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026-241-010
026-241-010 06-0300 CERVANTES, JESUS 7673 OCCIDENTAL AVE, PALERMO Cont: OWNER DEMO 026-241-010 CERVANTES, JESUS db -0301 7673 OCCIDENTAL AVE, PALERMO Cont: OWNER NEW SINGLE FAMILY<41�'"'' 026-241-010 06-0302 CERVANTES, JESUS 7673 OCCIDENTAL �jVE' - pA�O Cont: OWNER `y/��`�" ' GARAGE -DET // / 7 -D 6 n 02.10';OL -y/r0 /0 -f HENRY, George 4954B 5578E* r 7673 Occidental Ave, Palermo CONTR United Pacific Builders,7963 MacArthur Blvd., Oakland` ! f — If R _(aluminum siding) (*CONO'.- Edwards Elec.) rIZABOKOTSKY, Emil Williams off Occidental 02 66' Palermo �— •`�o -;;!!!5O�m �1� Butte County Department of Development Services. euT>e rRE IN o T E S 7 County Center Drive, Oroville, CA 95965 � (530) 538-7601 v%vw-buttecoimtyneVdds c�uNty I RESIDENTIAL APN: Permit No. Owner. 026-241-010 06-0302 •CERVANTES,JESUS Site Address: _ .7673 OCCIDENTAL AVE, PALERMO t Cont: OWNER Contractor. _ GARAGE -DET Type of Permit: I � SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: RE ....SIGNATU= �'ti•• " �,/�<�1yny.�/� W I'U OK Not OK MANUFACTURED HOMES. MISCELLANEOUS DATE Lj PERMANENT FOUNDATION SOFT -SET DATE IDE S'C O V E R S'C A R P O R T S `G A R A G E S ing-Setbacks-Easements tgs; Soils-Sz-DpthSpacing-CnnctrsSteel u�:1 I Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 3 Decks, Girders/JOists-Dcking-Brcing 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete I 6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LP❑ Stairs-Guard/Handrails 1 4 Wood Awn Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng Inch Sz Ft Lngth t 5 Alu wn; Columns-CnnctnsSplice-Decal-Encisrs 7 Blckrig; Sz-Spacing-Marriage Line t 6 rports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr _ 2. - Qle�c9 Elec MH Cntnty Test Crossovers -Breakers Clrncs + mg; Sills -An chrs-Stu ds-Rftrs-Trusses 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing -Veneer -Stucco -Lath 11 Wtr ✓;< Sewer Connected -C/O to Grade i 10 Roof; Shthg-Roofing 12 Gas and Electricity Taggedi 13 Tie Downs F-1Foundation❑ 11 5 , Steps -Doors -Landings f Braced Wall pnls 14 Exits IS Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers ° i — 0s °�• t DATE IPOOLS 1 Setbacks -Easements i 2 Soils-, Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness t Dead Men -Lining P 4 Elec Rcptcls/Lting; Distance-GFI as` t 5 Elec Pool Lting; 15 volts-GFl 6 Elec Encisrs; Conduit Entries -Terminals -Listed ti 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg I Bokes-Encisrs-pnlboards4risultn to Main Conduit 9 Health Dept Apprvl • 10 Plmb; Cir Test-Wtr Supply Test ! 11 Lt Niche 12 Encisr, Fencing -Alarms I 13 Bonding, Diving board or Slide ` P c Pool Drawing = OK = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Opth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Opth 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub.Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1.t Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IM E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support _ 14 Girders-Sills-Anchr Bolts-Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16• Insulation 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic o'er d o"• m .c t `c DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE ]FINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties -Pu rli n -Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Sts & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtr Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Lottn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnis 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Dmge Planters D Yes E --]No 87 Stucco Brown -Finish me o'`� �� 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frpic-Clmc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Trnsfrmr CImc-Ins Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑ CU or DAL 98 Address Posted AC Wire Sz ga ❑ CU or DAL 99 Fire Sprinkler 48 Range Circ ga D CU or DAL Oven Circ ga D CU or D AL Insulated Neutral DYes DNo 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp CImcs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES T- BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060302 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/08/2006 APN: 026-241-010-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site e Address: 7673 OCCIDENTAL AVE PAL Map Index: Date: Contractor: Description: DETACHED GARAGE/SHOP (720) 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 a Owner: CERVANTES JESUS & MARIBEL 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 7673 OCCIDENTAL AVE 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 PALERMO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95968 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).): 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: CERVANTES JESUS &MARIBEL 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 7673 OCCIDENTAL AVE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of PALERMO, CA proving that he or she did not build or improve for the purpose of 95968 sale.). (530) 534-5936 ❑ 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' tate License Law.). Contractor: ❑ I am Exempt ynder Artiqeg�.eBl�in sand Pr essions Code .� �)jt Date:m Owner: WORKERS' COMPENSATION D C ARATION I hereby affirm under penalty of perjury one of tkdfollowing declarations: ❑ I 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: insurance carrier and policy number are: Carrier: Total Square Ft: 720 S.F. Policy#: I certify that in the performance of the work for which this permit is Valuation: $17,280.00 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. Applicant: WARNING: Failure t ecure 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 j G 3� \ • �v compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued nder 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.) Resolutions to d ated a a for which fees have been paid. C' By: `� Date: VVV Name: PERMIT EXPIRES ON: Address: Date ❑ 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. I hereby certify that I have -read this application, that the above information is correct, and that I am the ow pr 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 subst e�of any o ficial form or document of Butte County. I hereby authorize representatives of ButteCounty to enter upon the above mentioned property for inspection s s. ,` Print Name: ��i� �/(. tJ1 'a vLr Signature. Date: ❑ Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS /�,,/�� 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BPC.�(�a, OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION BIN # Website: www*.buttecounty.net/dds "PLEASE PRINT CLEARLY" rtmP 1.7�k ARCHITECT/ENGINEER OWNER INFORMATION Last Name V h S First Name QS Address .7 -7 C C' d- n a City State State Zip rf 6 Phone 5-9 3 i, Fax E-mail Lic. If ARCHITECT/ENGINEER CONTRACTOR Name G, Address Zip City Fax State Zip Phone Zip Q� 6 Fax E-mail Fax Lic. If Class ARCHITECT/ENGINEER Name Address City State Zip Phone Fax E-mail License Number ME, ffwml �' E3 For office use only: APPLICANT INFORMATION Name 1 ,f tG M Address .'6S 7-765- 1'On �— city vY� State Zip Q� 6 Phone �-� 6 Fax E-mail ME, ffwml �' E3 For office use only: PROJECT LOCATION AP# ® e _Alt( N 0 Property AddressCi 6 �3 D c `c�e�� i hs ra���o Cross Street Occ. (WORKER'S COMPENSATION Policy Number Book Carrier Lot# If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Date Approved: LENDING AGENCY Name Address ME, ffwml �' E3 For office use only: Zoning I AR-1Flood Zone E ISRAI SRA Sheriff Yes No Occ. Type Const. Subdivision Name Map Book Page Lot# Planner Date Approved: Description or Scope of Work: Q q- ko Lj Sq FT- Living Garag 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 OVER FOR SUBMITTAL REQUIREMENTS 11 K•\Fr)RMC\RI III nmir: Fr1RNIC\R1rinAnn1.quhRnmtc rinr. Paoe 1 of 2 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 otherep inen costs are not refundable. --,I _n /--N n Received by 6 Amount: Bldg Receipt#:430 SRA Sheriff dtl0q 1 SMIP O\V 2� � ' FEN/� 109VfV�—Other 7,- 7(/ Total REV 8-12-05 f a � r 4 f a .1 f a 0060301 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS16N 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: l_ prya ► 1� S ASSESSOR PARCEL NUMBERS O fD 72 1 I - O) U Proposed Building Use: W4ochPili C-mmn c® Permit Technician: Date: Ityms 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. \Pftg 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. \ f 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate: I wpi'4mpfA S Ind Cori ❑ 11. Letter of intent for non-residential buildings El .4e 12. Hazardous Material Form 1� 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other W❑ aining 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 ........................................... 19. Erosion Control Plan Required........................................................................ c' 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 21. 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:.... X.24. Planning approval for (A) Use: )Parking: �C) Parcel Check:..........alJ Dr 25. 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 .......................................... 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement. .......... " ", tatement................................. ❑ 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 ���� 5yi2r ����dit ! and hold for pickup. I h�ve beelTIMbfrried of the -above items and requirements for obtaining a building permit. `9� C -A licant. Date: 1. Index it application"for tfie ab em bere Plan Check L tte 2. Additional ite Contractor, desig r r, was a vised of the a ve 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, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: s Plans approved by: Date: ' Structural reviewed by Dat : Structural approved Dat Note transfer by: Date: 711 r - Yellow: Bui ' g Di n TO: Building Division = Development Services FROM:, Environmental Health SUBJECT: Sanitation Clearance NW�A 6 1 N" Owner Location Plan Approved for: Sewage Disposal: Clearance for . dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Envkofimental Health Specialist Building Clearance 9/2005 E.H. USE ONLY Plot Plan Attached Floc Plan Attached Sent to BDIDS AP# Water Supply: Public Private Well Date s BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 wwWbuttetounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner CERVANTES APN No: 026-241-010 Application Date 2/9/2006 Permit No: BP 060302 Permit Type: DETACHED GARAGE/SHOP 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $549.90 Plan Check portion of Permit Fee $219.96 $329.94 Balance of Building Permit Fee 2 FEMAeX Yes Flood Elevation Review $109.98 $109.98 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 0_ (State Responsibility Area) Building Inspection $109.98 0 1 - $204.98 NON-REFUNDABLE portion of fees due at application $329.94 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $329.9: FEES 16FLOW1 Dt1F PRIOR TO [SSt]ANCF OF PFRMIT ¢1431 a•, RECEIPT DATE Tech/Asst �$ 2/9/06 Kou� At the time of permit ap 'cation, 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. /1 4 '-n / Pursuant to Government code from the date of approval of the specified in Goverment Code Si C�__;A: Date: 9 —9—O 6 020, are he y notified those Items followed by an "* may have been imposed on your project. You have 90 days or furo the imp ion of the above referenced items during which you may protest. The requirements for a protest are i0 a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 OWNER -BUILDER VERIFICATION TION 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 prov the major labor and material for construction of this proposed ro erty improvement: ` ] NO [ ]. 2.'[ ] 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:c. ADDRESS.Teti r arn V..1 1 o S ( �Rl PHONE: .ELV) y zt CO TRACTOR'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: Do tl,' a:ry sop ADDRESS: PHONE: S S 9— 3 e -V Q. ,CONTRACTOR' S LICENSE NO: dZ S' C� Q 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: i PROPERTY OWNER:cojwni DATE: C„ 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 reiurned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 b Butte County Department of-Developx72ent Sefwces °ATE ° 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone -� OUN1 (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory. entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. o I an: required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for'disposition of plans. 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 rqguire 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: I APN: 022 Applicant Name: Building site address: '76-73 UcreA to �� l �� uL Permit No.: r 3 a `Z I have read, understood and accept the terms and conditions as expressed herein as indicated by my submi ion of the above -referenced building permit application and my signature below: DATE SIGNATURE APPLIC ' r.7 rri1 C•iri�;f A: r' :o � 'moi• o `lir c0UN�� ' A 5 nuc w 0 Department •C o u n t y J. Mlchaet (-rump, Director of Public o f B Q t.