HomeMy WebLinkAbout021-134-01521:134-15' e �.,. z,
ARNOLD WILSON SAMPLE, Johnny -743-67B'(
�SAMPLE,)
Johnny
Gridley 1240-67P,
Permit#137�_85B(reroof/SF) ,q�l-------- --62 KrTM
- �-; 21-134-151
_�2 34 15' B
-, _ e s, lock.Rd. app. 1500' so, of 1 ' e: .
Permit#13 89B(dow 9--s-1ding%SF)-`� Gridley
' CO.�T`IR: Joe .Wright, .P: . ;Box, 674;- Gridley r
021-13-4-013 99-0152 B (new single family) -3,
i ..SCOTT, Kris
1278 Block •Road, Gridley
(install woodburning stove)SF
a -9 9
021-134-'015
a 05-3221
RITNER DAN
1228 BLOCK RDN,'GRIDLEY
-;
Cont: RICK HYSMITH
GARAGE-DET,
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Butte County Department of Development Services eurre, alien
N ® T E S 7 County Center Drive, Oroville, CA 95965 _ I
t - J. ,(530)538-7601 - - v�wv.buttecountYneVdds °uH�
RESIDENTIAL
AP N: Permit-"-
05-32214--- 1
4+. Owner 021-134-015
DAN.
Site Address: �Tg BN F,LOCK RD, GRIDLE1' +�
_ t: RICKNYSMITN
I Contractor.
Type of Permit:
Y
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SPECIAL CONDITIONS
O SRA
CHECKED BY
❑
FLOOD CERTIFICATE EQUIRED
Q
Q
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
Q
VERIFY
USE PERMfT CONDITIONS '
Q
SUBSTANDARD HOUSING LETTER'
Q
ENCROACHMENT PERMIT
Q
REINSPECTION FEE PAID
I i
Q
ENV FILTH CLEARANCE
F 71'
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ATE JOB FINALED:
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SIGNATURE:
APA
Certificate ® Conformance,
Certificate 0'5-4074
-
THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of
Engineered Wood Systems (EWS) were manufactured in accordance with the applicable' standards
and associated specifications indicated below: '
ANSI Standard A190.1-1992, Foi Wood Pioducts - Structural Glued
Laminated Timber
NEA-486 Glued Laminated Timber Combinations And "GAP" r
Computer Program,For Determining Design Stresses
AITC 117-93 — Manufacturing — Standard Specificatisns For Structural
Glued Laminated Timber Of Softwood Species
IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members
were produced in a manufacturing facility subject to regular audits in accordance with the Engineered
Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the
< manufacturing process and evaluation of the in-plant QA' program with adequate sampling to verify
conformance to industry standards for lumber grade and glueline bond quality.'
W 0 0,0 *
2 {r" TF 10
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mo xca I
5F.lU -Thomas G. Williamson
-. :e=xecutive Vice President,
N
ENGINEEREO WOoo SYSTEMS is a relatao corporation o1 APA HE ENGINEERED WOOD A SOCIATIONJ
7011 SO01h 19th Street- F.O. Box 11700. Tacoma. WA 9sd11-0700
Telaphone: (2S3) 565.6600 - FaX NUMM: (253) 6857255
TO 39Cd ONI SGOOM'11831S3M a T098h6806ST 6Z:80 900Z/TO/ZO.
(�,G�� � ' • • • • Nin ��'%//LL��-..-s
AAA
Certificate of Con
formance
Certificate 054074
THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of
Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards
and associated specifications indicated below:
ANSI Standard A190.1-1992, For Wood Products — Structural Glued
Laminated Timber
NER-486 Glued Laminated Timber Combinations And "GAP"
Computer Program For Determining Design Stresses
AITC 117-93 — Manufacturing — Standard Specificatlens For Structural
Glued Laminated Timber Of Softwood Species
IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members
were produced in a manufacturing facility subject -16 regular audits in accordance with the Engineered
Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the
manufacturing process and evaluation of the in -plant QA program with adequate sampling to verify
conformance to industry standards for lumber grade and glueline bond quality.
TO 39dd
b
Thomas G. Williamson
Executive Vice President
ENGINEERED W000 SYSTEMS i6 a related corporati�ol APA — THE ENGINEEgED WOOD ASSOCIATION
7011 South 191h Sweat - P.O. Box 11700 - Tacoma. WA 95411-0700
Telaphane: (253) SGS -6600 - Fax Number. (253) 665-7255
ONI SQOOM N831S3M
,�OoaoE A��
T098VG80GST GZ:80 900Z/TO/ZO.
.=OK
0 = Not OK
MANUFACTURED HOMES
MISCELLANEOUS
DATE Lj PERMANENT FOUNDATION Lj SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fall/C10-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Clrncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap Nat Q or LP❑
Inch Sz Ft Lngth
7 Blckng; Sz-Spacing-Marriage Line
8 Gas; MH Test -Demand -Valve -Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Cirncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -CIO to Grade
12 Gas and Electricity Tagged
13 Tie Downs Q Foundation Q
14 Exits
15 Cert of Occupancy
16 HUD Label/Insignia Numbers Serial Numbers
DATE E C 'C O V E R S•C A R P O R S `G A R A G E S
— g -Setbacks -Easements
tgs; Soils-Sz-DpthSpacing-Cnnctrs-Steel
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs
6 Carport ; Wndws-Doors
7 Ele Iic
rmg• Sills-Anchrs-Studs-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnls
DATE IPOOLS
1 Setbacks -Easements
2 Soils; CompactionStructure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFl
6 Elec Enclsrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr
8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg
Bones-Enclsrs-pnlboards-Insultn to Main Conduit
9 Health Dept Apprvl
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Encisr, Fencing -Alarms
13 Bonding, Diving board or Slide
o' o`er d� ds
°1a 4 �
Pool Drawing
i,
= OK
0 = Not OK
RESIDENTIAL (Single & Duplex)
DATE JUNDERFLOOR
DATE IPLUMBING
1 Zoning -Setbacks -Easements -Flood -Slope
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Grnd Ftg Dpth
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Ftg Garage; Soils-Steel-Elec Grnd Fig Dpth•
55 DWV; Test Fittings & Anchr Nail Prtctn
4 Ftg Porches/Decks; SoilsSteel Fig Dpth
56 Shwr Pan; Test, First fir -Tub Acc
5 Stemwalls Main; Steel-Blockouts-Wrapped
57 Test Tub & Shwr, 2nd fir - Tub, Acc
6 Stemwalls Garage; Steel-Blockouts-Wrapped
58 Gas Pipe; Sz & Anchrs
69 Hold Downs and Special Anchrs
59 Fire Sprinkler; Test
7 Slab, Steel Wrapped
60 Yard Gas Piping
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
1.1 Wtr Pipe; Test-Anchrs-RgltrService Test
12 Elec Undrgrnd
DATE IM E C WA _N1 C A L
13 Plenums & Ducts; Clrnc-Materia"upport-insultn
61 AC Ducts Insultn & Support
14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples
62 Vent Fan, Exhaust abv Insultn
15 Acc & Vntltn
63 Condensate Drain & Ovrtlw, Sz & Grade
16• Insulation
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Acc & Pltfrm if Furnace in attic
mac` �c
O'er 0 Opo 0
Oti 4 P
DATE IFRAMING
17 Sills Proper Materials & Anchrs
DATE F I N A L
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
66 Ext Steps -Door & SideLt Prtctn-Landings
19 Bearing Walls over Girders & fir Nailing
67 Smoke Detector
20 Draft Stop in Walls (rat proof)
68 Furnace Vnts-CImc-Comb, Air-Cnnctr
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
In Garage; abv-flr-Ducts-Mech Prtctn
22 Headers & Beams-Sz & Bearing
69 Bedroom Exiting
23 Hangers -Post Caps-Anchrs-Cnnctns
70 GFI & Bath Fxtrs & Tub Acc-Spa
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg
71 GFI Arc Fault
25 Frplc Ties or Type A Flue-Frplc Throat CImc
72 Elec Trim & Subpnl, Breaker Sts & Labels
26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
73 Stairs, Guard/Handrails
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
74 Frplc or Stove, C[mc-Hearth
28 Garage Fire Prtctn Framing -RC Channel
75 Elec Outlets at Wood Pnl, Int & Ext
29 Prprty Line Firewall & Opngs
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cimc
30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
77 Elec Outlets & Rcptcls at Ktchn Counter
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
78 Garage Fire Door; Swing -Landing -Closure
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
79 AC Duct in Garage -Damper
33 Siding -Nailing Veneer
80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc
Mech Prtctn; LPG Appince Undr House 3" drain
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
81 Plmb; Elec & Mech Eqp Listed for Loctn
36 Shear Walls; Nailing -Bolts
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
37 Brace Int/Ext Wall pnls
83 Insultn-Foam-Looked in Attic
38 Insultn-Walls-Ceilings
84 Guard Rails & Deck Cnstrctn-Post Caps
39 Infiltration-Walls-Wndws
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Clrnc Drnge Planters ❑Yes [:]No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs
90 Wtr Well, Dscnnct, Elec, Plmb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
DATE JELECTRICAL
40 Fxtr & Trnsfrmr CImc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
92 Vntltn thru House
42 Sz Boxes & No Of Cndctrs Stapled
93 Glass Prtctn
43 Romex Installed Close to Edge of Studs & CJ
94 Corrections from previous Inspctns
44 Eqp Grnd made up w/Mech Fstnrs
95 Gas Test -Meters Tagged, Gas-Elec
45 Grndng Electrode Bond Gas & Wtr
96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
97 Energy Cmpinc Cert -Other Certs
47 Subfeed Wire Sz 9 ❑ CU or 0 A
96 Address Posted
AC Wire Sz ya ❑CU or ❑AL
99 Fire Sprinkler
48 Range Circ pa ❑ CU or ❑ AL
Oven Circ 9a ❑ CU or ❑ AL
Insulated Neutral ❑Yes ONO
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrncs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BPO53221
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 01/10/2006 APN: 021-134-015-000
the Business and Professions Code, and my license is in full force and
effect.
