HomeMy WebLinkAbout021-160-083NI
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D W.,Cushman a75
Iri /S Petersen-Av6.,app.150'E�6� I;ewl'S Oa
Rd., Gridley Colony#9, 16041, Gridley
Permit #2157-77B,P,E(move in old Fire-
house & convert to SF & bring to o e
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222=78BJ�Ist. renewal)SE
Permit #7
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21-160-083
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151FP,ENCH�AVE,GRIDLEY,.�-;,,",-
ont: OWNE
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AGBERG: LO E L
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RESIDENTIAL
PERMIT NO.
05-2350'*,,.
2 -160-093
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SPECiAL coNDMONS,
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FLOOD (jERTIFICATE'REO.
FIR E�SPRINKL: REQ.
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SPECIAL INSPECTIONITEMS
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SUB -STANDARD HOUSING LETTER
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JOB
FINALED (Date)
Signature
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.
BP052350
B. C. Building Permit 01-16-04 pg 1
LICENSED CONTRACTORS DECLARATION
'U*��PN:
I he reby affirm under penalty of perjury that I am licensed under
Is Date:0 021-160-08'3-000
.
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
sued
the Business and Professions Code, and my license is in full force and ,
effect. - —
License Class License Number: _381 �01 1-�>
'Site Address: 630 PETERSON AVE GRI
6ontractor: i
Map Index:
Date:
Description: NSF(4191)GAR(682)COV(l 158)
OWNER-BUILDEWIDECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: HAGBERG. J. LOWELL & ANNE H.
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
PO BOX 1108
the Contractor's State License Law (Chapter 9 commencing with Section
GRIDLEY, CA
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
A 95948-1108
violation of Section 7031.5 by any applicant for a permit subjects the
(530)682-1533 (530)846-3113
applicant to a civil penalty of not more than five hundred dollars ($500).):
0 1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: HAGBERG, J. LOWELL
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
1151 FRENCH AVENUE
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
GRIDLEY, CA 95948
proving that he or she did not build or improve for the purpose of
530-682-1533 cell
sale.).
0 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License 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
Contractor: HAGBERG, J. LOWELL
pursuant to the Contractors' State License Law.).
C3 I am Exempt under Article 3 of the Business and Professions Code
1151 FRENCH AVENUE
GRIDLEY, CA 95948
Date: Owner:
530-682-1533 cell
-
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
License #: 381195
0 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
s issued.
Architect:
have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
Engineer: AUSMUS ENGINEERING
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 6331 S.F.
Policy #:
Valuation: $314,511.00
C3 I certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
A 2
Date: -
Applicant:
WARN INGJ Failure to secure workers' compen ion cove��) is
'unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
'�6
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
1rhi77, rmi is h6rebyligued_��Ihe applicable provisions of the Butte County Code and/or
-a*Zve
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.)
I
ResoluJons to 6-AlKindiqUe for which fees have been paid.
Name:
B Date
Address: -
PERMIT EXPIRES�N: 0_6�
. (Date)
0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
El Attached are copies of the required E. P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form r document of Butte County. I hereby,
authorize representatives of Butte County to enter upon the above mentioned property for inspection purpo es.
Print Name: wr_ Signature: on'd
_i,
Date
0 owner J2 Contractor 0 Agent for Owner 0 Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
T,
4 - OK
0 = Not OK
- - NotAuprkable
. . Not Ready 11WROBILE HOMES
Date MOBILE HOME UTILMES (Plans) OK except
1 . Zoning Requirements-Setbaci4��-Easements
2. Soils; Specidl MH Support Sketch
3. Sewer Location -Test -Fall -C10 -Concrete
4. Water, Location -Test -Easement Needed (Sketch)
-Clearances-Gmd-/ /Amp -Concrete
5. Electricity, Location
6. Gas; Location4est-Wrap;4 /" L'fL
/ f Nat or I /"LW /LPG
7.'Well Clearance & Disconnect
8. Utifty Clearance
Date Card B-1 Date -Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #Is
1 . Zoning R irements-Setbacks-Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test-Demand-VaWe-Connector
4. Electricity; MH Test-Crossovers-Breakers-aearances
5. Drain; MH Test-Fall-Flek Connector
6. Water-, MH Test-Regulator-Connectot
7. Water and Sewer.Connected-C/0 to Grade -HD Approval
8. Gas and Electricity Tagged . . I I ,I I
9. Tie Downs -Type -Installation E_�,
10. E)cits; fnsp.-Sketch
11. Cert. of Occupancy
Date
Card B-1 Date
Card B-1
Date
Card B-1 Date
Card B-1
Date
PERMANENT END SYSTEM (ONLY)
I- Zoning Requirements-Sethacks-Easements
2. Footings; Size-Spaicing-Manriage Line
3. Blocl&ig
4. Gas'. MH Tes�t-Demand-Valve
5. -Electricity; MH Tdst
6. Water MH Test
7. Water and Sewei Connected
8. Gas and Electricity Tag�ed
9.
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
2. Footings; Soils-Si7�epth-Spgcing-40onhectors-SteeI
3. Decks, Girders and/or Joists-Decking-Bracing-Stairs-Rafls
4. Wood Awn.; Posb-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
S. Alum. Awn.; Columns-Comections-Sprw.F--Decat-Enclosures
6.: Carports; Wndows-Doors
7. Electric
8. Frmg.; SlUs-ArKtxws-Studs-Rftrs-Trusses
9. Siding; NaiIin.g-yeneer-Sftxx*-Mesh
10. Roof, Shtxj-Roofing
11. ExL� Steps -Doors -Landings
12- Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except ft -
1 . Setbacks -Easements
2. Soils; Compaction-Stucture Stability
3. Fool Structure; SteeWonnections-Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
S. Elec.; Pool Lldhtin4� IS Vofts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elm; Bonding: Metal w5'-arcutating Equip�Heater
8. Elic.; Grounding; E�ulp.w./V,Ciuiulatin6 EqWp.'-Pool Lghtg.
Boxes'-Enclosures-Panelboards-Ins. to Main Conduit
9. Heatth Depaitment Approval " ' - .
10- Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
_y
I � OK
I =matOK
Nd Appikable
ftt Ready
RESIDENTIAL
:)ate
UNDAFLOOR (Plans) OK except 9's
1/ZorliFd-Set acks-Easements-Flood-Slope
q.eldiin; Soils-Elec. Gmd.-/[4� /" Rg. Depth
3oo'ftg�-Sa�rage�-S6ils-Steel-Bec. Gmd.-/ P Fig. Depth
arches & Decks; Soils -Steel-/ - Fig. Depth
k"Sternwalls, Main; Steel-Blockouts-,Wrapped
6. Sternwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Am chors
7. Stab, Steel -Wrapped . - !., '
a. Pigrg-Fireplace Ftg.-Steel
<fg,�P.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. YVGas Pipe; Size Anchors -Yard Gas Piping; Size Test
1 1,eWater Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
�_W�ers-Sills-Anchor Bolts-Joists-Verrts-Crippies
1 e Access & Ventilation
16. Insulation
'Singid & D6plek) ".-
Date;�-7- Yaj!�.�rd 6-1 Date Card B-1
Date4 A Og Card B -IM �-,Date Card B-1
Date PLUMBING (Peffnit) OK except #s'
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. �V I'Pr6tectio'n
,ger Pipe; Test & Anchor-Nai
19,4..W.VTasWtttJngs & Anchor -Nail Protection
ii.�Shower Pan; Test. First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22le"Gas Pipe, - Sixi & Anchors
23. Fire Sp rinkler Test
Date ZZ rw). CardB-1 Date Card B-1
Date t-7, Card B-1 Date Card B:.l
'Date ELECTRICAL (Peffnit) OK exce-pt #Is
24. Fixture& Tr;i-n�foFr7ieiCiiiriihc5i-irii: Protection'
?§,,,EIbc. Receptacles Spacing-Ughts & Switches at Doors
20.-Siie Boxes & No. of Conductors Stapled
.?.;- Romex Installed Close to Edge of Studs & C.J.
29 -Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29'*'2 Appliance Circuits in KAchen & Conductor Size GFI
e,,T0jSubfeed Wire Sizel /ga. Cu or AJ-A.C. Wire Sizet /ga Cu or Ad
31. Range Circle/ /ga Cu or Ad -Oven Circ. I /ga Cu or Ad
Insulated Neutral 0 Yes Cl No
32. Service -Riser Conductors & Ground Main Disconnect
33. EqLfW. Clearances Panels-Motors-Mech. Equip.
,14-,Rrothes Closet Light -Shower Light -Spa Light
Z S_�moke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECtj6NICAL (Permit) OK except #s
3K'/C. Ducts Insulation & Support
. t Fan, Exhaust above insulation
_1�condensate Drain & Overflow, Size & Grade
31.7 F4mace-Vent Access -Comb. Ait- Return Air Vent 115 OLMet
.4e'O'Attic Access & Platform ff Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMIN9 (Permit) OK except #'s
4.1.�s Proper Materials & Anchors
OuWalls Studs -Nailing Spacing & Braces -Plates -Sound
42--Seong Walls over Girders & Floor Nailing
44. aft Sto in Walls (rat proof)
�WFire, Stops, Furred Ceilings -Stairs -Chasers -Tubs
V.-HpArierg A Beams -Size & Bearing
Date FRAMIK6'fCnntintjPrn .
('Mroring. Joist-Rftr. Ties-Purfin-Roff Brac.-Truss-Shting.-Atin-g.
Fireplace Ties or Type A Rue -Fireplace Throat Clearance
_59!AttiS,A,ccess; Size & Romex Protection -Draft Stop -ins. Saffles
Sl-jWrm. Windows or Exiting Doors -Sill Ht & Dimensions
�) Garage Fire Protection Framinq-RC Channel
_- - I _V_ 1j, - .. I I- - - - _p- W� j .. .,
,§4� Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang-Atfic Vents -Rafter Outriggers
57. Siq�og-Najfing Veneer
1591-stu9co Mesh -Drip Screed-Vd-Vents-Underflr. 'Access
§$e'Glazing Area -Glass Protection-Skyfights-Plastic
0 Shear Walls; Nailing -Bolts
61 Brace Interior/Exterior Wall Panels
62. InsuMon-Walls-Ceflings
63. Infiltmtion-Walls-Windows
Date 1 `7 .-7 Card B-1 0j Card B-1 �j
I U --)
Date 1-1 Card B-1 -.-i' Date Card B-1
Date - -FIN& (Plans) OK except Ifs � - - .
Steps -Door & Sidelight,Protection-Landings
6T Smoke Detector
66. Fumace Vents-dearance-Comb, Air-Connector-
Xn G�hig_e; A6o-ve Flo'or-Ducts-Mech. Protection
6F. C
p -RI. &_Paffi Fixtures &Tub Access -Spa
AKEISpolfrim & Subpanel. Breaker Sizes & Labels
jfij!g��irs & Rails :z v t, -, . -.,, :.