• t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Orowlle, CA 95965 (.530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water P.011ution Prevention Plan (SWPPP) Acknowledgement jLESS THAN I ACRE] Project Description: — S/V Project Location andlor Parcel Number: 7 CO / Q � w 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 Iess 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: Butte County Department of Development Services. euT>e ARE v �' V`t o T E S 7 County Center Drive, Oroville, CA 95965 ,-co (530) 538-7601 vnvw.buttEcoimty neUdds f RESIDENTIAL ✓ U APN: Permit No- ' A� tD �,�,n;^� �' /� "f / I�'! Owner. CERVANTES, JESUS0 nnV� VT/�' `r ;yli �` Tom{ Site Address: _ 7673 OCCIDENTAL AVE, PALERMO U` 0 ✓`C. Cont: OWNER ^ ` i ,I ' l �� ,� ♦ Contractor: — NEW SINGLE FAMILY 4 Type of Permit: [&20 ■ 0�0- 03M- � F, --�- C�lo v� dA OFFICE COPY _ t ?� Address G AS r ; Date Meter By Y ELECTRIC Meter By i -1 r a SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE CHECKED BY t t DATE JOB FINALED: SIGNATURE: t/// BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060301 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/08,12006 APN: 026-241-010-000 the Business and Professions Code, and my license is in full force and effect. License class: License Number: Site Address: 7673 OCCIDENTAL AVE PAL Map Index: Date: Contractor: Description: NSF (1554), GAR(517), COV(165) 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 Owner: CERVANTES JESUS &MARIBEL 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 7673 OCCIDENTAL AVE 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 PALERMO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95968 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).): s. 1114 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 Applicant: CERVANTES JESUS &MARIBEL 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 7673 OCCIDENTAL AVE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of PALERMO, CA proving that he or she did not build or improve for the purpose of 95968 sale.). (530) 534-5936 ❑ 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: Cl I amKempt under Article f e B in!� @nc.Prof �sions Code ' Date � � � Owner: WORKERS' COMPENSATION DEC ARATION I hereby affirm under penalty of perjury one of t e following declarations: O 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. ❑ 1 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: insurance carrier and policy number are: Carrier: Total Square Ft: 2236 S.F. Policy #: I certify that in the performance of the work for which this permit is Valuation: $116,058.00 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 comply with those provisions. (forthwith Date: V V Applicant: WARNING: Failure to sec a worJs' compensation coverage is unlawful, and shall sublet em,0 to criminal penalties and onehundred thousand dollars ($100,00 in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees./L /��(l I 7� CONSTRUCTION LENDING AGENCY ThisI permit is hereby issu d under the applicable provisions of the Butte County Code and_/or _ _ hereby affirm tisai inereisa construction lending agency for the- —meaoiucidns to d dica ove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: 7 Address: PERMIT EXPIRES ON: v Dale ❑ 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. 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 f a y official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection p l ^ C� Print Name: _ 61 -'� %( et Signature. Date: ❑ Owner ❑ Contractor L'] Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 :a : ..i .-.�.4._...4� � � - �- • � .,-•-4 �7 ter•--`—`�• - ,.y.-..,- :..•' . -.. -.:-�+,�- t :'-.�4�-.. 4.t COUNTY OF BUTTE BUILDING DIVISION - DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA* (530) 538-7541 CORRECTION NOTICE cc V ✓� k�S 0� - 0R) OWNER PERMIT NO R5: A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of ?t:.,• work is completed. If you have any questions pertaining to this matter, or need additional lig explanation, please contact the Building Inspector as indicated below. ' Date ' w Inspector � L+ y" REV 4/05 Phone # � 1� '7'1�7i '. FOR RE -INSPECTION CALL: 538--7636 OR 891-2834 I i i COUNTY OF BUTTE ' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ftj� (�(� • 630 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter,.or need additional explanation, please contact the Building Inspector as indicated below. 4; sc, C�- V C UG r -o 34-q t _A o 0 Pro v -ki V f__ Date /� 2 (~ Inspector �00(2� REV 4/05 Phone # ✓ SIF FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 .�V CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at +'. the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional _? explanation, please contact the Building Inspector as indicated below. C?Qv _ t_ )Ua r ' D Fri cS v .> Date ' _ Inspector ("i yy ti W n N F, A_ REV 4/05 Phone # �3 R Sr 3 lO�i FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R 76J.3 Project Address S"t-e_v e_n—,3; 11 c. s y- y 2 v 2 - Builder Builder Contact Telephone Z1°/1 HL, li-eta' 9'9ei -- S8*65 HERS Rater Telephone Certifying Signafure Firm:_ '/o ... /') - C.% Builder Name 1 Plan Number .a— Sample Group Number Date Sample House Number HERS Provider: 61.1 ee --,S Street Address: /- ox y®/ City/State/Zip: .6/1., 9S -9L7 Copies to: Builder, HERS Provider and Building Department HERS RATER COMPPANCE STATEMENT The house was: ✓ Q Tested ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked ✓ on this form. The HERS rater must check and verify that the new distribution system is fully ducted and convect tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested buildings. G!"'The installer has provided a copy of CF -6R (Installation Certificate). El" New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). Cl" New systems where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. ✓ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedures for field verification and diagnostic testing of air distribution systems are available in RA CM, Appendix RC4.3. Duct Diagnostic Leakage Testing Results NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values w* 1 Enter Tested Leakage Flow in CFM: ® fi,�'.: 2 Fan Flow: Calculated (Nominal: ✓ Cooling ✓ ❑ Heating) or ✓ ❑ Measured Enter Total Fan Flow in CFM: 2 00 3 Pass if Leakage Percentage S 6% [ P00 x [ 'tOW (Line # 1) / 12-tX;(Line # 2)]] 3 ; `�� s ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out, g - 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to,> t' Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Chane-Out.; Enter Reduction in Leakage for Altered Duct System 6 [ . (Line # 4) Minus (Line # 5)] - (Only if Applicable) 'L 7 Enter Tested Leakage FIow in CFM to Outside (Only if Applicable) Entire New Duct System - Pass if Leakage Percentage < 6% 8 100 x Line # 5 / Line # 2 ❑Pass 13 Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out Use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage :- 15% [ 100 x [_(Line # 5) / (Line # 2)]] ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage 5 10°To [100 x _(Line # `7) / _ (Line # 2)]] ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage >_ 60% [1 0_0 x [__(Line # 6) / (Line # 4)]] 11 and Verification b Smoke Test and Visual Inspection ❑Pass ❑Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Ins ection .� 3` ~, ❑pass ❑Fail Pass if One of Lines # 9 through # 12 pass ❑Pass 13 Fail Residential Compliance Forms March 2005 •T abed 809i6£SO£"S" 21- -06 12: 2 OF Cu I 1 iq-&r. Water* June '31. 20"A Fox(: o Bill ru-4 . 305 Ulive Hwy.. . orovillm, Ca. 059e:r' 0 8S:£i 900Z'iZ mnr. 630 8951 177m P.02 CWHWn Watew CANI local" 7377 Ivy Street • `Chko, G IOWA S.W. 9Aw RC WA TER ANALYS1.9 (1;�73 Uccidenttll OZ.) 1 Lica+ Mr Fox I teatutl the water;;; 7673 Owidentai Avenue. The water tested as rohows Iton: Zero Hal dtleNg b TDS: )2() I recommend :he k;,;w be plumbod with plastic (C?\'() to prevent prenwWre failure orplumbing due m watm hardnrsx and total diyy)lved solids buildup The initaliatiom of v CU)ligan mmer softener will o�terld the ImN life of plumhinic and all wamr using uppliance,: Si�tt:rraly, Flea Munme Gradc 2 Operator ISI "Prig 1..(. '0,41•`l.l �• i��l u�•,q 'I�.', I.:�'A;.•f� rilL'S�MNrtiT �''�1: '1 „r r:i/:'; l.•..L'J 1•'. .: ;'!•,:j;.u. �1rc 1N�>>�f+%�'.�'i 1,.. �1r;. r141P'. C t0'd 6091bY�0£s ANVdW00 XOd Wd Zb:10 9002-TZ-Hnr I Certificate of compliance For Installation of CPVC Plumbing Materials (Pursuant to California Plumbing code 604.1 b(e)and(t) To: Chief Building Official I am licensed by the State of California as a plumbing contractor, and seek a building permit for residential construction, which involves the installation of CPVC plumbing materials as provided for under California Plumbing code section 604.1 b. Pursuant to section 604.1 b,I hereby certify that: a. I am aware of the health and safety hazards associated with CPVC plumbing installations. b. My company's health and Injury Prevention Plan satisfies the worker training safety guidelines of the California Department of Industrial Relations, and includes information about the hazards associated with CPVC plumbing pipe installations. C. My company will comply with all of the installation and health and safety requirements of the California Plumbing Code applicable to the installation of CPVC plumbing materials, including the requirements set forth at Section 301.0 of Appendix I thereto. P. 66 t AUG 28,2006 06:35 5305341608 page 6 INRI, ATION CERTIFICATE ,' Job Number: 8477 lksillo Construction 17673 Occidental, Oroville CA Contractor/Owner Name Job Address (street, city, state) Butte County Subdivision Name Lot Number DESCRIPTION OF INSTALLATION 1. ROOF ` Material: Thickness (inches): [ ! ~ 2. CEILING Brand Name: Thermal Resistance (R -Value): I 1 Batt or Blanket Type:, Fiberglass I Brand -Name: I Knauf Thickness (inches):1 12 1 Thermal Resistance (R-Value):1 38 Loose Fill Type: I Fiberglass 1 `t Brand Name: I Knauf Minimum Installed Weight/ft 1 .569 I lb Minimum Thickness:1 • 13 1 inches Manufacturer's installed vveight per square foot to achieve Thermal Resistance (R-Value):1 38 1 3. EXTERIOR WALL _ Frame Type: A. Cavity Insulation Material: I Fiberglass Brand Name: i Knauf Thickness (inches):1 31/2 1 Thermal Resistance (R-Value):1 13 1 B. Exterior Foam Sheathing Material: �� Brand Name: Thickness (inches): I 1 Thermal Resistance (R-Value):1 1 4. RAISED FLOOR Material: Fiberglass Brand Name: I Knauf Thickness (inches): 1 31/2 j Thermal Resistance (R-Value):1 13 1 5. SLAB FLOOR/PERIMETER Material: I �� Brand Name: Thickness (inches): I I Thermal Resistance (R -Value): I 1 Perimeter Insulation Depth Inches: I 1 6. FOUNDATION WALL Material: [ Thickness (inches): I ! Brand Name: Thermal Resistance (R -Value): [ 1 DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, wh�-Iicab,:;2&3 r�" 0� `� Chico Insulation Item Number's Signature and Date Installing Subcontractor (Co. Name) or N .. Item Number's Signature and Date General Contractor (Co. Name) or Owner Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner CERTIFICATE OF FIELD VERIFICATION,& DIAGNOSTIC TESTING (Page 5 of 8) CF -4R Copies to: Builder, HERS Provider and Building Department HERS RATER COMPLIANCE STATEMENT The house was: ✓ . 11 Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify -that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. ✓ L' a installer has provided a copy of CF -6R (Installation Certificate). ✓ ❑ ADEQUATE AIRFLOW VERIFICATION Procedures for field verification and diagnostic testing of adequate airflow are available in RACM, Appendix RE4.1. Method For Airflow Measurement ❑ Yes ❑ No Duct design exists on plans ❑ Yes ❑ No Project Address '3& t, e- O r,n I) © j/°z® Z Builder Name / Builder Contact Diagnostic Fan Flow Using Telephone Plan Number ❑ RE4.1.3 Diagnostic Fan Flow Using Flow Grid Measurement 4 HERS Rater ❑ Yes Telephone . Sample Group. Number A ✓ ❑ Yes ❑ No Certifying Signature Firm: �� Date Sample House Number 1 ✓/� HERS Provider: Fail Street Address: 0/, Y0( City/State/Zip: / C0 Com , 9%S-92'7 Copies to: Builder, HERS Provider and Building Department HERS RATER COMPLIANCE STATEMENT The house was: ✓ . 