), 6=-24(load case 5)
FORCES (lb) - Maximum Compression/Maximum Tension
TOPCHORD 1-2=0/28, 2-3�2371/0,3-4�1712/0,4-5=-1701/0, 5-6�23711/0'6-7=0/�8
BOTCHORD 2-10=0/2132,9-10=0/2132,8-9=0/2130,6-8=0/2132
WEBS 4-9=0/1654,3-10=-29/167,5-8=-28/172,3-9�547/132,5-9=-554/145
BRACING
TOPCHORD Sheathed or 4-1-0 oc purlins.
BOTCHORD Rigid ceiling directly applied or 10-0-0 oc bracing.
J -
NOTES
1) Unbalanced roof live loads have been considered for this design.
2) This truss has been designed for the wind loads generated by 75 mph winds at 25 It above ground level, using 10.0 psf top chord dead
load and 7.0 psf bottom chord dead load, 100 mi from hurricane oceanline, on an occupancy category 1, condition I enclosed building, of
dimensions 50 ft by 25 It with exposure B ASCE 7-93 per UBC97/ANS]95 If end verticals exist, they are not exposed to wind. If
cantilevers exist, they are exposed to wind. If porches exist, they are exposed to wind. The lumber DOL increase is 1.33, and the plate
grip increase is 1.33
3) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads.
4) A plate rating reduction of 20% has been applied for the green lumber members.
5) Bearing at joint(s) 2, 6 considers parallel to grain value using ANSI/TPI 1-1995 angle to grain formula. Building designer should verify
capacity of bearing surface. ?,0 F E S S
LOAD CASE(S) Standard P, BO& q,
CO %
IS,
NO. C66424
EXP. 6-30-06
CIVI\-
OF C Atk�
January 18,2005
A WARNING - Ver(fy design pararneters and READ NOTES ON THIS AND INCLUDED mTEK R&FERENCE PAGE MU -7473 BEFORE USE. BRINE= 7777 Greenback Lane
Design valid for use only with Mffek connectors. This design is based only upon parameters shown, and is for an individual building component. Suite
Appricabirity of design paramenters and proper incorporation of component is responsibility of building designer - not truss designer. Bracing shown Citrus'Ho%hl., C�'
ral s upport of individual web members only. Additional temporary bracing to insure stability during construction is the responsibillity of the
is or late
erector. Additional permanent bracing of the overall structure is the responsibility of the building designer. For general guidance regarding
fabrication, quality control, storage, delivery, erection and bracing, consult ANSI[TPI1 Quality Criteria, DSB-89 and BCSII Building Component
Safety Information available from Truss Plate Institute, 583 D'Onofrio Drive, Madison, WI 53719. MiTek
Trusses are not marked in any way to identify
the frequency or location of temporary bracing.
Follow the recommendations for handling,
installing and temporary bracing of trusses.
Refer to BCSI 1-03 Guide tg Good Practice for
Handling. nstallinci & Bracing of Metal Pla-e
Connected Wood Trusses for more detail �d
information.
Truss Design Drawings may specify locations of
permanent bracing on individual compressi
members. Refer to the BCSI-83 Summary
Sheet - Web Member Permanent Bracinci/Web
Reinforcement for more information. All other
permanent bracing design is the responsibility
of the Building Designer.
A
Los trusses no est6n marcados cle ning6n modo que
identifique la frecuencia o locallzad6n de IDS arriostres
(bracing) temporales. Use las recomendaciones de manejo,
instalacl6n y arriostre temporal de IDS trusses. Vea el fol[ew
BCS 1-03 Gula de Buena PEal;tica care el Mangio, Instalad6n
y, Arriostre de los Trusses de Madera Conn2ctaclos con
Places cle LletAlpara para mayor informaci6n.
Los clibujos cle diseflo de IDS trusses pueden especificar
las localizaciones de IDS arriostres permanentes an IDS
. bro, individuales an compresi6n. Vea la hoja res6men
BCSI- B3 pare IDS arriostres permantentes y refuerzos; cle los
mlembros ecundarlos (webs) para mayor informaci6n. El
resto de arriostres permanentes son la responsabilidad del
lor del Edificlo.
as The consequences of improper handling, installing
and bracing may be a collapse of the structure, or
worse, serious personal injury or death.