74., Fireplace or Stove; Clearance -Hearth - . , �
72. j5et.,Outlets at Wood Panel. Int. & Ext. -- -
n. KrL Fixt. & Appliance; Ground-Air-Gap-Gooking Clearance
74. . Outlets & Receptacles at Kit. Counter
7��ge Fire Door Swing -Landing -Closure
75e -.,CC. Duct in Garage-Damperi ,. . - -, i
47 Wtr Htr, Vents -Clearance -Comb. Air Connector-P.R.V.
74.�W.; Elec. & Me6K.Ecluip: Listed for Location
-'7f' Elec.:Beftipt;_iclegin Gardgd(FFQ-Romex Prot6ction
JQ�Kulation-FoamLooked inAttic _- � - i j - - - - ' -
n�,�qard Rails'& Deck Construction -Post Caps
§2,Fdn- VBents &Crawl Hole'Door Dfajnaqe&Wood-Earth-
Clearance Looked under Floor , 0,Yes
83. -Following hAdJDTive El Yes 0 No/Walks 0 Yes 0 No/1Wers 0 Yes 0 No
K. SWcco Brown -Finish
8<_A
I -C -Unit Disconnect, Electrical -Plumbing
fie.- Vents Above Roof, Plbg-Appliance-Firepface-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
A8. Eo&e<or Elec. Trim, G.F.I. Receptacle -Underground
8T- Ventilation Throughout House
,or Protection
4f Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
er & Sewer Connected -C/O to Grade -HD Approval
a---<rgy Compliance Certificate -Other Certificates
.-95' . Address Posted
96. Fire Sprinkler
Date B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date�'�, Card B-1 C_ Date Card B-1
Comments at Final:
cM A FLU
A EA.
G-rtific
ate of Conformance,,
Certificate— 054097
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 Al 90.1-1902, For Wood Products - Structural Glued
Laminated Timber
NER-486 Glued Lamina'ted Timber Combinations And "GAP'
Computer Program For Determining Design Stresses
AITC 117-93 - Manufacturing' - Standard Specifications For Structural
Glued Laminated Timber Of Softwood Species
IT IS HEREBY CERTIFIE - D. -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 OA program with adequate sampling to verify
conformance to industry standards for lumber grade and gluelin'o bond quality.
,f X /3 -13
i - 5- Is )( / I Y,.z - 7 '
%%S11121118i
W 0
Cal rn
SEAL Z
Co
by /L A X
Thomas G. Williamson
Executive Vice President
ENGINEEREO WOOO SYSTEMS Is a related corporation of APA — THE ENGWEEREb WOOD ASSOCIATION
701 ISouth 19th Street - P.O. Box 11700 -'Tacoma. WA 98411-0700
Telephone: (253) 565-66.00 - Fax Number: (253) 565-7265
w 6
No. 6528
U
O"G-2001 TV
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MAN. END JACKS
0 24- O.C.
2X8 HIP RAFTER
wl
WITH
MAN, �IDE JACKS
0 24 D.C..
MAN. HIP GIRDER TRUSS -
qo%R4 e-t'ak'?'lT "E"',
. 0(ftL10-f
OFFSET
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y
MAN. MONO TRUSSES
0 24' D.C.
lb
r BUTTE COUNTY
BUILDING DIVISION
— , A P F) R 0 V E D, , _,.,j
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MAN. END JACKS
0 24' O.C.
Emmommmmommmmomm
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MAN. SIDE JACKS
0 24' D.C.
EAVE
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26
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BLOCK BETWEEN TRUSSES
MAN. HIP
TRUSSES
0 24' D.C.
__G
ALAUSMUS
Civil Engineering and Design
jV 3115 Johnny Lane, Chico, CA 95973
Ph: (530) 521-2648 FX: (530) 343-5320
. eda@ausmusengineering.com
TRANSMITTAL
May 31, 2007
Lowell & Anne Hagberg
Peterson Ave.
Gridley, Calif
A.P.#: 021-160-083
RE: 4X6 POST BASE NOTCHING (PERMIT 05-2350)
Dear Mr. and Mrs. Hagberg
Please allow this letter to serve agreement to allow notching of the 4x6 porch posts along
wallines 1, E & F. Notching of the 4x6 post bases shall provide a net 4x4 area of the post
base in order to suit the rotated post bases connections.
QLA
UIAI)
Wo. 65286
09- 30-2007
, C I'V \\,
OF C kv
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'4
Page I of 3
CAAusmus Engineering\2005_ Projects\Hagberg\Transmittal6.doc
�7 7w
kpl.. :'.COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE
-02— r
WN#R
E PERMIf'NO.
A routine inspection indicates tfi�t 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
,:4�- explanation, please contact the Building Inspector as indicated below.
77�
Of 7
Joe—,
Date ector
< Inv
REV 4/05 Phone #
FOWRE-INS�
ECTION CALL: 538-7636 OR 891-2834
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
County Center Drive - Oroville, CA o (530) 538-7541
CORRECTION NOTICE
A 4--- 1�-_3 _�_ " ��i
OWNER
"'7
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 Jq
to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.,
Date Inspector
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
COUNTY OF BUTTE
I
0�1 BUILDING DIVISION
j DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive - Oroville, CA * (530) 538-7541
CORRECTION NOTICE
TO L
OWN ER 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
explanaon, please contact the Building Inspector as indicated below.
A" co \AO-
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Date Inspector 6�d t' 1\ 01
1C. REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
W.
1K
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive - Oroville, CA * (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
..A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
w k is completed. . If you have any questions pertaining to this matter, or need additional
or
explanation, please contact the Building Inspector as indicated below.
4-
AAC�_ -t RJ ry" 41 (ZP,3 lizze
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Date Inspector QNGIJL� —I-* A SP
REV -4 /05 Phone #
-FOR RE-INSPECTION'CALL: 538-7636 OR 891-2834
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Date Inspector QNGIJL� —I-* A SP
REV -4 /05 Phone #
-FOR RE-INSPECTION'CALL: 538-7636 OR 891-2834
... COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1 12
7 County Center Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE
N -i 3
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at '74
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.
1A 00 4 re e,
f
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
N 11
e
Q.
Date 2 7- Inspector
r:2
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
N 11
e
OWNER--"' PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist a
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,,6atter, or need additional
explanation, please contact the Building Inspector as indicate�,'410w.
I A - I I I / I I
r4? 4-0
IZZ
1AA 0. r 16 11.^ Q S:
rlpck 'I L9 (,a L'— (- u- 1-f-, J.e- A 1-Z I
* �� — J ,
4
IA
" .4
Date 1_7.-10_(- Inspector - /1,11? rin A
REV 4/05 Phone # S
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive * Oroville, CA - (530) 538-7541
CORRECTION NOTICE
OWNER--"' PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist a
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,,6atter, or need additional
explanation, please contact the Building Inspector as indicate�,'410w.
I A - I I I / I I
r4? 4-0
IZZ
1AA 0. r 16 11.^ Q S:
rlpck 'I L9 (,a L'— (- u- 1-f-, J.e- A 1-Z I
* �� — J ,
4
IA
" .4
Date 1_7.-10_(- Inspector - /1,11? rin A
REV 4/05 Phone # S
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive * Oroville, CA - (530) 538-7541
141L'
CORRECTION NOTICE
3
6WNER
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
64
explanation, please contact the Building Inspector as indicated below.
0z
e- (z
. j .
py- a V'JA
1 4. e% /AA
C,
cx 4
0 1"iJ -Z ir n C2,
9- +
Date lnspectorz.�
-REV 4/05 Phone #
'7
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834-','��"4
COUNTY W BUTTE
BUILDINd DIVISION
DEPARTMENT OF DEV�LOPMENT SERVICES
7 County Center Drive - 0�pville, CA 9 (530) 538-7541
CORRECTON NOTICE
CA,
4 �� C r\
OWNER \,j 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 Inspecior as indicated below.
Date — Inspector 0 ci V)
, > f 'C�
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
-:W County Center Drive e Oroville, CA'* (530) 538-7541
CORRECTION NOTIC E
D5-23so
OWNER
PERMIT NO.
A routine inspection indicates ttiat the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re-inspec ion when correction of
t*
work is completed. If you have any questions p:;tainipng to this matter, or need additional.
pecto in
r
explanation, please contact the Building Ins cated below.
oe C�-(�Ca—�
0n\0 kp+ed 'k '5� 0, -,WA of -r
?-OQ k ce PQ c\A:3. -0�� --,s CA
r
ul
Date Inspector
REV 4/05 Phone#
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
05/-�1/2007 THU 15., 58 PAX
INSUIATION CERTMCATE
0002/00�
00
Job Number: 7907
HAGBERG CONSTRUCTION
630 PETERSON AVE., GRWLEY CA
Contractor/Owner Name
Job Address (strect.city, state)
BUTTE
County Subdiiision Name
Lot Number
DESCRIPTION OF INSTALLATION
1. ROOF
Material:
Brand Name:
Thickness (inches):
Thermal Resistance (R -Value):
2. CEILING
Batt or Blanket Type: Fiberglass
Brand Name; Kimauf
Thickness (inches): 10
Thermal Rcsistanec (11 -Value): 30
Locuse Fill Type: Fiberrglass
Brand Name: Kbauf
Minimum hMalled Weight/ft .431 lb
Minimum Thickness: 10 IN inches
Manufacturer's installed Weight Per NFAM foot to achieve Thermal Resistance (R -Value): 30
3. RX—MINUOR WALL
Frame Type:
A. Cavity hisutation
Material: Fiberglass
Brand Name: Knind
Thicknevs (inches): 31/2
Thermal Resistance (R -Value): 13
B. Exterior Foam Sheathing
Material:
Brand N e:
Thickness (inche-9): -
Thermal ReAstance (Et -Value):
4. RAISED FLOOR
Material: Fibergleas
Brand Namv Knauf
Thickness (inches): 6114
Thermal Resistance (R -Value): 19
5. SLAB FLOORIPERIMETER
Material: '
Brand Name:
Ibicknesq (inches):
Thermal Resistance (R -Value):
Perimeter Insulation Depth Inches:
6. FOUNDATION WALL
Material:
Thickness (inches):
Brand Name;
Thermal Resistance (11 -Value):
DECLARATION
I hereby certify that the above insulation was installed in the building at the above location in conformanck with the cu.. cu
EnejV Ejfwjmcy -Ttmufards for residential bu * ildings (11fle 24, Part 6, Cagornia Code of Regulations) as indicaUd on the
Certificate of Compliance, where applicable.
2, 3 & 4 Chico Insulation & Fireplaces
Item Number's' Signature and D�tie Installing Subcontractor (Co. Name) or
General Contractor (Co. Name) or Owner
Itcm Number's
Signature and Date
Installing Subcontractor (Co. Name) or'
General Contractor (Co. Name) or Owner
.%.;z 05/;�/2007 THU 15:58 FAX
CL# 792349
DATE: 5"3 J. 0 �-
ATTN:
rAX #:
93�--DqD
mmmm OF cop= mmmma covxp-.
eommzr4rrs:
4
FROM: (rq� �&!