11 Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify -that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. ✓ L' a installer has provided a copy of CF -6R (Installation Certificate). ✓ ❑ ADEQUATE AIRFLOW VERIFICATION Procedures for field verification and diagnostic testing of adequate airflow are available in RACM, Appendix RE4.1. Method For Airflow Measurement ❑ Yes ❑ No Duct design exists on plans ❑ Yes ❑ No ❑ RFA. 1.1 Diagnostic Fan Flow Using Flow Capture Hood ❑ Yes ❑ RE4.1.2 Diagnostic Fan Flow Using Plenum Pressure Matching ✓ ❑ RE4.1.3 Diagnostic Fan Flow Using Flow Grid Measurement 4 Measured Airflow: ❑ Yes ❑ No cfin/ton 5 ✓ ❑ Yes ❑ No ❑ Yes ❑ No Measured airflow is greater than the criteria in Table RE -2 ❑ ❑ Yes is a pass Pass Fail ✓ ❑ MAXIMUM COOLING CAPACITY Prnnodiinov Ar A tPry"hiino, mnYimi m nnnlirrn In , 4 nnsa.n4.. n ;1 7 1 D A1�h / 1 ✓ ❑ Yes ❑ No Adequate airflow verified (see adequate airflow credit) V 2 ✓ ❑ Yes ❑ No Refrigerant charge or TXV 3 ✓ ❑ Yes ❑ No Duct leakage reduction credit verified 4 ✓ ❑ Yes ❑ No Cooling capacities of installed systems are <_ to maximum cooling capacity indicated on the Performance's CF -1R and RF -3. 5 ✓ ❑ Yes ❑ No If the cooling capacities of installed systems are > than maximum cooling capacity in the CF -1R, then the electrical input for the installed systems must be <_ to electrical input in the CF -1R. Yes to 1, 2, and 3; and Yes to either 4 or 5 is a pass ✓ HIGH EER AIR CONDITIONER Procedures or veri lcation are available in RA CM, Appendix RI. 1 ✓ Yes ❑ No EER values of installed systems match the CF -1R 2 ✓ Yes ❑ No For split system, indoor coil is matched to outdoor coil ✓ ✓ 3 ✓ ❑ Yes ❑ No Time Delay Relay Verified (If Required) ❑ Yes to 1 and 2; and 3 (If Required) is a pass Pass Fail Residential Compliance Forms January 2005 Pass Fail ✓ HIGH EER AIR CONDITIONER Procedures or veri lcation are available in RA CM, Appendix RI. 1 ✓ Yes ❑ No EER values of installed systems match the CF -1R 2 ✓ Yes ❑ No For split system, indoor coil is matched to outdoor coil ✓ ✓ 3 ✓ ❑ Yes ❑ No Time Delay Relay Verified (If Required) ❑ Yes to 1 and 2; and 3 (If Required) is a pass Pass Fail Residential Compliance Forms January 2005 CERTIFICATE OF FIELD VERIFICATION& DIAGNOSTIC TESTING (Page 3 of 8) CF -4R '205,73 Occ i ein ld Ave. Project Address pp _ "Builder Contact Telephone If // /�� /lam f>`Y� S mss" HERS Rater Telephone t�Adlf 10-17-0C Certifying Signature Date rS� v�e 0 r & )1 z> 0!,-, 7�i,et �l rah Builder Name Plan Number -40r_ Sample Group Number Sample House Number Firm. r an 42 HERS Provider: C &-r— r S Street Address: ,Bc-5 X q01 City/State/Zip: Cbj %C C'9� 2.7 Copies to: Builder, HERS Provider and Building Department HERS RATER COMPLIANCE STATEMENT The house was: ✓ L`S Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing dia.gnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as'checked,on this form. ✓ The installer has provided a copy of CF -6R (Installation Certificate). THERMOSTATIC EXPANSION VALVE (TXV) 4 Procedures for field verification of thermostatic •expansion valves are available in RACM, Appendix RI. ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Location Outdoor Unit Make r.. ✓ �� EY es ❑ No Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on the system and installation of the specific equipment shall be verified. Btu/hr ❑ Date of Refrigerant Gauge Calibration Yes is a pass Pass Fail ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Location Outdoor Unit Make r.. Outdoor Unit Model Cooling Capacity. Btu/hr Date of Verification Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (must be checked monthly) Standard Charge Measurement (outdoor air dry-bulb 55 °F and above) Note: The system should be installed and charged in accordance with the manufacturer's specifications and installer verification shall be documented on CF -6R before starting this procedure. If outdoor air dry-bulb is below 55 T rater shall use the Alternative Charge Measure Procedure Procedures or Determining Re i erant Charge using the Standard Method are available in RA CM, Appendix RD2. F ❑ Yes ❑ No A copy of CF -6R (Installation Certificate) has been provided with refrigerant charge measurement documented. Residential Compliance Forms March 2005 nug l rs ut; U1: OOp Western Wood$ Ewp ,Rick 5303431124 APAA=WAffUYMENU EIS/� ertificate of co . .. nform ace P=•1 Certificate 054100 THIS IS TO CERTIFY that the glued laminated'timber Engineered Wood Systems r products identified with a collective mark of FWS) were manu;actured in accordance with the applicabie'standard and associated specifications inndicated below: s ANSI Standard A 190.1-1992, For Wood Products— Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP - Computer Program For Determining Design Stresses f RITC 117-93 _ Manufacturing -:.Standard Specifications For Glued Laminated Timber Of Softwood Species Structural r IT IS HEREBY CERTIFIED that the APA. EWS,,-adernarked structural glued were produced in a manufacturing facility:subject to regular audits in accordance g ed laminated timber members Wood Systems (EWS) Quality ,assurance �'rogram. Routing audits include with the Engineered g process and evaluation of the in -plant QA program with adequate samoiin ,, conformance to industry standards for lumber rade ►nclude inspection of the 9 and glueline bond quality. 9 to ver,, y 31z x .13 B/L_ V1 7 Vz- t by TNomas G. Wifliarnson. Executive Vice President PNGWc'rRED WOOD SYS7-EMS is a retated corporation of APA — 7 ce 7011 South 19th Sreet • RO. Box 11700 - Tacoma cNGfN__ -) �JDASSOCIATION Telephone; (253) 56S•6600 - rex Nurb, wA98<11-0, 00 (253) S65-7265 r = OK = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET ' 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/0-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Cirncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged . 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE ID E C K S'C O V E R S`C A R P O R T S `G A R A G ES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof-, Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls o'er 0 DATE 1POOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFl 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 EI_c Bonding; Metal w15'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg. Boxes-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide Pool Drawing = OK Not OK RESIDENTIAL (Single -& Duplex) DAIt JUND RFLOOR L oing-Setbacks-Easements-Flood-Slope 2'Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ft Garage; Soils -Steel -Flet Grnd Ftg Dpth• ('(9 Porches/Decks; SoilsSteel Ftg Dpth 'bf3iemwalls Main; Steel-Blockouts- rapped 6 SS emwalls Garage; Steel -6lockouts -Wrapped &rHold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Pi rs-Frplc Ftg-Steel (0,7-0, 0(P I 1 WV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1.t Wtr Pipe; Test-Anchrs-Rgitr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 GirdersSills-Anchr BoltsJoists-Vnts-Cripples 15 Acc & Vntltn 16.lnsulation c` c` DATE IF I N G ills Proper Materials & Anchrs $Valls Studs -Nailing Spacing & Braces -Plates -Sound 1$4!(earing Walls over Girders & flr Nailing 2,RAraft Stop in Walls (rat proof) 2XFire Stops, Furred Ceilings -Stairs -Chasers -Tubs eaders & Beams-Sz & Bearing 2,3.Mangers-Post Caps-Anchrs-Cnnctns mg Joist-Rftr Ties -Purl in -Roof Brac TrussShthg ____ r��plc Ties or Type A Flue-Frplc Throat Clmc j�j�GirAtti Acc; Sz & Rmx Prtctn-Draft Stop4ns Baffles rm Wndws or Exiting Doors -Sill Ht & Dimensions Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 emirs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 2 i5 L76^ 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34J Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 7_4 race n Ext Wall pnls 38 Insu tn-Walls-Ceilings 39 Inf Itration-Walls-Wndws �C DATE JELECTRICAL AfrFxtr & Tmsfrmr CImc4ns Prtctn 4joElec Rcptcls Spacing-Lts & Switches at Doors 4211< Boxes & No Of Cndctrs Stapled ex Installed Close to Edge of Studs & CJ Grnd made up w/Mech Fstnrs 45'Grndng Electrode Bond Gas & Wtr ppinc Cires in Ktchn & Cndctr Sz GFI ubfeed Wire Sz 9 ❑ CU or [:1 AL W ire Sz 92 ❑ CU or ❑ AL MO;kange Circ Sr. ❑CU or AL Oven Circ ya ❑ CU or AL Insulated Neutral ❑Yes ONO Argervice-Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp - 51'61othes Closet Lt-Shwr Lt -Spa Lt 6 -2 -)Smoke Detector PLUMBING SiOVtr Htr; Vent-Acc-Cmbstn Air Baffle 5i44 t Pipe; Test & Anchr-Nail Prtctn :Z; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First flr-Tub Acc 57 Test Tub & Shwr, 2nd flr - Tub.Acc 5811las Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping oat ANICAL WAG Ducts Insultn & Support C6 -2 -)Vent Fan, Exhaust abv Insultn Sondensate Drain & Ovrflw, Sz & Grade � rnace-Vent Acc-Comb Air Rtrn/Vent 115 Outlet 63A'ttic Acc & Pltfrm if Furnace in attic X41 t Steps -Door & SideLt Prtctn-Landings i7 oke Detector Furnace Vnts-Cirnc-Comb, Air-Cnnctr Ir�arage; abv-flr-Ducts-Mech Prtctn oom Exiting GFI & Bath Fxtrs & Tub Acc-Spa 7G Arc Fault Elec Trim & Subpnl, Breaker Sts & Labels 7�s, Guard/Handrails 7 rc or Stove, Clrnc-Hearth T9'5IAc Outlets at Wood Pnl, Int & Ext 7 ttchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc :Y fa Outlets & Rcptcls at Ktchn Counter 7,3�G a Fire Door, Swing -Landing -Closure 79"AC Duct in Garage -Damper 80 tr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv flr MMeech Prtctn; LPG Appince Undr House 3" drain Alr rlmb• Elec & Mech Eqp Listed for Loctn 8 pec Rcptcls in Garage (GFI) Romex Prtctn 831n Itn-Foam-Looked in Attic 8 Rails & Deck Cnstrctn-Post Caps 8 dff'Vnts & Crawl Hole Door Drnge & Wood -Earth 86,'Clrnc Dmge Planters ❑ Yes ❑ No 4* -S ucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89Vnts abv Roof, Plmb-Appinc-Frplc-CImc to Opngs 90 -WIT -Well, Dscnnct, Elec, Plmb 91-Ext-E1ec Trim, GFI Reptel-Undrgrnd 92,-VMltn thru House mss Prtctn 94 -Corrections from previous Inspctns '�" as Test -Meters Tagged, Gas-Elec & Sewer Cnnctd-CIO to grade -HD Apprvl 9�gy Cmpinc Cert -Other Certs dress Posted 99 Fire Sprinkler a1 s o'• o'er o` B_UTT-E. COUNTY DEPARTMENT, OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060301 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/08/2006 APN: 026-241-010-000 the Business and Professions Code, and my license is in full force and effect. License class : License Number: Site Address: 7673 OCCIDENTAL AVE PAL Map Index: Date: Contractor: Description: NSF (1554), GAR(517} COV(165) 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 Owner: CERVANTES JESUS &MARIBEL 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 7673 OCCIDENTAL AVE 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 PALERMO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95968 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' Stale License Law does not apply to an Applicant: CERVANTES JESUS &MARIBEL 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 7673 OCCIDENTAL AVE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of PALERMO, CA proving that he or she did not build or improve for the purpose of 95968 sale.). (530) 534-5936 ❑ 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: ❑ I am Kem t under Article f e B in s end Prof sions Code Date Owner: WORKERS' COMPENSATION D�C ARATION I hereby affirm under penalty of perjury one of t e 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: insurance carrier and policy number are: Carrier: Policy#: Total Square Ft: 2236 S.F. I certify that in the performance of the work for which this permit is Valuation: $116,058.00 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. Datet V Applicant: WARNING: Failure to sec a wor rs' compensation coverage is em,0 r to criminal penalties and one unlawful, and shall s dollars hundred thousand dollars ($100,00 ), in addition to the cost of , I ji Vl/ 1"nC-.l� J `-�• compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. -3Q ] _ 4 ` x(1 Le � 11 CONSTRUCTION LENDING AGENCY This permit is hereby issu d 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 d +ice ove for which fees have been paid. - performance of the work for which this permit is issued (Sec 3097 Civ.) , y /. Name: By: %` Date: c� V Address: PERMIT EXPIRES ON: v Dale ❑ 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. 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 f a y official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection p e . 4 Print Name: (l �b %� Signature. Date: ❑ Owner ❑ Contractor d1 Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BPN 03 OFFICE 9: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION BIN #A I Website: www.buttecounty.net/dds ¢ "PLEASE PRINT CLEARLY" 31MIf� (1.(n) OWNER INFORMATION Last Name, e f (/ Vl t _ first J.. Address 76-73 Or C e .