HomeMy WebLinkAbout024-010-056024-010-056 PERMIT#977-0706
LEE, June
278 Archer Ave., Gridley `�Y)
Cont: Daniel Heal Plbg
Relocate Gas Meter/SF `C
024-010-056 04-1954
LEE, CAMERON' ,..
78 ARCHER AVE, GRID A ED
Cont:DAN ELIAS CONST'
METAL STORAGE BUIL.
024-010-056 06-1633
LEE, CAMERON
278 ARCHER AVE, GRIDLEY
Cont: RICK HYSMITH
GARAGE & BREEZWAY
1306-2521 024-010-056
MISCELLANEOUS Re -Roof
RE -ROOF (21 SQ)
278 ARCHER AVE_
LEE, CAMERON M & JUNE D
024-010-056 04-1426
LEE, CAMERON
278 ARCHER AVE, GRIDLEY
Cont: OWNER
AG BUILDING
0
5c0
16
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP061633
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 08/14/2006 APN: 024-010-056-000
the Business and Professions Code, and my license is in full force and
effect. 11
License Class : License Number:117?///15;11Site
Address: 278 ARCHER AVE GRI
Date: Contractor. G
Map Index:
Description: ADD GAR(648)BREEZEWAY(264)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty' of perjury that I am exempt from the
Contractors' Stale License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: LEE CAMERON M & JUNE D
to its issuance, also requires the applicant for such permit to file a
278 ARCHER AVENUE
signed statement that he or she is licensed pursuant to the provisions of
GRIDLEY, CA
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
95948
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
O 1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: HYSMITH CONSTRUCTION
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
RICK HYSMITH
such work himself or herself or through his or her own employees,
195 WASHINGTON ST
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
GRIDLEY, CA 95948
year of completion, the owner -builder will have the burden of
530-846-4409
proving that he or she did not build or improve for the purpose of
sale.).
❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor:.HYSMITH CONSTRUCTION
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
RICK HYSMITH
pursuant to the Contractors' State License Law.),
5190 PENNI NGTON RD
❑ I am Exempt under Article 3 of the Business and Professions Code
LIVE OAK, CA 95953
530-695-8784 530-846-4409
Dale: Owner:
License #: 791117
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
Architect:
is issued.
Engineer:
I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 912 S. F.
Policy#: ��i��'—
Valuation: $19,776.00
❑
Census Code:
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
�Zi q�
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the
compensation provisions of Section 3700 of the Labor Codee,, I shall
forthwith comply with those pro vi ns.
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is�--
unlawful, and shall subject an employer -to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Codi: ?nrtfo: -
I hereby affirm that there is a construction lending agency for the
Resol io s to indicat d abjpv, for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)BY
dowork
Name:
Date: _ O
PERMIT EXPIRES
Address:
ON:
Date
O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
O Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that 1 am the own"goof the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to atter the substancnt of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purpo
Print Name: Signature:
Date:
❑ Owner ❑ Contractor Ager Owner �Agen for Contractor
;. BUTTE .COUN.TY...
` o DEPARTMENT OF DEVELOPM'EN;T.'SERVICES.
o BUILDING PERMIT APPLICATION
o,AN'D .SUBMITTAL:REQUIREMENT$'
24"HOUR INSPECTION#: OROVILGE: (530) 538=7636,- CHICO; (530) 891-2534:;.;
O OFFICE #-(530) 538-7541 ...,...... ...
A FEE .WILL BE'REO UIRED AT TIME:OF APPLICATION `
Website: www.btittecounty.net/dd's
**PLEASE PRINT. CLEARLY** ..
qq,q6.
i
OWNER-
WNERLast
LastName
Firs m
U
Address.
City
State
Zip
Phoneg �—
Fax
E-mail
CONTRACTOR .
Name
GZ�4
Address
City
St
Phone` Gg
Fax
E-mail ":
Lic. #Class
Type Con t.
F�
ARCHITECT/ENGINEER
Na
Address
City
Zip
Phone Fax
E-mail State License Number t
PERMIT
TT ..
LOCATION
AP#
Property Address CCity,
a
Flood Zone
Cross Street
SRA
WORKER'S geMPENSATION
Policy Number .
Carrier.. ••
�==s�
PERMIT
TT ..
LOCATION
AP#
Property Address CCity,
a
Flood Zone
Cross Street
SRA
WORKER'S geMPENSATION
Policy Number .
Carrier.. ••
If hiring anyone other than license. contractors; a,certificate of worker's
eompensation mustbe shown at the time of permit issuance.
Type Con t.
LENDING AGENCY.
Name .
Address
Description or Scope of Work: ,
Sq. Footage
❑ Structure uilt without Permits yZ /1�e
❑ • Proposed Change'&Occupancy/2�%
:(Note previous use):. , It
a EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
_year after the date of application. In order to renew action on an
application after expiration;. a.new application; plan§ and fee will be
S ate required.
REQUEST FOR REFUNDS
ax - Refunds can only be made upon written request by the person who
t paid the fee. The request must be made prior to the expiration of the
permit and no construction workhas been done: Filing fees, • plan
check fees fbt work plan checked -and other department costs are not
refundable..
x • r office use y:
Zoning
-
Flood Zone
SRA
Yes
Occ.
Type Con t.
Subdivisi n ame .'
Map Book Page
Lot #
Planner
Date Approved:
OVER FOR.5UBMl I I AL. Mt:WU1Mr_1V1r_N 10
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
L`
Page 1 of 2
REV 2-24-05
COUNTY1OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 16 ��
PERMIT APPLICATION DATA SHEET 6(0-
OWNER: ASSESSOR PARCEL NUMBER
Proposed Building Use: !U>�fi=q Permit Technician:YP Date:
Items required in order to apply kdr a Oermit AlWies MVSJ be checked OR marked NA in order to apply.
1. Site plans, 3 or 4 sets, signed by the preparer of N plans.
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations:
�'9 4. Engineered truss details and layouts in duplicate. No faxesl
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
Cl 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 11. Hazardous Material Form
& 12. Acknowledgement of building permit application without required clearances.
❑ 13. Other
ti
R intlams needed to issue the permit (May require additional plan review upon receipt of the following items.)
LZ Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ 15. Fire Sprinklers............................................................................................
❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by
❑ 17. Soils Report and/or Engineered Foundation required ...........................................
❑ 18. Erosion Control Plan Required........................................................................
19. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ . City of Chico Plumbing permit........................................................................
❑ 21. Site plan and business license approval from the City of Biggs ..............................
❑ 22. California Department of Forest Ian approval ❑ paid. Sent by:
23. Planning approval for (A) User (B) Parking:(C) Parcel Chedc:..'..... Q
❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................
❑ 25. Fire Marshall Review (commercial projects only). Sent by ......................
NPDESForm.............................................................................................
1V Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 29. Worker's Compensation Carrier and Policy Number ..........................................
❑ 0. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
Z 31. Letter of Signature authorization....................................................................
❑ . Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 33. Existing violations and/or expired permits.........................................................
❑ 34. Deed Restriction..........................................................................................
❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO .........................
❑ 36. Other.
❑ 37. Other.
When issued Telephone ' �1'� 'U`e(4and hold for pickup.
I have been informed o tf f)e above item and requirements for obtaining a building permit.
Applicant- ,
Date:
1. Index permit application for the ve' s mbered: Plan Check L ger
2. Additional itemsmquired 34R. AZ ZV W
ontr esig er, owner, w advised of he above d tab phone, mai , c3 counter by Date:
ontractor, deli wner, was advised of the above data by ❑phone ❑mail, ❑counter, by Date:
Contractor, designer, o,n,e wadvised of the a by ❑ phone, ❑ mail, 03c Date:
Plans reviewed by: t� Date: Plans approved by: Date: �
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
Plot Plan Attached J
Floor Plan Attached�—
''% Q 4 20� Sent to BD/D
/t,S /
TO: Building.Division = Development Servq'ess0PrM&rg-
��v>!av��
FROM: Environmental Health
S BJECT: Sanitation Clearance
MONO
Owner Location "MAP-# 1
Plan Approved for: Sewage Disposal: Water Supply: Public Private Well
Clearance for dwelling. Other x� `l1� PI AA, D -Ji NyA-\o
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
Building Clearance 9/2005
Date
BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
J
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965
www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140
RECEIPT OF FEES SCHEDULE - RESIDENTIAL
Owner LEE, CAMERON APN No: 024-010-056 Permit Type: Subtype:
App Date: 7/7/2006 Permit No: BP 06-1633 Permit Desc:
1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION
Plan Check portion of Permit Fee
2 FEMA RYes Flood Elevation Review $109.98
3 SRA* Yes Fire Plan Check - Non -Refundable $95.00
(State Responsibility Area) Building Inspection $109.98
NON-REFUNDABLE portion of fees due at application
$699.90
$279.96 $419.94 Balance of Building Permit Fee
0 _ $204.98
$279.96
FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $279.96
FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $421.92
$419.94 q C;O(Aq _ t �
$1.98
�tI
RECEIPT DATE Tech/Asst
456112 7/7/06 Tammie
4
5
6
7
7a
8
Balance of Building Permit Fees (from No. 1 above)
SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system)
Additional Plan Check Fees (NON-REFUNDABLE)
Other*:
Other*:
IMPACT FEES - RESIDENTIAL*
Applications After 04/15/06 #
Per Dwelling
SFD
I Per Dwelling
MFD
Per Dwelling
MH
County
4249.11
3183.54
3238.72
Chico Urban Area
6146.23
4538.82
5648.44
EI Medio Fire District
3249.97
2385.76
2422.68
North Chico Specific Plan
MASTER PLAN
771 Comanche Creek $8,341
Applicant:yco�e_c&5n"6�020,
71e
� Date:
Pursuant to Governmeyou ar a otified those Items owed by an "*" may have been imposed on your project. You have 90 days
from the date of approfrom the postI,of the above referenced items during which you may protest. The requirements for a protest are
specified in Govermen20(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506
SR -1, SR -3, SR-1/PD 8801.091 7395.041 8486.40
R-1 8897.09 7491.04 8582.40
do R-2 8390.09 6984.04 8075.40
R-3 7604.09 6198.04 7289.40
RECEIPT DATE Tech/Asst
Processing Fee is automatically added to impact fee total 0 $100.00
WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# $200,00
9
DRAINAGE FEES*
10
CHICO STORM DRAINAGE
770 Butte Creek $7,997
MASTER PLAN
771 Comanche Creek $8,341
772 Little Chico Creek $9,088
New Construction, vacant
land, on 1 acre or less -
Enter 1 or less acre value
RECEIPT DATE Tech/Asst
773 Big Chico Creek $6,776
774 Lindo Channel $8,267
775 SUDAD Ditch $7,211
776 Mud -Sycamore Creek $6,275
17- 777 PV Ditch $8,893
More than 1 acre, existing buildings - fees to be assessed by Public Works
10a
Fee Determination Sheet Needed - Enter amount determined by PW
THERMALITO DRAINAGE AREA 1 $684 Maximum
11
Per each new living unit on existing lots where full drainage fees have not been paid
Temporary Dwelling 1 $136 At time of building permit
11a
$136 annual renewal fee for first 4 renewals. Not to exceed $684.
PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check
is completed for applicant to take to respective district office.
12 SCHOOL DISTRICT FEES*
12a RECREATION DISTRICT FEES*
At the time of permit applicati I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan
checking process.