#4 VALLEY COURT, CHICO CA 95973
PHONE: (930) 894-5067
rAN (S30) 894-2475
U001/002
JAN -04-2007 06:52 OM LOWELL HAGBERG 5308463076 P.02
.... ......
rn
Civil EnSineerin a and T)es Ign
3115 Johnny Lane, dhice, CA 95973
Ph: (5310) 521-2648 FX: (530) 343-5320
eda@ausmusengineering-com
RANSMITTA't
Decam.ber 9, 2006
Lowell & Anne HagberS
Peterson Ave.
Gfidl*Y, CLAlf,
A.P.O: 021-160-093
RE: CORRECTION NOTICEAND.CLARIFICATION pERMIT 05-2350
Dear Mr. and Mrs. Ha*.bcr.P
Please allow thi's letter to serve as di.dfification and coordination between Aumus Engineering, the County
Inspector and ihe. builder.
% -offet
I, ction Notice dated 12-20-06
1. Iniffill #4 shear ncrn-intcT-lor at master bedroom Lind epoxy (6POrt for bolts
a, 70niraclor has 1p -xpaxled boll in master bedroom. Retroflt holdOwns
I Stalled missing o 5;, At A/ /0;,L A,,L, 11�7j-,,
complete- i/-*'Lj t-- -' /-7�41-
2, Provide shear transfer to collector trusses per 14/S2
a. See sheet S2 and roofplan for location
1. Ingall DSC connectors and TBE's
a- Contractor has ordered Items and are to be installed. Please see attached eA [bit "A"
for the elimination of one of the required DSC's-
4. Provide County approved truss cales for collector trusges
a. Refer to detall 16IS2 and roof plan for collector trusses. Thiii tales apealpeady
approved. f
5. Provide CS16 roof strapper roof plan
a. Use 2x blocking at truss bottom chord Install CS.16 strap aMNgfhe underside o
blocking, See exhibit "A"formore information.
6, Irtstill MST60 per 13/S2 S
a, See roofplan for locations: ff-trusses are already Installed, contractor may use J-AJ4's
each end of girder. See exhibit 11B
7. Verify all roof nailing
g, Contractor Informed engineer that he personalty installed sheathing using U'S 0( V12
prior to Installing rooflng material. j='Orz
8. HAve engineer specify shear xfer at exterior walls -
a. An exterlar wall shear xfer occurs at the HI truss clips.
9. provide dbI shear at 03 garage Shearwall
a. Short Shearwall at garage wingwall to receive shear paneling o-ehoth sides as shown
onplans.
C.2 �;;
Wo.
09- ;0-2007
Pop I of 3
CAAusmus EnSinetrin9\2005- Prqjccts\146gbaf gkTransinfital1doo
Report
No.
Page
of
-Inspecfl��i
Date
F�en�it
1 No.
ADHESIVE ANCHORAGE OF RODS/BOLTS
�—ddre��-:—
)ment Name:
AssuranSS A
!�er/Agent: c
Igent Ngnature: Date:
INSPECTION SUMMARY
11111111
Plan Approval Date:
'Evaluation Report No. & Date:
Hole Depth & Diameter:
TA016b
Cleanliness of Hole:
1, 6 L -J iNJ LQ) ft 1122 -
"
Anchor Diameter, jyp��Grad�e._
5j f-
Quanti of Rods/Bolts Installed:
Anchor Embedment Depth:
-M Lk
PRODUCT DESCRIPTION
Adhesive Product Name: P M T2
Adhesive Ex iration Date:
nerete Type and Strength
Drill Bit Compliance:
INSPECTION SUMMARY
��JE-ZV-t
—r Y-� 11 (6d, O)V
Product Installation Complies with requirements I Yes No=
I hereby acknowledge that I have reviewed the approved plans, applicable
N INE STAMP HER
evaluation report, and manufacturers' installation instructions. I inspected
the products and observed the. product installation. The anchor installation
has been verified to be in ace6rdance with the manufacturer's published
�Vkof
instructions,
GLAS
uj BIB (a M
-0"D-200 q 21
too
CAnL
OF C
DISTRIBUTION: 1. JOB FILE .2. OWNER
3. COUNTY
&AUSIMUS
MrsmNyFRING
AU
Civil Engineering and Design
rWA 3115 Johnny Lane, Chico, CA 95973
Ph: (530) 521-2648 FX: (530) 343-5320
eda@ausmusengineering.com
TRANSMITTAL
December 9, 2006
LOWELL &'.ANNE HAGBERG
PETERSON AVE.
GRIDLEY, CALIF.
A.P.#: 021-160-083
RE: RETROFIT HOLDOWNS,
Dear Mr. and Mrs. Hagberg
It has come to my attention that holdown bolts (sstbs) weren't installed in your foundation prior
to pouring. Please use the following instructions to remedy this situation. Please note an engineer
shall be present during the installation process.
Plan approved
Holdown
Capacity Qbs)
Retrofit
Holdown
Retrofit Anchor
Drilled depth
STHD8
2210
PHD2
5/8" threaded rod
5"
STHD14
5025
PHD6
7/8" threaded rod
6"
HDQ8 w/
SSTB28/34
8325
I
HDQ8 w/
SSTB28/34
7/8" threaded rod
7"
Use Simpson SET epoxy with diamond bit diameter that is 1/8" larger in diameter than the
threaded rod. During inspection, contractor to use compressed air to clean hole prior to applying
epoxy -
L
ry Q,
Cl>
QD
Ln
Wo. 65286
, * \ 09- 30-2007 / *,V
V
cko�v
Eric D. Ausmus, P.E.
Ausmus Engineering
leev�- 7-6
0 S-- 2 S!;o
BUTTE COUNTY
-BUILDING DIVISION
APPROVED
lzjic�106 P.J+-
Page I of I
CAAusmus Engineering\2005— Projects\Hagberg\Trahsmittal.doc
OS--23SO
&Al�
.;VSMU
Civil Engineering and Design
3115 Johnny Lane, Chico, CA 95973
Ph: (530) 521-2648 FX: (530) 343-5320
eda@ausmusengineering.com
TRANSMITTAL
December 9, 2006
Lowell & Anne Hagberg
Peterson Ave.
Gridley, Calif
A.P.#: 021-160-083
RE: CORRECTION NOTICE AND'CLAilIFICATION PERMIT 05-2350
Dear Mr. and Mr.s.-Hagberg
Please allow this. letter to serve as clarification and coordination between Ausmus Engineering, the County
Inspector and the builder.
Correction Notice dated 12-20-06
I . Install #4 shear non -interior at master bedroom and epoxy report for bolts
a. Contractor has installed missing expoxied bolt in master bedroom. Retrofit holdowns
complete.
2. Provide shear transfer to collector trusses per 14/S2
a. See sheet S2 and roofplan for location
3. Install DSC connectors and TBE's
a. Contractor has ordered items and tire to be installed. Please see attached exhibit "A
for the elimination of one of the required DSCs.
3ftA1TK!j&j%/. Provide County approved truss calcs for collector trusses
ftr"W604j.jT" *,,Vp a. Refer to detail 16IS2 and roofplanfor collector trusses. Truss calcs are already
approved.
5.. Provide CS16 roof strapper roof plan
a. Use 2x blocking at truss bottom chord. Install CS.16 strap along the underside of
blocking. See exhibit "A "for more information.
6. Install MST60 per 13/S2
a. See roofplan for locations. If trusses are already installed, contractor may use 3-A34's
each end of girder. See exit ibit "B
7. Verify all roof nailing
a. Contractor informed engineer that he personally installed sheathing using 8d's at 6112
prior to installing roofing material
8. Have engineer specify shear xfer at exterior walls
a. All exterior' wall shear xfer occurs at the III truss clips.
9. provide dbI shear at #3 garage Shearwall
a. Short Shearwall at garage wingwall to receive shear paneling on othsi ' sshown
on plans.
2gvs - 7,-v S/0
A
6 5 — 2-3 9-0
BUTTE COUNTY
BUILDING DIVISION CY- Wo. 65286 70
-69-30�2007
A ROVED
or C kv k�
7 'PW
Page f of 3
C\Ausmus Engineering\2005_ Pi-ojects\Hagberg\ Transmittalldoc
3 4
T T
MAN. MONO TRUSSES
@ 24" O.C.
BUTTE COUNTY
BUILDING DIVISION
APPROVED
MAN. HIP GIRDER TRUSS
0
V)
10
Alkia-MI(a
Futsor
12,/1/
5IMP50N HGT-2 W1
f�oftp STOP HTT22'r, OR IVIGT2 WITH
COLLECTOR
TRUSS
5impe
p5c4
2X8 HIP RAFrER
MAN. SIDE JACKS
@ 24" O.C.
MAN. HIP GIRDER TRUSS
ficior
90316
5
MAN. END JACKS
@ 24" O.C.
5imps
05C4-
AT . 'ZiNi �910
4pl, L
V!
z , 4
`j V CONTIN JOUS
C
W CL T
U)w tlN
uj MAN. MONO
TRUSSES 0
24' O.C.
'n in
6 2E
Ci r" 0- co
Ln
W.r 012 ROOF BEAM
j
W. S >
X: cli
INTERIOR
S --Ty�p
Ix DORMER FR
Li Lu ___,a27)GARAGE
5 DOOR
5 HEADER
m m
25 ��ALIFI OR A 0 0
S2 NG� '-5-
11 'o
LOU
%K SIMPSID C EA( -1 END OF GIRI
MAN. SIDE
JACKS 0
LIEU Z= 24' O.C.
lK
%K
USE
------j2X6 HIP
IRAFTER
MST60
N1 MAN. CLIPPED K40NO
TRUSSES MAN. END JACKS
I H
6 0 24" D.C. @ 24" D.C.
N
MAN. CLIPPED MONO BUTTE COUNTY
'0
GIRDER TRUSS IVISInm MAN. MONO
TRUSSES
13UILDING DIVISION @ 24' O.C.
IMAN. MONO
TRUSSES 0 APPROVED
24* D.C.
MAN. CORNER MONO AU5MU,5
O.C. GIRDER TRUSS NGINEERING
TOP PLATE SPLICE NOTES TESS/i
USE (12) 16d's EACH SIDE OF TOP PLATE SPLICES FOR ALL
SHEARWALLS, UNLESS OTHERWISE NOTED (SEE DETAIL ON
DETAILS SHEET) 5A
::3
Ir 4, = 0.
USE MST60 FOR TOP PLATE SPLICES ON WALLINE 5 & D aM OfflufflEMING & 09"-30-211
USE ST6224 FOR TOP PLATE SPLICE ON WALLINE 2. 3 & C D=GN olviv
Po BOR slis cmco. CA Of c \i
95M (530) 521-2"8
ia)
NOTE: SEE ROOF PLAN FOR
LOCATION OF COLLECTOR/
PRAG TRUSSES ALONG
WALLINE C.
WHERE EXISTING
CONPUIT/PUCTING INTEFqFE5
WITH THE PLACEMENT OF THE
TRU55 SHEATHING AT
5HEARWALL5, CONTRACTOR
MAY RELOCATE TO AN
APJACENT LOCATION
I ) (2
E.N.