-i -It a 1 ,,L_ City P State Zip 7 Phone- .:5-31-c 52 Fax E-mail CONTRACTOR Name h ✓ Address City State Zip Phone E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City /C� Address Zp 5g�� City State Zip Phone Fax " E-mail SIX License Number APPLICANT INFORMATION Name( � r E- cI(L c it Gto r Address 7 C0 5 n ir�- City /C� State Zp 5g�� Phone 7 6 q Fax E-mail For office use only: Zoning /9 _ Flood Zone Cross Street SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PROJECT LOCATION AP# 6 4 Property Add -7 . C 16 r Q TaFKa/ jm 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 Descrin or Scope of Work: PO Sq FT- Living 1'55-4t g/ 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 OVER FOR SUBMITTAL REQUIREMENTS L K \F(IRMC\RI III r)lNr, Fr1RPAC\RIAnAnn1RiihRnmN rinr. Pace 1 of 2 1 Received by: K b . Amount: 1 r Bldg SRA Receipt #: Sheri f �y3 gl� SMIP Date: 2 9M Other '1 J!) a(n� Total REV 8-12-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS16N 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax'(530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: C eh VQ I ICS ASSESSOR PARCEL NUMBER 02_ Q- 2.q 1-010 Proposed Building Use: NSF Nell I n �' Permit Technician: \ G• Date: 2-q - Q lQ Items equired 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. N 2. Complete planG 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. `�0 4. Engineered truss details and layouts in duplicate. No faxes! o� . 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. \AI 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings N12. Hazardous Material Form � 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other ,rjaWaining items needed to issue the permit. (May require additional plan review upon receipt of the following.'tems.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, ca - Slie p� i 2 floor Ell16. Fire Sprinklers............................................................................................ 115, .0 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... 19. Erosion Control Plan Required........................................................................ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 1 21. 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: ............ 0(, 24. Planning approval for (A) Use: ✓CB)Parking: ---(E) Parcel Check: ............ 3,0,%4*tc96 ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ A� 26. NPDES Form.............................................................................................. IV I V 27. Encroachment Permit for driveway from the Public Works Dept ........................... 7t28. Contractor's'license information. (Number, Name Style, Classification) ................... `'j ❑�� 29. Worker's Compensation Carrier and Policy Number A ..................................... 30. Owner -Builder Verification (_Given to ownerV 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.......................................................................................... V_4A 35. ❑ Legal descripti n, ❑ M.H. Title, title arch, registration or MCO ....................... 36. Other: i--sy)'� ❑ 37. Other: When issued Telephone�-' ?)711 } awntr pickup. Telephone')711 .. r�B . and hold for I h ve be red of the hove items an requirements for obtaining a building permit. App' t: Date: 1. Index pe plication for the a item ber Plan Check Iter 2. Additional items oC Contractor, designe , own r, s adv a of the abo a dat on ❑mail, ❑counter, by Date: Contractor, designer, e , 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: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date Structural approved by:, 7 Date Note transfer by: Date: Yellow: Building Division BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecount/.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner CERVANTES Application Date 2/9/2006 APN No: 026-241-010 Permit No: BP 060301 Permit Type: NSF DWELLING 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION Plan Check portion of Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 (State Responsibility Area) Building Inspection $109.98 .—' NON-REFUNDA6LE nortinn of fees riue at annlicatinn _. $2,571.62 $1,028.65 $1,542.97 Balance of Building Permit Fee $109.98 0 _ $204.98 RECEIP DATE FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $1,138.6 Daiance or Dwimny r-vFmi[ rees trrom no. -i aoovel SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) Additional Plan Check Fees (NON-REFUNDABLE) 12 SCHOOL DISTRICT FEES* 12a RECREATION DISTRICT FEES* TechlAsst FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $1,554.58 (� 93$ 2/9/06 Kourtni ` $1,542.97 wd Y /r _ $11.61 r/ ALJ 3 RECEIPT E UA I t Tech/Asst At the 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: �ii0 Pursuant to GovAment c i Se62O, yo re hereby notified those Items followed by an "* may have been imposed on your project. You have 90 days ' from the date of approval of the porc r from t impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Secti 6020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 BUTTE Q/OUNTY )DEVELOPMENT FEE CERTIFICATION FORM -Q(FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DR -PD) Assessor Parcel Number (s)C 2k-2 1-n I (� Building Permit Number 030 Property Owner (s)- 1,ry(1 4zl�5 Project Location /Address i A S OW C� UP Ed(irno cA TEOGS Subdivision Name Assessable Sq. Ftge I i Type of Residential Development (check one) New Development �/ Single Family -Detached Single Family -Attached Alteration/Additi on(s) Mobile home Demo Permit (date issued Comments: 169 Building 1 Non -Residential to Residential Mobile home replacement _ �firYli �la �nmP l I I I l0 ❑ FRRPD ❑ CARD 0 PRPD 0 DRPD certifies that: Date Multi -Family Dwelling verified by Assessor Department _ verified by Building Department i VV A w s a i nn ISP - cul l i l Applicant Name Phone Number Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ Remarks: per unit for a total of $ C6 per sq foot for a total of $ Paid by Check No: Paid by Cash: Receipt No: T,:_._..., v_.,,P ntn,ivr Date "A School District A.P. Number Property Owner TRA Oq2. BUTTE COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM (One form per Building) rovion NI �Y�� Building Depa ent No.. Q n Q Jurisdiction: City County iy Ce�rYAC1�'S Property Location/Address ���.� A QI a�-M 110 11 L 1� Subdivision Lot No. Residential Development Q . Q Q ': Sq. Footage rJ 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) Commercial/Industrial Q Q New Addition Sq. Footage (Including Exterior Roofed Areas) Date U6 02 26 District Ide/ntificatio�n No. ,l V 1 ,itjZYli School District certifies that (Applicant) (Street Address) (City) (State) (Phone Number) /l (Zip Code) has complied with the requirements of Resolution No. I ar" 9y by payment of $ representing/ 55 .square feet. School District Representative Paid by Check # Remarks B 2926 $ ULL MITIGATION $ Date Nodoe: You may protest the Imposition of the fees Identified above by submitting a written protest.to On District, In cornpllance with Government Code Section 66020(a), within 90 days from the date hes are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. N, subsequent to the School District Representative signing Ola Butte County Schools Impact Fee CwNcedon Form, on School District is notl8ed by the applicable Local Planning Agency that this project Is being rewWand under the Ca1Nornla Environnwntei Quagty Act (CEQA). this project may be subject to additional school has to fully nddgab its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant). feefonn.xls (3f05W= 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 prov the major labor and material for construction of this proposed � TrTo erty improvement: ] NO[ ]. 2. � [ ] 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: n, V E /e -I ADDRESS: e PHONE: (S?V R'S LICENSE NO: 7 a 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: v� ` a.JS r ADDRESS: P0 PHONE: 519-3giy :;:.'-CONI;RAC'fOR'S LICENSE NO: i/ ),S G Q 9' 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE :r TYPE OF WORK r.I SIGNED:. ° PROPERTY OWNER" 1 11nA DATE: NOTE: This Owner -Builder verification isrequired 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 �urT� ADMINISTRATION `BUILDING *GIS *PLANNING ° ,��\al 1/�0 0 7 County Center Drive 0 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 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 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, Califomia 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. 3 Maribel Cervantes Jesas Cervantes 7673 Occidental Ave. Palermo, Ca. 95968 Request for removal of home on 7673 occidental Ave. Palermo CA. Reason.for removal, Vto build new home r \ .x Phi--cs�6) (�1-qal,�'-�s�als°W-��3� •:ar•,1e:f� i? :! A15 Department of Public Works •.0 o u n t y o f B u t.. t o J. Michael Crunp. Director LAND DEVELOPMENT DIV51ON Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7-266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase ll Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACRE Project Description: IV&V K010 & Project Location and/or Parcel Number:—C9 Q �� 73 Or C i�LAa` A olersno 6 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: Date: Butte County Department of Developx71el2t Services ogUT�t`co w... 7 County Center Drive Oroville, CA 95965 fes" o o (530) 538-7601 Telephone (530) 538-7785 Facsimile cOUµty BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory. entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledgd: ® I need to submit applications for septic and/or well to Butte County Environmental Health immediately. e I arta required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for'disposition of plans. 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 rgguire submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other.:entities.must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: 6jo_ C "(j) e APN: Building site address: 7(--7-9 Occid 4 4-Z Permit No.: 6%, n,30 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: SIGNATUa4APPCANTi�T DATE MAY -02-2006 16:51 SSA989 P.01iO3 -5 i ✓`'I- S*6 . . � vyi�tAmr4, SOCIAL SECURITY ADMINISTRATION Feather River District Office 366 Percy Avenue = Yuba City;4 96991 Phone (630V7iiT Administrative Fax (530) 671.4826 FAX COVER SHEET Date: From: . To: Agency:_ Fax # 0, +� W/ � t to,,- -- r� r � .414. �i 0635 11 u ow Number of pages including cover sheet 'U' yavrProFany, U11 muldaMOE__. t845 E. John Sims Pkwy. Niceville, FL 32578 • (850) 729.9232 . Fax (850) 729.7080 3452 Lake Lynda Drive • Suite 420.Orlando. FL 32817-1472 0 (407) 365.5214 9 Fax (407) 359.0241 c 'A � A/ry �� i l ����,' MAY -03-2006 12:51 .v Catastrophe Operations 04/12/2006 Jesus & Marilbel Cervantes 7673 Occidental Ave Palermo, CA 95968 Re: ICC DOL: Policy#: FL: Property address: (Dear Insured: SSAM9 INSURANCE SERVICES INC. 12/31/2005 990121694305 7673 Occidental Ave Palermo, CA 95968 Professional Adjusters 4kk OZ P� f fo°� r" ✓sr f q cv`J Cay' s g r. IV "010 's�'`'"v vel This letter is to inform you of the federal requirements with regard to your Increased Cost of Compliance (ICC) claim. I have been assigned to assist you with your ICC claim. I have enclosed copies of the Standard Flood Insurance Policy (SFIP), Endorsement Number One, Coverage D — Increased Cost of Compliance for your review. The maximum amount of coverage available under ICC coverage is $30,000.00. In order, to proceed with your ICC claim, you are required to forward to us the following information, to determine if your building meets the qualifications under the SFIP, Endorsement Number One, Article 4 - Coverage D — Increased Cost of Compliance. 1. According to FEMA directive (301) your local building department must support the following information in detail, as outlined below: a. The flood zone your property is currently located in - b.State the market value of the building' -c. State the dollar amount of damages to the building caused by flood only' State which of the approved mitigation measures the building department is requiring you to perform (elevate, relocate, demolish or floodproof) e. Submit a copy of the permit issued by the community allowing you to proceed with the approved mitigation measure •g the dollar amount of the damages to the building caused by flooding is less than 50% on the market value (as determined by your community) you must determine if your community has a repetitive loss provision and forward a copy of the provision along with the above. 2. You must submit two (2) estimates, which detail the cost of the mitigation measure(s) approved by your community and an elevation certificate which shows the floor elevations, for your property, on the date of loss. I 845 E. John Sins Pkwy • Niceville, FL 32678 • (850) 729-9232 • Fax (950) 729.7090 iASo l al -a 1 uncle n.s.I- . Q.,A- A7n C 90W047 4 A7H . IAn1', OQt &nV A. G.... IAn'V% ocn Mn A. TOTAL P.02 MAY -02-2006 16:51 SSA989 P.02iO3 Once a determination has been made whether the building meets the qualifications under the SFIP, Article 4 - Coverage D - Increased Cost of Compliance, you will be notified. If the bullding does not meet the requirements under the SFIP. Article 4 - Coverage D - Increased Cost of Compliance your file will be closed, If the building meets the requirements under the SFIP. Article 4 - Coverage D - Increased Cost of Compliance, you will have 2 years from the We of your Community Letter to complete the approved mitigation measure(s) and submit the following information: 1. Final incurred invoice from the contractor. 