Applicant:yco�e_c&5n"6�020,
71e
� Date:
Pursuant to Governmeyou ar a otified those Items owed by an "*" may have been imposed on your project. You have 90 days
from the date of approfrom the postI,of the above referenced items during which you may protest. The requirements for a protest are
specified in Govermen20(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506
FpSTMENr
a�
�" 6V T TF
l
C
1 0
oo
o��, Department of Public Works
�} C o u n t y o f B u- t t e
o
' LAND DEVELOPMENT DIVISION
° J. Michael Crump,
o J� Storm Water Management Program
i Director 7 County Center Drive
Oroville, CA 95965
AvetfC WOP�9
(5 30) 538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase II
Construction Storm Water Permit and Storm Water Pollution Prevention
Plan (SWPPP) Acknowledgement. [LESS THAN 1 ACRE1
Project Description:
ProjectLocation and/or Parcel Number: aQ4— 616
By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB
1 acre or more of land and that I, therefore., do not need to apply for a Construction Storm Water
Permit from the State of California Regional Water Quality Control Board. Phased projects that
contain multiple site build -outs of less than one acre but when combined with subsequent phases total
more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of
California Regional Water Quality Control Board.
I am aware that submitting false.and/or inaccurate information or failure to apply for a Construction
Storm Water Permit from the State of California Regional Water Quality Control Board for a project
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by law.
Signed:
Title:
Date- .._.
Less than 1 Acre; NPDES & SWPPP Compliance Certification
r.
Butte County Deparanent of DevelopmentSeiTiceS 0$13 °
7 County Center Drive
Oroville, CA 95965 ate.
(530) 538-7601 Telephone ° °
(530) 538-7785 Facsimile DUNI
BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES
I request and authorize the Building Division to process this building permit application through the plans
examination process WITHOUT first obtaining all necessary, related permits and clearances from other
regulatory entities, including but not limited to, Planning, Environmental Health, Land Development,
County Fire, and Agriculture.
I hereby acknowledge:
I need to submit applications for septic and/or well to Butte County Environmental Health
immediately.
• I air required to bring the approved Environmental Health site plan and approved sanitation
clearance to the Building Division as soon as clearance is obtained
• I am responsible for notifying Development Services, in writing, to stop processing of the
application and to arrange for disposition of plans.
i.
The Building Division will process the application through the plans examination process, as submitted,
without input from other regulatory entities that could prohibit issuance of the building permit or require
submission of amended building plans to the Building Division. Once the plans examination process
begins, there will be no refund of plans examination fees. Any changes requiring submission of amended
plans to the Building Division will incur additional fees.
Within one year from the date of application for a building permit, all other required permits and clearances
from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances
will void the application.
Typically other required permits/clearances include, but are not limited to, verification the parcel was
legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well
as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture
buffer zones, and habitat/species).
Please print:
Applicant Name: C
Building site address:
APN: �i G W61 �So
Permit No.:�
I have read, understood and accept the terms and conditions as expressed herein as indicated by my
submission of the above -referenced building permit application and my signature below:
M`AMM' •
DAT
�0T7- Deartment ®f Pty.b1ic ®rks
o O
C o u n t. y o f B u t t- e
0
7 County Center Drive
o
' Oroville, CA 95965
y0 J. Michael Crump, Director (530)538-7681
CQ V N ( (FAX) 538-7171
pI-ic WOF�y Shawn H. O'Brien, Assistant Director
Assessors Parcel Number: AW -617,0 S h Building permit #-40 3.
Owners Name:
Owners Mailing Address:
Property Address:
ENCROACHMENT PERMIT ACCEPTED:
PERMIT NUMBER: D ea'
ENCROACHMENT PER HT EXEMPTION:
Reason for exemption: .
[] Not a County maintained road
Existing driveway conforms to County S-31 standard
[] Other
Approved by
Printed Name
Title
t
Date
CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT
1. An existing home with a driveway 10 years or older and doesn't cause any problems with
the county road or drainage.
2. An existing home with only minor remodeling or repairs.
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 278 ARCHER AVE
Owner:
'Permit No: B06-2521
APN: 024-010-056
LEE, CAMERON M & JUNE D
Issued Date: 10/25/2006 By KCG
Permit type: MISCELLANEOUS
278 ARCHER AVENUE
Subtype: Re -Roof
GRIDLEY, CA 95948
Expiration Date: 10/25/2007
Description: RE -ROOF (21 SQ)
(530) 846-4409
Occupancy: Zoning: A5
Contractor
Applicant:
Square Footage:
HYSMITH CONSTRUCTION
HYSMITH CONSTRUCTION
Building Garage Remdl/Addn
5190 PENNINGTON ROAD
5190 PENNINGTON ROAD
LIVE OAK, CA 95953
LIVE OAK, CA 95953
Other Porch/Patio Total
(530)695-8784
(530)695-8784
FEE INFORMATION
Re -Roofing $137.50
Total Charged: $137.50 Fees Paid: $137.50
Balance Due: $0.00 Receipt No: B647
-N LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
HYSMITH CONSTRUCTION CSLB-791117 /&Z-
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following 7031.5), Business Professions
-7
21
reason (Sec. and 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 such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with ection 7000) of Divisio 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in fu a e ect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 10/25/2006
the applicant to a civil penalty of not more than five hundred dollars ($500);
Please check one of the following:
Contrac Of S ignat a Date
-11. AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractors License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
State Fund 1645113-0OS ExpDate:
Cartier: Policy Number: .
Contractor's License Law.).
(This section need not be completed if the permit is for one hun re dollars ($100) es—ori s.)
❑ 1 AM EXEMPT under Section B. & P.C. for this reason:
❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, 1 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'
X 10/25/2006
compensation rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
ons.
X 10/25/2006
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signa re Date
WAR NG: LURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
ANDS SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused arising out of, in any way connected with
the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
Cpuntylv enter the above n1pritioned property for inspection purposes. I hereby certify that I am the
01
p caner m autho ze t act n the �r9parly nets behalf
10/25/2006
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
a e O P mittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner 10 Contractor OR; Agent for Owner Agent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.netldds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name D
irst
Mailing Address 19 A I , _
City vY ` L
State 1.� r ,n
Zip C�CJc�
I
Phone�3op� -
OO
Fax
E-mail
CONTRACTOR
Name SYYI j ��1 ry � Y tnG SIJ vv
Address ` c� 1 1AJ
City LVUC) 0a,
State
"PpII 50153
Phon 30 2 /n
V
Fax .
E-mail
Lic. #1Ill
FlasiS
--- — - - APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
CityU v
Address
\\
City
i -
-State,'.Zip
Fax
Phone
Subdivision Name
Fax
E-mail
Page
State License Number
--- — - - APPLICANT INFORMATION
Name 'ems S Vwt
Addres C�
CityU v
St
Zi�� 3
Pho
i -
Occ.
Fax
E-mail
For office use only:
PROJECT LOCATION
Zoning
Flood Zone
SRA
I Yes No
Occ.
Type Const.
Subdivision Name
WORKER'S COMPENSATION
Map Book
Page
Lot #
Planner
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
Date Approved:
PERMIT
NO.
BIN #
Description or cope of Work:
U 0 t rJ (� S �---
0 2
Sq FT- Living Garagg v Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by:Vfn . Amount:
Receipt #%F,
C�Uck I Cflo25
Date: [ 0, j -OCD
Bldg
SRA
Sheriff
SMIP
�f Other
�• Total
PROJECT LOCATION
AP# ng -q-0-056
Propeft ddress
Cross Street
WORKER'S COMPENSATION
Policy Number
l�
Carrier
u�
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
\
Description or cope of Work:
U 0 t rJ (� S �---
0 2
Sq FT- Living Garagg v Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by:Vfn . Amount:
Receipt #%F,
C�Uck I Cflo25
Date: [ 0, j -OCD
Bldg
SRA
Sheriff
SMIP
�f Other
�• Total
p
,JIM PURSELL, P.E. 2360 BALDWIN AVE.
CALIFORNIA LIC. 60924 OROVILLE, CA 95966
WASHINGTON Lic. 3B 1 21 PH. (530) 533-2131
FAX (530) 534-0902
j► August 21,. 2006
Butte County Building Dept.
7 County Center Drive
Oroville, CA 95965
RE: Garage for Cameron Lee, Permit #06-1633
Dear Sirs:
This letter is submitted to your department as verification that in my professional opinion,
'/z" diameter `red -head' anchor bolts drilled and installed at code spacing and a minimum
embedment of 8" into the existing concrete slab foundation at the above referenced
project will provide adequate sill plate anchorage.
Thank you for your consideration.
Sincerely
A
Jim ursell, P.E.
WE
No C6 09
17-
r�r c•viL Q�\�
\�QCa.11ti�
ROV� 7b
BUTTE COUNTY
BUILDING DIVISION
APPROVED N�
9/1110 6
Matthew Robert McKisson, Architect
1490 Highway 99, Suite B, Gridley, CA 95948
8/31/2006
Woody Townsend, Building Inspector
Butte County Building Department
Oroville, CA
Fax 530-846-6358 Tel 530-846-6376
Permit 061018, Owner: Lee
Description: Archer Road, Garage Replacement
Response to item number 1, 2 and 3 on your correction card dated August 29, 2006.
Mr. Townsend
Please allow this letter to serve as my approval of the foundation for project referenced above.
I visited the project site on September 1, 2006.
DECRIPTION:
The project is replacing an existing wood framed garage on its existing foundation; the finish floor of the
garage is being raised by the installation of a new concrete slab over the existing concrete slab. ''/z" diameter
expansion bolts have been installed at the perimeter bearing walls; it is my understanding that these bolts have
been installed under a separate engineering report and that the required embedment as been achieved. The
design intent of the bolts is to tie the new slab to the existing foundation. There is both wire mesh and #3 bars
at 24" on center for slab reinforcement.
FINDINGS:
I inspected the existing foundation for depth, and due to the lack of settling and cracking, it is serviceable for
the loads proposed. I agree that the sand be removed at the building perimeter, 6 inches back from the edge
and 3 inches around the expansion bolts, including the any interior bolts.
RECOMMENDATIONS:
The Owner and the contractor have taken extra measures to prevent slab cracking, 2 layers of slab
reinforcement, however the slab will better served if they relocate the interior #3 bars to the exterior perimeter
wall and tied to the expansion bolts. This bar shall be installed continuous and lapped per code and be a
minimum of 1 %" form the form face and 2" below top of slab.
In addition, although not required, the remaining #3 slab bars should be hooked and tied to the perimeter bar to
hook the edge back into the slab this may be spaced 6 to 8 feet on center, they are not required at the building
corners. A concrete expansion or control joint should be installed between the west interior garage wall and
breezeway. The idea here is to control shrinkage cracking by have slab areas as square as possible.
I also would like to note the high quality of workmanship and inspections on this project, all involved should
be commended.
�pFESSIp,11
Submitted by;
o n
t✓�e � 19�T2.3 Z
Matthew McKisson, Architect C19423 exp. 5/07
�V
1�
.J UI I LU l/.J \A..7 • G.Ur/ n 11..n nil" UGII
J J U- O J J` J U T J
f
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTIC
OWNER PERMIT NO.,
A routine inspection indicates that the following violations of Butte County Ordinances exist all
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, plea^e contact the Building, Inspector as indicated below.
n ate_ Inspector ��
'J EV 4/0E: Phone # `�_ g .j _3 �oLl
�`�' ` FOR RE -INSPECTION CALL: 538-7636 OR 1391-2834
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penally of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license Is in full force and
effect.
