HomeMy WebLinkAbout021-260-005`�.�-"� � - _-•s--^�, ,lam
i21-26-5
VDENNIS EARL4% K41 3�.?o?I q ^i SHIFFLET, Donald 5127B
IS Losser Ave.,app. 4 mi. S. of _)
Little Ave., Gridley
contr : Burl Woodward, Gridley 21-26-5
Permit ##491-76B , P, E , M (remodel w/s Losser Ave. - app. 1100' no. -West Liber :
kitchen area-conv.garage to family Gridley
rnnm s _i nstal l frankl i_nha_ater/-S } (add patio) / y"6 7
1196-91B,P,E
21 -26 -OS
1 ` r
TAMAGNI Thomas
N 1287 Losser Ave, Gridley- �•'+'''� �•"' �
;+ Cont: Bud Hyde ?
(swimming poo
l'/sf) q/ tet``'
J 1 2
021-260-005, #98-2296 SHIFFLET, Mrs. Donald E 4,643k
WHITLOW, LARRY i j vs
1287'LOSSER RD. GRIDLEY �-� - , • 21 -26 -
UNKNOWN i �'JCi ls���ici rw
DETACHED. GARAGE w/s Losser Ave, NW Liberty, 3rd house,Gri s
(fireplace)
% 7
1 r,}
' r -
N c*4 CSI
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION (IVR)#: (530) 538-4365
OFFICE #: (530) 538-7601 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
DB CA BLDG STANDARDS SB 1473
DB SMIP COMMERCIAL
DBEH Building Review Fee
DBMSC Gen'l Plan Maint Fee Mis
DBMSC Limited Ag Bldg 09
DBMSC Tech Invst Fee MISC Perm
DP Planning Clearance for Perm
WHITLOW, DONNA
1287 LOSSER AVE
GRIDLEY, CA 95948
(530) 846-3487
FEE bwokmkTiolq,
_
$2.00
$5.94
$105.00
$19.89
$442.00
$4.42
$81.50
rt LICENSED CONTRACTOR'SDECLARATION -`:- r
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect.
X 11/6/2009
Contractor's Signature Date
=_ WORKERS'•COMPENSATION,DECLARATION:,
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
F -1I have and will maintain a certificate of consent to self4nsure for workers'
compensation, issued by the Director of Industrial Relations as provided for by Section
3700 of the Labor Code, for the performance of the work for which this permit is issued.
Policy No.
❑I have and will maintain workers' compensation insurance, as required by Section 3700
of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Carrier. Policy Number. Exp. Date:
I certify that, in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the workers'
compensation provisions of Sectioh73700>of the Labor Code, I shall forthwith comply with
X `✓`r.%/�' ;, 11/6/2009
Signature / Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO 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 DECLARATION_,,,
I hereby affirm under penalty of perjury that there is a construction lending agency for the
performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name and Address
Lender's Name & Address
City State Zip
square rootage:
Building Garage Remdl/Addn
750
Other Porch/Patio Total
Total Charged: $660.75 Fees Paid: $660.75
Balance Due: $0.00 Receipt No: B001592
a._ � OWNER /-BUILDER DECLARATION : -: L
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for
the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the
applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions
of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt from licensure and the basis for the
alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant
to a civil penalty of not more than five hundred dollars ($500).):
I, as o mer of the property, or my employees with wages as their sole compensation,
4� will do ( all of or U portions of the work, and the structure is not intended or offered for
sale (Section 7044, Business and Professions Code: The Contractors' State License Law does
not apply to an owner of property who, through employees' or personal effort, builds or
improves the property, provided that the improvements are not intended or offered for sale. If,
however, the building or improvement is sold within one year of completion, the Owner -Builder
will have the burden of proving that it was not built or
improved for the purpose of sale.).
1, as owner of the property, am exclusively contracting with licensed Contractors to
construct the project (Section 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 the projects with a licensed Contractor pursuant to the Contractors' State License
Law.).
I am exempt from licensure under the Contractors' State License Law for the
reason: // /�
11/6/2009
'�.._ __. PERMIT, APPLICANT DECLARATION' -3 :.
By my signature below, I certify to each of the following:•
I am U a California licensed contractor or U the property owner' or U authorized to
act on the property owner's behalf**.
I have read this construction permit application and the information I have provided is
correct.
I agree to comply with all applicable city and county ordinances and state laws relating
to building construction.
I authorize representatives of this city or county to enter the above -identified property
for inspection purposes. California Licensed Contractor, Property Owner' or Authorized
X 11/6/2009
Name of Permittee [SIGN] Print Date
FILE COPY
PROJECT INFORMATION
Site Address:
1287 LOSSER AVE
Owner:
Permit No: B09-1522
APN:
021-260-005
WHITLOW, DONNA
Permit type:
MISCELLANEOUS
1287 LOSSER AVE
Issued Date: 11/6/2009 By: KDM
Subtype:
LIMITED AG
GRIDLEY, CA 95948
Expiration Date: 11/6/2010
Description:
LIMITED AG(750)'
(530) 846-3487
Occupancy: Zoning: A-5
DB CA BLDG STANDARDS SB 1473
DB SMIP COMMERCIAL
DBEH Building Review Fee
DBMSC Gen'l Plan Maint Fee Mis
DBMSC Limited Ag Bldg 09
DBMSC Tech Invst Fee MISC Perm
DP Planning Clearance for Perm
WHITLOW, DONNA
1287 LOSSER AVE
GRIDLEY, CA 95948
(530) 846-3487
FEE bwokmkTiolq,
_
$2.00
$5.94
$105.00
$19.89
$442.00
$4.42
$81.50
rt LICENSED CONTRACTOR'SDECLARATION -`:- r
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect.
X 11/6/2009
Contractor's Signature Date
=_ WORKERS'•COMPENSATION,DECLARATION:,
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
F -1I have and will maintain a certificate of consent to self4nsure for workers'
compensation, issued by the Director of Industrial Relations as provided for by Section
3700 of the Labor Code, for the performance of the work for which this permit is issued.
Policy No.
❑I have and will maintain workers' compensation insurance, as required by Section 3700
of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Carrier. Policy Number. Exp. Date:
I certify that, in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the workers'
compensation provisions of Sectioh73700>of the Labor Code, I shall forthwith comply with
X `✓`r.%/�' ;, 11/6/2009
Signature / Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO 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 DECLARATION_,,,
I hereby affirm under penalty of perjury that there is a construction lending agency for the
performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name and Address
Lender's Name & Address
City State Zip
square rootage:
Building Garage Remdl/Addn
750
Other Porch/Patio Total
Total Charged: $660.75 Fees Paid: $660.75
Balance Due: $0.00 Receipt No: B001592
a._ � OWNER /-BUILDER DECLARATION : -: L
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for
the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the
applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions
of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt from licensure and the basis for the
alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant
to a civil penalty of not more than five hundred dollars ($500).):
I, as o mer of the property, or my employees with wages as their sole compensation,
4� will do ( all of or U portions of the work, and the structure is not intended or offered for
sale (Section 7044, Business and Professions Code: The Contractors' State License Law does
not apply to an owner of property who, through employees' or personal effort, builds or
improves the property, provided that the improvements are not intended or offered for sale. If,
however, the building or improvement is sold within one year of completion, the Owner -Builder
will have the burden of proving that it was not built or
improved for the purpose of sale.).
1, as owner of the property, am exclusively contracting with licensed Contractors to
construct the project (Section 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 the projects with a licensed Contractor pursuant to the Contractors' State License
Law.).
I am exempt from licensure under the Contractors' State License Law for the
reason: // /�
11/6/2009
'�.._ __. PERMIT, APPLICANT DECLARATION' -3 :.
By my signature below, I certify to each of the following:•
I am U a California licensed contractor or U the property owner' or U authorized to
act on the property owner's behalf**.
I have read this construction permit application and the information I have provided is
correct.
I agree to comply with all applicable city and county ordinances and state laws relating
to building construction.
I authorize representatives of this city or county to enter the above -identified property
for inspection purposes. California Licensed Contractor, Property Owner' or Authorized
X 11/6/2009
Name of Permittee [SIGN] Print Date
FILE COPY
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
IMPORTANT! NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements
specified at 1287 LOSSER AVE. GRIDLEY.