El resultado de un manejo, instalaci6n y arriostre
inadecuaclos, puede ser la cafda de la estructura o
a6n pact, muertos o heridos.
Banding and truss plates have sharp edges. Wear
46 gloves when handling and safety glasses when
cutting banding.
Empaques y placas de rnetal tienen bordes
afilados, Use guantes y lentes protectores cuando
Corte IDS empaques,
f;;?[ Allow no more No permita mas Use special care in
LI -J than 3" of deflec- de 3 pulgaclas de windy weather or
tion for every 10' pandeo por cada 10 near power lines
ofspan. pies cle tramo. and airports.
10'
10,
6"max.
7-
10, L_ , o'
10 Pick up vertical Levante de ]a cuercla
bundles at the superior los grupos
top chord. verticales de trusses.
ONE WEEK OR LESS MORE THAN ONE WEEK
Bundles stored on the ground for one
1.0 week or more should be raised by blocking
at 8' to 10' on centen
Los paquetes almacenados en [a tierra per
one Samaria o m6s deben ser elevados
con bloques a cacia 8 o 10 pies.
For long term storage, cover bundles to pre-
vent moisture gain but allow for ventilation.
Para almacen-amierito por mayor tiempo,
cubra los paquetes para prevenir aumento
de humedad pero permita ventilad6n.
Utilice culdado
especial an dials
ventosos o cerca de
cables el6ctricos o de
aeropuertos.
& Avoid lateral bending. — Evite la flexi6n lateral.
GDo not store No almacene
unbraced bundles verticalmente los
upright. trusses sueltos.
GDo not store on No almacene en
uneven ground. tierra clesigual.
H I AND ERECTION — LEVANTAMIENTO A MANO
10 Trusses 20' or Trusses 30' or
less, support less, support at
at peak. quarter points.
Levante Levante cle
del pico los los cuartos
trusses de 20 cle tramo los;
trusses de 30
pies o menos. Trusses up to 20' pies o menos. Trusses up to 30'
-*.I Trusses hasta 30'
Trusses nasra zu I
HOISTING — LEVANTAMIENTO
10 Hold each truss in position with the erection equipment until temporary bracing is installed and
truss is fastened to the bearing'points.
Sostenga cada truss an posid6n con [a gr6a hasta que el arriostre temporal est6 instalado y el
truss asegurado an IDS soportes.
0 Do not lift trusses over 30' by the peak.
No levante del pico IDS trusses cle ni cle 30 pies..
Greaterthan 0'
Mi5s cle 30 pies
HOISTING RECOMMENDATIONS BY TRUSS SPAN
RECOMMENDACIONES DE LEVANTAMIENTO
POR LONGITUD DEL TRUSS
60' or less
Approx. 1/2
Tagiline truss length
TRUSSES UP TO 30'
TRUSSES HASTA 30'
T / Toe -,n
Spreader bar 1/2 to
Taglin. _�� 2/3 truss length
TRUSSES UP TO 60'
TRUSSES HASTA 60'
Locate Spreader bar Attach
10' D.C.
above or stiffback max.
mid -height I
�, Spreader bar 2/3 to
Tagllne� 3/4 truss length
RU
US
I-*— SSES UP TO AND OVER 60'
TRUSSES HASTA Y SOBRE 60'
Refer to BCSI-B2 Summary Sheet - Truss Installa-
tion and Temporary Bracing for more information.
Vea el res6men BCSI-B2 - Instalad6n cle Trusses
y Arriostre Temporal para mayor informaci6n
GDo not walk on unbraced trus es.
No camme en trusses sueltos.
10 Locate ground braces for first truss directly
in line with all rows of top chord temporary
lateral bracing.
Coloque IDS arriostres de tierra para a]
primer truss directamente en fnea con
cada Una de las filas de arriostres laterales
temporales; de [a cuerda superior.
Brace first truss well
before erection of
additional trusses.
M
Top Chord Temporary Lateral
Bracing (TCTLB)
'nin.
This bracing method is for all trusses except 3x2 and 4x2 parallel chord trusses.
Este m6todo de arriostre as para todo trUSSOS excepto trusses de cuerdas paralelas 3x2 y 4x2.