License Cla s : License Number: '
Site Address: 1278 BLOCK RD GRI
Date: ` G Contractor: C`
Map Index:
Description: GAR(816) DETACHED
OWNER -BUILDER DECLARATION
I hereby, affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: RITNER, NICOLE AND DANIEL
to its issuance, also requires the applicant for such permit to file a
1278 BLOCK RD
signed statement that he or she is licensed pursuant to the provisions of
GRIDLEY CA
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
95948
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).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: HYSMITH CONSTRUCTION
PP
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
RICK HYSMITH
such work himself or herself or through his or her own employees,
5190 PENNINGTON RD
provided that such improvements are not. intended or offered for
LIVE OAK, CA
sale. If however, the building or improvements are sold within one
95953
year of completion, the owner -builder will have the burden of
530-695-8784
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: HYSMITH CONSTRUCTION
and who contracts for such projects with a contractor(s) licensed
RICK HYSMITH
pursuant to the Contractors' State License Law.).
5190 PENNINGTON RD
❑ 1 am Exempt under Article 3 of the Business and Professions Code
LIVE OAK, CA 95953
530-695-8784
Date: Owner:
License #: 791117
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
abor Code, for the performance of the work for which this permit
Architect:
is issued.
I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:_
Total Square Ft: 816 S.F.
Policy#: -S
Valuation: $53,040.00
❑ 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
forthwith comply with tho a provisions.
Date:
Applicant:
WARNING: ruetiecure workers' mpensation coverage isunlawful,
andban employer criminal penalties and one�1
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereb ksued-u der the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolutions ork indicate ab ve for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
BY: Date:
Name:
d d)
PERMIT EXPIRES N:
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 owne r the d ly 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 substan of any o cial form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purp es.
__K_Signature:
Print Name:
Date:
KAgent
ElOwner ❑ Contractor ElAgent for Owner for Contractor
B. C. Building Permit 01-16-04 pg 1
BUTTE COUNTY, PERMIT'
DEPAiRTMENT',OF -DEV ELQV-M'ENTSE-giVV
V
NO.
BUILDING PERMIT APPLICATION
AND SUBMITTAL, ROOMEMENTS
24 HOUR TNSPECTIONN: OROVILLE.",(530)'538--"7636,,-CHICO: (530).891.'-2.9�,,4�,,,A� j:k 7 -32Z
7
0FFICE�#: (530)'538-5 ....... BPO5
A FEE-' WILL �JM4E6&IRED AT TIME :'0_F'A' P Iii id'A" TIOMs" eil" 1'
Websiti: w � `buttei�ounty.ne�(V46�.
ww.
**,PLEASE PRINT CLEARLY* *-,,:!,, ,:1 1.- �,;i;l
ARCHITECT/ENGINEER
OWNER'
Last Name
-CONTRACT
First Name
Address
Address
cityL
City
Sta
Zip
Phone
Phone
A6
Fax
E-mail
V! VIEW
ARCHITECT/ENGINEER
QR
Name
-CONTRACT
Zip
Phone Fax
Address
<
City
Occ. I
taTe
zip
Phone
A6
Fax
V! VIEW
Lot #
Planner
E-mail
t,7
s
J�Clas .1al
ARCHITECT/ENGINEER
Name
Address -k1'1'4
City Atate
Zip
Phone Fax
E-mail �5Rre License Number T,
rig LOCATIONLOCATIONP#
'V
Qross Street'! -
.W0RKER-'S.P9MPgM5A Tfokli,
Policy Number
1�0 I �11
Carrier,"'--',
If hiring anyone other than ficeqse;pontractors, a-,certificatp of worker's r,
e time compensation must hpi show"nof " eofp'ermit'issu'ance.
NDjJVG.rA PEkC
Name,
til, 11"W)n �?I'up ke J: t V
Address
22
-ma
E-mail
I
APPLICANT SIGNATURE,:
X
For office use only:.
!A
Zoning.
Flood Zone
SRA
Yes f'rl�
Occ. I
Type Const.
Subdivision Name
Map Book
V! VIEW
Lot #
Planner
d
lw_&�dwn?
rig LOCATIONLOCATIONP#
'V
Qross Street'! -
.W0RKER-'S.P9MPgM5A Tfokli,
Policy Number
1�0 I �11
Carrier,"'--',
If hiring anyone other than ficeqse;pontractors, a-,certificatp of worker's r,
e time compensation must hpi show"nof " eofp'ermit'issu'ance.
NDjJVG.rA PEkC
Name,
til, 11"W)n �?I'up ke J: t V
Address
22
-ma
E-mail
I
APPLICANT SIGNATURE,:
X
For office use only:.
Zoning.
Flood Zone
SRA
Yes f'rl�
Occ. I
Type Const.
Subdivision Name
Map Book
Page
j
Lot #
Planner
Date Approved:
22
-ma
E-mail
I
APPLICANT SIGNATURE,:
X
For office use only:.
Zoning.
Flood Zone
SRA
Yes f'rl�
Occ. I
Type Const.
Subdivision Name
Map Book
Page
j
Lot #
Planner
Date Approved:
OVER.FPR SUBMITTAL REQUIREMENTS
I
KAFORMSOUILDING FORMS\B1dgApp1SubRqmts.doc
Desc3il:tion or Scope of, ork:
Sq. Footage
—0 —Structure Built Without Permits
13 j--P(bpds6d_C4n§e of Oku'paficy,,l r
(Note .. prey
ioys use):
EXPIRATION, OF APPLj.r,A---
Application—;
year after', -woo pire one
i on an
applicatioli 1111'AV6 ZI I x00 -IS gZwill; be
1 -0
required. Na-lal �VG -aaglm
REQUEST
Refunds ca __—Jur'st by the person who
paid the fqe�i [ZZ` . '7S0
.1 1 1 _ ,,lust be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
,checle'i6es1'f6'r" workplan 'c-fie'6-ke�:6.1ri'd"other department costs are'. r10i
(4
Received b`{�' Amount: Bldg
_
"We eipt #: Sherd
SMIP
- rIwo !ti
Date � i�i__ Other
Page 1 of 2
Mr -V 4 -44 -UD
-
E.H. USE ONLY
Piot Plan Attached
Floor Man Attached
Sonata G.D. /
TO: Building Department
FROM: Environmental Health
SUBJECT:San'tation Clearance
0.21-X34-1,�
Owner Location AP#
Plan Approved for: Sewage Disposal Water Su pl Public Private Well
Clearance for dwelling. Other " e� ; - '
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/96
Date
_. r .-, t.C.%b'..:`gi^. L„'�yar;=r.; 4j-.. u. :- .amu . ., ,.� .:. :✓v_yr .V \
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: / ASSESSOR PARCEL NUMBER D
Proposed Building Use: �>C-7- 63 16) - Permit Technician: �� Date: 2 -
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
rk 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
r A 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ N 3. Engineered. plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
�y 4. Engineered truss details and layouts in duplicate. No faxesl
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Installation manual, including 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. Hazardous Material Form
b 12. Acknowledgement of building permit application without required clearances.
