HomeMy WebLinkAbout024-080-103COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive -..Oroville, California 95965 1, Telephone (530) 538-7541 PERMIT NO.
"LICATION-AND-PERMIT
(Rev. 12/96) APP
ASSESSOR PARCEL NUMBER
ZONIN9
BUILDINGPERMIT
OWNER
34/
SO. FT. OCC. BUILDING VALUATION
OWMIUNG
19' 7.
ELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS
Fireplace A III
Total Valuation 1$ 2 1-7. _70 I
ARCHITECT OR ENGINEER
LICENSE
-
-Filing Fee $
20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee $
�n
Plan Checkinq Fee $
0
BUILDINGADDRESS
Energy Plan Checking Fee $
OE- - a U
PERMIT FEE $
\ -7 -71J. (0
LOT NO.
SUBDIVISIONS NAME
T T
PLUMBING PERMIT
Filing Fee . 20.00
USEOFSTRUCTURE
SF k Duplex 0 Mobilehome 0 Other SPECIFY
Each Trap
7.00 C7<g,JC
-Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00 1,4�1
TYPE OF WORK
New Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
A
Describe Work:
Gas piping system I - 5 outlets
15.00
Building sewer
15.00 .
Mobile Home I S I G I W
_
20.00
PERMIT FEE
I _71 6 01
ELECTRICAL PERMIT
Filing Fee 20.00
"00 OR LESS
Main Service .,V1 OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and affect.
License Class H*.C- — Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1. as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO I 000A
46.00
NEW CONST. DWELLING P.
OR ADDNS. & ACC. .0c C. U
so
3.501.
NtW RESID. MULTI-
H M&
97.50
OWER AP=TU
PSIN.. 0 CIR.
-Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
B0kL a .50
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE_
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, forthe performance of workforwhich this permit is issued.
My workers' corrIpensation insurance carrier and policy number are:
Carrier 15A !��A- (:,- �7,, .a f-)
MECHANICAL PERMIT
Filing Feii 20.00
Heating
- Cooling
Hood
6.50
Ventilation
PERMIT FEIE $
Policy Numbeir 1 k75 J614-3- 0-1
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 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' ensation provisions of section 3700 of the Labor Code, I shall
forthwit oi�� Ivy with those provisions.
X Date
SignatF-of Appl'idant Owner 0 Contractor 0 Agent
An OSHA permit is required for excavations r 60" deep and demolition or construc on
of structures over 3 stories iy height.
77
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TYF PE TOTALF
I TOTALFEE$
D. FIE
.
0
E
CDF
PAV
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicatidabove for which f s hav been paid.
y Dat& /1, 16
t 09- 1 T-
ERMIT EXPIR FS'ON
I (pits)
ReceiptNo. 31q,�
J�L�:Z� Q&A10 Cy 15114. / W
WHITE-D.D.S.-B.D. ' CANIRY-ASSESS02Z PINK-INSPECfOR GOLD�ZOD.APPLICANT
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District Building Department No.
A.P. Number Jurisdiction: E=ecounty
Property Owner
Property Locatlon/A
Subdivision
Residential Development
Commercial/industrial
Lot No. 01.
....................................................................................................
Sq. Footage
E7_1
No o Uving Mobile Home Addition/ *Supplemental to (Group R)
Units Installation Conversion Permit #
-(No foundation Impectlon)
......................................................................... . ..................... . ...
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
New
Department Representative
Sq. Footage
(including Exterior
Roofed Areas)
Date
District Identification No. / 7
C7'r id i school District certifies that
'(Applic'antF—
(Street Address) (Phone Number)
rl ef tn , i C
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. by payment of $
representing . � u4 �'/_ square feet.
School District Representative
Paid by Check # �� - Remarks:
rooms* V
IF
VS 2926 $
IFULL MrTIGGIAWN = $ 11
,_5 -6 -e-)
Date
Nofts: Youmaypr*W#*InWmkionotthof*nM*.iU above by subnftlng a written protest to the fthict. In compliance with
Gom.m.wit Code Section 66020(a), wMn 90 dap from the date fees we paid. Failure to submit a timely wriften protest will prohibit
you from challenging the Imposition of the fen In any court action.
If. subsoquard to the School District Representative signing this Butte County Schools Wiped Fee Certification Fomi6 the School District in
atill by the applicable Local planning Agency that dft project Is being reviewed wWw the California Envkonmu" Quality Act (CEQA�
Oft p a a r - may be mobject to additional school fen to fully mWgd* ft Impacli on do ad" dhftkft schook.
White (applicant), Yellow (building department), Pink (school district) feeform-As (10/03)dnwn
COU TY OF BUTTE
� 7 F OZ�NT OF
/A WHO 16 4 kDE P�A RLT M _E g— YVK N/T SEP
7 County Center Drive - Oroville, California 95965 - T�
V v. 1219 61 APPLICATION AND PER
" 9
.W7S PAR
SESS.R PARCEL NUMBER 0 IONIN' A,
S I
N,�T I'ZA
=;E
,7 So.
_A11,1 6
%VIRACTOR'S MAILING ADDRESS
VTRUCTION LENDER
BODER'S MAILING ADDRESS
ARCHITECT OR ENGINEER
ARCHITECT OR ENGINEER'S MAILING ADDRESS
BUILDINGADDRESS f .
Sf UILDING DIVISION
V 530) 538-7541 , j
BUILDING PERMIT
Fireplace 1
NO. Total Valuatlon $
Filing Fee
Permit Fee $
Plan Checking Fee $
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDrvisr
Ur� a _8j(5--
PLUMBING PERMIT
Temporary Service
23.00
Mobile Home Facilities
20.00
Each Trap
23.00
USEOFSTROCTURE
101 AQ
PERMIT FEE
F) -
MECHANICAL PERMIT
Filing Fee 20.00
Solar or heat pump water heater--
Cooling
HrInd
SF��Duplex 0 Mobilehome 0 Other
-
Water piping
SPECIFY
Each gas water heater or vent
TYPE OF WORK
—Gas piping system I - 5 outlets
New_Q__Addition 0
Remodel 0 Uldlifies 0
Installation 0 Other 0
Building sewer
C)s
Mobile Home I S I G I W
Describe Work:
II
F C>
PERMIT FEE PAID
SRA
SHERIFF
OTHER
AMOUNT RECEIVED
DATE RECEIVED
RECEIPT
s
$
P
PERMIT FEE
ELECTRICAL PERMIT
600V OR LESS
Main Service . OR LESS
Main Service 20" TO 10-A
NEW CONST. DWELLING OCCUP.
OR ADONS. & ArC. BLnS.
MIIIIIIIII
20.00
iling Fee 20,00
7.00
23.00
15.00
15.00
15.00
15. 0 0
@?20.00
n2q Fee 1 20.00
A 00
46.4
3. 5 t NO - FC
EX. OCCUp. OUTLET OR FOCTURES
a ".;0, . I
' AFF -ORA
Ex. Occup. OM, (RM.) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
F) -
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
HrInd
6.50
Ventilation
PERMITFEt $
Mobile Home Installation Fee $
Fee
Energy Inspection $
OCC CONST. TYPE To AL EEE $
I I a
1 HAZ. 10. FEES I IMf I 444D I CDF I pkReEL ftJobb I HD I IISSUE
This permit is hereby Issued Oder The applicable provisions
of the Bufte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By
PERMIT EXPIRES ON
Date
40
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
'7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
VERMIT APPLICATION DATA SHEET
I
OWNE . R:._ .-AiSSESSO'R PARCEL NUMBER OZ4.�M6_105
uilding Use: 1-) 417 Counter Technician: Date:
Proposed B''.
97!quired in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
;�p 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.
0 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.
0 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the enginee .
0 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
0 11. Site plan and business license approval'from the City of Biggs
0 12. Letter of intent for non-residential buildings
El 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 0 Chico �/Oroville, as applicable.
16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
17. Fire Sprinklers ............................................................................................
18. Agricultural Buffer cIr and site plan apr from the Ag Commissioner Sent by
..
0
19. Soils Report and/or Engineered Foundation required ...........................................
........
0
20 Erosion Control Plan Required ........................................ ...................................
21 � Fees as shown on the attached Schedule of Fees Due Sheet ..............................
........ . j
CEK7
22. City of Chico Plumbing permit ............................................................ :.1 .............
23. California Department of Forestry plan approval 0 paid. Sent by: . .............
24. Planning approval (A) LIse3K (B)Parking': Parcel Check:-
Z- I 9�9
_(C)
25. Contact Land Development about - Improvements, Drainage .........................
26. NPIDES Form ...................... . ** ........ .....................
27. Encroachment Permit for driveway from the Public Works Dept ...........................
0
28. Pre -Inspection for required .......
0
29. Contractor's license information. (Number, Name Style, Classification) ...................
30. Worker's Compensation Carrie d P Ii y Number ..........................................
,pen o ic
'
31. Owner -Builder Verification VGiven to owner, Mailed to owner) .....................
0
32. Letter of Signature authorization ....................................................................
33. Recorded copy of Agricultural Acknowledgment Statement .................................
4*7bq
CA&
0
34. Manufactured home utility clearance ............................................................
0
35. Existing violations and/or expired permits .........................................................
0
36. Deed Restriction ..................................................................................i -'-
0
37. 0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner, 0 Check
to H.C.D.
0
38. Other:
0
39. Other:
When issued Telephone '6 1 (:;3 and hold for pickup.
I have been informed oPff�above items and requirements for obtaining a building permit.
Applicant: Date:
1. Index permit aprication for the above items numbered: - I "�11 ( ) _)� ) Plan Check Letter
2. Additional items required 7
Contractor, designer, , n-er, w s advised of the above data by'g�-*ne, �o Kail X counter, bfJ .411;11�te:
w
0;� Contractor, designer, o was advised of the above data by 0 phone, 15TfffiT, 0 counter, by Date:
Plans reviewed by: Date: Plans approved by: " Qg A Date: o 70�
Structural reviewed by;4 Date -.0%... A"Re Structural approved by: M jrDate:
Note transfer by: (hC4k!!!, _DatP.-.,%!!Z I I
if Yellow: Building Division
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SqHEDULE OF RECEIPT OF FEES
OWNER &L
/PROP SED BUILDING USE
I 112TTTF "YNTAf" VVIDI"Trir Wwre
A.P. 40 24_00_(U�5
DATE
R ECEIPT #
- Balance Due ..................... $ 1 �r_ I Ak5z�.
--- Additional Fees Due ...........