1 TOP CHORD — CUERDA SUPERIOR
Truss Span
Top Chord Temporary Lateral Brace (TCTLB) Spacing
Spreader bar for
Espaciamiento del Arricistre Temporal de la Cuerda Superior
Up to 30'
� Z
bundles �,,,
truss,,"
Hasta 30 pies
10 pies m6ximo
30' to 45'
8'o.c. max.
0 0
0 0
10 Check banding
Revise IDS empaques
prior to moving
antes cle mover los
bundles.
paquetes de trusses.
& Avoid lateral bending. — Evite la flexi6n lateral.
GDo not store No almacene
unbraced bundles verticalmente los
upright. trusses sueltos.
GDo not store on No almacene en
uneven ground. tierra clesigual.
H I AND ERECTION — LEVANTAMIENTO A MANO
10 Trusses 20' or Trusses 30' or
less, support less, support at
at peak. quarter points.
Levante Levante cle
del pico los los cuartos
trusses de 20 cle tramo los;
trusses de 30
pies o menos. Trusses up to 20' pies o menos. Trusses up to 30'
-*.I Trusses hasta 30'
Trusses nasra zu I
HOISTING — LEVANTAMIENTO
10 Hold each truss in position with the erection equipment until temporary bracing is installed and
truss is fastened to the bearing'points.
Sostenga cada truss an posid6n con [a gr6a hasta que el arriostre temporal est6 instalado y el
truss asegurado an IDS soportes.
0 Do not lift trusses over 30' by the peak.
No levante del pico IDS trusses cle ni cle 30 pies..
Greaterthan 0'
Mi5s cle 30 pies
HOISTING RECOMMENDATIONS BY TRUSS SPAN
RECOMMENDACIONES DE LEVANTAMIENTO
POR LONGITUD DEL TRUSS
60' or less
Approx. 1/2
Tagiline truss length
TRUSSES UP TO 30'
TRUSSES HASTA 30'
T / Toe -,n
Spreader bar 1/2 to
Taglin. _�� 2/3 truss length
TRUSSES UP TO 60'
TRUSSES HASTA 60'
Locate Spreader bar Attach
10' D.C.
above or stiffback max.
mid -height I
�, Spreader bar 2/3 to
Tagllne� 3/4 truss length
RU
US
I-*— SSES UP TO AND OVER 60'
TRUSSES HASTA Y SOBRE 60'
Refer to BCSI-B2 Summary Sheet - Truss Installa-
tion and Temporary Bracing for more information.
Vea el res6men BCSI-B2 - Instalad6n cle Trusses
y Arriostre Temporal para mayor informaci6n
GDo not walk on unbraced trus es.
No camme en trusses sueltos.
10 Locate ground braces for first truss directly
in line with all rows of top chord temporary
lateral bracing.
Coloque IDS arriostres de tierra para a]
primer truss directamente en fnea con
cada Una de las filas de arriostres laterales
temporales; de [a cuerda superior.
Brace first truss well
before erection of
additional trusses.
M
Top Chord Temporary Lateral
Bracing (TCTLB)
'nin.
This bracing method is for all trusses except 3x2 and 4x2 parallel chord trusses.
Este m6todo de arriostre as para todo trUSSOS excepto trusses de cuerdas paralelas 3x2 y 4x2.
1 TOP CHORD — CUERDA SUPERIOR
Truss Span
Top Chord Temporary Lateral Brace (TCTLB) Spacing
Longitud cle Tramo
Espaciamiento del Arricistre Temporal de la Cuerda Superior
Up to 30'
10'o.c. max.
Hasta 30 pies
10 pies m6ximo
30' to 45'
8'o.c. max.
30 a 45 pies
8 pies m6ximo
45' to 60'
6'o.c. max.
45 a 60 pies
6 pies m6ximo
60' to 80'*
4'o.c. max.
60 a 80 pies*
4 pies m6ximo
*Consult a Professional Engineer for trusses longer than 60'.
*Consulte a un ingeniero para trusses cle mas de 60 pies.
Z See BCSI-B2 for TCTLB options.
Vea el BCSI-B2 para las opciones
de TCTLB. I -
Refer to BCSI-B6
Maximum lateral brace spacing
Summary Sheet -
Plywood or OSB
Gable End Frame
- Temporary and
Bracing.