❑ 13. Other
aining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
15. Fire Sprinklers............................................................................................
❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 17. Soils Report and/or Engineered Foundation required ...........................................
18. Erosion Control Plan Required ...................................
19. Fees as shown,on the attached Schedule of Fees D Sheet..., ..... U�... ... �'
20. City of Chico Plumbing permit....................................................................
❑ 21. Site plan and business license approval from the City of Biggs ..............................
22. California Department of Forestry plan approval ❑ paid. Sent by: ........ .
23. Planning approval for (A) Use: � (B) Parking: (C) Parcel Check: 044..../. _
24. Contact Land Development about _ Improvements, _ Drainage ........................
❑ 25. Fire Marshall Review (commercial projects only). Sent by: ......................
�p (N 26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Contractor's license information. (Number, Name Style, Classification) ...................
❑
.29. Worker's Compensation Carrier and Policy Number ..........................................
❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) .....................
❑ 31. Letter of Signature authorization....................................................................
❑ 32. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 33. Existing violations and/or expired permits.........................................................
❑ 34. Deed Restriction..........................................................................................
❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO .........................
❑ 36. Other:
❑ 37. Other:
JWhen issued Telephone q09 -and hold for pickup.
I have been infred of the above items and requirements for obtaining a building permit. !!��
Applicant
V
IS
APP Date:
1. Index permit applic do for the bove items numbered: tK) Plan Check Letter
2. AddMr.,
items recu"e� -
on raesigner, owner, was advised of the above data by phone, ❑ mail, .❑ counter, by • Date:
Con raesigner, 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, by Date:
Plans reviewed by: Date: 19 Plans approved by: Date:. -.I n I I I Z,.��
Structural reviewed b . Dat . tructural approved by Date:
Note transfer by: Date:
Yellow: Building Division
K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05
Sioie of Co0orno "
CONIRACTORS STAA2 L{CEN5E BOARD
fix+ ACTIVE LICENSE:
l:m:1 fanuJ 91117 iNDIv
bmmnlX.krYS14ITH CONSTRUCTION -
rinmo<uO2/2$/2003 _....._._► - __f.�
J
ti
i•
This document gives my consent to Jerry Mitchell, of Mitchell's
Building Materials to pick-up any and all permits, when I Rick
Hysmith, am not.available'to do so.
D ate
Rick Hys ith
SITE PLAN REVIEW APPLICATION
Date: • d VW"- A/.. ?_Cl� r_ AP#
Permit Number (if applicable) Oj" 7•z2 / Bin Number
APPLICANT INFORMATION Parcel Size:
Owners Name:
Owners Address:
Telephone No.:
Site Address: A",3A- 0
Proposed Use: Zone:
Residential
❑ New Single Family Residential
❑ Single Family Addition
❑ Single Family Remodel
❑ Mobile Home
Residential Accessory — 0-~
Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
❑ Commercial Remodel
❑ Industrial. Remodel
Other
❑ Septic ❑ Well
❑ Agricultural Exempt Building ❑ Agricultural Buffer Form
❑ Other:
Brief Explanation/Issue:
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
Approved Conditionally Approved ❑ Resolve Problems Prior to Approval
❑ Resolved
S
By Date 9 Zov4_
1
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract
❑ Watershed Protection Overlay Zone
❑ SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain:
• Flood Zone:
• Flood Panel No.: 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
❑ Chapman/Mulberry
❑ Cohasset Area
Use Requires:
❑
Use Permit
❑
Variance
❑
Agricultural Worker Affidavit
❑
Administrative Permit
❑
Minor Use Permit
❑
Minor Variance
Zoning: _ 14• qd General Plan:
Applicable Building Setbacks:
d'?ry--,
❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
2
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
2 ,
Side
2f
Side Street
Rear
��� 2 S-•
Height
Waterway
N/A
N/A
N/A
❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
2
Parcel Created By:
❑ Deeds:
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 County Standards for Deed Creation: F] No ❑ Yes
Comments:
❑ 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
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental. Health Department requirements
[] Subdivision Map/Parcel Man:
Map Date of Recording:
Lot: Book: Page:
3
.. 1
I
Ordinance No. 3904
2 AN ORDINANCE AMENDING CHAPTER 24 REGARDING NONCONFORMING PARCELS.
3 ENTITLED "ZONING", OF THE BUTTE COUNTY CODE
4 The Board of Supervisors of the County of Butte ordains as
5 follows:
6 Section 1. Section 24-35.40 of Chapter 24 of the Butte
County Code is amended to read as follows:
7
24-35.40 Nonconforming parcels of record.
8
9 Except as otherwise provided in this chapter or where
specifically merged under the provisions of section 66499.11 et
10 seq. of the Government Code, any legally established parcel of
land of record having less than the minimum width.or frontage
11 required for the zone in which it is located, may be used for a
permitted use provided that the parcel:
12 (a) Meets the other area or dimensional standards and
requirements for the proposed use unless changed by the
13 planning commission with a variance; and
(b) Meets the requirements of the Butte County health
14 division for the provisions of water and sewage
15 disposal.
16 Side yard setbacks on nonconforming lots may be reduced by
five-foot increments until at least a fifty -foot wide building
17 envelope is achieved. No side yard setback requirement is to be
reduced below ten (10) feet. Rear yard setbacks on nonconforming
18 lots may be reduced by five-foot increments with a minimum rear
yard setback of ten -feet. Such modifications of side yard or
19 rear yard setbacks are to be approved in each and every case by
the director of development services or designee after finding
20 that the subject property is a legally created nonconforming
lot. In making the setback determinations, the director or
21 designee may use information pertinent to the parcel and
surrounding area with comparable zoning, e.g. 1) the setback
22 requirements of the prior zone, and 2) the average setbacks on
nearby parcels of similar size, shape and within the same zoning
23 district.
24 Section 2. Severability. If any provision of this Ordinance or
25 the. application thereof to any person or circumstances is for any
26 reason held to be invalid by a court of competent jurisdiction, such
27 provision shall be deemed severable, and the invalidity.thereof shall
. I i
1 not affect the remaining provisions or other applications of the
2 Ordinance which can be given effect without the invalid provision or
3 application thereof.
4 Section 3. Effective Date and Publication. This Ordinance shall
5 take effect thirty (30) days after the date of its passage. The Clerk
6
of the Board of Supervisors is authorized and directed to publish this
7
ordinance before the expiration of fifteen (15) days after its
8
passage. This Ordinance shall be published once, with the names of the
9
members of the Board of Supervisors voting for and against it, in the
10
11 Chico Enterprise Record, a newspaper of general circulation published
12 in the County of Butte, State of California.
13 PASSED AND ADOPTED by the Board of Supervisors of the County of
14 Butte, State of California, on the 22nd day of March, 2005, by the
15 following vote:
16 AYES: Supervisors Connelly, Dolan, Houx, Josiassen, and
17 Chair Yamaguchi
18 NOES: None
19 ABSENT: None �.
20 NOT VOTING: None 1/
21
KIM K. YAMAGUCHI, Chair
22 Butte County Board of.Supervisors
23 ATTEST:
.24 PAUL MCINTOSH, Chief Administrative Officer
25 And Clerk of the Board of Supervisors
26 Bye' '
27 Dputy /
Job Name: 24'x Building
WAHNIN 7Read all notes on this sheet and give a copy of it to the Erecting Contractor.
Truss ID: B1
Qty: 15
BRG X -LOC REACT SIZE REQ'D
TC
2x4 DFL #1
Plating sppec : ANSI/TPI - 1995
UPLIFT REACTION(S)
1 0- 1-12 1488 3.50" 1.59
BC
2x4 DFL #1
THIS DESIGT4 IS•THE COMPOSITE RESULT OF
Support 1 -310 lb
2 23-10- 4 1488 3.50" 1.59"
WEB
2x4 DFL STANDARD
MULTIPLE LOAD CASES.
Support 2 -310 lb
BRG REQUIREMENTS shown are based ONLY
PLATE VALUES
PER ICBO RESEARCH REPORT #1607.