License Class : License Number:
Dale: Contractor:
'OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjurythat I am exempt from the
Contractors' Stale License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, Improve, demolish, or repair any structure, prior
to its Issuance, also requires the applicant for such permit to rile a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's Slate License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she Is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penally of not more than rive hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure Is not
Intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' Slate License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such Improvements are not Intended or offered for
sale. If however, the building or Improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or Improve for the purpose of
/ sale.).
6� 1• as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' Slate License Law does
not apply to an owner of property who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors Slate License Law.).
❑ 1 am Exempt underArticle3 of the Business and Professions ode
Date: J LV__ Owner: 6.�
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penally 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 the Labor Code, for the performance of
the work for which this permit Is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Policy It:
W 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 provisldns of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Dale: 7
Applicant:
WARNING: Fallure to secure workers' compensation coverage Is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), In addition to the cost of
compensation, damages as provided for In Section 3706 of the Labor
code, Interest,-and_allorney's fees.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency for the
performance of the work for which this permit Is Issued (Sec 3097 Civ.)
PEi*IT NO.
BP041954\ ,
Issued Date: 04/14/2005 APN: 024-010-056-000
Site Address: 278 ARCHER AVE GRI
Map Index:
Description: METAL BUILDING -SHOP (960)
Owner: LEE CAMERON M & JUNE D
278 ARCHER AVENUE
GRIDLEY, CA
95948
Applicant: LEE CAMERON M & JUNE D
278 ARCHER AVENUE
GRIDLEY, CA
95948
Contractor: DAN ELIA CONSTRUCTION
1147 LAUREL ST
GRIDLEY, CA 95948
License #: 360615
Architect:
Engineer:
Total Square Ft: 960 S.F.
Valuation: $23,040.00
Census Code:
permit Is hereby Issued under lh,pap licable provisions of the Butte County Code and/or
du ions to V work IndlctVe ave r tyMch fees have been paid. s
" Date:
PERMIT EXPIRES
Address: I lunm�
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification In accordance with Section 19827.5 of California Health & Safely Code Is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above Information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating. to building construction, I acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: �/4 M P r L e -C Signature: iyv�i
Dale: C7
di,15-wner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
o n n.di.n.... De a n1_1 R_nd nn 1
_bW, SS4t?-e?0
BUTTE CO NTY
DEPARTMENT OF DEVELOPMENT SERVICES q6
BUILDING PERMIT APPLICATION 1,219. r�
AND SUBMITTAL REQUIREMENTS 155 �' I
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY"
OWNER
Last Name
ame
Address
723 c v
City Stat
Zip
Phor�p_�o OS Fax
E-mail
APPLICANT NAME
CONTRACTOR
Name
Name
-"
Gi % S A.
St
�s
Address
!! �r
's -r,
State
Zip
!, P
Stat
LA r
Zip
Phone
_ y 73
Fax
Carrier
E-mail
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
lac. #3&0,w5__,ClassQ
LENDING AGENCY
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City r
Address
St
�s
City
Phon'�_7O g Y
State
Zip
Phone
Page
Fax
E-mail
Date Approved:
State License Number
APPLICANT NAME
Name
Address
iZ
City r
Property Address
-?,g
St
�s
Zip
Phon'�_7O g Y
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
AN
Flood Zone
Property Address
-?,g
SRA
I Yes J=o
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
BP p+1gS
OVER FOR SUBMITTAL REQUIREMENTS Lt
KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
Des iption or Scope of W r ;
FOU h
Sq. Footage Gl
❑ Structure Built without Permi s
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: e__A_1 Amount: 54'q q0 Bldg
SRA
Receipt #: 4 —06'7a S
Date: -Z/ I 10 ¢
Sheriff
2• to SMTP
Other
abTotal
REV 6-16-04 /
LOCATION
AN
Off_, QIp• t�Z�
Property Address
-?,g
C'
Cross Street
C�
r
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
OVER FOR SUBMITTAL REQUIREMENTS Lt
KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
Des iption or Scope of W r ;
FOU h
Sq. Footage Gl
❑ Structure Built without Permi s
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: e__A_1 Amount: 54'q q0 Bldg
SRA
Receipt #: 4 —06'7a S
Date: -Z/ I 10 ¢
Sheriff
2• to SMTP
Other
abTotal
REV 6-16-04 /
4
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply"
fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE
LEGIBLE AND IN INK.
Residential, New, Remodels, Additions, and Accessory Structures:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER!
OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to
mobile or modular homes.)
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Detached Accessory Building Form, filled out by the property owner (if required).
❑ 8. Sanitation and site plan approval from the Environmental Health Department.
❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI
❑ 2. 2 Data sheets and installation instruction manual.
❑ 3. 2 Marriage line information.
❑ 4. 2 Floor plans.
❑ 5. 2 Engineered Tie Downs or Foundation plans.
❑ 6. Sanitation and site plan approval from the Environmental Health Department.
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation (if required).
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Statement of Intent for Non -heated and A/C (if required).
❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
❑ 9. Letter of intent.
❑ 10. Hazardous Material Form.
❑ 11. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04
Butte County Department of Development Services
YVONNE CHRISTOPHER, DIRECTOR
WILLDAN
o�UTr
0- o
0 0
c�U N'�y
Scott Rutherford (530) 538-7160
srutherford ftuttecounty.net
Plans Transmittal For Review Per Contract
1/12/2005
Applicant: Lee, Cameron Permit No: 04-1954
Project Type: Foundation/Metal Bldg APN: 024-010-056
100% 70%
Plan Check Fees $ 219.96 $ 153.97
$ 219.96 $ 153.97
WILLDAN Fee $ 153.97
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
ar u_
7 County Center Drive
UO)
Oroville, CA 95965
(530) 538.7601 Telephone
(530) 538.7785 Facsimile
TO:
FROM:
'
SUBJECT:
O
z
DATE:
WILLDAN
o�UTr
0- o
0 0
c�U N'�y
Scott Rutherford (530) 538-7160
srutherford ftuttecounty.net
Plans Transmittal For Review Per Contract
1/12/2005
Applicant: Lee, Cameron Permit No: 04-1954
Project Type: Foundation/Metal Bldg APN: 024-010-056
100% 70%
Plan Check Fees $ 219.96 $ 153.97
$ 219.96 $ 153.97
WILLDAN Fee $ 153.97
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
ar u_
i I 1 .
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: LES
ASSESSOR PARCEL NUMBER, I" 0 / L> ' D S6
Proposed Building Use: M Etc._. S H --O P Counter Technician: K M Date: 7 • f - O 4 --
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
0- 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
V 9. Metal bldgs: OMetal Bldg Plans, *Fnd plans and calcs in triplicate, ()Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 11. Site plan and business license approval from the City of Biggs.
❑ 12. Letter of intent for non-residential buildings.
13. Detached Accessory Building Form filled out by the owner.
❑ 14. Hazardous Material Form.
15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers
0' 18. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office
❑ 19. Soils Report and/or Engineered Foundation required.
0 20. Erosion Control Plan Required.
u 21. Fees as shown on the attached Schedule of Fees Due Sheet.
❑ 22. City of Chico Plumbing permit.
fJ 23. California Department of Forestry plan approval ❑ paid.
&'*" 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 25. Contact Land Development about' -Improvements, _Drainage.
26. NPDES Form
27. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 28. Pre -Inspection for required.
❑ 29. Contractor's license information. (Number, Name Style, Classification).
30. Worker's Compensation Carrier and Policy Number.
31. Owner -Builder Verification ( _ Given to owner, _ Mailed to owner).
❑ 32. Letter of Signature authorization.
❑ 33. Recorded copy of Agricultural Acknowledgment Statement.
❑ 34. Manufactured home utility clearance.
❑ 35. Existing violations and/or expired permits.
❑ 36. Deed Restriction.
❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 38. Other:
❑ 39. Other: .1
When issued Telephone 70 1. 1988 c I f and hold for pickup. (o$oZ . !o !o I S ceel J
I have been informed of the above items and requirements for obtaining a building permit.
Applicant:
EXPIRATION OF APPLICATION
Date:
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after
expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee
payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be
made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable.
Original -Applicant
OWNER:
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUtIL-DING.DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax"('530)538-2140
PERMIT APPLICATION DATA SHEET
ASSESSOR PARCEL NUMBER d �4 d I SC7
Proposed Building Use. M ET^ -t-- 'S k4- � F' Counter Technician: Date: '7 ' ' ' '::::4-
Items
::::'¢
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
1. Site plans, 3 or 4 sets, signed by the preparer of the plans. .
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
Cl 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 15. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design -and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
' du licate. , ,
9. ,Metal Bldgs: Metal Bldg Plans, (IFnd plans and calcs in triplicate, (G levations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet-stamped,and;signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs '
❑ 12. Letter of intent for non-residential buildings
fa 13. Detached Accessory Building Form filled •out:by the owner
❑ 14. Hazardous Material Form
L' K 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. ;Fire Sprinklers ............... e.........................................................................
.39' 1&, Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ t 19 Soils Report and/or Engineered Foundation required .....................................
❑
2Z Erosion Control Plan Required ........................................... `' ........
21 Fees as shown on the attached Schedule of Fees Due
❑pN ?22. City of Chico Plumbing permit ........................................ -
►� 23. California Department of Fore try plan approval ❑ paid. Sent
24 Planning approval (A) Use: �(B)Parking: (C) Parcel Check: b i o
25. Contact Land Development about _ Improvements, _ Drainage .........................
26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
30. Worker's Compensation Carrier and Policy Number ..........................................
31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 32. Letter of Signature authorization ...................................... :.............................
❑ 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance...............................................................
❑ -35. Existing violations and/or expired permits. ............... : .................................
❑ 36. Deed Restriction.......................................................................... .............
❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 38. Other:
❑ 39. Other:
When issued Telephone U 1 el.- e f and hold for picku .
I have been informed of the above items and requirements for obtaining a building permit. f
Applicant:- Date:
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, -by Date:
Contractor, designer, owner, was advised of the above Vta by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: Date 1 14
Structural reviewed by Date:` tructural approved by: 1 Date:
Note transfer by: Date: D -
Yellow: Building Division
..p4 L
i E.H. SE ONLY
PI@t Plea Anac d
R.. Ran
Anatlsed��__
Som to 6.0.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location \ AP#
Plan Approved for: Sewage Disposes® , I Waterer Sup�Iy: Sblic Private Wel
Clearance for dwelling. Other Z K Y % Ara /'S G/x-,(' I
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health
�� 8/96
cialist
Date
August 20, 2004
Cameron Lee
278 Archer Ave.
Gridley, CA 95948
Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
Assessor Parcel Number: 024-010-056
Building Permit Number: 04-1954
Thank you for submitting the plans for your building
comments are listed below. Please respond in writifh;
the enclosed PLAN REVIEW RESPONSE FO
�j
expedite the re -check and approval of this projec
NON-STRUCTURAL COMMENTS:
None
STRUCTURAL COMMENTS:
1. Provide engineer's stamp and
2. Provide supporting calculatio
3. Specify location of the "wakz
walk in door.
4. Key detail "1" to the plans�tol
5. Detail "1" shows welding.
Provide name of the Re'
� 1
6. Specify concrete toad, es 9
ns toi
yin" d
/Th' 11"have been reviewed and
h it=,y c mpleting and returning
ate an7& response will
n the and calculati
t ilti olts.
The s specify 2-10'x10' roll -up doors and one
ite where ' ccurs.
inspectio is required for field welding per CBC 1701.
or that will be employed if field welds are required.
strength.