E. DN.
52
OPTION "All
A U 5 MU,5
A"
cum wGufmmmG a
D=GN
PO BOX SILILS C&CO
95927(530) S &
m
VESS/
<e,
Q> A
uj m
cr No. 65286
09-30-200
C/v I\ -
OF CA
NOTE: SEE ROOF PLAN
FOR LOCATION OF
COLLECTOR
BUTTE COUNTY
BUILDING DIVISION
APPROVED
EXHIBIT "C" DATED: 01/10/07
ONLY REQUIREP AT 5HEAKWALL5 ALONG WALLINE C
1. ROOF SHEATHING PER
PLAN
2. ROOF NAILING UNADLE TO VERIFY
SEE NOTE 11 FOR RETROFIT
3. OVERDUILP FRAMING
AS OCCURS
4. COLLECTOR TRUSS PEP,
PLAN TYP. (MAY DE
GIRPER PER PLAN
5,16d AT 6" O.C. TYP. (12" FIEL15)
1
6. A35 AT 24" O.C. U.O.N.
ON PLAN
7. SHEAR MATERIAL PER
PLAN WHERE OCCURS,
TYP.
8. HI TRU55 CLIPS AT 24"
O.G.
9. ROOF TRUSS PER PLAN
10. LTP4 AT 16" O.C.
11. A345 AT 16' O.C. (LENGTH OF 5N ONLY)
U5E #4 GAUGE (DIAM.112 X 1/2" LONG WOOP
5GREW5 INTO ROOF 5HENIHING. PO NOT
FENTETRATE (E) ROOFING FELT
12. 3/6" 05D WITH 5d'5 6/12. ONLY
REQUIREP FOR THE LENGTH OF 5HEAR WALL
BUTTE COUN7-y . -
BUILDING DIVISION
APPRovEo
T
1X8 HIP RAFTER —]
JACKS
GIRDER TRUSS—
MAN. EUD JACKS
0 24' D.C.
�P46ep-& Q65MEMCE
exworr "I� to
01/11/67
6
OFFSET
I I
T
MAN. MONO TRUSSES
0 24' D.C.
T
MAN. END JACKS
0 24" D.C.
/`C=LLE.OR
Kc -,o
Ass evlc�t
--G
"___j MAN. SIDE JACKS
0 24' D.C.
EAVE
DETAIL
BLOCK BETWEEN TRUSSES
MANj "'P
TRU SES
0 24' D.C.
or/l/ GLA.9
10 ip.
uj NO.65286 (A
09-30-2001
CNIL
01F -
I
a
-all
rim,
Ipm
�pAj
oil
is
oil
I L
25 CALIFORNIA
S2 FRAMING
/`C=LLE.OR
Kc -,o
Ass evlc�t
--G
"___j MAN. SIDE JACKS
0 24' D.C.
EAVE
DETAIL
BLOCK BETWEEN TRUSSES
MANj "'P
TRU SES
0 24' D.C.
or/l/ GLA.9
10 ip.
uj NO.65286 (A
09-30-2001
CNIL
01F -
I
a
JULUSMUS
MWINFRINC
ALT MMKM 1EK@0HR1EHH@
Civil Engineering and Design
rw�j 3115 Johnny Lane, Chico, CA 95973
Ph: (530) 521-2648 FX (530) 343-5320
eda@ausmusengineering.com
TRANSNUTTAL
January 11, 2007
Lowell & Anne Hagberg
Peterson Ave.
Gridley, Calif
A.P.#: 021-160-083
RE: ADDENDUM TO CORRECTION NOTICE AND CLARIFICATION PERMIT 05-2350
Dear Mr. and Mrs. Hagberg
It has come to my attention that the detail on Exhibit "C" (dated 0 1/ 10/06) does not apply for walline "C"
between the GUEST ROOM and GARAGE. Please make sure that HI clips are installed on each truss in
lieu of applying Exhibit C for this location. See Exhibit "D" for ftirther detail.
Thank you,
Eric Ausmus
Ausmus Engineering
No. 65286
09-30-2007
J> em
OF C \�
Page I of I
CAAusmus Engineering\2005- ProjectsUbgberg\TraminitL-d4.doc
BUTTE COUNTY
BUILDING DIVISION
APPROVED
2
Civil Engineering and Design
3115 Johnny Lane, Chico, CA 95973
Ph: (530) 521-2648 FX: (530) 343-5320
eda@ausmusengineering.com
TRANSMITTAL
January 10, 2007
Lowell & Anne Hagberg
Peterson Ave.
Gridley, Calif
A.P.#: 021-160-083
RE: ADDENDUM TO CORRECTION NOTICE AND CLARIFICATION PERMIT 05-2350
Dear Mr. and Mrs. Hagberg
Please allow this letter to serve as clarification and coordination between Ausmus Engineering, the County
Inspector and the builder.
Correction Notice dated 12-20-06
I . Install #4 shear non -interior at master bedroom and epoxy report for bolts
a. Addressed on previous transmittal
2. Provide shear transfer to collector trusses per 14/S2
a. Addressed on previous transmittal
3. Install DSC connectors and TBE's
a. Addressed on Previous transmittal
4. Provide County approved truss calcs for collector trusses
a. Install 318" OSB at collectorldrag trusessfor the length of the Shearivall see detail on
Exhibit "C"
5. Provide CS 16 roof strap per roof plan
a. Addressed on Previous transmittal
6. Install MST60 per 13/S2
a. Addressed on Previous transmittal
7. Verify all roof nailing
a. Addressed on Previous transmittal
8. Have engineer specify shear xfer at exterior walls
a Addressed on Previous transmittal
9. provide dbl shear at #3 garage Shearwall
a. Addressed on Previous transmittal A
LA
Wo. 65286
09-30-2007
/V Al
C
911:1 0.4111"k, B00] kh
Page I of 3 APPROVED
CAAusmus Engineering\2005_ Projects\Hagberg\Transmittal3.doc
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 Telephone
(530) 538-2140 Facsimile
www.buttecounty.netldds
PLAN CHANGE El
Owner's Name:
V
BP#:
Date:
'11-FiCHECK 0
AP#: OPI/
Received By -09—
q-,
Time:
Contact Person & Phone Number: W T — 3p� ;�_
OSE OF PLAN CIIANGE OR REC14ECK
106
V
Xj?,esponse to Inspector's Correction Notice — Inspector's Name:, --.-.z t�E n,-1'4 lot" ,
0 Response to Plan Check Letter — Plans Examiner's Name -
*Submit two (2) drawings reflecting the revision for plan revie-vAalong with your approved Yin. If
engineering is involved in this revision, the engineer must put his re reme �hee drawiops and wet
""'i
r Y g s r
stamp and sign two sets of engineered drawings. Drawings must cle�a show ban e osed and
locations involved.
WHEN APPROVED:
El Call and hold for pick-up.
�� Deliver with Next Inspection ( for 8 1/2X 11 only)
Minimum revised plan check fee to be collected at time of submission of revision, plans examiner
will determine if additional plan checking fees are needed:
0 Minimum $54.99 paid.
El Additional Fee Amount:
I Receipt #:
Revised 11/06
ALAUSMUS
Civil Engineering and Design
3115 Johnny Lane,'Phico, CA 95973
Ph: (530) 521-2648 FX: (530) 343-5320
eda@ausmusengineering.com
TRANSMITTAL'
December 9, 2006
LOWELL & ANNE HAGBERG
PETERSON AVE.
GRIDLEY, CALIF.
A.PA 021-160-083
RE: RETROFIT HOLDOWNS
Dear Mr. and Mrs. Hagberg
It has come to my attention that holdown bolts (sstbs) weren't installed in your
foundation prior to Oouring. Please use the following instructions to remedy this situation.
Please note an engineer shall be present during the installation process.
Plan approved
Capacity (lbs)
Retrofit
Retrofit
Drilled depth
Holdown
Holdown
Anchor
STHD8
2210
PHD2
5/8" threaded
511
rod
STHD14
5025
PHD6
7/8" threaded
615
rod
HDQ8 w/
8325
HDQ8 Nv/
7/8" threaded
711
SSTB28/34
SSTBZ9/34
rod
I -
Use Simpson SET epoxy with diamond bit diameter that is 1/8" larger in diameter than
the threaded rod. During inspection, contractor to use compressed air to clean hole prior
to applying epoxy. .
Eric D. Ausmus, P E.
Ausmus Engineering
Page I of I
CAAusmus Engineering\2005_ Projects\Hagberg\Transmittal.doc
FAW1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) d38-763610ROVILLE) (530) 891-2834 (CHICO)
OFFICE4: (530) 538-7541
PERMIT NO.
BPO52350
B. C. Building Permit 01-16-04 pg 1
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Dateir?�15F&PN: 021-160-083-000
the Business and Professions Code, and my license is in full force and
effect.
License Class License Number: 3 F15
Site Address: 630 PETERSON AVE GRI
Date: 12- 6716ontractor: Q` Lecgj
A fl
Map Index:
Description: NSF(4191)GAR(682)COV(l 158)
OWNER-BUILDEWIDECLARATION V
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: HAGBERG, J. LOWELL & ANNE H.
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
PO BOX 1108
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
GRIDLEY, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95948-1108
violation of Section 7031.5 by any applicant for a permit subjects the
(530)682-1533 (530)846-3113
applicant to a civil penalty of not more than five hundred dollars ($500).):
El 1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: HAGBERG, J. LOWELL
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
1151 FRENCH AVENUE
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
GRIDLEY, CA 95948
proving that he or she did not build or improve for the purpose of
530-682-1533 cell
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
Contractor: HAGBERG, J. LOWELL
pursuant to the Contractors' State License Law.).
1 am Exempt under Article 3 of the Business and Professions Code
1151 FRENCH AVENUE
GRIDLEY, CA 95948
Date: - Owner:
530-682-1533 cell
WORKERS'COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
License #: 381195
0 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
s issued.
Architect:
have and will maintain workers' compensation insurance. as
Engineer: AUSMUS ENGINEERING
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:
i Li "255
Total Square Ft: 6331 S.F.
Policy #: 16 3, if, -
Valuation: $314,511.00
Ell I certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant
WARNIN Failure to secure workers' compenlation cover is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is h6reb provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
performance of the work for which this is issued (Sec 3097 Civ.) '
Resolutions to d ve been paid
wrf���
permit
.4 os
By:
Name:
Date:
PERMIT EXPIR/EAN:
Address:
(Date)
0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
C3 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
0 Attached are copies of the required E. P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form r ocument of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purpo es.
. '
. L
44�zl �
Print Name: 01,
�d LA.)%- Sign;
-1,1
Date:.
El Owner 0 -'Contractor El Agent for Owner 0 Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
V4o� -;l
BuTTE,� /45';z, --,
COUNTY PERMIT
DEPARTMENT OF DEVELOPMENT SERVICES NO.