15' o.c. for 4x2 chords Diagonal braces
Veal el res6man
'�O' DT
Repeat Jiagonal braces.
BCSI-B6 - Arriostre
_-C, spaces (30' max.)
RLpita I)s arriostres
del truss terminal
diagoniles.
de un techo a dos
Vea a] res6men
aguas.
Set first five trusses with spacer pieces, then add diagonals. Repeat
process on groups of four trusses until all trUsses are set.
Instale los cinco primeros trusses con espaciadores, luego IDS aniostrus
diagonales. Repita 6ste procedirniento an grupos de cuatro trusses
hasta qua todos los trusses est6i instalados.
2) BOTTOM CHORD —
CUERDA INFERIOR
Lateral braces
2x4xl2' length lapped
over two trusses. ,
10'-15' max.
Diagonal braces
every 10 truss
spaces (20' max.)
Some chord and web members not shown for clarity.
3) WEB MEMBER PLANE — PLANO DE LOS MIEMBROS SECUNDARIOS
1
SE
as bottom cnorci
lateral bracing
Some chord and web members not shown for clarity.
VIIWAMAMW 11 " UTILIMM
BRACING FOR 3x2 AND 4x2 PARALLEL CHORD TRUSSES
EL ARRIOSTRE PARA TRUSSES DE CUERDAS PARALELAS 3x2 Y 4x2
Refer to BCSI-B7
Maximum lateral brace spacing
Summary Sheet
Plywood or OSB
10' o.c. for 3x2 chords
- Temporary and
]as
15' o.c. for 4x2 chords Diagonal braces
Permanent Bracing
'�O' DT
every 15 truss
for Parall . el Chord
_-C, spaces (30' max.)
Trusses for more
Tolerances for -
information.
Vea a] res6men
Out -of -Plumb, i
t
BCST-67 Annostre
1-1/8" 18.8;
-
temporal v
1/2" 2'
1-1/4" 20.8'
permanente cle
The end diagonal
trusses de cuerdas
brace for cantilevere
paralelas para mayor
trusses must be pla ed
Late I b Des
informad6n.
on vertical webs in line
2x4x12' length lapped
Dob
1.1 4'
with the support.
over two trusses.
"I"Pti
(D =e4ceed maximum Stack heights. Refer to BCSI-B4 Asphalt Shingles 2 bund
Sh �e' _ Construction Loading for more information. Concrete Block 8"
No exceda las m6ximas alturas recomendadas. Vea el res6men- Clay Tile 3-4 tiles
BCSI-B4 Carga cle Construcci6n para mayor infornri
GDo not overload small groups or single trusses.
No sobrecargue pequehos grupos o trusses inclividuales.
10 Place loads oval as many trusses as possible.
Coloque las cargas solbre tantos trusses como sea posible.
10 Position loads over load bearing walls,
Coloque las cargas solbre las parades soportantes.
ALTERATIONS — ALTERACIONES
Refer to BCSI-B5 Summary Sheet - Truss Damaae, Jobsite Modifications and Installation Errors.
Vea el res6men BCSI-B5 Dahos de trusses, Modificaciones an la Obra y Errores cle Instalaci6n.
&Do not cut, alter, or drill any structural member of a truss unless "3" Nj�q.
specifically permitted by the Truss Design Drawing.
No corte, altere o perfore ning6n miembro estructural de los
trusses, a menos que est6 especfficamente permitido an el dibujo
del diseho del truss.
Trusses that have been overloaded during construction or altered without the Truss Manufacturer's
prior approval may render the Truss Manufacturer's limited warranty null and void.
Trusses que se han solbrecargado durante la construcci6n o han sido alterados sin Una autorizac!6n
previa del Fabricante de Trusses, pueden reducir o elimmar la garantia del Falbricante de Trusses.
