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HomeMy WebLinkAbout018-010-0851i FcOMPLAINT WAKEFIELD, RonKSGIVEN TO INSPECTOR NWA C Canyon Rd a ` 342 70r�` pp 300'N of Man 37 o zanita; C o BUILDING CODE VIOLATION N, Contr: Ronal orester, Chico n�s,Chico Canyon Rd.,1600� E. of Centervlial Permit#1479-83B2 convert garage to game Ave., Chico l� A DAY �. q- p,`� y room/SF) c n n (addition) /o? A, 4, ; . Contr : Q � _ Forester r►r 2417-83PM(ins•ta1T'•♦wall' furnace-. NORMA`KOSCKI, .11-01-85 t 145 Chico Canyon Rd., Chico (housing complaint 4-14-87) _ `Permit.#1288-87(repair perHD 11-01-85. �- ltr dated 4-14-87) •. 011-010-085 ° 01-0 883 NORMA `l,� 883 145 CHICO CANYON ROAD, CHICO CONTR: UNKNOWN { `DRY ROT REPAIR l -010-085 02-04IALED I ;OHNSON CRAIG 145 CHICO CANYON -ADD OFFICESPA.CE TO ' 011-010-085 04-2276 JOHNSON, CRAIG 145 CHICO.-CANYON RD, CHICO PENT nRENEWAL Cunt: OWNER I DATE: .� GUNITE POOL & ELECI BP#_Q!L- i -(p .0 EXPIRES:::m • — e I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CAlifornia•95965 - Telephone 916/534-4541 APPLICATION'AND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER p `�g' ZONING BUILDING PERMIT AZ OWNER TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS OA_) Alb/ CONTj7ACTOR•SE.'® �� TELHONE CONTRACTOR'S MAILING ADDRESS /Q C0 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDI G ADDRESS PLUMBING- PERMIT FiIIng Fee 10.00 l Each Trap 2.00 Solar Water Heater 20.00 Q�t3//LDS Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 oe) USE OF STRUCTURE Sr�- Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S GW 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: T1114?r4L� �1Ji41,LiE2/IJ _ ---P DA— 1J� 7- ,11 �� IF -8-35 /'T'100 Permit Fee $ /si Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10Ov OR LESS AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW & CONST. DWELLING OCCUP. OR AODNS. ( ACC. BLDGS. 1 2h2sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y ,- / License NoA 6 L! Q0� Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - (Sec. 7044) gam exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI.OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS. NEW CONSTR. ( POWER APPARATUS &'1 NON-RESID, SINGLE OUTLET CIR. / 20®sot Ex. Occup(o OR FIXTURES 9AL®so FIXED A Ex. Occup. OUTLETS P(RESID.)LINIS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. &Irshall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating A06 Cooling Hood 3.00 Ventilation permit Fee $ poi Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id County in consequence of the granting of this permit. X T Date Signature of Applicant — Owner ❑ Contractor ElAgent Elwor An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCOP. GROUP I TYPE OF CONST. I PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do i dicated bove for which fees have been paid. 1 EC:TOR OF PUBLIC WORKS By pate 17 iB�fq _ PERMIT EXPIRES Date Receipt NO. o � WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE MIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 / /) Z APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 46-30-85 /I °u ZONING BUILDING PERMIT OWNER Norma IC6sk TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER' MAILING AD RESS Rt .#5 Box �4 H, Chico CONTRACTOR'S NAME TELEPHONE Ronald Forester 1343-4172 CONTRACTOR'S MAILING ADDRESS 1St & 2nd renewals Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. none Filing Fee $ 10.00 Permit Fee Z FEE x 2 $ 70.00 Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS I BUILDING ADDRESS NWIS Chim, Canyon Rd. Penalty $ Permit fee $ 80.00 PLUMBING PERMIT Filing Fee 10.00 a 300' N Manzanita Ave. Each Trap 2.00 Solar Water Heater 20.00 Chico Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 55,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF 23Duplex❑ Mobilehome❑ Other cnnv�rt- crAracra SPECIFY � Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New E] Addition❑ Remodel❑ Utilities❑ Installation[] Other ❑ Describe work: lst to 2nd renewals Permit #1471-83 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the ownery am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for th's ason NEW CONST.(DWELLING OCCUP.Q , OR ADONS. ACC. BLDGS. 2/20sq it NEW COT'-OUTLE NON-RESID R BRANCH CIRCTITS 2.50 ea NEW CONSTR / POWER APPARATUS 9) NON-RESID. %SINGLE OUTLET CIR. 20E041 Ex. Occup(OUTLETS OR FIXTURES ..21-090 FIXED APLNS. Ex. DCCUp. OUTLETS PRESID.)REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare unde p natty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ainst said County in consequence of the granting of this permit. Date Wlgn.lure of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 80.00 OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD 1. ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES Date 5-24-66 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I� 9 O GbUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF LOPENT SERVICES 411 Main Street • C 'co, CA 'CA 530 891- 51,� 7 County Center Drive • Orovl le, CA • (530) 538=7541 CORRECTION NOTICE A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 14+5 C" 1 ai wl [M /n ` 0/ h,tY s v'4 4-r- _ deG r o J .o -,s +yo-/. -t r-4 ,)' y— % lP %-/ Z 'i N , VI ` 4 V-1eq L- e;x//�Aaeor Date ARv Inspector REV 10/9 h e c o//o _ _ r �'' :fir BUTTE COUNTY DEVELOPMENT SERVICES Date: ky�So� ' Owner: � Address: y Location: / S Cw O TYPE: Jk4Building [ ]Health [ ]Planning Taken By: Permit History on File: [ ]None [ ]As follows: Tenant: DLJ,- Description J, Description of Violation: A.P. #: 11 - O l , o e s ^ Zoning: General Plan: o eZ�, Cl -it 6.,c- Caution: .,o INSPECTOR'S REPORT �< .Z rJ - Caution: Yes[ ] No[ Address: / C11 -le-,> -,> C.e­JL,.2J /9dbd tri 0 r Approximate Budding/Mobile Home size: Approximate Building/Mobile Home age: Under construction: Built by/for: (,�Pr ent � [ ]Previous owner [ ]Occupied [ ]Vacant Has Electricity: [f ]Yes [ ]No Has Gas:[ ]Natural [ ]Propane [ ]None Has Sanitation:[ ]Yes [ ]No Obvious sewage problems? [ ]Yes [ ]No Hazards:( ]Yes { ]No A Person Contacted: L_j /V Describe Action Taken: (f o22C C -f7"2- INSPECTOR MUST ATTACH A COPY OF THE CORRECTION NOTICE! Inspector: ' /� - 7 ACTION RECOMMENDED: ( ]Information Only, File [ ]Complaint Unfounded [ ]Resolved per Inspector's Report Date: %L - Z 5 C> [ ]Hold for Days [ ]Other [end Letter for Compliance Complainant: Address: Phone Number: Other Comments: BUTTE COUNTY DEVELOPMENT SER- CF,S tS K y ..`�>`�`�, `�s fcmFs� "'% Jj'`�s��`i£°`•:..:. £iF�t `sif`.£F;f%� iJ <f 3 k Inspector must draw a plot plau with all building locations: Additional comments from Inspector: atte, Count L A N D O F N A T U R A L W E A L T H A N D B E A U T Y January 29, 2002 Craig Johnson 145 Chico Canyon Road Chico, CA 95928 RE: Building Code Violation 145 Chico Canyon Road, Chico, CA 95928 . AP # 011-010-085 Dear Mr. Johnson: BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for the r construction of a pool house/storage building. Since permits and inspections are required for the above work, please submit three complete sets of plans and pay the appropriate fees. After permit issuance, field inspection and approval will be required prior to work continuing. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the. above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, Scott Rutherford Chief Building Inspector SR:tp cc: Assessor i DEPARTMkT OF.PUBLIC HEALTH Division of Environmental Health �i 7 County Center Drive Oroville, CA 95965 916-538-7281 , CERTIFIED MAIL - RETURN RECEIPT REQUESTED April 14, 1987 Norma Jene Koscki 25 Cameo Drive ##.3 Chico,•CA 95926 RE: Housing Complaint - Rt. 5. Box.94H (145"Chico Canyon Rd.), Chico AP## 011-010-085 Dear Ms. Koscki: This department received a complaint alleging health and safety hazards in the above,listed rental dwelling." The Butte County Assessor's records indicate you are.the owner of the property. On April 3, 1987, I visited the property and the tenants permitted me to. inspect the house. The following conditions were observed which are in violation of the California Health and Safety Code, Section 17920.3 (a)(6), (d), (e), (f), (g)(2), (i), and (1) and which render the house substandard and pose -health and safety hazards to the tenants. 1. Fan is inoperative in fireplace"insert so it cannot be used for" heating. 2. Tenant indicates periodic shocking occurs from light switch by rear sliding door. 3. Electrical outlet in one bedroom has broken receptacle, and one. in I twin's room is missing a cover plate. 4. Tenant indicates outside light by .master bedroom door is inoperative. Light had a screw-in plug in place this date, unable to check for operation. 5. Liaht cover missing on kitchen ceiling fixture. 6. Right front range burner is inoperative. 7. Water heater lacks a discharge line to the exterior from the temperature -pressure relief valve. ". 8. Tenant reported a leak in hot-water line under house. Norma Jene Koscki April 14, 1987 ;f Page 2 9. Kitchen sliding door hasloose glass,`. and is not weathertight. Door lock is broken. 10. The front door on the converted garage is not weathertight, and allowed rain water runoff to enter room. 11. Clothes dryer does not have an exhaust vent to the outside. 12. Swamp cooler needs weathertight cover or plate to stop heat loss and drafts. 13. Door to sunporch does not operate properly. Screws on door hinges on'first bedroom closet door are stripped out. 14. Window latches are inoperative in the master and twin's room windows, and windows cannot be secured. 15. Sliding door -from master bedroom lacks stairs. These conditions shall be corrected as follows, and within THIRTY (30) DAYS from receipt of this notice. Obtain all required permits from the But e County Department of Public Works,. 196 Memorial Way, Chico, prior to aking repairs. Repair or replace fan on fireplace insert to allow it to operate properly. Check light switch for shorts and source of shocks at side of sliding door. Repair or replace broken wall receptacle in bedroom, and replace cover plate in twin's room. heck light by master bedroom exit door and repair or replace if inoperative. Replace missing light fixture cover in kitchen. Repair or replace defective right front range burner. Provide discharge line on wat r heater temperature-pressure.relief' valve, to outside of house. N �✓r c!/� / ��.. r `l Eliminate water leak in hot water plumbing under house. Properly install sliding door b / ake dam-/ and _ ass weatheht. Repair or replace of `c ve door l c =ake front door on converted garage room watertight so water does of enter room. j •V i. if Norma Jene Koscki April 14, 1987 Page 3 Provide exhaust vent for clothes dryer to eliminate lint and fuzz fire hazard in laundry room. 1 Provide cover or plates to weatherproof swamp cooler to prevent loss of heat and excessive drafts. Repair or replace sunporch door so it operates p operly. Repair stripped out screws and anchor closet dhinso it won't fall on somsw6ne . 1 R air or replace defective latches on windows in the twin's room and master bedroom,so they can be secured to entry. a Provide proper stairs and handrails for sliding door out of master t� edroom. �i�nchise rr insp ction will be made. Failure to comply will result in the Tax Board being notifiedsof your noncompliance. You will then be prevented from claiming state tax deductions for taxes, depreciation, amortization, or interest expenses connected with the property as long as it remains substandard. This notice is given to you pursuant to Sections 17299 and 24436.5 of the California Revenue and Taxation Code. If you have any questions concerning this notice, please contact me at the above listed address or telephone number. Sincerely, Howard J. SnyJr. S. Supervising Sanitarian Division of Environmental Health HJS/mlf cc: Public Works - Jim Glander Public Works - Chico_Office v- DEPARTMENT OF PUBLIC HEALTH Division of Environmental Health 7 County Center Drive Oroville, CA 95965 916-538-7281 CERTIFIED MAIL - RETURN RECEIPT REQUESTED April 14, 1987 Norma Jene Koscki 25 Cameo Drive #3 Chico, CA 95926 RE: Housing'Complaint - Rt. 5, Box 94H (145 Chico Canyon Rd.), -Chico v AP# 011-010-085 Dear Ms. Koscki: This department received a complaint alleging health and safety hazards in the above listed rental dwelling. The Butte County Assessor's records indicate you are the owner of the property. On April 3, 1987, I visited the property and the tenants permitted me to inspect -the house. The following conditions were observed which are in violation of the California Health and Safety Code, Section 17920.3 (a)(6), (d), (e), (f), (g)(2), (i), and (1) and which render the house substandard and pose health and safety hazards to the tenants. 1. Fan is inoperative in fireplace insert so it cannot be used for heating. 2. Tenant indicates periodic shocking occurs from light switch by rear sliding door. 3. Electrical outlet in one bedroom has broken receptacle, and one in twin's room is missing a cover plate. 4. Tenant indicates outside light by master bedroom door is inoperative. Light had a screw-in plug in place this date,,unable to check for operation. 5. Licht cover missing on kitchen ceiling fixture. 6. Right front range burner is inoperative. 7. Water heater lacks a discharge line to the exterior from the temperature -pressure relief valve. 8. Tenant reported a leak in hot water line under house. z .4 Norma Jene Koscki April 14, 1987 Paae 2 9. Kitchen sliding door has loose glass, Door lock is broken. and is not weathertight. 10. The front door on the converted garage is not weathertight, and allowed rain water runoff to enter room. - 11. Clothes dryer does not have an exhaust vent -to the outside. 12: Swamp cooler needs weathertight cover or plate to..stop heat loss and .:- drafts. 13. Door to sunporch does not operate properly.' Screws on door hinges on first bedroom closet door are stripped out. 14. Window latches are inoperative in the master. -and twin's room windows, and windows cannot be secured. 15. Sliding door from.master bedroom lacks -stairs. These conditions shall be corrected as follows, and within THIRTY (30) DAYS from receipt of this notice. Obtain all required permits from the Butte County Department of Public Works,, 196 Memorial Way, Chico, prior to making repairs. 1. Repair or replace fan on fireplace insert to allow it to operate properly. 