2. An elevation certificate completed after the mitigation measure(s) have been completed. 3. A certificate of occupancy from the community building department or a letter from the community stating the risk Is in compliance with the communities current flood plain management ordinance. 4. A photos of the building after the mitigation measures have been completed. If you have any questions please contact me at 850.729.9232. Sincer ID nald Roberts cc: California State Automobile Association Dennis Hoogeveen File 1845 E. John Sims Pkwy a Nicaville. FL 32578 • (950) 729-9232 . Fax (650) 729.7090 3462 Lake Lynda Drive • Suite 42o 9 Orlando, FL 32817.1472 • (407) 365.5214 • Fax (407) 359.0241 MAY -02-2006 16:51 SSR%9 ARISDICTION Rapid Evaluation Safety Assessmont F P. 03/03 L`LU6&1. - - •-- . . 0;Vb -;14l - 010 BUnDNi G DESCRIF130M None: w Address: wY �4 Gdnr►►� No. of stories: �—/ Basement: Yes Q No U- Unknown ❑ Primary Occupancy: Dwelling 21- Other Residential Commercial ❑ Office ❑ Industrial ❑ PubLc Assembly ❑ School ❑ Gove.•nment ❑ Emer. Se: r. G Historic ❑ Other .� OVERALL RAT LNG: LLNSPECTED (Green) ,dor oni-i E:tterior and Interior Lu4MD ENTRY (Yellow) C1 UNS.�' (Red) ❑ INSPECTOR - Inspector ID MY AfLa_ion �. e�.✓G s�✓ INSPECTION DATE: _ 6 Mo/day/ye - "ri_M ani p RE Instruetons: Review structure for the conditions lasted below. A "yes" answer to 1. 2, 3, or 5 is grounds for posting entire structure UNSAM If more review is needed, post L WrED E,- Mff. A "yes" answer to 4 requires posting AREA UNSAFE and/or barricading around the ha' lard. Hazards such as a toxic spill or an asbestos release are covered by 6 and are to be posted and/or barricaded to indicate AFS S UNSAFE. 1 Z P1.1 Review Condition Yrs _ IVO Needed 1. Collapse, partial collapse, or ba&g off foundation Cl ❑ ❑ ❑ Cl Z: S. Building or story noticeably leaning Severe racldng of walls, obvious severe damage and distress ❑ ❑ 0 4. Chirrmey, parapet or other falling hazard ❑ ❑❑ ❑ ❑ 5. Severe ground or slope movement present Cl/ Q� ❑ ❑ 6. Other hazard present Recommendations: ❑ No further action required ❑ Detailed Evaluation required (circle one) Structural Geotechnical Other ❑ Barricades needed in the following areas: ❑ 0, Ther. PostPrl nt this Assessment: Cor []Yes ❑ No TOTAL P.03 MAY -03-2006 1626 SSR%9 Q � P.01i02 G CIO USA • f�ISTRp' SOCIAL SECURITY ADMINISTRATION Feather River District Office 355 Percy Avenue = Yuba Clty;CA 95991 �! Phone (530) 67•1-4218 Administrative Fax (630) 671-4826 FAX COVER SHEET Date: From: Llrvt To: s VL40, f Agency: : Fax # — ' Message: Number of pages including cover sheet • RECEIVED HIAY a 3 2006 • COUNT V qt BUTFE i,A{+tD DEVELOPMENT DIV MAY -03-2006 16:26 r, ic 0 P SSP9_89 ..—�.— HATK)MR00001KRAKEPROGM ELEVATION CERTIFICATE Raedthe btabnKlloltti on Patties 1-T. -_h�1' P. 02102 v.Mic. Pow. .+wa-v.., Expires December 31. 2006 farnrua m BUILDING STREET ADDRESS (tn tW% Apt, Unk Sure, endror Bw9• No.) OR P.O. KXM AND BOX NO. � Company MIG NUMM I 76Td 006dettlaa Ave. CITY __.. STATE lwcave PWWM CA 96888 P DlrSC rnoN aA and so* kLnbm To Parcel Number. Lepel DwwWon, etc:) Apr. 026.211-010 BUILDING USE (e S. Nwms ienw AWITkAommaq. etc Use a areal. d neoeaesery.) (-asr-attrtr' etr ilttl C31Z927 51 19gf0 IJSCiS&ad—MPP _ SECTION 8 - FLOOD M ANCE RATE MAP PFIRif) KWAATW Bt.NFIPCOMIAMYtYAM&COWA NITYNUMBER EMCOJONIVE e3,STATE amCanyttninoot;I -1, AM BM CA Of ANIPN OPANEL 97.FIRMPAnE. am-ft=aMrow NLfM0131 BGSUFFIX KFMMINIMOATE OTECTIlislemmm 8&M Dl0WM V"AQur MOdit") 060?I0001 C JuneB,1111 Jtne6,89 AH 152 810.ktdcdsttteeoutoedttteBeoeFood Rtrah @Mddaerb2wA000 NPIM tereanIx ❑ FIS Prdb ® FRA ❑ Camwniy Detem bW Eldlw (Oewfth — 611. Indcato ftdon dAn used fortmWE in M. 0 NW19M 611.IndcatfsftdondAnusedforttteWEnM9:®NW19M DNM1988 1301w(Dwm7a)._ c1.8t"gdeveiormexettesedarK®uMwc6mDrawlttg5" OBAdngUrderCansi»,etlon' L1RW1edcattvtruofM •AnewOwigm0lboasbere*Wwhetm dndmdthebuiMgiseongleee (Z&JAVpiVam{ gdmlpWtltebA gdgnmoduniff btekftjbVhchft PP Ift Ieis" amtpaled-eeepagee607, brodagrarn amuraiehaeDrinn nIs ft bd ft plaid*a ddM ur0K1ogaplt.) C3. Elwakm-Zones A1,A30, AE, AH, A (wM BFB, VE, V1430. V (W EIM Aft, ARID ARIAE ARiAI A30, ARIAH, ARIAO Contplele fis m p of below a000rdng b ttte buidrg diagram sp OW in ban C2 Stam fhe dahun used If t e datum s difevardfrom Bre dtthim used for dre 8FE n Sect on fl. axwertthe datm b llid used farttte BFE Shaw NW messnarrsl.+and dabn ommusoa ralalaion. l)se the speoe p owIdW cr fheCAnrne* sw d Sedon 0aSedlan % as all I 'ap bdootmaa ttteda un cattosim Gahm— Catvs*ftCorrrnattta _ a0vaimniaetoenuk, umdappawantheFIRW ❑Yea ®No FF / o a)Tapdbdfomioor(ndudrgbaeenferdores+dostae) in MIL(m) o b) Top dred higherlbor tyg, tt(m) oc)Bommdlawedinto dWidnal-emitba(Vannesonly) WA. t(m) o d) Attatdted gauge (Oopdaleb) E g o e)LMwddeva mdmedirta sante q*mw t w" t I C aerviti�tttebuidn91DeeonbeinaCarmtenlsa� t53.00�(m) �� \,•�,�. c 11L��dl��fT�(�1 t19.7QR(tr>) �' o g)H$eetadjaoert&idt4pcb0M) io• KILO f,t: ivIL o h)Nndpwiw atlaperbp(floodverb)wBtn1ILaboveatijaoetttgradate A o D Tdd area d dl ptarn atentetperthtgo food vw" n CU WA s4 h• (%an) O 8ttir'RON D • BURVEM EMODU t. OR ARCNffWT CBiIfiCA I fit h1 L @O% .....- This eer8f)catkm is to be signed and sealed by a land surveyor, engineer, or andttted a dhodzed by law to oerW elevationbyl — ' • owev 1 cer* that the inbmdon in Sedans A. 8, and C on this o9 Vrt to represents my best o to to interpret rhe dare avalWk ROVED evOVED i rmderralsod that any Ibis@ dmWneat my be Purishobb by Bre or hAp#§&ymnt under 18 U. S. Code section 1001. CERTFIERSNAM JwwPwd UCENSEMAIM SM TITLE RCE W ~ N A M E—J-04 Vu WI ApppF.sS CITY STATE 2IPCODE 2380 Bd*M Ave. datiia CA 989 SIGNATURE DATE TELEPHONE VIM 534321.6118 FFJM Fane gal, Janus See mm" side for wMir"b". RepUms al onwAm editions RECEIVED TOTAL P.02 HAY 0 3 2006 LANDDEIELOPAME tOW RESIDENTIAL BUILDING RECORD .i L'�l'i'; t.:t ��:'�• rt 7. '%r.l ADDRESS DESCRIPTION OF BUILDING G/ SHEET OF ' / `SHEETS ,�26 - ZX -l- /d. CLASS 9 SHAPE CONSTRUCTION STRUCTURAL EXTERIOR ROOF LIGHTING AIR CONDITION ROOM AND FINISH DETAIL [� a Lf rQ / t Light Sub. Standard Fiame ��� ^ ...-� Stucco an F/ol / Piieh Wiring / Goble `(4 / K.T. Conduit Heo/ing Cao%n Forced /eoni ROOMS R FLOORS B I 2 FLOOR FINISH Molerial , Grode T M INTERIOR RI walls FINISH ceilings ARCHITECTURE Stondord _ _ _ _ Sheolhinq Siding Nip /4 V 1BX. Coble Gro,ily Humid At/ Above -Standard Concrefe Back Shed FlX!'UfeS Wal/Unit ' Stories Speciol 8.8 8. T 8 G cut Up few I laieap %"l En J. Ha// i e�LOTEY USE TYPE Br.ik Shing/es Dormers AV . �,/Medium f/oorUnit Living Single FOUNDATION Adobe Shokes Mdny IFoecial ZoneUnil Dining OlAlk ( Double Concrete Floor.Jois1: .88. 17746. Gullets Central,, A I l l! Duplex Reinforced /at r "X - PLUMBING Bed — Aporlment Brick -- _-- 2n°: "X - Brick �.yt1 SAin /e Poor Good i ,'i' ./ <?. dSbwi I E� Fiat Wood i Sub Floor Slone Shake Oi/Burner (` Cour/ viers Pf'-,tb_-`•` WINDOWS Tile Fixtures EM Mote/ ", • r D.// Casement Tile Trim WoterHeoter M B.T.U. :I�jLj ? Ly!V6vh1 Riohl Insulated Ceilin s Steel Josh ,e: Composition j Automolic Fireplace Kitchen i;�its Heavy Insulated Walls Screens ,t •-eompo. Jhin le c% Gds £Leet DrainRrl, Maleriol: jar n L /h: / ft. Sp/ash: y _ CONSTRUCTION RECORD EFFEC. APPR. NORMAL % GOOD RATING (E, G, A, F, P) BATH 'DETAIL Permit ,Vo. For Amount Dole YEAR YEAR Remoing 7.,,,,,/o Aqe Lite Cond. Arch. Func. con- Attr. Plan form. Stora espoce Work- Fl. No. uph'dC/oset hsh0 FINISH FIXTUR S Floors WO//S NalLo.robj Type Grodet, SHOWER T. .D. Fhv'sh 41,l g 7_77[�.:?GL- --- - - - SPECIAL FEATURES Book Coses-, Built-in Beds ✓eneltion Binds Shutters , — COMPUTATION Appraiser and Date BPS 32— 7 afi-13 Unit Area Unit COSP Cost Unit Cost Cost Unit Cost Unit Cost Unit Cosi Cost Cost C Cost Unit Cost Cost Unit Cost Cost Unit Cost Oast i l J 1p B14 i[ .It 6!.la.�l-frets fis of 3 3 9?� 27 .TOTAL Nr_ RMAL % GOOD " R " L.N.D. jQO�t� SBE-DAS AH -530A 1971 rr/t 6 7 Butte County Department ofDevelopment Services www.buttecounty.netldds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING June 6, 2006 Jesus and Maribel Cervantes 7673 Occidental Avenue Palermo, CA 95968 Re: 7673 Occidental Avenue Palermo, CA 95968 Assessors Parcel # 026-241-010 Dear Mr. and Mrs. Cervantes, I am in receipt of a letter to you dated 4/12/06 from Donald Roberts, of Insurance Services, Inc. regarding FEMA directive (301) and would like to respond. Item 1. a. See attached copy of the most recent flood elevation certificate in possession of the Butte County Building Division. b. As we discussed, as a local building department, we have no expertise or ability to determine the market value of your building, especially since the building has been demolished. This service would be performed by a licensed appraiser. I can offer you the Butte County tax assessor's current valuation of $69,643. (See attached) c. Again, as a local building department, we have no expertise or ability to determine a dollar amount of damages to a building. These would normally be provided by a licensed contractor in bid form. Our inspection revealed that the interior of your home was flooded with approximately 8" of water. d. As we discussed, Butte County does not presently have a repetitive loss provision in code. We would not require any mitigation measures as a result of a flood damage report, with the exception of the requirement for building permits for all repairs. e. In light of the above, we do not have building permits for repair to provide. If we can be of further service, please contact Scott Rutherford or Paul Klein. Sincerely, Scott Rutherford Manager, Building Division Butte County Department of Development Services FEDERAL EMERGENCY MANAGEMENT AGENCY r NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Impoft it Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION BUILDING OWNER'S NAME Jesus and Marybel Cervantes BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 7673 Occidental Ave. 4r, O.M.B. No. 3067-0077 Expires December 31, 2005 For Insurance Company Use: Company NAIC CITY STATE ZIP CODE Palermo CA 95968 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc) Apn. 026.241-010 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc Use a Comments area, if necessary.) Garage LATITUDE/LONGrTUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( #f - MY - ##.##" or ##.###W) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMON" NAME & COMMUNITY NUMBER B2. CWNTY NAMEI W. STATE Butte County UninaxporaW Area aft B4. MAP AND PANEL 153. 00 ft(m) B7. FIRM PANEL NIA. _k(m) 69. BASE FLOOD ELEVATION(S) NUMBER 65. SUFFIX 136. FIRM INDEX DATE EFFECTNEFiEVISED DATE 138. FLOOD ZONE(S) (Zone A0, use depth of flooding) 0600700995 C June8,98 June 8, 98 AH 152 810. Indicate the source of the Base Float Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Pdle ® FIRM ❑ Community Determined ❑ Other (Describer B11. Indicate the elevation datum used for the BFE in 139: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building locked in a Coastal Barrer Resources System (CBRS) area or Otherwise Protected Area COPA)? ❑ Yes ® No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ® Constnrdim Drawings' ❑ Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. It no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations—Zones AI -A30, AE, AH, A (with BFE), VE, V1 430, V (with BFE), AR, ARIA, ARIAE, ARIA1-130, AR/AH, ARIAO Complete Items C3. -a4 below aocording to the building diagram specified in Item C2. State the datum used. t the 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 _ Conversion/Convmerrts _ Elevation mlerenee mark used BCM 597 Does the elevation reference mark used appearon the FIRM? ❑ Yes ®No o a) Top of bottom fioo (mcluding basement or enclosure) 153. 00 ft(m) o b) Top of nehd higher floor NIA. _k(m) U) o c) Bottom of lowest horizontal structural member (V zones only) N/A . __!L(m)H o o d) AtactW garage (top of slab) NIA. _t(m) $ o e) Lowest elevation of machinery andfor equipment w `° servicing the building (Describe in a Cornrnents ani) 153.00 ft(m) E o f) Lowest adaoarht (finished) grade (LAG) 149.70 ft(m) z' m o g) Highest adacent (finished) grade (HAG) 149. 90 ft(m) o h) No. of permanent openings (flood vents) within 1 It. above adaoent grade N/A f3 J o i) Total area of all permanent openings (flood vents) in C3.h h A 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. I certify that the information in Sections A, B, and C on this cefificate represents my best efforts to interpret the data available. No t $0921 P ly��l 1 I understand that any false statement may be punishable by fine or im 1 1001. CERTIFIERS NAME JamesPursell BUILDING DMS NUMBER 60924 TITLE RCE APS Pursell Engineering ADDRESS CITY v STATE ZIP CODE 2360 Baldwin Ave.A Oroville CA 95966 SIGNATURE DATE TELEPHONE 1/18M 530321-6118 FEMA Form -31, Jan ary 2003 See reverse side for continuation. Replaces all previous editions .; ,. •'� +.+ ' � A..�.i � +� v of �"� � t���ry ci,.