IF HANGERS ARE INDICATED ON THIS DRAWING,
This truss is designed using the
on the truss material at each bearing
Loaded for 10
PSF non -concurrent BOLL.
THEY ARE BASED ON 1.5" HANGER NAILS FOR
UBC -97 Code.
MAX DEFLECTION (span)
PLATING BASED
ON GREEN LUMBER VALUES.
1 -PLY AND 3' HANGER NAILS FOR MULTI -PLY
Bldg Enclosed = Yes, Importance Factor = 1.00
L/999 IN MEM 7-8 (LIVE)
GIRDERS. IF 2.5" GUN NAILS ARE USED, THE
Truss Location = Not End Zone
L= -0.17" D= -0.12' T= -0.28"
CES:
I•ffAiBERT55�
HANGERS MUST BE RE-EVALUATED (BY OTHERS).
Hurricane/Ocean Line = No Ex Category = C
Bldg 40.00 ft Bidg Width 24.00 ft
CR1TICa.
TENS.
TC COfiP. WRTENS. (WR. CSI
Length = =
g
Mean roof height = 22.16 ft, mph = 80
1-z -2948 1.11.6 0.56
z-3-z5561.1564(1.fi0 O. ss
UBC Standard Occupancy, Dead Load = 11.8 psf
- -2948 1.1 6334 1.6600)) 0.56
BC COMP. WR. / TENS. WR.
CSI
7-8 1.60 1795 1.15
0.42
-301 %
8-9 -546 1.60 / 2736 1.15
0.62
NO COMP. WR.)/ 75 (((WR.)))
CSI
0.10
2-7 -5661.15]/ 223j1.601
3-7 -1261.60 / 764 1.15
0.34
4-6 223 1.60
0.1100
-566611.15 %
6-2_0 55-1� 55-1 6-2-0
6-2-0 12-0-0 17-10-0 24-0-0
12-0-0 i1200 ,
1 2 3 4 5
4.00 -4 0-0
4-4
Bi B2
R 1488 W.308 4088
U:-310 U:-310
-0
24-0-0
6 8 9
8-0-0 8-0-0
8-0-0 16-0-0 24-0-0
BUTTE COUNTY
BUILDING DIVISION
•
WAHNIN 7Read all notes on this sheet and give a copy of it to the Erecting Contractor.
�:®
This design is for an Individual building component not truss system It has been eased on specifications pmvdad M the component manufacturer
end done in accordance with the amen versions of TPI and AFPA design steubards. No responsibility Is aswured for dinresimel accuracy.
Dime sLo Bare to be veined by the compared man W re' and/or building designer prior to fabrication. The ddlding designer must ascertain the
dar application. The design asmPs
the leads utilized on this design mcel a eaxeed the loading Imposed by the local b,dit ing code and the parliaw
HOMEWOOD
Stat Lire top dad 15 Laterally traced by the roof or door sheathing and the Whom dtoN is laterally traced by a rigid sheathing materialdirectty
eaadred. unless otherwise noted. Bracing shown is for lateral support of carponeds members only to reduce budding look This component
f
®I T R USS
shall not be placed in any eNronnent that will case the moisture content of the wood to oceed 19% andlor muse connector plate corrosion.
4445 Nor;h pa rk Dr.
Co I o Spr7 ngs CO 80907
Fabricate, handle, install and brace this truss In accordance with 'JOINT DEMLS by rnswal,'ANSVTR 1'. YVTCA I'Mood Truss council
of Amnon Standard Design Responsibilities, WJSID ING INSfa11Nc AND BRACING NEfa. RATE 00NNECT®w100D TR SSE3
,
-"&91) and Tit&91 V A&JARY Sherr by TR. The Toss Rate Institute (TPI) is located at [70nohio Drive, Adadison, VAsaxsln 53719.
TRU S P L U S 6.0 VER : T6 . 4 .
2 71te American Forest and Papa association (aFA) is lauded at 1111 19th SUM. NW, Ste 800, Msldugtora, DC 20039.
7/22/20050.
Cust: Mitchell's Building Supply
W0: Drive_T_0301203_L00005_100001
Dsgnr: BW #LC = 16 WT: 126#
TC Live 30.00 psf DurFacs L=1.15 P=1.15
TC Dead 14.00 psf Rep Mbr Bnd 1.1S
BRep Mbr Comp 1.00
C Live 0.00 psf
Rep Mbr Tens 1.00
BC Dead 7.00 psf O.C.Spacing 2- 0- 0
Design Spec UBC -97
TOTAL 51.00 psf OEFL RATIO: L/240 TC: L/2
Job'Name: 24'x Building Truss ID: BG Qty: 2
CRITICAL MEMBER FORCES: TC 2x4 DFL #1 Plating spec - ANSI/TPI - 1995 This truss is designed using the
BC 2x4 DFL #1 THIS DESIGN IS THE COMPOSITE RESULT OF UBC -97 Code.
GBL BLK 2x4 DFL STANDARD MULTIPLE LOAD CASES. Bldg Enclosed = Yes, Importance Factor = 1.00
PLATE VALUES PER ICBG RESEARCH REPORT #1607. IF HANGERS ARE INDICATED ON THIS DRAWING, Truss Location = Not End Zone
Loaded for 10 PSF non -concurrent BCLL. THEY ARE BASED ON 1.5' HANGER NAILS FOR Hurricane/Ocean Line = No Exp Category = C
Ma use adequate staples for gable blocks. 1 -PLY AND 3" HANGER NAILS FOR MULTI -PLY Bldg Length = 40.00 ft Bldg Width = 24.00 ft
BUILDING DESIGNER MUST VERIFY GABLE LOADS! GIRDERS. IF 2.5" GUN NAILS ARE USED, THE Mean roof height = 22.16 ft, mph = 80
It gable bracing required @ 58" intervals, HANGERS MUST BE RE-EVALUATED (BY OTHERS). UBC Standard Occupancy, Dead Load = 11.8 psf
i exposed to wind Toad applied to face. PLATING BASED ON GREEN LUMBER VALUES.
See "General Gable Details', C002065035.
4-0-0 1 0 Q6 obN N 24- o
,��-0n ,�-D-O.,i�o�-ao0
�1 2 3 4 5 6 7 8 9 141 12 13 14 15 16 172 3 4 5 6 7 8 9 141 12 13 14 15 16 17
4.00 4 00
3-4
11
IV f a asp m io opo Q$00 0900th 0 dpr Aocb (Wd 0.w m lob mcd Oo
400
d T4-0-oL(5
340
TYPICAL : 13 IO RCNTI OUPPORT
, 2 07
VIL
¢ Ca�.�F�
les are 20 unless shgwnb "18 (18�aH (bj6, or "M (iVMllC 20 ), poSitior per Joint DVils Report. 722/2005
se frame o es are Dosdl ass e. h lupe st d cubes to 0.v id ov stnlctural p es or staple).
WARNINGRead all notes on this sheet and give a copy of it to the Erecting Contractor.
Cust: Mitchell's Building Supply
This design is for an individual building component not truss system It has been based on specifications provided by the oomponem manufacturer
WO: Dri ve_T_0301203_Loo005-100001
®
and done in accordance wiU the current %ersions of TPI and AFPA design standards. W responsibility is assured for dimensional accuracy.
DS n r : BW
g
#LC = 16
WT' 158#
Dimensionsam to be wrified by the component manufacturer andlor building designer prior to fabrication. The building designer must ascertain that
TC Live
30.00 psf
Du r Faes L=1.15 P=1.15
the loads utilized on this design meet or erxeed the loading Imposed by the local building code and the partlalar appfication. The design assumes
HOMEWOOD
that the top chord is laterally braced by the roof or flow sheathing and the bottom chord is laterally braced by a rigid sheathing material directly
TC Dead
14.00 sf
p
Rep Mbr Bnd
1.15
wn is for lateral support of components embers only to reduce budding length. This component
attached, unless otheniise noted. Bracing shom
Rep Mbr Comp
1.00
® TRUSS
nt that will use the moisture content of the wood to exeed 19% andlor rause connector plate corrosion.
shall not be paced in any environneca
'JOINT
BC Live
0.00 psf
Rep Mbr Tens
1.00
4445 Northpark Or8.0907
Colo Springs, CO
Fabricate, handle, install and brace this truss In accordance with DETAILS by TruwnA,'ANSVTPI 1'. WTCA V -Wood Truss Council
ofArnenkaSta,dard Design Responsibilities, MNDUINCINSTALLING AND BRACING METAL PLATE CONNECTED V40MTRUSSES'
BC Dead
7.00 psf
O.C.Spacing
2- 0- 0
TRUSPLUS 6.0 VER: T6.4.2
-(HIB-9 1) and 1-11e-91 sunlutARr srEEr by TPI. The rnas Mate Institute (Trl) is located at aaemo Drive, Madison. min 53719.
aknericanForestandPaperAssociation(AFPA)Islocatedat111119thStreet,NWSte600,Washigton,DC2OM6.