2. Check light switch for shorts and source of shocks at side of sliding door. 3. Repair or replace broken wall receptacle in bedroom, and replace cover plate in twin's room. 4. Check light by master bedroom exit door and repair or replace if inoperative. 5. Replace missing light fixture cover in kitchen. 6. Repair or replace defective right front range burner. 7. Provide discharge line on water heater temperature -pressure relief valve, to outside of house. 8. Eliminate water leak in hot water plumbing under house. 9. Properly install sliding door by kitchen. Make door and _glass weathertight. Repair or replace defective door lock. 10. Make front door on converted garage room watertight so water does not enter room. aJ� Norma Jene Koscki April 14, 1987. Page 3 • 11. Provide exhaust vent for clothes dryer to eliminate lint and fuzz fire hazard in laundry room. 12. Provide cover or plates to weatherproof swamp cooler to prevent loss of heat and excessive drafts. 13. Repair or replace sunporch door so it operates .properly. Repair stripped=.out screws and anchor closet door hinges so it won't fall on someone. 14. Repair or replace defective latches on windows in the twin's room and master bedroom so they can be secured to entry. 15. Provide proper stairs and handrails for sliding door out of master • bedroom. A reinspection will be made. Failure to comply will result in the -- Franchise Tax Board beina notified of your noncompliance. You will then be prevented from claiming state tax deductions for taxes, depreciation, amortization, or interest expenses connected with the property as long as it remains substandard. This notice is given to you pursuant to Sections 17299 and 24436.5 of the California Revenue and Taxation Code. If you have any questions concerning this notice, the above listed address or telephone number. Sincerely, g"L Howard J. SnyJr. S. Supervising Sanitarian Division of Environmental Health HJS/mlf cc: Public Works Public Works - Jim Glander - Chico Office please contact me at t'l 11 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT Ov �? O71 ASSESSOR PARCEL NUMBER ZZ — (' /p — ZO BUILDING PERMIT OWNER LI a �i�� TELEPHONE 896 -calx SO. FT. OCC. BUILDING VALUATION obo(Zk s. OWNER'S MAILING ADDRESS CON ACTOR'S NAME O W ,J C,4— TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTI N LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S AILING ADDRESS Permit Fee $ /0-00 ARCHITECT OjR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 0 v0 PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or nt 5.00 USE OF STRUCTURE SFi� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 outlets 5.00 Building sewer 5.00 Mobile Hom S I G JW I 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work:— i pe� r e.- f-1 clu r� _ ,-; /</A,2 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 P 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ® I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING cCUP.a , OR ADDNS. % ACC. 0 GS. 20sq ft NEW NON•RESID R BR TCO CIRCTITS 2.50 ea P WER APPARATUS e NGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 20@930 FIXED APLNS Ex. O up. OUTLETS P(RESID )REA.) 2.00 Te orary service 10.00 Home Mobile me Facilities 15.00 Misc. H g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ® The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. l/� — 22—�% X6�'H�-� Date Signature of Applicant — Owner 0 Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ O. W Occup. CONST.TYPE I IFLOOIIIPARCFLI PD 1 HD 1 ISSUE This permit is hereby issued under sions of the B e County Code and/or work indic d above for which IRE O UBLIC /� BY � PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dat �' FY Receipt No. 7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - De artment of Public Works 7 County Center Dri-e, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit' for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and rovide the major work: Name Address 570 City AO 601 jQ . Phone 3 Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner ��?irwr✓� cz�; Social Security Number Date - 4/--2 z /F7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. QOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIONA4D PERMIT PERMIT NO. ASS SSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER - TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS` �- L CONTRACTOR'S NAME r'? r- TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER ' 1 ` UNKNOWN Total Valuation is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BuSIneSS and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- . ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.aj , OR ADDNS. ACC. BLDGS. 20Sq ft NEW CONSTR. ULTI.OUTLET N ON.RESID BRANCH CIRC 2,50 ea ITS /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occu 2AL0 Occup(OUTLETS OR FIXTURES eL03030 FIXED PR Ex. Occup. OUTLETS IRESID IEA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 9 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ? , r occuP. CONST.TYPE I JFLO..JP.RC11J PD ND IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC X BY ` - PERMIT EXPIRES Date -- the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. r t- WHITE-D.P.W.. YELLOW-ASSE»OR, PINK -INSPECTOR, GOLDENROD -APPLICANT '� , r �. �' U ;� �1 c� �� � .�d Al V -11 V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT � '' } `1 ASSESSOR PARCEL NUMBER O/ ZONING BUILDING PERMIT - OWNER I/ I . I Ir '� ��S /K+ TELEPHONE SQ, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS Cf1/C-4,00 �J Q-� C&/ a es o0 CONTRACTOR'S NAMETELEPHONE r ,v W CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS / Y�— \ C ��f/ ��� ,� 1,e- Energy Plan Checking Fee $ C/// L $ PERMIT FEE $ %� LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF CloObuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑��JJRemodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Ald t &C"7 I CeA,'A. Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 "OVOR LE Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service sow TO 1OOU00A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 3.5¢FT. pj0µga,p• MULTI.OLITLEi 97.50 APPARATUS 8 SINGLE OUTLET CIR. EX. t7CCU OUTLET OR FORUREs BA0 ® I.S�O Ex. Occup. ..'ED po .°EA 1 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: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit Is for work of a valuation of one hundred dollars. ($100) or less.) Q I certify that in the perfo►mance of the work for which this permit is issued, I shall not employ any person in any manner so' as to become subject to workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date r Signature of Applicant - 13 Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ E HAZ. D. FEES IMP FLOOD CDF PARCEL, .p0' HD' SSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By " r� " �V PERMIT ON- the applicable provisions Resolutions to do work been paid. �(� Date Y ' /J ­# (Date) Receipt No. -1 -4w I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r► I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 P`., RMIIT NO. (Rev.12/96) APPLICATION ANS PERMIT 1' ASSESSOR PARCEL NUMBER 0 ZONING BUILDINGPERMIT OWNER 'ekM A 5 TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAI NG ADD S'r CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ d� ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Ener Plan CheckingFee $ gy iii%// 610 $ PERMIT FEE S %— LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: r Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE : ELECTRICAL PERMIT Filing Fee 20.00 Main Service A DR LEgg 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. - ® I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is Issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) IL I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 4 /9 G y X //-„��r/d Date / Signature of Appli ant - IS Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60” deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( DW: ACC. BLD S.3.5¢1PT. NON -RE ID, BRANCH RCU.MULTI.OUTLET @7.50 POWER APPARATUS a SINGLE D .ET CIR. EX. Occup. OUTLET OR FIXTURES eA0 @ .50 Ex. Occu . DUTLEDTS RZ .oma 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL UE This permit Is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PER IT EXPIRES ON (I ;. provisions to do work paid. YO/; �> / % T (a Receipt No. rZ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Pt COUNTY.OF�BUTTE DEPARTMENT OF PUBLIC WORKS 'Z 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive,°Orovi-Ile —Phone: 534-4541 Skyway and Elliott Road, Paradise —'Phone: 872-2961,'Ext. 57 CORRECTION NOTICE 4r�s��i /9`7 Rol A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. if you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Jnspector. NW_ L% - Date Ae< - � { �. '„ . � t4 ENERGY INSTALLATION CERTIFICATE Building Owner �� �i�SG/� Building Permit # • Building Location DESCRIPTION OF INSULATION ROOF Material /�2�c�,/g5 �� Brand Name Thickness(inches)��_ Thermal Resistance (R Value) EXTERIOR WALL >> Material. Brand Name Thickness(inches) .4/ / Thermal Resistance(R Value) CEILING. Batt or Blanket Type �5S Brand Name Thickness(inches) Thermal Resistance(R.Value). /, .. Loose Fill Type Brand Name . Minimum Thickness(Inches) Number of Bags Wt. per bag lb. Area covered(ft.2) Thermal Resistance(R Value) FLOOR, ELEVATED Material Thickness(inches)/ FLOOR, SLAB- Material Thickness(inches) Width (inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) ��Br4an"Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, is-consisten-t with--approved-building department plans and attachments and con- forms with requirements of Chapter 2-53 of State of California Energy Requirement: J OF INSTALLATION APPLICATOR STATE CONTRACTOR'S LICENSE NO. - -�" 'o DATE I hereby certify the required features, devices, and equipment, ab shown on'the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy Lequirements. BUILDING CONTRACTOR/OWNER (Please Print) (FIRM NAMIE) SIGNATURE OF BUILDING CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. DATE HVAC FIRN-1�01E/OWNER (Phase Print) STATE CONTRACTOR'S LICENSE NO. I- � 5__ SI E OF HVAC CONTRACTOR/OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 olo --o NC TES RESIDENTIAL 3 r�)] - _ - ---04--2276 PERMIT NO. = JOHNSON, CRAIG 145 CHICO CANYON RD. CHICO Cont:' OWNER' GUNITE POOL & ELEC SERV. 5�� ' •SPECIAL CONDITIONS - l CHECKED « —_SRA „ FLOOD CERTIFICATE REQ- 5�� ' •SPECIAL CONDITIONS - CHECKED —_SRA „ FLOOD CERTIFICATE REQ- - FIRE SPRINKLERS REQ. -, SPECIAL INSPECTION ITEMS VERIFY t USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 3 - w OFFICE COPY t M1Address GAS'�� " t Meter.By Date ELECTRIC ;Da r _ Meter By JOB FINALED (Date` u i :. 1 ` - w . Signature:~ - F=�% . -; .� .... • •: w.., BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds . 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: License Number: _ Date: Contractor. OWNER -BUILDER DECLARATION 1 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 issuance, also requires the applicant for such permit to file a signed statement that he or she is'licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 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 properly, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 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, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). . ❑ 1 am Exempt under Article 3 QMe Business 71111 Professions Code Date: I " L Z21 v Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O 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: Policy #: VL_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 mp with those provisions. Date: 7� 9' of Applicant: WARNING: Failure to se ure 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 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.) Address: PERMIT NO. BP042276 Issued Date: 10/08/2004 APN,: 011-010-085-000 Site Address: 145 CHICO CANYON RD CHI Map Index: Description: NEW GUNITE POOL 8r UP GRADE ELECT. SERVICE Owner: JOHNSON MARY T 145 CHICO CANYON RD CHICO, CA 95928-9129 Applicant: JOHNSON MARY T Contractor: License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: . $0.00 Census Code: 4o5�i Bir � X87.3 S e/�/� permit is hereby issued under the applicable provisions of the Butte County Code mirth rlutions o, do work indicated above for which fees have been paid. �-t�� `' I � • 8.04- .w. 10.8.05' ❑ 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 Codeis not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. ' 1 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 officW form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pu es. Print Name:- G Jd'' Signature: Date: O lorewner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor 277 } 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. �a All ;S Date �!'/ Inspector II REV 4/05 Phone #� FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 " r COUNTY OF BUTTE BUILDING DIVISIONi DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 •..,_,1 CORRECTION NOTICE 277 } 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. �a All ;S Date �!'/ Inspector II REV 4/05 Phone #� FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 " r J=OK 0 = Not OK . = NotReadyable 8. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Electric 1. Zoning Requirements -Setbacks -Easements Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 2. Soils; Special MH Support Sketch Card B-1 Date Card B-1 3. Sewer; Location -Test -Fall -C/O -Concrete Card B-1 Date Card B-1 4. Water; Location -Test -Easement Needed (Sketch) Ext.; Steps -Doors -Landings 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Braced Wall Panels 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat. or / P' L "ft./ P LPG 7. Well Clearance & Disconnect MISCELLANEOUS Date -DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements I 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel k 1, 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails h 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing t r' - 'S Ahem Awn • r:nlumnc-Cnnnortinne-Rnliro-rlornl-Fnrine,ime 8. Utility Clearance - X ct 7. Electric } 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Date r Card B-1 Date Card B-1 Date 10. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Ext.; Steps -Doors -Landings 1. Zoning Requirements -Setbacks -Easements - Braced Wall Panels 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector . .Card B-1 Date Card B-1 4. Electricity; MH Test -Crossovers -Breakers -Clearances Card B-1 Date Card B-1 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 'z; 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 Y, 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. H�'dlt11 Department Approval Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date -DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements I 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel k 1, 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails h 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing t r' - 'S Ahem Awn • r:nlumnc-Cnnnortinne-Rnliro-rlornl-Fnrine,ime 6. Carports; Windows -Doors X ct 7. Electric } 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses r... r Siding; Nailing -Veneer -Stucco -Mesh 10. MISCELLANEOUS Date -DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements I 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel k 1, 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails h 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing t r' - 'S Ahem Awn • r:nlumnc-Cnnnortinne-Rnliro-rlornl-Fnrine,ime Q/P b.; Cir. Test -Water Supply Test i c 11. ht Niche Enclosure; Fencing -AI rm Efate Card B 11C_ Date Card B-1 Date Card B-1 Date Card B-1 6. Carports; Windows -Doors X ct 7. Electric } 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses r... 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 .Gate Card B-1 Date Card B-1 Date POO Plans) OK except #'s t cks-Easements ils; Compaction -Structure Stability 'z; Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. c.; Enclosures; Conduit Entries -Terminals -Listed too"Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Y, 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. H�'dlt11 Department Approval Q/P b.; Cir. Test -Water Supply Test i c 11. ht Niche Enclosure; Fencing -AI rm Efate Card B 11C_ Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 53. 6a. Hold Downs and Special Anchors 54. 7. Slab, Steel -Wrapped 55. 8. Piers -Fireplace Ftg.-Steel 56. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 57. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 58. 11. Water Pipe; Test -Anchors -Regulator -Service Test 59. 12. Electric Underground 60. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 61. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 62. 15. Access & Ventilation 63. 16. Insulation Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 65. 17. Water Htr; Vent -Access -Combustion Air Baffle 66. 18. Water Pipe; Test & Anchor -Nail Protection 67. 19, D.W.V.; Test Fittings & Anchor -Nail Protection 68. 20. Shower Pan; Test, First Floor -Tub Access 69. 21. Test Tub & Shower, Second Floor -Tub Access 70. 22. Gas Pipe; Sixe & Anchors 71. 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date Elec. Outlets & Receptacles at Kit. Counter Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 77. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 78. Plb.; Elec. & Mech. Equip. Listed for Location 26. Size Boxes & No. of Conductors Stapled Elec. Receptacles in Garage (F.F.I.)-Romex Protection 27. Romex Installed Close to Edge of Studs & C.J. Insulation -Foam -Looked in Attic 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 81. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 82. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 83. 32. Service -Riser Conductors & Ground Main Disconnect 84. 33. Equip. Clearances Panels-Motors-Mech. Equip. 85. 34. Clothes Closet Light -Shower Light -Spa Light 86. 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date Ventilation Throughout House Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 96. Fire Sprinkler Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 . Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Comments at Final: 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks O Yes O No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Cara B-1 Date Card B-1 Comments at Final: p�QPRTMENT ' 0-1 'JT TF � o % 0 0000 M0 a 0 0 o of A `Wo 5 vetrc woP� Department County J: Michael Crump, Director of Public o f B u t 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 II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACRE1 Project Description: S-tJ 1016 � � _ �- _., ... P . Project Location and/or Parcel Number: _ .0 r_ U By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and"that I, therefore, do not need to apply for a Construction Storm Water Permit from 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 Permit 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 1W. Signed: Title: Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storrs Water Management Program Revised 5/12/04 O.B.-1 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary. delay in processing and issuing your building permit No building permit' will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO D 2. I HAVE ei- HAVE NOT 0 signed an application for a building permit for the proposed work.` 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: - ADDRESS: CITY: PHONE: .CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: _ NAME ADDRESS PHONE TYPE OF WORK SIGNED: NOTE. This Owner Builder Yer Ration 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 OWNER BUILDER INFORMATION Dear Property Owner. O.. - An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner4xn1der" you are the responsible party of record on such a permit Building pars are not required to 6a signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply If you plan to do your own work; with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ Ifyou employ or otherwise engage any persons other than your.immnediate family, and the wohic (mcluding materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors; then you may be an employer. ♦ If you are am employer, YOU must register with the State and Federal Governments as an employer and you are subject to several obligations inolading state and federal income tax withholding; federal social security taxes, workers compensation insurance, disability insurance costa, 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 respcet to worker's compensation insurance. ♦ For more specific h ifonaation about your obligations under Federal Law, contrad the Intemal Rzvenne Service (and, if you wish, the U.S. Small Business Admiabhuiion). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. IfShe structure is intended for sale, property owners who are not licensed contractors are allowed to perfomn their work personally or through their own employees, without a licensed contactor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner budder" 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. Infomradion about licensed contractors may be obtained by camdracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so dint we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. lY. 1�� I�fic 1 C. r ira, 40 E.O. er, Building Inspection NOTE: Th Owner -Builder lnformmfon it required by Section 19830 of the Cahfornk Health and Safety Code OVER BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530)'538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netlidds PERMIT NO. BP042276 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: 10/08/2004 APN• 011-010-085-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 145 CHICO CANYON RD CHI Date: Contractor. Map Index: Description: NEW GUNITE POOL 8r UP GRADE ELECT. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the SERVICE 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 issuance, also requires the applicant for such permit to file a Owner: JOHNSON MARY T signed statement that he or she is licensed pursuant to the provisions of 145 CHICO' CANYON RD the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95928-9129 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).): pr I, as owner of the property, or my employees with wages as their 1 sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: JOHNSON MARY T pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exem t under Article 3 e Business,4 Professions Code Date: 0 Q Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 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. Architect: ❑ 1 have and will maintain workers' compensation insurance, as Engineer: 9 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: Cartier. Total Square Ft: 0 S. F. Policy #: Valuation: gr..1 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 forthwithvomly with those provisions. /0/4 v Date: Applicant: WARNING: Failure to se ure 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 7 $ �B/ 3 $ 8����� compensation, damages as provided for in Section 3706 of the Labor 4oS1:184 • code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Biitte County Code anrU[+r I hereby affirm that there is a construction lending agency for the Resolutiods o do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) f O $• Oy¢- Name: By �`s"'� Date: PERM E PIRES ON: Address: Date ❑ 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 officW form or document of Butte County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pu es. -CMPrint G N J� Name: Signature: Date: O ner ❑ Contractor 0 Agent for Owner Cl 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 #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** OWNER Last NameJ 0 4A�6 N first Nme G /� Address 14 `� CAW, -6 %v 1 w City (2,H (w Stat apps -q Le Phone 5 Zp-6-77& Fax lI E-mail ARCHITECT/ENGINEER CONTRACTOR Name 0-tJ N C -r- U ( (,,C> eT — Address Z!p , City Fax State Zip Phone Book Fax E-mail ate Approved: Uc. # Class ARCHITECT/ENGINEER Name s 1-6 ff 1) I C`� IN (- i' Address City l _ C4&UL State Z!p , Phone 631 24? 5y I,- Fax E-mail State license Number APPLICANT NAME Name ©W E'n- Address City State Zip Phone Fax E-mail APPL16ANTSIGNATURE X F r-ef€ree-ase-an . Zoning Flood Zone X SRA I Yes I No Occ. Type C nst Subdivision Name Map Book Page Lot # PPlanner ate Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO BP BIN # LOCATION AN gJ2220 0 Il -a(() O6?� - Property Address City �J / If 5- CHAO CA"d Aj ew � Cross Street �yItb WORKER'S COMPENSATION Policy Number A } o, 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 Description or Scope of Work: .S �ol LD Vim- 'Sq. Footage ' U -n ❑ Structure Built without Permits ❑ 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 by: A-1 Amount %-Bldg SRA Receipt #: [r05M? Sheriff SMIP Other � otat Date: / � �/ 1 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND I7V INS. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 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 and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). '❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. 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 -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 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 Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 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 -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 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 Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION .rORMSIBUILDING F0RMS0dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 tPitt D�j-2�0 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 OWNERJV h ash , 0 (Al y) ASSESSOR PARCEL NUMBER �D Proposed Building Use: N `P 7�n��y Counter Technician:-feDate: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. :P- 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. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 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 engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form i15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other - Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 24. Planning approval (A) Use: StL (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about -Improvements, -Drainage ......................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification (_kdven to owner, _Mailed to owner) ..................... ❑ 32. Lefler of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction.................................................................."'*................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone 20 and hold for pickup. I have been infotned oft `e above items and requirements for obtaining a building permit.ZL j Applicant: / Date: t = 1. Index permit applicallon for the above items numbered: Plan Check Lefler 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the abo e d a by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: �L Date: / Plans approved by: Date: ' Structural reviewed by: Date: Structural approved by: Date: /� O Note transfer by: Date: Yellow: Building Division E.H. USE ONLY Plot Plan Attached Flooa ns Plan Atehad Saw to ®.O. ! TO: Building beptIrtment FROM: Environmental Health SUBJECT: Sanitation Clearance D DAJ �"�- (2/<2 - d Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: o Environmental Rlealth Specialist 8/96 Date p� q SITE PLAN REVIEW APPLICATION Date: l (i�' �6 AP# Permit Number (if applicable)y11 ZZ 7(p Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: iso fd .t Owners Address: A Telephone No.: Situs Address: i oo yam, Proposed Use: Residential ❑ New Single Family Residential Single Family Addition Mobile Home Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary-Travel-Trailer- F1 emporary Travel -Trailer❑ Multi -family ❑ Single Family Remodel Non-residential ` ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ' ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation,(if necessary): ❑ Well ❑ Agricultural Buffer Form ❑, Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) JU Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ran Sta ped Approved By A 4 Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation deign,feo q ed) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: �( • Flood Panel No.: 03q5 -G Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ 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: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------=------------------------------------------------------------------------------------------------------- ❑ Detached Building User Form, ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 70, Side ' Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 v 4 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* F-1 Parks/Recreation Parks/Recreation ❑ Roads ❑. Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage -Area ❑ Thermalito Urban Area ❑ Other ------------------------------------------------------------------------------------------=------------------------------ Subdivision Map.Special Fees ❑ Water Tender Road Improvement ' ❑ North Oroville Area ❑ 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 EyDeeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with, Coun Standards f r Deed Creation: /No Yes Comments: A� ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision ME/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems 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. ❑ 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. ❑ 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. ❑ 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." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. ■❑ Page 4 of 5 701 x ■❑ 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 Permit Site Plan Reviewl.doc Page 5 of 5 NOTES ' 1 i j RESIDENTIAL 011-010-085 02-0489 V JOHNSON, CRAIG I h •] AL cfffee e AAT*GN RD, CHICO ADD OFFICE SPACE TO SF om UIV SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS,,...._. - VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER a AQ,4 Cy<< -k- 6/ 016s JOB FINALED (Date) ', Signature V=OK 0 = Not OK - = Not Applicable = Not Ready ' MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1. Zoning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 3. Sewer; Location -Test -Fall -C/O -Concrete 7. 4. Water; Location -Test -Easement Needed (Sketch) Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 10. 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat. or/ /"L"ft./ PLPG Ext.; Steps -Doors -Landings 7. Well Clearance & Disconnect 6. 8. Utility Clearance 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Date Health Department Approval Card B-1 Date Card B-1 Date Plumb.; Cir. Test -Water Supply Test Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Date 3. Gas; MH Test -Demand -Valve -Connector Date 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert: 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 12 1� MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable = Not Ready PLUMBING (Permit) OK except #'s RESIDENTIAL (: Date 18 Underfloor (Plans) OK except #'s 191 1. Zoning -Setbacks -Easements -Flood -Slope Shower Pan; Test, First Floor -Tub Access 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 22. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ f' Ftg. Depth Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al In fated Neutral ❑ Yes U No 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth Date 5. Stemwalls, Main; Steel -Blackouts -Wrapped CI thes Closet Light -Shower Light -Spa Light 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped \ 8. 9. 10. 11. Piers -Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Water Pioe: Test -Anchors -Regulator -Service Test (%Electric Underground Y. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date 'Z' b Card B Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 1 Water Htr.; Vent -Access -Combustion Air Baffle 18 Water Pipe; Test & Anchor -Nail Protection 191 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 Vent Fan, Exhaust above insulation Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al In fated Neutral ❑ Yes U No Date and B-1 Date Card B-1 Date rd B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. 24. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Ramex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At Vent Fan, Exhaust above insulation Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al In fated Neutral ❑ Yes U No 31. Ser ice -Riser Conductors & Ground Main Disconnect 32. Eq p. Clearances Panels-Motors-Mech. Equip. 33. CI thes Closet Light -Shower Light -Spa Light 34. oke Detector Date Date Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date 48. MECHANICAL (Permit) OK except #'s 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles A.C. Ducts Insulation & Support Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 36. Vent Fan, Exhaust above insulation 52. %3. 5 7. Condensate Drain & Overflow, Size & Grade lywood on Roof Overhang -Attic Vents -Rafter Outriggers hiding -Nailing Veneer 38. urnace-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. At 'c Access & Platform if Furnace in Attic 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails Date 70. Ca B-1 Date Card B-1 Date 71. C d B-1 Date Card B-1 Date 72. FRAMING (Permit) OK except #'s 40. ills Proper Materials & Anchors 41. alts Studs -Nailing Spacing & Braces -Plates -Sound 42. karing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 4 Cling. Joist-Rttr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. %3. 5 Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection s 55. 56. lywood on Roof Overhang -Attic Vents -Rafter Outriggers hiding -Nailing Veneer 57. ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. lazing Area -Glass Protection -Skylights -Plastic 01 1/ 59. hear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels �L 6/ Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s t' 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive D Yes J No/Walks D Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. GI ss Protection 90. orrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 9 . Water & Sewer Connected -C/O to Grade -HD Approval 4 Ene y Compliance Certificate -Other Certificates ddress Posted DateJON Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final n COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Californja 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) ' APPLICATION AND PERMIT 02-0489 � SGS10 085ER ZONING AR BUILDING PERMIT OWNER Craig Johnson990-2378 TELEPHONE SO. FT. OCC. BUILDING VALUATION 145 R3 7830.00 IfNG ADD Ess ��+` S Mico Canyon Road Chico 95928 CONTRACTOR'S NAME Owner_ TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $64-39 BUILDING ADDRESS 145 Chico Canyon road Chic Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE 1.71 ac SF IR Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition R Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: of off ice 130 sq, ft Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 . PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) V — certify that in the performance of the work for which this permit is issued, I shall V not employ any person in any manner so as to become subject to workers' compensation laws of alifornia, and agree that if I should become subject to the workers' compens ' provisions of section 3700 of the Labor Code, I shall hwith comply those provisions. X Date Signature of #pplic - Owner ❑ Contractor ❑ Agent An OSHA per it is required for excavations over 60" deep and demolition or construction of structures over 3 stories in "A 1 Main Service 200A TO 46.00 NEW CONST. DWELLING OCCUCUP. SO EL OR ADDNS. ( 6 ACC. BIDS. 3.5Q�: 9 08 T. NOµRESID. RANCHO CIRCUITS 97,50 POWER APPARATUS b SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL 20 @',50 FUCED APPLNS. OR 5.00 Ex. Occup. ouTtErs R61D. Ew Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 25.08 MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 35.0 Mobile Home Installation Fee $ Energy Inspection Fee $ occ R3 CONST. TYPE VN OTAL FEE $ HAZ. D. I P o COF PARC Po o IS u This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated above for which fees have B /��W V Y PERMIT EXPIRES ON applicable provisions to do work been paid. ate /r �Q (2 6.? (D,16) Receipt No. 3 WHITE-D.D.S.-B.D. CANARY -ABBE SOR PINK-INtfCTOR GOLDEN ROD-APPI-CA T COUNTY,OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES.DUE OWNER PROPO ED BUILDING USE 1 BUILDING PERMIT FEES f` --Balance Due ........................................................ $ —. --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee .................................. $ 4. 2. SCHOOL DISTRICT FEES Lr% (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 08. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) DATE RECEIPT #J�� D C. 4210. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed durin&4f plan cgcking process. APPLICANT DATE 3 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) .... .. ..•r:....-.���J..'-�"..:w.••.°+a..v+i;�;-':if61:^.`Pii,;y�.'�i. ry,+Rl3it.Q+R-•i4:�sl'�t ." ,. .,w..,.. -,.h..... .r- . ,r• .._ �_' W COUNTY OF BUTTE -DEPARTMENT OF DEV LOPMENT SERVICES -BUILDING DIVISION io 7 County Center Drive, Oroville, C�`95 65 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET r! 4, OWNER: , aa i, �ASSESSOR PARCEL NUMBER l' X010 - O� r Proposed Building Use: UX ' w r r ' Counter Technician: v &a. Date: 3 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! ` 5. Energy compliance design and supporting documentation in duplicate. 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate# - (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. , Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ 9. Plot plan and business license approval from the City of Biggs .................................... 10. Letter of intent for non-residential buildings......................................................... 11. Detached.Accessory Building Form filled out by the owner ..................................... 12. Hazardous Material Form............................................................................... 13. Other emai 'ng items needed to issue the permit. (May require additional plan review upon receipt of the (lowing ite 4. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... �}}jjiStatement of Intent for Non -heated and A/C Buildings ................................ . _�16. Sanitation and plot plan approval from the Environmental Health Department in 11 17. City of Chico Plumbing permit......................................................................... 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... 19. Planning approval for (A) Use: 0P ) , (B)Parking: (C) Parcel Check: 3 - i 2- 02 (� 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 22. Pre -Inspection for required................ ` 23. Contractor's license information. (Number, Name Style, Classification) ...................... 24. Worker's Compensation Carrier and Policy Number ..............:.............................. 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 26. Letter of Signature authorization.................................................................... 27. Recorded copy of Agricultural Acknowledgment Statement .................................... 28. Manufactured home utility clearance............................................................... 29. Existing violations and/or expired permits......................................................... 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $" 31. Other: ' When issued Telephone and hold for pickup. I have been info We'd of,th five i ems and requirements for obtaining a building per it. h Applicant: Date: 0 1. Index permit applicatio for the/,above items numbered:. Plan Check Letter 2. Additional items req ed Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date: 2 '02 Plans approved by: Date: 2 Structural reviewed by: Date: Structural approved by: Date: OZ Note transfer by: Date: Yellow: Building Division VII -0 - E. }C. USE QAI 7 .w^4i-dt Aion Attached 1 irtoo? 4tmn Attack ®nttb ®.D. / TO: Building Department FROM: Environmental'Health SUBJECT: Sanitation Clearance Da U cJ�.�✓ /�s C leo �O� ��- all -0/0 -crlt-- Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: oe Environmental Health Specialist Date 8/96 ENERGY INSTALLATION CERTIFICATE Building Owner C94II& `� �� �J V�/l%&0 Building Permit # Building Location DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material_ @&WOM&POW Thickness(inches) CEILING Batt or Blanket Type—AMMV SAIZ Thickness(inches) !Z y Loose Fill Type Minimum Thickness (Inches) Area covered(ft.2)_ Z c p FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material (2,0W_4LE-cC~ Thickness(inches) Width (inches) FOUNDATION WALL Material Ail PF Thickness(inches) Brand Name 0L_-,) WS Covvouc The --mal Resistance (R Value)__ Brand Name Thermal Resistance(R Value) L -f Brand Name vIJ67t/S Ct�l) (1,16-, Thermal Resistance(R Value) /L=7, J Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, -is consistent with- approved building department--plans--and attachments and- con- forms ith requirements of Chapter 2-53 of State of California Energy Requiremen ice; c- G 'T_jyZG2JS a-7, FIRM NAME/OWNER STATE CONTRACTOR'S L CENSE NO. v SIGNATURE OP INS ALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, ab shown on the approved Building Department plans and attachments have been installed and.conform to the appli- ance standards and Chapter 2-53 of the State of California Energy .equirements. ,EIS v 1J BUILDING CONTRACTOR/OWN R (Please Print) STATE CONTRACTOR'S LICENSE NO. (FI NAME) SIGNATURE OF I N CONTRACTOR/OWNER DATE HVAC FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF HVAC CONTRACTOR/OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 .....++�-� ter. �.. :.., .. � �.�.... ,.• •. r 't < sr:rt•e.i�=r�'-'.'My,,,N"p-•'A/R-.�;W.�lA�ftln"a�'.r.. ...«.�4.�cy,••.,l ic.•+�+n..-.?.+ :f�.ti `:-.'.'+..'...:y�+1v' i., ..1 School District A.P. Number Property Owner Property Location/A( Subdivision BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) l jC.b Building Department No. 0 — nE 5" Jurisdiction: City ®County Residential Development Pdi�inal U its Commercial/Industrial New Building Department Lot No. ............................................................................................... L I 0 Sq. Footage / 7 Mobile Home Addition] *Supplemental to (Group R) Installation Conversion Permit # '(No foundation inspection): Addition (Floor Plans reviewed by School District Personnel) Sq. Footage (Including Exterior Roofed Areas) 6 !U'62 - Date District Identification No. School District certifies that 01'4 /J -j Ile -1 /M (Apii nt) (Street Address) (City) has complied with the requirements of Resolution No. representing / 5 square feet. School District Representative Paid by Check # Remarks: `�(St�atte) / -/ 7' 0V (Phone Number) by payment of $ AB 2926 S FULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance. with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/98)dmm April 5, 2002 Craig Johnson 145 Chico Canyon Rd. Chico, CA 95928 Department of Development Services Building Division 7'County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 011-010-085 Building Permit Number: 02-0489 Thank you for submitting the plans for your building project. These plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the PLAN REVIEW RESPONSE FORM, enclosed for your convenience. Additional response information is included on the response form. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: 1. After review of your plans, it is apparent that your structure, because of the extremely low slope of the new roof system, will not be able to meet the requirements of our energy .handout. There is not adequate room in the attic area to install R-38 insulation, nor is it possible to install the required radiant barrier. You will need to hire an energy consultant who can design project calculations to meet the State energy codes. Provide two sets of energy calculations. STRUCTURAL COMMENTS: 1. None If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Martha. Philo will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.). The counter staff will answer any questions concerning the Data Sheet. Martha Christy Philo Hunt, P.E. Plans Examiner Plan Check Engineer 1 of 1 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY COMPLIANCE PACKAGE CLIMATE ZONE 11 Owner Cro. Bey Jo V VI S ©r� Permit Number a d ra Address ( J Ci/k- CAY1 _& t45— Floor Area The following data showing mandatory and required features shall be installed for additions to dwellings. Additions shall not include conversion of non -conditioned space to conditioned space. Remodeling of existing conditioned Space is not included. COMPONENT <=100SQ.FT 101-499SQ.FT R-38 500-999SQ.FT 1000>SQ.FT Ceiling Insulation R-19 R-38 R-38 Wall Insulation R-13 R-13 Y113 R-19 Floor Insulation R-19 R-19 R-19 R-19 Radiant Barrier Required Required Required Required Glass U -factor • .75 ,.75 .65 .65 Max.area of glass 50 sq.ft 11 6 us ^r� m� d ! \ 6 0 lu 1s removed 16% Solar heat gain NSEW: .40 40 F 40 1, )�y - 40 Heat, Electric resistance Not allowed Z No lowed �y No a I ed Not allowed Heat, Gas �_ _UE 78 AFU 78% AFUE78% Heat Pump -Split W78-%/ H 8 SPF 6.8 HSPF 6.8 Heat Pump Package HS F 6.6 HSPF 6.6 HSPF 6.6 Cooling -Split SEE10 SEER 10 SEER 10 Cooling Package S R 9.7 SEER 9.7 SEER 9.7 SEER 9.7 Thermostatic expansion valve' equired on new split A/C systems Required on new split A/C systems Required on new split A/C systems Required on new split A/C systems Duct Insulation Duct Sealing• R-4.2 Required fR4 2 Required R-4.2 Required R-4.2 Required Additional water heater: • AQ AAI AI-TCOAIAT1%1 Any which meets budget � Any which meets budget Any which meets budget Any which meets budget _ ......_. _.,...... .., „� r ,Y,P%^,InUIrI U.qv U -1 -AL, I UK ANN A MAAIMUM 0.35 SOLAR HEAT GAIN COEFFICIENT, AND A 11.0 SEER SPACE COOLING SYSTEM CAN BE SUBSTITUTED FOR DUCT SEALING AND THERMOSTIC EXPANSION VALVE. . SEALED DUCTS AND THERMOSTATIC VALVE REQUIRES SPECIAL INSPECTION BY A HERS RATER. PROVIDE INFILTRATION CONTROL - WEATHERSTRIP DOORS, CERTIFIED WINDOWS, CAULKING. LIGHTING KITCHEN AND BATH NOT LESS THAN 40 LUMENS/WATT DUCTS TO MEET REQUIREMENTS OF UNIFORM MECHANICAL CODE -CHAPTER 6. DESIGN COMPLIANCE STATEMENT: THE ABOVE BUILDING DESIGN MEETS THE REQUIREMENTS OF TITLE 24, PARTS 1 AND 6 OF THE CALIFORNIA CODE OF REGULATIONS. PROPERTY OWNER OR CONTRATOR (6/1/01 • NOTE: If HVAC ducting is present in the attic, an additional energy credit is allowed. See ACM Manual, Appendix F. Indicate the radiant barrier on the CF -1R under "special features." Radiant Barrier Construction Below are the parameters for receiving credit for a radiant barrier, including criteria for the installa- tion, ventilation and material, all of which contrib- ute to the performance of the radiant barrier. Installation FThe following conditions are required: • Securely installed in a permanent manner with the shiny side (the side with low emit- tance) facing down toward the attic floor. Installed to the roof truss/rafters (top chords) in any of the following methods, with the material: >> Draped over the truss/rafter (the top chords) before the upper roof decking is installed. >> Spanning between the truss/rafters (top chords) and secured (stapled) to each side. • ASTM C-1158-90 is the Standard for Use and Installation of radiant barrier systems. • Installed according to appropriate require- ments: > > C-1224-93 Standard Specification for Reflective Indulstion for Building Ap- plications; > > C-727-90 Standard Practice for In- stallation and Use of Reflective Insula- tion in Building Constructions; or > > C-1313-95 Standard Specification for Sheet Radiant Barriers for Building Construction Applications. • The radiant barrier must be installed to cover all gable end walls and other vertical sur- faces in the attic. • The manufacturer of the radiant barrier must provide test data, documentation, or product labeling showing conformance to certification requirements. Ventilation Attic ventilation must be provided to: • Conform to manufacturer's instructions. • Provide a minimum free ventilation area of not less than one square foot of vent area for each 150 square feet of attic floor area. • No less than 30 percent upper vents. >> Secured (stapled) to the bottom surface of the truss/rafter (top chord). A minimum • A minimum gap of 3.5 inches provided at the air space must be maintained between bottom of the radiant barrier and at the top of the top surface of the radiant barrier and the ceiling insulation (except for method 4 roof decking of not less than 1.5 inches above). at the center of the truss/rafter span. >> Attached [laminated] directly to the un- derside of the roof decking. The radiant barrier must be laminated and perforated by the manufacturer to allow mois- ture/vapor transfer through the roof deck. See Figure 8-8 for several examples of radiant barrier installations. • A minimum of six (6) inches (measured hori- zontally) left at the roof peak to allow hot air to escape from the air space between the roof decking and the top surface of the radi- ant barrier (except for method 4 above). • Ridge vents or gable end vents are recom- mended to achieve the best performance. The material should be cut to allow for full air t flow to the venting. 8.24 July 1, 1999 Residential Manual • Emissivity • The emissivity of the radiant barrier must be equal to or less than 0.05. ASTM Test Method C-1371-97 is the Standard. STATE CERTIFICATION • The radiant barrier manufacturer must be licensed, and the product certified, by the Department of Consumer Affairs, Bureau of Home Furnishings and Thermal Insulation as indicated in the Consumer Guide and Direc- tory of Certified Insulation Material. / Roof Decking Radiant Barrier Insulation • Method 1: Radiant Barrier Draped Over Top of Truss/Rafter Radiant Barrier Inspection If a radiant barrier was used for compliance credit, check the installation guidelines pro- vided above for the builder. Especially critical are the ventilation and air space require- ments that enable the radiant barrier to per- form as expected. The product must be la- beled as conforming to minimum emissivity requirements. I Barrier Insulati • Joist 0000,0000 000 Radi Barr Insu J Method 2: Radiant Barrier Attached Between Truss/Rafters Method 3: Radiant Barrier Attached to Method 4: Radiant Barrier Attached to Bottom of Truss/Rafter Underside of Roof Deck Figure 8-8: Radiant Barriers Special Compliance Topics July 1, 1999 8-25 Roof Decking Insulatio 1p e•��:gJGo.. w - Radiant Barrier Inspection If a radiant barrier was used for compliance credit, check the installation guidelines pro- vided above for the builder. Especially critical are the ventilation and air space require- ments that enable the radiant barrier to per- form as expected. The product must be la- beled as conforming to minimum emissivity requirements. I Barrier Insulati • Joist 0000,0000 000 Radi Barr Insu J Method 2: Radiant Barrier Attached Between Truss/Rafters Method 3: Radiant Barrier Attached to Method 4: Radiant Barrier Attached to Bottom of Truss/Rafter Underside of Roof Deck Figure 8-8: Radiant Barriers Special Compliance Topics July 1, 1999 8-25 PROJECT PROCESSING RECORD Applicant: � � Owner: 5ATL,r A.P. #: (' b Permit #: a $ Work Description: Date •f20Z 4.S .02 Description of Step or Status P, � � �L� 2 AR- Fl- ,,(-a Ke vi --- �P�i✓2. Yoo� 5�s� RESID NTIAL PLAN ° ° REVIEW GUIDE. ° o SINGLE FAMILY, DUPLEX AND MISCELLANEOUS, ONLY ` cru Owner: Building Permit Number: 9: Plans Examiner: Martha Christy A. P. Number: 0 �o�_d�s . GENERAL: 1. Zoning requirements - (number of permitted living units). 2. Plans signed b% the designer. 3. Proper description of work on the application. 4. Existing violations on the property. 5. Recorded notice of violation. 6. Building permit valuation. PLOT PLAN: 1. Complete parcel size and dimensions. 2. Setbacks, side yard, easements, etc. 3. Other buildings or structures. 4.' Grading, fills and/or drainage. 5. Flood hazard. 6. Special conditions on Parcel Map: Noise ❑ SRA ❑ Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage fees ❑ 7. Federal Aid Route and/or Federal Aid Secondary Route setback requirement. S. Building or utilities across lot lines (Lot merger approval by Butte County Land Development.) FLOOR PLA`: Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 1Q§.3-31 10% of natural light and 5% of ventilation (Uniform Building Code section 1203). rV C/K 3. Escape or rescue windows shall have a minimum net clear openable area of 5.7 uare feet. The minimum net clear operable height dimension shall be 24". The minimum net clear operable width dimension shall be 20". When %%indows are provided as a means of escape or rescue, they shall have a finished sill height not more than 44" above the floor (Uniform Building Code section 310.4). 4. Skylights (Uniform Building Code section 2409 & 2603.7). 5. Glazing in Hazardous locations (Uniform Building Code section 2406). 6. Habitable space shall have a ceiling height of not less than 7 feet 6 inches except as otherwise permitted in this section. Kitchens, halls, bathrooms and toilet compartments may have a ceiling height of not less than 7 feet measured to the lowest projection from the ceiling (Uniform Building Code section 310.6.1). 7. All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 feet in any dimension (Uniform Building Code section 310.6.2 & 310.6.3). S. GFCI in baths. garage, kitchen, wet bar, and exterior receptacles (NEC 210). 9. Water heaters which depend on the combustion of fuel shall not be installed in a room used or designed to be used for sleeping purposes, bathroom, clothes closets or in a closet or other confined space opening into a bath or bedroom (Uniform Plumbing Code section 509.0). 10. Fuel burning equipment shall not be installed in a closet, bathroom or a room readily usable as a bedroom, or in a room. compartment or alcove opening directly into any of these (Uniform Mechanical Code section 304.5). 11. Garage firewall separation - required on garage side including supporting walls and posts (Uniform Building Code section 302.4 exception #3). 12. Under no circumstances shall a private garage have any opening into a room used for sleeping purposes (Uniform Building Code section 312.4). . 13. Wood stove location - Alcove - UMC section 205 confined space & 223 unconfined space .& 304.2). la. Smoke detectors (Uniform Building Code section 310.9.1). Page 1 of 2 15. Water closet clearances (Uniform Plumbing Code 408.5). 16. Shower compartment minimum 1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7). 17. Bearing walls shall be supported on masonry or concrete foundations that shall be of sufficient size to support all loads (Uniform Building Code section 1806.3). STRUCTURAL DETAILS: 1. Braced wall panels shall start at not more than 8 feet from each end of a braced wall line. Braced wall panels must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shall not exceed 34 feet on center in both the longitudinal and transverse directions (UBC section 2320.4.1.) Braced wall lines must be continuous throughout the structure. 2. A California licensed architect or registered engineer must prepare a lateral analysis for the area of the building that do not comply with the Uniform Building Code. This must include the designer's "wet" stamp, signature, registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. 3. Clerestory requiring balloon framing and/or engineering. 4. Foundation plans complete enough to construct building (Uniform Building Code Table 18-I-C). 5. Floor construction details complete enough to construct building. 6. Elevations and wall construction details complete enough to construct building. 7. Roof construction details complete enough to construct building. 8. Fireplace construction details and calculations if necessary. 9. Garage door header size(s). 10. Porch header size(s). 11. Typical header size(s). 12. Stud heights. 13. High expansive soil - special foundation design required. 14. Retaining walls requiring design. 15. Gypsum wallboard nailing inspection required. 16. If the area below the lowest floor is fully enclosed, than a minimum of two openings are required with a total net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no more than one foot above grade. Alternatively, certification may be provided by a registered professional engineer or architect that the design will allow equalization of hydrostatic flood forces on exterior walls. Building must be designed and anchored to prevent floatation, collapse or lateral movement Construction design requirements must be shown on the building plans. 17. Electric, heating, ventilation, plumbing and air conditioning equipment and other service facilities shall be designed and/or located so as to prevent water from entering or accumulating with the components during conditions of flooding. AHSCELLANEOUS ITEMS: 1. Stairway details - landings, rise and rum head clearance, handrails (Uniform Building Code section 1003). 2. - Guardrails (Uniform Building Code section 509). 3. Brick or stone veneer (Uniform Building Code section 1403). 4. Exterior plaster - weep screeds (Uniform Building Code section 2506.5). 5. Roof pitch for roof covering (Uniform Building Code Table 15-B-1& 2,15-D-1 & 2)., 6. Foam insulation - protection. 