+ t IMPORTANT: In these spaces, copy the corresponding information from Section A For Insurance Company Use: "BUILDING STREET ADDRESS (Inducting Apt, Urnit, Suite, andiron Bldg. No.) OR P.O. ROUTE AND BOX Na PO4 Nurr� 7673 Occidental Ave CITY STATE ZIP CODE Company NAIC Number Palermo CA 95968 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community dW, (2) insurance agenUa i mpavy, and (3) building owner. COMMENTS ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), come Items E1 through E4. If the Elevation Certificate is Intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number _(Select the building diagim most similar to the building for which this certificate is being completed – see pages 6 and 7. ff no diagram aocurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is _ ft(m) _in.(an) ❑ above or ❑ below (dxd ane) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6.8 with openings (seepage 7), the next higher floor o elevated floor (elevation b) of the building is _ t(m) _in.(an) above the highest ad)aoent grade. Complete items C3.h and C3.1 on front of form. E4. The top of the platform of machinery ardor equipment servicing the building is _ lt(m) _in.(am) ❑ above or ❑ below (check ane) the highest adjacent grade. (Use natural grade, if available). E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local ficial must oertfii this Wwriation in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATNE) CERTIFICATION The property owneror owner's authorized representative who des Sections A, B. C (Items C3.h and C3.i only), and E for Zone A (without a FEMA -issued or community - issued BFE) or Zone A0 must sign here. The statements in Sectons A, B C, and E are coned to the best ofmy lacwfedga PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME Jesus and Marybel Cervantes ADDRESS CITY STATE ZIP CODE 7673 Occidental Ave Palermo CA 95968 SIGNATURE DATE TELEPHONE 530,5181781 COMMENTS ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the oommunitys tbodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Conplete the applicable item(s) and sign below. G1. ❑ The infomretion in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authamed by state or local law to oertify elevation information. (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 communityissued BFE) or Zane A0. G3. ❑ The following irr mnation (ftems G4 -G9) is provided for community floodplain management purposes. PERMIT NUNEER I G5. DATE PERMIT ISSUED I G6. DATE CERTIFICATE G7. This permit has been issued fa: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the balding is: — _fL(m) Datum: _ G9. BFE or (in Zone AO) depth of flooding at the building site is: — _ f4m) Datum: _ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ Check here 9 attachments FEMA Form 81-31, January 2003 Replaces all previous editions to Assessor Inquiry - Main Asmt: 026-241-010-000 Feeparcel: 026-241-010-000 Owner: CERVANTES JESUS MARIBEL Situs Address 7673 OCCIDENTALAVE PALERMO Structure d47,258 NameAddress CERVANTES JESUS & MARIBEL 7673 0 CCI D E N TAL AVE PALERMO CA 95968 — Status Date ACTIVE _ Total LSI Taxability Code Descr 000 NORMAL _ TRA _ Base Date 092-000— PP _ _ Creating Doc# ( Date 197BR2269164 7,000 Current Doc# Date Terminating Doc# Date Neighborhood C___ ( Supl Cnt 1993808673 103/03/1993 026 TR/Date ---------------- Status Asmt Description 76730 CCI DENTALAVE ENROLLED is BASE YEAR _ Land Use 1 Land Use 2 Zoning 1 Dwell 1 ------� `- U 1 • A_cres_.—...._— I SgFt —'---- 0 - — 10------ S S N 1- _— � S S N 2 - Parcel Desc: TownShip I Range Description TPZ Ag Pres I Etal l Bonds ❑_ I ❑ I ❑ I ❑ Multi ___ 910 MH ( Flag 1 1 Flag 2 _ _ ❑�I ❑ ❑ ❑ Asmt PP Tax PP Appeal I Split ❑ 1 13 1 ❑ I Comments -_❑ 2624101000 CONVERTED 09!08!88 — Land TO.LL CURRENT 22,385 Structure d47,258 _ Fixtures — Growing — Total LSI 69,643 Fixture RP _ MH PP - --- �-_--_-_ PP — Exemption 7,000 Net 62,643 TR/Date ---------------- Status -------- ----- Descriptioi I ENROLLED is BASE YEAR Main I Notes I Ownership Detail I Ownership History I Exemptions Mfg Homes I Attributes I Value History I Situs I Sales Ready. j sa 07l25IZ001 3:27:21 PM 'm e ,R TTF0 Department ®f Public Works 0 C o u n t y o f B u t t e 0 0 0 0 7 County Center Drive 0 0 Oroville, CA 95965 \ C� N ,�y J. Michael Crump, Director (530) 538-7681 (FAX)538-7171U Crc W ' . Shawn H. O'Brien, Assistant Director Assessors Parcel Number: 6 �'� -�� J Building permit # Owners Name: ///10 c', /o -V/ Owners Mailing Address: Property Address: "5, - ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER:-- Oe-() ENCROACHMENT PERMIT EXEMPTION: Reason for exemption: �6 Not a County maintained road Existing driveway conforms to County S-31 standard Other Approved by Printed Name Z.»�-%S —� dhHs6zs� Title Date CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT 1. An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage. 2. An existing home with only minor remodeling or repairs. `� I Recorded I REC FEE 10.00 ti AND WHEN Rl�t'JRDI✓D MAIL TO: Official Records . I BUTTE COUNTY BUILDING DIVISION But Countle I of I MWORIED COPY 1.00 7 COUNTY CENTER DRIVE 041M J. SUBS I OROVILLE, CA 95965 County Clerk-Recorderl I IRS 012:3 19--Apr-2006 1 Page i of P III"IIII'II�'II�I'III�I��III'I�' AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or/discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described'as follows: Sem' a,�-4�-�hrn�-►�- . Date &h. I , C) -()DLP PROPERTY OWNERS: State of California County of 10, 0aya'V-L41r!rZ)' MAilb personally appeared yl �I N_1''1JM-�-c5 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 within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. SignaturSeal:ROSA E by '\ ,I� jj COMM. 0 - Cowls 1571495 A.P. # _ �il I - so" Pow ftft �� aewpia mmo3 aa*W .;tikwlli ISM! k. `p* A PORTION _�F THE WEST ONE-HALF OF LOT 3 IN BLOCK 98, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF SUBDIVISION NO. 2 OF PALERMO C MAP WAS RECO DED IN THE RCITRUS TRACT BUTTE CO., CALA.', WHICH OFFICE OF THE RECORDER OF THE COUNTY- OF BUTTE STATE OF -CALIFORNIA, ON, JUNE 8, 1888, MORE PARTICULARLY DESCRI13EDAS E FOLLOWS: BEGINNING AT A POINT ON THE WESTERLY U SOUTHERLY FROM THE NORTHWEST CORNER' NE OF SAID LOT 3, DISTANT THEREON 132 FEET -NORTHERLY LINE OF SAID THEREOF; THENCE EASTERLY AND PARALLEL TO THE - LOT 3, TO THE EASTERLY THENCE NORTHERLY AND PARALLEL UNE- OF THE WEST ONE-HALF OO'SAJD LOT; TO THE WEST LINE OF SAJD LOT, A DIS THENCE WESTERLY AND PARALLEL TANCE OF 66 FEET - TO THE NORTHERLY LINE OF SAID LOTI3 TO THE WEST UNE SAID LOT;. THENCE SOUTHERLY ALONG THE WEST :)wj TO A POINT OF BEGINNING. OF SAID LOT, A DISTANCE OF 66 FEET 12 4 0 f it A S020M93: Main Physical Characteristics ,lan 23, 2006 fFile Edit Images Characteristics View QQptions System Help Asmk X26 241-01 0 000 Status Fee Parcel 026-241-010-000 Doc # Land Use Cat RESIDENTIAL �_�,„,•_:u.-__.a.rs_..._ .r:. Owner CERVANTES JESUS & MARIBEL Situs 17673 OCCIDENTAL AVE Land I I Structures I Units I MIX �CA Structure # Number of Residential Units 0 Has Fire Sprinklers 7eneral Conf Use ❑Impervious Surface I Code g Type Code Y Builder Code 0 Structural I Building Used For Code Model Description Roof Cover Code Buillding Designed For Code El Commercial Properties Roof Style Code Condition Code Net Leasable Area 0 Roof Pitch Code Quality Class D40AC Gross Leasable Area 0 Roof Structure Code Effective Year 1948 Office Sq Ft 0 Foundation Code Year Built 1900 Miall Height 0 Exterior Code � I B:tailding Size ;s .~ r !, i, j6 - Ratio 1 0 Flooring Code Sq Ft Unfinished 0 Ratio 2 0 Floor Structure Code Sq Ft Garage 0 Number of Commercial Units 0 Frame J Cade Garage Code Number of Industrial Units 0 Patio J Code Number of Floors 0 Number of Elevators 0 Decks [Code M + At- My Gr ti. kicaiittl - _ vale ocgierh.—..;-./ . Find... Land I I Structures I Units I MIX IS-) Value History Value Date ;Seq- 01/01/2001 :01/01/2000 01/01/1999 01/01/1998 DocNum 20011601 20001601 19991601 19981601 AppraisalCode I Enrolled BASE YEAR BASE YEAR I BASE YEAR BASE YEAR SuplNum E Land ' 20,709 20,303 19,905 119,543 Structure 43,718 42,861 42,021 141,258 Fixtures Growing I ' FixturesRealProperty PPMH PPBusiness Homesite TotalLl 64,427- ;63,164 61,926 60,801 HOXExemption 7,000 7,000 7,000 7,000 OtherExemption TotalNet 57,427 56,164 54,926 53,801 .TaxabilityFull 000 000 000 000 Aprld R&T Code 1 ;:R&T Code2 EventDate AppraisalDate Status ACCEPTED By Auditor ACCEPTED. By. Auditor PPPenaltylncluded BaseDate Use Code 1 IRS RS RS TaxRollDate 07/23/2001 07/20/2000 07/15/1999 07/04/1998 MHPPIncluded El El El El TRA 092000 092000 UserlD DTS sa 07/23/2001 sa '07/20/2000 CNV284K 10/06/1999 CNV284K 10/06/1999 tertr5d that tbi--as.a trot and mr,ec, mm or this rlswrd as main atni2d � 'v ikate Cowntj. �ss8ssar. Ple srr� , t1 is rude as to tl'n' P.=rQcy of the racord. Kenneth O. Reimers, Bl!itO COL:aty ",ssecsor Dote ccpiczd: Assessor Enquiry - Value History f Asmt: 026-241-010-000 Feeparcel: 026-241-010-000 Owner: CERVANTES JESUS MARIBEL Value Value Date History Seq 11/01/2005 01/01/2004 � 01/01/2003 01/01/2002 l 120031601 i D' ocNum 120051601 20041601 20021601 AppraisalCode I i I Enrolled BASE YEAR :BASE YEAR BASE YEAR 1BASE YEAR i SuplNum I Land' j22,385 ;21,947 21,545 21,123 Structure 147,258 .46,332 45,483 44,592 I Fixtures I Growing i. FixturesRealProperty i I PPMH PPBusiness i Homesite TotaiLl 69,643 ;68,279 67,028 165,715 HOXExemption 17,000 17,000 7,000 7,000 OtherExemption TotalNet 62,643 61,279 i 60,028 58,715 TaxabilityFull 1000 000 000 000 Aprld R&T Code 1 :R&T Code2 EventDate I AppraisalDate Status ACCEPTED By Auditor iACCEPTED By Auditor PPPenaltylncludedEl ! 0 El El BaseDate Use Code 1 ;Use Code 2 RS IRS RS RS TaxRollDate 107/19/2005 07/20/2004 07/18/2003 07/18/2002 MHPPIncludedEl i El El El TRA 1092000 :092000 092000 1092000 UserlD DTSBCI\MPTS200�07/19/2005 sa 07/20/2004 sa 07/18/2003 jsa 07/18/2002 I 1 ia�tfi!''l/ t� El �%li8 i-,,! 11- M-1 and c, osct Mpy of ,ic rai;crd as :�sse�scr. {Ga �n%;tr�;;�hv i5 nt::::•; as'•.o t1>z nowracy of tha r cord. Kenneth Reirnor , B 120 Covnty:'•wsecsar Date c:,pied- ORO_VILLE, CA 95965 COPY of Document Recorded . 19 -Apr -2006 2006-0019881 Has not been compared with original BUTTE COUNTY COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The .property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconvenience's or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, -State of California, described as follows: Date PROPERTY OWNERS: State of California County of On oXua-v)+ff!�:), M4tb before me, personally appeared l' w YI bf I 1/ t 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 within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and officialseal. / � Signatureocu/J Qd k l &-�l Seal: ROSH CM RAN COMM. #1571496 z z Notary Public . California 1►^ ry� Butte County. A.P. 4 09 W I- D l U r �� Comm.. fres 21 2009 A PORTION OF THE WEST ONE-HALF OF LOT 3 IN BLOCK 98, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF SUBDIVISION NO. 2 OF PALERMO CITRUS TRACT, BUTTE CO., CALA.", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY -OF BUTTE, STATE OF CAUFORNIA, ON.JUNE 8, 1888, MORE PARTICULARLY, DESCRIBED AS.FOLLOWS: �. BEGINNING AT A POINT ON THE WESTERLY UNE -OF SAID LOT 3, DISTANT THEREON 132 FEET SOUTHERLY FROM THE NORTHWEST CORNER THEREOF; THENCE EASTERLY AND PARALLEL TO THE NORTHERLY UNE OF SAID LOT 3, ' TO THE EASTERLY.UNE OF THE WEST ONE-HALF OF SAID LOT; THENCE NORTHERLY AND PARALLEL TO THE WEST UNE OF SAID LOT, A DISTANCE OF 66 FEET; THENCE WESTERLY AND PARALLEL TO THE NORTHNUNE SAID LOT 3 TO THE WEST OF SAID LOT;.THENCE SOUTHERLY ALONG THE WEST LAUNE TO A POINT OF BEGINNING. OF SAJQ LOT, A DISTANCE OF 66 FEET e` 11 Page 1 of 1 Rutherford, Scott From: Rutherford, Scott Sent: Tuesday, June 06, 2006 3:44 PM To: 'Maribel.cervantes@SSA.gov' Cc: Klein, Paul Subject: ICC Claim Letter Importance: High Attachments: SCN_20060606153841 001.pdf Maribel, I have sent the attached letter as a scanned document so that you would have a signed copy. Hope this assists you. Good luck. Scott 06/09/2006 V Butte County Department ofDeveloprnent Services www.buttecounty.netldds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING June 6, 2006 .Jesus and Maribel Cervantes 7673 Occidental Avenue Palermo, CA 95968 Re: 7673 Occidental Avenue Palermo, CA 95968 Assessors Parcel # 026-241-010 Dear Mr. and Mrs. Cervantes, I am in receipt of a letter to you dated 4/12/06 from Donald Roberts, of Insurance Services, Inc. regarding FEMA directive (301) and would like to respond. Item 1. a. See attached copy of the most recent flood elevation certificate in possession of the Butte County Building Division. b. As we discussed, as a local building department, we have no expertise or ability to determine the market value of your building, especially since the building has been demolished. This service would be performed by a licensed appraiser. I can offer you the Butte County tax assessor's current valuation of $69,643. (See attached) c. Again, as a local building department, we have no expertise or ability to determine a dollar amount of damages to a building. These would normally be provided by a licensed contractor in bid form. Our inspection revealed that the interior of your home was flooded with approximately 8" of water. d. As we discussed, Butte County does not presently have a repetitive loss provision in code. We would not require any mitigation measures as a result of a flood damage report, with the exception of the requirement for building permits for all repairs. e. In light of the above, we do not have building permits for repair to provide, If we can be of further service, please contact Scott Rutherford or Paul Klein. Sincerely, Scott Rutherford Manager, Building Division Butte County Department of Development Services ,s . FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Importwt Read the instructions on pages 1- T. SECTION A - PROPERTY OWNER INFORMATION Falnwrarxe Car�arhy Use BUILDING STREETADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. I Company NAIC Number 7673 Occidental Ave. CITY STATE ZIP CODE Palermo CA 95966 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Desai0on, etc.) Apn. 026x241-010 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, eta Use a Comments area, ff necessary.) LATTTUDFAONGITUDE (OPTIONAL) HORIZONTAL DATUM: ( #0 - #IP -##.