--- Revised Plan Checking Fee
2. SCHOOL DISTRICT FE
'paid a, School District Office o vailable after la ck)
3. SHERIFF FEES (paid at Buildin Division)
Residential ............ Units X $360 1 .00 =$
Commercial (sq. ftg.).....
Sq.Ftg.
4. URBAN AREA FEES
X $0.03 = $
Residential (per uniti . - - - - x
# Units Amt.
Commercial (Sq. Ftg.).... x
Sq. Ftg. Amt.
(paid at Building Division)
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
L4kRA FIRE INSPECTION AND PLAN CHECK FEE
989.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone x $
Zone # Units Amt.
Commercial (sq. ftg.) ......... x $
Sq. Fig. Amt.
10. OTHER
DATE REQ
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during thqffaln)checking process.
APPLICANT
DATE � — -'0'3 _'0
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
AND WHEN RECORDED MAIL TO.
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
Recorded
I REC FEE
Official Records
I COPIES
Count Of
BUTTE
CANDACE J. GRUBBS
I
Recorder
I
ROSEMARY DICKSON
I
Assistant
I Barbara
03:31PM 05 -May -2004
I Page 1 of 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of th ' e Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and -residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
Date J-- PROPERTY OWNERS:
State of California
County of 1-lvk�L
On Ma" -c� . ao (3 �J before
-_J I L'Q VU 4*
personally appeared -e T sc, �m- Dersonally
known to me (or proved to me on the basisof satisfactory evIdence) to be the person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signatur eal: ...... LYNETTE GARTON
U) Comm. # 1351379
NOTARY PUBLIC -CALIFORNIA
Comm. Expires April 17, 2006
County of Butte
A.P. #
10.00
2.50
I
U
� 414 _UV: IV rAA OJU 0 1 1 J411J
—7Aft!
EXHIBIT "ONE"
Order No. 406534
PARCEL A;
Parcel 2, as shown an that certain Parcel Map, filed in the 6ffice of the Recorder of the
County ot Butte, State of California, on December 26. 1981, in Book 81 of Maps, at
Page(s) 22 and 23.
PARCEL B:
A non-exclusive easement for ingress and egress and public utilities, as shown On the
Parcel Map, filed In the C)ffice of the Recorder, of County of Butte, State of C'elifomia,
on December 26, 1 Sal, In Book 81 of maps, at Pagets) 22 and 23.
Assessor's Parcel No: 024-080-103
2
Description: Sufte�CA Document-Ye�r.DOCXD 2003.32710 Fagre: 3 Of 3
order: =ally coment:
April 30, 2004
a
Mr. Michael Vieira
County of Butte
7 County Center Drive
Or Oville, CA 95965-3397
Phone: (530) 538-7541
Fax: (530) 538-2140
Re: Plan Review: Straede SFD
Address: Winters Court
Dear Mr. Vieira:
County of Butte- FINAL REVIEW,
Jurisdiction Application No.: 04-0326
LP2A Job No. 2040015-016
Linhart Petersen Powers Associates (LP2A) has completed a final review of the following documents:
Plans: Two (2) copies revised Plan Sheets C-1 'and A-1 through A-6 Title/Cover Sheet dated April 20,
2004 by CDS Custom Drafting Services
2. Structural Calculations: Not Provided
3. Title 24 Energy Compliance Documentation: Two (2) copies dated January 14, 2004 by Dan Cannada Jr.
4. Prefabricated Roof Truss Calculations: Two (2) copies dated January 19, 2004 by Homewood Truss.
The 2001 California Building, Mechanical, Electrica ' 1, Plumbing and Energy Codes were used as the
basis of our review. Please note there.. are no further comments. Therefore, we are
recommending approval of the above noted items with the following conditions:
1. Redline revisions as noted -on plans
Enclosed for your use are the above referenced documents bearing the LP2A plan review stamps along
with the applicant's response letter. Please let us know if you have any questions. Thank you.
Sincerely,
LINHART PETERSEN POWERS ASSOCIATES
.0
Richard N. Essenwanger
I.C.B.O. Plans Examiner
RNE/MB:ag
Enclosures:
Cc: Alice Mefford: amefford@buttecounty.net
(2,
Mike Bayless
Plans Examiner
aLINHART PETERSEN POWERS 'ASSOCIATES
7610 Auburn Boulevard 9 Citrus Heights, CA 95610
(916) 725-4200 a FAX (916) 725-8242 a Toll Free (877) 235-0653
Butte Countv Deparbnent ofDevelopment Sei-pices
YVONNE CHRISTOPHER, DIRECTOR
LP2A
Scott Rutherford (530) 538-7160
srutherford(EDbuftecounty. net
Plans Transmittal For Review Per Contract
3/15/2004
Applicant: Straede, Jay
Project Type: NSF
100%
Plan Check Fees $ 684.13
Energy Calc Fees $ 23.00
$ 707.13
Permit 04-0326
APN: 02-4'-",M,A0J3
70%
$ 478.89
$ 16.10
$ 494.99
LP2A Fee $ �9 9
Copies Attached: Qty
Chk -]Application
Site Plan Review
I WEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
TOO
(530) 538-7785 Facsimile
TO:
FROM:
z
SUBJECT:
Im
DATE:
LP2A
Scott Rutherford (530) 538-7160
srutherford(EDbuftecounty. net
Plans Transmittal For Review Per Contract
3/15/2004
Applicant: Straede, Jay
Project Type: NSF
100%
Plan Check Fees $ 684.13
Energy Calc Fees $ 23.00
$ 707.13
Permit 04-0326
APN: 02-4'-",M,A0J3
70%
$ 478.89
$ 16.10
$ 494.99
LP2A Fee $ �9 9
Copies Attached: Qty
Chk -]Application
Site Plan Review
I WEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
r"�
AP NO.:
024-080-103 IDATES: 01/30/04 0110o/oo I ovoo/00 1 01/00100
county ?/ Sume
Jay
_L
IStraede 11311hone:
OWNER:
846-3416
I Phone:
DEPARTMENT OF
275 Hazel Street Phone:
MAIL
DEVELOPMENT SERVICES
ADDRESS:
Building Division
7 County Center Drive
Gridley ICA 1 00009-59481 1
Owner Phone:
-
lPhone:
CONTRACTOR
Oroville, CA 96965 Al
ICA I lEmall:
(530) 538-7541
Phone:
ARCHITECT
OR ENGINEER
1LIc No.:,
PERMIT NUMBER:
104-0326
I I lEmall:1
--Fwinters
SITE
ADDRESS:
Court 113hone:
APPLICATION AND PERMIT
JGridley ICA I FEmaii:
USE
SF
opt
MH
Other:
a]
a
a
TYPE OF
Now
Addn
RmdI
Utits
Instin
WORK
0
0
0
0
0
Other:
DESCRIPTION
NSF
LICENSED CONTRACTOR'S DECLARATION
lhereby affirm under penality 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
icense is in full force and effect.
License Cle-ss License No.
OWNER -BUILDER DECLARATION
I hereby affirm under penality of perjury that I am exempt from the Contractor's State License Law for the following reason:
0
1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale.
0
1, as owner of the property, am exclusively contracting with licensed contractors to construct the project.
I am exempt under Sec. Business and Professions Code for this reason:
WORKERS'COMPENSATION DECLARATION
I hereby affirm u der Penaty 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 wor
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 the work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier:
Policy Number:
I(This
section need not be completed if the permit is for one hundred dollars ($100) or less).
I ceRi�fythat, 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 worker's compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
WARNING: FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued.
0
Lender's Name:
Lender's Address:
I 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 and state
laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection
purposes.
Signature of Applicant Date
E-3 Owner El Contractor Agent
An OSHA permit Is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories In height.
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.
Date
PERMIT EXPIRES ON:
By Date
Page 1 of 3
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(0
Cq
M
9—SITE
AM
AP NO.: 24-080-103 DATES: 01/30/04
Str
OWNER: aede Phone:
ADDRESS: Winters Court
846-3416
Gridley
Zoning
A-5
Acres
1.01
Name/Date
Flood x
Map/Book
81
Page
22/23
Block
I
Lot
2
Panel 1110C
Snow Load
I
I Other
12/26/1980
SRA No
VALUATION
CODE
SQ FT
$/SQ FT
VALUATION
Residential/ Guest House/Heated Fun Room
R
3664
$54.00
$ 197,856.00
Business/Office
Cov
309
$13.00
$ 4,017.00
Garage or Storage Shed
U
796
$18.00
$ 14,328.00
Storage/Commercial
0
$
0
$
Re -Roof
x H
SQ
60.00
1
Calculate squares 20 ft x 30ft 60 sf = 6 squares
Fireplace A (Zero Clr):
Masonry:
$ 1,500.00
TOTAL VALUATION $ 217,701.00
BUILDING PERMIT FEES
QTY
FEES
FILING FEE
1
$ 20.00
$ 20.00
Permit Fee - Full
Permit Fee - 1/2 (MH)i
$ 1,052.50
Plan Check @ 65% Permit Fee
1
$ 684.13
Plan Check Minimum/Mobile Home State Approved Plan
$ 23.00
$ -
Plan Check MASTER PLANS ONLY
$
Revised Plan Check
$ 46.00
$
Energy Inspection Fee
1
$ 46.00
$ 46.00
Energy Plan Check
Commercial
$
— Residential
1
ITOMaster.r
1
$ 23.00
Mobile Home Installation Inspection
$ 100.00
$
TOTAL BUILDING PERMIT FEES $ 1,825.63
PLUMBING PERMIT
FILING FEE
1
$ 20.00
$ 20.00
Each Trap
14
$ 7.00
$ 98.00
Solar or heat pump water heater
$ 23.00
$ -
Water piping
1
$ 15.00
$ is. . 00
Each gas water heater or vent
1
$ 15.00
$ 15.00
Gas piping system
11-5 Outlets 1
5+ Outletsj
$15/$3
$ 15.00
Building Sewer
1
$ 15.00
$ 15.00
Mobile Home Utilities iSewer:
I
Water: I
lGas:
1
$ 20.00
$ -
$
TOTAL PLUMBING PERMIT FEES $ 178.00
(0
%N
V)
9
AP NO.: 024-080-1 3 DATES: 01/30/041 1
OWNER: Straede Phone:
_SITE ADDRESS: Winters Couft
846-3416
Gridley
ELECTRICAL PERMIT
FILING FEE
1
$ 20.00
$ 20.00
Main Service
600V or less/200A or less
1
$ 23.00
$ 23.00
200+A to 1 OOOA
$ 46.00
$ -
New Construction or Addns
Dwelling Occupied & Accessory Bldgs
4460
$ 0.035
$ 156.10
New Construction
Non -Residential
Multi -Outlet Branch Circuits
$ 7.60
$ -
Power Apparatus & Single Outlet Cir.