7. 36" halls and stairways (Uniform Building Code section 1004.3.3.2). 8. Tuv exits on three - story dwellings (Uniform Building Code section 1004.2.3.2). 9. Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). 10. Attic access and ventilation (Uniform Building Code section 1505). 11. Sound requirements. Energy design compliance and supporting documentation. (Nd Farm T3. CDF responsible area requirements. 2 37 BUILDING PERMIT REQUIREMENTS: Li M1 1. ❑ SRA.��_ 2. ❑ Flood elevation certificate. 3. ❑ Fire Sprinklers required. 4. ❑ Special Inspection requirements. 5. ❑ Use Permit conditions. 6. ❑ Sub-Standard Housing letter. • • Page 2 of 2 • C A L C U L' A T I 0 N S F 0 R ROOM ADDITI ON CRAIG JOHNSON RESIDENCE 145 CHICO CANYON ROAD CHICO, CA 95928 BEST BUILT CONSTRUCTION CO. 145 CHICO CANYON ROAD CHICO, CA 95928 F L T ENGINEERING 5790 CLARK ROAD PARADISE, CA 95969 (530) 872-0254 oz-og-8 BCIY'PE CO BUILDING DEPARTMEM APPROY EQ q-/57/0 z �,�{. CIVIL - STRUCTURAL (530) 872-0254 FAX (530) 872-9331 5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 PROJECT: C. ` � �`r�� " eszc) BY: �� DATE: SHEET No. / OF CHECKED BY: DATE: JOB No. SUBJECT: =1ae lq-4; /S fB Y 'f � dlG-T �v r,�'T Com. QROF ES, R C E 32434 �w Reg. 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To < C f7 z� I' Z- L�if7i� O f — 2 x �' Jv47=%K�S C7 �ry ht 1,7 / 3 4 t �.o Lir- ` Td Gr%�r �9' �,if-L rs'/'S o f Tt/� (�) �T,�rJc TrJ•�£". SHEAR WALL SCHEDULE - "DELTA SYMBOL ON PLANS A. 7/16" OSB SHEATHING ( APA INDEX 32/16) w/ 8d @ 6"/12". 3/8" DIA. HILTI KWIK BOLT - II ANCHORS w/ 2 1/2" EMBEDMENT INTO EXISTING CONCRETE SLAB @ 6'- 0" o.c. OR 2 - ANCHORS PER PANEL MINIMUM. WIDTH OF PANELS AS NOTED ON PLANS. SEE NOTES BELOW. B. 1/2" GYPSUM BOARD w/ 5d COOLERS @ 7" o.c. 3/8" DIA. HILTI KWIK BOLT - II ANCHORS w/ 2 1/2" EMBEDMENT INTO EXISTING CONCRETE SLAB @ 6'- 0" o.c. OR 2 -ANCHORS PER PANEL MINIMUM. WIDTH OF PANELS AS NOTED ON PLANS. SEE NOTES BELOW. NOTES: 1. CONTINUE WALL SHEATHING DOWN TO THE FOUNDATION PLATE. 2. CONTINUE WALL SHEATHING UP TO TOP PLATES OR UNDERSIDE OF ROOF SHEATHING. 3. ANCHOR WASHERS SHALL BE 2" SQ. x 3/16" THICK. 4. CONNECTIONS OF 2x TO 2x AS REQUIRED (IF ANY) SHALL BE PROVIDED WITH 16d SINKERS @ 12" o.c. OR A35 ANCHORS @ 48" o.c. OF MAXIMUM SPACINGS. GENERAL STRUCTURAL NOTES 1. THE CONTRACTOR SHALL REVIEW ALL SHEETS OF PLANS AND VERIFY ALL DIMENSIONS AND CONDITIONS AT THE JOB SITE PRIOR TO -STARTING OF CONSTRUCTION ( ANY EXCAVATION FOR FOUNDATIONS) AND THE DESIGN ENGINEER SHALL BE NOTIFIED OF ANY DISCREPANCIES WITH ANY WORK SO INVOLVED. 2. ALL PHASES OF WORK SHALL CONFORM TO THE MINIMUM STANDARDS OF THE LATEST APPLICABLE EDITION OF THE UNIFORM .BUILDING CODE, AS REQUIRED FOR CONVENTIONAL LIGHT -FRAME CONSTRUCTION, EXCEPT WHERE MORE STRINGENT REQUIREMENTS ARE SPECIFICALLY NOTED ON PLANS. 3. DETAILS OF CONSTRUCTION NOT FULLY SHOWN ON PLANS SHALL BE OF THE SAME NATURE AS THOSE SHOWN FOR SIMILAR CONDITIONS. 4. IT IS THE CONTRACTOR'S RESPONSIBILITY TO COMPLY WITH THE PERTINENT SECTIONS OF THE "CONSTRUCTION SAFETY ORDERS" ISSUED BY THE STATE OF CALIFORNIA AND ALL OSHA REQUIREMENTS, AS THEY APPLY TO THIS PROJECT. THE DESIGN ENGINEER AND THE OWNER DO NOT ACCEPT ANY RESPONSIBILITY FOR THE CONTRACTOR'S FAILURE TO COMPLY WITH THESE REQUIREMENTS. 5. THE CONTRACTOR SHALL BE RESPONSIBLE FOR ADEQUATE DESIGN AND CONSTRUCTION OF ALL FORMS, BRACINGS AND SHORING REQUIRED FOR CONSTRUCTION. 6. THESE PLANS ARE NOT COMPLETE WITHOUT THE STAMP AND WET SIGNATURE OF THE DESIGN ENGINEER, VERIFYING ENGINEERED PORTIONS OF THE STRUCTURE, AND WITHOUT REVIEW AND AN APPROVAL OF THE LOCAL BUILDING OFFICIAL. 7. FOUNDATION DESIGN IS BASED ON ALLOWABLE SOIL BEARING PRESSURE OF 1500 PSF (NO SOILS REPORT). 8. ALL SAWN STRUCTURAL MEMBERS AND THEIR FASTENING SHALL CONFORM TO UBC AND SHALL BE OF MINIMUM GRADES AS FOLLOWS, UNLESS NOTED OTHERWISE: 2x & 4x MEMBERS - D. F. NO. 2 EXCEPT 2x STUDS - D. F. STUD GRADE 9. ALL WOOD IN DIRECT CONTACT WITH EARTH OR IN CONTACT WITH CONCRETE SHALL BE PRESSURE TREATED HEM FIR OR FOUNDATION GRADE ( CLOSE GRAIN) REDWOOD. 10. PLYWOOD SHEATHING SHALL CONFORM TO APA U.S. PRODUCT STANDARD PS 1-95 AND OSB SHEATHING TO APA U.S. PRODUCT STANDARD PS 2-92. SHEATHING SHALL BE PLACED WITH FACE GRAIN PERPENDICULAR TO SUPPORTS (IN COMPLIANCE WITH TABLE 23 -II -H OF UBC - DIAGRAM CASE 1), UNLESS NOTED OTHERWISE. 11. WOOD NAILING SHALL BE PROVIDE WITH COMMON WIRE NAILS OF SIZES AND NUMBERS PER TABLE NO. 23 -II -B-1 OF UBC EXCEPT WHERE MORE SPECIFIC NAILING IS NOTED ON PLANS. EQUIVALENT CAPACITY FASTENERS APPROVED BY ICBO MAY BE USED. 12. METAL CONNECTORS NOTED ON PLANS ARE AS MANUFACTURED BY SIMPSON STRONG -TIE COMPANY. EQUIVALENT CONNECTORS APPROVED BY ICBO MAY BE USED. 13. PREDRILL FOR NAILING INTO EXISTING WOOD MEMBERS AS APPLICABLE TO AVOID SPLITTING AND CRACKING OR USE SELF - DRILLING WOOD SCREWS OF EQUAL CAPACITIES. 14. THE ULTIMATE COMPRESSIVE STRENGTH OF CONCRETE IS ASSUMED TO BE 1500 PSI MIN. IN 28 DAYS. 15. ALL NEW CONNECTIONS TO EXISTING CONCRETE SLAB SHALL BE PROVIDED BY HILTI KWIK BOLT -Il ANCHORS PER ICBO REPORT NO. ER -4627 & SUPPLEMENT 1. CONTINUOUS OR PERIODIC SPECIAL INSPECTION PER SECTION 1701 OF THE UBC IS NOT REQUIRED FOR INSTALLATION OF HILTI ANCHORS. ICBO APPROVED ALTERNATE ANCHOR SYSTEM COULD ALSO BE USED WITH APPROVAL OF THE DESIGN ENGINEER. J'SiM +t7 ..�; ICBO Evaluation Service, Inc. Nationaledbytr ia..: American National Standards Institte ' 5360 WORKMAN MILL ROAD • WHITTIER, CALIFORNIA 90601-2299 n A subsidiary corporation of the International Conference of Building Officials EVALUATION REPORT ER -4627 Copyright © 2001 ICBO Evaluation Service, Inc. Reissued February 1, 2001 Filing Category: FASTENERS—Concrete and Masonry Anchors (066) KWIK BOLT -11 AND POST NUT KWIK BOLT -II CONCRETE ANCHORS HILT[, INC. 5400 SOUTH 122ND EAST AVENUE TULSA, OKLAHOMA 74146 1.0 SUBJECT Kwik Bolt -II and Post Nut Kwik Bolt -II Concrete Anchors. 2.0 DESCRIPTION 2.1 Kwik Bolt -II: Kwik Bolt -II (KB -II) concrete anchors consist of a stud, wedge, nut and washer. The stud is manufactured from a car- bon or stainless steel material. The carbon steel Kwik Bolt -II stud is made from AISI 1038 or AISI 1144 materials. The wedges are made of AISI 1010 steel, except that KB -II 3/4 -by -12, KB -II 1 -by -6, KB -II 1 -by -9 and KB -II 1 -by -12 an- chors have AISI 304 (stainless steel) wedges. All carbon steel components are zinc -plated. Each component of the stain- less steel Kwik Bolt -II anchor is made from either AISI 304 or AISI 316 material. The stud consists of a high-strength steel rod threaded at the upper end. A normal threaded KB -II has a thread length equal to or less than three bolt diameters, while a long threaded KB -II has a thread length greater than three bolt di- ameters. The tapered mandrel has an increasing diameterto- ward the anchor base, and is enclosed by a three -section wedge which freely moves around the mandrel. In the vertical direction, the wedge movement is restrained by the mandrel taper at the bottom and by a collar at the top of the mandrel. When subjected to torque, the wedge is forced against the wall of the predrilled hole to provide the anchorage. Allowable tension and shear values in normal -weight concrete are shown in Tables 3 and 4 for the carbon steel and stainless steel anchors, respectively. Allowable tension and shear val- ues for lightweight concrete are shown in Tables 5 and 8. The anchors are illustrated in Figure 1. 2.2 Post Nut Kwik Bolt -II: Post Nut Kwik Bolt -II concrete anchors consist of a carbon (AISI 1144) or stainless (Type 304) steel stud and post nut. The threaded end of the stud is fabricated to accept a threaded post nut with an outside diameter equal to the nomi- nal diameter of the stud. The post nut has a countersunk - head configuration. Allowable tension and shear values for carbon and stainless anchors in 3,000 psi (20.7 MPa) normal - weight concrete are shown in Table 7. The anchors are illus- trated in Figure 2. 2.3 Installation: 2.3.1 Kwik Bolt4k Holes are drilled into the concrete using carbide -tipped masonry drill bits complying with ANSI B212.15-1994. The drill bit diameter must be the same as that of the anchors. The drilled holes must exceed the depth of an- chor embedment by at least two anchor diameters, to permit overdriving of anchors and to provide a dust -free area. The anchor must be hammered into the predrilled hole until at least six threads are below the surface. The nut must be tight- ened against the washer until the torque values specified in Table 1 are attained. Minimum embedment depths, edge dis- tance and spacing requirements are set forth in Tables 1 and 2. 2.3.2 Post Nut Kwik Bolt -II: Holes are drilled into the con- crete using carbide -tipped masonry drill bits complying with ANSI B212.15-1994. The drill bit diameter must be the same as that of the anchors. The drilled holes must exceed the depth of anchor embedment by approximately two anchor di- ameters, to permit overdriving and to provide a dust -free area. The anchor is tapped into the hole until the post -nut head touches the material to be fastened. The post nut is then loosened by two complete turns and the anchor is again tapped until the post nut is again in contact with fastened ma- terial. The post nut is then hand -tightened with a screwdriver. Minimum embedment depths, edge distance and spacing re- quirements are set forth in Tables 1 and 2. 2.4 Special Inspection: Where special inspection is required, compliance with Sec- tion 1701.5 of the code is necessary. The special inspector must be on the jobsite continuously during anchor installation to verify anchor type, anchor dimensions, concrete type, con- crete compressive strength, predrilled hole dimensions, an- chor spacing, edge distances, slab thickness, anchor embed- ment and tightening torque. 2.5 Design: 2.5.1 General: Allowable shear and tension loads areas set forth in Tables 3, 4, 5, 7 and 8. 2.5.2 Combined Loading for Kwik Bolt -11 Anchors in Nor- mal -weight Concrete: Allowable loads for Kwik Bolt -ll an- chors subjected to combined shear and tension loads in nor- mal -weight concrete noted in Tables 3 and 4 are determined by the following equation: (PSIPt)W3 + (Va V)5/3 < 1 where: Ps = applied service tension load. Pt = allowable service tension load. Vs = applied service shear load. V = allowable service shear load. " 2.6 Identification: The anchors are identified in the field by dimensional charac- teristics and packaging. The packaging label indicates the manufacturer's name and address and the size and type of anchor, the name of the quality control agency (Underwriters Laboratories Inc.) and the ICBO ES report number (ICSO ES Evaluation reports of ICBG Evaluation Service, Inc., are issued solely to provide information to Class A members of ICBO, utilizing the code upon which the report is based Evaluation reports are not to be construed as representing aesthetics or any other attributes not specifically addressed nor as an endorsement or recommen- dation for use of the subject report. This report is based upon independent tests or other technical data submitted by the applicant. The ICBO Evaluation Service, Inc., technical staff has reviewed the test results and/or other data, but does not possess test facilities to make an independent verification. There is no warranty by ICBO Evaluation Service, Inc., express or implied, as to any "Finding" or other matter in the report or as to any product covered by the report. This disclaimer includes, but is not limited to, merchantability. Page 1 of 5 Page 2 of 5 ER -4627). A length identification code letter is stamped on the threaded end of the bolt. See the length identification sys- tem in Table 6. 3.0 EVIDENCE SUBMITTED Data in accordance with the ICBG ES Acceptance Criteria for Expansion Anchors in Concrete and Masonry Elements (AC01), dated January 2001. 4.0 FINDINGS That the Kwik Bolt -II and Post Nut Kwik Bolt -II concrete anchors described in this report comply with the 1997 Uniform Building Coder"", subject to the following conditions: 4.1 Installation dimensions and installation torques are as noted in Tables 1 and 2. 4.2 Allowable tension and shear values are as noted in Tables 3, 4, 5 and 7. 4.3 Calculations justifying that the applied loads com- ply with this report are submitted to the building of- ficial for approval. 4.4 Special inspection is provided as set forth in Sec- tion 2.4 of this report. ER -4627 member, and anchors subjected to seismic loads, wind loads or moving loads. 4.6 Allowable tension and shear values for Kwik Bolt -II anchors in normal -weight concrete noted in Tables 3 and 4, and sand -lightweight concrete over metal profile deck noted in Table 8, may be increased 331/3 percent for short-term loading due to wind or seismic forces. Use of the Kwik Bolt -II anchor in lightweight concrete, and use of the Post Nut Kwik Bolt -II anchor in resisting wind and seismic forces, are beyond the scope of this report. 4.7 Use of the anchors in resisting vibratory or shock loads, such as those present in supports for recip- rocating engines or crane loads, is beyond the scope of this report. 4.8 Use of the anchors is limited to nonfire-resistive construction unless appropriate data are sub- mitted to demonstrate anchor performance is maintained in fire conditions. 4.9 Use of the carbon steel anchors is limited to dry, in- terior locations. Use of the stainless steel anchors is permitted in exterior -exposure or damp environ- ments. 