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your
responsibilities and possible risk you may incur by having this permit issued in your name as the
Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
;1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building
permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an
Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his
or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am
willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
*dn
2. 1understand building permits are not required to be signed by property owners unless they are responsible for the
truction and are not hiring a licensed Contractor to assume this responsibility.
,h 1 understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
A-5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"
under state and federal law.
I )6. 1 understand if I am considered an "employer" under state and federal law, I must register with the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment
compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk.
1 ,1 j7. 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
ry
structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors
and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with
a licensed general building Contractor.
08. 1 understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any
financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
l9. 1 understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at
1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
4• �'r%l�'10. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
.pa legally and financially responsible for proposed construction activity at the following address: 1287 LOSSER AVE,
GRIDLEY
A11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
pplicable laws and requirements that govern Owner -Builders as well as employers.
12. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
ave provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also
important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on
your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will
be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned
to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form
notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to
verify the property owner's signature.
Description: LIMITED AG(750)-
Reference Number: B09-1522
Applicant Name: WHITLOW, DONNA
Owner's Name: WHITLOW, DONNA AP # : 021-260-005
Signature of Property Owner: ®,� +/ Date:
v i
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the
following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit
for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification
acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature.
Property Owner's Signature: Date:
/UTT� BUTTE COUNTY
--DTARTMENT OF DEVEL—OTMENT-SER UCE PER1
° ° BUILDING PERMIT APPLICATION" NO.
° ° OFFICE #: (530) 538-7601 FAX #: (530) 538-2140%
<° A FEE WILL BE.REQMAED AT TIME OFAPPLICATION " r —
CQ/ N.�y Website: www buttecounty.net/dds BIN #
PLEASE PRINT CLEARLY
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
I PROJECT LOCATION
Rop"Address
CftY ---17, n i
Policy Number
ffMing anyone other than licensed contractors, a cer--te of
worker's compensation must be shown at i we of unit issuance
LENDING AGENCY
Name
Address
i�.T„ , .1.!..
For office use only:
Zoning Flood Zone SRA Yes No
00c. t const
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
IMPORTANT! NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements
specified at 1287 LOSSER AVE. GRIDLEY.
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your
responsibilities and possible risk you may incur by having this permit issued in your name as the
Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
1. 1 understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building
per—mit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an
Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his
or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am
willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
2. 1 understand building permits are not required to be signed by property owners unless they. are responsible for the
onstruction and are not hiring a licensed Contractor to assume this responsibility.
*-3. 1 understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
f4 I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
-
its and contracts.
AM
5. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
y construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"
under state and federal law.
6.4 I understand if I am considered an "employer' under state and federal law, I must register with the state and federal
vernment, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment
compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk.
1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
#7.
tures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors
and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with
a licensed general building Contractor.
OI understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any
ancLl or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
0iceI understand I may obtain more information regarding my obligations as an "employer' from the Internal Revenue
, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I 'may contact the California Contractors' State License Board (CSLB) at
1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
10. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
legally and financially responsible for proposed construction activity at the following address:
11. 1 agree that, as the parry legally and financially responsible for this proposed construction activity, I will abide by all
plicable laws and requirements that govern Owner -Builders as well as employers.
12. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
ve provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss
_you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also
important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on
your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to. hire Contractors, you will
be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned
to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form
notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to
verify the property owner's signature.
Description: LIMITED AG(750)
Reference Number: g09-1522
Applicant Name: WHITLOW, DONNA
\ % Owner's Name: WHITLOW, NNA AP #: 021-260-005.
Signature of Property Owner: Date:
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which l understand is my personal responsibility, I hereby authorize the
following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit
for my project:
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent: Tel No
Address of Authorized Agent:
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification
acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature.
Property Owner's Signature: Date:
Butte County Department of Public Works
J. MICHAEL CRUMP, DIRECTOR
LAND DEVELOPMENT DIVISION
Storm Water Managment Program
7 County Center Drive
Oroville, CA 95965
(530) 538-7266 Telephone
(530) 538-7171 Fax
0
0
0
o.
O
trc
National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm
Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment
[LESS THAN 1 ACRE]
Reference Number:
B09-1522
Date:
10/9/2009
Location:
1287 LOSSER AVE
By:
AAM
_ Parcel Number:
021-260-005
Sub Type:.
LIMITED AG
Owner Name:
WHITLOW, DONNA
Phone:
(530) 846-3487
Description:
LIMITED AG(750)
By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more
of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California
Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but
when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm
Water Permit from the state of California Regional Water Quality 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 this project that disturbes one acre or
more of land may result in revocation of grading and/or other permits or other santions provided by law.
Signed:
Title:
FILE
Date: 10/9/2009
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
NOTICE TO BUILDERS"
Before your building permit Can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental
Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to
expedite your permit:
0 Make sure your application is complete.
0 Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its.highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to processing time.
Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not
started or completed within one year from the date of issuance of such permit (per Butte County Code Chapter 26,
Article 1, Section 263.1). A permit may be renewed (for a fee) prior to expiration a maximum of two (2) times, provided
construction progress has been .documented by the Building Division during each year during scheduled inspections. No
changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after
expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required.
Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is
illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection.
EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY*
Application for which a permit has not been issued will expire one year after date of application.
Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if
the permit has not issued, but not after 1$0 days from the date of fee payment. Fees paid at the time of application are for
Plan Check and administration. The Plan Cheek portion of fees is refundable only if the permit is cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to
process the refund application will be assessed. Refunds on perrnitsl'(issued) may be requested prior to the expiration of the
permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund
r.. .
amount) to determine no work was done.
Fee/refund information can be read on-line at hnp://municipalcodes.16xisnexis.com/codes/butteco/
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website, for electronic access.
Reference Number: B09-1522 Date: 10/9/2009
Location: 1287 LOSSER AVE
Parcel Number: 021-260-005 "
Owner Name: WHITLOW, DONNA Phone: (530) 846-3487
LIMITED
Signature of Applicant:
FILE
Date: 10/9/2009
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
www.buftecounty.net/dds
www.buttegdneralplan.net
ADMINISTRATION' BUILDING • PLANNING
OWNER'S DECLARATION OF USE
FOR A LIMITED AGRICULTURAL BUILDING
Uwe the undersigned hereby apply for a `Limited Agricultural Building' defined in the 2007 California
Building Code, Chapter 2, Section 202 as an agricultural building as follows and which is used as listed in
items 1 through 8 below:
"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 "
1. Livestock shelters or buildings, including shade structures and milking barns.
2. Poultry buildings or shelters.
3. Barns. (A detached farm building used for the storage of harvested crops, farm products, feed,
machines, or farm equipment and/or agriculture vehicles.)
4. Storage of equipment and machinery used exclusively in agriculture.
5. Horticultural structures, including detached production greenhouses and crop protection
shelters.
6. Sheds.. (A detached single story building with one or more sides enclosed, used. for shelter or
storage.)
7. Grain silos.
8. Stables.
DESCRIPTION OF BUILDING
Floor Area: :5TLoft/Attic Area: Height: f
Proposed Building will be used for:S jO12� j t�� J
Describe the current Agricultural Use on the property: l.(7,&Mt r gn� �b�
Property Owner's Signature:
Date: /&-
K:\BUILDING\WEBSITE FORMS\OwnerDeclarationforLimitedAg 1.10.08.doc
1
April 7, 2003
Larry Whitlow
1287 Losser Ave
Gridley CA 95948
�:: utte Co
L A N D O F NATURAL WEALTH A N D B E A U T Y
PLANNING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7601
FAX: (530)538-7785
Re: Burn -down letter for 1287 Losser Ave, Gridley, CA, (APN 021-260-005).
Dear Mr. Whitlow;
The above referenced parcel is currently zoned A-5 (Agricultural, 5 acre minimum). This zone allows
for a single-family dwelling.
This parcel appears to be a .66 acre legal pre-existing parcel.
Should the dwelling be catastrophically destroyed it may be reconstructed, provided it will not be
placed within the required building setback areas and meets sanitation codes in.effect at the time of
reconstruction.
The setback requirements for the A-5 zoning are 50 feet from the center of the road and 5 feet side
and rear yard property lines.
