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HomeMy WebLinkAbout026-230-052r _ r i I I JESUS CARRILLO 26-23 S.Z 'NE Corner Melvina & Louis Palermo Avelot ��, 3 Permit#1043-83B,p,E M ew single famil 3 Al4L_ ERNESTINA CARRILLO -96 �-52 22�ouis Avenue • Permit#4051-87B(woodalermo ? k t + burni � ng stov; , 026-230-052 04-0 GUTIERREZ Si�/�-� 2250 LOUIS AVE, OROVI E ADD/SF - 026-230-052 05-2006 GUTIERREZ, SANTIAGO 2250°L'OUIS AVE, OROVILL Cont: OWNER PATIO (COV) it 026-2301-052. 05-2440 GUTIERREZ, SANTIAGO & ROSA 2250 LOUIS AVE, PALERMO Cont: OWNER GARAGE 026-230-052 05-2441, GUITERREZ, SANTIAGO & ROSA 2250 LOUIS AVE, PALERMO Coni: -OWNER DEMO OF'CARPORT r-rIWi - _ 1-7,111 A(; 7 2�o -2-30 - I r 026-230-052 AG 01-04 SANTIAGO GUTIERREZ 2250 LOUIS AVE., OROVILLE CA AGRICULTURAL BUILDING FA I \ j I I JESUS CARRILLO 26-23 S.Z 'NE Corner Melvina & Louis Palermo Avelot ��, 3 Permit#1043-83B,p,E M ew single famil 3 Al4L_ ERNESTINA CARRILLO -96 �-52 22�ouis Avenue • Permit#4051-87B(woodalermo ? k t + burni � ng stov; , 026-230-052 04-0 GUTIERREZ Si�/�-� 2250 LOUIS AVE, OROVI E ADD/SF - 026-230-052 05-2006 GUTIERREZ, SANTIAGO 2250°L'OUIS AVE, OROVILL Cont: OWNER PATIO (COV) it 026-2301-052. 05-2440 GUTIERREZ, SANTIAGO & ROSA 2250 LOUIS AVE, PALERMO Cont: OWNER GARAGE 026-230-052 05-2441, GUITERREZ, SANTIAGO & ROSA 2250 LOUIS AVE, PALERMO Coni: -OWNER DEMO OF'CARPORT r-rIWi - _ 1-7,111 A(; 7 2�o -2-30 - I r 026-230-052 AG 01-04 SANTIAGO GUTIERREZ 2250 LOUIS AVE., OROVILLE CA AGRICULTURAL BUILDING FA I /r ,__ _=_� � NOTES PERMIT NO. RESIDENTIAL 026 230-052 05-2006 ,1` GUTIERREZ, SANTIAGO 2250 LOUIS AVE, OROVILLE Cont: OWNER PATIO (COV) SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS _ ' SUB -STANDARD HOUSING LETTER JOB FINALED (Date) iA - ?�k Signature CHECKED BY J=OK 0 = Not OK Not. = Not ReadyaDle MOBILE HOMES , Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft1 P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Cana B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation 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 LLAN EOUS Date DECK4, COVERS, ORPORTS, GARAGES (Plans) OK except #'s 1. Zon irements-Setbacks-Easements o ngs; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elect[! . g.; Sills -Anchors -S s-RftrsAUsses 9. Siding; Nailing -Veneer -Stucco -Mesh - 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date 1 Card B-1 Date 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; l5 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-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-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Appricable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-Frtting-Test-2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 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 Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe: Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & 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 Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) .OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes . 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 36. A.C. Ducts Insulation & Support 51. Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions 37. Vent Fan, Exhaust above insulation 53. Property Line Firewall & Openings 38. Condensate Drain & Overflow, Size & Grade 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 39. Fumace-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 FRAMING (Permit) OK except #'s 61. Brace Interior/Exterior Wall Panels 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 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- Purlin-Roll Brac: Truss-Shting_ Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. 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 -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infittration-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 -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiling 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -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 -Landing -Closure 76. A.C. Duct in Garage -Damper 77. WV. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. 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. Following InstIdA)rive 0 Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-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 Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES r BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 I-'CK(VI( 1 IVU. BP052006. PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/06/2006 APN: 026-230-052-000 the Business and Professions Code, and my license is In full force and effect. License Class: License Number: Site Address: 2250 LOUIS AVE PAL Dale: Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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 pursuant 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 penally of not more than five hundred dollars (8500).): Ili I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or offered for sale (Sec. 7044, Business .and Professions Code: The Contractors' 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.). ❑ 1, as owner, of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 o he Business and Profess' ns Code Date: (' 10L Owner: IA 14 WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ I 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 the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation Insurance carrier and policy number are: Map Index: Description: covered patio (152) Owner: GUTIERREZ SANTIAGO & ROSA ELIA 2250 LOUIS AVE OROVILLE, CA 95966 Applicant: GUTIERREZ SANTIAGO & ROSA ELIA Contractor: License #: Architect: Engineer: Carrier: Policy M. I certify that in the performance of the work for which this permit Is Total Square Ft: issued, I shall not employ any person in any manner so as to Valuation: become subject to the workers' compensation laws of California, and agree that If I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith co ly wit those provisions. r� Dale: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (8100,000), In addition to the cost of X90 1 r,1 compensation, damages as provided for In Section 3706 of the Labor #_ 1"' code, Interest, and attorney's fees. 2250 LOUIS AVE OROVILLE, CA 95966 (530) 534-8306 152 S.F. $2,432.00 CONSTRUCTION -LENDING AGENCY -This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there Is a construction lending agency for the Resolutions to do work Indica d above for which fees have been paid. r l performance of the work for which this permit Is Issued (Sec 3097 Clv.) i) r Date:V��_ Name: By. f PERMIT EXPIRES ON: `�` .-��6 )r1 Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safely Code Is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and slate laws relating to building construction. I acknowledge It Is unlawful to alter the substance of an official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes. Print Name: 1, A 464 Signature: Dale: �wner ❑ Contractor C3 Agent for Owner ❑Agent for Contractor B. C. Building Permit 01 -16-04 pg 1 BUTTE COUNTY PERMIT"NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BP052006: OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under -penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/06/2006 APN: 026-230-052-000 the Business and Professions Code, and my license is In full force and effect. License Class: License Number: Site Address: 2250 LOUIS AVE PAL Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: covered patio (152) Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: GUTIERREZ SANTIAGO & ROSA ELIA to its Issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractor's Stale License Law (Chapter 9 commencing with Section 2250 LOUIS AVE 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA 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 95966 appllcant to a civil penalty of not more than five hundred dollars ($500).): as their (V 1, as owner of the properly, or my employees with wages 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 Applicant: GUTIERREZ SANTIAGO & ROSA ELIA pp such work himself or herself or through his or her own employees, provided lhat.such improvements are not intended or offered for sale. If however, the building or Improvements are sold within one 2250 LOUIS AVE 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 OROVILLE, CA sale.). 95966 ❑ I, as owner•, of the property, am exclusively contracting with (530) 534-8306 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed ; pursuant to the Contractors' State License Law.). Contractor: ❑ 1 am Exempt under Article 3 o he.Business and Professi ns Code I ( O Dale: _ Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Engineer: Carrier: Policy #: I certify that in the performance of the work for which this permit is Total Square Ft: 152 S.F. I ssued, I shall not employ any person in any manner so as to Valuation: $2,432.00' become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith co ply wit those provisions. t�IA 00 wj Date: Qn Iv ho 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 /4 compensation, damages as provided for in Section 3706 of the Labor `O? tk code, interest, and attorney's fees. 15�o� CONSTRUCTION LENDING AGENCY This permit Is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there Is a construction lending agency for the Resolutions to do work Indica d above for which fees have been paid. performance of the work for which this permit Is Issued (Sec 3097 Civ.) F ^� By: Date: r � - Name: ^ () PERMIT EXPIRES ON: Address: Mate) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. 1 hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance of an official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes. l Print Name: ker aa Signature: 6 Date: �wner O Contractor ❑ Agent for Owner ❑ Agent for Contractor B. G, ounarng rerrnn V!- rv-vv Ng 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR'INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT NAME OWNER Last Name ( Yyc Z First me Z'Ips� off City Fax Address (� 0Loili (�{V City E-mail Slate Zip rO v e ra Phone Fax � 3o 3 y 830 E-mail APPLICANT NAME CONTRACTOR Name'��.�L City ro v(i� Address Z'Ips� off City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City ro v(i� Address Z'Ips� off City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Gl �tU qi I F 27' Address 2z 96 Lovt S Avt City ro v(i� State Z'Ips� off Pho 3o j3Y��o� Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning PropertyrA�dddress f �' Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN # LOCATION -2- PropertyrA�dddress f �' City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. t� Received by: Amount: 60Bldg v SRA Receipt Sheriff q5q � SMTP Date:Other , /,/' 1 r �� Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11: ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 ". si.�:::.,. .ii"�.... .._,.r- .-...-.�r.��y�`..,� •:. t..-*�a``r1t�Hf.'.:+Y"1G :Y-3..i,�:,,..,�.._;.-..;•�-.s.�w'.-q,.,'`".:.: a.. ..«7:�i� :c.i � ; `,,:f.. .. �.; �:'ti-r.�'�..y�.. ._ }„�-.'.,5 r t Po7 Zoo 6 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: L/ur�C 21-2 ASSESSOR PARCEL NUMBER D� .220 � �p Proposed Building Use- pkyo `-oye� Permit Technician: CLQ / Date: / o �'O`S_- Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. �p I Oil 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 faxesl 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. 11. Letter of intent for non-residential buildings 12. Hazardous Material Form 13. Acknowledgement of building permit application without required clearances. 14. Other Remamm ms needed to issue the permit. (May require additional plan review upon receipt of the following items.) Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ Fire Sprinklers............................................................................................ 17 l 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by .. ❑ II 18. Soils Report and/or Engineered Foundation required ........................................... „ 1 . Erosion Control Plan Required........................................................................ 0. Fees as shown on the attached Schedule of Fees Due Sheet .............................. O City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. O _ p 23. California Department of Forest plan approval ❑ paid. Sent by: ............ 24. Planning approval for (A) Use: 9K (B)Parking: (C) Parcel Check:.....t .. o 125. Contact Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form............................................................................................... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... 14 X 30. Owner -Builder Verification ( -Given to owner, _Mailed to owner) ..................... 0 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. 0 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ �i35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... Cl 36. Other: O 137. Other: When issued Telephone ? 3 �i 30 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. fl� '�/ y% / /,t �7'l� Date: _, /0. Applicant:. it (fila 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor; designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, O mail, O counter, b Date: Plans reviewed by: Date: "tans approved by: Date: Structural reviewed b . ' Date: � Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H. 113E ONLY r Plot Plan AttacMd Root Plan Attached e• �• Sent to G.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 5� � � e✓�� ��a ��rS L CG�-� ��v -�'3y - o�Z O ner / Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for dwelling. Other , Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date COUNTY OF BUTTE t'3, ® S -2A-6-6 DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER 60ML A.P. # t06—�3cr'-05^2 PROPROSED BUILDING USE FA -T70 L- 1. BUILDING PERMIT FEES --- Balance Due ..................... --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 9000 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling)/Zoning $ 6. SRA FIRE INSPECTION AND PLA7ECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATT. Lvlj- $200.00 (paid at Building Divisigd 8. SMIP 9. DRAINAGE FEE. 10. OTHER _,11. OTHER M w .DATE ?-28-6T RREEC(EEIIPPTTj(# DATE REC. At time of permitlapplication, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE 2 ` 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. 7/05) Butte County Department ol'DevelopH1ent Set -vices °�v M a 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES l,. • 1 request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: 9 I need to submit applications for septic and/or well to Butte County Environmental Health immediately. G I am required to bring the approved Environmental Health site. plan and approved sanitation clearance to the Building Division as soon as clearance is obtained. 0 1 am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. { Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence.to.all mitigations and conditions imposed on the parcel at time of creation, as well ` as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: ll /err ,-2.1 APN: 6 2 - 2 3 0 d S Z Applicant Name: � ('Adl ii I Gly (� I e rel Building site address: 2_7_S0 h_o t is A14 e, 0 r®• La Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: % 1;7-ir o ZSIGNkTU�REOF�AP CANT DATE Copy to Applicant/EN/File K Forms/BldgPermirwithoutClearances 020705 Department i. Michael Crump, Director of Public o f B u t �Jorks LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Pian (SWPPP) Acknowledgement (LESS THAN ACRE Project Description: �' U � �� %--7d 1121C- 11��&v. Project Location and/or Parcel Number: By signing below, L the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: W n Y Date: / �� :,.•. a eG: w��. '. •c yc:a'c , )EP � r .