4.5 Anchors are limited to installation in uncracked 4.10 Anchors are manufactured by Hilti, Inc., at 5400 concrete. Cracking occurs where ft>_ f, due to South 122nd East Avenue, Tulsa, Oklahoma, with service loads or deformations. Examples of when quality control inspections by Underwriters Labo- cracking may occur include, but are not limited to, ratories Inc. (AA -668). anchor location in tension zone as the concrete member, anchor location in settling a concrete This report is subject to re-examination in two years. TABLE 1—INSTALLATION SPECIFICATIONS SETTING DETAILS 114 inch 3/6 inch ANCHOR SIZE 1/2 Inch 5/8 Inch 3/4 Inch 1 inch Drill bit size = anchor diameter (inches) 1/4 3/8 1/2 5/g 3/4 1 Depth of embedment (minimum/standard) (inches) 11/8 2 13/g, 21/2 21/4 31/2 23/4 4 31/4 1 43/4 41/z 6 Wedge clearance hole (inches) 5/16 7/16 9/16 11/16 13/16 11/8 Anchor length (min./max.) (inches) 11/4 41/2 21/g 7 21/4 7 31/2 1 10 41/2 1 12 6 12 Thread length std./extra thread length (inches) 3/4 3 7/8 4 11/4 4 11/2 41/2 11/2 41/2 21/4 41/2 Installation: Torque guide valuesl (ft. Ib.) Stainless steel Carbon steel: Min. embedment Carbon steel: Std. embedment 4 4 7 20 20 25 30 30 45 75 75 95 150 150 225 200 200 325 Min. base material thickness (inches) 1 13 /2 9 3 or 1.3 x embedment depth, whichever is greater Minimum allowable edge distance (inches) For SI: I inch = 25.4 mm, 1 Ibf = 4.45 N. I Installation torques are applicable for all anchor installations unless noted otherwise in this report. TABLE 2—ANCHOR SPACING AND EDGE DISTANCE REQUIREMENTS, NORMAL -WEIGHT CONCRETE1,2,3,4,5,6,7 DESCRIPTION ANCHOR SIZE 1/4 Inch 3/8 Inch 1/2 Inch 5/8 Inch 3/4 Inch 1 Inch Embedment: minimum/standard (inches) 11/8 2 15/8 21/2 21/4 31/2 23/4 4 31/4 43/4 41/2 6 SC, Spacing required to obtain maximum working load (inches) 21/4 4 31/4 5 41/2 7 51/2 8 61/2 91/2 9 12 Smi„ Minimum allowable spacing between anchors (inches) 11/8 2 15/g 21/2 21/4 31/2 23/4 4 31/4 43/4 41/2 6 MC, Edge distance required to obtain maximum working load (inches) Shear Tension 3 3 /g 13/4 3 3 /g 3 7 4 /g 21/2 7 4 / 33/4g 3 6 /4 33/g 3 6 /4 51/4 1 8 /4 41/8 1 3 8 /4 9 /4 6 47/8 3 9 /4 71/8 1 13 /2 63/4 1 13 /2 9 Morin Minimum allowable edge distance (inches) Shear Tension 13/4 11/8 13/4 2 21/2 I5/8 21/2 21/2 33/g 21/4 33/8 31/2 41/8 23/4 41/847/8 4 31/q 47/8 43/4 63/4 41/2 63/4 6 For SI: I inch = 25.4 mm, 1 lbf = 4.45 N. 1Data in this table and the footnotes apply to all anchors covered in this report. '--When using M,,,i„ for a load that is shear, reduce the allowable load by 50 percent. 3When using Morin for a load that is tension, reduce the allowable load by 20 percent. 'For S and M of anchors with actual embedments between the listed embedments, use linear interpolation. 517or S and M of anchors with embedments greater than the deepest embedment listed in this table, use the value for the deepest embedment listed. 6When using Si., reduce the allowable tension load by 30 percent. TWhen using Si,, reduce the allowable shear load by 30 percent. Page 3 of 5 ER -4627 TABLE 3 --CARBON STEEL KWIK BOLT -11 ALLOWABLE TENSION AND SHEAR VALUES (in pounds), NORMAL -WEIGHT CONCRETE1,2 ANCHOR DIAMETER (inch) f.'- 2,000 pal 4'z 2,000 psi. 4' - 3AW pal 4' - 4,000 psi 16' - 6,000 pal 4'= 4,000 psi ANCHOR Tenalon Tension Tension Teuton DEPTH with without With Without With Without WithWHhoul (Inches) Sp.lnsp. Sp.lnsp. Shear Sp.lnsp. Sp. hap. Shear Sp.lnsp. Sp.lnsp. Shear Sp.lnsp. Sp.Wp• Shear 4' = 6,000 psi 11/g3 245 120 400 300 150 400 350 175 400 430 215 400 1/4 2 525 265 400 550 280 400 590 295 400 625 315 400 425 33/4 625 315 400 625 315 400 625 315 400 625 315 400 520 15/x3 500 250 925 605 300 975 710 355 1,025 1 800 400 1,025 3/8 21/2 1,125 565 1,100 1,210 605 1,100 1,290 645 1,100 1,450 725 1,100 875 41/4 1,190 595 1,100 1,235 615 1,100 1,285 640 1,100 1,450 725 1,100 1,000 21/43 860 430 1,810 960 480 1,840 1,065 530 1,840 1,625 815 1,840 1/, 31/2 1,750 875 1,840 2,000 1,000 1,840 2,250 1,125 1,840 2,625 1,315 1,840 1.250 6 1,950 975 1,840 2,165 1,080 1,840 2,375 1,190 1,840 2,625 1,315 1,840' 1,375 23/43 1,425 710 2,875 1,685 845 2,875 1,950' 975 2,875 2,500 1,250 2,875 5/8 4 2,180 1,125 3,125 2,670 1,335 3,125 3,090 1,545 3,125 3,925 1,965 3,125 1,730 7 3,000 1,500 3,125 3,250 1,625 3,125 3,500 1,750 3,125 3,925 1,965 3,125 2,250 31/43 1,850 925 3,875 2,175 1,090 3,875 2,500 1,250 3,875 3,000 1,500 3,875 3/4 43/4 2,750 1,375 4,225 3,625 1,940 4,225 4,500 2,250 4,225 5,060 2,530 4,225 2,350 8 3,750 1,875 4,225 4,625 2,315 4,225 5,500 2,750 4,225 5,925 2,965 4,225 2,750 41/23 2,930 1,465 6,625 3,650 1,825 7,125 4,375 2,190 7,625 4,360 2,180 8,625 1 6 3,990 1,995 8,625 5,310 2,655 8,625 6,625 3,315 8,625 7,875 3,940 8,625 3,740 9 6,040 3,020 8,625 7,050 3,525 8,625 8,055 4,025 8,625 10,000 5,000 8,625 For SI: 1 inch = 25.4 mm, I psi = 6.9 kPa, 1 Ib. = 4.45 N. ISee Table 2 footnotes. '-Allowable loads may be increased by 331/3 percent for short-term loading due to wind or seismic forces. 30nly the long -threaded style KB -II anchor installed at this embedment depth is permitted to be used to resist shear due to wind or seismic forces. Long threaded style KB -II anchors have a thread length greater than three bolt diameters. TABLE 4 -STAINLESS STEEL KWIK BOLT -11 ALLOWABLE TENSION AND SHEAR VALUES (in pounds), NORMAL -WEIGHT CONCRETE1,2 For SI: 1 inch = 25.4 mm, 1 psi = 6.9 kPa, 1 Ib. = 4.45 N. ISee Table 2 footnotes. 2Allowable loads may be increased by 331/3 percent for short-term loading due to wind or seismic forces. 3Anchors installed at this embedment depth shall not be used to resist shear due to wind or seismic forces. 4'z 2,000 psi. 4' = 3,000 psi 4'= 4,000 psi 4' = 6,000 psi ANCHOR DIAMETER (inch) ANCHOR DEPTH (inches) Tension With Without Sp.lnsp. Sp.lnsp. Shear Tension With Without Sp.lnsp. Sp. Insp Sheer Tension With Without Sp.lnsp. Sp.lnsp. Shear Tension With Without Sp.lnsp. SM1insp• Shear 11/83 170 85 525 230 115 540 245 120 550 350 175 550 i 1/4 2 425 210 550 500 250 550 500 250 550 520 260 550 33/4 520 260 550 520 260 550 520 260 550 520 260 550 15 /8 3 400 200 825 460 230 950 515 260 1,075 625 315 1,150 3/8 21/2 875 440 1,250 1,025 515 1,250 1,175 590 1,250 1,350 675 1,250 41/4 1,000 500 1,250 1,145 625 1,250 1,350 675 1,250 1,350 675 1,250 21/43 800 400 1,700 1,000 500 1,740 1,200 600 1,775 1,250 625 2,085 1/2 31/2 1.250 625 2,085 1,625 815 2,085 2,000 1,000 2,085 2,250 1,125 2,085 ; 6 1,375 690 2,085 1,765 880 2,085 2,150 1,075 2,085 2,550 1,275 2,085 23/43 1,020 510 2,625 1,250 625 2,875 1,475 735 3,125 1,800 900 3,125 5/8 4 1,730 865 3,125 2,220 1,110 3,125 2,715 1,355 3,125 3,000 1,500 3,125 7 2,250 1,125 3,125 2,825 1,415 3,125 3,425 1,715 3,125 3,425 1,715 3,125 31/43 1,450 725 2,700 1,825 915 3,100 2,200 1,100 3,500 2,450 1,225 4,500 3/4 43/4 2,350 1,175 4,225 2,990 1,495 4,365 3,625 1,815 4,500 4,375 2,190 4,500 8 2,750 1,375 4,500 3,500 1,815 4,500 4,250 2,125 4,500 4,800 2,400 4,500 41/23 2,300 1,150 5,700 2,850 1,425 6,350 3,400 1,700 7,000 4,500 2,250 7,000 1 6 3,740 1,870 7,000 4,930 2,465 7,000 6,120 3,060 7,000 6,875 3,440 7,000 9 5,250 2,625 7,000 7,075 3.540 7,000 8,800 4,400 7,000 8,800 4,400 7,000 For SI: 1 inch = 25.4 mm, 1 psi = 6.9 kPa, 1 Ib. = 4.45 N. ISee Table 2 footnotes. 2Allowable loads may be increased by 331/3 percent for short-term loading due to wind or seismic forces. 3Anchors installed at this embedment depth shall not be used to resist shear due to wind or seismic forces. Page 4 of 5 TABLE 5-KWIK BOLT -II CARBON STEEL ALLOWABLE TENSION AND SHEAR IN LIGHTWEIGHT, EXPANDED SHALE -AGGREGATE CONCRETE1,2,3 ER -4627 ANCHOR SIZE (Inch) 1/4 EMBEDMENT DEPTH (Inches) 11/8 2 TORQUE (ft. -Ib.) 4 SHEAR (pounds) TENSION (Ib.) WITH SPECIAL INSPECTIONS TENSION (Ib.) TENSION (Ib.) WITH WITHOUT SPECIAL SPECIAL INSPECTION° INSPECTIONS TENSION (Ib.) WITHOUT SPECIAL INSPECTION° fe, > 2,000 psi 400 400 755 1,100 1,370 1,840 2,480 3,125 3,170 4,135 IV= 2,000 210 300 380 630 685 1,000 1,110 1,650 1,545 2,200 psi f,'= 4,000 105 360 150 450 190 625 315 975 340 1,100 500 1,600 555 1,575 825 2,300 770 2,200 1,100 3,250 psi 180 225 310 485 550 800 785 1,150 1,100 1,625 5 3/8 15/8 21/2 15 15 1/2 21/4 31/2 25 30 5/8 23/4 4 65 75 3/4 31/4 43/4 135 150 For SI: I inch = 25.4 mm, I lbf = 4.45 N, 1 ft. -Ib. = 1.3558 N • m, 1 psi = 6.9 kPa. IThe tabulated tension and shear values are for anchors installed in lightweight expanded shale -aggregate concrete having the indicated compressive strength at the time of installation. Concrete aggregate must comply with ASTM C 330-85 and ASTM C 332-83. 2Use of the anchors in resisting wind or seismic forces in lightweight concrete is beyond the scope of this report. 3Spacing and edge distances noted in Table 2 must be increased by 331/3 percent. 4These tension values are only applicable when the anchors are installed without special inspection as set forth in Section 1701 of the code. SThese tension values are only applicable when the anchors are installed with special inspection as set forth in Section 1701 of the code. TABLE 6 -LENGTH IDENTIFICATION SYSTEM STAMP ON ANCHOR A B C D E F G H I I J I K L N I N 1 0 P 1 D 1 R S T U V W XFfi Zlxnof 8th Frnm 11/± 2 21/2 3 31/2 4 a1/± 5 ISI± 6 61/2 7 71/2 230 1 ?5n 8 81 9 91/2 10 11 12 13 14 IS 168nchs)r UPto2 211, 3 34, 4 41/2 5 51/2 6 642 7 7112 8 81/2 9 91/2 10 11 but not 12 13 14 IS 16 I7I8 including TABLE 7 -POST NUT KB -II ALLOWABLE TENSION AND SHEAR VALUES (pounds), NORMAL -WEIGHT CONCRETE1•2 ANCHOR DIAMETER (inchesyMATERIAL MINIMUM EMBEDMENT DEPTH (inches) With Special Inspection3 f�= 3,000 psi Tension Without Special Inspection4 Shear I/4 carbon steel 11/8 310 155 330 1/4 stainless steel 11/8 305 155 470 3/8 carbon steel 15/8 605 300 700 3/g stainless steel 15/8 460 230 1 ?5n For SI: I inch = 25.4 mm, 1 lbf = 4.45 N. The tabulated tension or shear values are for anchors installed in stone -aggregate concrete having the indicated compressive strength at the time of installation. 2Use of the anchors in resisting wind or seismic forces is beyond the scope of this report. 3These tension values are only applicable when the anchors are installed with special inspection as set forth in Section 1701 of the code. 4These tension values are only applicable when the anchors are installed without special inspection as set forth in Section 1701 of the code. TABLE 8-KWIK BOLT -II CARBON STEEL ALLOWABLE TENSION AND SHEAR IN SAND -LIGHTWEIGHT CONCRETE OVER METAL PROFILE DECKI, 2, 3, a ANCHOR DIAMETER (inch) EMBEDMENT DEPTH (Inches) f,'= 3,000 psi Tendon (pounds) With Special Inspection Without Special Inspection(pounds) Shear 1/4 21/4 560 280 490 3/8 21/4 790 395 1,000 1/z 21/4 880 440 1,000 5/8 1 41/2 1,675 835 2,575 For SI: 1 inch = 25.4 mm, 1 lbf = 4.45 N, Ift.-]b. = 1.3558 Nm, Ipsi = 6.9 kPa. IThe tabulated tension and shear values are for anchors installed in lightweight expanded shale -aggregate concrete having the indicated compressive strength at the time of installation. Refer to Figure 3 for minimum dimensions of the composite deck. Concrete aggregate must comply with ASTM C330-85 and ASTM C 332-83. 2Space and edge distances noted in Table 2 must be increased by 331/3 percent. When anchors are installed in the ridge, the minimum distance measured from the center of the bolt to the edge of the ridge is 23/8 inches. 3Allowable loads may be increased by 331/3 percent for short-term loading due to wind or seismic forces. 4Anchors are permitted to be installed in the valley or ridge of the composite steel-deck/concrete-fill assembly. Page 5 of 5 KWIK BOLT II CONCRETE WN&ION ROM Nut o - —'Masher Thread Area —. Anchar Body Triple Segmented Mandrel Expansion Sleeve Area FIGURE 1 ° e Min.. 6-11, e d Min. 4-3/4" ER -4627 WB I I COIXTF W5 K POST NUT AND OR Reduced Blaweeter Tappered Threads IdaWrel Area r e.:fO Countersunk Bolt Triple Sapented Past Nut Expansion Sleeve FIGURE 2 MIN. 3000 PSI SAND—LIGHTWEIGHT CONCRETE d d d a ° e A e e Min. 3-3'4" e .4 d VALLEY Min. 4-3/4" RIDGE FIGURE 3 — PROFILE OF SAND—LIGHTWEIGHT CONCRETE OVER METAL DECK NO. 20 GAUGE STEEL DECK RIDGE EDGE E' REPORT TM SUPPLEMENT 1 ER -4627 Reissued February 1, 2001 ICBO Evaluation Service, Inc. - 5360 Workman Mill Road, Whittier, California 90601 • www.icboes.org Filing Category: FASTENERS—Concrete and Masonry Anchors KWIK BOLT -II AND POST NUT KWIK BOLT -II CONCRETE ANCHORS HILTI, INC. 5400 SOUTH 122ND EAST AVENUE TULSA, OKLAHOMA 94146 1.0 SUBJECT Kwik Bolt -II and Post Nut Kwik Bolt -II Concrete Anchors. Revise Section 4.6 and Table 5 to add recognition of seismic resistance of Kwik Bolt -II installed in structural lightweight concrete. (issued September 1, 2001.) 2.0 DESCRIPTION No change. 3.0 EVIDENCE SUBMITTED No change. 4.0 FINDINGS That the changes noted herein comply with the 1997 Uniform Building Code'rm (UBC), subject to the following conditions: 4.6 Except where specifically noted in the tables, allowable tension and shear values or applied loads for carbon steel and stainless steel Kwik Bolt -II anchors in normal -weight concrete and carbon steel Kwik Bolt -ll anchors in structural lightweight concrete, noted in Tables 3, 4, and 5, may be adjusted in accordance with Section 1612.3 of the UBC for short-term loading due to wind or seismic forces. Use of the Post Nut Kwik Bolt -II anchor, in resisting wind and seismic forces, is beyond the scope of this report 4.7 through 4.10: No change. Unless specifically noted in this evaluation report supplement, the master report remains valid and unchanged. This report expires concurrently with the master report dated February 1, 2001. REPORTS— are not to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use. There is no warranty bylCBO Evaluation Service, Inc., express or implied, as to any finding or other matter in this report, or as to any product covered by the report. t,opyngni G)zuui Page 1 of 2 Page 2 of 2 ER -4627 TABLE 5—KWIK BOLT -11 CARBON STEEL ALLOWABLE TENSION AND SHEAR IN LIGHTWEIGHT, EXPANDED SHALE -AGGREGATE CONCRETE' -2,' ANCHOR SIZE (inch) EMBEDMENT DEPTH (inches) TORQUE (fL-Ib.) SHEAR (lbs.) TENSION (lbs.) WITH SPECIAL INSPECTION$ TENSION (lbs.) WITHOUT SPECIAL INSPECTION` TENSION (lbs.) WITH SPECIAL INSPECTIONS TENSION (lbs.) WITHOUT SPECIAL INSPECTION` f,- • 2,000 psi f, = 2,000 psi f, = 4,000 psi '/4 1'/6 4 4005 210 105 360 180 5 2 400 300 150 450 225 15 3/8 15/$ 7555 380 190 625 310 15 21/2 1,100 630 315 975 485 25 1/2 21/4 1,3705 685 340. 1,100 550 30 31/2 1,840 1,000 500 1,600 800 65 5/8 23/4 2,480$ 1,110 555 1,575 785 75 4 3,125 1,650 825 2,300 1,150 135 '/4 31/4 3,170$ 1,545 770 2,200 1,100 150 4'/4 4,135 2,200 1,100 3,250 1,625 Fnr SI. 1 inM c 7S d mm 1 6.f - n AC AI 1 N 16 - 4 o=CD a — 1 . , R-IY - I.JJJU IN 111, 1 FIJI - O.D Krd. 'The tabulated tension and shear values are for anchors installed in lightweight expanded shale -aggregate concrete having the indicated compressive strength at the time of installation. Concrete aggregate must comply with ASTM C 330.85 and ASTM C 332-83. 2Except as described in footnote 6, allowable values or applied loads may be adjusted in accordance with Section 1612.3 of the UBC for short-term loading due to wind or seismic forces. 'Spacing and edge distances noted in Table 2 must be increased by 33'/3 percent. 