TOTAL
51.00 psf
Design Spec UBC -97
DEFL RATIO: L/240 TC: L/24
GABLE END DETAILS
LIjVBER SPECIFICATIONS;
SHEATHING ON
ONE FACE REQ.
4-X4 y2 DF -L CHORDS
SHEAR DESIGN
BY OTHERS
2X4 STD. DF -L STUDS
16-14-10 OR
20-10-10 F'SF. LOADING CUTOUT FOR 2x4
CUTOUT FOR 2X4-
70 MPH WIND
LOADING
"OFF STUD'
I
'Ora STUD'
23 FOR GABLE ASSEMBLY GREATER THAN
SEE CE -2.
5-10+ IN HEIGHT
ADD-ON SAME SIZE AND
VARIES
A 3- 5
I
I
Fla
GRADE AS TOP CHORD
16d NAILS AT 12' O.C.
ADD ON SPLICE •10 OCCUR
AT PANEL POINTS WITH - 1
CLUSTERS 2-16d NAILS
OUTLOOKER DETAILS
HORIZ. VENT MEMBERS
NOT REOUIRED
u 1.5-3 ONE SIDE AND (2) 14 GA
0 + Q 2" STAPLES 011 OTHER SIDE
X (} OR (5) 2" 16 Go. STAPLES
0 12
i xVARIES
3-5 MIN.
PLATE AS
3-5
FULL BEARING WALL
I-
UP TO 24" O.C.
t.fr
-All
Q,A,,2,1
REVEL GABLE END FRAME
Q f
—� jNo4 XpACU -982' z1
OPTIONAL CANTILEVER
n - I Llt2-r3T/02
UP TO 48" WITH STUD Cw WAL Cl f�L
UP TO 24" NO CHANGE
SEE OUTL001<ER DET
GADLE END FRAME
2X4 DIAGONAL BRACE AT
CENTERLINE OR AT 16•-0" O.C.
MINIMUM BRACING DETAILS - SEE STRUCTURAL 16d AT 24" O.C.
DRAWINGS FOR ADDITIONAL REOUIREMENTS
BEARING CONNECTIDNS ARE THE SOLE RESPONSIBILITY
OF THE ENGINEER OF RECORD, DETAILS ON THIS PAGE
ARE SUGGESTIONS 01•ILY AND ARE NOT TO BE UTILIZED
WITH CIU'T THE BUILDING DESIGNERS APPROVAL.
SEE TPI HIB -91 FOR OTHER BRA(, RECOMMENDATIONS
2• - 16d NAILS
/ DIACONAL BRACE AT
CENTCRUNE OR AT
16'-0" O.C.
TRUSS 45 DEC.
SE-CT10I'd A GE
1
Optionalvent 3-4
GENERAL GABLE DETAILS FOR WIND LOAD BRACING
DWG#
C002065035
SHOWN ONLY. IT IS NOT INTENDED TO REPLACE OR SUPERCEDE ANY SIMILAR
opening Per
design drawing.
DETAIL THAT MAY HAVE BEEN PROVIDED BY THE BUILDING DESIGNER. IT IS
Mex. 12" eave
unless noted on
THE RESPONSIBILITY OF OTHERS TO VERIFY THE ADEQUACY OF THIS DETAIL
IN RELATION TO ANY SPECIFIC PROJECT, AS TO ITS APPLICATION AND INTENT
11`�.I��I.�s.AS WEM.S
APPLIED TO THIS OR ANY SIMILAR ISSUE. TRUSWAL SYSTEMS ASSUMES NO
drawing.
RESPONSIBILITY FOR FIELD INSPECTION OR WORKMANSHIP QUALITY.
3-4
Pitch per design
3-4 drawing.
Solid block between trusses
• Gable End Truss
for nailing of diagonal brace,
'
attached to sheathing and
Brace Interval as
{
truss each end, typ.
specified on the
approved engnineering
drawing or standard
Pj
Truss spacings
per designs.
detail or chart. Typical 2x_ strongback
(whaler) brace along back
face of gable, braced with
'
2-6t + or- 45 degree diagonal
. 2x_ (typ.) braced to roof
s-::..... �;:='•: t
WALLI
,..,.,.�: �� . art; .�.; .".r=. _ ,y .;, ..
BEARING SUPPORT
S=3-4
onnectorplates shown are forexample only.
Structural gable trusses will generally have
See
diagonal
S=34 sheathing as shown.
actual truss design formquired plate sizes and odentation.
and vertical members other that those shown above.
UaDle truss!scop nu us bearingexcep as may enoe on rn wrTualdesr�rawmgs. + Indicates stud members that require brac)ngl
END (FACE) VIEW
SIDE VIEW
1) ALL GABLE BRACING DESIGN AND CONNECTION REQUIREMENTS ARE THE
RESPONSIBILITY OF THE BUILDING DESIGNER, PER THE LATEST VERSION OF ANSI/TPI
REFERENCED BY THE MODEL BUILDING CODES.
2) TRUSWAL SYSTEMS APPROVED ENGINEERING DESIGN DRAWINGS WILL INDICATE ANY
NEED FOR WIND BRACING, AND THE REQUIRED BRACE INTERVAL LENGTH AS DESCRIBED
ABOVE. THE BRACE INTERVAL ON THE DRAWING IS BASED ON THE LOADING AND WIND
SPEED INDICATED ON THAT DRAWING ONLY, AND THAT BRACING IS REQUIRED TO
PREVENT THE GABLE STUDS FROM BUCKLING DUE TO WIND PRESSURE ACTING ON THE
FACE OF THE GABLE'TRUSS AND AXIAL STRESSES CAUSED BY THE INDICATED APPLIED
VERTICAL LOADS. LOADS ACCOUNT FOR 12" EAVE MAX. UNLESS NOTED OTHERWISE.
3) IF THE GABLE TRUSS IS INTERIOR TO THE STRUCTURE AND THEREFORE IS NOT
EXPOSED TO WIND LOAD APPLIED TO THE FACE OF THE TRUSS, THE BRACE SPACING
INTERVAL MAY BE INCREASED TO ONLY ACCOUNT FOR THE UD LIMIT OF 50 FOR .
COMPRESSION MEMBERS (i.e. FOR 2X_ LUMBER, THE MAX. BRACE INTERVAL IS V-3").
4) IT IS ASSUMED THAT THE GABLE TRUSS RESTS ON A CONTINUOUS BEARING WALL
EXCEPT AS MAY BE NOTED ON THE INDIVIDUAL APPROVED TRUSS DESIGN.
5) SHEATHING OF PLYWOOD, OSB, WOOD BOARD SIDING, HARDBOARD SIDING,
SgEETROCK, STUCCO, WAFERBOARD OR OTHER MATERIAL MAY BE PLACED ON ONE OR
F10TH FACES OF A REGULAR (NON-STRUCTURAL) GABLE END.
6) LATERAL LOADS IN LINE WITH THE CHORDS (SHEAR / DRAG LOADS) HAVE NOT BEEN
CONSIDERED UNLESS INDICATED ON THE DRAWINGS, AND ARE THE RESPONSIBILITY OF
TkE BUILDING DESIGNER TO TRANSFER THROUGH RESISTING DIAPHRAGMS.
7) ALL ITEMS 1-6 LISTED UNDER "REGULAR GABLE END TRUSS REQUIREMENTS
APPLY TO STRUCTURAL GABLES ALSO, PLUS THOSE LISTED BELOW.
8) WEIGHTS OF ANY MATERIALS LISTED IN #5 MUST BE ACCOUNTED FOR, EITHER IN
STANDARD DEAD LOAD PSF LOADING, OR BY ADDITIONAL LOADS. ADDITIONAL LOAD
ARE INDICATED BY "LOAD CASE #1" CHART ON THE DESIGN DRAWING.