��._` Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: 'YES [,<,7] NO [ ]. �2. I HAVE [] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER `— DATE: _��� ��0 s j NOTE: This Owner -Builder verification 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 are permitted to issue the permit. Rev'd IIAWN Butte County Department of Development Services ADMINISTRATION ° BUILDING' GIS ° PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not cavy out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Intemal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. UX Mic 1 C. Vieirl C.B.O. Majager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. ' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO52440 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/27/2005 APN: 026-230-052-000 the Business and Professions Code, and my license is in full force and effect.Site Address: ress: 2250 LOUIS AVE PAL se Class : License Number: Map Index: Date: Contractor: Description: DET GAR (624) OWNER -BUILDER DECLARATION 1 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 aGUTIERREZ Owner: SANTIAGO & ROSA ELIA permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 2250 LOUIS AVE the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 95966 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to anGUTIERREZ Applicant: SANTIAGO & ROSA ELIA 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 2250 LOUIS AVE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of OROVILLE, CA proving that he or she did not build or improve for the purpose of 95966 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ 1 am Exe pt under Article 3 of the Business and Professions Code Date: ;9 0 Owner: 5 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 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 Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: PURSELL, FRANK JAMES insurance carrier and policy number are: Carrier: Policy #: Total Square Ft: 624 S.F. �I certify that in the performance of the work for which this permit is Valuation: $14,976.00 issued, I shall not employ any person in any manner so as to Census Code: 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: �� (lo 2 2 f . 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 ofcompensation, A3,;l--q9_ damages as..provided forin Section3706of.the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resol 'o to �o work i icate ov or which fees have been paid. to performance of the work for which this permit is issued (Sec 3097 Civ.) y --7/ Name: Date: Address: P MIT ON: Dat ❑ 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 that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County toenter upon the above mentioned property for inspection purpos nt Print Name: ( ) rxyL \&( o C 1 , rr& Signatu YA42- ZAL�� Date: 2.`'1 I 0 % ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT INFORMATION OWNER INFORMATION Last Name ✓ (.'Z Firs9ame 1 Ir U Addr ss 6n Lo i. A v Q_ " # city V l 1 Fax State, _ Zip Phon S o q34-(066 Fax E-mail APPLICANT INFORMATION CONTRACTOR Name Gila% Address • City Fax State Zip Phone Lot # Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITE /ENGINEER Name City f15 v 111C Address Zip / lv City Fax State Zip Phone Lot # Fax E-mail Stat 'ce pymhec . APPLICANT INFORMATION Name Address � v 2,L5 O Lo u S A City f15 v 111C Statb, Zip / lv Phone 53 Li 3 064 Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone pLIENYes Cross Street WORKER'S COMPENSATION Occ, Type Con Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT G5, BP BIN # PROJECTLOCATION AP# U`a(� I Propert dress Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: LP Sq FT- Living Garag a pen Cov ❑ Structure Built out_Befmits ❑ 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 departinent costs are not refundable. I I Received by: Amount: `1)6Bldg I I Receipt #: Date: % i..'I` (J_:� ff-m-9l SRA Sherrff SMIP d / — ,'otal SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED, ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1: Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. -❑- Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS►ON 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax,(530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: /l Vlt �t �{� �� ASSESSOR'PARCELNUMBER U -0'_54 ' CS �- Proposed Building Use: 041 0 Permit Technician: Date: � � o Items required in order to apply for a perrrt. ill boxes MUST be checked OR marked NA in ord r to apply. 1. Site plans, 3 or 4 stets signed by'the-" 7eparer 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 AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or find plans, all in duplicate. ❑ . 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ 0 17. - Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils -Report and/or Engineered Foundation required .......................................... .P , CX,- 1 Erosion Control Plan Required........................................................................ 20. ees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ . City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. 23. California Department of Forestry plan approval ❑paid. Sent by: ........... 24. Planning approval for (A) Use:(B)Parking: (C) Parcel Check:...:!.... ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ Cf726. NPDES Form............................................................................................... O 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carriepand Policy Number .......................................... -V 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone 153 q- • � 3 U(a and hold for pickup. I have been infNrmed of the above requirements for obtaining a building permit. Date: 1. Index permit application for ' o 6 ite "s numbered: Plan Check Letter 2. Additional items required Contractor, designees* a d o the above data by 2' -phone, ❑ mail, ❑ counter, by Date: oZ Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was a vised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: D Dat Plans approved by: -[y Date: h Structural reviewed by: Date: Structural approved by: Date: Note transfer by: ------- Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ,7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER CA `QiY��� A.P. # �'"P7J" a' 6c5q PROPROSED BUILDING USE6A DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES (� 4 -- Balance Due ..................... $ --- FEMA Flood elevation review ... $ 4 --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning $ 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 0--.168. SMIP I ' S 6 9. DRAINAGE FEE 10. OTHER 11. OTHER At time of permit may be changed ( .ation, I was advised the above fees are required to be paid prior to issuance of the permit. These fees the plan checking proces DATE q& G 5 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. 7/05) i i� Yrs' \`�'.�.,/ic.'�•n o \� pc0 U N-�� 5 �lrc wloF� Depart merit C n tt n t ' Michael Crump. Director of Public 0 f B t.i t t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (PAX) 538-7171 National- P®llutanL- Discharge Elimination System (NPDES) Phase ll Construction Storm .Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN 1 ACRE Project Description: ation andJorParcelNumber: poi �O tl ISP Q7'6 �l C,� aJ''(O� Project Loc , 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. Phased projects that contain multiple site build -outs. of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project.' that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: V- OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [`< ] NO [ ]. 2. I HAVE [ ] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hued the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: Ho NOTE: This Owner -Builder verification 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 are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o. If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations wider state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. E.H. USE ONLY Piot Pian Attached Floor Man Attschad Sam to G.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance r car21�1� c-� tx 1 Owner Location AP# Plan Approved for: Sewage Dispose Water Supply: Public rivate Wel` Clearance for dwelling. Comer K �Cz A � �X. �� ) QJAAi1 Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date I NOTES' RESIDENTIAL / PERMIT NO. 026-230-052 05-2440 GUTIERREZ, SANTIAGO & ROSA i 2250 LOUIS AVE, PALERMO Cont: OWNER. GARAGE SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i JOB FINALED (Date) Signature _ J=OK o =Not OK = NotReadyatte . =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Date Date 1. Zoning Requirements -Setbacks -Easements Date ` 2. Sols; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ . /Amp -Concrete 6. Gas; Location-Test-Wrap;.4 : , r L'ft . /. PNat or/ /"L . PLPG 7. Well Clearance & Disconnect 8. Utility Clearance - 7. Elec.; Bonding: Metal w/T-Circulating Equip. -Heater Date Card B-1 Date Card B-1 Date Card B-1 = Date . Card B-1 . Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Une 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity, MH Test=Crossovers-Breakers-Clearances 5. Drain; MH Test-Fall-Flek Connector 6. Water, MH Test-Regulator-Connectot 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 Cana B-1 Date -Card B-1 Date -..Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 1 2. Footings; S¢e-Spacing=Marriage Line I 3. Blockuig 4.' Gas; MH TesV13emand-Valve _ S. Electricity, MH Test 6. Water, MH Test 7. Water. and Sewer _Connected . 8. Gas and Electricity?agg'ed ". 9. Exits "110.: License Decals 11. V # s with Office •_ Date Card B-1 . ' Date • .':.: Card B-1 Date Card B-1 , Date Card B-1 fiAISCELLANEOUS Date DEqKSeOVERS, CARPORTS, GARAGES (Plans) OK except #'s nmg Requirements -Setbacks -Easements 241"Footings; Soils -Size Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthn-Fm-Ftmrinn Mn 12. Braced Wall Panels Date Date Cana B- Date Card B-1 Card B-1 Date Cant 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. Qistance-GFI 5. Sec.; Pool Ughting";15 Volts -GF! . . 6. Elec.: Enclosures-. Conduit Entries -Terminals -Listed 7. Elec.; Bonding: Metal w/T-Circulating Equip. -Heater 8. Elm; Grounding; Equip. w/5' Ciit:ulating Equip: Pool Lghtg. Boxes=Enclosures-Panelboards-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-1 Date Card B-1 Date Card B-1 : Date ` . Carni B-1 Mn = OK = Not OK = Not App@able = NO Rr-dy RIESIDENTIAL (Single & Duplex) late UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Sols-Elec. Gmd. / . P Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Sols -Steel-/ P Ftg. Depth S. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Slockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg: Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 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 Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Sec. Receptacles Spacing -lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes.Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform 'nf Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 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-Purlin-Roll Brac: Truss-Shting: Rtng. 49. Fireplace Tres or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. BdrTTL Windows or Exiting Doors -Sill HL & Dimensions 52. Garage Fre Protection Framing -RC Channel 53. Property Line Fuewail & Openings 54. ExL Doors -One T -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding-Nairing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Naiftng-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-landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access-Spp 69. Sec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Ralls 71. Fireplace or Stove; Clearance -Hearth 72. Elec. Outiets at Wood Panel, Int & Ext. 73. IGL Fixt. & A.ppriance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protectiori 78. Plb.; Elec. & Medi. Equip: Listed for Location 79. Sec. Receptacles in Garage (FFI.)-Romex Protection 80. 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 O Yes 83. Following InstldJDrive 0 Yes O No/Walks O Yes O No/Plarrters O Yes O No 84. Stucco Brown -Finish M. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appriance-Fireplace-Clearance to Openings. 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Sec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to 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: NOTES . RESIDENTIAL PERMIT Nr' - _ _ __ 026-230-052 04-0419 GUTIERREZ t 2250 LOUIS AVE, OROVILLE ADD/SF i r } i d st r y 1 IISPECIAL CONDITIONS II SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) ,b Signature CHECKED BY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP040419 LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date' 03/04/2004 APN: 026-230-052-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 2250 LOUIS AVE PAL Date: Contractor. Map Index: Description: ADDITION 494 LIVING RM., BATHROOM, OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I. am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 DEN, & LAUDRY 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 Owner•' GUTIERREZ SANTIAGO & ROSA ELIA signed statement that he or she is licensed pursuant 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 2250 LOUIS AVE she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA 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).): 95966 A( I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' 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, Applicant: GUTIERREZ SANTIAGO & ROSA ELIA 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.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Contractor: Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit License #: is issued. ❑ 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 Architect: insurance carrier and policy number are: Engineer:: Carrier: Policy #: I certify that in the performance of the work for which this permit is \ Total Square Ft: 494 S. F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $32,110.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Z4 0 �- 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 4-401I 0 4 42-7. 719 Z/��o4 compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 375066, 4 427 76 - CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolu 'o s 19 do work indicate ove for which fees have been paid. Name: B Date:A&�2Y Address: PERMIT EXPIRES ON: to ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: /l ✓L�/ 6th �_u [ rrc Signature: Date: Owner ❑ Contractor ❑ Agent for Owner 13 Agent for Contractor J=OK 0 = Not OK .=NtReady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG Carports; Windows -Doors 7. Well Clearance & Disconnect Electric 1 8. Utility Clearance Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector POOLS (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged Elec.; Pool Lighting; 15 Volts-GFI 9. Tie Downs -Type -Installation Cert. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 11. Cert. of Occupancy Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. 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 #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 1 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -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 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-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-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-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single& Duplex) Date UNDERFLOOR (Plans) OK except #'s jj,9ai-2-hg-Setbac ks- Easements- Flood -Slope Date tg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. _ Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hol . Downs and Special Anchors j7 lab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel .W.V.; Test Fittings & Anchor -Nail Protection W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 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 4e Headers & Beams -Size & Bearing M Date FRA (Continued) H ers-Post Caps -Anchors -Con hectors Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. les or Type A Flue -Fireplace Throat Clearance ccess; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions ire Protection Framing -RC Channel 5.1.