$ -
Existing Occupied
Outlets or Fixtures
1-20
$ 1.00
$ -
20+
$ 0.60
$ -
Fixed Appliances or Outlets (Res) ea.
$ 5.00
$ -
Temporary Service
$ 23.00
$ -
Mobile Home Facilities
$ 20.00
$
Miscellaneous Wiring
$ 23.00
$
Pre -inspection (existing MH, existing site)
$ 23.00
$
Pool Electric
$ 30.00
$
TOTAL ELECTRICAL PERMIT FEES 199.10
MECHANICAL PERMIT
FILING FEE
$ 20.00
$ 20.00
Heating
Up to and including 100,000 BTU
$ 15.00
$ -
Greater than 100,000 BTU
$ 20.00
$ 20.00
Cooling
Up to 3 HP and 100,000 BTU
$ 15.00
$ -
3+ to 15 HP and Over 100,000 BTU
$ 25.00
$ 25.00
Evaporative Cooler
$ 15.00
$ -
Extend Ducts in Additions
$ 15.00
$ -
Hoods
1
$ 6.50
$ 6.50
Ventilation
6
$ 4.50
$ 27.00
Gas Fireplace
$ 15.00
$ -
$
MECHANICAL PERMIT FEES $ 98.50
TOTAL OF ALL BUILDING PERMIT FEES 2,301.23
Occupancy:
Construction:
ISSUED
HAZ
FEES
IMP
FLOOD
CDF
PRCL
PD
HD
I NO.: 024-080-103 DATES: 1 01130/04 1 1
VNER: Straede I Phone: 184
Winters Court
)nRFSS
FATE RESPONSIBILITY AREA (SRA)
SPA T Per Sh-tUme $
SRA FEES $
IPACT FEES
HERIFF
Sheriff I Racielonfin] Par (ZP I Mn, I Inif I I
Notes:
Gridley j BALANCE]
$ DUE
360.00
DRAINAGE
I Filing Fees
Ther—lito
Residential
Pe,U.*m Und
510.00 14
Commercial]
Per Ordinance 33041
1 11
TOTAL DRAINAGE FEES
$
STREET IMPROVEMENTS
TOTAL BUILDING PERMIT FEES 2,301.23
1,514.10
commercial Per Each Single Living Unit
S 1982.00_j
Chico Urban
Are.
commercial service suuw� Per Sq. Ft.
S 2.22 1
commercial Ind -trial Strufirres Per Sq. Ft.
1.02 j
The—lito
Urban Am
Residential per Each Sinale Winn Unit
$ 595.00 $
Commercial Office Per Acre $
11.9241 S
Industriaill-inht Per Acr.
$5.962.40
TOTAL STREET IMPROVEMENT FEES
$
WATERTENDER
Water Tender Per Parcel
$ 200.00 13
TOTAL WATER TENDER FEES
$
NORTH CHICO SPECIFIC PLAN (NCS )
Residential ISF. 1 1 P��$
3,315.000 $
Industrial/Commercial loffice I PerSF1 Is
2.3Z S
c'—, I I IS
72r14()00 S
TOTAL NCSP FEES $ -
I Filing Fees
:ii
tsu.uu
TOTAL IMPACT FEES $ 360.00
360.00
s $ $
Collected by
Development
OTHER FEES:
REQUIRED MINIMUM PAYMENT OF FEES $ 787.13
PROOF OF PAYMENT REQUIRED FOR FEES BELOW
SerAces
TOTAL BUILDING PERMIT FEES 2,301.23
1,514.10
s 787.13
SCHOOL DISTRICTS - Proof of Paymert_Onl�
TOTAL ALL FEES $ 2,661.;F3—
$1,874.10
OWES I
$ 787.13 $ $ $
PAID PAID PAID PAID
MINIMUM PAYMENT OF FEES
BUILDING
I Filing Fees
:ii
tsu.uu
Receipt No.
Receipt Date
Staff Initials
Receipt Name
Check Number
Check Amount
Cash
TOTAL PAID
394625
01130104
KJ
Jay Streede
888
787.13
$ 787.13 $ $
jPlan Check Fees $ 707.4"
ISUBTOTAL BLDG $ 787.
SRA FEES $ -
REQUIRED MINIMUM PAYMENT OF FEES $ 787.13
PROOF OF PAYMENT REQUIRED FOR FEES BELOW
RECREATION DISTRICTS - Proof of Paymenft.
Chico Area Residenball I $ 1.189.00 1 s a
U.1
Durharn Residenda Per Sq. Ft. 1 $ 1.041$ 1 0
1 1 Is 1 0
SCHOOL DISTRICTS - Proof of Paymert_Onl�
Gddley-M.nzanfta - 082 Re;id bal 1 3,664 1 2.141$ 7.840.96 1 13
1 CHECK (--0-)
D.B.- I
OWNER-BUIELDER VERIEFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit No building permit will be issued until this
yerification is received.
I personally plan to providethe major labor and materials f6r construction of the proposed
property im ve ent : YES NO 13
I HAVE HAVE NOT 13 signed an application for a building permit for the proposed wor]L
�A
I have co Ftrarcted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS: CM:
PHONE: CONTRACTOR'S LICENSE No.
4. 1 plan to provide portions Of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAMIE:
A
DRESS: CITY:
HONE: CONTRACTORS LICENSE N 0.
5. 1 will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAMEE ADDRESS PHONE TYPE OF WORK
�SIGNED:
':PF _R_
1jPROPER:TY:0WNEP,-
0 E
0
E
DATE:_J —
NOTE.- This Owner -Builder Verifkation is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office.before we arepermitted to -issue thepermit.
OVER
.O.B.- I
I OWNER BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in Your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such
a permit Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourselZ you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you -plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
Ifyou employ or otherwise engage any persons other than your immediate flunfly, and the work (including matmials
and other costs) is $300 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
+ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to seveiral obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurmce, disability insurance costs, and unemployment compensation contributions.
+ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
+ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the strucWre is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner buildee' building
P013nit, erroneously imphAng that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the"OWner Builder Verification!' on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
g 11y9
Te
Mic I C. Vidira, C.B.O.
L
iuflct C
T'�ger, Building Inspection
NOTE.- 771 Is Owner -Builder Inforntadon is required by Secdon .1983 0 of the Caqornla Heafth and SqkV Code -
OVER
National Pollutant Discharge Elimination System (NPDES) Phase 11
Construction Storm Water Permit and Storm Water Pollution
Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE
Proj pet Title:
By signing below, 1, the project owner/owner's agent, certify that I am aware that a construction
project that disturbs I acre or more of land requires a Construction Storm Water Permit from the
State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent
(N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made
payable to the State Water Resources Control Board to obtain such a permit if my project
disturbs I acre or more of land. I, further, certify that this project win not disturb I acre or
more of land. I am aware that submitting false and/or inaccurate information may result in
-revoeation of grading and/oylo�thd permits or other sanctions provided by law.
Signed:
Title:
Date:
n—
0
0
SITE PLAN REVIEW APPLICATION
Date: -7-0 C/ ;kp#
Permit Number (if applicable) Bin Number
APPLICANT IATOBALMON Parcel Size: n i
Ayo-e-cfs
Owners Name:
Owners Address:
Telephone No.:
Situs Address: A
Pro,posed Use: REcnvv)
Residential
New Single Family Residential
Ej Single Family Addition
F� Mobile Home
M Residential Accessory
F] Permanent Second Dwelling
Temporary Mobile Home (Aunt Minnie)
Temporary Travel Trailer
Multi -family
Non-residential
New Commercial
F� Comm ial Addition
New Industrial
R Industrial Addition
Other
H Septic
F� Agricultural Exempt Building
Other:
Brief Explanation (if necessary):
MAR 18 2004
y ��
6MT,g0WUjS
E] Single Famil Rem
F� Commercial Remodel
F� Industrial Remodel
Well
Agricultural Buffer FormEl ApplicableEl N/A
DO NOT WRITE BELOW TIES LINE
DEVELOPMENT SERUCES INFOR-VATION (For Staff Use)
IS Approved E] Conditionally Approved Resolve Problems Prior to Approval
-a Site Plan Stamped Approved
By Date
r%___ -1 _Irr-
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
0
F-1 Snow Load Area:
r-1 Land Conservationi Act Minimum Acreage: E] Verify residence can be built per contract
F1 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: X
Flood Panel No.: I I 1 0 Index Date: 16-8-96
E] Sacramento River Reclamation District (Approval must be �b-�ined 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)
Fl -Chapmi��lbeiiy-(96e-iifi6hiid-stiKdirdi*-iEd -r*-e q- uiri- e-- m- --- e-n,t—s-)*-----,---"-,-,-,--,-.,-"---,-"-"-,,*----,------*,--",-,,"-,-","--*-
F1 Cohasset Area (See attached standards and requirements)
0 Grading Zone (See attached handout)
Use Requires:
Use Permit D Minor Use Permit El Administrative Permit
Minor Variance r-1 Variance
Detached Building Use Form El Encroachment Permit
Agricultural Worker Affidavit E] Agricultural Acknowledgement Statement
Zoning:_
Applicable Building Setbacks:
M Setbacks drawn on site Plan. El CDF approval needed for encroachments into SRA setbacks.
parr'. I ^f 1z
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
Side
Side Street
Rear
Height
Waterway
N/A
N/A
N/A
M Setbacks drawn on site Plan. El CDF approval needed for encroachments into SRA setbacks.
parr'. I ^f 1z
Applicable Development Fees:
Standard Fees Amount
F�
Fire
F-1
School*
F-1
Parks/Recreation
F�
Roads
F-1
Sheriff
F�
Drainage
F-1
NCSP/CSA 87
F-1
Chico Urban Area - Road
F-1
Thermalito Drainage Area
El
Thermalito Urban Area
F�
Other
Formula
-------- — - — -- 11 - — -- — ----------- — ------ — - 7 --- — - -------------------- — — --- — ------ ------ -----------
Subd.iyisio,n Map Special Fees
El Wate ' r Tender
F� Road Improvement -
North Oroville Area
Other (per m4p)
Cbeck with school district to verif�- actual fee if pre -application review. A final determination will be made at the time of
the building permit
Parcel Created By
D Deeds:
Date of Creation: Legal Access Provided: No F1 Yes
Deed of Reference:
i Legal Access Required F1 No E]Yes
Parcel Frontage on Publicly Maintained Road: E) No F-1 Yes, Road Name:
Complies with County Standards for Deed Creation: F-1 NTo F� Yes
Comments:
F-1 Parcel Deemed to be legal
a Verify Legal Parcel El Verify Legal Access El Provide Deed of Creation
F-1 Obtain a Certificate of Compliance
E] Obtain a Merger F1 Obtain a Lot Line Adjustment
E] ComplyAdth Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
0 Construct road to: . El Meet Parcel size required by zone
F1 Meet current Environmental Health Department requirements
------- ---------------- — -------- -------- — ---------------- - -------------- - - — -------- — ----- - ---------------------
Nap. I nf 4,
Subdivision Map/Parcel Map:
Map Date of Recording: 12 -
Lot: 2- Book: Page:
Use Permit/Minor Use Permit
Permit Number: Date of Approval:
Parcel Map/Subdivision MapfUse Permit Conditions
E] Comply with the following Conditions of Approval: El Attached None
El Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
E] 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.
F� Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emissib
requirements of the California Clean Air Act of 1988, as amended.
Fj 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.
F� 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."
— R Engineered foundations are required.
Fj Class A roofs are required.
[] Property owners responsible for road maintenance, and stop sign maintenance.
is
A r I 7,c;
S 890 47' 0-2" E 659.14
203.78 131.86 131.79
63.78 -4
- 0
PARCEL.,.1
PARCEL 2
cm
2.01 AC.
rn
PARCEL.,.1
PARCEL 2
PARCEL 3
2.01 AC.
/.0/ AC.
I.Ot AC.
cl!
cm
C�i
rn
in
a
Q
BUILDING
PROPOSED WELLS SETBACK
-
- - -
INE
-
- - - -
-
203.78
131.86
263.78
Q
203.78
131.86
131 .79
w
500.00
WINTERS
659.14
60' EASEMENT TO
BE RESERVED IN
DEEDS RMA 2473
--COURT
OR 153
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA - (530) 891-2751
7 County Center Drive - Oroville, CA - (530) 538.-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
a.bove address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
-1 �
pp—
i
01
1d:51
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street. - Chico, CA - (530) 891-2751
7 County Center Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection Indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
t..rg U*& VMLT
Flat Plsn Attached
Floor Man Attach
sent to G.D.
TO: Building Department
FROM: 'Environmental Health
SUBJECT: Sanitation Clearance
7 it
lOwner Location AP#
Plan Approved for: Sewage Disposa-t-- Water Supply:- Public Private Well
Clearance for dwelling. Oth r -NJ n4j
Hold final for:
Final clearance O.K. for:
NOTE:
V
Environmental Healt�specialist Date
8/96
r
E
Date J— 6--e)�� PROPERTY OWNERS:
(I Ir
State of California
County of 16 IL
On McLk- C� . ano�:J before me,
personally appeared \(� . V'�r" C4 , personally
known to me (or proved to me on the basisof satisfactory evi�ence) to be the person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Silg;;� Seal: AID. LYNETTE GARTON
U) Comm. * 1351379
cc NOTARY PUBLIC -CALIFORNIA
County ol Dulte
A.P. # 0 Zq -o 10 -t C)3 Comm. Expires April 17, 2006
AND WhEN RECORDED MAIL TO: Recorded I REC FEE 10.00
J Official Records I COPIES
2.50
BUTTE COUNTY BUILDING DIVISION County Of 1
BUTTE I
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965 CANDACE J. 6RUBBS I
Recorder I
RUSE14ARY DICKSON I
Assistant I Barbara
03:31PM 05 -May -2004 I Page I of 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
. FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural, chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust '
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
Date J— 6--e)�� PROPERTY OWNERS:
(I Ir
State of California
County of 16 IL
On McLk- C� . ano�:J before me,
personally appeared \(� . V'�r" C4 , personally
known to me (or proved to me on the basisof satisfactory evi�ence) to be the person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Silg;;� Seal: AID. LYNETTE GARTON
U) Comm. * 1351379
cc NOTARY PUBLIC -CALIFORNIA
County ol Dulte
A.P. # 0 Zq -o 10 -t C)3 Comm. Expires April 17, 2006
05/05/U4 -UV:IV YAL 3JU 541 3443
Order No. 406534
EXHIBIT "ONE"
PARCEL A:
Parcel 2, as shown an that certain Parcel Map, filed in the Office of the Recorder ofthe
County of Butte, State of California, on I December 26, 198 1, in Book 8 1 of Maps, at
Page(s) 22 and 23.
PARCEL 8:
A non-exclus!vS easement for ingress and egress and pubric utilities, as shown'on the
Parcel Map, filed in the offico of the Recorder, of County of Butte, State Of Calif0mla,
on December 26, 19131, in Book 81 of Maps, at Pagets) 22 and 23.
Assessor's Parcel No: 024-080-103
2
Description: Sutte,CA Documant-Year.DOCID 2003.32710 Fagre: 3 of 3
arder: =ally Conmient:
AND WfiEN RF�CORDED MAIL TO:
BUTTE COUNTY BUILDINC DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
Recorded
Official Records
County Of
BUTTE
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
03:31PM 0 " ay -2004
ca _-3 rs I
REC FEE 10.00
COPIES 2.50
Barbara
Page I of
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and fiom the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and -residents within said zones and on
,adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
Date Omw 3, 2 o a%-/
V .1
State of California
County of N3-e.ArA_L**4(-V
PROPERTY OWNERS:
On Q 5 —0 4 before me,
personally appearid r W - �&-Mcede_ A -r, -.,t> T5-0�1- 5;- tA personally
known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s),K/are subscribed
to the within instrument and acknowledged to me that >&$refthey executed the same in k tsr/their authorized
capacity(ies), and that by /their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, exec!tethre instrument.
WITNESS my hand and official seal.
Signature Seak MENDY LEA THEVENIN
CommIssion #13D2288 <
_J NOTARY PUBUC. CAUFORNIA M
NEVADA COUNlry
A.P. # D 10 - 103 MY COMMISSION EXPIRES
APRIL26,2005
U5/U5/U4 U V I V YAA 0 4 U 0
'N Order No. 406534
EXHIBIT "ONE"
PARCEL A:
ice of the Recorder of the
Parcel 2, as 3hown onthat certain Parcel Map, filed in the 6tf
County of ButtO, State of California, on December 26, 1 go 1, in Book 8 1 of Maps, at
Page(s) 22 and 23.
PARCEL B:
A non-exclusive easement for ingress and egress and pubric utilities, as shown on the
Parcel Map, (Ned in the Office Of the Recorder, of County Of 8utts, StNW of Cal'fomla'
an December 26, 1 gal, in Book 81 of Maps, at page(s) 22 and 23.
Assessor's Parcel No: 024-080-103
k
2
Description: Bafte,CA Documpnt-Year.Daclb 2003.32710 Page: 3 of 3
orde.r: =ally Cannent:
E.H. Ua�2WLY
Plot Plan AtlacMd
Roar Man Afmchad
Sent to S.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
0-h
6w-ner Location AP#
Plan Aporoved for: Sewage Dispos-al-� Public Private
Clearance for dwelling. Other 4
Hold final for:
Final clearance O.K. for:
NOTE:
EWW'ronmeW61 Health Specialist
iL 8/96
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NOTES RESIDENTIAL
PERMIT NO.
024480-103
DIMIG, TfIERESA 04-2 4-
427WEl�rERSCT,GR-fDLEY
CONT: JTS CONST
NEW PRI DET GARAGE
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
Signature
4 ="OK
0 = Not OK'-
- = NotApplicable
. = Not Ready
04
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except Ws
3.
1 . Zoning Requ irements-Setbacks- Easements
4.
2. Soils; Special MH Support Sketch
5.
3.
Sewer; Location -Test -Fall -C/0 -Concrete
Carports; Windows -Doors
4.
Water; Location -Test- Easement Needed (Sketch)_
8.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Siding; Nailing -Veneer -Stucco- Mesh
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or/ /" L "ft./ P LPG
11.
7.
Well Clearance & Disconnect
Braced
,Wall Pinelp 9(
8.
Utility Clearance
D�te
Card B-1 Date -3 Card B-1
Date
Card B-1 Date Card B-1
Plumb.; Cir. Test -Water Supply Test
Date
Light Niche
Card B-1 Date Card B-1
Date
Enclosure; Fencing -Alarms
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except Vs
Date
1
. Zoning Req ui rements-Setbacks- Easements
Date
2.
Footings; Size -Spacing- Marriage Line
3.
Gas; MH Test- Demand -Valve -Con nector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test- Regu lator-Con nector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1
. Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test- Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verifv #'s with Office
Date Card B-11 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DEC5��, COVERS, CARPORTS, GARAGES (Plans) OK except #Is
04
ing Requirements -Setbacks -Easements
12�'
Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3.
Decks, Girders and/or Joists- Decking- Bracing -Stai rs- Rai Is
4.
Wood Awn.; Posts- Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Colu mns-Connections-Splice- Decal- Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco- Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.1
Braced
,Wall Pinelp 9(
00,0-
D�te
Card B-1 Date -3 Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1 .
Setbacks- Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GIFI
6.
Elec.; Enclosures; Conduit Entries -Term inals- Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panel boards- Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-11 Date Card B-1
Date
Card B-1 Date Card B-1
4 = OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1.
Zon i ng-Setbac ks- Easements- Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Sternwalls, Main; Steel-Blockouts-Wrapped
6.
Sternwalls, Garage; Steel- Bloc kouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall- Fitti ng -Test -2 Way C/0 -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
Siding -Nailing Veneer
11. Water Pipe; Tesi-Anchors- Reg ulator-Service Test
58.
12.
Electric Underground
59.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
60.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
61.
15.
Access & Ventilation
62. Insulation -Walls -Ceilings
16.
Insulation
Infiltration -Walls -Windows
Date
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #s
Ext. Steps -Door & Sidelight Protection- Land i ngs
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Smoke Detector
18.
Water Pipe; Test & Anchor -Nail Protection
Furnace Vents-clearance-Comt, Air -Connector -
In Garage; Above Floor- Ducts- Mech. Protection
19.
D.WY; Test Fittiigs & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
23.
Fire Sprinkler; Test
72.
Elec. Outlets at Wood Panel, Int. & Ext.