##* or ##t.# ❑ NAD 1927 ❑ NAD 1963 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFlP COMMUNrIY NAME & COMMUNITY NIJWER B2 COUNTY NAh E B3. STATE Bufle Courrty Ud=rporated Arai Butle CA ❑ Other B4. MAP AND PANEL 6/. F RM PANEL B9. BASE FLWD ELEVATION(S) NUMt3ER BS.SUFFDC B6. FIRM INDEX WE FJFECTIVEIREVEEDDATE 138.FLOODZONE(S) RavAO,use depth dUo M) 060D7C0995 i C Jaffe 8, 98 June8, 98 AH 152 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9 ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other(Desrnbe): _ B1 I. Indicate the elevation datum used for the BFE in 69: ® NGVD 1929 ❑ NAVD 1988 ❑ Olher (DmcriI#. _ B12 is the balding located in a Coastal Barco Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ®No Designation Dale SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ® Construction Drawings' ❑ Building UnderConsfnction' ❑ Finished Construction 'A new Elevation Certificate will be required when construction of the bung Is complete C2 Building Diagram Number 1(Select the buldmg diagram most similar to the bul&g for which this certificate Is being completed -see pages 6 and 7. If no diagram accurately represents the bulking, provide a sketch or photograph.) C3, Elevations –Zones Al -A30, AE, AH, A (with BFE), VE, V1 430, V (with BFE), AR, ARIA, ARIAE, ARW A30, AR/AH, ARIAO Complete Items C3. -a+ below accad>ng to the balding diagram specified in Item C2. State the datum used If the datum is ditwt from the datum used for the BFE In Section B, convert the datum to that used for the BFE Shay 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_ ConversioNCorunents_ Elevation reference mark used BCM 597 Does the elevation reference mark used appear on the FIRM? ❑ Yes ®No o a) Top of bottom floor (enduing basement or endosure) 153. 00 ft.(m) o b) Top of next higher floor WA . _ft.{m) a o c) Bottom of lowest horizontal structural member (V zones only) WA 1t(m) v °1 o d) Atadned garage (top d stab) NIA _ft.(m) ra o e) Lowest elevation of machirrery ardorequipment servicing the building (Describe in a Comments area) 153.00 ft.(m)' o t) Lowest adienl (finished)ac(finished)grade (LAG) 149.70 ft(m) v o g) Highest adjacent (finished) grade (HAG) 149 90 iL(m) p o h) No. of permanent openings (flood vents) within 1 ft above adjacent grade WA o I) Total area of all permanent openings (flood vents) in C3h WA sq. in (sq. an) 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 I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. be punishable by fine or ficin) go t 60924 J CERTIFIERS NAME James Pursell BUILDING — �'�JffUMBER 60924 TITLE RCE APP �" 1!P ptrrsetl Engineering ADDRESS CITY �STATE ZIP CODE 2360 Baldwin Ave. OrovnTe CA 95966 SIGNATURE DATE TELEPHONE 11181116 5303216118 FEMA Form -31, Jan ary 2003 See reverse side for continuation Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding Information from Section A Falrsanoe Cahnpany User BUILDING MPMADDRESS (Indudug Apt. Unit Site, ardor Bldg No)OR P.O. ROUTE AND BOX N0. PokyNumber 7673 Ocddental Ave CRY STATE OPCODE CompanyNAICNumber Palermo CA 95968 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certi6cale for (1) community offal, (2) insurance agentloompany, and (3) building ower COMMENTS ❑ Check here I attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) ForZone AO and Zone A (without BFE), complete Items E1 throuig h E4. If the Elevation Certificate Is Intended for use as supporting informallm far a LOMA or LOMR-F, Section C must be completed. E1 Building Diagram Number _(Select the building diagram most similar to the building forwNch 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 (including basement or enclosure) of the burbling is _, IL(m) --h(cm) ❑ above or ❑ below (check one) the highest adjacent grade (Use natural grade, if available). E3. For Building Diagrams 613 with openings (seepage 7), the next higher floor or elevated floor (elevation b) of the building Is _ ft.(m) _in.(cm) above the highest adjacent grade C mplete items C3h and C3.1 on front of form. E4. The top of the platform of machinery andlor equipment servicing the building is _ ft(m) _in.(cm) ❑ above or ❑ below (deck one) the highest adjacent grade (Use natural grade, if available). E5. For Zone AO only: If no flood depth number is available, is the lop of the bottom floor elevated in accordance with the community's floodplain management ordnanoe? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information U Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property amw or owner's authorized representative who completes Sections A, B, C (Items C3h and C3a only), and E forZone A (without a FB A mLmd orcommunity- issued BFE) or Zone A0 must sign here. The statements in Sections A Q G and E are cared to the bestofmy Jm Wedgs PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVES NAME Jesus and Marybel Cervantes _ ADDRESS CITY STATE ZIP CODE 7673 Occidental Ave Palermo CA 95968 SIGNATURE DATE TELEPHONE 53051t3-1761 ;Ki121(•to ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local oftial who is authorized by lase or adnanoe to administerthe commur4s floodplain management ordnance carp complete Sections A, B, C (or E), and G of This Elevation Cerfificale Complete the applicable items) and sign below. GI ❑ The information In Section C was taken from otherdocume ntation that has been signed and embossed by a licensed skaveyor, engineer, or architect who is authorized by state or local law to certify elevation information (Indicate the source and date of the elevation data in the Comments area below) G2 ❑ A community official compleled Section E for a butidng located In Zone A (without a FEMAissued or community Issued BFE) or Zone Ail. G3. ❑ The fctlowing iia wTWon (Items G4 -G9) is provided for community floodplain management purposes. G7. This permit has been issued for. ❑ New Construction ❑ Substantlal improvement GB. Elevation of as -drill lowest floor (inducting basement) of the txnbling is: �tL(m) Datum: G9. BFE or (un Zone AO) depth of flooding at the building site Is _. — ft(m) Datum _ LOCAL OFFICIAL'S NAME Tau COMMUNfTY NAME TELEPjiONE SIGNATURE DATE fi?i),mlkld► ❑ Check here rf attachments FEMA Form 81-31, January 2003 Replaces all previous editions Assessor Inquiry - Main Asmt: 026-241-010-000 Feeparcel: 026-241-010-000 Owner: CERVANTES JESUS MARIBEL Situs Address 7673 OCCIDENTALAVE PALERMO NameAddress CERVANTES JESUS & MARIBEL 7673 OCCIDENTAL AVE PALERMO CA 95968 TAXROLL (CURRENT Status I Date ACTIVE I Structure Taxability Code I Descr 000 I NORMAL _ I TRA I Base Date 092.000 I Total L&1 Creating Doc# I Date 197BR2269164 Current Doc# I Date 1993ROB673 103/03/1993 PP Terminating Doc# I Date Exemption 7,000 I Neighborhood C ... I Supt Crit 026 I R /C # Asmt Description 7673 OCCIDENTAL AVE Land Use 1 I Land Use 2 DeseFiptioil Zoning 1 I Dwell 1 U 11 _ Acres I SgFt 0 I O SSN1 ISSN2 Parcel- Section I TownShip I Range i I I =sRi Description TPZ I Ag Pres I Etal I Bonds ❑ I ❑ I ❑ I ❑ Multi _.. 1910 MH I Flag 1 I Flag 2 ❑ I ❑ I ❑ I ❑ Asmt PP I Tax PP I Appeal I Split I U I U IU I U l- I Notes I Ownership Detal I Ownership History I Exemptions Mfg Homes I Attributes I Value History I Situs I Safes __..�.---._............. . .:z,,,,, .,r t � . , ,,, .. r r . ,.�e.. , .., x ., r H. i .,.. , ..,� :v, -:sa: • a f .r•c, , �.-_ . �f• :'@F,'i< P'M a. _ ...k. _ - t^a _=;f.�•_ a a 5 ._ r L .. . , n r . ,. ... t ._.., r xf , . , %. -:r.,_„ a.rCv .� ``7 >.... ,r?•:•j": zt-�1 ..P,' 9.. > .... ....a,...w •yrtx..:.... i.- .u. i 'i:_' .1..._;;:%•: ._ :_lam>..,..... .. lt. 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PM� _ TAXROLL (CURRENT Land 22,385-� I ---� Structure 47258 Fixtures _ I browing I Total L&1 69,643 I Fixture RP MH PP PP Exemption 7,000 I Net 62.643 R /C # TR/Date Status DeseFiptioil ENROLLED is BASE YEAR I Notes I Ownership Detal I Ownership History I Exemptions Mfg Homes I Attributes I Value History I Situs I Safes __..�.---._............. . .:z,,,,, .,r t � . , ,,, .. r r . ,.�e.. , .., x ., r H. i .,.. , ..,� :v, -:sa: • a f .r•c, , �.-_ . �f• :'@F,'i< P'M a. _ ...k. _ - t^a _=;f.�•_ a a 5 ._ r L .. . , n r . ,. ... t ._.., r xf , . , %. -:r.,_„ a.rCv .� ``7 >.... ,r?•:•j": zt-�1 ..P,' 9.. > .... ....a,...w •yrtx..:.... i.- .u. i 'i:_' .1..._;;:%•: ._ :_lam>..,..... .. lt. (i.,..} -.f �irC`..$'S.mc54"Rr.. ,!:; .?�.:r �lr' r s ..:m... .. , .. ,.. .l; :: ,r!s,r,R•�".f s ,:,1 ., :I� �- rt.... >. s. �r f�::: ..1.F i.,...k ,:...,.....� _, ..,. ,.... r. a.....:..:_:. ,_., t�z..,.� �,. , . •�r.,...�... _ .:,... ,s•�';.r; i s$`07l2522D013' p. ead ....,,1:.>.;. {.. .. i�✓. rr_.x,�.. n,...r..., ..�...:U .�•1�.::.ey.; .r ... .... ......:,,:r;:_Sic;;:��:•..�z.�_��.E.__....a^:'r.':'a.e:"+=-'-x�'T�i�c1=?:�—....__...a..-,—.�---..�...�:,......7.__�_y_...—...,.... .-...... e:_;�___:a�......_,_.. I. PM� _ 026241-010 06-0300 CERVANTES, JESUS B 7673 OCCIDENTAL AVE, PALERMO 0u.-rE iii O T E S . 7 Cont: OWNER DEMO APN: Owner. Site Address: Contractor. Type of Permit: n RESIDENTIAL Permit No. SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED.: `(✓ L SIGNATURE: CHECKED BY = OK.. = mm nK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line ' 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C K S'C O V E R S`C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-Cnnctrs-Steel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls 4e DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pniboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr, Fencing -Alarms 13 Bonding, Diving board or Slide s` Pool Drawing •=OK Not OK RESIDENTIAL (Single & Duple)o DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Opth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub-Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1l Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE M E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support _ 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16• Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 11 S Outlet 65 Attic Acc & Pltfrm if Furnace in attic o'`o o` °,.• ops 4 DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE F I N A L 1 B Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Meth Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFl Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat CImc 72 Elec Trim & Subpnl, Breaker Sts & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking CImc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rfir Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-ClmcCom Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loan 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 3B Ins ultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 CImc Dmge Planters 0 Yes [::]No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb Appinc-Frplc-Clrnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Trnsfrmr CImc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz (P CU or ❑AL 98 Address Posted AC Wire Sz ga ❑ CU or ❑AL 99 Fire Sprinkler 48 Range Circ ga ❑CU orQAL Oven Circ ga QCU or ❑ AL Insulated Neutral DYes F-1 No o` 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp CImcs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 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. BP060300 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: 02/09/2006 APN: 026-241-010-000 the Business and Professions Code, and my license is in full force and effect. License Class License Number: : Site Address: 7673 OCCIDENTAL AVE PAL Map Index: Date: Contractor: Description: DEMOLITION OF SF (1116) 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 a Owner: CERVANTES JESUS &MARIBEL 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 7673 OCCIDENTAL AVE 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 PALERMO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95968 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 Applicant: CERVANTES JESUS &MARIBEL 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 7673 OCCIDENTAL AVE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of PALERMO, CA proving that he or she did not build or improve for the purpose of 95968 sale.). (530) 1534-5936 ❑ 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 Exempt under Article 3 f e Business and P ofessions Code Date_, -4<� Owner: � I WORKERS' COMPENSATION DECLAFIATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy #: Total Square Ft: 0 S. F. ❑ 1 certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall }� p forthwith comply with those provisions. Date: `( Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY 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 Civ -)B performance of the work for which this permit is issued (Sec 3097 Civ.)N Resolfyis to do work Indic ted a ove for which -fees have been paid. - - `1 n _ n _ D G Name: Date: L Z -0 _ PERMIT EXPIRES ON: - 'I Address: (Date) ❑ 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. 