If you wish to discuss any of ese requirements, please call (530) 538-7541 between the hours
of 1:00 p.m. and 4:00 p.m., onday through Friday. To discuss non-structural items, ask for
Rick. Philo will answer yo r structural questions.
Please refer to your Dat /Sheet for remaining non -plan check items. (You received this form
when you applied for yZr permit.) The counter staff will answer any questions concerning the
Data Sheet. 7
Martha Christy I Philo Hunt, P.E.
Plans Examiner Plan Check Engineer
cc: Rafael Divina, P.E.
1 of 1
Department of Development Services
Building'Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541..(530) 538-2140 FAX
DETACHED ACCESSORY BUILDING
OWNER'S STATEMENT OF USE
Plan review will not be started until this form is completed, signed by the property owner, and
returned to the Butte County Building Division. Attached Accessory Buildings and Additions
will be checked for residential use. Exception: Garages and Carports.
Owner: ,r• e.ro ►J L ems. Phone: Lao ) Fq� -E oS Z_
Mailing Address
Site Address:
Assessor's Parcel Number: 2 O OS -6 Zone:
ctsCtL[g
Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of
this
form
GENERAL LNFOR�VIATION: w
1. Is there a primary dwelling on the property?
Yes
No ❑
2.
Is the structure already built, under construction, or under notice of code violation?
Yes ❑
No Er
3.
4.
Will items produced in this building be offered for sale?
Will have building?
Yes ❑
N140 -
o4.
5.
the public access to this -
Will any advertising, on or off site, be associated with the use of this building?
Yes ❑
Yes ❑
No
No
SITE CONDITIONS:
6.
7.
Is the structure foundation within 5' of septic tank or 10' of leach lines?
Is located 20' front
Yes ❑
No
S.
any portion of the structure closer than to your property line?
Do driveway
Yes ❑
No
you plan to add a or modify existing access to a county maintained road?
Yes ❑
No
9.
Will the proposed structure encroach within any recorded easement?
Yes ❑
Nor
CONSTRUCTION
FEATURES:
10.
Will this building have insulated floor, walls, or ceiling?
Yes ❑
No
11.
Will this building be heated or cooled?
Yes ❑
No
i2.
Will this building have a water closet/toilet? 4
Yes ❑
No
13.
Will this building have a sink?
Yes 0
�,/
No F3
14.
Will this building have a water heater?'
Yes ❑
No M-11
13.
What type of floor covering «ill the building have? lb
N L f oa Ik e__16.
What type of wall covering will the building have? MV\ e -r' t� l
OVER
1 of 2
PROPOSED USE: (check only one box)
1. ❑ R idential Storage Shed — I will be storing in this building and it will
not used for any other purpose (no bathroom and no beating or cooling).
2. Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by
exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are
stored or kept" A earaee door is required.
3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be
entirely open.
4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport
If you checked #4, please check the uses below which best fit this building
❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters
❑ Recreation Room ❑ Game Room ❑ Study ❑ Library
❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio
❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room
❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room
❑ Private Office ❑ Workshop' ❑ Home Occupancy' ❑ Other — Use =
i. De='be type orwort hop
I Mat be approved by the Butte Courcy Plarcung Division.
Explanations: This area is for explanation of any "yes" answers on questions 2-14. PIease indicate the question
number before the explanation.
Additional Information:
Plan review will not be started until this form is completed and received. A Plans Examiner will contact the
owner with specific requirements per the use indicated.
I hearby affirm under penalty of perjury that the above information 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 the property is offered for sale.
0«rer's Name: Please
Owner's Signature: Date:
2of2
OLv
3
ri
PLAN REVISION
Owner's Name:
BP#: D qS
Date:
Contact Person & Phone Number: -
AP4:— M _4_-_ �� (D�- � �
Received By: 906 -
Time: ° o�
OS.;Z l sol - 19M
PURPOSE OF RE -SUBMITTAL OR REVISION
❑ Permit'Application Data Sheet Item
❑ *Engineering
*PlanRevision
❑ *Requested by Building Inspector's Correction Notice - Inspector's Name:
❑ Requested by Plan's Examiner - Plan Examiner's Name:
Other:
SSS
*If revising a plan which has already been issued, submit two (2) drawings reflecting the revision
for plan review along with your approved plans. If engineering is involved in this revision, the
engineer must put his requirements on these drawings and wet stamp and sign two sets of
engineered drawings. Revised drawings must clearly show changes proposed and locations
involved.
WHEN APPROVED, PROCESS AS FOLLOWS:
❑ Mail to Owner/Contractor at this address:
Call - SQSa17()[-19k� and hold for pick-up.
❑ Deliver with next inspection.
Minimum revised plan check fee to be collected at time of submission of revision, plans
examiner will determine if additional plan checking fees are needed:
Minimum $54.99 Receipt #:
Fee not required for revisions requested by plans examiner prior to issuance of permit.
Additional Fee Amount:
Receipt #:
Revised 2/04
O
°
°
° °
° °
O °
c�uN'�y
Acetic woR�S
'Department
C o u n t s
Public
f B u t
Works
LAND DEVELOPMENT DIVISION
Storm Water Management Program
7 County Center Drive
Oroville, CA 95965
(530)538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase II
Construction Storm Water Permit and Stora Water Pollution Prevention
Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1
Project Description:
Project Location and/or Parcel Number: 2 C/ D
By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB
1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit
from the State of California Regional Water Quality Control Board. Phased projects that contain
multiple site build -outs of less than one acre but when combined with subsequent phases total more
than one acre of disturbed soil will require a Construction Storm Water Permit from the State of
California Regional Water Quality Control Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction
Storm Water Permit from the State of California Regional Water Quality Control Board for a project
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by law.
Signed:`
Title:��—
Date: > _ / _ C7 Lf
Less than 1 Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/24/04
ry
4
SITE PLAN REVIEW APPLICATION
Date: /� - Za AP# Z
Permit Number (if applicable) l� �� Bin Number
APPLICANT INFORMATION
Owners Name:
Owners Address:
Telephone No.:
Situs Address:
Proposed Use:
Residential
❑ New Single Family Residential
❑ Single Family Addition
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary -Travel -'Frailer
❑ Multi -family
Parcel Size:
R
❑ Single Family Remodel
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ Commercial Remodel
❑ New Industrial
❑ Industrial Addition
❑ Industrial Remodel
Other
❑ Septic.
❑ Well ;
❑ Agricultural Exempt Building
❑ Agricultural Buffer Form ❑ Applicable ❑ 'N/A
❑ Other:
Brief Explanation if necessary):
o S�
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
Site P n Stam ed Approved
By
Date
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
Snow Load Area:
Land Conservation Act Minimum Acreage: ❑Verify residence can be built per contract
Nitrate Action Plan (See Environmental Health for standards)
Watershed Protection Overlay Zone (See attached standards and requirements)
Expansive Soils (Test for expansive soils and if verified proper foundation design required)
SRA - (CDF to determine specific requirements)
100 -Year Flood Plain: (See attached)
• Flood Zone: V
• Flood Panel No.: Index Date:
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
-------=-------------------------------------------------------------------------------------------------------
❑ Detached Building Use Form ❑ Encroachment Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning: 4�" 5
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2of5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
101
Side
Side Street
Rear
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2of5
4
Applicable Development Fees:
Standard Fees
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Drainage Area
❑ Thermalito Urban Area
❑ Other
----------------------------------------
Subdivision Map Special Fees
❑
Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
Other (per map)
Amount Formula
3
* Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
IS Deeds:
Date of Creation: Legal Access Provided: ❑ No ❑ Yes
Deed of Reference: Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards for Deed Creation:❑ No ❑ Yes
Comments: 13Z(WWf! A4L�9kPh
❑ Parcel Deemed to be legal
❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
Meet current Environmental Health Department requirements
Page 3 of 5
❑ Subdivision ME/Parcel M R:
Map Date of Recording:
Lot: Book:
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
Page:
Parcel Map/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of Approval:
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for road maintenance, and stop sign maintenance.
Page 4 of 5
C
LTJ
Summary of Specific Requirements:
This information provided in this summary is based on the application information and on the best available data at the time
of review.
CAI-wrys\Building Permit Site Plan Reviewl.doc
Page 5 of 5
7X7 W I LLDAN
Serving Public Agencies
March 18, 2005
Scott Rutherford
Butte County Building Department
7 County Center Drive
Oroville, CA 95965
Tel: (530) 538-7169
Fax; (530) 538-2140
117 C Street
Marysville, California 95901
r 530/749.2373 fax 530/749.2199
www.wilidan.com
SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL
Willdan Project No:
14353-1325
Jurisdiction Job No:
04-1954
Assessor's Parcel No:
024-010-056
Description:
Lee Metal Building
Dear Mr. Rutherford:
Willdan has completed a plan review of submitted plans and documents for the above referenced project
and recommends your approval with the conditions noted on the 2"d page of this letter. The revisions were
in response to a previous plan review and comments listed in our letter dated February 8, 2005. The plans
and documents provided for this review that have been found in compliance with the applicable codes are:
�k Plans: Two (2) copies Structural & Foundation Sheet 1 dated 6/21/04 by Rafael Divina, P.E.,
and two (2) copies 8'/z x11 sheets 1 through 8 dated 12/23/04, by American Steel Inc.; and two
(2) copies 8'/z x11 Sheets 3A, 3B, dated 3/1/05, and Floor Plan dated 3/2/05 by Cameron Lee;
and two (2) copies Plot Plan dated 6/7/04 by Elias Const.
�k Structural Calculations: Two (2) copies dated 12/22/04 and two (2) copies Anchorage of
Frame addendum calculations, by A&A Engineering.
* Miscellaneous: Two (2) copies of Butte County's Detached Accessory Building Owner's
Statement of Use Form, dated 7/1/04 by Cameron Lee.
The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to
our previous letters relating to this project, the superseded plans and documents will be discarded within 10
days unless we receive other instructions.
On the pages to follow is the identification of the codes and standards applicable to the project, a code
analysis, conditions -of -approval and identification of any deferred submittals.
rA
W I LLDAN
Serving Public Agencies
117 C Street
Marysville, California 95901
530/749.2373 fax 530/749.2199
www.willdan.com
I
APPLICABLE CODES
Unless noted otherwise, all comments are based on requirements of the 2001 California Building
Standards Code found in the California Code of Regulations, Title 24:
• Part 2, known as the California Building Code and abbreviated herein as "CBC".
• Part 3, known as the California Electrical Code and abbreviated herein as "CEC".
• Part 4, known as the California Mechanical Code and abbreviated herein as "CMC".
• Part 5, known as the California Plumbing Code and abbreviated herein as `.`CPC".
• Part 6, known as the California Energy Code, and Energy Commission Standards, and
abbreviated herein as "CECS".
CODE ANALYSIS
Our plan review revealed the following information regarding the occupancy designation, type of
construction, and other pertinent features. This information is consistent with that shown on the plans.
CONDITIONS OF APPROVAL
1. Approval is contingent upon the review, requirements and approval of other departments
and/or agencies that have jurisdiction over this project.
2. Revisions and/or notes as red -lined on the plans.
3. All structural plan sheets shall be stamped & signed by the EOR and all other plan sheets shall
be signed by designer or person responsible for the plans as required by California Health &
Safety Code Section 5536.1.
SPECIAL INSPECTION NEEDS
Our plan review reveals special inspection for high strength bolting shall be required pursuant to CBC
1701.