-ProKrtv Line Firewall & Ooeninas 24, -Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 1�5!St�icsrWidth Headroom -Rise -Run -Landing -Fire Protection 5E,%on Roof Overhana-Attic Vents -Rafter Outriaaers •,5/. iding-Nailing Veneer 58-SticaaaAesh-Drip Screed -Fd. Vents-Underflr. Access g Area -Glass Walls; Uailinc Wall Panels 66. Infiltration -Walls -Windows Date j / Card 13-1 > Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL tans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings moke Detector 4.6 . urnace Vents -clearance -Comb, Air-Connector- ech. Protection G.F.I. & Bath Fixtures & Tub Access -Spa lac. Trim & Subpanel, Breaker Sizes & Labels 70.,.StaiFo &-Rails 711 ForPaL%to ogee a '-'earth Vic. Outlets at Wood Panel, Int. & Ext. 7 pp Lance; rou d -Air -Gap -Cooking Clearance 74. Kit. Counter 7I rawga F_ n,,,,•• �••-�~,r,-I anding-Closure 76. r . Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. inSaarage; Above Floor-Mech. Protection Plb.; Elec. & Mech. Equip. Listed for Location 7 (F.F.I.)-Romex Protection t1Insulation- Foam- Looked in Attic s r tion -Post Caps 8N oor Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes /Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 8 o rownT-int isR 85. nit Disconnect, Electrtda -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings ere , tscon ctrical, Plumbing tZr Ex for Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throughout House lass Protection 9 rom spections s Electric A�at Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 9 9 er Dat r� aj 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: Date and B-1 Date Card B-1 Datea� Card B-1 Date Card B-1 Date PLUM (Permit) OK except #'s ate .;Vent -Access -Combustion Air Baffle er Pipe; Test & Anchor -Nail Protection f .W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test 6& Shower, Second Floor -Tub Access 2 as Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECT L (Permit) OK except #'s e Transformer Clearance -Ins. Protection EI . eceptacles Spacing -Lights & Switches at Doors Sixes & No. of Conductors Stapled o Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clo s Closet Light -Shower Light -Spa Light moke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36., A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & 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 FRAMI 15ermit) OK except #'s . Sills per Materials & Anchors 4 a tuds-Nailing Spacing & Braces -Plates -Sound e g Walls over Girders & Floor Nailing . D Stop in Walls (rat proof) Fi tops, Furred Ceilings -Stairs -Chasers -Tubs 4e Headers & Beams -Size & Bearing M Date FRA (Continued) H ers-Post Caps -Anchors -Con hectors Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. les or Type A Flue -Fireplace Throat Clearance ccess; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions ire Protection Framing -RC Channel 5.1.-ProKrtv Line Firewall & Ooeninas 24, -Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 1�5!St�icsrWidth Headroom -Rise -Run -Landing -Fire Protection 5E,%on Roof Overhana-Attic Vents -Rafter Outriaaers •,5/. iding-Nailing Veneer 58-SticaaaAesh-Drip Screed -Fd. Vents-Underflr. Access g Area -Glass Walls; Uailinc Wall Panels 66. Infiltration -Walls -Windows Date j / Card 13-1 > Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL tans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings moke Detector 4.6 . urnace Vents -clearance -Comb, Air-Connector- ech. Protection G.F.I. & Bath Fixtures & Tub Access -Spa lac. Trim & Subpanel, Breaker Sizes & Labels 70.,.StaiFo &-Rails 711 ForPaL%to ogee a '-'earth Vic. Outlets at Wood Panel, Int. & Ext. 7 pp Lance; rou d -Air -Gap -Cooking Clearance 74. Kit. Counter 7I rawga F_ n,,,,•• �••-�~,r,-I anding-Closure 76. r . Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. inSaarage; Above Floor-Mech. Protection Plb.; Elec. & Mech. Equip. Listed for Location 7 (F.F.I.)-Romex Protection t1Insulation- Foam- Looked in Attic s r tion -Post Caps 8N oor Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes /Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 8 o rownT-int isR 85. nit Disconnect, Electrtda -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings ere , tscon ctrical, Plumbing tZr Ex for Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throughout House lass Protection 9 rom spections s Electric A�at Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 9 9 er Dat r� aj 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: Insulation Certificate BUILDING OWNERS BUILDING LOCATION: 2 - Description of Instaf llation ROOF BUILDING PERMIT #: Material Brand Name Thickness (inches) Thermal Resistance (R -Value) CEILING Batt or Blanket Type Brand Name Thickness (orches) l.b Thermal Resistance. (R -Value) Loose Fill Type Brand Name Contractor's minimumturerinstalled weight/ft lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) /VEXTERIORWALL Material ��' r b Thickness (inches) RAISED FLOOR Material Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) _ FOUNDATION WALL Brand Name v` L Thermal Resistance (R -Value) K'-/ Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Material Brand Name Thickness (inches) _-,anal Resistance (R—Value)--- .--- --_ ------ — Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. General Contractor (Builder) Signature and Title License Number Date Sub Contractor azio Installer) License Num ,A ign eTi e Darr THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP040419 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 03/04/2004 APN: 026-230-052-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 2250 LOUIS AVE PAL Date: Contractor: Map Index: on: ADDITION ti494 Description: LIVING RM., BATHROOM, p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 DEN, & LAUDRY 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 Owner: GUTIERREZ SANTIAGO & ROSA ELIA signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Divipion 3 of the Business and Professions Code) or that he or 2250 LOUIS AVE she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA 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).): 95966 t�A I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' 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, Applicant: GUTIERREZ SANTIAGO & ROSA ELIA 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.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). O I am Exempt under Article 3 of the Business and Professions Code Contractor: Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit License #: is issued. ❑ 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 Architect: insurance carrier and policy number are: Engineer: Carrier: Total Square Ft: 494 S. F. Policy #: 1) UY I certify that in the performance of the work for which this permit is \ issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $32,110.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 0 (- Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of 3g4,4q l0 42-7. -78 al -t compensation, damages as provided for in Section 3706 of the Labor + code, interest, and attorney's fees. 3950$(0 - CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolu 'o s tp do work indicate ove for which fees have been paid. 4) Name: B 2Wh Date: 3/4 PERMIT EXPIRES ON: J (Obte) Address: ❑ 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 that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: /1Gd _ �� _ r�i f Signature:p14-04— Date: t`JJ y Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. 041 � U FV DATE:— APN: ZONING: NEAREST CROSS STREET: TRACT/LO �5 (4-7 2- 4`2Z - SITE ADDRESS: gaso ko U l S V I e y, b Ll A C CITY, ZIP: ovI .(i OWNER NAME:,, (L o� y PHONE: STREET ADDRESS: Dv n lS �� FAX: CITY, ZIP: VO Ville, CAi E-MAIL: APPLICANT NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: E-MAIL: CONTRACTOR NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: E-MAIL: LICENSE NUMBER: LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: Z-ar ❑ Structure Built without permits ' ❑ Proposed Change of Occupancy (note previous use) Pt(rob i A -r-, (39`) -SL 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 fees will be required. 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. For office use only: Notes: Application Received by: Date: n Receipt number: Amount Receiv : jA8 / 39508G $427. 78 •4.04- M -- B. B. C. Building Permit 01-23-04 pg 2 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES Q NO ❑ I HAVE k!K HAVE NOT ❑ signed an application for a building permit for thero osed work - I P I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CON'TRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME• ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. . I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK DATE: / moi°/ O �f NOTE. This Owner -Builder Verif cation is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit OVER I OWNER BUILDER INFORMATION Dear Property Owner: An application for a budding 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-buildee" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300' or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to seveiul obligations inchidmg state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial rids for you if you do not cant' 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 structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a. licensed contractor or subcontractor, only tmder limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building Pte, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed 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 guilder 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. I 4- M Mic 1 C,B.o. C. Building Inspection NOTE: ?Tris Owner-Builderbtfo>madon is required by Section 19830 of the California Health acrd Safety Code OVER ate`inti,w•'�.ii'i�irt�:$•�i�.'sYa.+ip.'Xw':f�ka.w3'`i''',�.{L..il''i'"'TF`Yf"`t,�.a:�iiit-rings _'_ �,G,'_��j��//.jj���/\�1////jj��{��i_'.;/'T,t �.s, .nr ,.i r.+^ �� r' �`w "s::+. .. . -l'. � M t'T '^�J��� `i ',/`i/rt1 w.-.7wiif rr✓ `�y.. �v I COUNTY OF BUTTE-DEPARTMENTDEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 C j /PERMIT APPLICATION DATA SHEET �j /) OWNER: /L ASSESSOR PARCEL NUM O4� (.!� /�, . �J v O� i Proposed Building Use: Counter Technici Date: Items)equired in order to apply for a permit. All boxes MUST be checked OR marked NAA in • rder to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. i2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. l 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. ❑ ;f 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plan, all in duplicate. ❑ k 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in tripltt;ate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate JI 11. Site plan and business license approval from the City of Biggs ❑ i 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner /�'• { 14. Hazardous Material Form p I V 15. Sanitation and site plan approval from the Environmental�Health Department in ❑ Chico 121"6roville, as applicable. �❑' 16. Other �l Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ . ❑ f 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by .. ❑ 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 .............................. '❑ l 22. City of Chico Plumbing permit 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 124. Planning approval (A) Use: Q){ B)Parking: (C) Parcel Check: 2-2F,_ A 9 ❑ ,� 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ ! 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ J�2 9.Contractor's license information. (Number, Name Style, Classification)...........•....... 0. Worker's Compensation Carrier and Policy Number .......................................... 1. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ f 32. Letter of Signature authorization'.....!...............................:............................. O 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ it 34. Manufactured home utility clearance................................................................ ❑ ++ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction ...................•.........!............................................................ ❑ j 37. ❑ Grant Deed, ❑ MH.'Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ I 38. 'Other: �7 ❑ 39. Other: X42 ' When issued Telephone 11.9 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: /nl , 4 :14 / Date: 1. Index permit application for the above i ems numbered. ` Plan Check Letter 2. Additional items re uired Contractor, designe , Ine was advised of the above data by _ one, ,❑ mail, ❑ counter,.by Date:; Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, Date: Plans reviewed by: _ Date: Plans approved by: Date: Struc-.ural reviewed Date- Structural approved by: Date: Note transfer by: Date Yellow: Building Division TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance ,. G L,,- l'1 Plan Approved for: Sewage Dispo Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 N: E.H$E CA�li7 Plot Pian aitacMd Floor Plan Attscrad-�, Location AP# 1 water Supply: Public`. Private Well d; d ,�I'� � � — 1� � � A,., .,. Dtt�v1 1I�ti•. I�, c�, Date rM ,, 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 PROPROSED BUILDING USE V/ 1. BUILDING PERMIT FEES -- Balance Due ..................... $ -- Additional Fees Due........... $ --- Revised Plan Checking Fee.... 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) A.P. # DATE RECEIPT # DATE REC. 395684, 3.4-•o4- 3 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 -=$ _ l # Units Amt. 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) q� 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) S Residential Zone X = $ Zone # Units Amt. i Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. .10. OTHER At time of permit application, I was advised the above fees are required to be paid prior_ to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE 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) is BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) it School District Ada c* Building Department No. A.P. Number" 6 Z6 Jurisdiction: city County Ir Property Owner Property Location/Address j Subdivision Residential Development yl Commer'cial/Industrial — 1, Department ;District Identili cation, No. al ),7 (Street Address) f -2 2-5-6 m 0 64 "1 '4 (vc Lot No. 05'Z -bb -7 U-4 'n'�O-w && School District certifies that ua (Applicant) (City) 11 t has complied with the requirements of Resolution No. square qUare feet. L6in&o--A School District Representative Paid by Check # Remarks: (State) (Phone Number) q s --q tj (Zip Code) by payment of $ JAB 2926 IFULL MMGATION 0-3 Date Notice: You may Protest the Imposition of the few Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fen we paid. Failure to submit a timely written protest will'prohlbit you from chalbriging the Imposition of the fen In any court action. K, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is nodfied by the applicable Local Planning Agency that this protect Is being reviewed muter the California Environmental Quality Act (CEQAh this project may be subject to addMonal school fen to fully mitigate.ft Impact an the school dhftkft schools. White (applicant), Yellow (building department), Pink (school district) tsefwm.)ds (10/03)dmm Sq. Footage No of Living Mobile Home Addition/ •Supplemental to (Group R) Units Installation Conversion Permit # ......................... *(No foundation Inspection) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage Now Addition (including Exterior Roofed Areas) 6fiveU Date U-4 'n'�O-w && School District certifies that ua (Applicant) (City) 11 t has complied with the requirements of Resolution No. square qUare feet. L6in&o--A School District Representative Paid by Check # Remarks: (State) (Phone Number) q s --q tj (Zip Code) by payment of $ JAB 2926 IFULL MMGATION 0-3 Date Notice: You may Protest the Imposition of the few Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fen we paid. Failure to submit a timely written protest will'prohlbit you from chalbriging the Imposition of the fen In any court action. K, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is nodfied by the applicable Local Planning Agency that this protect Is being reviewed muter the California Environmental Quality Act (CEQAh this project may be subject to addMonal school fen to fully mitigate.ft Impact an the school dhftkft schools. White (applicant), Yellow (building department), Pink (school district) tsefwm.)ds (10/03)dmm 100 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. P052441 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/12/2005 APN: 026-230-052-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 2250 LOUIS AVE PAL Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter9 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).