NOTE: The Truss Manufacturer and Truss Designer must rely on the fact that the Contractor and crane operator (if applicable) are ca-
pable to undertake the work they have agreed to do on a particular project. The Contractor should seek any required assistance regarding
construction practices from a competent party. The methods and procedures outlined are intended to ensure that the overall construction
techniques employed will put floor and roof trusses into place SAFELY. These recommendations for handling, installing and bracing wood
trusses are based upon the collective experience of leading techni,ail personnel in the wood truss industM but must, due to the nature of
responsibilities involved, be presented only as a GUIDE for use by a qualified Building Designer or Erection/Installation Genti-achic It is not
intended that these recommendations be interpreted as superior to any design specification (provided by either an Architect, Engineer,
the Building Designer, the Erection/Installation Contractor or otherwise) for handling, installing and bracing mod trusses and it does
not preclude the use of other equivalent methods for bracing and providing stability for the walls and columns as may be determined by
the truss Erection/Installation Contracton Thus, the Wood Truss Council of America and the Truss Plate Institute expressly disi,laim any
responsibility for damages arising from the use, application, or reliance on the recommendations and information contained herein.
k 1.996
V ER" '94�
WOOD TRUSS COUNCIL OF AMERICA TRUSS PLATE INSTITUTE
One WTCA Center - 6300 Enterprise Lane - Madison, W1 53719 583 D'Onofirio Drive Madison, WI 53719
608/274-4849 - www.wooctruss.com 608/833-5900 www.tpinst.org
81WARN11x17 031125
Tolerances for Out -of -Plane, — Tolerancias para Fuera-de-Plano.
Plywood or OSB
Length Max. Bow Max. Bow
--I
Max. Truss
Bow Length
]as
U� Length
Ex.
3/4" 12.5'
Bow 'Length �11
7/8" 14.6'
Tolerances for -
D/50 D (ft.)
ill 16.7'
Out -of -Plumb, i
t
- 1.
1/4"
1-1/8" 18.8;
Toleranclas para
1/2" 2'
1-1/4" 20.8'
Fuera-cle-Plomada.
1-3/8" 22.9'
Plumb
3/4" 3'
Dob
1.1 4'
1-1/2" 25 0'
1-1/4" 5
1-3/4" 29.2'
D/50 max
j,:!K 6.
2" �:33.3'
1-3/4" 7'
2" ��t 8'
CONSTRUCTION LOADING CARGA DE CONSTRUCCION
Do not proceed with construction until all bracing is securely
Maximum Stack Height
and properly in place.
for Materials on Trusses
No proceda con [a construcci6n hasta que toclos IDS arriostres
Material Height (h)
esthn colocados en forma apropiada y Segura.
Gypsum Board 12"
(D =e4ceed maximum Stack heights. Refer to BCSI-B4 Asphalt Shingles 2 bund
Sh �e' _ Construction Loading for more information. Concrete Block 8"
No exceda las m6ximas alturas recomendadas. Vea el res6men- Clay Tile 3-4 tiles
BCSI-B4 Carga cle Construcci6n para mayor infornri
GDo not overload small groups or single trusses.
No sobrecargue pequehos grupos o trusses inclividuales.
10 Place loads oval as many trusses as possible.
Coloque las cargas solbre tantos trusses como sea posible.
10 Position loads over load bearing walls,
Coloque las cargas solbre las parades soportantes.
ALTERATIONS — ALTERACIONES
Refer to BCSI-B5 Summary Sheet - Truss Damaae, Jobsite Modifications and Installation Errors.
Vea el res6men BCSI-B5 Dahos de trusses, Modificaciones an la Obra y Errores cle Instalaci6n.
&Do not cut, alter, or drill any structural member of a truss unless "3" Nj�q.
specifically permitted by the Truss Design Drawing.
No corte, altere o perfore ning6n miembro estructural de los
trusses, a menos que est6 especfficamente permitido an el dibujo
del diseho del truss.
Trusses that have been overloaded during construction or altered without the Truss Manufacturer's
prior approval may render the Truss Manufacturer's limited warranty null and void.
Trusses que se han solbrecargado durante la construcci6n o han sido alterados sin Una autorizac!6n
previa del Fabricante de Trusses, pueden reducir o elimmar la garantia del Falbricante de Trusses.