DEFERRED SUBMITTALS
Our plan review reveals no deferred submittals.
Sincerely,
Richard Esse anger
Plans Examiner H
CC: Alice Mefford, amefford(a,buttecounty.net
c _
-Ricardo.Guzman S:E.
Structural Engineer
Dan Elias Const., 1147 Laurel Street Gridley, CA 95948
Cameron Lee, 278 Archer Ave., Gridley, Ca 95948, Phone (530) 701-1988
.M;e 2.of2 Butte County 01-1.951
W.111dan 14353-1325TC'2.1=
Specific Use Type of
Type of Sprinklers
Stories Vt Floor Total Sq Ft
Occupancy
Construction
S Ft
Private U-1
V -N No
1 960 960
Garage
CONDITIONS OF APPROVAL
1. Approval is contingent upon the review, requirements and approval of other departments
and/or agencies that have jurisdiction over this project.
2. Revisions and/or notes as red -lined on the plans.
3. All structural plan sheets shall be stamped & signed by the EOR and all other plan sheets shall
be signed by designer or person responsible for the plans as required by California Health &
Safety Code Section 5536.1.
SPECIAL INSPECTION NEEDS
Our plan review reveals special inspection for high strength bolting shall be required pursuant to CBC
1701.
DEFERRED SUBMITTALS
Our plan review reveals no deferred submittals.
Sincerely,
Richard Esse anger
Plans Examiner H
CC: Alice Mefford, amefford(a,buttecounty.net
c _
-Ricardo.Guzman S:E.
Structural Engineer
Dan Elias Const., 1147 Laurel Street Gridley, CA 95948
Cameron Lee, 278 Archer Ave., Gridley, Ca 95948, Phone (530) 701-1988
.M;e 2.of2 Butte County 01-1.951
W.111dan 14353-1325TC'2.1=
w
Butte County Department of Development Services
7 County Center Drive
Oroville, CA 95965
(530) 538.7601 Telephone
(530) 538-7785 Facsimile
ADMINISTRATION * BUILDING * GIS * PLANNING
10/15/2004
Cameron M. Lee
278 Archer Ave.
Gridley, CA 95948
'Re: Permit Number: 04-1426 APN: 024-010-056
Upon review of the above -referenced permit file by the County Building Official, it has been determined
that a refund cannot be processed for the following reason(s):
❑ Refunds can only be made upon written request by the person who paid the fees, whose name is
on the receipt issued for the fees paid.
❑ The request is over two years from the date of the fee payments on this non -issued permit. {
. t
❑ The request is over two years from the date of permit issuance and construction work has been
done.
❑ Filing fees and plan check fees for work plans checked are not refundable.
The above determinations have been made in accordance -with Butte County Code 3-41(t). You may
view Butte County Code online at http://municipalcodes.lexisnexis.com/codes/bLLtteCO/.
Other reason: The permit application was $109.98. However, after applying the refund
processing charge of $25.00, there are no funds to return.
Should you have further questions about this matter, please contact this office between 8:00 am and 4:00
pm, Monday through Friday.
Sincerely,
Diane Lew ellen, OAIII
Administrative Division
enclosure
04-1426.1tr
A
4 4
REFUND CALCULATI
Cameron M. Lee
278 Archer Ave.
CITY & STATE: Gridley, CA 95948
DATE OF CLAIM: 10/15/04 APN:
RECEIPT INFORMATION
NUMBER:
406062
DATE:
5/18/2004
ISSUED TO:
Cameron Lee
Yes No Yes I No Yes No
CHECK #:
1108
AMOUNT:
$109.98
PERMIT #:
04-1426
Yes No Yes I No Yes No
X
IRIOR REFUNDS:
X
-EES VERIFIED
REFUND BREAKDOWN
•THRM URBN.
Title BLDG THRM DRNG AUD SUSP
SHER DEV FE
Fund 0010
1800
1001
r'_718W,,
_:1800.
Dept 440-001
THRM DRN
(SMIP)
(SHR)
(T.UA).."'
Accnt 4210500
280
280
280
X280 '}*'
Cash 101001
1011822
1011430
1011811
:•,10.1.1816
DETAIL
PAID RETAIN REFUND
.�w.,:, tit•:,.
BLDG Time
109.98
:..........
..........
' :: ' : ' ' '
;: ' ::'!:"::::
.........
....................
:.: '.::. :::::
......................
'::>.::.:::.::
..........
. .
. .
Filing from Plan Check 0.00 0.00 0.00
Plan Check/Filing 0.25 27.50 0.00 0.001 0.00:,:
Inspection 0.00 0.00 1 0.001 0.00
BLDG FEES
OTHER BLDG
Ag Bldg 109.98 109.98 0.00
SHR
0.00 0.00:::''::':'.
..........
....................
..........
REFUND PROCESS FEE
54.99
0.00 0.00
: i::: -i
::.:.:.:.:.:::::.:'
.
: .
: >::::::::
..............................
..........
....................
....................
>::::::
..........
BUILDING TOTAL 109.98 109.98 0.00 0.00
THERM DRNG 0.00
SMIP 0.000.00
SHR :.: ,..:.
.:
:• 0.00
0.00
.:...
.... 0
0.))
$ 109.98 $ 109.98 $ - $ -
$
.7�r,tw L1 il'
APPROVAL
CHECK: $0.00
Date Reviewed
10/15/2004 DIFFERENCE: $0.00
Michael Vieira
(Should be blank)
Building Manager
WANT: Cameron M. Lee
tESS: 278 Archer Ave.
& STATE: Gridley, CA 95948
:OF CLAIM: 07/15/04 APN: 024-010-056
NUMBER:
DATE:
ISSUED TO:
CHECK #:
AMOUNT:
PERMIT #:
t REFUNDS:
VERIFIED
DETAIL
— BLDG Tim
Filin from Plan Check
Plan CheckfFilin 0.:
Inspection -
BLDG FEES
OTHER BLDG
Ag Bldg
SHR
:REFUND PROCESS FEE
BUILDING TOTAL
APPROVAL
Date Reviewed
Michael Vieira
Building Manager
04-1426
10
,b ,
Title
Fund
Dept
Accnt
Cash
BLDG
0010
440-001
4210500
101001
THRM DRNG
1800
rHRM DRN
280
1011822
AUD SUSP
1001
(SMIP)
280
1011430
SHER DEV FEE
1800
(SHR)
. 280
1011811
THRM URBN
1800
(TUA)
280
1011818
PAID RETAIN
REFUND
:::::::::::::::::
;•'''''''
ii}i:
::::::::::::::::
::::::::
:•:•:•:•:•:•:•:•
0.00 0.00
•:•:•:•:•:•:•:•::•?i:i:}i
0.00 1 0.001 0.00
0.00 1 0.001 0.00
..
109.98 109.98 0.00 0.00F...........
0.00 0.00
;;;;;;;;
0.00...............
109.98 109.98 0.00 0.00
ii>??i
0.00
0.00'::::::::
0.00
0.00
0.00
0.00
0.001
0.00
$ 109.98 $ 109.98 $
-
$
$
$ $ -
$ -
CHECK: $0.00
520 DIFFE NCE: $0.00
(Should be blank)
Vo
10
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0%3 Butte Butte County Department of Development Services
O Building Division
O O
-_: - 7 County Center Drive
C�UN'�y Oroville, CA 95965 (530) 538-7541
REFUND REQUEST APPLICATION
REFUND POLICY - Butte County Code 3-41(t)
1. Refunds can only be made upon written request by the person who paid the fees, whose name is on
t he receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt.
2. The request must be made within two years from the date of fee payments on permits not issued, and two
years from the date of permit issuance for permits issued -if no construction work has been done.
3. Filing fees and plan check fees for work plans checked are not refundable.
4. Fees paid to other County Departments are not covered by this claim.
INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be
generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the
receipt) and return to Development Services for payment processing.
CLAIMANT'S NAME:
MAILING ADDRESS:
(PHONE:
Check those fees which you wish to have considered for refund:
Building Permit Fees OSheriff Fees =SRA Fees (CDF Fire Planning)
Other (specify):
(Plans for cancelled permits will be disposed of within 10 working days upon submission of a
Request for Refund. If you want the plans, you may pick them up prior to that time.
Signature Date
K:/Forms/Refund Application 082203
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING; EXEMPTION PERMIT
PERMIT NO.
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO. a!qZONING
OWNER -
PHONE NO.
e—
OWNERS ADDRESS
29,?
LOCATION OF BUILDING
.r
USE OF BUILDING
Ice S=ks,
SIZE OF STRUCT RE /
`�' �0.
4 X �+1L' = FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL CONCRETE OTHER (Specify)
TYPE OF SID
ROOF O ERING
FLOOR TYPE
]�f eL
ESTIMAJ COSTSy0F CONSTRUCTION
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as
follows:,
/ /;VI -A J��
,ter` t ;" /,W Z,4
FRONT SIDES OO REAR
r
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before
occupancy.
Date ? / cK — Signature of Owner�an.,--
Permit Fee - 0 10t7- a'K The above described AG Building is exempt from a buildjng permit.
Receipt No. -**/U I I�X I ra, its I rum H� I iss, u�J
Manager Building Division x _� �I !/
By Date J
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
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COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION -
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSE07 40r_ A E _
ZONING
BUILDING PERMIT
OWNE�F.jJ7`�N�-'.'LJ*1�r(�yj+�).Rl
..i (Jj�j j'� l+x'ji�+
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWN to IU�
11! �* AVTE�N�U�E,
}GRIDLEY
�
CONTVA.L MEAL PLUMBING
MAILING
1e``.. tt )
TJM NLS•i
CONTRACTOR'S] ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
suILO b RES tR AVEbM, GRIDLEY
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SFO Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00 -
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other El
Describe Work: GAS METER RELOCATION
Gas piping system 1 - 5 outlets 15.00 ? •
Buildin sewer 15.00
Mobile Home IS1G1 WF @20.00
PERMIT FEE $ ��• 00
ELECTRICAL PERMIT Filing Fee 20.00
Main Service . no.UEss 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. n
License Class (I Lic. No. 1 /%
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service ( 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( a ACC. BUDS. 3.5¢FT:
NEW CONST. MULTI -OUTLET
NON-RESIO. ANC u. @7.50
PowER APPARArus
8 SINGLE OUTLET CIS.
Ex. Occup. CUTLET OR FIXTURES BAS @' 50
Ex. Occup. ourLzTS ED A sE NS5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
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 workers' m nation insu�ace carr-er and policy number are:
Carrier A—
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number 1-1/ O V
(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
workggrs'.compensation provisions of section 3700 of the Labor Code, I shall
forthv, ithi comply with those provisions.
�� -- Date 4Y/1'7/'Q �--
Sa of Applicant - ❑ Owner Contractor ❑ Agent
Xknaa
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
D. FEES IMP
FLOOD
COF
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
/'7..