Should you have any further questions, please contact this office between the hours of 8:00 a.m. and
4:00 p.m., Monday through Friday, at 530-538-7977.
Sincerely,
arty Painter
Planning Technician H
CC: Development Services, Building Division
Butte County Department of Development Services Planning Division
021-260-005 #98-2296
WHITLAW, LARRY
RESIDEITIA6, 1287 LOSSER RD. GRIDLEY
UNKNOWN
DETACHED GARAGE ,
PERMIT NO. _ _oZ
PERMIT EXPIRES
OWNER
'CONTR.
l ASSESSOR PARCEL
LOCATION
!.
0
r'
CHECKED
SRA BY
FLOOD CERTIFICATE REQ.
s FIRE SPRINKLERS REQ.
{i SPECIAL INSPECTION ITEMS
VERIFY
Temp. Power Pole
Called PG&E
r.t
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
4
I'
V=OK
O = Not OK
==NotReady MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'a.
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall C/O -Concrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / /'Uft.
/ /Nat or/ /'L°ft/ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements- Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test-Demand-Vah&-Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Can.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
12. Permanent Foundation Only: Lk ertse Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES lana OK except #'a
1. g Requirements -Setbacks -Easements
C Footings; SoilsSize-DepthSpacing-Connectors-Steel
3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns-ConnectionsSplic- Decal -Enclosures
6. Ce indows-Doors
lec '
rmgyhorsS tud s -R ftrs-Trusses
idin&�g- eneerStucco-Mesh
f; Shthg-Roofin
11. Ext.; St s -Landings
1 aced Wall Panels
Da rd B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date OLS lana 09 except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pod Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting. Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFl
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pod Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. TesWater Supply Test
11. Light Niche
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
✓ = OK
0=.Noot OK tApplcable RESIDENTIAL (:
* = Not Ready `
Date
FRAMING (Continued)
UNDERFLOOR (Plans) OK except #'s
46.
1.
ZoningSetbacks-Easments-FloodSlope
47. Cling. Joist-RiV. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng.
2.
Ftg., Main; Soils-Elec. Gmd.-/ )"Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat clearance
3.
Fig. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4.
Ftg. Porches & Decks; Soils -Steel-/ i Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
Garage Fire Protection Framing
6.
Stemwalls, Garage; Steel-Blockouts- Wrapped
Property Line Firewall & Openings
6a.
Hold Downs and Special Anchors
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
7.
Slab, Steel -Wrapped
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
8.
Piers -Fireplace Ftg.-Steel
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Siding -Nailing Veneer
10.
UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Glazing Area -Glass Protection -Skylights -Plastic
12.
Electric Underground
Shear Walls: Nailing -Bolts
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts -Joists Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
63.
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
Smoke Detector
18.
Water Pipe; Test & Anchor -Nail Protection
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor -Ducts -Meeh. Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Bedroom Exiting
20.
Shower Pan; Test, First Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access -Spa
21.
Test Tub & Shower, Second Floor -Tub Access
Elec. Trim & Subpanel, Breaker Sizes & Labels
22.
Gas Pipe; Sixe & Anchors
Stairs & Rails
70.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Elec. Outlets & Recepticales at Kit. Counter
23.
Fixture & Transformer Clearance -Ins. Protection
Garage Fire Door; Swing -Landing -Closure
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
A.C. Duct in Garage -Damper
25.
Size Bores & No. of Conductors Stapled
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor -Meeh. Protection
26.
Romex I stalled Close to Edge of Studs & C.J.
Plb., Elec. & Mech. Equip. Listed for Location
27.
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
Elec. Receptacles in Garage (G.F.I.)-Romex Protection
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
Insulation -Foam -Looked in Attic
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga Cu or AI
Guard rails & Deck Construction -Post Caps
30.
Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI
Insulated Neutral 0 Yes 0 No
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
31.
Service -Riser Conductors & Ground -Main Disconect
Following Instld./Drive 0 Yes 0 NoANalks 0 Yes 0 No/Planters 0 Yes 0 No
32.Equip.
Clearances Panels -Motors -Meeh. Epuip.
Stucco Brown -Finish
33.
Clothes Closet Light -Shower Light -Spa Light
A.C. Unit Disconnect, Electrical -Plumbing
34.
Smoke Detector
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #a
Glass Protection
35.
A.C. Ducts Insulation & Support
Corrections from Previous Inspections
36.
Vent Fan, Exhaust above insulation
Gas Test -Meters Tagged, Gas -Electric
37.
Condensate Drain & Overflow, Size & Grade
Water & Sewer Connected -C/O to Grade -HD Approval
38.
Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet
Energy Compliance Certificate -Other Certificates
39. Attic Access & Platform if Furnace in Attic
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
FRAMING (Plans) OK except #'s
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43. Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
dingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47. Cling. Joist-RiV. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls: Nailing -Bolts
60. Brace Interior / Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor -Ducts -Meeh. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73.
Elec. Outlets & Recepticales at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor -Meeh. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (G.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82.
Following Instld./Drive 0 Yes 0 NoANalks 0 Yes 0 No/Planters 0 Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throught House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
,•- `� COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
L tbtLAw
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 notice this office when correction of work is
completed. "u have any questions pertaining to this matter, or need additional explanation,
please co_Odct this office immediately.
.�
Date ` — ! " C I Inspector
REV 10/92
e
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
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 notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately. y
N
REV 10/92
-� els 06 /a -,-27
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV ION
7 County Center Drive �_Oroville, California 95965 • Telephone (530 38-7 pT No.
(Rev. 12/96) APPLMATicfN AND PERMIT �� �
ASSESSOR PARCEL NUMBER 021-260—E�Z l`iv�
ZONING 14
dURbINGPERMIT
OWNER WHITLAW, LARRY
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
f�V J!b!T Z skD. GRIDLEY
CONTRACTOR'S `MTH CONSTRUCTION
T HONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 10 368
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee81 $ 1760
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee - 6 $
BUILDINGADDRESS 1287 LOSSER RD.
Energy Plan Checking Fee $.
GRIDLEY
PERMIT FEE
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF Q[ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New 13 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: NEW DETACHED GARAGE
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I s I G I W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
R LES
Main Service 200A OR LESS 23.00.
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. > Q�
License Class B Lic. No. �7 A ON9� / •
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service zooA To ,000A 46.00 ��
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( 8 ACC. S.3.5¢FT.
,�µRESID. MOLT O.OUTLET @7,50
POWER APPARATUS
8 SINGLE OUtt ET CIR.
.00
EX. OCCU . OUTLET OR FIXTURES SAL Igo'. 0
Ex. Occup. ours Ro .DEL 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ 6
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My worker ' compensation insurance carrier and policy number are:
Carrier 1 Jr=A%
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Policy umber
(The above sections need not be completed if the permit Is lor work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith compI with those provisions.
X Date �0-} ��
S' nature of -Applicant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee 7777
Energy Inspectiop ee $
occ
o TTOTAL FEE $
17
HA2. D. IM FLOOD CO PARCEL PD HD SU
; V
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date Z ) 4P
PERMIT EXPIRES ON
pale
Receipt No. 250812 ZI 2
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR/ GOLDENROD -APPLICANT
X
� Nr �����•"�,�y�r'.t`Y""t�-~+'�.-�ti-e„yay.�.,y-�i�un-.i'+"ri�'�^r �i�i'f�N'_,��..rv-.~���r.:.%�`+Ir�+/�i'Jnr--ls"t,%`f1s.%?y^:"n"'�rt'sj7'l.. rri1"��...•....�'�r�. .� +•7
,
COUNTY OF BUTTE DEPARTMENT OF DEVELOP ENT SERVICES — BUILDINGDIVISION
7 COUNTY CENTER D,j2,ROVILLE, CAL 9 .95965 - TELEPHONE (916 538-7 1
,,.r EMIT APPLICATIO DATA SHEET
OWNER: I T- L 4 LA—) ASSESSOR PARCEL ER:
Proposed Building Use: �p Building Inspector: Date: 40 5.,..`
At time of permit application, I was advised the following data must be submitted priorto pernift proceDaissuance:
e Received
111, All items have been submittecL ------------------------
0.2. Plot plans, 3/4 sets, signed by the preparer of plans.
W❑3 Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
ginee!red plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
❑6. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------
ctured Home data and installation instructions including Tie Down Specifications .------------------
f$ K 7------------------------------------------------------------------------------------
t fees as shown on the attached schedule. -----------------------------------------------------------------
J.Fees
rnia Department of Forestry plan approval/fees. ---------------------------------------------------------
elevation certificate. ----------------------------------------------------------------------------------------
tion and plot plan approvalg=D Health Department. -------------------------------------------
❑ 15. City of Chico plumbing permit. -----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------
❑ 17. Planning approval for (A) Use: (B) Parking: --------------- ----------
e
----------------------
C1 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------------
❑1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
111. 9.