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' 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.). Map Index: Description: DEMOLITION OF CARPORT (400) Owner: GUTIERREZ SANTIAGO & ROSA ELIA 2250 LOUIS AVE OROVILLE, CA 95966 Applicant: GUTIERREZ SANTIAGO & ROSA ELIA ❑ 1. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ , I am Exempt under Article 3 �f the Business and Professions Code Date: LJ110',IU/ Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 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 ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: License #: Architect: Engineer: otal Square Ft: Valuation: Census Code: ry_� �356)03 WARNING: Failure to secure workers' compensation coverage is e unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to, the cost of v 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 Civ.) Address: 2250 LOUIS AVE OROVILLE, CA 95966 0 S. F. $0.00 s hereby issued under the applicable provisions of the Butte County Code and/or to do work indicate above for which fees have been paid. 1 6C hA Date: - I z in PERMIT EXPIRES ON: ❑ 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 that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose �;�i I�Y�Z 9 �.� Print Name: d Si nature: i I;(Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY \ C DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 0 AND SUBMITTAL REQUIREMENTS p 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 o OFFICE #: (530) 538-7541 .� A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION )UN Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT SIGNATURE X - d For office use only: OWNER INFORMATION Last Nae'! l✓f 2 Address First N e Address O V is k•V e— City r• Phone State Zip �q Phone 0 6 Fax E-mail APPLICANT SIGNATURE X - d For office use only: CONTRACTOR Name Flood Zone Address Address City No State Zip Phone Zip a Fax i E-mail Fax Lic. # Class APPLICANT SIGNATURE X - d For office use only: ARCHITECT/ENGINEER Name Flood Zone Address Address City No State Zip Phone Zip a Fax E-mail Fax State License Number APPLICANT SIGNATURE X - d For office use only: APPLICANT INFORMATION Name Flood Zone Cross Street Address 2- 2_5 a u [.3 No City ro v [ ( (e Stat C q Zip a Phone 534 $3 O(o Fax E-mail APPLICANT SIGNATURE X - d For office use only: Zoning Property Address Flood Zone Cross Street SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER -FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BPO524 1. BIN # PROJECT LOCATION AP# 0 7 a _s; - Property Address City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 12c -mo '• o O Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. II Received by: 6, Amount: )L ;D W Bldg Page 1 of 2 Receipt #. 135003 Sheriff SMIP Date:q — `2— p 5c Other ` 5. 0O Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate " ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 Oct 11 02 08:45a Demolition Permits Asbestos Notification Statement p.2 �f Date AP# _ Zf� ` Z 2O Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out.this form. "19827.5. A demolition permit shall"not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit' 'applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at . Signature of Applicant OR I hereby declare that a'writtenasbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. Signa re o -,f pplicant 2/19/91 HEFT 'SOF 14- SHEETS DESCRIPTION -OF ®U/LD/NGS COMPUTATION U 5 uy W. 1; ) Appraiser l�/rJy No. ��— Structure Sire Found. Wall; a Exterior Roof -- - - GOSP so Good Floor l3, Interior Derail Second Story or Loft Year wilt F� .Wrot. LiteYni lye Cover _—_ 19 Un i r Cos. _ Cost rl.00aTa•, 4 y. R. C. N L. N. „f Cost ' - Good H. C. N. L. N. Q. 4L�.... ---- Z � r _----=---`�%�'G—_— . —N-00L.rlLLI). - ___--- - — --- C.J.E. KED --.C�_ _v�� y CT�.z��•�Gs�.�_ .�� �.� � � - %���=--��9un�C'Ai,C ----- ,���''1�-_---- --i�"/� - COMPUTATION U 5 uy W. 1; ) Appraiser l�/rJy No. ��— -Date Area `r d J,7 Unit Co l �— f?I:,)L. f�{'�:: Cost %r` Good U `1 9Q.�-_ R. C. N. 4, M. p. ----- - ?rte — Unit r,vsP -- - - GOSP so Good -- - R. C. N L. N.:U. ' �_ '9 1 -- _—_ 19 Un i r Cos. _ Cost rl.00aTa•, 4 W. Good R. C. N L. N. ; Un i r Gosl Cost ' - Good H. C. N. L. N. Q. 4L�.... ---- Z � --- . —N-00L.rlLLI). - - C� �0 - — --- C.J.E. KED ALLOMMfem Met 19 _ Unit ' R. C. N. Gam_ cost �� 19 —% Unit Gose -�-R. G. N. — 76ral -1-19.— -Appraiser- Dale A9.rea —Nc. 19 CosP %^ Y• C. N. &:¢3L_ -- S�p��1(1� _ Ung „ r. G.: CR.�t Cost -�Z_AYLd_I.a!1�— : BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. A6 o/-0 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSES R P RCEL NO. 'a ASg OWNEEi,, PHONE PO. 1,5o 115-3 30 t© OWNER'SADDRESS - ) t LOCATION OF BUILDING USE OF BUILDING f it SIZE OF STRUCTURE ' --��' X = SO. FT. 6 tom, TYPE OF CONSTRUCTION: 5•f ,V WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE ,e. -/ C 'nrr�'t ESTIMATED COST OF CONSTRUCTION $ 1 00 0 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: , i r /. �� '�� /!N' 2�Al FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Signature of Owner �L 1 ' Permit Fee - $60.00 The above described AG Building is exempt from a bjAlding per it. Lt i %LI� [Fk(,D PAR EL P.D ROO G ISS Receipt No. � r `(' Manager Building Division P % I L, By Date 1 White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant ,C wc;- ,,ve 00:0 F sA-fte_r Recording _ i 2 5 `Return to Public Works Department _93�0262961 Rec Fee 17.00 I Cash 17.00 Recorded I Official Records I COUNTY OF BUTTE BUILDING DEPT • ���� �� _��� County of I r ' Butte 1,�UN 2 1993 �i - -- - Candace J. Grubbs I Recorder I t4 8:22am 23 -Jun -93 I PUBL XX 5 AGREEMENT FOR ENCROACHMENT OF BUTTE COUNTY ROAD WAY KNOWN AS /eve . THIS ENCROACHMENT AGREEMENT, made and entered into this % day of , 19_, by and between the COUNTY OF BUTTE, referred to as "County" and Gvfie/'d'eZ Sa17gyp name hereinafter referred to as "Owner", W I T N E S S E T H: - hereinafter WHEREAS, Owner desires to construct or provide �� %4ei�' (sewer/water). service to Owner's 'property 2, Z, 50 r location 6 v i S de. more particularly described in attached Exhibit "A"; location per plat Exhibit "B"; and et al, WHEREAS, Owner desires to install a %�(/'G�f describe service along or under n",I'0� 4e e , from his property (streets) to an existing 4761' facility located in type of facility (street)- ; and WHEREAS, County desires to protect County property and insure the safety of public traffic on county roads; NOW, THEREFORE, IT IS AGREED as follows: 1. Owner agrees to install a %Je- size and type of facility or equivalent, from Owner's property ��4 / direction of facility to an existing fjl%7ej //n e- located in�Vev,' type of facility road name Backfill material to be .sand compacted to a relative compaction of 95% and topped with eight inches of aggregate base and two inches of asphaltic concrete. 9,3 - 2 V 2 9-61' '.V 2. Owner agrees to perform installation at his sole cost and expense in such a manner as not to interrupt continuous traffic and provide signs, flagmen and detours as needed to insure safety of traffic using county road. 3. Owner agrees, at his own expense, to properly maintain the encroachment and to immediately repair any damage to any portion'of the county road which occurs as a result of the encroachment, and Owner further agrees that maintenance shall continue to heirs and assigns or until said encroachment is abandoned. Should maintenance work not be done immediately to insure safety for traffic and/or protection to county road, County may order the work done and bill the Owner, said charges shall become a lien on the property described herein. Failure of Owner_to comply with provisions -contained herein will be cause for revocation of this Agreement. 4. Owner agees that whenever construction, reconstruction or maintenance work upon the county road is required, the.encroachment provided for herein shall, upon request of the County Department of Public Works, be immediately moved by and at the sole expense of the Owner, his heirs or assigns. 5. Owner, by the acceptance of this agreement, shall assume full responsibility for all liability resulting from operation and maintenance of the encroachment and for all liability for personal injury or damage to property which may arise out of the work herein permitted or which may arise out of the failure on the part of the Owner to do the work provided for under this permit. In the event any claim of such liability is made against the County of Butte or any department, official or employee thereof, the Owner shall defend, indemnify and hold them and each of them harmless of such claim. 6. This encroachment is for the benefit of the land described herein and shall run with said land. -2- State of California County of Butte On /8 before'.me, ( Stella L. Spoor •j, personally appeared William Chef f - personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(sr) is/mm subscribed to the within instrument and acknowledged .to me that heh*ebbay executed the same in his/ authorized capacity(ieO, and that by his ahssignature(s) on the instrument the person(i), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and officia seal: stella L. spoor V Comm. #986525 SigLature i (Seal) NOTARY BUTTEiCOUNTY CALIFORNIA • i IFOR Comm. Expires March 5, 1997 STATE OF CALIFORNIA BUTTE COUNTY OF 10 1993 On J JUNE 9 before me, personally appeared t i I }ss. DODIE HULTZ SANTIAGO GUTIERREZ AND:ROSA GUTIERREZ personally known to me (or proved�� to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the withi(( 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 A tilfatittalN■IRtA•■•ftlf■■■■�■■�, person(s) acted, executed the instrument. DODIE HULTZ.Ale% • NOTARY PUBLIC-CALIFomm WITNESS m hand I seal • Butte County ■ O My Comrtdssion Exptres Feb. 3,1995 • Signature ■■■■®■�••®®B■at,s■e■■■■ti■� (chis area for official notarial seal) W 96 93 2 7. County and Owner agree that this encroachment shall be"re-corded immediately WITNESS OUR HANDS THIS DAY AND YEAR HEREINABOVE FIRST WRITTEN. COUNTY OF BUTTE By: By: - William Chef ner) Director of Public Works I S r3 c F Adress) By: Owner Address i NOTE: Have this form filled out (print or type), signed, notarized and returned with recording fees. �--- rr ; n 06-10-93 11:51AM FROM MID -VALLEY TITLE TO OROVILLE ' Requested By: Mid vaM1 - ., •t. Valley Title Co. �/ O'dar No, Q fewow No. 113679-3 Loa» No. Ij WHEN RECORDED MAIL TO. Santiago 3 Rosa Elia Gutierrez 22SO Louis Avenue Oroville, CA 95966 "'"9o-25886 ?001i 004 -26296 90-025886 I Roe -Fee 5.00 DOC 55.00 Recorded Totai 67.00 Official Records £RN ES T I NA CARR I LLO County of , Butts , ---- ��— Candace J. Grubbs Recorder , 8:00aat 21 -Jun -80 VS L -�_ sn4Ct h8OVL T.t76 LINE 60R a9CottDeA'9 ubE MAIL TAX STATEMENTS TO: Same as $hove GARY TRAtSKR TAX55.00 eo^+putae 0. value of paparry dwrrayad: OA �' +— Cmrtgr,teo art tltp eoniid�•tioe a trawe rap IIMa a endtnttaratays iainp ae Wn• of aM if A8 f 26-23+52 shptur• m 4octaoant w Aearta nuI u ' tj S'anro�" MID VA"ZY TITLE AND ESCROW COMPANY GRANT DEEDi FOR A VALUABLE CONSIDERATION, receipt of which is her ebv adcrtawtedyed, !!I JESUS CARRILLO AND ZRNSST$NA CARRILLO, fiUSBAAiD AND WIFE t hWby GRANTS! to SANTIAGO GUTYB'ItREZ ANO ROSA ELIA GUTIERREZ, HUSBAND AND WIFE, AS JOINT TENANTS i the few pmw y in the44VMunineo + Cownh of Butte 1`POD'iltCtd area of the . Stato of Cafifamfs, de=Ibetd as LOT 3, IN BLOCK 56, AS BROWN ON THAT CERTAIN MAD ENTSTLED,-SUEDIVISION N0. 1 OP THE Pl►L COUNTY CITRUS TTE, ", TR iLlAt? WAS RECORDED IN THE OFFICE OF THE RECORbER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1888. �� 1 U CARRI LButte STATE OP CAl1FORNIR coUNTvaF •1 on,..J�n 1` 6199.-047 � � — - y----• .�_ botwo Rla 1ho tr�tr•�gt+e4 a aotorr PubflC In and Ia sato SUIQ pq,. £RN ES T I NA CARR I LLO aenaupJesus Car_eill0 and Ernestina Carrillo ---- ��— 0-00%M ltaaiot IN to me On tlta beau J SANDY A- STACK er sabahetwv •aleancal re ta• trb t+•.aotusi anayp namaa) ppara supacrif»d to the 't,� NOTARY PUBLIC-CAUFOANIA �i'` • P,a,cp.t ono• h [XAT� County +x�• wdnul Wtnlnlanl aM ackr"Wedat d to n.a that "MDVA%e►exeftt•d Go,mkes 1110 some. WITNEB$ ^Y harW a arrK;al aad, Sgnalwe— .... ` S?tndy A StRck — —•- MAIL TAX STATfMF.NYS AC nlarrfrn Aon„a 1002 16/01 D H N ID N 0 o c 0 b � Z 0 0 0o ti c of I D N w n T �Q zop 1� /3 1 J o U x ----- 1036.2 ------_ I 0 00 n V \\ S.B.E. Q'0 -4,x'10 I I 515 l I — I N O u I +n OO N — 0 a n RAILROO r r z z 00 D H N ID N 0 o c 0 b � Z 0 0 0o ti c of I D N w n T �Q zop 1� /3 1 J o 36Z9Z-C6 v N V D AVE. m w WISE. AVE. (� I , o + I I A W 57 � PERKINS AVE, 070 I w I i _ CAI till I I ♦` I I N � a 87 O AVE. _ I � ' I ' U � _ � I end ' m- u_ _ o I 00 I 300 7 e AV E. CD I � Fg' U ----- 1036.2 ------_ I n V \\ S.B.E. Q'0 -4,x'10 I I 515 l I — I m N O u I +n 36Z9Z-C6 v N V D AVE. m w WISE. AVE. (� I , o + I I A W 57 � PERKINS AVE, 070 I w I i _ CAI till I I ♦` I I N � a 87 O AVE. _ I � ' I ' U � _ � I end ' m- u_ _ o I 00 I 300 7 e AV E. CD I � Fg' jr�-„^,..-.w,.g.,►,,+ry��y�,Ki•�l••1t^'�l��i"`%T�=..liF'�-'�'I'YL.::,.��/�+i`�n .Rve..•.�v-.-lC�a�,:`'h�'tie....Y.n...r"'y'-'"i"*^/h"l.t�^'` '^'^1, Permit#4051-87B ' ERNESTINA CARRILLO „2250 Louis Avenue, -Palermo COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ,, 7 County Center Drive - Oroville, CaliforXia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. --�/ (I - V% ASSESS0 /PARCEL NUMBER !� ZONING BUILDING PERMIT OWN -ER 1, 1� �V I,7r ri� _ -Cor, TELEPHo E �-? -i SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRA'CTOR'S NAME / lJUJP1-V- TELEPHONE - CONTRACTOR'S MAILING ADDRESS Fireplace CONST UCTION LENDER _ UNKNOWN Total Valuation $ Filing Fee 9 $ 10•00 LENDER'S MAILING ADDRESS Permit Fee $ -(/ ARCHITECT OR ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ` Penalty $ BUILDING ADDRESS j �� > �� n 141'r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 . Each Trap 2.00 wi Solar or heat pump water heater 20.00, LOT NO. �;1 SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 ' USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ odel Utilities ❑ Installation❑ Ot erK Describe.work: �/{� Re10V F { 1J i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00- 0.00Main Mainservice 6011 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9; Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 0� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively,contracting.with licensed contract- ors. (Sec. 7044)--7— - ❑ 1 am exempt under -Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM OR ADDNS. ACC. SLOGS. / '/zQsgft NEW CONSTR. U TI.OUTLET NON.RESID .BRA CH CIRCUITS) 2,50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. ) / Ex. OCCUp\OUTLETS OR FIXTURES 20050t DAL030 FIXED Ex. OCCUp. OUTLETS P(RESID )LNS KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S' COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I ❑ 11rhave placed on file with the County of Butte Building Department a -Certificate of Workmen's.