By �— Dattee� 'ry l
PERMIT EXPIRES ON 4-1 " 1 t
Dale
Receipt No. 1 r/�
WHITE-D.D.S.-B.D. CANARWASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
.11
AUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING/4�7
7 County Center Drive - Oroville, California 95965 - Telephone (916) 53P R T O.
(Rev.12/96) APPLICATION -AND PERMIT
AssEMr-Ur-E 56
ZR—:)
BUII4ING PERMIT
OWNE1UNE LEE
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNEn'9'uWVl!T1n AVENUE, GRIDLEY
CONTI�QC,T�i}Sr{ f�"`EF EAL PLUMBING
T TN
142
CONTRCjT�O�R�'SMjAIILINjGj ADDRESS
AA[
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
'
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILD2cADRFAsACHER AVENUE, GRIDLEY
L � ZS
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF (A Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: GAS METER RELOCATION
Gas piping system 1 - 5 outlets 15.00 15
Building sewer 15.00
Mobile Home S G W 920.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
vUE
Main Service 2o0A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is Irdull forc�and effect. 1
License Class Lic. No. 9 /
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A To 1000A 46.00NEW
CONST. DWELLING OCCUR so
OR ADDNS. ( & ACC. BIDS. 3.5¢FT,
T @7,50
nNO RES D. MULTI -OUTLET BRANCH CIRCUITS
POWER APPARATUS
8 SINGLE OUTLET CIR.
EX. Occup. OUTLET OR FIXTURES SAL Q .50
Ex. Occup. OUxT1EEDS IF OE. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE t
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 workers' m nation insce�nd policy number are:
Carrier
Policy Number –7 — O
(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
or rs' compensation provisions of section 3700 of the Labor Code, I shall
orth ith comply with t ejprvisions,�
X Date�L__
5 na ure 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.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 35.00
HA2.
D. FEES IMP
FLOOD
176FF;ZC7
PD
I HD
ISSU
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.
B Dated—/7-7 C�
PERMIT EXPIRES ON
Date
Receipt No.
WHITE-D.D.S.-B.D. CANAR ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
" 7 County Center Drive - Oroville, California 95965 -.Telephone (916) 538-7541 PERMIT No.
(RW 12/961 (9�1L-- 1� - /_ cr_ APPLICATION AND PERMIT
•
__ ' —V -- v
ASSESSORPARCEL NU
owNlR
uAJ E LEE
=owe j
BUILDING PERMIT
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MA&M ADDRESS
CONTRACTOR'S MAILIA0 ADDRESS
CO�TR{)C'noN.iljIDER y
,LENDUn
Fireplace
1a111LNG ADDRESS
•
Total Valuation $
.
ARCHITECT OR ENDINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINM'S MA6ING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS �
Energy Plan Checking Fee
$
$
PERMIT FEE
_
Car NO.
SUBONSIONSNAME
PARCEL SLAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF uplex ❑ Mobilehome O Other
SPEe1PY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ installation ❑- Other D
Describe Work:
Gas Riping system 1 - 5 outlets
1500 .
uildin sewer
15.00
1 obile Home I S I G W
920.00
PERMIT FEE
_
97�—
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 2o.OR LESS
Main Service 20" TO 1000A
23.00
46.00
-
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 700C) of Civ_s3an 3 a` the Business and Professions Code.
and my license. is in full force and effect
License Class LIC. NO.EX.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjurythat 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.
O 1,, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
O 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:
O 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.
Q 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'workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(rhe above sectionsneed not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
O 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 - O Owner O Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0' deep and demolition or construction
of structures over 3 stories in height.
NEN CANS;.OwEu1NG OCCUR SA
OR ADDNS. ( a AOC. SLDs. 3.5¢Fr;
LU
,", N-gESjp. T. MUITFOU SRANC"RCUMS
TZ APVARATus
a s1NCLE o1mEr aR.
.00
Gccu OtlTLET OR ForruREs . SAL 0 1.00 i
RXEO APPLNS. OR
Ex. Occup. OUTLETS PESID. EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S "
Mobile Home Installation Fee S
Energy Inspection Fee S
occ
CONST. _PE
TOTAL FEES S
HA=.
D. FEES IMP
70
1 COI
PARCEL PO
ND
-11
This permit is hereby Issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Duel
Receipt No.
WHITE -O.O.S.•B.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
rf,
OL -f - 0(o-os(o
(916)444-7995
job NP4 1 (530)SW3257
Ips j 5 +�+ (530)942-1571
opecom(530)343-2%9
ci,00sE THE pROFESSKDNALS
FAX MESSAGE
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DAT
FAX NUMBER: � a 1 -//o
NUMBER OF PAGES: -3_
PROPERTY: c2 79
MESSAGE
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(530)589-325.7
john J. ReW inspector r
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(530)34.3-2969
CIRX)SlITIE PNOFESSIO;MALS
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4=FGT NO.: ORKPO NO,
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A=dV--Ift. El UT REPORT 12 MT 90K)"T 0 PT REPORT 0 MAMtAL I.D. OSAMPLING FORM
HIGH STRENGTH BOLTS -
TYPE
SIZE
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69
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Iffshua" 93"
�IL701"° -1571 Z5-
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EFOGRMMCAL SKETCH
j0Mj MES REEV - L!lTSPECTOR, nMIUCTOR
Liceatstd by the State of California - Department of Education as an
instructor to teach Construction Inspection and Construction Technology.
Home Inspector
journeyman Carpenter
Plumber
Pipe Layer
I.C.&O. (International Conference of Building Officials) -
Special Inspection Licenses in:
Reinforced Concrete #34589
Prestressed Concrete 045911
Structural Masonry #39034
Structural Steel/Welding #41011
LC.B.O. Building Inspector #58649
A.C.I. (American Concrete Institute) Certified Concrete Technician Level 1
A.S H.1. (American Society of Home Inspectors) Level 1,11,111
A.S.H.i. Member
Member - C.R.L I.A. (California Real Estate inspectors Association (inactive)
State Licensed Inspector instructor License #091410 (Inactive)
Litigation Inspections and Court Appearances
Environmental Phpse I Inspections
Professional Member -of I.C.B.O. - A.C.1.A. - A.C.I.
C.C.I. Certified Senior Building Inspector.
O.E.S. Coordinator, Office of Emergency Services - Specialty in Building
Structures and Lifelines.
Twenty-four years of combined experience covering varied phases in the
construction trades including Supervision and private development.
Several hundred hours of post -graduate work at Wilrick Institute of
Technology under Doctor of Engineering, William F'itzjohn, in code
application, interpretation, plan reading and construction technology.
bd 44db.Z.ZT. SflOz 9.1. 'unf 'ON Xdd w ll021j
L OOMIS OFFICE
3243 Rippey load
Loomis, CA 9 650
Phone: ('916) 652-4655
Fax. . (916) 652-3860
'l MARYSVILLE
5033 Feather River Blvd.
Mari sville, CA 95901
Phone: `.743-8855
• 4
TrUtsm Dezvaolgn
birnittoul
0
t
Designed By: Date: -- -- - ��-- Technical Representative:
Bryan Wagner June 26, 2006 Bryan Wagner
All enclosed drawings are in al-Dha-numerical order
Clielnt
Mitchell's Buildin ;up- ly
Office Phone:
Office Fax:
/Elevation:
Work Order # 0301203
Floor System 1 0
Roof ISyste :l
Site Phone:
SiteContact:
JILDING-_6 '4 a
IN
Cameron LeeAPPROVE
Gridley, Ca.
O Original Submittal
O Complete Revision
O Partial_ Revision: Replaces individual drawings
O Addition: Add to Original Submittal
Job Name: Cameron Lee
BRG X -LOC REACT SIZE REQ'D TC 2x4 DFL #1
1 0- 1-12 1207 3.50" 1.50" BC 2x4 DFL #1
2 26-10- 4 1207 3.50° 1.50" pUUE VALUES PERXSTANDARD4 FL
ICBO RESEARCHORT #1607.
BRG REQUIREhIEr1TS shown are based ONLY Loafed for 10 PSF uREP BCLL.
On the truss material at each bearing PIArI7JG BASED ON GREEN LUMBER VALUES.
fhJAX DEFLECTION (span) :
L/999MEM 8-9 (LIVE) LC 1
L= -0.11' D= -0.24 T= -0.35"
CRITICAL MEMBER FORCES:
TC COMP. TENS. W11 6I
12 -2309JDIJR.j�
,15 621 1.60 0.79
2-3 -20201.15 574 1600.57
3-4 -20201.15/ 574 1.60 0.57
4-5 -2309 1.15/ 621 1.60 0.79
BC COMP.(WR. / TENS.(WR.) CSI
6-7 -514(1.603/ 2136(1.15) 0.62
7-8 -281((1.603/ 1466((1.153 0.44
8-9 -514 1.60 / 2136 1.15 0.62
w CCMP.(WR. / TENS.(WR. CSI
Z-7 -451(1.153/ 226(!.60) 0.10
3-7 -147 1.6D / 62201(1.15))) 0_27
3-8 -147 1.60 / 22 1.15 0.Z7
226 1.60 0.10
t
4-9-13
r_
0-3-13
Q
`RISS ID: KKK
Plating9 ppec - ANSI/TPI - 1995
THIS DESIUJ IS THE CQMf9SI(E RESULT OF
MULTIPLE LOAD CASES.
IF WWGERS ARE INDICATED W THIS DRAWING,
THEY ARE BASED ON 1.5" HANGER NAILS FOR
1 -PLY AND 3' HANGER NAILS FCR MULTI -PLY
GIRDERS. IF 2.5" GUN NAILS ARE USED THE
HANGERS MUST BE RE-EVALUATED (BY OTHERS).
8-0-0 5-6-0 5-6-0 { 8-0 0 �
8-0-0 13-6-0 19-0-0 27-0-0
13-6-0 -�_ 15-6-0
I 2 3 4 5
4.00 -4.00
4-4
Qty, 9
UPLIFT REACFIChN(S)
Support 1 -3305 1b
Thi"MY 's is designedbus ing the
UBC 97 Code.
Bldg Enclosed = Yes, ITortance Factor = 1.00
Truss Location = Not End Zone
Hurricane/Ocean Line = No Exp Categoryy = C
Bldg Length = 24.00 ft B1 dg Width = 20.00 ft
MeanScantdand aht 22.41 ft, arph = 80
UBC panty, Dead Load = 12.6 psf
5 -5 -ti
SHIP
2
0-3-13
B1 B2
VV:308 W:308
R:1207 R:1207
U:-305 U:-305
F-- - 27-0-0 -- ------ i
6 7 8 9
10-0-0 -j 7-0-0 10-0-0 -1
'10-0-0 17-0-0 27-0-0
1ez^a v-qm, yyp�pg�S.
Si
Bq 0)1 ;' t--° 1-11-APPr DA
i�
E
T1'[u: w S' stem��tes are 20 �1a. unless sFlo-.mr "18"(1 B ga"H"(��.�a. ), "PNC"(TWr,4X 20 gad, �ositialed per Joint Details 12eat. 6/26/2006
Clrc�e� ter, ase (name p cotes are posdlon as =_FrowrT a ve. gab stud pplates to aVof o edap with stnuiura plates ( staple): � �� ®®
WA NII Read all notes on this sheet and give a copy of it to the Erecting Contractor.