020. Pre -inspection for required. Request to Building Inspector on -
(Date)
112 1. Contractor's license information. (Number, Name Style, Classification). ---------------------- =-------------
❑22. Workers' Compensation carrier and policy number. -----------------------------------------------------------
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------
024. Letter of signature authorization. --------------------------------------------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
❑26. Letter of intent on building use. -----------------------------------------------------------------------------------
❑ 27. Manufactured Home utility clearance. ----------------------------------------- ---------------------------------
❑28. Existing violations and/or expired permits. ----------------------------------------------------------------------
--------------
❑29. 11433 A, OGrant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .---------------
❑30. Other:-------
030.
tractor.
Whp you issuee t-proceasfo�lows 11 Mail to owner, ❑�gr
/Telephone
and hold for pickup ffi ❑ Deliwith inspector.
Date:
Applicant:
Copy of Haz-Mat form sent ❑ Health Department; ❑ Fire Department, ❑ ArryPoU tioW-1 ate:
By:Copy
of plans sent ❑ Health Department, ❑ Fue Departmerkt,• ❑ Other: ate:
By:
1. Index permit application for the above item numbered: '� / % ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner was advised of the above required data b ❑ phone, ❑ mail, ❑ Buildingi • sion counter, by Date:
Plans reviewed by: Date: — Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:g y
Yellow Copy - Department of Development Sq ices,,Building Division. Au ^ �'�
E.H. USE ONLY
Plot Ran Attached
Floor Ran Attached
Sant to B.O. /
TO: Building Department
FROM: .Environmental Health
SUBJECT: Sanitation Clearance
Lb 5 ;� 1-- Zb o
Owner Location AP#
Plan Approved for: Sewage Disposal—,,,t Water Supply: Public Private Well
Clearance for dwelling. Other C► A,f P,G.P�
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist Date
8/96
C/_ {` r
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive t, Oroville, California 95965 • Telephone (530) 538-754ggr �NO.
(Rev. 12/96) APPLICATION AND PERMIT "I
ASSESSORPA({CELNUy�,ER
50—
ZONING
BUILDING PERMIT
OWNER 4
TELEPHONE
EQ.OCC. BUILDING VALUATION
OWNERSMMU ADORES ` ^ /�
!
CONTRACTOR NAME �--
VI./ �(/,/`ITELFPMONE
CONTRACTOR'S MAILING ADDRESS J Co N S-3.3 76 -75 -
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee b
20.00
Permit Fee b
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee b
yo
BUILDING ADDRESS
Energy Plan Checking Fee b
S
PERMIT FEE _ZTV
LOT NO.
SUBDIVEJON'SNALIE
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SFI ❑/Duplex ❑ Mobilehome ❑ Other
sPECFV
Each Tr
00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heate vent
15.00
TYPE OF WORK
N �Od Rem at ❑ Miss ❑ Installation ❑ Other ❑
Describe Work: (/�
Gas piping- 5 outlets
15.00
Building se r
15.00
Mobil. oma I S I G IW
(q?20.00
PERMIT FEE _
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 200A pp egg
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license Is in full force and effect
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit Is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed If the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is Issued, I shall
not employ any person In any manner so as to become subject to workers'
compensation laws of California, and agree that If I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height
Main Service 200A TO IOWA 46.00
NEW CONST. OWELLMO OCCUP. 3.5QF°:
OR ADS- a ACC. BIDS.
NEW V
NON-REOMULTF
SID. °UTCIRCUITS T 97.50
POWER APPARATUS
a SINGLE ounET a
Ex. Occup. OLITORFIXTURES 200 1.00
�aAL. .so
Ex. Occup. °� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE _
MECHANICAL PERMIT Fiji ee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee b
Energy Inspection Fee b
occ
CONST. TYPE p� �r
TOTAL FEE $ QC QJ
D FEES IMP
I FLOOD
I COF
PARCEL
HO6SUE
This permit is hereby Issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
provisions
to do work
paid.
to
Receipt No
WHITE-D.D.S.-B.D. CA Y -AS SOR PINK -INSPECTOR GOLDENROD -APPLICANT
'N:
Ow
MAI MAI
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
OWNER'S STATEMENT OF USE, DETACHED ACCESSORY BUILDING
E:
PMT. #
SITE ADDRESS: '�;222Q
PROPOSED USE:
PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE
PRECEDE EACH COMMENT WITH RELATED QUESTION #)
GENERAL INFORMATION:
Is the structure foundation within 5' of septic tank or 10' of leach lines?
Yes:
No:
1. Is there a primary dwelling on the property?
Yes: No:
Is any portion of the proposed structure located closer than 20' to your front property line?
2. Is the structure already built, under construction, or under notice of code violation?
Yes:
No:
12.
3. Will items produced in this building be offered for sale?
Yes:
No:
V
4. Will the public have access to this building?
Yes:
No:
_I
5. Will any advertising, on or off site, be associated with the use of this building?
Yes:
No:
6. Will this building be occupied at any time as a sleeping quarters?
Yes:
No:
Yes:
7. Will this building be occupied at any time as an eating area?
Yes:
No:
Will this building be heated or cooled?
8. Will this building be occupied at any time as a cooking area?
Yes:
No:
16.
9. Will this building be occupied at any time as a living area?
Yes:
No:
SITE CONDITIONS:
10.
Is the structure foundation within 5' of septic tank or 10' of leach lines?
Yes:
No:
/
y
11.
Is any portion of the proposed structure located closer than 20' to your front property line?
Yes:
No:
J�
12.
Do you plan to add a driveway or modify existing access to a county maintained road?
Yes: No:
13.
Will the proposed structure encroach within any recorded easement?
Yes:
No:
_I
CONSTRUCTION FEATURES:
14.
Will this building have insulated floor, walls, or ceiling?
Yes:
No:
✓
15.
Will this building be heated or cooled?
Yes:
No:
16.
Will this building have a water closetttoilet?
Yes:
No:
17.
Will this building have a sink?
Yes:
No:
18.
Will this building have a water heater?
Yes:
No:
19.
What type of floor covering will the building have?
20.
What type of wall covering will the building have? (10L(C.
ADDITIONAL INFORMATION:
I hearty affirm under penalty of perjury the above infromation is true and correct. I understand that any changes to the use, or character of use, of this building will
require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when offered for sale.
/v
,aW
ER'S SIGNAfWqf DATE
FOR DEPARTMENTAL USE
i►, TAT AT1T1: 11: 1 Ykq
COMMENTS:
OWNER'S SIGNATURE DATE
107-11% 114
GDA
JEERING, SURVEYING;.PLANNING
220 GRAND AVENUE '
OROVILLE, CA 95965
(530)533-2068
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ENGINEERING, SURVEYING, PLANNING
220 GRAND AVENUE
OROVILLE, CA 95965
(530) 533-2068 -
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220 GRAND AVENUE
OROVILL.E, CA 95965 '
(530) 533-2068
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ENGINEERING, SURVEYING, PLANNING
220 GRAND AVENUE
OROVILLE, CA 95965
(530) 533-2068
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�=PERMIT•NO. 491-76B,P,E,M
PERMITEXPIRES
OWNER Dennis Earl
°< CONTR. Burl Woodward, Gridley
LOCATION (A.P. 21-26-5 )
W/S Losser Ave., app a mi. S. of Little
Ave., Gridley_
4`
�
1
l�
G
j
7�
�l
L
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
Called,PG&E
Temp. was Serv.
I
ailed PG&E
•. t�
JOB
FINALED
(Date)
(Signature)
COUNTY OF BUTTE - DEPARTMENT OV�, PUBLIC WORKS
BUILDING INSPECTION'RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
list Floor
Main Bldg.