Date
73.
Card B-1 Date Card B-1
Date
74.
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Garage Fire Door; Swing- Land i ng-Closu re
24.
Fixture & Transformer Clearance -Ins. Protection
A.C. Duct in Garage -Damper
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
Wtr. Htr.; Vents -Clearance -Comb. Air Connector- P. R.V.
in Garage; Above Floor-Mech. Protection
26.
Size Boxes & Nc. of Conductors Stapled
Plb.; Elec. & Mach. Equip. Listed for Location
27.
Romex Installed Close to Edge of Studs & C.J.
Elec. Receptacles in Garage (F.Fl.)-Romex Protection
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
1 nsu lation- Foam- Looked in Attic
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Guard Rails & Deck Constructio -i- Post Caps
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
Fc1n. VBents & Crawl Hole Door Drainage & Wood -Earth
31.
Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes ONo
Clearance Looked under Floor 0 Yes
32.
Service -Riser Conductors & Ground Main Disconnect
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
33.
Equip. Clearances Panels- Motors-Mech. Equip.
Stucco Brown -Finish
34.
Clothes Closet Light -Shower Light -Spa Light
A.C. Unit Disconnect, Electrical -Plumbing
35.
Smoke Detector
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #s
90.
36.
A.C. Ducts Insulation & Support
91.
37.
Vent Fan, Exhaust above insulation
92.
38.
Condensate Drain & Overflow, Size & Grade
93.
39.
Fu mace -Vent Access -Comb. Ait- Return Air Vent 115 Outlet
94.
40.
Aftic Access & Platform if Furnace in Aftic
Date
Address Posted
Card B-1 Date Card B-1
Date
Fire Sprinkler
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Date
41.
Sills Proper Materials & Anchors
Date
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
Comments at Final:
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties- Purl i n-Roff Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles
51.
Bdrrn. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom - Rise- Ru n- Land i ng- Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
59.
Glazing Area -Glass Protection-Skylig hts- Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #s
64.
Ext. Steps -Door & Sidelight Protection- Land i ngs
65.
Smoke Detector
66.
Furnace Vents-clearance-Comt, Air -Connector -
In Garage; Above Floor- Ducts- Mech. Protection
67. Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Acoess-Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, C learance- Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing- Land i ng-Closu re
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector- P. R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mach. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.Fl.)-Romex Protection
80.
1 nsu lation- Foam- Looked in Attic
81.
Guard Rails & Deck Constructio -i- Post Caps
82.
Fc1n. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
83.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle- Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspeo-tions
92.
Gas Test -Meters Tagged, Gas-E.ectric
93.
Water & Sewer Connected -C/O -.o Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
W
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT ' SERVICES
BUILDING PERMIT -
24 HOUR INSPECTION #: (530) 538-7636 (OROVIL�E) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.netlidds
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect. ' h -?
License Class: License Number:.
Date: Contractor.
OVVNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish-, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed p ursuant to the provisions of
the Contractor's State License Law (Chapter 9. commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
Ell 1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
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.).
LI 1, as 'owner of the property. am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Profdssions Code. The Contractors' State License Law does
not apply to an owner of properly who builds or improves thereon,
and who contracts for such projects with a contract6r(s) licensed
pursuant to the Contractors' State License Law.).
13 .1 am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
WORKERS'COMPENSATION DECLARATION
I hereby affirm under penalty of pedury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
C3 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 carder and policy number are:
Carrier— 4- P_ —2,
Policy #:_ C� to
PERMIT NO.
BP042254'
Issued Date: 01/07/2005 APN: 024-080-103-000
Site Address: 427 WINTERS CT GRI
Map Index:
Description: DET GAR (2000)
Owner: DIMIG THERESA M
275 HAZEL ST
GRIDLEY, CA
95948-2600
Applicant: DIMIG THERESA M
Contractor: JTS CONSTRUCTION
PO BOX 754
GRIDLEY, CA
95948
530-846-3416
jtsconstruction@wcisp.com
License #: 728984
Architect: MATTHEW MCKISSON ARCHITECT
Engineer:
Total Square Ft: 2000 S.F.
Valuation: $48,000.00
13 1 certify that in the performance of the work for which this permit is Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California.
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith -comply with those provisions.
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
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit Is issued (Sec 3097 Clv.)
Address:
A-4 ul 0_�� 11?09. q,)�
Lkl � I c)) V t+44- -_-� 9
This permit is der the applicable provisions of the Btitte County CndA Prict/of
Resolutions I ch fees have been paid. ), 7 0
By: Date:
PERMIT EXPIRES ON: 177—.66
E3 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 & Safety Code is not applicable to the scheduled construction of this project,
• Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and th.at'l am the owner or the �."thonzed agent of the owner. I agree to comply with
y ff.
.._._"or
all county and state laws relating to building construction. I acknowledge It is unlawful to alter the substance of an icial m or document of Butte County. I hereby
authorize representatives of Butt C I to enter upon the above mentioned property for Inspection purposes.
Print Name: 'Signature.
Date:
C3 .1 bwner
�( Contractor
El Agent for Owner
0 Agent for Contractor
'�ZL16-36
%) I BUTTE COUNTY
0 0 DEPARTMENT OF DEVELOPMENT SERVICES
0 0 BUILDING PERMIT APPLICATION
0 AND SUBMITTAL REQUIREMENTS
3 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
0 0 OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY"
0, %
9 1 1 -_7 I \-,/ -.7 OWN_Eff-� � 6 y N.
Last Name t F_ irst a
Ad"e
City
\r---
_7j,
St& q,5
city
(-I- rA-)
Ci1yG\__/X--c
Lis
Stat
�. -"Z/
ARCHITECTIENGINEER
CONtRAC-Taitf
N76e
Address
�ddress
city
(-I- rA-)
Ci1yG\__/X--c
Lis
Stat
�. -"Z/
ZIP
Phone
StatelJoenSe Number
Fax
i
-mail
Planner
Uc.
)
F—Cla—ss ___1
1
ARCHITECTIENGINEER
Name P.A
k � ,
Address
'79
city
(-I- rA-)
Sta'��
Lis
lhon�,,,
Zip
E-mait'
StatelJoenSe Number
ePL�XANT SIGNATURE
For office use only: If —
APPLICANTNAME
Name
Flood Zone
Address
SRA
city
I/No
State
Zip
Phone
Book
Fax
E-mail
Planner
ePL�XANT SIGNATURE
For office use only: If —
Zoning
Property Address
L� I:-) Lo
Flood Zone
I Y:.,tl
SRA
I Yes
I/No
Occ. I
Tyj(e Const.
Subdivision Name Map
Book
I Page
O�
Planner
I Date Approved:
PERMIT
,NQ-. 79
�BP
BIN #
LOCATION
AP#
Property Address
L� I:-) Lo
City
&'2—) C) t
ICross Street
aAz!�=kt�
Sheriff
WORKER'S COMPENSATrON
Policy Number r 4-7
Carder
FTI h—Iring anyone other than license contractors, a certiffcat of workees
I compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
A
�e ion or Spope
�q- Footage
11 Structure Built vAthout Permits
11 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.
OVER FOR SUBMITTAL REQUIREMENTS U
KAFORMSWILDING F0RMSkB1dgApp1SubRqrnts.doc; Page 1 of 2
Red�ived by:
Amount Bldg
_SRA
Receipt #:
Sheriff
MIP
Date
Other
Total
REV 6-16-04
j "
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
forapermit. LYCOMPLETE SUBMITTALS WTLL NOTBE ACCEPTED. ALLPLANSMUSTBE
LEGIBLE AND EV 17VK.
Residential, New, Remodels, Additions, and Accessory Structures:
11 1 . 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
11 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.
11 3. 2 Engineered truss details and layouts (if required) (7VO FAXES!).
'0 4. Letter from Engineer or Architect for truss design review.
0 5. 2 Energy compliance design and supporting documentation. (Xote: Not requiredfor additions to
mobile or modular homes.)
o 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
o 7. Detached Accessory Building Form, filled out by the property owner (if required).
o 8. Sanitation and site plan approval from the Environmental Health Department.
0 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 stMed and wet -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
[3 1 . 3 Site Plans, signed by the preparer. NO GRAPH PAPER!
11 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. Sanitatiori and site plan approv�l from the'Euvironmental Health Department.
* 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
11 1 . 4 Site Plans, signed by the preparer. No GRApHpApER!
0 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
11 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
0 4. Letter from Engineer or Architect for truss design review.
o 5. 2 Energy compliance design and supporting documentation (if required).
o 6. - 2 Flood Elevation Certificate, wet -stamped and signed (if required).
11 7. Statement of Intent for Non -heated and A/C (if required).
0 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 stgMRed and wet-simed by the engineer.
o 9. Letter of intent.
0 10. Hazardous Material Form.
0 11. Sanitation and site plan approval from the Environmental Health Department.
L
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
KAFORMSMILDING F0RMS\B1dgApp1SubRqMtS.doc- Page 2 of 2
REV 6-16-04
Butte County Department ofDevelopment Services 0 %Q) T 0
YVONNE CHRISTOPHER, DIRECTOR 0
0
7 County Center Drive
Oroville, CA 95965 0
(530) 538-7601 Telephone U N
LO (530) 538-7785 Facsimile
N
TO WILLDAN'
FROM: Scott Rutherford (530) 538-7160
srutherfordCaMuftecounty. net
SUBJECT: Plans Transmittal For Review Per Contract
DATE: 7/30/2004
Applicant: Dimig, Theresa Permit 04-2254
03
Project Type: FD7etached Garage APN: 024-080-1
100% 70%
Plan Check Fees $ 351.94 $ 246.36
$ 351.94 $ 246.36
IWILLDAN Fee $ 246.36
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculation's
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
4
COUNTY OF BUTTE -DEPARTMENT OF VEVELOPMENT SERVICES -BUILDING DIVISION
Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
ERMIT APPLICATION DATA SHEET
"�,C Center D��
OWNER: ASSESSOR PARCEL NUMB
Proposed Building Use' ly for a Counter Technician: i7rd Date: _,-7-,�?
I Ms required in order to ply for a permit.( -All boxe's MUST be checked OR marked NA in rder to apply.
- tor�4
1. Site plans, 3 o 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.
0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
0 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.