�Compensation Insurance or a Certificate of Consent to Self -.Insure. �� 1 shall not employ any, person in any mannan -so as to become subject to the W. C. laws of California. l l Notice to Applicant: If after making this statement,.should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. i MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee = Contractor I certify that I have read this application and state thatftlie above information is correct. I agree to comply to all County Ordinances arid;State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. ,4 , X Date Signature of Applicant — Owner ❑,• Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. I CONST.TYPFJ SCHOOL FLOOD PARCEL I PD 1 Ho 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or /work indicated above fo� which f� DtREC� OV,0F PUBLIC B �/ � �• Y � PE MIT EXPIRES Date�� the applicable provi- resolutions to do s have been paid. WORKS Dflt@� �/ C� J3 Receipt No. WHITE-D.P.W.. YELLOW-ASSE3 SON. PINE -INSPECTOR, GOLDENROD -APPLICANT Jesus and/or Ernestina,Carillo, JT December 11, 987 . Paae 2 2. Repair or replace leaking kitchen sink faucet, eliminating all leaks, repair or replace leaking toilet flush valve, eliminating leak. +` 3. Replace missing pan under oven burner so flame will not flare below burner when lit. A reinspection will be made. Failure to comply will result in the Franchise Tax Board being advised of then be Your noncompliance. You will prevented from claiming state tax deductions for taxes, depreciation, amortization, or interest expenses connected with the property as long as it remains substandard. This notice is given to you pursuant to Sections 17299 and 24436.5 of the California Revenue and Taxation Code. If you have any Questions, please contact me at the above listed address of telephone number. Sincerely, Howard J. Sn r R. S. Supervising Sanitarian Division of Environmental Health HJS/kf cc: Public Works - Jim Glander v ro fill BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH �-" Division of Environmental Health 7 County Center Drive Oroville, CA 95965 (916) 538-7281 December 11, 1987 CERTIFIED MAIL - RETURN RECEIPT REQUESTED Jesus and/or Ernestina Carillo, JT 2424 Louis Avenue Oroville, CA 95966 RE: Housing Complaint - 2250 Louis Avenue, Palermo, CA AP# 26-23-52 Dear Mr. or Mrs. Carillo: This department received a complaint alleging health and safety hazards in the above listed rental dwelling. The Butte County Assessor's records indicate you are the owners of the property. On December 9, 1987, I visited the property and the tenants permitted me to inspect her dwelling unit. The following conditions were observed which are in violation of the California Health and Safety Code, Section 17920.3 (a)(6), (d), and (f) and which pose health and safety hazards to the tenants and render the house substandard. 1. Wood stove is an unsafe installation without required hearth and heat shield and is too close to combustible surfaces. 2. Kitchen sink plumbing leaks around and below faucet, toilet flush valve leaks constantly. 3. Kitchen range oven burner has no pan below it, and flame flares into storage drawer when oven is lit. These conditions shall be corrected as follows, and within THIRTY (30) DAYS from receipt of this notice. Obtain permit from the Butte County Department of Public Works, 7 County Center Drive, Oroville, CA, for the stove installation. 1. Provide an approved heating facility installation with proper hearth and heat shield and capable of maintaining a minimum temperature of 70 degrees F. as measured at a point three (3) feet above the floor in all habitable rooms. V, SCJ N 4' December 11, 1987 BUTTE COUNTY DEPARTMENT OF PUBLIC.HEALTH Division of Environmental Health 7 County Center Drive Oroville, CA 95965 (916) 538-7281 " CERTIFIED MAIL - RETURN RECEIPT -REQUESTED Jesus and/or Ernestina Carillo, JT 2424 Louis Avenue Oroville, CA 95966 RE: Housing Complaint - 2250 Louis Avenue, Palermo, CA AP# 26-23-52 Dear Mr. or Mrs. Carillo: This department received a complaint alleging health and safety hazards' in the above, listed rental dwelling. The Butte County Assessor's records indicate you are the owners of the property. On December 9, 1987, I visited the property and the tenants r permitted me to inspect her dwelling unit. The following conditions were observed which are in violation of the California Health and Safety Code, Section 17920.3 (a)(6), (d), and (f) and which pose health and safety hazards to the tenants and render the house substandard. , `. 1. Wood stove is an unsafe installation without required hearth and heat shield and is too close to combustible surfaces. '.� 2. Kitchen sink plumbing.leaks around and below faucet, toilet flush valve leaks constantly. 3. Kitchen range oven burner has no pan below it, and flame flares into storage drawer when oven is lit. t, These conditions shall be corrected as follows, and within THIRTY (30) DAYS from receipt of this notice. Obtain permit from the Butte County Department of Public Works, 7 County Center Drive, Oroville, CA, for the stove installation. 1: Provide an approved heating facility installation with proper hearth and heat shield and capable of maintaining a minimum temperature of 70 degrees F. as measured at a point three (3) feet above the floor in all habitable rooms. `j Jesus and/or Ernestina Carillo,., JT December 11, 987 Paae 2 2. Repair or replace leaking kitchen sink faucet, eliminating all leaks, repair or replace leaking toilet flush valve, eliminating leak: 3. Replace missing pan under oven burner so flame will not flare 'below burner when lit. A reinspection will be made. Failure to comply will'result'in the Franchise Tax Board being advised of your noncompliance. You will then be prevented from claiming state tax deductions for taxes, depreciation, amortization, or interest expenses connected with the property as long as it remains substandard. This notice is given to you pursuant to Sections 17299 and 24436.5 of the California Revenue and Taxation Code. If you have any questions, please contact me at the above listed address of telephone number. Sincerely, Howard J. Sn r ., R.S. Supervising Sanitarian Division of Environmental Health HJS/kf / cc: Public Works - Jim Glander v c� LA) W m la�g7 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico = Phone: 891-275, 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872.-6307 ORRECTION NOTICE VNER PERMIT NO. A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this n)Vter, or need additional expl nation, please contact this office immediately. L1 _Q, l A Inspector Date_ I (O COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT�NO _ J� ASSES 0 PARC L NUMBED -- —�� ZONING BUILDING PERMIT OW("R cs �n r, TELEPH O E - SQ. FT. OCC. BUILDING VALUATION OWER'S MAILING 40DRESS CP)L5Yti Y'OV - C— Q CO ACT R'S NAME Y— TELEPHON CONTRACTOR'S MAILING ADDRESS Fireplace1 4QQ CONST CTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS J h/ Penult fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 �rknc Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK ;K] ,K] New ❑ Addition[].Re odel Utilities ❑ Installatio ❑ Ott Describ ork: t©v� &� c°cr i {ter? f� jf Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10Dv OR LESS0010.00 100 AMOR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.6I) , OR AODNS. ACC. SLOGS. / /20sgft NEW CONSTR U I.OUTLET 2.SOea NON.RESID .BRA CH CIRC TS POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occu1.20050c Occup(OUTLETS OR FIXTURES AL030 FIXED Ex. Occup. OUTLETS P(RESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. 61;qq X Date /rh �.Q/-1 Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CON5T,TVP1J SCHOOL FLOOD PARCEL PD I NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indlgjaAcd above foWhiCh IRE F 7xyr BY PE T XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS p/ D t O Receipt No. WHITE-D.P.W.. YELLOW-A3S(330R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Departmegt of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 91&- An 16 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)� S 2. I (have/have not)�,��, signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: �CZ/yZ Property Owner Social Security Number - -@ c-, Date 2L)_ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 4- l S December 11, 1987 BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH Division of Environmental Health 7 County Center Drive Oroville, CA 95965 (916) 538-7281 CERTIFIED MAIL - RETURN RECEIPT REQUESTED Jesus and/or Ernestina Carillo, JT 2424 Louis Avenue Oroville, CA 95966 RE: Housing Complaint - 2250 Louis Avenue, Palermo, CA AP# 26-23-52 Dear Mr. or Mrs. Carillo: This department -received a complaint alleging health and safety hazards in the above listed rental dwelling. The Butte County Assessor's records indicate you are the owners of the property. On December 9, 1987, I visited the property and the tenants permitted me to inspect her dwelling unit. The following conditions were observed which are in violation of the California Health and Safety Code, Section 17920.3 (a)(6), (d), and (f.) and which pose health and safety hazards to the tenants and render the house substandard. 1. Wood stove is an unsafe installation without required hearth and heat shield and is too close to combustible surfaces.. 2. Kitchen sink plumbing leaks around and below faucet, toilet flush valve leaks constantly. 3. Kitchen range oven burner has no pan below it, -and flame flares into storage drawer when oven is lit. These conditions shall be corrected as follows, and within THIRTY (30) DAYS from receipt of this notice. Obtain permit from the Butte County Department of Public Works, 7 County Center Drive, Oroville, CA, for the stove installation. 1. Provide an approved heating facility installation with proper hearth and heat shield and capable of maintaining a minimum temperature of 70 degrees F. as measured at a point three (3) feet above the floor in all habitable rooms. Jesus and/or Ernestina Carillo,,.JT December 11, 987 Paae 2 2. Repair or replace leaking kitchen sink faucet, eliminating all leaks, repair or replace leaking toilet flush valve, eliminating leak. 3. Replace missing pan under oven burner so flame will not flare below burner when lit. A reinspection will be made. Failure to comply will result in the Franchise Tax Board being advised of your noncompliance. You will then be prevented from claiming state tax deductions for taxes, depreciation, amortization, or interest expenses connected with the property as long as it remains substandard. This notice is given to you pursuant to Sections 17299 and 24436.5 of the California Revenue and Taxation Code. If you have any questions, please contact me at the above listed address of telephone number. ' Sincerely, Howard J. Sn r ., R.S. Supervising Sanitarian Division of'Environmental Health HJS/kf / ' cc: Public Works - Jim Glander v i I i PERMIT NO. 1043-83B9P2E,M PERMIT EXPIRES / I -Z% I OWNER JESUS CARRILLO "�•' CONTR. owner ASSESSOR PARCEL 26-23-48port LOCATION NE cor Melvina & Louis Ave, lot,3;Pal. Temp. Pow OFFICE COPY Called } Address Temp. Elect GAS ate_— ; Called Meter By ELECTRIC Date Tem Gas Meter By. ` Called PG&E JOB F ALED (Date Signatu ----- y Owner: /!P_ S' u• S Permit No. l6 3 �3 ENERGY C.ERTYFICAT10N LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Thickness(inches) ff CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) C Brand Name Thermal Resistance(R Value) a Brand Name Thermal Resistance(R Value) Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that -the above insulation was installed in the above building in conformance with.the State of California Energy. Requirements. FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements'. All- equipment, devices and materials are of the quality prescribed or are specifically appro ed by the State of California. ' -f y Us F OWNE (Please print) r SI TURF OF g9.NERAL CONTRACTO STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON,FILE WITH THE BUILDING,DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 _CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this 4 Inspector!S.M"r�� Date` �— COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 CountiCenter Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE /OWNER: PERMIT N0. / A roctine inspection indicates that the following violations of County Ordinance exist; at the above address and should be corrected. Please notify this- office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. rte•` Inspectgr Date_- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS • ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle— Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 ii CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 1 �t J �� �.�•Ir1 ' . Il !Jl /y /�vf n %�1'AZ,Cif�ftil¢..E�' �r' U \ V /t �l _ A -n ' .,..;% - r OT7, ,Y1 .msl �'S�,iti3O 4'1 &D a .��..i��/ 1/�i,,•. I . /�/1%1.;..—( i,•y-,•�*QJ'Jl�/f' F�'Ll�•` —!�, V I'cli A A. -IA q 9T/.,i11 ,-,iii"ri�,tfl� 0WInspector i� J TI Date X17 COUNTY OF BUTTE • ' DEPARTMENT OF PUBLIC WORKS • ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE Qvvm or) Z BUILDING OR-RROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this j mattes, or need additional explanation, 'please contact this'jo�ffice immediately. A /y pa .,7o ra j 17,A o.,rn ,cam 1 �. An CJI / \- / �C n e M �! ,n Inspector (� j {-/ -�6 � Date O— / r — F�? v � 4 County of Butte DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 877-3435 CORRECTION NOTICE �i•'.� Building or Property Address A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ........ .......... r.... ........................................................................................................................ .......................................................... ........................................................................................................................ ........................................................................................................................ ........................................................................................................................ r1 'D ........................................................ :........................................... ..................... Vii' ."- - . Date.'....... .................'.. Inspector.................../i ....................:.:............. Do Not Remove This Tog (400-4) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS- , 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this 7er, or need additional explanation, please contact this office immediately. .Y' Inspector Date'— 2� f,_4,GOUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive; Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961,, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist et the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector`y� ` Date��� J OK 0 = Not OK - = Not Appl icable I = Not Ready" - 1 s' RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except N's Date FRAM!NG Continued VMoning requirements-Setbacks=Easements 4 P rty Line Firewall &Openings „% gl-., Main; Soils-Steel-Elec. Grnd.- Ftg. Depth Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. - ee - / /" Ftg. Depth 50. St - ea room -Rise Run -Landing -Fire Protection 4. F lls-Steel- / /" Ftg. D pth 51. P fjlwo_V on Roof Overhang -4 tt ict4dnRafter Outriggers Stemwalls, Main; Steel-Blockouts-Wrapped- S ' Nailing -Veneer 6. Stemw- al a_Garage S�Blockouts-Wrapped-Slab 3. tut Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. P'er - ' p}eee 1`tg =Steel D.W.V.: Fall-Fittings=Test-2 way C/O -Sewer Test az Area -Glass Protection -Skylights -Plastic ear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test _ 11. 12. e -Material -Support -Ins. 13. CiLaiar c' 4 Its -Joists -Vents -Cripples Card -BI Card -BI C Date Card -BI Date ate ,/ i Card -BI Date. -ate Card -BI Date Card -BI Dales -q Card -BI Date Date FINA s) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except N's E teps-Door & Sidelight Protection -Landings Smoke Detector _ - T 14. er Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector- In Garage; Above Floor -Ducts -Meth. Protection Water Pie Test & A chors-Nail Protection 16. D.W.V. Test' t[ s & Anchors -Nail Protection 5 �e0room Exiting 17--3hoaPgP�an-, Test, First Floor -Tub Access 6 G.F.I. & Bath Fixtures & Tub Access 7 hower, 2nd Floor -Tub Access F1. Elec. Trim & Subpanel; Breaker Sizes -Labels Gas e; Size & Anchors 62. tairs & Rails �- Laplace or Stove; Hearth 16c. Outlets at Wood Panel; Int. & Ext. it _Fixt. & A liance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Card -BI Date Card -BI Date 6V Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. lGarage Fire Door; Swing -Landing -Closer 68. tA.C. Duct in Garage -Damper --- r nsformer Cle ranee -Ins. Protection - Cdo Wtr. Htr.; Vents -Clearance Com r Connector-P.R.V.