Restroom finish
2nd Floor
Footings _ 9
Windows -5:7 —Z
3rd Floor
Stemwall
Sidin J
To out — 6
SlabAl
Roof Sheathing
Water Piping�i
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr. `
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
tooting
ELECTRICAL
Masonry Walls
ThroatRou
h
Reinf. Steel
Final
Fixtures 2
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Sub aneIs e
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
go
Final
• OR CORRECTIONS
CIA,
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — jPEPA TMENT OF PUBLIC WORKS
7 County Center Drive.— Oroville, California 95965
Telephone: 534-4541 g/—�7
APPLICATION AND PERMIT /24
- -wu,, y v. uu..� LV -11- uVVII uIC
above-mentioned property for inspection purposes.
X �C /,� ),"J"),A Datyfy —
Signature of Permitee or Agent 'V
Receipt No
White-D.P.W. — Yellow -Asses or — Pink -Inspector — Goldenrod -Applicant
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.
DIRECTOR OF UBLIC WORKS
By Date -12' ) 7(0
Btrilding permit expires Date 7--�-- 7
BUILDING
Owner
Q. FT. OCC. BUILDING VALUATION
Mailing Address
®a
Telephone No.
7j 17
F i rep l ace erdad A.,
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
rive
l�0
Permit Fee $
^�
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 3,0C_)
Each Trap 1.50
V
Repair drainage or vent piping 1.50
Water piping 1.50 Z,
Each gas water heater or vent 1.50 Q
A. P. No. r a --� `-_.
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe
FirJeDept.Use
Fire Zone
Permit
Building sewer 5.00
EQA
Parkin
PlansBldg.
Declaration
Parcel Map
60' R/W
Improv ments
Lawn sprinkler system 2.00
Pla ec'd
Parce proval
Plans Approval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00 3=00
Main service e00v OR LESS
100 AMP OR LESS 5.00
V
Main service EA. ADD•L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service R 600V
1100EAMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.CCUP. &� 2tsgft
NEW CONSTR. / MULTI -OUTLET
NON-RESID, ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR.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 alifornia Business & Professions Code under the name
style Of F
Y Q
Ex. Occup(OUTLETS OR FIXTURES)// BAL@1
IED APP LN S, OR
Ex. Occup.(OUXTLETS (RESID,) EA) 2•00
Temporary service 10.00
Mobile Home Facilities 15.00
License No:� ,, J� ` ¢
9 Classification
Misc. Wiring 6.25 ,
a
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ —�
WORKMEN'S COMPENSATION INSURANCE
1 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.del
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. @ FEE
PERMIT FILING FEE $3.00 8,001
Heating
Coolin
VlAd BOO
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
TOTAL PERMIT FEE
- -wu,, y v. uu..� LV -11- uVVII uIC
above-mentioned property for inspection purposes.
X �C /,� ),"J"),A Datyfy —
Signature of Permitee or Agent 'V
Receipt No
White-D.P.W. — Yellow -Asses or — Pink -Inspector — Goldenrod -Applicant
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.
DIRECTOR OF UBLIC WORKS
By Date -12' ) 7(0
Btrilding permit expires Date 7--�-- 7
RESIDENTIAL
21-26-05
J196-91B,P,E
TAMAGNI, Thomas
1287 Losser Ave, Gridley
Cont: Bud Hyde
(swimming pool/sf)
JOB FINALE
Signature
J=OK
O ; Not OKNot
-
NotReadyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2 Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete _
6. Gas; Location -Test -Wrap: / P'L"ft.
/ /"Nat. or/ /"L"ft./ P'LPG
7. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test-Demand-Valve—Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
S. Drain; MH Test -Fall -Flex Connector -
6. Water; MH Test -Regulator -Connector -
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged `
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
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 -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails'
4. Wood Awn.; Posts-Beams-Rftrs: Coonectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PO S Plans OK except #'s
( Setbacks -Easements
of • Compaction -Structure Stability
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining - —'
ec.; Receptacles and Lighting, Distances-GFI
1 5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosure nduit Entries -Terminals -Listed
Elec.; Bo ,g; Metal w/5' -Circulating Equip. -Heater
'8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
} Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9._Health Department Approval
1� Plumb.; Cir. Test -Water Supply Test
Date l �j I Card B-1 Date Card B-1
Date1� Card B-1 Date Card B-1
v
V OK
O=Not OK
- = Not Applicable
= Not Ready RESIDENTIAL (Single
alt Duplex) `
Date
UNDERFLOOR (Plans) OK except q's
Date
FRAMING (Continued)
1. Zoning -Setbacks -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
4. Ftg., Porches & Decks: Soils -Steel-/ /Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
6a. Hold Downs and Special Anchors
51. Property Line Firewall & Openings
7. Slab; Steel -Wrapped
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
8. Piers -Fireplace Ftg.-Steel
53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection
9. O.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10. Gas Pipe; Size -Anchors
55. Siding -Nailing Veneer
11. Water Pipe; Test -Anchor -Regulator -Service Test
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
12. Electric; Underground
57. Glazing Area -Glass Protection -Skylights -Plastic.
13. Pienums & Ducts: Clearance -Material -Support -Ins.
58. Shear Walls; Nailing -Bolts
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
59. Insulation -Walls -Ceilings
15. Insulation
60. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #t's
Date
Card B-1 Date Card B-1
16. Water Htr.; Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #Ys
17. Water Pipe; Test & Anchor -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access _
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
Date
Card B-1 Date Card B-1
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
Date
Card B-1 Date Card B-1
67. Stairs & Rails
Date
ELECTRICAL (Permit) OK except 1#'s
68. Fireplace or Stove; Clearances -Hearth
22. Fixture & Transformer Clearance -Ins. Protection
69. Elec. Outlets at Wood Panel; Int. & Ext.
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
24. Size Boxes & No. of Conductors -Stapled
71. Elec. Outlets & Receptacles at Kit. Counter
25. Romex Installed Close to Edge of Studs & C.J.
72. Garage Fire Door; Swing -Landing -Closer
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
73. A.C. Duct in Garage -Damper
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
75. Pib., Elec. & Mech. Equip. Listed for Location
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
30. Service -Riser Conductors & Ground -Main Disconnect
78. Guard Rails & Deck Construction -Post Caps
31. Equip. Clearances Panels-Motors-Mech. Equip. _
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
Date
Card B-1 Date Card B-1
81. Stucco; Brown -Finish
Date
Card B-1 Date Card B-1
82. A.C. Unit; Disconnect, Electrical, Plumbing
Date
MECHANICAL (Permit) OK except s's
83. Vents Above Roof; Plbg.-Appliance-Fireplace: Clearance to
Openings
34. A.C. Ducts Insulation & Support
84. Water Well; Disconnect, Electrical, Plumbing
35. Vent Fan; Exhaust above insulation
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
36. Condensate Drain & Overflow; Size & Grade
86. Ventilation Throughout House
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Glass Protection
38. Attic Access & Platform if Furnance in Attic
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
Date
Card B-1 Date Card 8-1
91. Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except a's
Date
Card B-1 Date Card 8-1
39. Sils. Proper Material & Anchors
Date
Card B-1 Date Card B-1
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Date
Card 8-1 Date Card 8-1
41. Bearing Walls over Girders & Floor Nailing
Comments at Final:
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
each time you visit job site)
(NOTE: An entry must be made
� COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538.7541
T APPLICATION AND PERMITvt
PERMIT NO.
A A
A1111111KOSOM PARCKL NUM111110L Pt
021-260-005 r
ZONING
A-5
BUILDING PERMIT
Thomas Tamagni
846-6150
S0. FT, OCC. BUILDING VALUATION
Conti. ice 7,000.00
OWN 'S MAI=N a ADDRSDS
1287 Losser Ave. Gridley 95948
CONTRAC OR'S NAME
Bud Hyde
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
N/A
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation $
nn nnn
-41
FilingFee
$ - 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 110 50 -
ARCHITECT OR ENGINEER
Bud H de
LICENSE NO.