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 BPD-. 9
OFFICE 9: (530) 538-7541
A FEE WILL BEREQUIREDAT TIME OFAPPLICATION
BIN #
Website: www.buttecounty.net/dds B -2 -
"PLEASE PRINT CLEARLY* --
OWNER INFORMATION
Last Name JI
2
irst N
Zb�
Address /J'51 t�_-Y6't4dl
City C
�oy
City C��
State C.'�t
zip
Phone 53., V
OS,Z pS 3,3
Faxp, 5q(o 311
E-mail
ARCHITECTIENGINEER
CONTRACTOR
ep— r 1 14
Name �5
14- #0 E_
City C��
Address
Fzi p
Phone 5.21 Z(
City
E-mail
State
Zip
q5 qq�'
Phone
IDate Approved:
Fax
E-mail
Lic.1,'—?i,q.,5
I Class
ARCHITECTIENGINEER
Name u's
ep— r 1 14
Address 7'0
State c
City C��
State (7c,
Fzi p
Phone 5.21 Z(
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name 4z tj Ic ?�Ea�b ���
Address )C__7ydCj1
City
State c
zip lrf�
Phone
lax Fq(
E-mail
APPLICANT SIGNATURE
X AA 4 cq�_-' -
A/ A NZ
For ice use only: g 0
Zorring
I A-q0j
Flood Zone
I X I
SF;t( I
Policy Number 14 (36, — 05
Carrier CO V-1 12 _1714 S J� �Iy
Occ.
I Type Const.
Subdivision Name
Map Book
I Page
Lot #
IDate Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PROJECTLOCATION
AP#
021–AOD— 0
ress.,n
City6l(q
Cross Street
)5yC4ACtj
WORKER'S COMPENSATION
Policy Number 14 (36, — 05
Carrier CO V-1 12 _1714 S J� �Iy
If hiring anyone other than license cohtractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
Oj�_\w Siollt Family DM(mill
Sq FT Garage
,�_iving Open Cov
/a 1 4� 4e 11'5�'
0 Sthudibre Built without PermitswOok
0 Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF AYPLICATION
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:K.b. Amount: J62.2 -50 -Bldg
Receipt #:LJ3�02_
ChK �, * 26-72
SMIP
Date:q-1-05 Other
I <�O - SQ Total 11
K:\FORMS\BUILDING FORMS\BldgAppISubRqmts.doc Page 1 of 2 REV 8-12-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitte'd to th� Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
0 1 . Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed -calculations.
0 3. Engineered truss details and layouts in duplicate (if required). No faxes!
El 4. Energy compliance design and supporting documentation in duplicate.
0 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings,
0 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
0 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the enginee .
0 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
0 9. Site plan and business license approval from the City of Biggs.
0 10. Letter of intent for non-residential buildings.
0 11. Building Permit Application Without Required Clearances Form
0 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
0
1 .
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
0
2.
Impact Fees. I
0
3.
California Department of Forestry plan approval (if required).
0
4.
NPIDES Form.
0
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
0
6.
Contractor's license information. (Number, Name Style, Classification).
0
7.
Worker's Compensation Carrier and Policy Number.
0
8.
Owner -Builder Verification (if required).
El
9.
Letter of Signature authorization (if required).
n
10.
Recorded copy of Agricultural Acknowledgment Statement.
0
11.
0 Legal description from current recorded grant deed, 0 Copy of M.H. Title, Title transfer, or MCO.
0
.12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other dep�rtment costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
UFORMSWILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 REV 8-12-05
C)
7 County Center Drive
LO
Oroville, CA 95965
(530) 538-7601 Teleph one
(530) 538-7785 Facsimile
TO:
FROM:
LO
CN
SUBJECT:
C)
IM
DATE:
103 T
0
0 0
0 0
0 0
0 0
UN
�TA 14 14 my -,I ki
Scott Rutherford (530) 538-7160
s ruthe rfo rd (@ b uftecou nty. n e
Plans Transmittal For Review Per Contract
09/02/2005
Applicant: Hagberg, Lowell Perrnit No: 105-2350
Project Type: INsf 021-160-083
100% 70%
Plan Check Fees $ 1,822.50 $ 1,275.75
$ 1,275.75
IWILLDAN Fee $ 1,275.75
Copies Attached: Qty
Chk 0
Application
Site Plan Review
FEIVIA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
OtherL
COUNTY OF BUTTE DEPAR-TMENT'O�FODEVEL�OPMENT SERVIC
&DING DIVISIOW.
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)53
8-21,40
PERMIT APPLICATION DATA SHEET
OWNER: ASSESSOR PARCEL NUMBER 621- Q60
Proposed Building Use: Permit Technician: Date:
Items required in ord rdo ipoly for a permit. All bdxes MUST be checked OR marked NA in order to apply.
TN 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 gt_soLstmpqqjn�L���.
4. Engineered truss details and layouts in duplicate. No faxesl
0 5. Letter from Engineer or Architect for truss design review.
VZN 6. Energy compliance design and supporting documentation in duplicate.
0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
0 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
o 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the enginee .
0- 10. Flood Elevation Certificate�,wet-stamped and signed, in duplicate.
0 Letter of in�ten t V non -residenfi al' bu ildi Ags!.:
0 12. Hazardous Material Form
&/--W 13. Acknowledgement of building permit application without required clearances.
0 14. Other . .1 25
Remalninq�tems needed to issue the permit. (May require additional plan review upon receipt of the following items.)
sk,±M (1!�,�;ainitation and site plan approval from the Environmental Health Department in 0 Chico 0 Oroville, as applicable
0 T6_ Fire Sprinklers.: ...........................................................................................
0 17. Agricultural Buifer cir and site plan apr from the Ag Commissioner Sent by
0 18. Soils Report and/or Engineered Foundation required ............................................
.0 19 Erosion Control Plan Required ........................................................................
. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
0 . City of Chico Plumbing permit ........................................................................
:0. 22. Site plan and business license approval from the City of Biggs ..............................
J* 0 23. California Department of Forestr4 plan approval 0 paid. Sent by:
(�Planning approval for (A) Use: (B)Parking: _(C) Parcel Check:'A C4-
0 25 Contact Land Development about — Improvements, — Drainage ........................
0 �NPDESForm .....................................................................
ncroachment Permit for driveway from the Public Works Dept ....
8.' Contractor's license information. (Number, Name Style, Classificat'i*o"n')'.'.'.'.'.*.'.*.'.'.'.'...'.'....
Cl. 29. Worker's Compensation Carrier and Policy Number ..........................................
-11ir, 30. Owner -Builder Verification ( — Given to owner, —Mailed to owner) .....................
��*ExLete of Signature authorization ....................................................................
ecorded copy of Agricultural Acknowledgment Statement .................................
istirng
0 violations and/or expired permits .........................................................
0 34. Deed Restriction ............................................................................................
0 1)Legal description, 0 M.H. Title, title search, registration or MCO .........................
her: Groi td - fto Cl N44nim 1� b; 12
00tther:
115S3 ull
When issued Telephone _90 —and hold for pickup.
I have been Informed of the Above items and requirements for obtaining a building permit.
Applicant:
1, — Date:
1. Index permit app ication for the above items numbered: Plan Check Letter
2. Additional ite 1 re�quir d
ir a
Contractor, desii�lyhher 0 ner as advised of the above data by ne, 0 mail, ff cbu6fel�, -bF_LAO,'�,bate:
Contractor, designer, ner5,was advised of the above data by 0 phone, 0 mail, 0 counter, by bate:
Contractor, designer, owner, was advised of the above data by 0 phone, 0 mail, 0 counter, by, Date:
Plans reviewed by: Date: Plans approved by: 0 1'.1 - 11,F-jA Date: iq 7_e7-^- ap
Structural reviewed by- —Date: --L— i — Structural approved bj: UH VWA[6= Date:
Note transfer by: Date: 1()4(APj-
I ff Yellow: Building Division
E.H. USE ONLY
Flat Plan Anechad f--,
Flow Plan Attachad—::W
Sent to 8.0. _I
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
1,9,71 � -C -/&o -.083
_g�� O.AJ
6(wner Location AP#
Plan'Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for �;/dwelling. Other a -
PA -77, 0 V
Hold final fo r:
Final clearance O.K. for:
NOTE:n
Environmental Health
8/96
4. . COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVELLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140
SCHEDULE OF -RECEIPT OF FEES
Website: www.buttecounty.net/dds
OWNER Hn ktpa J nw
PROPROSED BUILDING USE USE �W-elljir)0
aBUILDING PERMIT FEES
--Balance Due ..................... $
--- FEMA Flood elevation review ... $
--- Additional t)lan checkine Fee .... $
SCHOOL DISTRICT FEES bpi d I" -'b(,jPn -Jj Owrpr
(paid at School District Office) (form availablk after Plan Check) '
3. SHERIFF FEES (paid at Building Division)
Commercial (sq. ftg.)..... X $0.03 $
Sq.Ftg.
IV04. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
RESIDENTIAL DEVELOPMENT IMPACT FEES
COUNTY WIDE (per dwelling)$
CHICO URBAN AREA (per dwelling) $
EL MEDIO FIRE DISTRICT (per dwelling) $
NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning
6. SRA FIRE INSPECTION AND PLAN CHECK FEE
$204.98 (paid at Building Division)
7. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. DRAINAGE FEE
A.P. # 0 2-1
DATE k-, -1
RECElFrr # DATEREC.
1147 4�—r
4(u:�J �b
I T -1 YL5-
10. OTHER
11. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plVhecking process.
APPLICANT_ -464,/77� DATE
A / -S'
Pursuant to GovemmektCode Section 66020, you are hereby notoled that
have 90 days from the rate of approval of the project or from the impositioi
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner
V 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
above mentioned items during which you may protest. The requirements for a
(rev. 7/05)
Butte CounlY Dcpiz�cnt of -Development Sei_W'Ces 0 1.11 0
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
BUILDING PERMIT A-PPLICATION 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 atknowledgd:
I need to submit applications for septic andlor well to Butte County Environmental Health
immediately. ed sanitation
I ain required to bring the approved Environmental Health site plait and approv
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 arrangefor disposition ofplans.'
The Building Division will process the application through the plans examination process, as submitted,
without input from other regulatory entities that could prohibit issuance of the building Rermit or r!�quire
submission of amended building Rlans 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 t6. all rnitigations and conditions imposed on the parcel at time of creation, as well
as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture
buffer zones, and habitat/species).
Please print:
Applicant Name: APN: 49 0 0 P3
Building site ad ress: Permit No.: 0 523 5 0
I have read, understood and accept the terms and conditions as expressed herein as ind icated by my
submission of the above -referenced building permit application and my signature below:
(Z TQVA -171 TR R OTZ APPLICANT DATE
--:klj�.