9) STRUCTURAL WEBS AND CHORDS MUST BE BRACED IF INDICATED, AND THIS
BRACING IS SEPERATE FROM THE GABLE'BRACING INTERVAL. SEE REFERENCED
STANDARD DRAWING 7X01087001-001.
10) TRUSS MAY OR MAY NOT BE CONTINUOUS BEARING, AND IS APPROVED FOR THE
CONDITION(S) INDICATED ON THE INDIVIDUAL DESIGN DRAWING ONLY.
NOTCHING FOR OUTLOOKERS IS ALLOWED ON REGULAR GABLE END TRUSSES AND
ON STRUCTURAL GABLE END TRUSSES IF NOTED ON APPROVED INDIVIDUAL
DESIGNS.
�,��``d �. • M
W �Q m
_j 4 82
12/31/02
�CNl1�
DATE: 3/20/2002
REF: GBA
DES: L.M.
THIS DETAIL IS PROVIDED AS A SUGGESTED SOLUTION TO THE APPLICATION
i�'`
SHOWN ONLY. IT IS NOT INTENDED TO REPLACE OR SUPERCEDE ANY SIMILAR
®
DETAIL THAT MAY HAVE BEEN PROVIDED BY THE BUILDING DESIGNER. IT IS
THE RESPONSIBILITY OF OTHERS TO VERIFY THE ADEQUACY OF THIS DETAIL
IN RELATION TO ANY SPECIFIC PROJECT, AS TO ITS APPLICATION AND INTENT
11`�.I��I.�s.AS WEM.S
APPLIED TO THIS OR ANY SIMILAR ISSUE. TRUSWAL SYSTEMS ASSUMES NO
RESPONSIBILITY FOR FIELD INSPECTION OR WORKMANSHIP QUALITY.
�,��``d �. • M
W �Q m
_j 4 82
12/31/02
�CNl1�
DATE: 3/20/2002
REF: GBA
DES: L.M.
TRUSWAL SYSTEMS
4445 NORTHPARK DRIVE, -SUITE 200 g
COLORADO SPRINGS, CO 80907
(800) 322-4045 FAX:(719) 598-8463
C001003160 .
11/14/02 Users. of Truswal engineering: TX01087001
The TrusPlusTm engineering software will correctly design the location
requirements for permanent continuous lateral bracing (CLB) on members for
which it is required to reduce' buckling length. Sealed engineering drawings
from Truswal will show the required number and approximate locations of braces
for each member needing bracing. In general, this bracing is done by using
Truswal Systems Brace-ItT"' or a 1x or 2x member (attached to the top or bottom
edge of the member) running perpendicular to the trusses and adequately
designed, connected and braced to the building per the building designer (See
ANSI/TPI current version). The following are other options. (when CLB bracing is
not possible or desirable) that will also satisfy bracing needs for individual
members (not building system bracing):
1.' A 1x4 or 2x4 structurally graded "T" brace may be nailed ;flat to the
edge of the member (up to 2x6 web members only) with. 10d common
or box nails at 8". o.c. if only one brace is required, or may be -tailed to -
both edges of the member if two braces are required. The: "T' brace
must extend. a minimum of 90% of the member's length. For 2x8 and
larger web members; bracing must be done per building designer, or
2. A scab (add-on) of .the same size and structural grade as the member
may be nailed to one face of the member with 1 O common or box
nails at 8" o.c. if only one brace is required, or may be nailed to both
faces of the member if two braces are required. A minimum of 2x6
scabs are required for any member exceeding 14'-0" in length.
Scab(s) must extend a minimum of 90% of the members length.
3. Any member requiring more than two braces must use perpendicular
bracing or a combination of scabs and "T" braces, .or any other
approved method, as specified and approved by the buiiding<designer.
1. EXAMPLES . 2.
"T" -
BRACE
90% L 90% L
L
Please contact a Truswal engineer if there are any questio
CAMS0fflee\winworftMCe-new.let
�. f public Works
•-`������_�� Department o
j�o u n t y o f
LAND DEVELOPMENT DIVISION
''~ ® J. Michael Crump. Director
Storm Water Management Program
�'• ' ��
7 County Center Drive
G'0 U lye / Oroville. CA 95965
A 5 (530) 538-72"
AUC W�F'� (FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase ll
Construction Storm Water Permit and Storm Water Pollution Prevention
Plan (SWPPP) Acknowledgement BLESS THA1�d ACRE
Project Description:
Number: v 1
Project Location and/or Parcel 4�Z-
1
02I ,�q -
By sing below, I, the project ownerlowner'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. Phased projects thtain
Ila con
multiple site build -outs of less than one acre but when combined with subsequent phases total more
than one acre of disturbed soil will require a Construction Storm Water Permit from the State of
California Regional Water Quality Control 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 law.
Signed:
Title'.
Date:
Butte County Departmel2t of-Developme17t Sel vices o mo`' 'o
7 County Center Drive
oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile c0UN�1
BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES
I request and authorize the Building Division to process this building permit application through the plans
examination process WITHOUT first obtaining all necessary, related permits and clearances from other
regulatory entities, including but not limited to, Planning, Environmental Health, Land Development,
County Fire, and Agriculture.
I hereby acknowledge:
I need to submit applications for septic and/or well to Butte County Environmental Health
immediately.
I am required to bring the approved Environmental Health site plan and approved sanitation
clearance to the Building Division as soon as clearance is obtained:
I am responsible for notifying Development Services, in writing, to stop processing of the
application and to arrange for disposition of plans.
The Building Division will process the application through the plans examination process, as submitted,
without input from other regulatory entities that could prohibit issuance of the building permit or require
submission of amended building plans to the Building Division. Once the plans examination process
begins, there will be no refund of plans examination fees. Any changes requiring submission of amended
plans to the Building Division will incur additional fees.
Within one year from the date of application for a building permit, all other required permits and clearances
from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances
will void the application. .
Typically other required permits/clearances include, but are not .limited to, verification the parcel was
legally created, adherence.to.all mitigations and conditions imposed on the parcel at time of creation, as well
as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture
buffer zones, and habitat/species).
Please print: �� � t
Applicant Name: V � �'�S��
Building site address: i 21
APN: ()21 " I�Ll " 015
Permit No.:
I have read, understood and accept the terms and conditions as expressed herein as indicated by my
submission of the above -referenced building permit application and my signature below:
?J r� 105
SIGNA U 6F APPLICANT DATE
v
... a is riFu/F�IP ICFonns/Blde?ermitwithoutCicarznces 020705
BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965
www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140
RECEIPT OF FEES SCHEDULE - RESIDENTIAL
Owner ritner, dan APN No: 021-134-015
Application Date 12/7/2005 Permit No: BP 053221
1
2
3
4
5
6
6a
RECEIPT DATE Tech/Asst
BUILDING PERMIT FEES ESTIMATED AT APPLICATION $549.90 329.94 443075 12/7/05 Curtis
Plan Check portion of Permit Fee $219.96
FEMA BYes Flood Elevation Review $109.98 0
SRA* Yes Fire Plan Check - Non -Refundable $95 00 0
(State Responsibility Areal Building Inspection $109.98 0
NON-REFUNDABLE portion of fees due at application $219.96
FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION
SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system)
Additional Plan Check Fees (NON-REFUNDABLE)
Other*:
Other*:
FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT
7
IMPACT FEES - RESIDENTIAL*
Applications After 2/14/05 ,:
Per Dwelling
SFD ac
Per Dwelling
M
Per Dwelling
MH
County
4096.87 3071.14
3117.43
Chico Urban Area
5372.09 3995.45
4889.56
EI Medio Fire District
3128.31 2297.77
2326.36
North Chico Specific Plan
SR -1, SR -3, SR-1/PD
R-1
do R-2
7938.531 6757.081
8031.53 6850.08
7541.531 6360.081
7633.49
7726.49
7236.49
R-3
6780.531 5599.081
6475.49
Processing Fee is automatically added to impact fee total 0
$100.00
8
WATER TENDER FEE (Not collected when impact Fees Applicable( Enter Bat.#
$200,00
DRAINAGE FEES*
9
CHICO STORM DRAINAGE
MASTER PLAN
770 Butte Creek
$7,736
771 Comanche Creek
$8,069
New construction, vacant
land, on 1 acre or less -
Enter 1 or less acre value
772 Little Chico Creek
$8,792
773 Big Chico Creek
$6,596
774 Lindo Channel
$8,139
775 SUDAD Ditch
$6,975
776 Mud -Sycamore Creek
$6,070
777 PV Ditch
$8,603
9a
More than 1 acre, existing buildings - fees to be assessed by Public Works
Fee Determination Sheet Needed - Enter amount determined by PW
10
THERMALITO DRAINAGE AREA 1 $652 Maximum
Per each new living unit on existing lots where full drainage fees have not been paid
10a
Temporary Dwelling 1 $130 JAt time of building permit
$130 annual renewal fee for first 4 renewals. Not to exceed $652.