Plan Checking Fee
$
55 95
Energy Plan Checking Fee
$
ARCHITEC OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
1287 Losser Avenue Gridley
Permit fee
$ 175.7
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME __[PARCEL
MAP
Water piping ,
5.00 5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF 9Nuplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New [X Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: near pool
Permit Fee
$ 15.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penaltyof perjury (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER
and Professions Code and my license is in full force and effect.
License NO. Classification.
❑ 1, as the owner, or my employees with wages as their Sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
�® 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.S
OR ADONS. ACG. BLDGS.
, h¢sgft
NEW CONSTR. ULTI.OUT LET
NON .R ESID BRANCH CIRC', TS
2.50 ea
APPARATUS 6
(SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES
o®yoe
S
zAL030
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.I EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ '
Contractor
00
'
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
�1 I shall not employ any person in any manner so as to become subject
7` to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed,revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
,
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the grpating of this permit.
X—Zx—�/ `'
ecnadlt�� Date _ �L/ 3- Z1 t i I
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST TYPE
c9�NST
TOTAL F $
-
215 5
HAz. CUA- PARK
SCHL
F•D cDF
-._._.
PAR PD
1 H Is
This permit is hereby issued unaer the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PE T EXPIRES Date 4-t —7 /
Receipt No. 88826/215.75
WHITE-D.P.W., YELLOW-ASSC350R, PINK -INSPECTOR. GOLDENROD -APPLICANT
.*x
rX' COUNTY OF BUTTE - DEPARTMENT OF, PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - ORGilUVILL'E, TCALIFO NIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION ADATA SHEET
r� Permit No.
OWNER. jh05AAS �/t�Ql A. P. No. ` Z 6 o —co
Proposed Build ing Use Pl�� Building Inspectory Date �� " Z.7- 9l
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted..
2. Plot plans in duplicate/triplicate, signed by preparer of la s........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on .plans . .
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation _ .
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation +
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban"Area fees paid .......................................
12. Park fees paid ....................................................
3. ScQ�ol District fees paid ..............
Alo hf-
4. Sanitation approval from OA(o Health Department a %
15. City of Chico plumbing permit ......................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required ... Pre-Inspec. request toBuilding Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature. authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant k", Date /� 2 - If /
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By S__
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.,
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_maiI—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date
Plans checked by
Copy—DPW
Date Plans
Sets of plans on hold in File cabinet AP folder
by
Date
. f
TO
FROM:
SUBJECT:
Buildinv Department
Environmental Health
Sanitation Clearance
-• .rte _... w:i�i{~�..... .-.7� s.. � _-
i
z,) -7 Lv>,a� a� —A -
-"er Location AP#
Pian Approved for: Sewage Disposal Water Supply
Bold final for: Water Supply
Final clearance O.R. for: j Water Supply
O
Clearance for bedroom mobile home. Other G
NOTE * * *
Sanitaria Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
f 7 County Center Drive - Orovll le, California 95965 - Telephone: 916/538-7541
APPLIGATIOR AND PERMIT
ASSESSOR PARCEL NUMBER
6_2 (-a% CI -00 s;-
ZONING -
ONING6.21-
1A - S
BUILDING PERMIT
OWNERh`
/�
SO. FT. OCC. BUILDING VALUATION
OWNER'3 MAI2Q 3
r 7 �5� ,e V- Ir,-, A&
O� f 1(4,e)00`000
CONTRACTOR'S p
ru`
TELEPHONE
CONTRACTOR'S MAILING ADORES
Fireplace
CONSTRUCTION LE ER e
UNKNOWN
Total Valuation $ 001 OO
LENDER'S MAILING ADDRESS
^
ARCHITECT OR ENGINEER ,e LICENSE NO.
Filing Fee 1
$ 10.00
Permit Fee
Plan Checking Fee
$11050
$ !
ARCHITECT OR ENGINEER'S MA
MAILING AOORESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
;W/os5e t �Lp
c'
Permit tee
$
C, ,V
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
P4RC EL MAP
Water piping
5.00 O
Each pas water heater or vent
5,00
USE OF STRUCTURE
SF.e Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
New Addition ❑ tRemmooddeDl ❑ Utilities ❑ Installation[] Other ❑
Describe work: �tVy 00 k
Permit Fee
S 15, Oo
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service°00 AMP OR01 LESS10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
P Y P 1 y (check One):
El am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$
and Professions Code and my license is in full force and effect.
License No. Classification.
❑ I. as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L too AMP
2.50
NEW CONST. DWELLING OCCUP.eI`
OR ADONS.' ACC. BLOGS. I
i h¢sgft
NEW CONSTR U TI -OUTLET
NON-RESID BRANCH CIRCUITS)
2.50 ea
POWER APPARATUS e
(SNGLE OUTLET CIR.
EX. OCCU OUTLETS OR FIXTURES
P�
200304SAL030t
EX. OCCUp. OUTLETS PIRESIO .)R EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
151, 00
Permit Fee
$ . D�
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ 1 shall not employ any person in any manner so as 'to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3,00
Ventilation
Penult Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
ion of structures over 3 stories in ' heht.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 5 2
HAz
CUA -1
PARK
SCHL FLU
coF
PAR
Po
l Ho.
Issue
This permit is hereby issued unser the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
��—
Receipt No. Vso&�� 5, _?-5
WHITZ-D.P.W.. TELLOW-A3eC3304 PINK-IN3PCCTOK. COLOCNIIOD-APPLICANT
1.
LI)
TZ
No CONSTRUCTION IN
EASEMENTS
ALL PORTIONS OF STRUCTURE TO
BE OUT OF EASEMENT -INCLUDING,
FOOTINGS, FOUNDATIONS, WALLS,
EAVES-ANDROIDE
, r�p'I, %lo A
7;Z C4
vs
NFPA 56
LPG TANK LOCATION MINIMUM
DISTANCE FROM PROPERTY LINES OR
STRUCTURES FOR 00 GALLONS OR
LESS, LPG TANK SHALL BE 'le:7FEET
Lq IPROVIDEMINIMUM, DISTANCE
FROM
_FOOTING ' OF STRUCTURE
OF 5 FT FROM ALL PORTIONS
OF PRIVATE SEWAGE DEPOSAL
SYSTEM INCUDING SEPTIC
TANK, LEACH AREA AND PITS
......... ..
m
Nay
LL LL
APPROVED. -PLANS -AN
D-
PERMIT'SHALL SE ON E ONSITE
NOTE if
FOR ALL INSPECTIONS
SITE CONDITIONS
ENGINEERING MAY BE REQUIRED IF ANY OFTHE FOLLOWING
;SITE CONDITIONS ARE OBSERVED - A , NO NOT.SHOWN ON THE'
APPROVED PLANS:
• EXCESSIVE SLOPES
N OTE.
EXPANSIVE SOILS
• -PROF�ERTli.OWNER 18'RESPONSIBL
EXCESSIVE CUTS OR FILLS E FOR
ALTERATIONS TO NATURAL DRAINAGE -DETERMINING LOCATIONS bF PROPERTY LINES/ .•
• -OTHER UNUSUAL SOIL OR GEOGRAPHICAL
AND"EASEMENT8 AND
CONDITIONS MAI.NTAlNlI`4G:, REQUIRED
SETBACKS, FROM PROPERTY LINES AND
'EASEMENTS.- A SURVEY MAY BE REQUIRED)F-,
DETERMINED NECESSARY - BY THE H BUILDING.`, -',6
t
�-OFFICIAL.
OG/
-BUILDING-;- -
- k -
PERMIT#
ASSESSOR'S '
,�
�PARCEL#l
I BU -1-11-E COUNTY
BUILDING - DIVIS I Oil\,,
APPROWE:D
r �/� Leo 9 �.
L 7-a
59.
THE 2007 OBC, CIVIC, CPO,
--CEO, AND.2005.CALIFORNIA
ENERGY STANDARDS AS
AMENDED. BY,THE JURISDICTION
APPLY TO. THIS PROJECT.
IFILE COPY
);z
0
zz
--7qoa
IS�/V/
APPROVED. -PLANS -AN
D-
PERMIT'SHALL SE ON E ONSITE
NOTE if
FOR ALL INSPECTIONS
SITE CONDITIONS
ENGINEERING MAY BE REQUIRED IF ANY OFTHE FOLLOWING
;SITE CONDITIONS ARE OBSERVED - A , NO NOT.SHOWN ON THE'
APPROVED PLANS:
• EXCESSIVE SLOPES
N OTE.