A F;L
T T
Department of Public Works,
B Ll t t e
0 t
ji; I %; C-, .1 - t Y 0 f
C 0 U n
LAND DEVELOPMENT DIVISION
MiChael CrUMP, Director Storm Water Management Program
7 Counry Center Drive
Oroville. CA 95 965
0
U �A (530) 538-7266
LIC (FAX) 538-7171
National Pollutant Disch;Arge Elimination System (NPDES) Phase 11
Construction Storm Water Permit and Storm Water Pollution Prevention
Plan (sWPPP) Acknowledgement ANIAC
Project Description:
raber:
Project Location and/or Parcel Nu
By si0ina below, L the project owner/owner's agent, certify that this project IN40T DISTURB
0 ction Sto 'Water Permit
I acre or more of land and that L there -fore, do not nezd to apply for a Constru rM
aom the State of California Regional "Water Quality Control Board. Phased projects that contain
multip . le 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 Pen -nit 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 andlo*r other permits or other
sanctions, provide:d by law.
Si gned:
Title -
Date:
RECORDING REQUESTED BY
Mid Valley Title & Escrow Company
AND WHEN RECORDED MAIL TO:
Anne M. Hagberg
PO Box 1108
Gridley, CA 95948
Recorded I REC FEE 10.08
Official Records I TAX 302.50
County of I.
Butte I
CAMCE J. GRUBBS I
County Clerk-Recorderl
I
I BW
02:05PM 08 -Jul -2M I Page I of 2
Space Above This Line for Recorder's Use Only
A.P.N..-,021 160-083 000 File No.: 0403-1873653 (MM)
GRANT DEED
The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $302.50; CITY TRANSFER TAX $0.00;
SURVEY MONUMENT FEE s
X computed on the consideration or full value of property conveyed, OR
computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale,
X unincorporated area; [ ) City of , and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, David W. Cushman and Mary
E. Cushman, Co -Trustees of The Cushman Family Trust, dated February 19, 1998
hereby GRANTS to j. LOWELL HAG��ERG AND ANNE M. HAG3ERG,. HUSBAND AND WIFE AS JOINT
TENANTS
the following described property in the unincorporated ar�a of , County of Butte, State of California:
THE EAST ONE-HALF (1/2) OF LOT 34 AND ALL OF LOT 42 OF GRIDLEY COLONY #9
ACCORDING TO THE OFFICIAL MAP THEREOF RECORDED IN THE OFFICE OF THE RECORDER
OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, JULY 10, 1907 IN VOLUME 6 OF MAPS AT
PAGE 58. i
RESERVING THEREFROM AN EASEMENT FOR AN IRRIGATION PIPELINE OVER, ACROSS OR
UNDER THE EASTERLY 10 FEET THEREOF
Dated: 06/29/2005
The Cushman Family Trust, dated February
19, 1998
David W. Cushman, Co -Trustee
Mary E. (46shman, Co -Trustee
Mail Tax Statements To: SAME AS ABOVE
WILLDAN
Serving Public Agencies
October 5, 2005
Scott Rutherford
Butte County Building Department
7 County Center Drive
Oroville, CA 95965
(530) 538-7169
(530) 538-2140 FAX
2399 Gateway Oaks Drive, Suite 210
Sacramento, California 95833
916/924-7000 fax 916/924-3644
www.willdan.com
BUTTE COUNTY PLAN REVIEW REPORT
Status:
Approved
Jurisdiction Job No:
05-2350
Assessor's Parcel No:
021-160-083
Description:
Hagberg-NSF
Willdan Project No:
14353-1880-M
Dear Mr. Rutherford:
Willdan has completed a plan review of submitted plans and documents for the above referenced project
and recommends your approval with the conditions noted on the 2 d page of this letter. The plans and
d ocuments provided for this review that have been found in compliance with the applicable codes are:
Plans: Two (2) copies, cover dated 7/25/05, sheetsl through 10 dated 6/7/05 by Barry
Rubanoff, sheets I and 4 revised 09129105.
Structural Calculations: Two (2) copies dated 8/31/05 by Ausmus Engineering, not
resubmitted.
* Truss Calculations: Two (2) copies dated 8/19/05 by Endeavor Homes, not resubmitted.
* Energy Calculations: Two (2) copies dated 7/25/05 by Barry Rubanoff, not resubmitted.
The plans have been stamped with the Willdan approval stamp and dated. According to our previous letters
relating to this project, the superseded plans and documents will be discarded within 10 days unless we
receive other instructions.
On the pages to follow is the identification of the codes and standards applicable to the project, a code
analysis, conditions -of -approval and identification of any deferred submittals.
Cc: Alice Mefford amefford@buttecounty.net
Ausmus Engineering, Fax: 530-343-5320
Lowell Hagberg, 1151 French AvenueGridley, CA 95948 Fax: 530-846-3113
WILLDAN
Serving Public Agencies
APPLICABLE CODES
Our review was based on requirements of the 2001 California Building Standards Code fddnd in the
California Code of Regulations, Title 24:
• Part 2, known as the California Building Code (CBC).
• Part 6, known as the California Energy Code, and Energy Commission Standards (CECS').
CODE ANALYSIS
Specific Use
Typeof
Occupa cy
Type of
Construction
Stories
1" Floor
S9 Ft
2nd Floor
Sq Ft
Total Sq Ft
NSF
R-3
V -N
2
3812
379
4191 , t�,
COV PORCH
R-3
V -N
1
1158
0
1158 'r
GARAGE
U-1
V -N
1
682
0
682
CONDITIONS OF APPROVAL
I Approval is contingent upon the review, requirements and approval of other departments',-;�d/or
agencies that have jurisdiction over this project.
2. Revisions and/or notes as red -lined on the plans.
3. All plan sheets shall be signed by designer or person responsible for the plans as required by
California Health & Safety Code Section 5536. 1.
4. *Permit application building areas specified in the scope -of -work shall be reconciled with plans to
Butte County's satisfaction.
SPECIAL INSPECTION NEEDS
Our plan review reveals no special inspection needs pursuant to CBC 1761.
DEFERRED SUBMITTALS
Our plan review reveals no deferred submittals.
Sincerely,
-�Fran
Tom Trueb Gus av co, P.E�_—�
Plans Examiner Structural Plans Examiner
Page 2 of 2 Butte C6unt� 05-2350 -
WiIldan'J.4353-1880-M..PC2,F
T -
BUTTE COUNTY SCHOOLS IMPACT.FEE CERTIFICATION FORM
(One form per Building)
2 S_
School District Building Department NO.
A.P. Number Jurisdiction: -City I o-00' J County
Property Owner
Property Location/Address 2 -
Subdivision Lot No.
:Sq. Footage
Residential Development
No of Living Mobile Home Addition/ *Supplemental to (Group. R)
Units Installation Conversion Permit #
No foundabon inspecfion)
.......................................................................................
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document),
New Addition
Sq. Footage
(including Exterior
Roofed Areas)
3— OS7
Date
District Identification No.
T\'\ Z e.A School District certifies that
(ApplicaHti 0
Q A10 -M A _C1 U -C
(Street Address) (Phone Number)
(City)
(State)
(Zip Code)
has complied with the requirements of Resolution.No. CA :C)" -!)01A bypaym'ent-of$
representing square feet. JrB 2926 $
ULL MITIGATION $
School,District
Paid by Check # Remarks:
Date
Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with
Governrnent Code Section 66020(a), within 90 days from the date is" are paid. Failure to subn* a thnely written pr a I a will prohibit
you frorn challenging the Imposition of the.fees In any court action.
ff, subsequent to the School District Representative signing thii Butte County Schools Inqma Fee Certification For'n% the School Dh&kt Is
notified by the applicable Local Planning Agency Viet this project Is being reviewed under the California Envirannwntal QLiWl* Act (CEQA).
this project may be subject to additional school fika to fully mitigate Iti Irnpact an the school districrii schools.
White (school district), Yellow (building department), Pink (applicant). feeform.49 (3/05)drnm
ENCROACHMENT PERMIT
Works
County of Butte Department of Public
0 a 7 County Center Drive Oroville, CA M65
Phone: (530) 538-7681 Fax: (530) 5384356
VC
All information except signature must be !Xped or legibly printed
Permit 0 o5 -i o5-7
NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE
STARTED
Assessor's Parcel
Numbtr(Requirtd): O -U— 00o—oss
roperty Owr ' N
F IT s
Lhy�el -
Phone:
Property Address:
PROPERTY
Mailing Address (if Difreirent):
C) - t
OWNER
Ca
C -r --
Work will be tor Owner
2!rffiffned by: M�Cbnl t E��peny
Phone: Address:
7- -5-qO
Fax:
WORK
Contractor's Licelp certificate of i sumnse current M--Y-es 0 No
PERFORMED By
Number: QnXjj;_VjlhPULAdment?
Applicant is: Z<-p--ty Owner 0 Prop"'Owner's Agent 1315ntractor 0 other:
I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under
or over the County rgAs and highways. all in accordance with Coun!� ordinances and general laws.
Signature:
Date Signed: 9-3—O'S
Road affected: 0J 4
Time and Duration
of Encroachment: Permanent Encroachnicid El Temporary: From To
LOCATION
Type of
Encroachment: Driveway 0 Roadway El culvert
El
Fence 0 Pipe/Pipeline El Sign/Billboard. Other
Site Plans
Attached: J9 Yes 0 No
7
PERMIT IS: No GRANTED 0 DENIED
Conditions: In compliance with the above request, and subject to all terms, conditions (including those on*page 2 of this permit form)
and special conditions written below, permission is herch granted.
L 0 Underground Service Alert (U.S.A.) must be notified two working days prior to any excavation. 800-227-2600.
2. 0 All work shall conform to accompanying: 0 Detail 0 Plans 0 Special Conditions
3. 0 Other Conditions:
PERMIT
CONDITIONS
(To be filled
in by County)
Da Expiration
1, -2 Date:
sued: Yl 0
Date Amo nt Paid
Paid: P.id:u ay:7�
Mike/ dr�ump, Director of Public Works
Road District: I Inspected By
For County
Use Only
�7 Surely:
Reccipif
Check
Mo.
.c No.: 16Sj07
Inspection 0 Completed - OK Completed - Not OK
Results: 11 Additional Comments Attached
F—Ntm�Ifn�iis are faxcd to any number besides (530) 538A336. they can be delaved uo to one week. I Fam 2005D6EP I
Page I of 2
AND WHEN RECORDED MAIL TO:
J I
1P BUTTE COUNTY BU1.1,11ING DIVISION
.' ';R'DRIVE
7 COUNTY CENYL
OROVILLE, CA 95965
Recorded I REC FEE
Official Records I
County of I CONFOMD Copy t. @@
But e I
CAMACE J. GRUBBS I
County Clerk-Recorderl
I
I SA
69:08AN 15 -Dec -M I Page I of 2
M N
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
5 -t e- CL VA- e -
Date 1'2- - 14 - 0S
State of California
County of
On1YCfM10(y kjjc�U.W4 beforeme,
SA n P 41�b k(Iri-bk , N)A�UVV 9 (41 1 C
personally appeared arint Mr� JkQJqJo rQ personally
VY) t'
known to me (or proved to me on the basis of satigt2rctor),"evidence) to be the persoh(s) whos� nameM is/a—re subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITN
,ESS my hand and official seal.