- In Garage; Above Floor -Meeh. Protection lec. Receptacles pa g- ights es at Doors ie Boxes & No. of o uctor -S 70✓fslb., Elec. & Mech. Equip. Listed for Location - Romex Installed Close to Edge & C.J. 71. tElec. Receptacles in Garage; (G.F.I.)-Rotex Protec. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic DYes Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps -'--74.1 - - . Subfeed-Wup,Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range -Eire: -f- / ga. Cu or AI -Oven Circ. / / ga. Cu or At,Following Insulated Neutral ❑Yes ❑No instld.: Drive es No; Walks Yes ❑ No; Planters LETYes El No _ 28. Service -Riser Conductors & Ground -Main Disconnect 76. (Stucco; Brown -Finish - 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77; A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _-_ 30. r rhos Eleset-Cight-Shower Light 7 ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. _ ------ ----- 7 ter Well; Disconnect, Electrical, Plumbing --- ------ Card I Date Card -BI _ Date -_- C B-IZZZ Date('3 Card -BI Date Date MECHANICAL (Permit) except 8 terior Elec. Trim; G.F.I. Receptacle -Underground V ntilation throughout House Gass Protection 8 Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric on 31. A--.B�tsrlasulation &Support rt 8 er & Sewer Connected -C/O to Grade -HD Approval Ver-I�.haust above Insulation _ 33. Coadeaeste-Min_& Overflow; Size & Grade Energy Compliance Certificate -Other Certificates 34. _Ful V4a Access-Comb._Air-Return Air Vent -115V outlet 35. ALUc_4sress.g Platform if Furnace in Attic Card -BI Card -BI --- DateCard-BI Date Date Card -BI Date Card- C -BI Date i� Card -BI Date D to and BI Date and -BI Date Card -BI Date Date F MI G(Plans) OK except q's Comments at Final: -•- - _- 3 _ills; Proper Material_ An rs_ •• - :Studs -Nailing, Spacing & Bracin Pla_ o_und Be ng Walls over Girders & Floor Nailin Draft Slop in Walls (rat proof) - F' Stops; Furred Ceilings -Stairs -Chase -T- _ Bearing gers-Post�a(is-A nc ors -Connectors 4Bi Ing. Joist-Rftr. Ties-Purlin-Roof Brac. Tr hthnq.-Ring - _�;rN d4. -Fire-place--Ties or Type A Flue -Fireplace Throat c Access: Size & Ro_m_ex Protection -Draft Stop -Ins. Baffles - - drm. Windows or_Exiting Doors -Sill HgL_& Dimensions 47.ton Framing (NOTE:Anentrymust be made each time youvisit jobsite) pl = OK' - 0 = Not'OK = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance _ 7. Elec. - Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances _ 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date I Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J_ • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �. 7 County Center Drive - Oroville, Califorpia 95965 --Telephone 916/534-4541 Y APPLICAT10k ANDPERMIT PERMIT NO. D 3 �. ASSESS R PARCEL NUMB R ZON NG_ BUILDING PERMIT OWNE yr, 111) TE E HONE SQ. FT. OCC. BUILDING VALUATI - OWNER'S MAILING ADDRESS fi z >s3 2 ra CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace — 0 0 D CONSTRUCTION. LENDER UNKNOWN Total Valuation $ 'V Filing Fee $ 1'0.00 LENDER'S MAILING ADDRESS Permit Fee $ loop ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD( DRESS '— r- `Z V1�� J—{�Vls �/� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 JJIM,g1 Water piping 5.00 S LOT NO. SUBDIVISION NAME P0,1e✓44f f uS r ra?li-r=o PARCEL MAP Each qas water heater or vent 5.00 r Gas piping system 1 - 5 outlets 5.00 .So —/ USE OF STRUCTURE SF ER Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 ^ Mobile Home S G W 10.00 e TYPE OF WORK New Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ 3 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.& OR ADDNS. C ACC. BLDGS. Sr /S\ 2�I20sgft (% CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification [�I, as the owner, or my employees with wages as their sole compen' sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec.' Business and Professions Code for this reason NEW CONSTR.ULTI.OUTLET 2.50 ea NON.RESID. BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. Ex. Occu 20@80a Ts OR FIXTURES 6AL®aoc P. FIXED Ex. OCCUp. OUTLETS P(RESID )LNS REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department �Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating wQnk Cooling o, ZVD Hood 3.00 3� p Ventilation Permit Fee $ 231 Oct Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also ree to save, indemnify and keep r less the County of Butte against all li bi ities, judgments,J 14 c and exp n es which may in any way accrue agai st aid County in cons ence of th anting of this permit. X Date Sign t re of Applicant — Owner Contractor ❑ Agent ❑ An HA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ .� OCCUP. GROUP TYPE oP CONST. a►! 'v PARC PD HD S9UE This permit is hereby issued under sions of. the Butte County Code and/or work indicated above for which DIRECT7F PUBLIC PE#7T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -l/_ Receipt No. WHITE-D.P:W., YELLOW -ASSESSOR, PINK -INS ECTOR, GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 83--12496 FOR RESIDENTIAL DEVELOPMENT Section '26-8.i of the Butte County Code requires this acknowledgement i3«'Tf be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included 15 within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising QLER.fi' • tt C3�f1Rl�-i�i:��G�tiErt a EE 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 occa- sionally generate 'dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a'priority use for productive 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: Lot.3, in Block 56, of SUBDIVISION NO. 1 OF THE PALERMO CITRUS TRACT, according to the Official Map thereof filed in the office of the Recorder of the County of Butte, State of California, on February 28, 1888. Date: April 15, 1983 State of Calif. ) SS. County of Butte ) OFFICIAL SEAL DANIEL F. HUNT NOTARY PUBLIC - CALIFORNIA PRINCIPAL OFFICE IN BUTTE COUNTY MY COMMISSICN EXPIRES OCT. 1, 1986 6g, 2_,Z7,wd oaq vu.LLo ERNESTINA CARRILLO On this ,the 15th day of Apiil 19 83 , before me, the undersigned Notary Public, personally appeared JESUS CARRILLO & ERNESTINA CARRILLO known to me to be the person(s) whose name(s) are subscribed to the within instrument and acknowledged that they executedthe same for the purp therein contained. IN WITNESS WHEREOF, I hereu o set m hand / f ficial seal. Notary i / (J :'resent A.P. N0. -2'�' •-a3" OWNER RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. Permit �� �l ,U A. P. �1-5 A. GENERALE/ ing requirements'(sideyards and parking). Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN �omplete parcel size -and dimensions. /. Setbacks,. sideyards, easements, etc. �.3;i�' Other buildings or structures. Grading, fills, drainage. A-2-. ��ZA Mj M / C. FLOOR PLAN Complete to'scale plan with dimensions. ;;2 equired windows for light and ventilation (Sec. 1405). equired windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per State law). .Human impact glass (Sec. 5406): equired room sizes, ceiling heights (Sec. 1407). 7. G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). ,'.--Light fixtures, switches, receptacles, and exterior receptacles for maintenance of echanical equipment. Locations of water heater, heating & cooling equipment, other electrical'or gas equipment, and plumbing 'fixtures. _y� Garage firewall, door size, and closer (Sec.'503(d)(4)). �j'' 1 - 3'0" exterior exit door (Sec. 3303d). �1�replace location. ::r.Smoke detectors (Sec. 1413). D_. `STRUeTURAL DETAILS o undation plan complete enough to construct building. =,-eloor construction details complete enough to construct building. levations and wall construction details complete enough to construct ^.5 % Roof construction details complete enough to construct building. replace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulatfon requirements building. (State law). E. MIS NEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). guardrail details (Sec. 1716). rick or stone veneer (Chapter 30)•. xterior plaster - weep screeds (Secy. 4706 & 4708). F oper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. , savage door or porch header sizes. Adequate bracing. .� Diving area over garage.- complete 1 -hour separation required including supporting walls and posts; etc. Two (2) exits on three-story dwellings (Sec. 3302). e NOTE:—All Materiails & Workmanship Shall 4 Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Machanical Codes and fhe National Electrical Code. This set' of fans and - pp specifications MUST be eta# can the iob at 1! firnes and it is unlawful to i lw�`r± anY Che qes : r alterations on same without t�nis A Persion.f om the Department of Public WICIAS, County of utte. EI, TTE COUNTY BUILD NG QE?.ARTMENi APPROVE, ! S i C4r...b.ck of 5 ft. from theparty lines and a setback' • �M of 50ft, from the road � U7E COUN " . !; } eonterline shall be clear of WILDING DEPARTMENT +: structures or equipment except fors 2 ft, eave overhang_. Ap'PtROVED- N. V 7d .1C1..'7d • -_1• ___ y rh •.�. %(F yf" . �.�.4. •l� tet.: .. .._ . a7•ti.{_•!, !.•i.:": Iw S: ;2. EI, TTE COUNTY BUILD NG QE?.ARTMENi APPROVE, ! S i C4r...b.ck of 5 ft. from theparty lines and a setback' • �M of 50ft, from the road � U7E COUN " . !; } eonterline shall be clear of WILDING DEPARTMENT +: structures or equipment except fors 2 ft, eave overhang_. Ap'PtROVED- N. V 7d .1C1..'7d • -_1• ___ y rh •.�. %(F yf" . �.�.4. •l� tet.: .. .._ . a7•ti.{_•!, !.•i.:": Iw S: 3.a T7_i,liv't c t . � bn�r rn► !� � z ''r i 1 I I I I 1 4 I ; i I i I i � I i BUTTE COUNTY 'B, ILDING DEPARTMENT iI APPROVE.Q .I I. vuTTE coUNTY MADING DEPARTMENT Rov'E` • �i+' .'�k'.�� ... .�1 .'`l .�... ,......., .. ..... _.....w..._,... ;•� is ... �. �. Q, " :'t°jC `cif`-:' ` y: :,,-y� lt:. t�• -wow 0 Am 0 co - 91 .r I r� . 11RPM COUNTY ILOING' DE?ARTM.EN'€ APPROV. { .� ,ttv. .. ,. .+ ..�. ....�.a,.r.. v...._,_t•A�, r, ., _ ._ _.���.t�.�.'a�i.9 �'.r.?13.;�_'1.ti/!L4: F.. Raa!". -#s _ ...,.,. . ;.., e....ia ._uS4.i r. .... •t �a 1 0 r� . 11RPM COUNTY ILOING' DE?ARTM.EN'€ APPROV. { .� ,ttv. .. ,. .+ ..�. ....�.a,.r.. v...._,_t•A�, r, ., _ ._ _.���.t�.�.'a�i.9 �'.r.?13.;�_'1.ti/!L4: F.. Raa!". -#s _ ...,.,. . ;.., e....ia ._uS4.i r. .... •t The minimum STATE RESIDENTIAL ENERGY REQUIREMENTS for this building of./090 ..........sq. ft.1rt1: •-Degree Days, and . ..- Design Temp. are: Insulation: Slab edge - - - - - - R n Glazing: Single -allowed; sq. ft. is Fdn. Walls - - --- - Single -actual; sq. ft. it 10-��- Floors - - - - - - -• R �_ �D Special -allowed; Special -actual; sq. sq. ft. ��. C�la - - - - - - _ - .;� eiling/Roof - - - - R ,� — Vapor Barrer not required & labeled If Circulating pipes -� ►i Ducts Table EO-D.U.M:_._ Mfg. Wds. & Drs. Swinging Doors cert. weatherstripped, Exhaust Fans back dampered Htg. & A.C.: Gas Pilots intermittent ignition Type All Appliances certified _- BTU Max. -- Wtr. Htr. Type Other: � i' T. TANK FLOU/�:. PLA M .-* u� j J. /� /dos' �Y, gull.P r a • . .,._„411,11-71 J j J/ol ��e� or, per colo. -0 I^ v. a inoii ` r, i r . Ali*! ' -—PROWDEAPPROVED VENT 1 4( AND ADEQUATE COMBUST � 3 �� �� AIR FOR HEATER &/OR W. KEY L IGNT REGEPrJCLE 110 OUTLET- aao . 00rLET- L 1GNT F l x ruRF la;2-o /s strin COUNTY BUILDING DEPARTMMI APPROVED O LUMBER SPECIFICATIONS TOP CHORD 2Xy •) D.F.L. BOT CHORD 2X4 •I HEM -FIR WEBS 2X3 STANDARD GRADE HEN -FIR NOTEo )Xy CONTINUQlJS LATERAL COLUMN BRACING RITRCHED WITH TWO 121 BD NAILS Tn EACH WEB WHERE INDICATED BT C■3. NOTE: LOCRTE INTER -PANEL SPLICES AT 1/4 EITHLR END OF THE PANEL )NOICATED c.tl1 r V.Irz.. . 0�/ 1 .5- pat., MEMBER FORCE8 FROM LEFT TO RICHT: TOP CHORD BOTTOM CHORD 1- -2907 T 2m -1937 WEBST 8 1- 2739 0 M II176 W g- W 1- -'933 REACTIONS• REACTION T 3- —1937 8 2- 7738 B 3- 2738 809 M >s 176 ! 1- 1238 REACTION ! 3. T 4- —2907 M 3- 8 4- 2738 123p gum iatmu) 1G ®EPARTM&IN rnovu. fav 3-T> SYMMETRICAL ABOUT PLATE ROTATED 90 DEG. 4.SX3.6 3b' -O O" OVERALL SPAN JD RDR11S CONNECTOR PLLATE RRE FORMED FROM 16 4 20 GAUGE GAL- SPAN CODE vACrNc DATE VANIZEO IRSTM R y4 7 ) TEEEL P`ATEES SHR L BE APPL]EED 1p 3b'-0. 0' ICBG 2Ll' O.C. 12/22/81 BOTH FACES OF THE TRUSS �T EA�H 0) Ni. EIHkRE 91MENS�ONS RRf 11'E L°AD • 16.0...... ���� NOT SHORN PLATEE SHALLLL BE PLAC $TMMETR)1 AL I�1 RdEjl1T THE JOINT, DEAD 1.0110. . 9.0...x. JO HUaCl5 ni•tl_T LIITEFiHI BRRr,IN6 fiEDUIRED 0 IEC INGURL ?.-USS I�I;yBERS i 5 euL�rc a1... 10.0...... COMPRNT A � 0 � T I Ni R �® D E S I G w 14(1I'F) UIQ THIS UFtRN1NG PERSON0g EERN 1NG THUS'`•cS RNt CRUTT ONED TO 5EE1{ PknFFSsIONAL ADV CE REGARDING TFMPORAFif ERECT]ON RAC- TOTAL 35.0...... /�jS/��� II:S,. IT 1S (I)E HEES5Pp N8gI1IL TT ppF U(�THERS TU ASCERTAIN THR THE DESIGN LOADS UTIl� ED ON. TH S ORANING HEET OR EXCEED THE ACTUAL �ovs srnTOM nO. UERD OROS ]MPOg D BT THE STRUCTURE HND THE LIVE LU1{DS IMPOSED 2$z DURATION FACTOR COLORAAo SPRIJIGS BY TH LOCRL BUILDING CODE OR HISTORICAL CLIMFITIC RECORpS. COLcP,Roo c. o933 D.G. ,%MnM CA 3 OF 4 22 DE 2 . - - SAM 5ULL IVA" OG NOTES' RESIDENTIAL PERMIT NO. 026-230-052 05-2441 GUITERREZ, SANTIAGO & ROSA 2250 LOUIS AVE, PALERMO Cont: OWNER DEMO OF CARPORT I� 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 Date) Signature "t . d=OK 0 = Not 0K - = Not AppricReady hle . =Not Ready M Q ®BILE HOMES ® E S ��a Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 : Date 1. Zoning Requirements -Setbacks -Easements Date 2. Sols; Special MH Support Sketch _Card B-1 3. Sewer, Location -Test -Fall -C/O -Concrete PERMANENT END SYSTEM (ONLY) 4- Water; location -Test -Easement Needed (Sketch) S. Electricity, Location-Clearances-Gmd-/ . /Amp -Concrete I 6..Gas; Location -Test -Wrap;=/ < : P L'fL / .. f Nat or / . P L 'ftJ . - P LPG 2. Footings; Size -Spacing -Marriage Line:: 7. Well Clearance t£ Disconnect 8. Utility Clearance' - 10. Roof; Shthg-Roofing 4.., Gas; MH Test=Demand-Valve 11. Ext; Steps-Doors-LandtngS - Date Card B-1 Date Card B-1 Date Card B-1 : Date :: Card B-1 . Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings- Size -Spacing -Marriage Line 6. Gas and Bect&ity Tagged 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test Crossovers -Breakers -Clearances 5. Drain; MH Test-Fall-Fleir Connector 6. Water, MH Test-Regulator-Connedoe 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert Date 10. Exits; Insp.-Sketch Card B-1. 11. Cert of Occupancy Card B-1 _. '. Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Date Card B-1 : Date Card 8-1 Date Card B-1 .:'. Date .. _Card B-1 Date PERMANENT END SYSTEM (ONLY) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 1. Zoning Requiiements-Sethacks-Easements I 7. Electric 2. Footings; Size -Spacing -Marriage Line:: 8. Frrng.; Sills-Anchors-Studs-Rfirs-Tnisses 3. Blockin' 10. Roof; Shthg-Roofing 4.., Gas; MH Test=Demand-Valve 11. Ext; Steps-Doors-LandtngS - 5. Electricity; MH Test 6. Water, MH Test ::-. =-: :• ' Card B-1 Date Card B-1 Date 7. Water. and Sewer Connected Date POOLS (Plans) OK except #'s 6. Gas and Bect&ity Tagged 1. Setbacks -Easements 9. Exits 3. Pool Structure; Steel -Connections -Thickness . _Dead Men -Lining 4. Elec.; Receptacles and Lighting. Distance-GFI 11. Verify -#'s with Office 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. • Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Date Card B-1 .. Date :..: Card B-1. Date. Card B-1 _. '. Date Card B-1 11.-Ughf Niche MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Depth-Spacing=Connectors-Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing .. . . 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6: Carports; Windows-Doors 7. Electric 8. Frrng.; Sills-Anchors-Studs-Rfirs-Tnisses 9. Siding; Nailing -Veneer Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext; Steps-Doors-LandtngS - 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 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. Sec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. • Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elea; Grounding; Equip. w/5' -:V6ulating Equip. -Pool Lghtg. Boxes=Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10._ Plumb.; Cir. Test -Water' Supply Test 11.-Ughf Niche '12. Enclosure; Fencing -Alarms Date.. Card B-1 Date Card B-1 Date....._... Card B-1 ". ....... Date ° Card B-1 OK Not OK = Not Appri able = Not Ready RESIDENTIAL (Single & Duplex) ate UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Sols -Exec. Gmd.