Cust: Mitchells Building Supply
nils design is for an irdividual linidirg conywnent hot truss system. It has beat based at spedfications providtd by the conrpooen t manufacturer
W0: Drive -T-03012031-00005100001
and done in accordance mth the curran versicns of TPI and AFPA design standards. No responsiLvlity is assumed for dimensional accuracy. Cin onions
cora W be vedfid by the rumponaA manufacturer ardlor building designer prior to fatrication. The buidirg desigrwa must ascertain that the loads
D s g n r : BW #LC = 16 WT: 139#
®M - .�OD
utilized on this design weet or eceed the loading imposed by the local Wiling code and the particular application. The design assurnes that the top thud
is' laterally traced by the roofer flow sheathing aril the bottom Groh is la1e211y traced by a rigid sheathing material directly attached, unless dlxavise
TC Live 16.00 psf
L i ve Du r L=1.15 P=1. 15
&acuxt is for lateral
T(. Snout 0.00 psf
S nowDu r L=1.15 P=1. 1$
_
TRUSS
rste1 shorn support of cenry;onenls rnernb:rs only to reduce LtrWirrg layth. This component shall nut be pace) in any
wironmatthat willcausetemoisturecanentofthevicedtoetceall9%adurcauseconnedrxplatecarosioa, FaGicate,handle, install
TC Dead 14.00 psf
Rep Mbr Bind / Comp / Tens
4445 Norchpa rk Dr.
acd bate this Wss in .-Jar- with the following =-tardards:'Jd A and Cutting Detail Reports' available as output front Tmswal software,
B C Live 0.00 psf
1.15 / 1.00 / 1.00
Colo Springs, CO 80.907
avst7rPlr,'IvrCA1'-wi�cdI Loss Council ofAmerica Standard De_KJnResonsibilities,'BUILDINccDWONE TTSAFETYINFORMAIlav-
BC Dead 7.00 psf
O.C.Spacing 2- 0- 0
(BCS] 1-03) ard'BCSI SLAVIMRY STIEETS' by 4VTCA and TPI. The Truss Plate Institute (TPI) is located at 583 TYCnofno Dnive, Madison,
T R U S P L U S 6.0 VER: T6.5 . "L
lbisoonsin 53119 The Ai-etican Forest and Pa Associatiat AFPA is located at 1111 19th Street. NVV, Ste 800, Washi
Pa ( > rglogCCaD330.
Bldg Code: UBC -97
DEFL RATIO: 1-/240 TC: L/2,
Job Name: Cameron Lee Truss 9D: IMI C Qty: i
BRG X -LOC REACT SIZE REQ'D
PC 2x4 DFS "#1
1 0- 1-12 981 3.50" 1.50"
WEB 2X4 DFL STANDARD
2 21-10- 4 1383 3.50 1. 50"
PLATE VALUES PER ICER RESEARCH REPORT #1607.
BRG REQUIREMENTS shown are based ONLY
Loaded for 10 PSF non -concurrent BCLL.
on the truss material at each bearing
PLATING; 8ASED QN GREEN LUVUER VALUES.
MAX DEFLECTION (Span) :
Righr O erhan9(s) are not to be ra oved.
OVERWC(S) MAYBE.ShCRTENED uP'TO 3" .!
L/999 MEM 6-7 (LIVE) LC 23
L= -0.09" D= -0.20" T= -0.29"
Right 0-rhang Soffit loading = 0.0 psf
MAX DEFLECTION (cant) :
TC Live
L/999MEM 9-10 (LIVE) LC 21
Li veDu r L=1.15 P=1.15
L= -0.05" D= -0.04" T= -0.09"
-
CRITICAL MEMBER FORCES:
is laterally t -d! by the nwf or floor =-heathing and the bottom chord is laterally braced by a rigid sheathing material diredly attached, unless otherwise15
TC COMP, DUR. / TENS. WR. C5I
0.00 psf
1-2 -1618 1.15 / 395 1.60 0.67
1 � I N H ll✓✓V'!!JJ
2-3 -1332 1.15 / 347 1.60 0.55
Deanowd
TC Deatl
0.60
Te
Rep Mbr Bnd /Comp /Tens
Rep Mbr nd /
4-5 -409 1.60 % 1133 1.1� 0.78
ensimnmenl that will cause tha moisture content of the wood to eweed 19% arWor rause connector plate corrosion. Fabdcate, handle, install
5 -OR 0 1.15 / 38 1.15 0.24
0
BC COMP. ((((((CUR. ))))/ TENS. (((WR.) CSI
4445 Northpark Dr.
6-7 -300 1.60/ 1481(1.15) 0.53
BC Dead
7-8 -67 1.60 / 800 1.15 0.39
O.C.Spaeing 2- 0- 0
8-9 -81 1.15 / 707 1.33 0.26
}wSI,TPI 1','WrCA I'- V%bod Truss Council of America Standard Design Responsibilifies,'BUILDING -
9-10 -1003 1.15 / 437 1.60 0.29
1713 COMP. (DUR. / TENS. WR. CSI
2-7 -447(1.153/ 226 1.60 O. lU
3-7 -147((((1.60))))/ _. 6S1 1.15 0.29
3-8 -306 1.15 / 195 1.60 0.18
VAsconsin 5:3719. The Amencan Forest and Paper Association (AFPA) is located at 1111 19th Street, NW, Ste 800, Washington, DC 20036.
4-8 -131 1.60 / 364 1.15 0.16
UBC -97
4-9 -1773 1.15 / 557 1.60 0.48
t
4-9-13
z
0-i3-13
2.
Plating spec • ANSI/TPI - 1995
THIS DESIGN IS THE COMPOSITE RESULT OF
MULTIPLE LOAD. CASES.
IF HANGERS ARE INDICATED ON THIS DRAV11K,
THEY ARE BASED ON 1.5" RANGER RAILS FOP:
1 -PLY AND 3" RANCER NAILS FCR MULFI-FLY
GIRDERS. IF 2.5" GUN NAILS ARE USED THE
HANGERS MUST 13E RU -EVALUATED (BY CIT ERS).
8-0-0 5-6-0 5-6-0 8_0-0 i
8-0-0 13-6-0 19-0-0 27-0-0
133-6-0 13-6=0
1 2 3 1 5
MUO 4.00
4-4
IJ: -231 U-378
2-0-0 2-0-0
F -i 27-0-0 ~�
6 7 8 9 10
10-0-0 7-0-0_I 4-10-4 5-1-12 1
10-0-0 17-0-0 21-10-4 27-0-0
2
0-3-13
UPLIFT REACTICN(S)
Support 1 -2231 lb
Support 2 -376 lb
This truss is designed using the
USC -97 Code.
Bldg Enclosed = Yes, Ir dportance Factor = 1.00
Truss Location = Not End Zone
Hurricane/Ocean Line = No Exp Category = C
Bldg Length = 24.00 It Bldg Width = 20.00 ft
Mean roof height = 22.41 ft, mph = 80
UBC Standard Occupancy, Dead Load = 12.6 psf
Ll LATY
Vli
Ai PR Va
5-5-11
SHIP
Trus'al t Xstems dates are 20 a. unless shown by "18"(18 a„ "H^ 16 a. or l TVW 20 a) po itiora, per Joint Details Report.
Circled p� tes and f �se frame plgates are posltioi as showria ve. Shin g�ble stL:d �lates to av�ld overisap wl structural plates (or staple).
612612006
ARNI GYRead all notes on this sheet and give a copy of it to the Erecting Contractor.
Cust: Mitchell s Bu i1di ng
Supply
This design is for an mcmdual building component not truss system. It has been based on specifications prwded by the component manufacturer
and done in accordance with the current se ons of TPI and AFPA design standards, No responsibility is assumed for dimensional accuracy. Cimens-ions
WO: Drl ve_T_030120,3_L00005-300001
Dsgn r : BW
#LC = 2 B WT: 146#
by the cop>nent manufacturer angor building designer prior to fabrication. The building de= --finer must ascertain that the loads
are t6 be verified rn
TC Live
16.00 psf
Li veDu r L=1.15 P=1.15
utilized on this design meet or eu ed the loading inqused by the local building code and the particular application. The design assumes that the top choral
y /q / /� p�
p-•] / )M��A /�( 1 f /
O Il
is laterally t -d! by the nwf or floor =-heathing and the bottom chord is laterally braced by a rigid sheathing material diredly attached, unless otherwise15
TC
0.00 psf
P=/
1 � I N H ll✓✓V'!!JJ
noted. Bracing shown is for lateral support of co nents members only to red- buckling length. This component shall not be laced in an
pp0 `f'p0 y 9 '� � p y
Deanowd
TC Deatl
14.00 psf
Te
Rep Mbr Bnd /Comp /Tens
Rep Mbr nd /
TRUSS
TRUSS
ensimnmenl that will cause tha moisture content of the wood to eweed 19% arWor rause connector plate corrosion. Fabdcate, handle, install
BC Live
0
1.15 / 1.00 / 1.00
4445 Northpark Dr.
and brace this truss in accordance with the following standards:'Joinf and Cutting Detail Reports available as output from Truswal software,
CWPONENT SAFETY INPORNIATION
BC Dead
.00 psf
7.00 psf
O.C.Spaeing 2- 0- 0
Colo Springs, CO 80907
}wSI,TPI 1','WrCA I'- V%bod Truss Council of America Standard Design Responsibilifies,'BUILDING -
(BCSI 1-07) ard'BCSI SUMMARY SHEETS' by VYfCA and TPI. The Truss Plate Institute (TPU is located at 583 D'Cnofrio Drive, Madison,
_
TRUSPLUS 6.0 VER: T6.5.2
VAsconsin 5:3719. The Amencan Forest and Paper Association (AFPA) is located at 1111 19th Street, NW, Ste 800, Washington, DC 20036.
el dg Code:
UBC -97
DEFL RATIO: L/240 TC • L/2,
Job Naas, Cameroon Lee
Tfuswal ystems ph tes are 20 a. unless shown b -18"(18 a H"116. a, or "PAX"(P/v 1y 20 pa ), pogil. , per Joint Details Report.
Circled photos and flnse frame pp are posltlonedyas show a ove. Shif�y�ble stud Plates to av01d overlap with slnlctural plates (or staple}.
"rruss ID: KKIFQty:
1
BRG X -LOC REACT SIZE REQ'D
_ _ _
PC 2xa DFL rt1
Plating9 sppec • ANSI/f PI - 1995
UPLIFT REACTION(5)
1 0- 1-12 981 3.50" 1.50"
BC 2x4 DFL itl
TRIS 0 SICK IS THE COMPOSITE RESULT" OP
Support. 1 -2231 16
2 21-10- 4 1383 3.50" 1.50"
WEB 2x4 DFL STANDARD
14ULTIFLE LOAD CASES.
IF DANGERS ARE INDICATED CN THIS DRAWN]
Support: 2 -378 lb
This is
BR REQUIREMENTS shown are based ONLY
GBL BLIC 2x4 DFL STANDARD
PLATE 'VALUES PER IU30 RESEARCH REPORT x1607.
THEY ARE BASED O`! 1.5" HMGER NAILS ICA2
truss designed using the
UBC -97 Code.
on the truss material at each bearing
Loaded for 10 PSI' non -concurrent BC -L.
1 -PLY AND 3" HMGER NAILS FOR MULTI -11Y
Bldg Enclosed = Yes, Importance Factor = 1.00
MAX DEFLECTION (Span)
L/999 MEM 6-7 (LIVE) LC 23
May te<uate toPles for ble blocks.
BUILOIMC DESICAER MUST VERIFY NGABLE LOADS.
GIRDERS. IF 2.5" CUN NAILS ARE USED THE
IDX ERS MUST BE RE-EVALUATED (BY OTAERS).
Truss Location = Not End Zone
Hurricane/Ocean Line = No Exp Category = C
L= -0.09" D= -0.20" T= -0.29"
[+ gable bracing r?yu ed @ 58" intervals,
to load to face.
PLATIAG BASED ON GREEN LUFUER VALUES.
Bldg Length = 24.00 ft, Bi dg Width = 20.00 ft
Mean root height = 22.41 ft, mph 80
MAX DEFLECTION (Cant)
r exposed wind : applied
Sae "General Gable Details', 0002065035.