RECEIPT DATE Tech/Asst
19.
A (p
RECEIPT DATE Tech/Asst
RECEIPT DATE Tech/Asst
I PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan I
check is completed for applicant to take to respective district office.
11 SCHOOL DISTRICT FEES* INot Applicable
11a RECREATION DISTRICT FEES* INOtApplicable
At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan
checking process.
a��
Applicant :Date: 1'/L' � a s
Pursuant to Government od Section 1r56020, you are hereby notified those Items followed by an "* may have been imposed on y ur project. You have 90 days
from the date of approvalof th porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are
specified in Goverment Co action 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 1105
L.r .w •,a{I r•..cr o t�-�o1C-.sr., ,. ...- •--..�sa.�Y - .,,-.xv+rtra-p...rl•rws..w ... ..,.araaw.'t..o --°w� �nr7cra._.r `P: �.a,/� �..Ly-. -... -t s.: ....
01
;021=13-4`-013` i'9.9=0152 B
SCOTT, Kris-
:'1278
'1278 Block Road, Gridley
(install woodburning stove)SF
- t
jp
4
t
2
A
' i
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541.E ' PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
i
ASSESSOR PARCEL NUMBER
SIF -M
ZONING
BUILDING PERMIT
OWNER
"
t�TELEPHONE
11�1�
SO. FT. OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS
1278 TH.= RD., GRI n ,1
CONTRACTOR'S NAME - '� -
TELEPHONE
-
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace H ffy
Total Valuation . $
ARCHITECT OR ENGINEER
LICENSE No.
Flin 1Fee $
. • 20.00
Permit Fee
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS (
1278 BLOCK RD;., GRIDLEY S I
Energy Plan Checking Fee $
-
-- = - �- t •i: -F-" �-.- ..x� j'"- 'r 7 .. ..:i:- ...f.: ._�. - .-
t
•:fl.- :•i�d.:•�_ -r 4. :�..N.c.rNti�t $.s.---.
r,.4s.� ',=.ems .=-�
r�55.00
' PERMIT FEE S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0X Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
` TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other liff
Describe Work: INSTALL WOODSTOVE
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W1
920.00
.
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service '..,v, a.ss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct t protect.: " c : qqr r..;y-ter-"��,
❑ 1 am exempt under Sec. ,'Buslness and Professions Code for tis
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 permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith com_,ply with those provisions.
.• n `n
11: 4 �� ► ` Date i1 �' 1 1
Signature of Applicant - 1 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 PGOA TO 46.00
NEW CONST. DWEDWELLING OCCUCCUP. so
OR ADDNS. ( & ACC. BLDS. 3.5¢FT.
NO�FFR6Ip. T.MULTI.OUTLET'UrS
97.50
POWER APPARATUS
a sINGLE ouTLET aR.
.00
EX. Occup. OUTLET OR FDCTURES BAL O I.50
FIXI
Ex. Occup. OUTS RESID.OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc.Wiring23.00
' : r _ .- •- .- L
1 PERMIT FEE s
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI_ $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 55.00
HAZ.
p. FEES IMP
I FLOOD
CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By tY1 r0.•ate
PERM T EXPIRES ON �
provisions
to do work
paid.
I��
/ _W_
to
ReceiptNo.
WHITE •D.D.S.= C NA Y-ASSE OR PINK -INSPECTOR GOLDENROD•APPLICANT
' r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-759� PERMIT o.
(Rev. 12/96) APPLICATION AND PERMIT 7 y
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT fil
OWNER
°N
SO. FT. OCC. BUILDING VALUATION
. OWNER'S MAILING ADDRESS
192R RI PCK RD GRIDLEY, CA 9594S
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace "All 1, 500
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $
20.00
Permit Fee $
35.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 1278 BLOCK RD., GRIDLEY
Energy Plan Checking Fee $
$
PERMIT FEE $
55.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF PX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherjJI
Describe Work: INSTALL WOODSTOVE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
OOOVOR LESS
Main Service zo A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Larw�or the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service TO 46. 00
CCU000A
so
NEW coNsr. owELUNG occuP. 3.5QsFTo.
W:
(
ADD S.EW
NOR
CONST. MUL�TICOU�S.
NON•RESID. 97.50
POWELR APPARATUS
8 SINGE OURET CIR.
20 @ I1.00
Ex. Occup. OUTLET OR FD(TURES BAL
Ex. Occup. oFurrs A�Ip °� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Coolin
Hood 6.50
Ventilation
PERMIT FEI: $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwithco ly with those provisions.
/J q
X , Date _� I
SigJa"ture of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 55.00
HAZ.
p, FEES IMP
I FLOOD
I CDF
PARCEL
pp
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which. fees have been paid.
PERMIT EXPIRES ONITE-D.D.S.- Date
rReceiptNo.Q:��M/
C NARY-ASSE SOR PINK -INSPECTOR GOLDENROD -APPLICANT
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 del8ji
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 .fiq NO 13
2. I HAVE 9 HAVE NOT 13 signed an application for a building permit for the proposed work;
3. I have contracted with the following person (firm) to provide the proposed constructioh:rif,
NA
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this 'wor but I have hired the 'followin
k, g person to coordinatr� •.
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: zPROPERTYOWNER:i5
SOCIAL SECURITY NUM 3ER: y aG-,a ail
DATE:_l�
NOTE: This Owner -Builder Verification is required by Section 19831 and 19831 of the
California Health and Safety Code. This verification must be completed osd
returned to our office before we are permitted to issue the permit.
OVER
OWNER BUILDER INFORItiIATION I
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 ofrecord 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 5300 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,;..:
il
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 espeeially,sedous
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 contractprs 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" lin 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.
+1rely, Vi ira,CB.O.
uilding Inspection
NOTE: This Owner-Builder.Information is required by Section 198.0 of the California Health and Safety Code.
OVER
1 1374-85
1362-89B
Arnold Wilson
1278 Block Rd.
Gridley
c
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �= PE 10
7 County Center Drive - Oroville, California 95965 - Telephone: 91'6/538-7541 J „_�9
s. APPLICATION AND PERMIT
ASSE SOR PARC,E,L`N�MBER
�.1 — �'
ZONING -
BUILDING PERMIT
ow�lER w
TELEPHONE
a)
S0. FT. OCC. VALUATION
BUILDINGf.
,
OWNER'S MAILING ADDRESS
,,7- 112, k.
CONTRACTOR'S NAM
1. xi 1. ..
O i l ! /I
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
Energy Plan Checking Fee
As. $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
-Pefalty
;
BUILDING ADDRESS 11 ,fj]]
Permit fee
$
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
r�
SF N Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
-00 ea
T1
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work:
)i l �yLr �r >
I
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
penalty I declare under
p y of perjury y (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.81 '/zQsgft
OR ACDNS. 1 ACC. BLDGS.
NEW CONST R. MULTI.OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e\
SINGLE OUTLET CIR. /
/
EX. OCCUp\OUTLETS OR FIXTURESSAL@30 01
Ex. OCCUp. FIXED PR 11
OUTLETS IRESID IEAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
g
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
FiIingFee 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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
- against said County i consequence of the granting of this permit.
X Date -
} /i
`Sijnafure� 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 $
Occup.
CONST.TTPE
JSC1100LJ1L0011JPARCI1LJ
P
NO
I ISSUr
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 aid.
p
DIRECTOR OF PUBLIC WORKS
By. f� Date jyC
PERMIT EXPIRES` Date 1— 5(!`)
Receipt No. f_716W16
WHITE-D.p.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
IT N
ASSN S R PARI C L,Nj1=)R� ZONING
0_1111 1116
BUILDING PERMIT
OVER TELEPHONE
SO. FT. O C. BUILDING VALUATION
OWNER'S MAI I G ADDR SS
l
ONTRA TOR'S NAME
TELEPHONE
CON RACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
i
Permit fee
$
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 is G W
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00 "
Mai n service 6001 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
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 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.EI
OR AODNS. ACC. BLDGS. , /4sgIt
NEW CONSTR I.OUT LET
NON•RESID .BRA C CIRC ITS 2.50 ea
POWER APPARATUS 6
SINGLE OUTLET CIR.