-/ . r Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ r Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 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 late Card B-1 Date Card B-1 late Card B-1 Date Card B-1 )ate PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle _ 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & 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 :)ate Card B-1 Date Card B-1 Sate Card B-1 Date Card BA Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Ctearence-Ins. Protection 25. Elec. Receptacles Spacing -lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size) /ga. Cu or Al-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral D Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes.Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform 9 Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 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. Hanger; -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll 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. Bdrm. Windows or Exiting Doors -Sill HL & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext Doors -One T -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -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 -Skylights -Plastic 60. Shear Walls, Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Cana B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight.Protection-landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 67. Bedroom Exiting 68. G.F1. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove; Clearance -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 -Landing -Closure 76. A.C. Duct in Garage -Damper, - 77. Wtr. Htr; Vertts-Clearance-Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip'. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 80. 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 ❑ Yes 83. Following tnstldJDrive O Yes O NoMlalks O Yes O W17larrters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appfiance-Fueplace-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 Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to 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: LOUIS AVE- ---------- . ` ' 539.38' ff co BRORT TO EMOLI EDEMOLISHED PROPOSED (E) 624 SQ. FT. ' DRIVEWAY CARPORT GARAGE 00 (E) 1514 SQ. [ ' FT. RESIDENCE ' w Q ; _230'-0" • _NEW POR C APPROVED Butte cou�nty too 04 +if ,� w.l k t*. i .e 's �1 yr, � _ 'y _• Y A.�a '" a. , �'.$'...R . .2w 3e,7w..a �.- . "4� • `:,4.•�'nQ4.♦,..r iG N �+�.,.s :,� r.�, u., /, YN �.`sf '� :cw' i�Ie�:':yk�':',:, .4..' �,'. NtW,,7n.yNJ—, 1 •+5u+.,t v�:ti. ,, ,.M�,,..,..aa$;y.,,►. ,�"t � •�.':,iy•,�x�- . ,6,,, i;.n_,. ,• ,;,. 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' �!>�ln.,:t�f.s�a.�t=.,A.d.'+, ��.y'4"' {�,•y+�;��[.': +•.+.,� w.u ak '"i_Y +., ",_•'``:°��'1.T,.4ryce. :�',''ii.iY...�'. _�•"nJ/"- L�.�n .��u!�..b, y-.. yti s.'.�aYc�''�E•�,f �.i } ,r. .. •�+ St, * !' " .L.: s7%.. _4(E) 'BARNtii PPRC-- . -_ �C. r }fit ,.a.k .. , � r . :. '-,. nom•+ .t �, .. �_ ::., EnV1 •�-• r� • n pYiW! V , .r•.a. n.:.•c�,'.cW.--,. _-I .•,•:i:. ..�..�. V. .. . .., °.. .�.rv :. _.. «,w•M.,. M, .. �.L, .... ' �y�Xr• g'q. i'*.- N15 ''.. �... 1 ,'�K� .. , '� a Elk v.w x , ,.d•.+••�.��..•. ..:'�--�-.c.�,.,�w+., '•t �, - :f. •, � _'. r Sr ^.r.-' .b ..� wr.F s.`: WiI w FEDERAL EMERGENCY MANAGEMENT AGENCY O.M. B. No. NATIONAL FLOOD INSURANCE PROGRAM 3067-0077 Expires December 31, 2005 ELEVATION CERTIFICATE Important: Read the ins6uctions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION ForInsurance Carpany Use: BUILDING OWNER'S NAME Policy Number Sanba o Gutierrez BUILDING STREET ADDRESS (Including Apt., Unit Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 2250 Louis Ave CITY STATE Oroville ZIP CODE 95966 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 026-230-052 BUILDING USE (e.g., Residential, Non-residenbal, Addition, Accessory, etc Ue a Comments area, if neoessary.) Agricultural Storage LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): -##AW or ##.#####) ® NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ® Other: FIRM SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE Bolt County Unin 4cwabd Areas I Butte CA B10. Inde the source of the Base Flood Elevation (BFE) data or base flood depth entered m B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): — B11, Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or0therwise Protect„ ed kea (OPA)? ❑ Yes ®No Desi nation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ® Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the buil�g is complete. C2. Building Diagram Number l (Select the building diagram most similarto the building forwhich this certificate is being completed - see pages 6 and 7. K no diagrarn accurately represents the building, provide a sketch or photograph.) C3. Elevations – Zones Al -A30, AE, AH, A (with BFE), VE, V140, V (with BFE), AR, ARIA, ARIAE, AR/A1 A30, ARIAH, ARIAO Complete Item C3. -a4 below according to the building diagram specified in Itern C2. State the datum used. 9the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Shaw field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum ngvd 29 ConversioniCornments NA Elevation rebwce mark used BCBM 595 Does the elevation reference mark used appearon the FIRM? [:]Yes ®No -- - o a) Top of bottom floor (inducing basement or enclosure) 162. 00 ft.(m) o b) Top of next higher floor NA. �ft.(m) o c) Bottom of lowest horizontal structural member (V zones only) o d) Attached garage (top of slab) NA. t(m) a I' o e) Lowest elevation ofmadiineryardorequipment W ° IJO 8X24, servicing the building (Describe in a Comments area) o f) Longest adjacent (finished) grade (LAG) 161.50MM) Z.2) % ®� grade 161.50ft.(m) CtVtIL � o ,g) Highest adjacent (finLs ���. o h) No. of permanent openings (flood vents) within 1 ft above adjacent grade WA J o i) Total area of all pen naruent openings (flood vents) in C3.h 0 sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. understand that any false statement may be punishable by fine or imprisonment under 18 U S Code, Section 1001 CERTIFIERS NAME Frank James Pursell LICENSE NUMBER 60924 TITLE RCE COMPANY NAME Jim Purseli Engineering ADDRESS CITY STATE ZIP CODE #l,5 MadroneAve. Orovitie CA gyg�5 SIGNATURE,, .---- DA TELEPHONE �i 530533-2131 FEMA Form 81-31, January 3 See reverse side for continuation. Replaces all previous editions B4. MAP AND PANEL B7. FlRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTNEIREVISEDbATE 68. FLOOD ZONE(S) (Zone A0, use depth of flooding) 06007995 C Jun 8. � Jun 8,98 XlAE 157 B10. Inde the source of the Base Flood Elevation (BFE) data or base flood depth entered m B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): — B11, Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or0therwise Protect„ ed kea (OPA)? ❑ Yes ®No Desi nation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ® Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the buil�g is complete. C2. Building Diagram Number l (Select the building diagram most similarto the building forwhich this certificate is being completed - see pages 6 and 7. K no diagrarn accurately represents the building, provide a sketch or photograph.) C3. Elevations – Zones Al -A30, AE, AH, A (with BFE), VE, V140, V (with BFE), AR, ARIA, ARIAE, AR/A1 A30, ARIAH, ARIAO Complete Item C3. -a4 below according to the building diagram specified in Itern C2. State the datum used. 9the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Shaw field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum ngvd 29 ConversioniCornments NA Elevation rebwce mark used BCBM 595 Does the elevation reference mark used appearon the FIRM? [:]Yes ®No -- - o a) Top of bottom floor (inducing basement or enclosure) 162. 00 ft.(m) o b) Top of next higher floor NA. �ft.(m) o c) Bottom of lowest horizontal structural member (V zones only) o d) Attached garage (top of slab) NA. t(m) a I' o e) Lowest elevation ofmadiineryardorequipment W ° IJO 8X24, servicing the building (Describe in a Comments area) o f) Longest adjacent (finished) grade (LAG) 161.50MM) Z.2) % ®� grade 161.50ft.(m) CtVtIL � o ,g) Highest adjacent (finLs ���. o h) No. of permanent openings (flood vents) within 1 ft above adjacent grade WA J o i) Total area of all pen naruent openings (flood vents) in C3.h 0 sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. understand that any false statement may be punishable by fine or imprisonment under 18 U S Code, Section 1001 CERTIFIERS NAME Frank James Pursell LICENSE NUMBER 60924 TITLE RCE COMPANY NAME Jim Purseli Engineering ADDRESS CITY STATE ZIP CODE #l,5 MadroneAve. Orovitie CA gyg�5 SIGNATURE,, .---- DA TELEPHONE �i 530533-2131 FEMA Form 81-31, January 3 See reverse side for continuation. Replaces all previous editions B4. MAP AND PANEL B7. FlRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTNEIREVISEDbATE 68. FLOOD ZONE(S) • IMPORTANT: In these spaces, Copy the corresponding information from Section A For Irsuumnce BUILDING STREET ADDRESS Induct j, Company ( �9 �. Unit, Suite, arxi(or6 No.) OR P.Q ROUTE AND BOX N0. Poky Number 2250 Louis Ave CITY Oroville CA STATE �9 6ODE Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/oompany, and (3) building owner. COMMENTS Building is in zone x and is in no danger of being flooded SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE � Check here if attachments For Zone AO and Zone A (without BF (VVtI'HOUT BFE) complete ( E), plete Items E1 through E4. ff the Elevation Certificate isintendedforuse assupporting mforrrnafionfor a LOMA or LOMB -F, Section C must be completed. E1. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (inducting basernent or enclosure) of the building is _ ft(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is -ft.(m) _in.(cm)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is _ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E5. ForZone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the o0mmunity s floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMAassued or community - issued BFE) or Zone AO must sign here. The statements in Sections A, A C, and E are correct to the best o{myknowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME Santiago Gutierrez j ADDRESS CITY STATE ZIP CODE 2250 Louis Ave Oroville CA 95966 SIGNATURE DATE TELEPHONE COMMENTS 530534M ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administerthe community's floodplain management ordinance can complete Setons A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation infonnation. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA4ssued or community -issued BFE) or Zone A0. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. G7. This pemhit has been issued for. ❑ New Construction ❑ Substantial ImpnWement G8. Elevation of as -built lowest floor (including basement) of the building is: _. R(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: _ , ft.(m) Datum: _ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ Check here if attachments FEMA Form 81-31, January 2003 Replaces all previous editions MiTek Re: 2165SG SANTIAGO GUTIERREZ MiTek Industries, Inc. 7777 GREENBACK LANE SUITE 109 CITRUS HEIGHTS CA 95610 USA FAX (916) 676 1909 TELEPHONE (916) 676 1900 The truss drawing(s) referenced below have been prepared by MiTek Industries, Inc. under my direct supervision based on the parameters provided by KBI Norcal Truss. Pages or sheets covered by this seal: R16412379 thru R16412380 My license renewal date for the state of California is June 30, 2005. O*VoFEsslo l� G. A&, 1i0 .. 1 o� CAlit May 6,2005 Anderson, B The seal on these drawings indicate acceptance of professional engineering responsibility solely for the truss components shown. The suitability and use of this component for any particular building is the responsibility of the building designer, per ANSI/TPI-2002 Chapter 2. Job Truss Truss Type Qty Ply SANTIAGO GUTIERREZ 21655`G Al KINGPOST 2 1 R16412379 KBI Norcal, Marysvi Job Reference optional) lle, Ca 95901 6.100 s Sep 17 2004 MiTek Industries, Inc. Fri May 06 11:37:19 2005 Page 1 -2-0-0 12-0-0 24-0-0 26-0-0 2 12-0-012-0-0 2-0-0 Scale: 1/4"=1' NO TOP CHORD NOTCHING IS ALLOWED 3x4M112011 WITHIN 24" OF THE HEEL JOINTS, 3x10 M1126 I 3x10 M1120 It 3x4 M 1120 3x4 MII20 3x10 M1120 11 5 6 7 3x10 M1120 I I 4.00 12 , 3x4 M1120 3 4 8 3x4 M1120� x10 M1120 II 3x4 M11203x10 M 112011 3x4 M1120-- 3 9 2 10 p11 Ic? � o 4x10 M112011 25 24 23 22 21 20 19 18 17 16 15 14 13 12 4x10 M1120 I I .3x4 M1120= 5x6 M1120= 3x4 MI120= -` 3x4 M1120 3x4 M1120zz, ' 24-0-0 LOADING (psf) SPACING 2-0-0 CSI DEFL in (loc) 1/deft Ud PLATES GRIP TCLL ' 16.0 Plates Increase 1.25 TC 0.19 Vert(LL) -0.01 11 n/r 180 M1120 220/195 TCDL 14.0 Lumber increase ''> 1.25 BC 0.06 Vert(TL) -0.02 11 n/r 80 BOLL 0.0 Rep Stress Incr YES WB 0.03 Horz(TL) 0.00 10 n/a n/a BCDL 7.0 Code UBC97/ANSI95 (Matrix) Weight: 145 lb LUMBER BRACING TOP CHORD 2 X 4 DF No. 1&Btr G . TOP CHORD Sheathed or 6-0-0 oc purlins. BOT CHORD 2 X 4 DF No.1 &Btr G BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. OTHERS 2 X 4 DF Std G REACTIONS (Ib/size) 2=277/24-0-0,10=277/24-0-0, 19=144/24-0-0, 18=144/24-0-0 12=282/24-0-0, 13=6/24-0-0, 14=22/24-0-0, 15=246/24-0-0, 16=20/24-0-0, 17=11/24-0-0, 25=282/24-0-0, 24=6/24-0-0, 23=22/24-0-0, 22=246/24-0-0, 21=20/24-0-0,20=11/24-0-0 Max Harz 2=1 8(load case 3) Max Uplift2=-87(load case 3), 10-91(load case 4), 13=-3(load case 4), 15=-50(load case 4), 24=3(load case 3), 22=-49(load case 3) Max Grav2=277(load case 1), 10--277(load case 1), 19=144(load case 1), 18=144(load case 1), 12=282(load case 1), 13=7(load case 2), 14=56(load case 2), 15=247(load case 7), 16=49(load case 2), 17=27(load case 2), 25=282(load case 1), 24=7(load case 2), 23=56(load case 2), 22=247(load case 6), 21=49(load case 2), 20=27(load case 2) FORCES (lb) - Maximum Compression/Maximum Tension TOP CHORD 1-2=0/36, 2.3=-43/51,3-4=-45/92, 4-5=-42/133, 5-6=-20/134, 6-7=20/134, 7-8=-42/130, 8-9=45/83, 9-10=-43/40, 10-11=0/36 BOT CHORD 2-25=0/48, 24-25=0/48, 23-'24=0/48,22-23=0/48, 21-22=0/48, 20-21=0/48, 19-20=0/48, 18-19=0/48, 17-18=0/48, 16-17=0/48 ,1,5-16=0/48,14-15=0148,13-14=0/48,12-13=0/48,10-12=0/48 WEBS 5-19=-128/0, 7-18=-128/0, 9-12=-238/34, 8-15=-230/66, 3-25=-238/33, 4-22=230/66 NOTES 1) Unbalanced roof live loads have been considered for this design. 2) This truss has been designed for the wind loads generated by 80 mph winds at 25 ft above ground level, using 14.0 psf top chord dead kyr ESS11 load and 7.0 psf bottom chord dead load, 100 mi from hurricane oceanline, on an occupancy category 1, condition I enclosed building, of Q/ dimensions 45 ft by 24 It with exposure C ASCE 7-93 per UBC97/ANSI95 If end verticals or cantilevers exist, they are exposed to wind. If + A/Vr porches exist, they are not exposed to wind. The lumber DOL increase is 1.33, and the plate grip increase is 1.33 3) Truss designed for wind loads in the plane of the truss only. For studs exposed to wind (normal to the face), see MiTek "Standard Gable End Detail" 4) All plates are 2.5x4 M1120 unless otherwise indicated. C 7180 5) Gable requires continuous bottom chord bearing. 