EXPANSIVE SOILS
• -PROF�ERTli.OWNER 18'RESPONSIBL
EXCESSIVE CUTS OR FILLS E FOR
ALTERATIONS TO NATURAL DRAINAGE -DETERMINING LOCATIONS bF PROPERTY LINES/ .•
• -OTHER UNUSUAL SOIL OR GEOGRAPHICAL
AND"EASEMENT8 AND
CONDITIONS MAI.NTAlNlI`4G:, REQUIRED
SETBACKS, FROM PROPERTY LINES AND
'EASEMENTS.- A SURVEY MAY BE REQUIRED)F-,
DETERMINED NECESSARY - BY THE H BUILDING.`, -',6
t
�-OFFICIAL.
OG/
-BUILDING-;- -
- k -
PERMIT#
ASSESSOR'S '
,�
�PARCEL#l
I BU -1-11-E COUNTY
BUILDING - DIVIS I Oil\,,
APPROWE:D
r �/� Leo 9 �.
L 7-a
59.
THE 2007 OBC, CIVIC, CPO,
--CEO, AND.2005.CALIFORNIA
ENERGY STANDARDS AS
AMENDED. BY,THE JURISDICTION
APPLY TO. THIS PROJECT.
IFILE COPY
25'-1 1/4"
25--1 1/4"
6 - ;- s
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BOLT A�12 GA PUNCHED'
METAL ANCHOR
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ARC„ AN(SfOR BRAOQT
r e.s•• ..s•
vz• MLE ..¢r Twcx o z4-a.c.
r
HEADED ANCHOR BOLT A307 OR A36 EMBEDDED MINIMUM 6"
W T
wio•MW.Eeao.oz. o.c.
SPACED 24" OC, SET 3" FROM FACE OF FOOTING
k ftc„eA„RL IAF •a•.,ono
i
5/8” DIA. HEADED BOLT REQUIRED UP TO 25'-0" WIDE
5/8" DIA. HEADED BOLT REOUIRED 30'-0" WIDE AND GREATER
b ay"
/S s10tRURs O,..vc
s meTR
MAY USE DRILLED WEDGE TYPE ANCHOR
)O _ 99
oco„c.
L BRACKETS AND ANCHOR BOLTS NOT SUPPLIED WITH BUILDING
L BRACKETS MAY BE PURCHASED FROM YOUR
SEC B-B
US BUILDINGS SALES REPRESENTATIVE OR LOCAL HARDWARE STORE
GENERAL NOTES
FOUNDATION NOTES
DESIGN DATA IN ACCORDANCE WITH CBC 2007 BUILDING CODE
ARCH PANEL IATA
ENDWALL PANEL DATA
LEGAL NOTE ..
■ ■ '
1. ALL MATERIAL AND WORKMANSHIP SHALL CONFORM WITH
NOTE THE FOUNDATION ON THE DRAWING 15 A SUGGESiW
MAXIMUM ROOF LIVE LOAD (PSF) = 20
(6 EOVPPED )
My DuDficotion of this Drawing in whole or in pan is MIT, try
U.S. Building s
THE REQUIREMENTS OF THE LATEST REVISION OF THE
SOLUTION ONLY. CHANGES MAY BE NECESSARY DUE
PST: GROUND SNOW LOAD (PSF) = 0
'
IoM c1den. Anyone Doing so will be prosemea under Ne lull
CBC 2001 BUILDING CODE
TO LOCAL BUILDING REGULATIONS AND SITE CONDITIONS.
1. THE FOUNDATION SHALL BE FOUNDED ON NATURAL .
UNDISTURBED SOIL CAPABLE OF SAFELY SVSTNNING
V : WIND VELOCITY(MPH)
( ) = 70 EXPOSURE C
SEISMIC ZONE = 4
T
T,,rr 2
T.
extent of the low.
1182 EAST NEWPORT CENTER DR DEERFIELD BEACH, FL 33442
ENGIN S`S�
DRAWN BY
APPROVED BY: CHRIS LEE
REVISIONS:
2. NO LOADS OTHER THAN THOSE GWEN UNDER "DESIGN
DATA" BELOW SHALL BE IMPOSED ON THE 'STRUCTURE"
1000 PSF. THIS SHALL BE DESIGNED TO FULLY RESIST
ALL ROTATION AT THE BASE OF THE ARCH.
2, SLAB ON GRADE SHALL BE PLACED ON WELL COMPACTED
BOLTS: 5/16” x 18 x 3/4" GRADE 2 SAE OR ASTM A307
STEEL ROOF PANEL GAUGE = 22 GA
^ _G
24 do
y.. I
m
A'
OQ .. O'YA
P(` 'u'A '7��
:
SSE: N.T.S.
CHECKED BY: CHRIS LEE
3. THE STRUCTURAL DESIGN OF THIS BUILDING IS BASED ON
ASSEMBLY IN EXACT ACCORDANCE WITH ERECTION PLANS
sod CAPABLE of stmaNlNc l000 PSF wrtlRDul
APPRECIABLE SETTLEMENT. EMENT.
STEEL EAVE PANEL GAUGE = 22 GA
V
���
DATE:
ORDER N0-20-14952
PROFESSIONAL
STEEL SIDEWALL PANEL GAUGE = 20 GA
��/
5/1/2007 10:47:19 AM
8 INSTRUCTIONS. FAILURE TO FOLLOW THESE PLANS
3. A ENGINEER SHOULD BE RETAINED
STEEL ENDWALL PANEL GAUGE = 22 CA
SHALL BE THE SOLE RESPONSIBILITY OF THE ERECTOR.
WHERE SITE CONDITIONS WARRANT.
GALVALUME SHEET STEEL
�-�
140.1061054 _ Al
CUSTOMER LARRY WHITLOW
4. BUILDING MUST BE GROUTED IN PUCE ONCE THE ARCHES
ARE ERECTED AND PGMIORDER TO REACH FULL
DESIGN DATA (MATERIALS)
STRUCTURAL QUALITY ASTM SPECIFICATION A792-94
55% ALUMINUM-ZINC
A-1/2^ -
'
11J 1T1
Ex
Property
12 87 0 LO S S E R AVE
LOADING CAPACITY. BUILDINGDING IS SUBJECT TO COLLAPSE
1. CONCRETE F'o = 2500 P51 O 28 DAYS. ACI
ALLOT' (HOT DIP COATING)
AZ55
_
-
.12-31-08
Address :
_
Clty, State Zip
�GRIDLEY,CA : 95947
IF NOT FULLY GROUTED ACCORDING TO INSTRUCTIONS. 2. REINFORCING STEEL GRADE 40. Fy = 40 KSI, ASTM A615 ASTM A792 GRADE 50 �_
5. GROUTING NOT NECESSARY IF USING INDUSTRIAL ARCH
3. W.W.F. Fy = 65 KSI. ASTM A185.
4. CONCRETE MIX SHALL CONTAIN II/Sy FIBER RONFORCING
50 KSI MINIMUM YIELD
)
1B
.�Q A
•�LA
MODEL:
Dye
CONNECTOR.
—
65 KSI MINIMUM TENSILE
O `�O`�
C
A_2 J N W X 1 2 . 88 J 4' LI
! '
e n e ra I A rra n g e m e n t
COMPLY WITH CAL/FORN/.-
ELECTRICAL CODE- ART/ LE
220.1 REQUIREMENTS
.PARTS 1,11, 111, IV, &V
COMRLY:WITH 'CALIFORNIA
ELECTRICAL _CODE ARTICLE
1220-100,REQUIREMENTS
JFARM LOADS- BUILDINGS AND'
OTHER -LOADS
'
a
nR su nAR[E 'C
wwRn � o
1gwAM CONUEmOR a0
Y.Yavlo
a•' (min) _ L_j m
p mwlws oleroc
A„ SEC A -A
AACH mnrtaoa
=
3.75" -
ve•P HEAsm ANrroW aa,s
n
ARCH PAua
WWF fi•.6•.t0/10
Wi s-lal. name u•O.c srAGcaro
US BUILDINGS
" Q
NOTE: THE FOUNDATION ON THE DRAWING IS A SUGGESTED
•I
• (min)
O
-m
d A307 '
THE REQUIREMENTS OF THE LATEST REVISION OF THE
CBC 2001 BUILDING CODE -
SOLUTION ONLY. CHANCES MAY BE NECESSARY DUE
TO LOCAL BUILDING REGULATIONS AND SITE CONDITIONS.