_
4445 North 7a r'k Or.
=
UBC Standard Occupancy, Dead Load = 12.6 psf
L/999 MEM 9-10 (LIVE) LC 21
0.00 psf
1.15 / 1.00 / .1.00
Colo Springs, CO 80907
L= -0.05" o- -0.04" T= -0.09"
Right Overhangs) t to be reanved.
are
3" PVO(.I
7.00 psf
O.C.Spacing 2- 0- 0
CRITICAL MEMBER FORCES:
TC CTAP. WR. / TENS. WR. CSI
OVEIiHAN-,(S) MAY BE UP W
Bight, Overhang Soffit loading = 0.0 psf
1-2 -16181.15 / 39S 1.60 0.67
TRUSPLUS 6.0 VER: T6. S.2
VMsconsin 5:3719. The Arctniran Forest and Paper Association(AFPA) is located at 111119th Street, NW, Ste 800, Washington, CC 20036.
Bldg Code:
2-3 -13321.15 / 347 1.60 0.55
tKFL RATIO: L/240 TC: L/2'
3-4 -9391.33 / 189 1.60 0.60
_
4-5 -4091.60 / 1133 1.15 0.78
S -CR 011m.15 / 38 1.15 0.24
CSI
/ T1481
BC CQ300
1.6. 1.1
6-7 -300(1.603/ 1461(1.153 0.53
7-8 -67(((1.603)/ 800(((1.15))) 0.39
8-9 -81 1.15 / 707 1.33 0.26
9-10 -1003 1.15 / 437 1.60 0.29
ty8 CCr`1P. OUR / TENS. WR CSI
2-7 -447 1.15 / 226 1.60 0.10
3-7 -147 1.60 / 651 1.15 0.29
-
3-8 -306 1.15 / 195 1.60 0.18
4-8 -131 5.60 / 364 1.15 0.16
4-9 -1773 1.15 / 557 1.60 0.48
-(
4-9-13
1 'r
0-3-13
2.
8-0-0 d 5-6-0 5 6_ 0 _ I 8-0-0
--i
8-0-0 13-6-0 19-0-0 27-0-0
13-(i-0
1 2
[4 -6-0
4-4
4 5
4.00
U:-231 U:-378
f 2.0-o 122-9 1
6 7 a 9 10
10-0-0 7-0-0 _t 4-10.4 5-1-12 .1
10-0-0 17-0-0 21-10-4 27-0-0
TYPICAL PLATE: 1-3
WINC3� s �
. 0 "ll/
5-5-11
SHIP
z
0-3-13
Tfuswal ystems ph tes are 20 a. unless shown b -18"(18 a H"116. a, or "PAX"(P/v 1y 20 pa ), pogil. , per Joint Details Report.
Circled photos and flnse frame pp are posltlonedyas show a ove. Shif�y�ble stud Plates to av01d overlap with slnlctural plates (or staple}.
�� 006
- d - -- e - -- ---- ----- - - -- - �- -- -^� - - -
��is�hRNIAI �C2ead all notes on this sheet and give a copy Of it to the Erecting Contractor.
Cust Mi tchel l s Bu i l di ng Suppl y
This design is for an individual building component not Wes systern.. It has been based on specifications provided by the conhponent tranufacturer
w'0: Dr i ve_T_0301203_L00005_J
00001
and done in accordance will, the current versions of TPI and AFPA design standards. No responsibility is assumed for dimensional accuracy. Dimensions
Dsgn r : BW
#LC = 23 WT: 212#
are to be -died by the cornponent manufacturer ardor building designer prior to fabication. The building designer must ascertain that the loads
TC Live
TC Snow
16.00 psf
0.00
_
Li veDu r L=1.15 P=1.15
SnowDu L=1,15 P=1.15
)) / /� Lt qq /•� /'� /`y y�
p..d { )'!/, pw I/) /f )/ ) If y
utilized on this design meet. or e -ed the loading imposed, by the local buikdirg ode and the particular application. The design assurnes that the top chord
is laterally Isaced by the mf or floor sheathing and the bottom chord is laterally braced by a rigid sheathing nsolerial directly attached, unless othenvise
1 ] i!1 .1 la Y N l✓ it l.Jr
noted. Bracing shown is for lateral support of ahmponents members only to reduce buckling length. This cornponenl shall not be placed in any
TC Dead
psf
14.00 psf
r
Rep Mb r Bnd / Comp / Tens
TRUSS
emironrcent that will cause the moisture content of the wood to ex eed 19 % atx9or cause connector plate corrosion. Fabricate, handle, inslall
_
4445 North 7a r'k Or.
and brow this truss in accordance with the following standanEc'Joint and Cutting Detail Reports' available as output from Tivswal software,
BC Li ve
0.00 psf
1.15 / 1.00 / .1.00
Colo Springs, CO 80907
Mal Toss Council ofAncaStandard Design Responsibildies,'BUILDINGCOMPCNENTSAFETY INFORMATION'-
'ANSI/TPI1','WTCA V' me
BC Dead
7.00 psf
O.C.Spacing 2- 0- 0
(BCSI 1.03) ald'BCSI SUMMARY SHEETS' by WTCA and TPI. The Truss Plate Institute (TPI) is loaded at 583 O'Cnofdo Drive, Madison,
TRUSPLUS 6.0 VER: T6. S.2
VMsconsin 5:3719. The Arctniran Forest and Paper Association(AFPA) is located at 111119th Street, NW, Ste 800, Washington, CC 20036.
Bldg Code:
UBC -97
tKFL RATIO: L/240 TC: L/2'
L--1 -J
Job Name: Carrier -ori Lee
"truss ID: KK(G
Qty: 1
CRITICAL MEMBER FORCES: TC 2x4 DFL pl
BC 2.4 DFL .B1
Placid? sppec •ANSI/TPI - 1995
THIS DSI(,N IS THE COMPOSITE RESULT OF
This truss is designed using the
UBC -97 Code.
GBL BLK 2x4 DFL STANDARD
MULTIPLE LOAD USES.
Bldg Enclosed = Yes, Importance Factor = 1.00
PLATE VALUES PER ICBO RESEARCH REPORT #1607.
rF HANGERS ARE INDICATED ON THIS DRAWING,
Truss Location = Not End Zone
Loaded For 10 PST non -concurrent BCLL.
Mayy dee�g1 to for gable blocks.
THEY ARE BASED ON 1.5" HANGER NAILS FOR
1 -PLY AND 3" HANGER NAILS FOR MULTI -PLY
Hurricane,1Ocean Line - No Exp Categoryy = C
Bldg Len9ih 24.00 ft, Bid' Pidth 20.00 ft
use staples
8UI AW, DESICNEIi MUST VERIFY (ABLE LOADS!
GIRDERS. IF 2.5" GUN NAILS ARE USED, THE
= =
Mean root height = 22.41 ft, mph = 80
required
It gable bracing required @ 58" intervals,
W\NGES MUST BE RE-EVALUATED (BY OTHERS).
UBC Standard Occupancy, Dead Load = L.6 psf
iP to wind to face.
PLATING BASED ON GREEN LUMLIER VALUES.
_
Li veDu r L=1.15 P=1.15
��puosed
Seee"Geueral Cable Details', C002065035. -
1.5-3
V
8 1 I LJ V
ooT T T T T T o
1 2 3 4 5 6 7 8 9 10 112 13 14 15 16 17 18
f 4 oo -4.00
3-4
19
19
l Tusw g ste ns PI les are 20 a. unless shown 6 "18"(18 ga ' fl" '16. a.) r "M� lV ML`C 20 I ), po ition d per Joint l) at, Re
pl les�adnd Ta�se frame plates are pos tion �as s= aL�ve. ShiR gable stud dales to av�ld overl�ap_vnth st uctural plates (o las ple).
6/26/2006
1
27-0-0
Oust: Mitchells Building Supply
20 21 22 23 24
25 26 27280
290 313233
34 35 36 33.'70 38 0
and done in accordance with the rodent versions of TPI and AFPA design standards. No responsibility is assumed for dimensional accuracy. Dimensions
Dsgn r : BW
#LC = 16 WT: 185#
are to be veiified by the corrrponenl nsanufacturer arkl/or building designer prior to fabrication. The building designer worst ascertain that the loads
TC Live
16.00 psf
_
Li veDu r L=1.15 P=1.15
TYPICAL PLATE:
1.5-3
V
8 1 I LJ V
TC Snow
0.00 psf
SnowDu r L=1.15 P=1.15
OVER
CONTINUOUS
TC Dead
SUPPORT
Re Mbr Bnd Com Tens
p / p /
t
5-5-11
1 SHIP
2
0-3-13
it, jy 111 a.
WING
9 P', , >3�
l Tusw g ste ns PI les are 20 a. unless shown 6 "18"(18 ga ' fl" '16. a.) r "M� lV ML`C 20 I ), po ition d per Joint l) at, Re
pl les�adnd Ta�se frame plates are pos tion �as s= aL�ve. ShiR gable stud dales to av�ld overl�ap_vnth st uctural plates (o las ple).
6/26/2006
_
_Coote s
I ,�'►l��]vINC3"Read all notes on this sheaf and give a copy of it to the Erecting Contractor.
Oust: Mitchells Building Supply
This design is for an individual building conpronent not Iross system. It has been based on specifications provided by be cor ponent manufacturer
WO' Dri ve_T_0301203_L00005_300001_
and done in accordance with the rodent versions of TPI and AFPA design standards. No responsibility is assumed for dimensional accuracy. Dimensions
Dsgn r : BW
#LC = 16 WT: 185#
are to be veiified by the corrrponenl nsanufacturer arkl/or building designer prior to fabrication. The building designer worst ascertain that the loads
TC Live
16.00 psf
_
Li veDu r L=1.15 P=1.15
p /� p �
ie] ( yr y1 / i/ y
O
utilized on this desk 'inmeet or exceed the loading inposed by the local building code and the particular application. The design assuims that the top chord
is laterally bf aced by the roof or floor sheathing and the bottom chord is laterally braced by a rigid sheathing materal directly attached, unless otherwise
V
8 1 I LJ V
TC Snow
0.00 psf
SnowDu r L=1.15 P=1.15
TRUSS
noted. Dating shown is for lateral support of cor ponents rnernbers only to reduce buckling length. This corrd-`onenl shall not be placed in any
envvonnx�iA that will cause the noisture coolant of the wood do -ed 19 k and/or cause connector plate conusion. Fabricate, handle, install
TC Dead
14.00 psf
p
Re Mbr Bnd Com Tens
p / p /
4445 Northpark Dr.
and brace this toss in accordance with the following standards'Juint and Cutting Detail Reports available as output from Tri software,
BC Live
0.00 psf
1.15 / 1.00 / 1.00
Co7o Springs, CO 907
80
ANSVTPI 1% "ATCA V- Wood Truss Council ofAitenoa Standard Design Respon5ibilities,'BUILDING COMPON64T SAFETY INFORMATION'.
BC Dead
7.00 psf
O.C.Spacing 2- 0- 0
(SCSI 1-03) aud'BCSI SUMMARY SHEETS' by VVTCA and "TPI. The Truss Plate Institute ([PI) is located at 583 D'Onofru Crve, Fdadison,
TRUSPLUS 6.0 VER: T6.5.2
`Msconsin 53719, The Amercan Forest and Paper Association (AFPA) is located at 1111 191h Street, NW, Ste 800, Washington. DC 20036.
Bldg Code:
UBC -97
DEFL RATIO: L/240 TC L/2'