NOTE: The Truss Manufacturer and Truss Designer must rely on the fact that the Contractor and crane operator (if applicable) are ca-
pable to undertake the work they have agreed to do on a particular project. The Contractor should seek any required assistance regarding
construction practices from a competent party. The methods and procedures outlined are intended to ensure that the overall construction
techniques employed will put floor and roof trusses into place SAFELY. These recommendations for handling, installing and bracing wood
trusses are based upon the collective experience of leading techni,ail personnel in the wood truss industM but must, due to the nature of
responsibilities involved, be presented only as a GUIDE for use by a qualified Building Designer or Erection/Installation Genti-achic It is not
intended that these recommendations be interpreted as superior to any design specification (provided by either an Architect, Engineer,
the Building Designer, the Erection/Installation Contractor or otherwise) for handling, installing and bracing mod trusses and it does
not preclude the use of other equivalent methods for bracing and providing stability for the walls and columns as may be determined by
the truss Erection/Installation Contracton Thus, the Wood Truss Council of America and the Truss Plate Institute expressly disi,laim any
responsibility for damages arising from the use, application, or reliance on the recommendations and information contained herein.
k 1.996
V ER" '94�
WOOD TRUSS COUNCIL OF AMERICA TRUSS PLATE INSTITUTE
One WTCA Center - 6300 Enterprise Lane - Madison, W1 53719 583 D'Onofirio Drive Madison, WI 53719
608/274-4849 - www.wooctruss.com 608/833-5900 www.tpinst.org
81WARN11x17 031125
Plywood or OSB
16"
]as
high
(D =e4ceed maximum Stack heights. Refer to BCSI-B4 Asphalt Shingles 2 bund
Sh �e' _ Construction Loading for more information. Concrete Block 8"
No exceda las m6ximas alturas recomendadas. Vea el res6men- Clay Tile 3-4 tiles
BCSI-B4 Carga cle Construcci6n para mayor infornri
GDo not overload small groups or single trusses.
No sobrecargue pequehos grupos o trusses inclividuales.
10 Place loads oval as many trusses as possible.
Coloque las cargas solbre tantos trusses como sea posible.
10 Position loads over load bearing walls,
Coloque las cargas solbre las parades soportantes.
ALTERATIONS — ALTERACIONES
Refer to BCSI-B5 Summary Sheet - Truss Damaae, Jobsite Modifications and Installation Errors.
Vea el res6men BCSI-B5 Dahos de trusses, Modificaciones an la Obra y Errores cle Instalaci6n.
&Do not cut, alter, or drill any structural member of a truss unless "3" Nj�q.
specifically permitted by the Truss Design Drawing.
No corte, altere o perfore ning6n miembro estructural de los
trusses, a menos que est6 especfficamente permitido an el dibujo
del diseho del truss.
Trusses that have been overloaded during construction or altered without the Truss Manufacturer's
prior approval may render the Truss Manufacturer's limited warranty null and void.
Trusses que se han solbrecargado durante la construcci6n o han sido alterados sin Una autorizac!6n
previa del Fabricante de Trusses, pueden reducir o elimmar la garantia del Falbricante de Trusses.
NOTE: The Truss Manufacturer and Truss Designer must rely on the fact that the Contractor and crane operator (if applicable) are ca-
pable to undertake the work they have agreed to do on a particular project. The Contractor should seek any required assistance regarding
construction practices from a competent party. The methods and procedures outlined are intended to ensure that the overall construction
techniques employed will put floor and roof trusses into place SAFELY. These recommendations for handling, installing and bracing wood
trusses are based upon the collective experience of leading techni,ail personnel in the wood truss industM but must, due to the nature of
responsibilities involved, be presented only as a GUIDE for use by a qualified Building Designer or Erection/Installation Genti-achic It is not
intended that these recommendations be interpreted as superior to any design specification (provided by either an Architect, Engineer,
the Building Designer, the Erection/Installation Contractor or otherwise) for handling, installing and bracing mod trusses and it does
not preclude the use of other equivalent methods for bracing and providing stability for the walls and columns as may be determined by
the truss Erection/Installation Contracton Thus, the Wood Truss Council of America and the Truss Plate Institute expressly disi,laim any
responsibility for damages arising from the use, application, or reliance on the recommendations and information contained herein.
k 1.996
V ER" '94�
WOOD TRUSS COUNCIL OF AMERICA TRUSS PLATE INSTITUTE
One WTCA Center - 6300 Enterprise Lane - Madison, W1 53719 583 D'Onofirio Drive Madison, WI 53719
608/274-4849 - www.wooctruss.com 608/833-5900 www.tpinst.org
81WARN11x17 031125
9
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