'These tension values are only applicable when the anchors are installed without special inspection as set forth in Section 1701 of the code. 5These tension values are only applicable when the anchors are installed with special inspection as set forth in Section 1701 of the code. 'Anchors installed at this embedment depth shall not be used to resist shear due to wind or seismic forces. OWNER -BUILDER VERIFICATION Attention Property Owner:. An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary' delay in processing and issuing your" building permit.. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES ❑ NO ❑ 2. I HAVE ❑ HAVE NOT ❑ signed an application for a building permit for the proposed work 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PH0N`E: CITY: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE' TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: This Owner -Builder Verification is required by Section .198.31. and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORIv1ATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for 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 $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I+Micel Vi ira, C.B.O. uilding Inspection NOTE: This Owner -Builder Information is required by Section 19810 of the California Health and Safety Coda OVER x; IT; PERMIT NO. _ 1479-83B,E PERMIT EXPIRES OWNER NORMA KOSKA CONTR. Ronald Forester, Chico ASSESSOR PARCEL 46-30-85 LOCATION NW/S Chico Canyon Rd, app 300'N of Manzanita, Chico x a Temp. Power Pole— Called ole_Called PG&E _ Temp. Elec. Service Called PC Temp. Gas Sei Called PG t. JOB FINALE[ Signature J = OK 0 = Not OK - = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing__ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -Bl Date Card - BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except It's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's V 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances _ 4• Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI f 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit ti 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date i I L NOOK NotApplicable �Vot RegdyRESIDENTIAL (Single and Duplex) � Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 4977roperty Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ext. Doors -One -Ch -exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 5 - om-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 3ror erhang-Attic Vents- after Outriggers 5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 6. Stemwalls, Garage; Steel -Block -W -Slab 58, 61wr -Fdn. Ven-Underflr. Access 7. Piers -Fireplace Ft I . Glazing Area-Gts-Rrelewtmen S ahts-Plast;r B. D.W.V.: Fall-Fitti est-2.way C/O ewer Test 5 ailing -Bolts 9. Gas Pipe; Size -An hors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI j2Z Date } Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL,(Plans) OK except #'s xt. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date P UMBING (Permi OK except #'s 9i.Detector _ _1 Water Ht.; Vent- ccess-Combustion Air 58:--Fvmeeo _Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 1; . Water Pipe; TestAnchors-Nail Protection 1 D.W.V.: Test-Ftt)s &Anchors -Nail Protection -6-BeftuarrE1ing _ Shower Pan; Tes First Floor -Tub Access 106.res & Tub Access _ Test Tub & SVwer, 2nd Floor -Tub Access lec. Trim & Subpanel; Breaker Sizes -Labels ras Pipe; SiSe Anchors63 6 airs &Rails --. _ Prp rth ec. Outlets at Wood Panel�_rt , & tr.- Card-BI Datey'ry,'� Card -BI Date 81;Grnd.-Air Ga -Cooking Clearance Card -BI Date Card -BI DateReceptacles at Kit. Counter Date ELECTRICAL Perrc.it OK except #'s Swing -Landing -Closer 68, A-G-9tict age -Damper �ture &Transformer Clearance _ F' on - earance-Comb. Air-Connector-P.R.V.- I - Ah -Meth. Protection -_ - c .Re�cles Spacing i o0 2 _m B s & No. of Conductors-SStuds 2 ome Installed Close to Edge of Studs & C.J. 2 quip. Ground made up w/Mech. Fasteners-Bew4-2as-&-wff1er 7 Ib., Elec. & Mech. Equip. Listed for Location M. es in Garage; (G.F.I.)-Romex Protec. 72-iTMulation-FCsmr-Looked in Attic ELX9.- may, _& Deck Construction -Post Caps 25. 27 a ircuits in Kitchen & Conductor Size -n- --------- - 29'—_a_bfe&+*'rr2Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al irc. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral r'Yes -'L_1 No — - uctors & Ground -Main Disconnect dn.vVefft-R_Ccawl Hole Door -Drainage &49ood-Earth Clearance Loyd „prior Ftnnr rl uos oers in ] Drive ❑ No; Walks ❑Yes Qd¢p;_ Planters ❑YeYes I%iN� ZA Rtocrn• Rr­-cin sb --- ; Panels -Motors -ch. Equip. 2Me - ect-Clrnces-Br. r. & Cond. Size -115V Outlet _ _3 _-- - ght-Shower Light — 7 is Above Root; ,edbg.-Ap I' ce-Fi - Opngs. ------ Card B -I Card B -I -------------- --- -- Date r Card -BI Date 6_ �-:3___--_--_ CAX>Dat2��� Card -BI Date nett, Electrical, Plumbing 8d --Exterior Elec. Trim; G.F.I. Receptacle-UndergTiTund 8 ation throughout House 8 n Date MECHANICAL (Permit) OK except #'s - 8 or ctio from Previous Inspections a st-Meters Tagged; Gas -Electric 1,7 31 _ . _ _n 75 Support 8nnected-C/O to Grade -HD Approval /en_t _ . Fan_E_xhaust above Insulation _ Energy Compliance Certificate -Other Certificates 33. Co densate Drairl._ verilow; Size & Grade �— Card -BI Card -BI urnace _ACCea�Comly�rfF Rot e' _ �--r2t 3i. A Ho if Furnace in Attic Dat eyL` _ -Card-BI Date y Date Card -BI Date r Card -B Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: t!u 6 Date FRA (Plans) OK except #'s _ __J_)_Si l , Proper Material & Anchors 3 ells; _Studs -Nailing, Spacing & Bracing-P12'ie_s_-Sound_ 3 aring over Girders & Floor Nailing 3 - ---- --- s (rat proof) - --- --- -- 4 e F.tdGei+ings-Stairs-Chases-Tub _ — 4 ader & Beam -Size & Bearing atvar�Pp�' A s -C In g. fist-Rftr, es -P - t & R o m e x Protection -Draft Stop -Ins. Battles nsions — (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise - Phone: 872-2961, Ext. 57 CORRECTION NOTICE s/lC /577 y �� A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional 'explanation, please contact this office immediately. C _ / t- AA... 7/i � �. G uSCD� A7�ly�E -- Inspector7-1& Date COUNTY OF BUTTE ?u� DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ;f Q 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or n ed additional explanation, please contact this office immediately. CC ®l Inspector_— ' l�� Date r ✓ �% — — COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this ,matter or need additional explanation, please contact this office immediately. r rl zt' T ,c/y 4 Save, Inspector �� �� l/��+ / Date /K—T 6 Ir COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroyille, California -95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. A SSr&SS .,4.RCEL NUMBER .—BUILDING ZONING PERMIT OWNE TELEPHONE SQ.FT. OCC. BUILDING VALUATIO r' OWNER'S MAILING ADDRESS I 4 CO CTOR'S E ONE -F E CONT A TOR'S MA INC ORES C Fireplace CONSTRUCTION LE ER UNKNOWN v Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ , ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permittee $ 1X1100 BUILDIXJJDDIJESS -1 PLUMBING PERMIT Filing Fee 10.00 / Each Trap 2.00 Solar Water Heater 20.00 r In Water piping 5.00 LOT NO. SUBDIVISION NAMEPA CEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 �- ,� USE OF STRUCTURE SF 0;� Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G W 10.00 e TYPE OF WORK New f_1 Addition Remodel Utilities❑ Installation[]Other[Roo'Contractor Describe work: Permit Fee $ ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR 00 AMP ORLESS10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONS ( OR AODNST ACCLOC�UP.&\ ._ // 21/4sgit , CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. �G, yam/ Classification :�-/ License No.�� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRCUITS. 2.50 ea NEW CONSTR POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. Occu / 20®50a P\o XTs OR FIXTURES SAL®30 IED PR X. Occup. EOUTLETS (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. y X epi ,2`ZTLc��� Date '��t�X Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ S occuP. GROUP _3 I TYPE OFUT. T. �� FIX PAROL 1t/ 4DD 155 E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE TO OF PUBLIC PE EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date D0,09By Receipt No.� WHITED. P. W., TEL LOW-A53@550R, PINK -INSPECTOR, GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMEN,TMDF'PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 4 OWNER Proposed Building Use, Permit Fee Based Upon Building Inspector PERMIT APPLICATION DATA SHEET Permit No. A. P. No. Complete Contract Price U___DPW Valuation Ot (Explain) p– r— Date-6— At ate-6 At time.of permit application, I was advi ed the following data must be submitted prior to permit processing and/or isgbance: DATE RECEIVED -APPROVED �. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . i 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. , 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , , 9. Letter of signature authorisation. . . . . . . . . . . 10. Sanitation approval from Health Dept. ` 11, Planning approval for (A) Use: (B) Parking: , ---ter 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑.) 15. Improvements may be required. . . . . , . , , , , , • 16. Mobilehome Installation Data. . . . . . . .. •Pre-Inspec. request to 17. Pre -Inspection for Required, Building Inspector (Date) 18. Other When you issue the permit, process as follows: Mail to owner. a J Telephone and hold for pickup at office. Other Applicant i I to contractor. Deliver w/inspector. /P-gf? Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item,) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Design, Owne I Plans checked byl Plans approved by Other: Copy—DPW was advised of above required data by By Telephone, .Mail Date r _Date Date Other ._ .r.,„ ..'•++..t..a.'.'�.��e*s.1^ .._.+ti;,�+-+.�x.'x j Tyc�T_ 1cY2e2aC"iK'fop. Y +r les r.i'• .. .._.w.+ .w._.._ _.�. __. This set of plans and splcYrications" MUST be r NOTE:—A11 Materials &Workmanship Shall Be in kept on the job at all times and it is unlawful tc 4 `Accordance with Recognized Good Practices and r� xi #�o �, _h ou s •e � make any changes or alterations cet", vVZaFi-floor _ _bir-.6_fiaiIgL_ prescOd t"t ecQi�c�i,1,�" th(7 j — out written permission from the Departm nt gf Uniform Building, Plumbing & Mechanical Codec Public Wo k. Butte and the National Electrical Code. Rac.T, .0 - - - 1►� S'PEOICCz T . Door � p►•pCQhIA��'( OF E'klSTll�� sT �O.G.GfiIUN�, MAIL. 517p k) Is' -I, FD i Install. smoke detector per code. i �1 setback of t. from the NIN Ex(STI �•1 �► I- Ste• • ^. 'property line;and aaetback NS11.W -SU 0E AI IS vC ptl f 50ft. from Otoad it -if icenterline-th�l� be clear of structures or eib_kpment except . for a 2 ft. ea4e ove hr a -ng. I CXs►ttn Gogo, e. Dootr COUNTY- -RT_�S- 9 W � 1Ll C� �EP�PI� WVd• . l� ems= Jin � . � • ,_pCe,-"�.'-3 �i� " or. 0 0 44 QJ APF - x r +U vY _ . w .i � .•y ,. ..,u , ..r` 4 .�..ab. Y � ,Mar } i.4�i".,...�.5+ �wi:.�C.:r......�:-f ,e:w:_.. •-�r.w � .a a _ _ .. - • s.9 I a_ � � s,A''`' a-�..,: > P' t` .� , j � •- .` '"c .." .IVO A7 ' J to 74-�'� 4 - BUT 'E COUNTY �., BUILDIN 'DEPARTMEN7' JAPPROVED ��:.,`,;''�,.y .,�s s �. i !, � * � �sct is9. �� .-ti �,^ s°° f "?%' "!' .�;} M L. .t�... •: ` '� Fv..*.,i P«. •;i c . 'i w r t� F, t . �r .1�4 +. . •� : �`'� w'` M +Mh'si., ? w�c .3t+..5. s.Y..n ..-.s' ih'h:,rt Seo N- AG AI nn ce dliccown Glass May 11, 1987. To Whom It May Concern; KO Sr_ rft 'Norma Kowsky,placed an order for a CFL sliding glass door handle through American Glass on April 29 and we still have not received it yet. It is on back order with CRL, the manufacturer we ordered it from. As soon as it a'rrive's, we -will give her a call end let her know that it has come in. Thank you. Sincerely, Diana Hodsdon Secretary a,clI Y) 0'{C S o r (\e C__ c1Ve.ss l�� Contractor's License #337824 130 W. Seventh Street (916) 343.1404 Chico, California 95926 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS , 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIIe — Phone= 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961; Ext. 57 2�r�/ CORRECTION NOTICE NNER PERMIT NO. A routine inspection -indicates that the following violations of County Ordinance exist atthe above address and should be corrected. Please notify this office when orrection of work is completed. If you have any question pertaining to this matt r, or need additional explanation, please contact this office immediately. Inspector Date / I �ti{ -toy 1 00 GAt "I RIG,. WF}%CiL:7l�NK SLAB 10� C , .t i- f f N '•; I SEV1lc '(i�'Ic LCRtiN W s�k0( 0) 6-7 oil �:nvir®nrnenfal Health MAR 0 7 2002 Chico, coubmi, 146 c4 t;h (AtjYo i4 zoll oto -.0S b/e 0 C-xPkrKtoN -Tol0T '1► -j �% U .4 Pv. x� • `�-o ; trC� • Z \. �• / i1 pQ�V L.- o 1; It ILI 8 pr4 C.7 ` -- -- - --- v OFFICE •. - \\ S .. i 6 HT .vc. TE Sc �i a (4 StMPSOP) Bo�T FFt�1 r;I Gs -I fi w/ sEf pAcK 10 >A ,1 SHEAR WALL SCHEDULE - "DELTA SYMBOL ON PLANS 1,4 s � I _ ' CX f 51 • �o SSE A. 7/16" .OSB• SHEATHING ( APA INDEX 32/16) w/ 8d @ 6/12. 3/8 DIA. HILTI KWIK ; APPRO1/EV BOLT - II ANCHORS w/ 2 1/2" EMBEDMENT INTO EXISTING CONCRETE SLAB @ Ekift �y ��� 6'- 0" o.c. OR 2 - ANCHORS PER PANEL MINIMUM.- WIDTH OF PANELS AS• NOTED ON., ,��la�t'te PLANS. SEE NOTES BELOW. ` B. 1/2" GYPSUM BOARD w/ 5d COOLERS' @ 7" o.c. 3/8" DIA. HILTI KWIK BOLT - II \ Gd <JTf{ ANCHORS w/ 2 1/2" EMBEDMENT INTO EXISTING CONCRETE SLAB @ 6'- 0 o.c. w' A �'` `� • OR 2 -ANCHORS PER PANEL MINIMUM. WIDTH OF PANELS AS NOTED ON PLANS. ' n - SEE NOTES BELOW. MOTION _ NOTES: 1. CONTINUE WALL .SHEATHING DOWN TO THE FOUNDATION PLATE. PLATES OR UNDERSIDE OF Lt U H'r 2. CONTINUE WALL SHEATHING UP TO TOP \ r `` ' "' ROOF SHEATHING. 3. ANCHOR WASHERS SHALL BE 2" SQ. x 3/16" THICK. 4. CONNECTIONS OF 2x TO 2x AS REQUIRED (IF ANY) SHALL BE PROVIDED ? WITH • 16d, SINKERS @ 12" o.c. OR A35 ANCHORS @ 48" o:c. OF MAXIMUM SPACINGS. Q�i ESSIpNgI THE ENGINEERS SEAL AND SIGNATURE ON THESE DOCUMENTS PERTAIN TO THE ITEMS _ AS OUTLINED ' 4�' VQ` IN -THE STRUCTURAL CALCULATIONS ONLY o. 32 CONSTRUCTION DETAILS AND ASSEMBLIES NOT SPECIFICALLY DETAILED ON THE APPROVED 49��. DRAWINGS ARE THE SOLE. RESPONSIBILITY OF JI CIV THE BUILDER. STRUCTURAL CHANGES REQUIRE OF CA1-��0� + REVIEW AND APPROVAL BY THE ENGINEER • a- — 3 ' —� • - kinvironmen4at Health RCE 32434 l 15)Q ST. fiJVSE Doti(L Reg. Expires T� MAR - 7 12-- 31 - 2004 Chic®, Califomia CaNJr ''ScftI:', '/i"s I1 -on )3E5, v c T. Co. i /Z/30/of G141co CAnlyviv IZ.C>, CH(6v, c4 • - / �(� 11 -01u -p •