0 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs1in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
0 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
0 11. Site plan and business license approval from the City of Biggs
12. Letter of intent for non-residential buildings
13. Detached Accessory Buhing Form filled out by the owner
4. Hazardous Material Form
15. Sanitation and site plan approval from the Environmental Health Department in 0 Chico� �oville, as applicable.
0 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
17. Fire Sprinklers ............................................................................................
18. Agricultural Buffer cIr and site plan apr from the Ag Commissioner Sent by_.. A
19. Soils Report and/or Engineered Foundation required ........................................... . ........
20. Erosion Control Plan Required ........................................................................ ........
21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
22. City of Chico Plumbing permit .........................................................................
23. California Department of Forestry plan approval 0 paid. Sent by: . .............
24. Planning approval (A) Use: D�_(B)Parking: _(C) Parcel Check:
25. Contact Land Development about Improvements, Drainage ........
...............
26. NPIDES Form .................
........................................................
27. Encroachment Permitfor driveway from the'Public Works Dept ...........................
28. Pre -Inspection for k 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 .................................
Cl 34. Manufactured home utility clearance ...............................................................
0 -35. Existing violations and/or expired permits .........................................................
0 36. Deed Restriction ............................................. : .... * .... """
0 37. 0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner, 0 Check to H.C.D. $
0 38. Other:
0 39. Other- =vz
When issued Telephone and hold for pickup.
I have been informeq of tRe above items and requirements for obtaining a building permit.
Applica . /1' �) Date: --) - -�_q - <D
1. Index permit applicati n -for the above items numbered: Plan Check Letter
2. Additional items requir%L_ nAA I I
Contractor, designV,'owne(, wo advised of the above data by Vphone, 0 mail, 0 counter, byk"�__ Date:
Contractor, desig&,owmr,--W`as advised of the above data by 0 phone, 0 mail 0 counte , �bb. Date -
Plans reviewed by: -Date: Plans approv,ed'by: y I j�j L Date
Structural reviewed b Date: I Structural approved Date:
Note transfer by: Date: 117JU3
j I I Yellow: Building Division
TO:
FROM:
SUBJECT:
Building Department
Environmental Health
Sanitation Clearance
-4 sh, 0 -WoAL�s H.
Ow ner Location
Plan Aporoved for: Sewage Disposal---, Water Su I Public
— - �p y:
Clearance for dwelling. Other <1 4 o -K � D s� Ilo Y-)
Hold final for:
Final clearance O.K. for:
NOTE:
. (��L U -IL I /b �1,
Environmental Health Specialist
8/96
E.H. USE ONLY
Plot Plan Attach" ���
Rear Plan Anachad --v -
Sam to 8.0. -1
—/ 6-3-- -
AP#
Private We
1�7—
nate
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER C�' A.P.#
7 PROPR I SED BUILDING USE DATE -1
i. BUILDING PERMIT FEES RECEIPT # DATEL.
--- Balance Due ..................... $
--- Additional Fees Due ........... $
--- Revised Plan Checking Fee .... $
2. SCHOOL DISTRICT FEES
(paid at School District Office) (form available after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential ............ X $360.00 =$
Units
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit)..... x = $
# Units Amt.
9
Commercial (Sq. Ftg.).... x
Sq. Ftg. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone x = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... --X—=$
Sq. Ftg.An Amt.
/10. OTHER
At time of permit applic I
Itip, was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed durirlg-the p�n checking process.
DATE -1 — _1� — C) )t
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
9101
Department of 'Public Works
C o u n t y o f B u t t e
0
0 LAND DEVELOPMENT DIVISION
J. Michael Crump, Director
0 Storm Water Management Program
7 County Center Drive
L9 Oroville. CA 95965
(530) 538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase 11
Construction Storm Water Permit and Storm Water Pollution Prevention
Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE
Project Description:
atCLL
Project Location and/or Parcel'Number:
By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB
I acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit
from the State of California Regional Water Quality Control Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction
Storm Water Permit from the State of California Regional Water Quality Control Board for a project
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by law.
Signed:
Title:
Date: c)
Less than I Acre NPDES & SWPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/12/04
Matthew.Robert McKisson, Architect
1490 Highway 99, Suite B, Gridley, CA 95948 Fax530-846-6358 Te1530-846-6376
July 28, 2004
To Whom It May Concern:
i .
We have reviewed the truss calculations designed by Homewood Truss for the 40' x 50'
building, APN: 024-080-103, located on Winters Court, Butte County, California for JTS
Construction,'and we find them acceptable for the project.
Sincerely,
P -A221, Z4
W
Matthew R. McKisson, Architect
J
"A
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: Phone: (0 -
Mailing Address (zy=�-,c G-n—t
9" V
Site Address: L� \,o I Q
Assesso�r"s Parcel Number: Zone:
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 LNFORNLIATION:
1. Is there a primary dwelling on the property?
Yes'
No El
2. Is the stnicture already built, under construction, or under notice of code violation?
Yes)8
No
3. Will items produced in this building be offered for sale?
Yes C]
No
4. Will the public have access to this building?
Yes 0
Not
5. Will any advertising, on or off site. be associated with the use of this building?
Yes F-1
No
SITE CONDITIONS:
6. Is the structure foundation within 5' of septic tank or 10' of leach lines?
Yes
No
7. Is any portion of the structure located closer than 20' to your front property line?
Yes 0
No
8. Do you plan to add a driveway or modify existing access to a county maintained road?
Yes El
No
9. Will the proposed structure encroach within any recorded easement?
Yes 0
No
CONSTRUCTION FEATURES:
10. Will this building have insulated floor, walls, or ceiling?
Yes
No
11. Will this building be heated*or cooled?
Yes
No
.12. Will Ns building have a water closet/toilet?
Yes
NO
13. Will this building have a sink?
Yes
No 0
14. Will this building have awater heater?
Yel
No 0
15. What type of floor covering uill the building have?
16. What type of iN-all covering will the building have?
,f. ,
OVER
11. of 2
PROPOSED USE: (check only one box)
1. Residential Storage Shed - I will be storing in this building and it wW
not. be used for any other purpose (no bathroom and no heating or cooling).
2. A 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 F-arage door is [Muire& I
3. El Residential Carport - A covered structure intended for parldrig of vehicles. Two or more sides must be
entirely oven -
4. 0 Residential Occupancy - Structures meant to be ocWpied, as opposed to a storage shed, garage, or carport.
If you checked N4. please check the uses below which best fit this building.
El GuestHouse El Pool House Studio Apartment [--] In-law quarters
0 Recreation Room 0 Game Room Study 0 Library
0 Bonus Room 0 Playroom :1 Den El Studio
0 Artist Studio 0 Hobby Room 0 Craft Room 0 Sewing Room
E] Canning Kitchen C3 Music Room El Family Room 0 Sun Room
0 Private Office 0 Workshop' El Home Occupancy 2 0 Other - Use
1. Deunbe type ofWarlmhop
2. Mw be approved b� the Buce Cour2y Planning Divisiom
Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question
number before the explanation. I I , . \ -
.,* I -�— &52ALE, - V-'-, Vk 0 P --LOA -'72-00')' Fa--a.--j n,,L-i r -'V rA,7
-f r7r-,�e) - r --)o ^-3 k/ ;7 — -%� F— 0 C r-- nr�3 i -- I z
W
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 pedury that the above information is true and correa I understand that any changes
to the use, or character of use, of this building wW 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�
Owner's Name: Please Print
0�vner's
2 of 2
Date:- fi— 10
WILLDAN
SeNing Public Agencies
December' 22, 2004
I
Scott Rutherford
Butte County Building Department
7 County Center Drive
Oroville, CA 95965
(530) 538-7169
(530) 538-2140 FAX
SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL
Willdan Project No: 14353-1070
Jurisdiction Job No: 04-2254
Assessor's Parcel No: 024-080-103
Description: Dimig Garage
117 C Street
Marysville, California 95901
530/749.2373 fax 530/749.2199
www.willdan.com
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 nd page of this letter. The plans and
documents provided for this review that have been found in compliance with the applicable codes are:
J
Plans: Two (2) copies dated 12/8/04,�by Ross Shoaf, P.E.
Structural Calculations: Two (2) copies dated. 12/8/04, by Ross Shoaf, P.E.
Truss Calculations: Two (2) copie� dated 4/5/04 by H.W. Danley, P.E., Homewood
Truss
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.
WILLDAN
Serving Public Agencies
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
Typeof Type of 1" Floor 2 nd Floor
Occupancy Construction Sprinklers Stories Sq Ft Sq Ft Total Sq Ft
U-1 V -N No 1 2000 2000
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.
DEFERRED SUBMITTALS
Our plan review reveals no deferred submittals noted at this time.
I
SPECIAL INSPECTION NEEDS
Our plan review reveals no special inspection needs pursuant to CBC 1701.
Sincerel
i4ncerel
Isaac Kuster
Plans Examiner
P8
Gordon Wright, P.E.
Plan Check Engineer
Cc: Alice Mefford, E-mail: amefford@buffecounty.net
Theresa Dimig, 275 Hazel St., Gridley, CA 95948, FAX (530) 846-5224
Page 2 of 2 County of Butte Pennit Number 04-2254
Willd.an Project Number 14353-1070
-NOTES RESIDENTIAL
024-086-103 04-0326
PERMIT NO. STRAEDE, JAY -
Q j,'j. WINTERS CT, GRIDLEY
Ak- —C-&N—TOWNER - v
NEW SINGLE FAMILY
r
'7 6
e -�t ;z
OFFICE COPY
Address
G AS D t
AS Datel:a�
Meter By
ELECTRIC >
t
Meter By Date7� �0'
N SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
- It
SUB -STANDARD HOUSING LETTER
I -oft
JOB FINALED (Dat
S
ignature,
q = OK
0 =,Not OK
NotApplicable
Not Ready
1 .
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except Vs
3.
1
. Zoning Req uirements-Setbacks- Easements
Wood Awn.; Posts- Beams-Rftrs-Con nectors
Shthg-Frg-.Bracing
2.
Soils; Special MH Support Sketch
6.
3.
Sewer; Location -Test -Fall -C/0 -Concrete
Electric
4.
Water; Location -Test -Easement Needed (Sketch)
Date
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Date
6.
Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or/ P' L "ft./ P� LPG
I -
7. Well Clearance & Disconnect
8.
Utility Clearance
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GIF1.
Date
5.
Card B-1 Date Card B-1
Date
6.
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except Vs
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
1
. Zoning Requirements -Setbacks -Easements
Elec.; Grounding; Equip. w/5'Circulating Equip. -Pool Lghtg.
Boxes- Enclosu res -Panel boards -1 ns. to Main Conduit
2.