6) Gable studs spaced at 1-4-0 oc. EXP. 06/30/05 7) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads. 8) A plate rating reduction of 20% has been applied for the green lumber members. CIVIL LOAD CASE(S) Standard (j May 6,2005 ® WARNING - Verify design parameters and READ NOTES ON THIS AND REVERSE SIDE BEFORE USE. 1 7777 Greenback Lane mss•® Design Valid for use only with MiTek connectors. This design is based only upon parameters shown, and is for an individual building component. Suite #109on Applicability of design parameters and proper incorporation of component is responsibility of building designer -not truss designer. Bracing shown Citrus Heights, Ca 95610 nr is for lateral support of individual web members only. Additional temporary bracing to insure stability during construction Is the responsibility of the erector. Additional permanent bracing of the overall structure is the responsibility of the building designer. For general guidance regarding fabrication, qualitycontrol, storage, delivery, erection and bracing, consult ANSI/TPI1 Quality Criteria, DSB-89 and BCSII Building Component Safety Information available from Truss Plate Institute, 583 D'Onofrlo Drive, Madison, WI 53719. MiTek - - -- 77� 177 i z Symbols PLATE LOCATION AND ORIENTATION e *Center plate on joint unless x,y offsets are indicated. Dimensions are in ft -in -sixteenths. Apply plates to both sides of truss 0 and securely seat. -'/rs" * For 4 x 2 orientation, locate plates 0 - 1/16"' from outside edge of truss. *This symbol indicates the required direction of slots in connector plates. * Plate location details available in MiTek 20/20 software or upon request. PLATE SIZE The first dimension is the width - 4 X 4 perpendicular to slots. Second dimension is the length parallel to slots. LATERAL BRACING Indicated by symbol shown and/or by text in the bracing section of the output. Use T, I or Eliminator bracing if indicated. BEARING Indicates location where bearings (supports) occur. Icons vary but reaction section indicates joint number where bearings occur. Industry Standards: ANSI/TPI1: National Design Specification for Metal Plate Connected Wood Truss Construction. DSB-89: Design Standard for Bracing, BCSI1: Building Component Safety Information, Guide to Good Practice for Handling, Installing & Bracing of Metal Plate Connected Wood Trusses. 0 rr 0 U (Numbering System &General Safety (Votes Failure to Follow Could Cause Property 6-4-8 dimensionsshown in ft -in -sixteenths Damage or Personal Injury 1. Additional stability bracing for truss system, e.g, diagonal 2 3 or X -bracing, is always required. See BCSI1. 1 TOP CHORDS 2. Never exceed the design loading shown and never stack BOTTOM CHORDS 8 7 6 JOINTS ARE GENERALLY NUMBERED/LETTERED CLOCKWISE AROUND THE TRUSS STARTING AT THE JOINT FARTHEST TO THE LEFT. CHORDS AND WEBS ARE IDENTIFIED BY END JOINT NUMBERS/LETTERS. CONNECTOR PLATE CODE APPROVALS BOCA 96-31,95-43,96-20-1,96-67,84-32 ICBO 4922,5243,5363,3907 - SBCCI 9667, 9730, 9604B, 9511, 9432A ems® live a MiTek® 0 materials on inadequately braced trusses. 3. Provide copies of this truss design to the building designer, erection supervisor, property owner and all O other interested parties, U 4. Cut members to bear tightly against each other. a. 5. Place plates on each face of truss at each joint and embed fully. Knots and wane at joint locations are regulated by ANSI/TPI1. 5 6. Design assumes trusses will be suitably protected from the environment in accord with ANSI/TPI1. 7. Unless otherwise noted, moisture content of lumber shall not exceed 19% at time of fabrication. 8. Unless expressly noted, this design is not applicable for use with fire retardant or preservative treated lumber. 9. Camber is a non-structural consideration and Is the responsibility of truss fabricator. General practice is to camber for dead load deflection. 10. Plate type, size, orientation and location dimensions shown indicate minimum plating requirements. 11. Lumber used shall be of the species and size, and in all respects, equal to or better than that specified. 12. Top chords must be sheathed or purlins provided at spacing shown on design. 13. Bottom chords require lateral bracing at lOff. spacing, or less; if no ceiling is installed, unless otherwise noted. 14. Connections not shown are the responsibility of others. 15. Do not cut or alter truss member or plate without prior approval of a professional engineer. 16. Install and load vertically unless indicated otherwise Job Truss_ Truss Type Qty Ply SANTIAGO GUTIERREZ - - TC 0.32 Vert(LL) -0.11 8-9 >999 240 816412380 2165SG ' A2 FINK 11 1 BCLL 0.0 Rep Stress Incr YES WB 0.21 Horz(TL) 0.05 6 n/a n/a Job Reference o tional na 14 •'i7.9n 9nnF nano KBI Norcal, Marysville, ca aouu i -2-0-0 6=4-14 12-0-0 17-7-2 24-0-0 26-0-0 2-0-064-14 5-7-2 5-7-2 6.4-14 2-0-0 C - Scale = 1:45.4 4x4 M1120— - 4 4.00 F12 2.5x4 M11200 2.5x4 M1120// 3; 5 6 2 0 7I � o 0 5 3x6 M1120= 9 8 3x6 M1120= 3x4 M1120= 5x6 M1120= ... _ B-3-4 15.8-12 24-0-0 8-34 745-8 8-3-4 Plate Offsets IX 8.0-3-0 0=34 LOADING (psf) SPACING 2-0-0 CSI DEFL in ` (loc) I/defi Ud PLATES GRIP TCLL 16.0 Plates increase 1.25 TC 0.32 Vert(LL) -0.11 8-9 >999 240 M1120 220/195 TCDL 14.0 Lumber Increase ' 1.25 BC 0.57 Vert(TL) -0.26 8-9 >999 180 BCLL 0.0 Rep Stress Incr YES WB 0.21 Horz(TL) 0.05 6 n/a n/a BCDL 7.0 Code -UBC97/ANSI95 (Simplified) Weight 94 Ib LUMBER BRACING TOP CHORD 2 X 4 DF No.1 &Btr G - TOP CHORD Sheathed or 4-5-12 oc purlins. BOT CHORD 2 X 4 DF No.1 &Btr G BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. WEBS ' 2 X 4 DF Std G REACTIONS (lb/size) 2=1006/0-3-8,6=1006/0-3-8 Max Horz2=19(load case 3) Max Uplift2=-21(load case 3), 6=-21 (load case 4) FORCES (Ib) - Maximum Compression/Maximum Tension TOP CHORD 1-2=0/18, 2-3=-1945/0, 3-4=-1689/0, 4-5=1689/0, 5-6=-1945/0, 6-7=0/18 BOT CHORD 2-9=011839,8-9=0/1266,6-8=0/1839 WEBS 3-9=-35D/94,4-9=0/514,4-8=0/514,5-8=-350194 NOTES 1) Unbalanced roof live loads have been considered for this design 2) This truss has been designed for the wind loads generated by 80 mph winds at 25 ft above ground level, using 14.0 psf top chord dead load and 7.0 psf bottom chord dead load, 100 mi from hurricane oceanline, on an occupancy category I, condition l enclosed building, of dimensions 45 ft by 24 ft with exposure C ASCE 7-93 per UBC97/ANSI95 If end verticals or cantilevers exist, they are exposed to wind. If porches exist, they are not exposed to wind. The lumber DOL increase is 1.33, and the plate grip increase is 1.33 3) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads. 4) A plate rating reduction of 20% has been applied for the green lumber members. LOAD CASE(S) Standard ( FES& � C 17180 EXP. 06/30/05 W ,X May 6,2005 �. �_ .. w, ®7777 Greenback Lane WARNING - Verify design parameters and READ NOTES ON THIS AND REVERSE SIDE BEFORE USE. Design valid for use only with MITek connectors. This design is based only upon parameters shown, and Is for an individual building component. Suite #109 Applicability of design parameters and proper Incorporation of component is responsibility of building designer - not truss designer. Bracing shown Citrus Heights, Ca 95610 is for lateral support of Individual web members only. Additional temporary bracing to insure stability during construction is the responsibility of the erector. Additional permanent bracing of the overall structure Is the responsibility of the building designer. For general guidance regarding fabrication, quality control, storage, delivery, erection and bracing, consult ANSI/TPI1 Quality Criteria, DSB-89 and BCSI1 Building Component Safety Information available from Truss Plate Institute, 583 D'Onofrio Drive, Madison, WI 53719. ..LL.W - T MiTek® Symbols Numbering System AGeneral Safety Notes PLATE LOCATION AND ORIENTATION Failure t0 FOIIOW Could Cause Property 1'/4 *Center plate on joint unless x,y ' Damage Or Personal Injury 117-1 offsets are indicated. 6-4-8 dimensions shown in ft -in -sixteenths Dimensions are in ft -in -sixteenths. Apply plates to bothth sides of truss 1. Additional stability bracing for truss system, e.g. diagonal and securely Seat. or X -bracing, is always required. See BCSI1. U 1/16 t 3 TOP CHORDS 2. Never exceed the design loading shown and never stack C7-2 C2-3 materials on inadequately braced trusses. WEBS G34 4 3. Provide copies of this truss design to the building designer, erection supervisor, property owner and all * For 4 x 2 orientation, locate X �,� 3 ��3 T_ other interested parties. plates 0 - 1/16" from outside o ��6 " 1: 4. Cut members to bear tightly against each other. edge of truss. � ° � d 5. Place plates on each face of truss at each joint and G-3 C6-7 C5_6 embed fully. Knots and wane at joint locations are BOTTOM CHORDS _ *This symbol indicates the regulated by ANSI/TPI1. required direction of slots in 8 7 6 5 6. Design assumes trusses will be suitably protected from connector plates. the environment in accord with ANSI/TPI1. Plate location details available in MiTek 20/20 7. Unless otherwise noted, moisture content of lumber shall not exceed 19% at time of fabrication. software or upon request. JOINTS ARE GENERALLY NUMBERED/LETTERED CLOCKWISE AROUND THE TRUSS STARTING AT THE JOINT FARTHEST TO 8. Unless expressly noted, this design is not applicable for THE LEFT. use with fire retardant or preservative treated lumber. PLATE SIZE CHORDS AND WEBS ARE IDENTIFIED BY END JOINT 9. Camber is a non-structural consideration and is the The first dimension is the width NUMBERS/LETTERS. responsibility of truss fabricator. General practice 4 X 4 perpendicular to slots. Second is to camber for dead load deflection. dimension is the length parallel 10. Plate type, size, orientation and location dimensions to slots. CONNECTOR PLATE CODE APPROVALS Ishown indicate minimum plating requirements. LATERAL BRACING 11. Lumber used shall be of the species and size, and in all Indicated b symbol shown and/or96-31,95-43,96-20-1,96-67,84-32 y y BOCA 96-31,95-43, 96-20-1, 96-67, 84-32 respects, equal to or better than that specified. by text in the bracing Section of the 12. Top chords must be sheathed or purlins provided at output. Use T, I or Eliminator bracing spacing shown on design. if indicated. ICBO 4922, 5243, 5363, 3907 13. Bottom chords require lateral bracing at 10 ff. spacing, BEARING SBCCI 9667, 9730, 9604B, 9511, 9432A or less, if no ceiling is installed, unless otherwise noted. Indicates location where bearings 14. Connections not shown are the responsibility of others. (supports) occur. Icons vary but 15. Do not cut or alter truss member or plate without prior reaction section indicates joint approval of aprofessional engineer. number where bearings occur. 16. Install and load vertically unless indicated otherwise. --® Industry Standards: i ANSI/TPI1: National Design Specification for Metal Plate Connected Wood Truss Construction. M ITeke DSB-89:Design Standard for Bracing. ' BCSI1: Building Component Safety Information, Guide to Good Practice for Handling, Installing & Bracing of Metal Plate 0 2004 Wtek® Connected Wood Trusses. - -- 5/8" ,T-111 'PLY. SIDING ® ALL ELEVATIONS 1 , . I 16" CURB FT'r. lX6 FASCIA 8U. 10 PROVIDE 22"X3 1/2- J 2 I SCREENED EAVE VENTS H-1 ANCHOR �r W/ INSULATION ALL TRUSSES I BAFFLES AT EVERY "m I 4th BLOCK I I GARAGE •A I I A 00 t0 rr 5/8" ,T-111 'PLY. SIDING ® ALL ELEVATIONS 1 , . I 16" CURB FT'r. lX6 FASCIA 8U. 10 PROVIDE 22"X3 1/2- J 2 I SCREENED EAVE VENTS H-1 ANCHOR �r W/ INSULATION ALL TRUSSES I BAFFLES AT EVERY "m I 4th BLOCK I I GARAGE •A I I A 00 t0 NI rn LO w t) OUJI N �t •w D Q U O V) V Z w = O , o 0. � t� V O m Z N Y Lj z F--: O L i mLLJ""' Z; un p oy Z m LW "'" tr S o0 a- U 4. LLI 0-% _ 15# FELT _j W r� � m� r� Q COMP. SHINGLES; A 0 SNOW. LOAD _ j>� p0 m NOTED GRADE OR BETTER, UNLESS OTHERWISE E m CLASS 'A'COMP. 4. SES PROVIDE OIAGANIOL AND SWAY BRACING AT ROOF. TRUSSES 14"X24" SCREENED SHINGLES 4x1 UNLESS OTHERWISE NOTED 2. ALL HEADERS TO BE 2 ..WITH ON CENTER :FIELD" NAILED COVERING 3 STUD SPACES. � G.E. VENT, TYP. 15# FELT S. AT EACH FOURTH 'PROVIDE SCREENED 'EAVE VENT .WITH INSULATED BAFFLESSHEET # fr 1 2PLY. N FLOOR -PLATE ; NAILED ` WITH 16d NAILS AT 12 ON CENTER. 5/8" ,T-111 'PLY. SIDING ® ALL ELEVATIONS 1 , . I 16" CURB FT'r. lX6 FASCIA 8U. 10 PROVIDE 22"X3 1/2- J 2 I SCREENED EAVE VENTS H-1 ANCHOR �r W/ INSULATION ALL TRUSSES I BAFFLES AT EVERY "m I 4th BLOCK I I GARAGE •A I I A c o A 2 4_ 4:12 A 2 I------ . 2 R° 4 CONC. SLAB 2 N 2 6x6 10/10_ W.W.M.: I DRAWN 'I BYe +18" 4" GRAVEL FILL L ( GFI B, RUBANOFF I II aI 3 CHECKED► i MAN... STANDARD 26 o 0 :TRUSSES . ® 2 24 O.C. DATES `U I a r o 4-12-05 i l I i` B�J 0 o _ II I JI _ SCA L EI2668 S;C.o 30303030 ` 1!4,_ i -0 ,o0 CONC cCONC. 1 PAD JOB, GUT ERREZ _0" 160$0 METALSECTIONAL GARAGE DOOR c� IIf i .,, 3 1/8-X 12N GLU lAM BEAM 24F V4 1 N i L=4'-0" L=4.-0 '_0" 16'-0" '--0" 27 2X6 BARGE BD. ,/ MAN. G.E. TRUSS -o 16 -0 -0 2 24-0 I 4 -0 2 1 I � 3 FLOOR PLAN 624SR. FT. FOUNDATION- PLAN. c ROOF FRAMING PLAN BUTTE ' II �COUNTY. I 1�5' 4 I rev r �WS 3 4 ilil . 6 'V7n/1C GYJAAAIAi/',A1/"11"CG ...__ ,. 00 NI rn LO w t) OUJI w �t w D Q U O V) V Z w = O , o 0. � .5 V.I SEE EXTERIOR ELEVATIONS FOR SIZE AND LOCATION OF GABLE END VENTS w W F--: O L i w Z; un J QN< ROOF DESIGN Q Vii N a- c o A 2 4_ 4:12 A 2 I------ . 2 R° 4 CONC. SLAB 2 N 2 6x6 10/10_ W.W.M.: I DRAWN 'I BYe +18" 4" GRAVEL FILL L ( GFI B, RUBANOFF I II aI 3 CHECKED► i MAN... STANDARD 26 o 0 :TRUSSES . ® 2 24 O.C. DATES `U I a r o 4-12-05 i l I i` B�J 0 o _ II I JI _ SCA L EI2668 S;C.o 30303030 ` 1!4,_ i -0 ,o0 CONC cCONC. 1 PAD JOB, GUT ERREZ _0" 160$0 METALSECTIONAL GARAGE DOOR c� IIf i .,, 3 1/8-X 12N GLU lAM BEAM 24F V4 1 N i L=4'-0" L=4.-0 '_0" 16'-0" '--0" 27 2X6 BARGE BD. ,/ MAN. G.E. TRUSS -o 16 -0 -0 2 24-0 I 4 -0 2 1 I � 3 FLOOR PLAN 624SR. FT. FOUNDATION- PLAN. c ROOF FRAMING PLAN BUTTE ' II �COUNTY. I 1�5' 4 I rev r �WS 3 4 ilil . 6 'V7n/1C GYJAAAIAi/',A1/"11"CG ...__ ,. �.. _ —. -..- T..v.....n.,.�.•rw.>Y...+. w. «+av+ra ..w..vrt�m�rm. .........«.».___ _._._.� w :«.-r .._._� ......�. �.«ri... a«.«.,.r<rv«.....-..._,_.�._„+r,.. ».wwir+w..e�am, rwr+^ _ _.. i i I I i i I I\l/l_/I I IV MY 111 VVI:1 VV I V/ 'i`* -"L 1.DONTCT 0 U ALTER OR DRILL TRUSSES GENERAL COTES „ 2, SEE EXTERIOR ELEVATIONS FOR SIZE AND LOCATION OF GABLE END VENTS 3. ROOF DESIGN _ 15# FELT 1. ALL LUMBER TO BE DOUG E STUD FIR 2 AND BETTER -STUDS TO S U # � `N OVER 2X FRAMING AT 16 O.C. BP MINIMUM 3 $ APA RATED PLYWOOD APPLIED 0 E NORTH+ _ COMP. SHINGLES; A 0 SNOW. LOAD _ j>� NOTED GRADE OR BETTER, UNLESS OTHERWISE E - N N X 2 ` 8 NAILS AT > 6 ON CENTER EDGE 'NAILED, 12 8d (0.113. 3/ ) 4. SES PROVIDE OIAGANIOL AND SWAY BRACING AT ROOF. TRUSSES 4x1 UNLESS OTHERWISE NOTED 2. ALL HEADERS TO BE 2 ..WITH ON CENTER :FIELD" NAILED COVERING 3 STUD SPACES. � S. AT EACH FOURTH 'PROVIDE SCREENED 'EAVE VENT .WITH INSULATED BAFFLESSHEET # N FLOOR -PLATE ; NAILED ` WITH 16d NAILS AT 12 ON CENTER. �w''_ E TED SEE 26-4 BLOCK UNLESS OTHERWISE NO 1, - OTHERWISE NOTED 3. ALL CEILINGS TO BE 8 0 UNLESS OTHE SE T 6. PROVIDE H-1 ANCHORS AT EACH TRUSS UNLESS OTHERWISE NOTED 1 OF 2 r �.. _ —. -..- T..v.....n.,.�.•rw.>Y...+. w. «+av+ra ..w..vrt�m�rm. .........«.».___ _._._.� w :«.-r .._._� ......�. �.«ri... a«.«.,.r<rv«.....-..._,_.�._„+r,.. ».wwir+w..e�am, rwr+^ _ _.. i i I I i i I H1 ANCHOR ALL TRUSSES 12 BLOCK BETWEEN TRUSSES 4 1/2" CCX PLY. MAN. STANDARD TRUSSES 0 24" O.C. 0 EAVES 26 2X6 FASCIA BD. 2X4 STUID WALL LL 16" O,C. 4" CONC. SLAB 6X6 10/10 W.W.M. 4" GRAVEL FILL' 10 SECTION A -A II 2x STUDS ® 1/2" CDX PLY. 16" O.C. 2x P.T. SILL PLATE H-1 ANCHOR 1/2" AB W 2/2/3/16" 2x4 EAVE BLOCK PROVIDED SIDING PER WASHER 7" 0 6' O.C. SCREENED EAVE VENT W/ ELEVATIONS EMBEDDED 7" INSULATION BAFFLES EVERY 4TH BLOCK E. V 1/2- CCX PLY. 8 I-, ' — — — -- 0 EAVES 1 N � � 1x4 TRIM IMPSON HI TIE AT EACH Z JOIST •� 2x6 FASCIA 12" ONE STORY SIDING - SEE PLA 10 EXTERIOR CURB 26 EAVE DETAIL 1/2" CDX PLY. TRUSSES MAY BE TURNED DBL TOP PLATE 1/2" CDX PLY IN OTHER DIRECTION SEE PLAN TO VERIFY 1/2" CCX PLY 0 EAVES N. 1/2" CCX PLY. GABLE ENO 0 EAVES TRUSS o SITE P H-1 ANCHOR SCALE: 1/32"=1'-0" FURRING AS REQ'D. TO MEET HEIGHT REQUIRED _... FOR GARAGE DOOR [LANNING DIVISION » BUILDING APPROVAL HEIGHT DEPENDS ON 2x4 OUTRIGGERS ® a3 ,. SIZE OF GARAGE DOOR 2'-0" O.C. MAX Gate..HEADER PER PLAN /�BEING USED NOTCH INTO TRUSS AND —�'"ing:Landscaping: BUTT INTO FIRST STANDARDTRUSS 2x2 BETWEEN OUTRIGGERS r:ature; GARAGE DOOR HEADER 27 28 BARGE TIES/ OUTRIGGERS r,00� B. RUBANOFF CHECKED ..�..,\ 4-12-05 SCALEt 1/4"=1'-0' U.N,0. to GUTIERREZ SHEET # 2 OF 2 r cnI m •w V O m w W Z Q; = - r.. Lv L O = O) 00 Oen X U Ld to 0 }. --i Lki 0 M a. m v 00 LAJ L0 0 W � LL. W �Qd V c.7 to U w 000 D 0-j;� W t-- O W M Z Lo J d O(n cV ad." 1 DRAWN BYi B. RUBANOFF CHECKED DATE 4-12-05 SCALEt 1/4"=1'-0' U.N,0. JOB► GUTIERREZ SHEET # 2 OF 2 � I ,I I II l I IIl II t t +, I I i ' r u � � DRAWN BY B, RUBANOFF m O DATE -26-05 Lo z 1/4'=1'-0" U.N,O, JOB: GUTIERREZ Z 4L _ r LJ O OIf' = 00 L W 1,00 La v m m III i I l `F DRAWN BY B, RUBANOFF CHECKED DATE -26-05 SCALE 1/4'=1'-0" U.N,O, JOB: GUTIERREZ SHEET 1 OF 1 -� _ { �_ _ ,� ;. 1 � C r � _.._.... __._ --- - ,�._.._�.. ___ __. .._.._..,_.'__-,__..� ..___--"_____. .._ _�. ._,-_ - -_-"__---, ', i it i II T. -.-