Signature Seal: lie LYNETTE GARTON
Comm. # 1351379
NOTARY PUBLIC -CALIFORNIA
County of Butte
A.P.4 Q2-\-i(P0-083 vp
Comm. Expires April 17, 2006
the followinV).�scribed pro* erty In the 6nincorpo'rated area of County of Butte, State or California:
p
THE EAST ONE-HALF (1/2) OF LOT 34 AND ALL OF LOT 42 OF GRIDLEY COLONY #9
ACCORDING TO THE OFFICIAL MAP THEREOF RECORDED IN THE OFFICE OF THE RECORDER
OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, JULY 10, 1907 IN VOLUME 6 OF MAPS AT
PAGE S8.
RESERVING THEREFROM AN EASEMENT FOR AN IRRIGATION PIPELINE OVER, ACROSS OR
UNDER THE EASTERLY 10 FEET THEREOF
oil- 140- 0 t 3- 000
e
SITEPLAN REVIEW APPLICATION
Date: AP# &—lbe _07,3
er (if applicable)�_-.
Permit Numb' Bin Number
APPLICANT INFORMA Parcel Size:
Owners Name: f
4)
Owners Address: 161,il'I'l
Telephone No.: 2,Y1,5, ;� 45�_o 2 Email:
Situs Address:
Proposed Use:
Residential
New S�ngle Family Residential
F1 Single Family Addition.
F] Mobile Home'
R Residential Accessory
F] Pen-nanent Second Dwelling
F] Temporary Mobile Home (Aunt Minnie)
R Temporary Travel Trail eir
F1 Multi -family
Non-residential
F] New Commercial
F1 Commercial Addition
New Industrial
F-1 Industrial Addition
Other
Septic
Agricultural Exempt Building
F1 Other:
Brief 'Explanation (if necessary);,,__�3
Single Family Remodel
F� Commercial Remodel
F] Industrial Remodel
RE well
E] Agricultural Buffer Form El Applicable El NIA
DO NOT WRITE BELOW THIS LINE
DEVELOPMENTSER VICES INFORMATION (For Staff Use)
Approved Conditionally Approyed Resolve Problems Prior to Approval
�& 0_� '4e4 05 2 3 5-0
Site Plan Stamped Approved
By Date ��LlLlr
ALL ITEMS CHECKFD APPLY TO THE PROPERTY
Parcel Is In:
El 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 design required)
F] SRA - (CDF to determine specific requirements)
F] 100 -Year Flood Plain: (See attached)
Flood Zone: X
Flood Panel No.: Index Date: � -e
n Sacramento River Reclamation District (Approval must be obtained from the 61if8rnia Reclamation Board)
n 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)
F-1 Grading Zone (See attached handout)
F-1 Oroville Enterprise Zone
Use Requires:
F-1 Use Permit E] Minor Use Permit E] Administrative Permit
0 Minor Variance F] Variance
— — — — ---- — — --------------- — — — — ------ — ---
El Detached Building Use Form n Encroachment Permit
[] Agricultural Worker Affidavit E] Agricultural Acknowledgement Statement.
Zoning:
Applicable BuDding Setbacks:
D Setbacks drawn on site Plan. r-1 CDF approval needed for encroaclunents into SRA setbacks.
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
Side
Side Street
Rear
Height
--T
Waterway
NIA
NIA -T
NIA
D Setbacks drawn on site Plan. r-1 CDF approval needed for encroaclunents into SRA setbacks.
Applicable Development Fees:
Standard Fees
F] Fire
F] School*
Parks/Recreation
Roads
F] Sheriff
n Drainage
F1 NCSP/CSA 87
Chico Urban Area — Road
Thermalito Drainage Area
Thermalito Urban Area
Other
Subdivision Map Special Fees
Amount
Formula
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
rjl�
Date of Creation: Legal Access Provided:
Deed of Reference: Legal Access Required'
Parcel Frontage on Publicly Maintained Road: El No R Yes, Road Name:
Complies with.County Standards for Deed Creation: NoE] Yes . -i
Comments: A1A;_K0v_5
F1 Parcel Deemed to be legal
El No F] Yes
R No El Yes
F] Verify Legal Parcel El -Verify Legal Access D Provide Deed of Creation
F� Obtain a Certificate of Compliance/Notice of Compliance
F� Obtain a Merge'r F-1 Obtain a Lot Line Adjustment
Fj Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
F� Construct road to: Meet Parcel size required by zone
F1 Meet current Environmental- Health Department requirements
Water Tender
Road Improvement
North Oroville Area
Other (per map)
Amount
Formula
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
rjl�
Date of Creation: Legal Access Provided:
Deed of Reference: Legal Access Required'
Parcel Frontage on Publicly Maintained Road: El No R Yes, Road Name:
Complies with.County Standards for Deed Creation: NoE] Yes . -i
Comments: A1A;_K0v_5
F1 Parcel Deemed to be legal
El No F] Yes
R No El Yes
F] Verify Legal Parcel El -Verify Legal Access D Provide Deed of Creation
F� Obtain a Certificate of Compliance/Notice of Compliance
F� Obtain a Merge'r F-1 Obtain a Lot Line Adjustment
Fj Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
F� Construct road to: Meet Parcel size required by zone
F1 Meet current Environmental- Health Department requirements
2
F-1. Subdivision Map/Parcel Ma:
Map Date of Recording:
Lot: Book:
F1 Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
Page:
Parcel Map/Subdivision Map[Use Permit Conditions
Ej Comply with the following Conditions of Approval: F -I Attached 0 None
n Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
El 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.
F] Provide an erosion control plan for building and land disturbance. The Erosion Control Plan
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
0 In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required. .
F-1 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.
01
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.
CALanys\Building Permit Site Plan Reviewl.doc
F -I
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.
CALanys\Building Permit Site Plan Reviewl.doc
0 0
PUTTE COUNTY. BUTTE
tOUNTY
0 0
AGRICULTURAL BUFFER NOTIFICATION AND/OR
AUG 0 a 2005
UNUSUAL CIRCUMSTANCES REQUEST ' ofj V4
DEVELOPMENT
E?
Butte County requires a 300 foot buffer between neighboring agricultAMpleS Ions and a residence. This
dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify
unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not
available for'lots; being created, divided or subdivided.
Owner or Authorized Agent must complete the following and return with the required.site plan to:
Development Services Department, 7 County Center Drive, Orovift, CA (630) 538-7601
8�1� ccd
4- A-0 me_ Phone:
Name: J 40we'l ( �a a�,�
Mailing Address:
wl��=
E -Mail address
Assessor's Parcel Numbrer—�__Z
Reason you believe'you qualify for the unusual circumstances exception: _E0eVA k
Zb ,:::Z\Abrk eo, -4- 46
�n Q)Q 1A+ CI)C, (VW rwycs
e) y."
U oue4_� qFT
a'6QU4_,V1 4'V-' AbLlak/ Av a — ti -7
Owner or Authorized Agent's'signatu�j Date 4P ark.
A-40
UNUSUAL CIRCUMSTANCES DEFINITION:
An exceptional or extraordinary condition where the existing lot size or shape or an existing improvementeLCA = 03PA4
(well, septic systems, structures etc.) does not allow for the standard condition of a 3,00 -foot buffer.zone. -C YG
SITE PLAN REQUIREMENT: submit 4 copies with this form
Refer to the Site Plan Submittal handout for specific requirements
......................................................................................................................................
ini�Wal Dept. Contact Info:
0 Env. Health 0 Planning 0 1216ilding Other
Contact Person: Phone:
FORWARD THIS FORM TO LARRY IN DEVELOPMENT SERVICES FOR PROCESSING
... ..........................................................................................
or ricultural Commissioner office dse only: (to be completed
DISCRETIONARY PERMITS (Planninci) MINISTERIAL PERMITS (Build ing)
Exception Recommended Exception Granted with the
Exception NOT Recommehided following condlitions:
Reason/Conditions/Specific setbacks from ad acent agricultural operation . s: 62_cew;e.J m +,A Ajiftlaa
lo
Agricultural Department Signature:
eff)*u -
Date: 110,�J6
-Alazt-V— SO h) 1,11Pf
-CAM J/Y-
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY. CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO.
(32 1 - 6a3
ZONING
OWNER
,,S, LbwtM c�4Le,�
PHONE NO...
OWNER'S ADDRESS 0 U
I is I )f Yt44C L� 14��
LOCATION OF BUILDING p,,UY_ (Sy, j1 e
0 .7,4-P 166
A
USE OF BUILDING �-Mlcf be 0 -sed -to( or)
Av-, Aep
i't-& 16a"'W"V^3W cliq a &(J I L a)r42(1sp-,
SIZE OF STRUCTURE 0 1
3()-. . 40
X SQ. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME —Z STEEL CONCRETE OTHER (Specify)
TYPE OF SIDING
0
ROOF COVERING
FLOOR TYPE
co"Icy
ESTIMATED COST OF COSTRUCTION
I r-1 cco,-
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as
follows: e-�s /
0
FRONT SIDES REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before
occupancy.
Date . , . !?— J_' 0 Signature of Owner
Permit Fee -$109.98 The above describeVAG Bu'ilding is exempt from a building perot.
Receipt NA 3S FVLOOD I FARI I P.D. I ROOFING I IS;�fil
I LR4 - I v" --- P/
Manager Building/Division
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
-7
PERMIT NO.-'-- 2157-77B,P,E
PERMIT EXPIRES.
OWNER D. W. Cushman
CONTR. owner
LOCATION (A.P. 2lrl6-13 port.
N/S Petersen Ave., 150'E.of Lewis Oak Rd., Gridley
Colony #9, lot 41, Gridley
L_�7wt ,
Temp. Power Pole
Called PG&E
Temp. Elec. Serv-
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB __L - 0 ") 2!
L0001INALED- S _'� S
(Date)
(Signature)
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
M0016EMOME INSTALL46TION -------------- Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
t�2
7
L/
77�-/
1-A
(NOTE: An entry must be made on t6is fo�m each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILbING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBINd
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
pa
Main Bldg.
Restroom Finish
2nd Floor
Footings
,z -,-
—7 Z
Windows.
3rd Floor
Stemwal I
Siding
Topout
Slab
Roof Sheathing
Water Piping
Piers—=/�-5/7 ZL�X-
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handicapped
Conformance of ex.
structure
Appliances
Gas Piping
Temp. Gas
Test oez�z A/
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELFz�TRICA�
Masonry Walls
Throat
Rough
ReInf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
SnIhnanpl-c
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
M0016EMOME INSTALL46TION -------------- Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
t�2
7
L/
77�-/
1-A
(NOTE: An entry must be made on t6is fo�m each time you visit the job site.)
GOUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 111, ,
7 (�6u'nty Center Drive Oro,�ille, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
AA
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
I J� -7 g
X ,:�i a" - M('\L\ Date IgLha/
1J
Signature of Permiteefor Agent r I
Receipt No. / g56 00
White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod-Applicont
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.