Footings; Size-Spaci ng -Marriage Line
Health Department Approval
3.
Gas; MH Test- Demand -Valve -Connector
Plumb.; Cir. Test -Water Supply Test
4. Electricity; MH Test -Crossovers -Breakers -Clearances
11.
5.
Drain; MH Test -Fall -Flex Connector
12.
'6.
Water; MH Test- Regu lator-Connector
7.
Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
Date
9.
Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1
. Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test- Demand -Valve
5.
Electricity; MH Test
6. Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date 'Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Vs
1 .
Zoning Req uirements-Setbacks- Easements
2.
Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3.
Decks, Girders and/or Joists- Decking -Bracing-Stai rs-Rails
4.
Wood Awn.; Posts- Beams-Rftrs-Con nectors
Shthg-Frg-.Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nai ling -Veneer -Stucco- Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps- Doors -Landings
12. Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #s
I -
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GIF1.
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Term i nals- Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5'Circulating Equip. -Pool Lghtg.
Boxes- Enclosu res -Panel boards -1 ns. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
4 = OK
0 = Not OK
- = NotApplicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK exceg)t #s
g,,,�g.,Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Zlwor-lg., (aarage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.4'rg-, Porches & Decks; Soils -Steel-/ P' Ftg. Depth
Are -79t -em -walls, Main; Steel-Blockouts-Wrapped
- 6a^old Downs and SDecial Anchors
Slab,
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
!:T�4rl 0. LIF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
"*A' w 11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance- Material -Support- Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Ca�d,13-1 Date Card B-1
Date PLYMBING (Permit�,GK except #'s
0. Water Htr.; Verf-Access-Combustion Air Baff le
1 . A
V��r Pip ; Test & Anchor -Nail Protection
Test Fittings & Anchor -Nail Protection
-71- -) JZ ;Whower Pan; Test, First Floor -Tub Access
I IV -41 Tp. -qt T ih A Shower, Second Floor -Tub Access
--22--Qas Pipe; Sixe & Anchors
'tre Sprinkler; Test
Date ::2aa&� Card 13-1t,� I ate Card B-1
Date jh,�)�Carcl B-1 (jl_k 7Date Card B-1
Date 'I' T_ ELECTRICAL (Permit) OK exceot #Is
4,3. pearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
'Njkj.V)t/4 P�.Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
W. Headers & Beams -Size & Bearing
Date FRVING (Continued)
angers -Post Caps -Anchors -Connectors
01ing. Joist-Rftr. Ties- Purlin- Roff Brac.-Truss-Shting.-Rtng.
t�Zireplace Ties or Type A Flue -Fireplace Throat Clearance
,Z. Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles
drm. Windows or Exiting Doors -Sill Ht,,,&_�mensions
@�.',Garage Fire rotection Framing-RCpKannel
W. Property Line Firewall & Openings
se Ext Dnnrq-C)ne X -Check Garage 3rd Story, 2 Exits
IL_,';Jairs; Width -H eadroom- Rise- Ru n -Landing- Fire Protection
56-lPlywoog2n Roof Overhang -Attic Vents -Rafter Outriggers
/r-57-,, Siq00ailing Veneer
���ucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
I / W. Cddzinci Area -Glass Protection-SkvI ia hts- Plastic
63.
6 Card B-1
Date/ A 11 Card BL'11 Date - Card B-1
& Sidelight
Smoke Detector
66. Furnace Vents -clearance -Comb, Air-Connector-
lr� Gargge-Above Floor- Ducts- Mech. Protection
Z*_4��O!�OE Exiting
(!5! G.F.I. &Bath Fixtures &Tub AccesK-'Spa XOaL__
-69. Elec. Trim & Subpanel, Breaker Size -S -;!C Labels
70. �!airs &Rails
KjAireplace or Stove, Clearance-Pearih
72. E!ec. Outleis at Wood Panel, Int & Ext.
_A3,18K. -Fixt"K Appliance; Ground-Air-Gap-Cook.ng Clearance
4r.-Prec. Outlets & Receptacles at Kit. Counter
(.Z�/ Garage Fire Door; Swing- Land i ng -Closure
76. A'C. Duct in Garage -Damper
T?' Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
)K Garag �-ove Floor-Mech. Protection
Pll��ec. & Mech. Equip. Listed for Location
00-lec. Receptacles in Garage (F.Fl.)-Romex Protection
W. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
83. FgVowing Inst.d./Drive 0 Yes Q NoMalks 0 Yes 0 No/Planters 0 Yes 0 No
'Q�ucco Brown -Finish
!-%/Z. C. Unit D'sconpect, Electrical -Plumbing
8(� Vents Ab?��boof, Plbg-Appliance-Fireplace-Clearance to Openings
8�, Wa
>r'Oell, Disconnect, Electrical, Plumbing
(*tpxterior Elec. Trim, G.F.I. Receptacle- Undergrou nd
R< Ventilation Throuqhout House
W. Correctir- from Previous Inspections
92. Ga4444-4
. eters Tagged, Gat -Electric S" A-4-1
T4,
,$ktfer & Sewer Connected -C/O to Grade -HD Approval
(!��rgy Compliance Certificate -Other Certificates
9& -"Address Posted
96. Fire Sprinkle I-
Dat!�� U� Card B-1 (Z- Date Card B-1
Date!j-
Card B- 1 Date Card B-1
Date Card R-1 n' Card B-1
Comments at Final:
254 Elec. Receptacles Spacing -Lights & Switches at Doors
2T Size Boxes & No. of Conductors Stapled
27J Romex installed Close to Edge of Studs & C.J.
28. � Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
2V,� Appliance Circuits in Kitchen Conductor Size GFI
300.' Subfeed Wire Size/ !t /ga.-Cu or KA.C. Wire Size, d?/ga Cu oq%D
31. Range Circle// Vlga&&AI-Oven rirc..0 /gaCuorAI
Insulated Neutral grIes El No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. C!9thes Closet Light -Shower Light -Spa Light
Z15-Itmoke Detector
Date
Date
U4 Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #s
3eZC. Ducts Insulation & Support
3'," vent Fan, Exhaust above insulation
38. Condensate Dra n & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAYING (Permit) OK except #'s
LIX""Is Proper Materials & Anchors
4Lf. Aalls Studs -Nailing Spacing & Braces -Plates -Sound
4,3. pearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
'Njkj.V)t/4 P�.Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
W. Headers & Beams -Size & Bearing
Date FRVING (Continued)
angers -Post Caps -Anchors -Connectors
01ing. Joist-Rftr. Ties- Purlin- Roff Brac.-Truss-Shting.-Rtng.
t�Zireplace Ties or Type A Flue -Fireplace Throat Clearance
,Z. Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles
drm. Windows or Exiting Doors -Sill Ht,,,&_�mensions
@�.',Garage Fire rotection Framing-RCpKannel
W. Property Line Firewall & Openings
se Ext Dnnrq-C)ne X -Check Garage 3rd Story, 2 Exits
IL_,';Jairs; Width -H eadroom- Rise- Ru n -Landing- Fire Protection
56-lPlywoog2n Roof Overhang -Attic Vents -Rafter Outriggers
/r-57-,, Siq00ailing Veneer
���ucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
I / W. Cddzinci Area -Glass Protection-SkvI ia hts- Plastic
63.
6 Card B-1
Date/ A 11 Card BL'11 Date - Card B-1
& Sidelight
Smoke Detector
66. Furnace Vents -clearance -Comb, Air-Connector-
lr� Gargge-Above Floor- Ducts- Mech. Protection
Z*_4��O!�OE Exiting
(!5! G.F.I. &Bath Fixtures &Tub AccesK-'Spa XOaL__
-69. Elec. Trim & Subpanel, Breaker Size -S -;!C Labels
70. �!airs &Rails
KjAireplace or Stove, Clearance-Pearih
72. E!ec. Outleis at Wood Panel, Int & Ext.
_A3,18K. -Fixt"K Appliance; Ground-Air-Gap-Cook.ng Clearance
4r.-Prec. Outlets & Receptacles at Kit. Counter
(.Z�/ Garage Fire Door; Swing- Land i ng -Closure
76. A'C. Duct in Garage -Damper
T?' Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
)K Garag �-ove Floor-Mech. Protection
Pll��ec. & Mech. Equip. Listed for Location
00-lec. Receptacles in Garage (F.Fl.)-Romex Protection
W. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
83. FgVowing Inst.d./Drive 0 Yes Q NoMalks 0 Yes 0 No/Planters 0 Yes 0 No
'Q�ucco Brown -Finish
!-%/Z. C. Unit D'sconpect, Electrical -Plumbing
8(� Vents Ab?��boof, Plbg-Appliance-Fireplace-Clearance to Openings
8�, Wa
>r'Oell, Disconnect, Electrical, Plumbing
(*tpxterior Elec. Trim, G.F.I. Receptacle- Undergrou nd
R< Ventilation Throuqhout House
W. Correctir- from Previous Inspections
92. Ga4444-4
. eters Tagged, Gat -Electric S" A-4-1
T4,
,$ktfer & Sewer Connected -C/O to Grade -HD Approval
(!��rgy Compliance Certificate -Other Certificates
9& -"Address Posted
96. Fire Sprinkle I-
Dat!�� U� Card B-1 (Z- Date Card B-1
Date!j-
Card B- 1 Date Card B-1
Date Card R-1 n' Card B-1
Comments at Final:
qSMAIION CKRTMCATE Job Nmbti-. 74o3
3 -IS cAnshuctim 437WnWr996 q!jdk -C&
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lob Addrew (alivel, City, sbft)
Sift
NMIY SubdviRium Name LetNumber
ROOF
Thidwess (aches):
Brmd Nm=
TwMmld Redstmm (RX"N
Batt or Bladot Typr-- Bnwd Wash.
Mickmen.0uhu): Tboud Rd*"= Mvike):
LOWNUThc 0 I -d Bdmdm=tc - -
wabom bsb&d Wd&Wh JAW lb mahmaw"m * 33 bchw
kdto&d "SM per sqwm EW to acbJewe Itered Redstame MrVzke)-. 39
EXTERMWALL
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Brmd Nm=
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Pokoferinmbfign Depth bathm
OIM-ATION WALL
Wderiak
Brmd Nma
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Tbcrmd RcdAmw (It-Vdn);
I henbY ceddY thd 00 above hookAim wu hwWW in the bWM6g at the abow loedion in conbnnmw wM the carrem
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50 0 25 50 100 200
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(P) 1500 &AL.
5EFTIG TANK..