Ex. OCcup(200301
OUTLETS OR FIXTURES SAI -9300
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
9
Permit Fee $
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 shal I be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
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.
I aIs ree to save, indemnify and keep harmless the County of Butte against
all iabi Ries, judgments, costs, and expenses which may in any way accrue
inst id County i conse u ce of the granting of this permit.
—�
Date __
"S11191141 -VI. of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ n
OCCUP.
CONST.TTPC
SCHOOL
FLOOD
PARCEL
PD
ND
39UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO F PUBLIC
B
PERMIT EXPIRE Dae
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
—�
7
Receipt No. [
WHITE-O.P.W.. TCLLOW-A38C330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE Department of Public Works
7 County Center Drive,,Orovifte, CA 9596.5 Phone: 916-538-7541'
OWNER=BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder " building permit has been applied.for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvemen. (yes or no) S
2. I (have/have not) c9 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 Al `ems
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons .to provide the work indicated:
Name e s s Phone Type of Work
Al IV
Signed: 0
Property Owne
Social SecyLrit umber
Date �S
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.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER- -
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
i r j it
i
CONTRACTOR'S NAME
1
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
_
$
BUILDING ADDRESS r
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
-,
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ElDuplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer—F—-1-5.00
Mobile Home SG W
10-00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ 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
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
2t/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F-1 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
Q I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. ULTI.OUTLET 2,50 ea
NO N.R ESID BRANCH CIRC ITS
NEW - (POWER POWER APPARATUS . &
NON R ESID. SINGLE OUTLET CIR
20e50e
Ex. Occup(OUTLETS OR FIXTURES BAL®300
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.) 1 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.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that 1 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 l -
Date
Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE of CONST.
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF�PUBLIC
By +
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
/
Date. I. • /
f �' �• -
Receipt No. •'
WHITE-D.P.W., YELLOW-A35ESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
;? COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 3 5
APPLICATION AND PERMIT
ASSESSOR%ARC€ N MBER^�
ZONING.r
BUILDING PERMIT
OWNER ,/�
f I
TELEPHONE
V
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILIN DDR
CON6CTOR'S TIFAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONST CTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 40, 67
ARCHIT T OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ o2,
BUILDING ADDRESS
Joy
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
' �1
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCE
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home I S1 G W
10-00e
TYPE OF WORK
New ❑ Addition ❑ Remode Uti li s ❑ Inst latio Other ❑
Describe work:
(iLs
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
,
2hPsq 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 my license is in full force and effect.
cerise No. Classification
as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR MULTI -OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTFL POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCu zo®80S
P.OUTLDTS OR FIXTURES BAL®3o
FIXED APPLNS. OR
Ex. QCCUp. OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 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.
19/1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
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
agai s aid County 'n cons.equerjce of the granting of this permit.
X Date 5
Si tore of Applicant — Owner El Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP I
TYPE OF CONST.
PARCEL
PD
ND
ssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
IRECTQa PU
/� 24 '.011A A
PERMIT XPIRES ate
the applicable provi-
resolutions to do
fees have been paid.
IC WORKS
1
t R.
Receipt No.9(q!fBy
WHITE-D.P.W., YELLOW-ASSESSO , PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive.,-0roville, CA 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phone:_ 916-534-4541
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) �j�/) P i signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No -
5.
o -
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed: '
Property Owner
Social, Security umber -
Date 1,99 u / 3. RS
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.
I
i,
zr
SITE PLAN
. .................. ............ . ............
...... . ............
.. ............ . .
... . ........... ......................... ...... ............ . .................. . .........................
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.............. ..... ............ ...... .....
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Its
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FIE -t- I - . �
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............ ...... ...... * ...... ......
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. ......... . . ................ . ...................................... . ..... ...................... ...
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Assessor's Parcel Number.
Owner Name 12;
Address / Phone No'
Site Location
I
contact: Name
ZZ,
Scale: 1
\kz.
-7
I
I
ti
IN
U) —
_ m
N J
x r_nn
N O
Z
bO D
r
G) p
0
70
4'
d-
a
5
344' 1;�Om
15' 4X 12 s� 4'4'
4030
SEE DETAIL I
FLOOR PLAN
5CALE; .3/ I G"= I `=0"
4" THICK 5LAB
1 2" X 1 2" FOOTING
' GX6X.10X:I0`REME5H
" I /2" REBAR 2 RUN5
I /2° x 10" ANCHOR'BOLTS GO.C.,
W/ 2'x2".X3/ I G" 50.'W'HS.f-itk5, 12-
f ROM
2°FROM END5 AND JOINT.50R USE
b.
51MP50N MAS POP NDATION, ANCHOR -5.
A BRACED WALL PANEL. TO 6E 4'x&,,
GROOVE, 7/1 G" LP 5MAR.T'80ARD &d@G:12
1['�
?` 4X 12 q
40304' A
15' 4' 15'
N
& am
11 ittchell
Mitchell's ing Materials Warehouse
P.O. Box 1038
Gridley, Cts 95948-1038
(530) 846-4409
In - 05
-
9
OVERLAP T.P.
@ CORNERS
2X4 TRIMMER TYP
2X8 RIDGE
12
41 2X8 WALL TI E5
/ (@ 4111 O.C.
2XG RAFTER5
@ IGil O.C.
30 YR. DIMEN51ONAL ROOFING O/
15# FELT O/ 7/1 G" 0513
----2X BLOCKING
11MIMIM101 r
2X4 P.T. 2X4@ I G" O.C.
51 LL PLATE
FIN. GRADE I U i ii 11 fill 11 11 11 11 11 111 111 11 11 11 11 11
51DING NAILING: 8d HD GALV. G" EDGES, 12". FIELD A
CONCRETE FOUNDATION
5HEARWALL NAILING: 8d HD GALV. G"EDGE5, G" 1BO )NDRY, 12" FIELD
TYPICAL SECTION FRAMING
SCALE: 1/4"= P-0"
—2X4 @ I G" O.C.
2X4 P.T. 51 LL
I/2"O X 10" FDT BOLT @ G' O.C.
W/2"X2"X3/ 1 G" 5TL. PLT. WA5HER�
z
#4 REBAR
N
12" MIN.
FOUNDATION DETAIL
SCALE: I"= 1'-0"
FILL
Fc=2500 psi
WP.O.Bo1038
ehell
M-Atchell'ste.ials Warehouse
:�
Gridley, Cry 95948-1038
(530)846-4409
►1 — 1-1- 05
I
7/1 G" OSB SHEATHING NAILED
W/8d@G:G: 12 OVER 15# FELT
OVER I G" O.C.
OI SIMPSON h I CLIP OR EQ. @ EA. RAFTER TO TOP PLATE.
2XG@ I G" O.C.
W/20 WALL TIES
@ 4' O.C.
2X4 OUTRIGGERS
@4'0.C.TYP
ROOF PLAN
SCALE: 3/1 G"= 1'-0"
�e 3
Jer C e fl`
Mitchell's Bui i g materials Warehouse
P. . Box 1038
Gridley, CA 95948-1038
(530) 846-4409
It - k"1 - 05
10
.x.
I .><
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GE
I
OI SIMPSON h I CLIP OR EQ. @ EA. RAFTER TO TOP PLATE.
2XG@ I G" O.C.
W/20 WALL TIES
@ 4' O.C.
2X4 OUTRIGGERS
@4'0.C.TYP
ROOF PLAN
SCALE: 3/1 G"= 1'-0"
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Mitchell's Bui i g materials Warehouse
P. . Box 1038
Gridley, CA 95948-1038
(530) 846-4409
It - k"1 - 05
FIN. GRADEI
RIGHT ELEVATION
14° X 18° GABLE VENT
Ip
iU'1LUI� I
REAR ELEVATION
5 1/2' FA5CIA GUTTER
LEFT ELEVATION
FRONT ELEVATION
. 5CALE: 1/8"= P:.0"
Je itehell
Mitchell's B Ing Materials Warehouse
P.O. Box 1038
Gridley, CA 95948-1038
(530) 846-4409
......................... .... ..................................... ................ ......... ...... .... ...................................... .............................................. ........................................ _ ....
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`IN. GRADE
va(�!, CA