P9: GROUND SNOW LOAD (PSF) O
b__�
HEADED ANCHOR BOLT
foreidden. Anyone aed ender the fell
« � �
( 78 ) ANCHOR BOLTS REO'D
) aIiRINP3 019.00
1-5
){
J• mIRC. CO'.'ER
a e 5.,
3.75"
B
3; ) Bolts of 12" stoggered spacing 2.5"j]
ENG A6-'11 A A' ��
REVISIONS:
DRAWN 8Y APPROVED BY: CF1R15 LEE
2. NO LOADS OTHER THAN THOSE GIVEN UNDER "DESIGN
1°00 PSF. THIS SHALL BE DE51GNE0 TO FULLY RESIST
Y•
I
SEC B -B
COM PLY WITH CALIFORNIA
ELECTRICAL CODE- ART/CLE
250 REQUIREMENTS FOR
GROUNDING AND BONDING
30'-5" i
° If B
=
3.75" -
5'.
�
O
1.25;
US BUILDINGS
i
�2" THREAD '
NOTE: THE FOUNDATION ON THE DRAWING IS A SUGGESTED
•I
(MIN.)
O
-m
d A307 '
THE REQUIREMENTS OF THE LATEST REVISION OF THE
CBC 2001 BUILDING CODE -
SOLUTION ONLY. CHANCES MAY BE NECESSARY DUE
TO LOCAL BUILDING REGULATIONS AND SITE CONDITIONS.
P9: GROUND SNOW LOAD (PSF) O
0
o
HEADED ANCHOR BOLT
foreidden. Anyone aed ender the fell
P�
DEERFIELD BEACH, FL 33442
( 78 ) ANCHOR BOLTS REO'D
1. THE FOUNDATION SHALL BE FOUNDED ON NATURAL
UNDISTURBED SOIL CAPABLE OF SAFELY SUSTAINING
1-5
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3.75"
B
3; ) Bolts of 12" stoggered spacing 2.5"j]
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WILDING DIViSF� °N
, A PRo% lm
� 9'--2 1/2" � 1 PCS @ 12' � 9�
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SEC B -B SEC A -A ''—;•.�—s'a
CORNER DETAIL - CHANNEL CONNECTOR
LENGTH OF CONNECTORS
30'-5"
GENERAL NOTES
=
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ARCH PANEL DATA
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LEGAL NOTE
US BUILDINGS
1. ALL MATERIAL AND WORKMANSHIP SHALL CONFORM WITH
NOTE: THE FOUNDATION ON THE DRAWING IS A SUGGESTED
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( IT EOUIPPEO)
m .
1182 E NEWPORT CENTER D R
THE REQUIREMENTS OF THE LATEST REVISION OF THE
CBC 2001 BUILDING CODE -
SOLUTION ONLY. CHANCES MAY BE NECESSARY DUE
TO LOCAL BUILDING REGULATIONS AND SITE CONDITIONS.
P9: GROUND SNOW LOAD (PSF) O
0
o
foreidden. Anyone aed ender the fell
P�
DEERFIELD BEACH, FL 33442
1. THE FOUNDATION SHALL BE FOUNDED ON NATURAL
UNDISTURBED SOIL CAPABLE OF SAFELY SUSTAINING
C]
Lt"l/f4
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3
GENERAL NOTES
FOUNDATION NOTES
DESIGN DATA IN ACCORDANCE WITH CSC 2001 BUILDING CODE
ARCH PANEL DATA
ENDWALL PANEL DATA
LEGAL NOTE
US BUILDINGS
1. ALL MATERIAL AND WORKMANSHIP SHALL CONFORM WITH
NOTE: THE FOUNDATION ON THE DRAWING IS A SUGGESTED
MAXIMUM ROOF LIVE LOAD (PSF) = 20
( IT EOUIPPEO)
Any auacco6on a mia dre,tn in ,nae or in oe't is 't"cay
1182 E NEWPORT CENTER D R
THE REQUIREMENTS OF THE LATEST REVISION OF THE
CBC 2001 BUILDING CODE -
SOLUTION ONLY. CHANCES MAY BE NECESSARY DUE
TO LOCAL BUILDING REGULATIONS AND SITE CONDITIONS.
P9: GROUND SNOW LOAD (PSF) O
foreidden. Anyone aed ender the fell
P�
DEERFIELD BEACH, FL 33442
1. THE FOUNDATION SHALL BE FOUNDED ON NATURAL
UNDISTURBED SOIL CAPABLE OF SAFELY SUSTAINING
V : WIND VELOCITY (MPH) = 75 EXPOSURE 1.
SEISMIC ZONE = 3
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exle^7011he FESS/
ENG A6-'11 A A' ��
REVISIONS:
DRAWN 8Y APPROVED BY: CF1R15 LEE
2. NO LOADS OTHER THAN THOSE GIVEN UNDER "DESIGN
1°00 PSF. THIS SHALL BE DE51GNE0 TO FULLY RESIST
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"(/
DATA" BELOW SHALL BE IMPOSED ON THE "STRUCTURE"
ALL ROTATION AT THE BASE OF THE ARCH.
BOLTS: 5/16" x 18 x 3/4" GRADE 2 SAE OR ASTM A307n
24 c/c
(u� �`, (7i
SCALE: CHECKED BY: CHRIS LEE
2. SUB ON GRADE SHALL 8E PLACED ON WELL COMPACTED
STEEL ROOF PANEL GAUGE = 22 GA
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N . T. S .
3. THE STRUCTURAL DESIGN OF THIS BUILDING IS BASED ON
SOIL CAPABLE OF SUSTAINING 1000 PSF WITHOUT
STEEL EAVE PANEL GAUGE = 22 GA
C
y0-20-1
_
TTT
DATE: ORDER N
4952
ASSEMBLY IN EXACT ACCORDANCE WITH ERECTION PLANS
APPRECIABLE SETTLEMENT.
STEEL SIDEWALL PANEL GAUGE = 22GA
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No. 061054
fT'T I
7/13/2007 1 "e:39:4•l ?M
@ INSTRUCTIONS. FAILURE TO FOLLOW THESE PIANS
SHALL BE THE SOLE RESPONSIBILITY OF THE ERECTOR.
S. A PROFESSIONAL ENpNEER SHOULD BE RETAINED
WHERE SITE CONDITIONS WARRANT.
STEEL PANEL GAUGE = 22 GA
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CUSTOMER :LARRY WHITLOW
UMEENDSHL
GALVALUME SHEET STEEL
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.
4. BUILDING MUST BE GROUTED IN PUCE ONCE THE ARCHES
DESIGN DATA ' (MATERIALS)
STRUCTURAL DUALITY ASTM SPECIFICATION A792-94
7-1/2"*
Property
1287 LOSSER AVE
ARE ERECTED AND TIGHTENED IN ORDER TO REACH FULL
LOADING CAPACITY. BUILDING IS SUBJECT TO COLLAPSE
IF NOT FULLY GROUTED ACCORDING TO INSTRUCTIONS.
1. CONCRETE Cc = 2500 PSI 0 28 DAYS, ACI
2. REINFORCING STEEL GRADE 40, Fy - 40 KSI. ASTM A615
55% ALUMINUM -ZINC ALLOY (HOT DIP COATING)
AZ55
AA c
-7�C %
Address :
/'�
`'ty, State : G R I D LE Y C A Zlp : 95948
3. W.W.F. Fy - 65 KSI, ASTM A185.
ASTM A792 GRADE 50
'B' C/c
\C.O`
FC A�
t
5. GROUTING NOT NECESSARY IF USING INDUSTRIAL ARCH
50 KSI MINIMUM YIELD
MODEL:
DyIG:
CONNECTOR.
4. CONCRETE MIX SHALL CONTAIN 1'/SY FIBER REINFORCING
65 KSI MINIMUM TENSILE
A- 2 S' W x 1 2. 8 8 5 4' H
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