APPROVED
Butte County
47 Environmental Hqalth
NI
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\--? E Wigna re
(P) RE5.
SCALE 1 50'
141-011 AP# 024-ObO-103
(P) HELL
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0"
PE\/15,[ON5 BY "nitE PLOT P LAN DATE,
I/b/04
JAY STRAEDE SCALE.
275 HAZEL 5TREET A5 5HOHN
(5RIPLEY, GA cl5-q4&-2600
HINTERS COURT DE516tw BY- P. G . ANNAPA
FIND -045
SHEET
4'w awe ---
—CUSTOM VRAPTIN69ERVICES
XAO.'.
DAN GANNADA JR.
YVBA CATY GALIFORMA
(550) 6-13-0441 ckxvc-dscV&tMg.00m OF
Wkk
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(P) 1500 &AL.
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(P) 1500 &AL.
5EFTIC, TANK
(P) RES
-011
7)",
(P) HELL
PLANNING DAASION - BUILDING PLAN APPROVAL
Date:
use:---�
Parking:� Landscaping:
oftr...................... .. ..........
Signature:
I . U
L
NINTERS COURT
261-1o"
At
PLAN REVIEW APPROV
['\PR 2
LINHART PETERSEN POWERS ASSOCIATES
ORAFIG SCALE
50 0 25 50 100 200
RECEIVED
APR 2 3 2004
SCALE: 1 50' LWM�AC wemb
AP# 024-08)0-103
REV15ION5 BY TITLE PLOT PLAN VATIto I/b/04
JAY 5TRAEDE SCALE,
2-75 HAZEL STREET AS SHOHN
(5RIDLEY, CA 115CI45-2600 MAW
VES16HED BY, P. rANNADA
--4 , S im, IND -04311
c:d SHEET
CUSTOM PRAFTIN6 SERVICES
DAN GANNADA JR. C,
YUBA CAT'r CALIFORMA
(550) 6T3-0441 don*cd--4rvftrgu" OF
PLANRE
f\r
11timia Pal
f
PLANNING DRASION - BUILDING PLAN APPROVAL
Use: 0"K Date: '2--) a -2'�
Parking:- Landscaping:
Other
Signature:
CA;ZAFIC SCALE
50 .0 25 50 100 200.
AFPROX
LOI AC.
R:
ILM
cl
1500 6AL. .10
SEPW TAM -1.
101-01,
SOALS 1 501
(P), PZS."*\
—080-105
AP* 024
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26'-10
14' -Om
lu
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Ft
T"LE PLOT PLAN
REVISIONS BY
(F) HELL JL JAY 5TRAWE
215 HAZEL STFJMT
CWUVLE'Y� CA q5q4b-2600
CUSTOM MAFTIN& 6MVICoM
DAN CANNAVA JR.
""A CATY r-ALIFOWHA
(530) 6T.+,0411 dmoCd5&Wt"x-om
I/b/04
9CWAAa
DRAM AS SHOHN
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WOR4- S3NII .0--,0"
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Z9 CARPET
T4
APf)Povr-D
TILE CONCRETE
8 -nunty
in �!,,-'�v;fonrnpnfAf W-11�a,
7=-T T (005P 51- 6066 IN
L=4' 505P 5L L=41
BRAG
ED HALL 5GHEDULE AND NOTE5
Ilk
A
N
Kirelill
OBNERAL
NOTE5
56" HALL- OR RON RAILIN0
1.
CON51MT10fil 9HALL 6OWORM THE THE RE6IUIREMENT5 OF THE FOLLONIN65 CODES
CARPET HOOD
4" RA15EV 5LAL3
AND ORVINANCE5:
36" KALL OR IRON RAILINry
DOW go— W --#A
2001 ( ALIFORNIA NILPIN65 GOPE
CARPET
LIMIT OF VAULT -
2001 GALIFORNIA K-faHANIGAL WDE
321-6"
2001 CALIFORNIA PLUMBIN6 CODE
10'-0" ARCH
4"!5TEP DONN
2001 CALIFORNIA ELECTRICAL CODE
2001 CALIFORNIA APMIN15TRATION CODE
31-601
10 -*20
5,-om
2-58.
&-low
-- ---- -----
APPLIChBLE LOGAL GOM AND ORPINi
0
------------- ---- 3
41
V27
2.
DRAWING65 MAY NOT ALWAYS BE TO 5GALE. NOTED DIMEN51ON5 SHALL TAKE
PREGEMNGE OVN %ALM DIMENSIONS
L=41 (3) 301570 5H
IV
L=4
L=4
5040 L= 41
3.
DISCREPANCIES IN THE DRANINC-6 SHALL Ee BROU61-IT TO THE ATTENTION OF THE
%
-0
DE516NER AND OR EN61NEER, PRIOR TO PROGEEDIW7 WITH CONSTRUCTION
4.
NOTE -5 THRO"OUT TH15 5ET OF PLAN5 SHALL APPLY TO ALL SHEETS, WHERE NOTE 15
APPLICABLE
I
N,
COVORMIP PATIO
It
(2) 5050 *H
I
1-4
5.
MMIN65 INDICATE GENERAL AND TYPICAL DETAILS FOR CON5TRUCTION. WHERE
x
d)r-
CONCRETE
I
-
60NDITION5 ARE NOT SPECIFICALLY SHOWN BUT ARE OF 51MILAR GHARAGTER TO
NQ
d)
DETAILS 5HOVIN, 51MILAR DETAILS OF CON5TRUCTION SHALL APPLY
7
d)
b.
ALL EXTERIOR. DOORS AND WINDOWS, SHALL M NEATHER5TRIPPED. ALL JOINT5 AND
50F)0
5H bbbb FRN
-305d)
5H
0
0
=jj"I-j
� W12 ROOM #2
PENETRATIONci 514ALL BE 6MLKED AND SEALED
---
PEM NOOK
.0
CARPET
1.
AFTER IN5TALLING THE IN5ULATION, THE IK5TALLER SHALL P05T IN A CONSPICUOUS
L=2
L
RN.
LOCATION AN INSULATION CERTIFICATE 516NEP 13Y THE INSTALLER AND THE UJILDER
MA Ej�!B�10 �QM
A
TILE
UT
5TATINC-7 THAT "THE INSTALLATION GONFORM5 WITH THE REWIREMENT5 OF TITLE 24,
Ill
PART 2, GHAPT`ER 2-55 OF THE CALIFORNIA ADMIN15TRATION GODER
CARPET
In
b.
THE INSULATION INSTALLED SHALL CONFORM TO FLAME-5PIREAD RATINC? AND SMOKE
266&
DEN51TY REGUIREMENT5 OF SECTION IC13 OF THE 2001 CALIFORNIA EXJILDIN6 CODE
LIMIT OF
VAULT
%
q�
movivE f3ATr INUATION IN THE GEILIN67 WHERE THE 5LOPE EXOEED5 2.5/12
x
246&
10.
11.
PROVIDE FLA6HIW AT ROOF JUNCTIONS TO VERTICAL 5URFACE5, INGLUDIN6 HALL5,
SKYLIC-A-IT5, FIREPLACE CHIMNEY AND MECHANICAL CUR135
NAILI% SHALL CONFORM TO THE NAILINO SCHEDULE REGVIREMENT5 OF THE 2001 GBG
(A
1-011 -Ou
10 4�
2 I-io
TILE
p
UNLESS SPECIFICALLY NOTED ON THE PLANS
40
0.
I lull
12.
ALL FRAMINC-7 HARDWARE SHALL BE 51MP50N 5TRON&-TIE OR EQUAL, AS NOTED ON
=2
51
0
<
0
A L= 12--4-
PLANS. HARDWARE SHALL BE INSTALLED PER THE MANUFA( TURERI5 5PEGIFIGATION5
.
2bbO
15.
DWELLING To rvARAC-jE SEPARATION 5HALL 6ON515T OF A MINIMUM OF ONE LAYER OF
5tp
(2) 206& ------
Ho
KITCHEN
0
7
cl
501 TYPE IXI CvYP5LH 130ARP IN5TALLEP ON THE 6ARA6E 51DE OF THE SEPARATION.
1
(D 0
5TO C7E N
-
THE SEPARATION 51-IALL EXTEND FULL HEWT TO THE UNDER51DE OF THE ROOF SHEATHIN6.
i
-
IF THE 6ARA6E GEILIN6 15 USED AS PART OF THE RATED A55EMBLY AND ROOF TRL65E5
HIS
TILr=.
ARE INSTALLED, PROVIDE TWO LAYERS OF 1/2- TYPE -X- 6YP5L)M E30ARD OR ONE LAYER
-
kn
-OF 5/V TYPE V 67YP5UM 130ARD ON RC -I CHANNELS 5PAGEP AT 16"O.C. AND INSTALLED
>
I
I BED )MA5
PER 114E TRUS5. MANUFAGURERI5 SPECIFICATIONS
246e)
S
LIMIT OF VAULT
14.
OPENIN6-6 IN THE RATED C7ARA6E GEILIN6 A55EMLY 5HALL BE PROTEGTEI? BY A
ri
D
CARPET NOOP
246e)
CARPET
OW -HOW CONSTRUCTION
15.
6YP5UM WALL BOARD 5HAI-L NOT BE INSTALLED ON EXTERIOR 5URFAGE5 PER SECTION
-J,
17—
54P
1,
--------------------
1A
W14FN AN MARD It; INGTAI I FD AS A BALC-f FOR TILF OR WALLS PANELS AT TU13.
7YPc
r
>
150(0& 91-PM5.
<
Z9 CARPET
T4
APf)Povr-D
TILE CONCRETE
8 -nunty
in �!,,-'�v;fonrnpnfAf W-11�a,
7=-T T (005P 51- 6066 IN
L=4' 505P 5L L=41
BRAG
ED HALL 5GHEDULE AND NOTE5
Ilk
A
N
Kirelill
56" HALL- OR RON RAILIN0
CARPET HOOD
4" RA15EV 5LAL3
36" KALL OR IRON RAILINry
DOW go— W --#A
CARPET
LIMIT OF VAULT -
10'-0" ARCH
4"!5TEP DONN
-- ---- -----
<
Z9 CARPET
T4
APf)Povr-D
TILE CONCRETE
8 -nunty
in �!,,-'�v;fonrnpnfAf W-11�a,
7=-T T (005P 51- 6066 IN
L=4' 505P 5L L=41
BRAG
ED HALL 5GHEDULE AND NOTE5
Ilk
A
N
Kirelill