DIRECT F UBLIC WORKS
By Date Z 7--
Bi��ing permit expires Date _'�_ 6-13-77—
BUILDING 1 V V i—
Owner P,\PJ.
SQ. F T. OCC. BUILDING VALUATION
Mailing Address 127-� I Boy 3 C-, I
T- P—c— J r— (.3
61 F_ I t>LE,-( 6A q5I 419
el eph
IF
Contractor 0 (A) A) G R__
Mai I ing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee 0-0
Bu i Idi ng Address 015 PC_Tr=P_s E-fj PV E_ P P.
PlanChecking Fee&/orPenalty
Permit Fee $ 7 -to - 0-0.
a. 01: LZ-WIS 0AV_ 12D.;
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each TraD 1.50
LoTl'14i G P-toLs'i lwwil, 61 RIt>LC—y
Repair drainage or vent piping 1.50
A. P. No. &
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
FAes- I
Wk. -I
sa�
I FireDept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EOA
I Pa trking
Plans
Parcel
Declarat ion
Parcel Map
I __ I
60' R/W
_T
I Improvements
Each additional outlet .30
Building sewer 5.00
B I d g-P+vwr-RvtrI-d [=P
- r - �,Ap p ro v a I
ns Approval
Lawn sprinkler system 2.00
_Pl
NEW [:] ADDITIONE] UTILITIES OTHER [a-
Permit Fee $
$
NEE RlEf� E -W 4 L V�D IV_ 13 -7-7
. ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
600V OR LESS
Main service 100 AMP OR L SSS 5.00
Single Family Er DuplexEl Mobil Home Others
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. Ac)r.)'L 100 AMP 1.00
NEW CONST. ( DWELL I NG OCCUP.
OR A.Q.S. ACC.BLDGS. 20sq'ft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW CONSTP_ T I-OUTLF-T
....RES'.. (MUL
BRANCH CIRCUITS Q.50ea
NEW.CONSTF;L (POWER APPARATUS 8,
NON RESID. SINGLE OUTLET CIR. I
Ex. OCCUII(OUTLETS OR FIXTIORES I 5BOA@L 2rX1
FIXED APPLNS OR
Ex. Occup. (OUTLETS (RESI-D EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Licens�e No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions ot Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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 Workmen's Compensation Laws of
California.
MECHANICAL N0.1 !@ FEE
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
Land Development Fee
$
I
TOTAL PERMIT FEE
- -.t 2& 1
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
I J� -7 g
X ,:�i a" - M('\L\ Date IgLha/
1J
Signature of Permiteefor Agent r I
Receipt No. / g56 00
White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod-Applicont
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.
DIRECT F UBLIC WORKS
By Date Z 7--
Bi��ing permit expires Date _'�_ 6-13-77—
D. W. CUSHMAN TRUCKING
Rf. 2 Box 359
Gridley, Calif. 95948
91RIP, 1
Nd 0
8116
I I rl
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Zif 017ond
40 4.11VIO J430 ud
noc)
COUNTY OF BUTTE — DEPARTME.-NT OF PUBLIC WORKS
7 County Center Drive U'ro�ille, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
OUL I IUI 14a 1 V�t:[ItCILIVVb U mu kauutity ui outiti Lu t�Fatu upun ine
above-ment7o'nied property foir inspection purposes.
Z� 1 -1) -
y X014) C�A� —Afen-., DateL2 If ;7
Signature of Permitee or Agent
Receipt No. ffal/ W—�Q
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant
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.
DIRECTORO P BLICWORKS
BY Date 3 --7 7
4ell.
Building permit expires Date
BUILDING L—,/
Owner A �OL/
SQ. FT. OCC. BUILDING VALPATION
/ rm
-
Mailing Address
4���S-
T�e Z11 h a n 4N�dZ
k
Fireplace
Contractor
4
Total Valuation
Mailing Address Lr/u,-v Cz^-
Permit Fee 52, 6 0
PlanChecking Fee&/orPenalty
Telephone No.
Permit Fee $
Building Address
-_-,PERMIT
PLUMBING No.1 @ FEE
FILING FEE $3.00 ZAI9-Jd..
I
01�521.111! 1-6,d;4 aoe zwach
Trap 1. .50
Repair drainage or vent piping 1.50
Water piping 1.50
7-
#,9 — 2,0 17V 0 erificafton,Only
�Tng V
,64,t
Each gas water heater or vent 1.50
A. P. No.
Gas piping system 1 - 5 outlets 1.50 L5,a
Each additional outlet .30
s
V�FireDept.
I
FireZone
Use Permit
Building sewer 5.00
EQA
J-PgroAg I ' Parcel
Fsoran s Declaration
I Parcel Map
1 60' R/W
I Improv5inents
Lawn sprinkler system 2.00
1314.4��. 'sR.c'd
Parc III Val
Plon(�`Approval
Permit Fee $
$
--[I -- -1 .
NEWE] ADDITION ---U-T —IL—I T—I E S r OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
600V OR LESS
main service tOO AMP OR L _SS 5.00
F
Main service EA. ADD -L 100 AMP 2.50
Single Familyw DuplexE] Mobil Home Others
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. I DWELLING
OR ADDNS. % ACC. BLDL7Wt) 2C sq ft"
NEW CONSTR. (MULTI -OUTLET
NON.RESID, BRANCH CIRCUITS) '2.50ea
NEW CONSTF;L (POWER APPARATUS &)
NON-RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES) 5BOA@L @2514PO4
FIXED APPLNS OR
Ex. Occup. (OUTLETS (RESI*D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.- Classification
Misc. Wiring 6.25
4�1
ir.
2] 1 am exempt from the contractors License Laws of the State of California.
Permit Fee $
2v we
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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 Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ - FEE
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Pelmit Fee $
$
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
I TOTAL PERfAIT FEE
Ild�
OUL I IUI 14a 1 V�t:[ItCILIVVb U mu kauutity ui outiti Lu t�Fatu upun ine
above-ment7o'nied property foir inspection purposes.
Z� 1 -1) -
y X014) C�A� —Afen-., DateL2 If ;7
Signature of Permitee or Agent
Receipt No. ffal/ W—�Q
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant
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.
DIRECTORO P BLICWORKS
BY Date 3 --7 7
4ell.
Building permit expires Date
rl t 5 ,1 C
x c i,,' -i
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BUTTE COUNTY (For Action 1, 2, 3)
Public Works Dept. (For lnformotiong/)
Director
Dep. Dir.
Sec.
Rd. & B,. Mtce.
Shop
Equip. & Yards
Re f. Disp.
Bldgs. & Grds.
Bldg. Insp. Adrn in.
D & C/7raffic
Const.
Rd. Des.
Br. Des.
Sur. & Loc.
.Mapping
Drng./Permits
Sub. Checking
Right of Way
YTj
A-
r
-A n . Is s .0, ling,
L ojij, ir Cr J. 0!? -j C. -10, -fl_ r� ft
ley
7-%, P,
Purchasing Dept.
ATTN: Jim Bradbury
J.F. Glander, Assistant Director of Public Works
Manzanita Fire Station (AP 24-11-31)
July 19, 1976
With reference to the above subject and pursuant to your request, an inspection of this
county -owned building located at the northwest corner of Hwy. 99E and Evans Reimer Road
south of Gridley was made.
If the building is to be moved and used as a residence, it must conform to code require-
ments for new buildings and the following items must be done:
1. The general structural condition appears adequate; however, the garage roof
appears to require additional bracing. Dry -rotted or deteriorated materials
throughout the building have'to be replaced and the building must be placed
on an adequate foundation system. Additional pier and girder supports may
be necessary, depending on spans and bearing wall locations.
2. The electrical system must be revamped to comply with code requirements
including adequate service,�grounding of all receptacles, a minimum two (2)
20 -amp appliance circuits in the kitchen, and the elimination of any open
splices and exposed wiring.
3. All plumbing fixtures must be properly vented and connected in an approved
manner to a sewage disposal system. All plumbing fixtures must be safe and
sanitary including the metal shower stall.
4. All gas appliances must be properly vented,.have adequate safety controls,
and proper shutoffs. The gas water heater is not permitted in a bathroom
and must be relocated and installed per code requirements.
5. The building must be made weathertite which probably will require new siding,
replacement of double -hung wood windows, and some general repair work.
6. Provide adequate foundation vents and underfloor clearance.
7. Much of the interior wallboard and finish work must be repaired, finished,
and painted.
If the building is to be used for commercial purposes, in addition to the above, the
following items must be done:
1. Restroom walls and floors must conforma�j Section 1711, Uniform Building Code.
2. Access must be provided to the building acilities installed for the physically
handicapped.
3. Electric service must be equipped with a manual circuit closing devide approved
for c,11 ercial use.
On either of the above uses, complete plans must be submitted in duplicate with a building
permit application, including all structural details, floor plans, and plot plans, to do
the proposed work.
Should you have any questions concerning the above, please contact me.
Clay Castleberry
Director of Public Works
J.F. Glander
JFG:dd Assistant Director
Ac� 44-
71
A#
Owner:
Address:
BUTTE C OUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL IZACTIbN REPORT
'2Lt
A P . # -1 —11-3
Tenant: 101:0*AW 7 S 7-,4
Building Location:�Zv,
Type of Inspection'requested:
Date of Inspection k
Inspector '000,��
(5;V j C , // -
1. Housing 2. Financing 3. Change of Occupancy to
Z 7 4. Other (specify)
Present use of buildinR: 57;:1-7 1 7_�_ C4
A. Sanitation (Housing)
1. Water closet:
2. Lavatory:
3. Bathtub or shower: r 4--
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating facilities:
7. Natural light and ventilation:
.8. Room and space requirements: —
9. Bedroom window or doot.for second exit:_
10. Infestation of insects, vermin, or rodents:
11. Connection to sewage disposal: ----
12. Connection to water supply:
13. Rubbish and garbage facilities:
14. -Comments:
B. Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction: 4:=�
4. Ceiling and roof construction:
5. Fireplaces: 04d
6. Comments:
;X1_7 - ,-. 6?f_ 4
C. Electrical
1. Service and ground:
2. Receptacles: -
3. 'Fusing:
,4. Comments: 70
D. Plumbing
I . Fixtures connected and vented:
2. Gas water heater: XC5 -7—a
3. Gas heating vents:. X/,"- t L_
4. Comments': 4-s
(continued on back)
E. Other
l.. Maintenance and repair: 11JeJ5
2.' Fire.ha'zards:
3. Safety hazards:
4. Weather protection: e -L' . 0 C -j W, va
5. -Underfloor and attic ventilation:- �7
6. Comments:
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines: D/C--
3. Physically handicapped: 10-e,, ,
4. Restroom floors and walls:— Oxf".
5. Exits: -7
6. Improvements: 12
7. Zoning:
8. Comments:
G. Field Problems or Violations
1. Problem or violation (give complete description):
2. What action taken (give complete description):
3. What action recommended:
-T-1 A. Information only - file.
B. Hold for ten (10) days, then write letter.
C. Write letter.
7 D. Other:
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