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 purp ( ''JJr Print Name: 1y C[JJ � — CJ 10 Ar 0, ki t Signature: — G — dy Date: ! ❑ Owner ❑ Contractor Ia 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 rNSPECTION#: 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** OWNER INFORMATION Las _amen e irst-4me Address City YY� StateC Zip �S 90 Phon • Fax E-mail , ARCHITECT/ENGINEER CONTRACTOR Nam City Address Zip City State Zip Phone ax E-mail Lic. # Class ARCHITECT/ENGINEER Name Address City Cit Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name - G S Addres , Flood Zone Cit Statgg,, Zip P% / e S� �T Fax E-mail M-1 r" W07nNA-M4 'Fj For office use only: Zoning 0 Flood Zone I I SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT. NO. BP BIN # PROJECT LOCATION /l// __ AP# v��P of 0 Pro elty M OCC Cross Street WORKER'S COMPENSATTON- 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. - LENDINGAGEWI Y Name Address Description, -or Scope of Work: 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 tate of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: OVER FOR SUBMITTAL REQUIREMENTS L K \Fr�RMC\RI I11 r1Wr: Fr1R1\AC\R1rinAnnlCnhRnmtc tint Paoe 1 of 2 Receipt #: 4 43315 Date: 2 q _TJ Amount: Me Sheriff SMIP Other 0 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 . O 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 UFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 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. 1 personally plan to prov the major labor and material for construction of this proposed property improvement: (S ] NO [ ]. 2.'[ ] 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: E l t (. ADDRESS: et O c S PHONE: S y -Of C TRACTOR'S LICENSE NO: 7 P 411 ,9,9 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: Lh V." 0,,, , :1 c ADDRESS: PO or11_111L Zu PHONE: is9— 3 q 1 y , CONTRACTOR'S LICENSE NO: �/ E, CJ 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 iEt4L Opt,7-,c-5 r"i ��ni u,r_ :��:� SS� � u4e,- s0 P;04 SIGNED: " PROPERTY OWNER:tiAA r.., I � Ai A1 DATE: NOTE: This Owner-Buildet 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 S0200093: -Main Physical Characteristics Jan 23, 2006 03:19 pry File Edit Images Characteristics View Qptions System Help Asmt 926-241-010-000 Status [A Fee Parcel 026-241-010-000 Doc # Land Use Cat RESIDENTIAL Owner I CERVANTES JESUS & MARIBEL #0 Image Viewer Situs 76730 CCI DENTALAVE Structure # F 1 Structure Code Number of Residential Units 0 • Has Fire Sprinklers Li El General Conf Use ❑ Impervious Surface Code Building Type Code Y Builder Code O Structural I Building Used For Code Model Description Roof Cover Code Buillding Designed For Code E Commercial Properties Roof Style Code Condition Code Net Leasable Area 0 Roof Pitch Code Quality Class D40AC Gross Leasable Area 0 Roof Structure Code Effective Year 1948 Office Scl Ft 0 Foundation Code Year Built Wall Height 0 Exterior Code � Building Size Ratio 1 0 Flooring Code Scl Ft Unfinished Ratio 2 0 Floor Structure Code Scl Ft Garage 0 Number of Commercial Units 0 Frame Code Garage Code Number of Industrial Units 0 Patio Code Number of Floors 0 Number of Elevators 0 Decks J Code R T J %/ Find... S 01 � J Land Structures I Units M isc Maribel Cervantes Jesas Cervantes 7673 Occidental Ave. Palermo, Ca. 95968 Request for removal of home on 7673 occidental Ave. Palermo CA. Reason for removal, to build new home ► GYN aa, _'��� v� D a BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541' FAX: (916) 538-2140 7 February 19, 1993 Bank of America 1820 Oro Dam Blvd.' Oroville, CA 95965 RE: Recent Correspondence A.P.#026-241-010 Attn: Janet "J.P.".Plott: With reference to the above -subject and your letter dated February 17, 1993, the ,house at 7673 Occidental Ave.; Palermo, is currently in an ARMH-1 zone which allows residential construction. If your house is destroyed by fire or other disaster, it may be reconstructed if in compliance with the building and sanitation and zoning codes in effect at the time of.reconstruction. Since the property is within the FEMA, AE flood' zone, it must comply with the flood zone requirements in effect at the time. Should you have any questions concerning this matter, please contact this office at (916)538-7541. Yours very truly, r t5, ,W ftrm i d JFG:.hla J.F. ClandeYr Manager, Building Inspection x "0 - A Filo No, BUTTE COUNTY (Par Action 1, 2, 3) Public Worke Dept. (For Information ✓ ) Director Dap. Dlr, Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping T ran s p. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Add;. 40 Un Bank of America Oro Dam Branch February 17, 1993 Butte County Building Department 7 County Center Drive Oroville, CA 95965 Re: 7673 Occidental Ave. Palermo, CA 95968 AP 426-241-10-000 To Whom It May Concern: Coe N pl Of UNG 7E FEB 18 1993 The Bank of America is preparing to finance the property noted above. Due to the zoning of the property, Bank of America is requesting a "Burn -Down" letter from the county, stating that in the event the existing property were to burn down, that the county would permit the owner to re -build the same type structure. Upon your approval, could you please send the letter directly to Bank of America in the envelope provided. Your assistance is greatly appreciated. erely, 6Jpanet "J.P." Plott Assistant Vice President 916 534-4033 Bank of America National Trust and Savings Association 1820 Oro Dam Boulevard Oroville, California 95965 I LONGFELLow LUMBER CO. INC. Quality Design • Floor, Wall & Roof Systems 89 Loren Avenue • Chico, CA 9592877434 Phone (530) 893-0112 9 (800) 678-0112 Fax (530) 893-0140 E -Mail: trusses@longfellowlumber. com Customer: EDDIE CIPRIANI Address: 7673 OCCIDENTAL AVE. PALERMO Aft i C -20E (Rev. 5/05) BUTTE COUNTY BUILDING DIVISION APPROVED Job No: CERVANTES RES. & GARAGE ENGINEER Mitek Industries, Inc. Redong (Ray) Yu 7777 Greenback Lane,Suite 109 Citrus Heights, CA 95610 (916) 676-1900 APPROVED INSPECTION AGENCY Timber Products Inspection, Inc. P.O. Box 20455 - Portland, OR 97220 (503) 254-0204 �E CERVANTES RESIDENCE b M-1 0 0 0 0 W J U O v N U) W U) U) D Of F- F - Z) 0 } Q J R I DETATCHED GARAGE { i .- i F' 3 C 1 z Cl 4fi C1 C l ' C1 Cl ' C 1 ;. C1 x C1 i i C1 I 1 , C1 C1 C1 , ti GE { i .- i May 31, 2002 Longfellow Lumber 89 Loren Avenue Chico, CA 95928 r RE: Trusses supporting A.C. Loads MiTek Industries, Inc. 7777 GREENBACK LANE SUITE 109 CITRUS HEIGHTS CA 95610 USA FAX (916) 676 1909 TELEPHONE (916) 6761900 MiTek Industries, Inc. truss designs are adequate to support up to an additional 150 pounds per truss due to mechanical loads. If this load falls at a panel point, no revision to the engineering is necessary. If it falls in between panel points, a 2X scab of equal size and grade as the top cord is required for the full panel length carrying the load. Attached with l Od nails at 12" o.c. These rules only apply to residential 2' o.c. truss applications with greater than 3/12 pitch. For commercial building span of truss shall be limited to 30'- 0" maximum. If you have any questions, please call meat 1-800-772-5351. a Sincere , QRO ESSfp ONG m NO. 049919 EXP -30-04 ' Redong JP. IR Director of F 6h oR Western Operations RY/ek SHAPED BLOCK COMMON TRUSSES CROSS BLOCK SECTION C -C C RIDGE HIP .RAFTERS SHAPED BLOCK CROSS BLOCK .. PLAN VI V\� EW C ALTERNATE DETAIL: WHEN HIP RAFTERS DO NOT MEET @ COMMON TRUSS. _ - - ---5t•tPF�r13iF►adrl�b Ef arf�ws) 0 5� '7�° o,a. (�v�r,oi! �-- TOP CHORD JACK EXTENSION END JACK \\ SETBACK COMMON TRUSSES HIP TRUSSES SECTION B -B WD -2359 CALIFORNIA HIP YITek kidustrlon, Inc. 6-20-91 REV. 711ol9 2 1 -tore: SEE ENGrNEER1�1G!'o(L RAFrER, JACK ANDTRUSS DESIGNS, %ATE);_& - STI) [311- ITY.Or Roof-: y5 r6A) To (dE pRDvlDEp 13y PR&TEGT pESIGUER, �I%t��T�,o�P►zori� r�l"oT�y)�4=o'' o.c. Cnr6ot.) TOP CHORD BRACING PER TOP CHORD JACK -EXTENSIONS ENGINEERING SPECIFICATIONS. s HIP /2- M V - SECTION A-,4 �,lp1 e C(S�,) Fiiq A3"S & v2APrrses goer CK OUTLOOKER Ix4 DONT BRACE AT BRACE MEMBERS LON5M THAN 12' ATTACH AT MIDPOINT OF BRAGS W/ 2-Dd NAILS CABLE END STUD 2x4 HF 5TRONSBACK MAIL TO LE06M W/ IOd 9 12' OL j — 2x4 HF LED6ER MAIL TO VERTICAL W/ IOd NAILS) s ,o `-A55 BRACE TO FLAT "Xyy�I �H-3 AT 48' O.G. Q NOTE: THI5 DETAIL MAY BE USED FOR 1T�1155E5 WITH PITCHED BL. ALSO. (0) OPTION TO WEB PLATIN&: USE (3) - 2' WIRE 5TAPLE5 (0072 DIAJI5 &A) TOENAILED THRU CHORD INTO WEB t THFW WEB INTO CHORD ON ONE FACE FOR A TOTAL OF 6 STAPLES. (PI). (51) t (HI) M15T BE PLATED. 9I- ,`A.'��� vr•— 1 / —2xb DIA60NAL BRACE o 48' OL. : TR31SSE5 - i LXY DLLAIN 3-10d NAILS EACH END 6-I0d COMMON NAILS !�A MAX UNBRAGED LEN&TH OF &ABLE END STUD. (2x4 FIR -LARCH) - STANDARD = 5' -II' - 01 AND BTR =7'-q* 1(i LL >U.0 t -A- TG OL 15D PSF NOTE: 6ABLE END DE516N BASED BG OL PSF BG LL OA PSF ON 15 MPH WIND, EXI?0.�1RE B' TOT1D. 50D PSF AT 0-25 FEET MEAN HE16W DURFAC. 1.15 rJOB 08 DETAIL Date: 10-18-02 Gary Hawkins AI - IE Lowzm 1AW LUMBER ARCHITECTDrawn: ?,KTE GHIGO CALIFORNIA (530)892-2700 Job no.: 02-116 1370 RIDGEWOOD DR.,S1E.10 FAX:(530)893-0532 CHICO, CA 95973 garya:chmsbcgiobalnet PAGE I OF -N4I=—A T LATEaAI. 1 -'P -ACE r�c�M� 15 v!!t►j %2 RE PtAciuG c JFK i . 6XACES AT Y2 0P AT 1 f _ 7RU!:4F5 (g' 2A" IGS.®12"o c. I --10D G 6l, TiP.2 kOWS / 0. G: TYP. ••2x�} RAGE �2�� bRAGI: WITP WEA (2x(2. HA)'.. IOD NAILS C,9 6'' tk o. �. YYP. - =Folz >_ c►ticr .. K Inc—pLAC 4q V OIz Y� FOI �rT6 POLE 095 = FO MTs [wA�. t�,RAGE HUST t>E D0% TIE GTk LEN4 OF- Tv- WEA.. . . TW -5 DETAIL 15 TO USED A5 AN ALT. %OR ONE CONTINUOUS LATERAL t RAGE. L...f T F.-tc ���(� p T14�1L tRu5�E5 ;2p 2,+" o.&.. TTP. NOTE: 2X3, 2X4, OR 1X4 GRADED LUMBER LATERAL BRACE PER TRUSS DESIGN WITH 2-10D PER WEB (TYP). MAR 2 7 2002 BRACE MAY BE ATTACHED TO EITHER NARROW FACE OF WEB. (SEE NOTE BELOW)' RESTRAINT REQUIRED AT EA(,. END OF RAGE ANt9 AT 20'-0" INTER�lALS. REFER TO WV-ql SUHHARY SkIEET FOR RI;GOHHENPATIONE OP THE TF -U55 PLATE lNSTUTE E TM OF MA`( DrF "m 0 OYTEw^ I qc I� o PlApHR�- hi.oK L �" � �C L � � � � I N G► �� �" �C I L 6efUn� M I Ti it Tri Ney, 1/w/an' Symbols Numbering System A General Safety Notes PLATE LOCATION AND ORIENTATION Failure to Follow Could Cause Property 'Center plate on joint unless x, y Damage or Personal Injury offsets are indicated. 6 4 8 dimensions shown in ft -in -sixteenths Dimensions are in ft -in -sixteenths. Apply plates to both sides of truss l . Additional stability bracing for truss system, e.g. LLt�s and securely seat. diagonal or X -bracing, is always required. See BCSI1. 0''h6" 2. Never exceed the design loading shown and never 1 2 3 stack materials on inadequately braced trusses. TOP CHORDS ci-2 c2-3 4 3. Provide copies of this truss design to the building designer, erection supervisor, property owner and o WEBS Baa all other interested parties. U ' ��' p 4. Cut members to bear tightly against each other. ocate For 4 x 2 orientation, locate/, plates 0-'ne' from outside a " a 5. Place plates on each face of truss of each edge of truss. joint and embed fully. Knots and wane at joint C7-8_ C6-2 cs c O locations are regulated by ANSI/TPII. BOTTOM CHORDS 'This symbol indicates the 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/TPII. ti 'on details available in MiTek 20/20 Plate location 7. Unless otherwise noted, moisture content of lumber shall not exceed 19% at time of fabrication. software 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 PLATE SIZE THE LEFT. use with fire retardant or preservative treated lumber, The first dimension is the width 4 4 CHORDS AND WEBS ARE IDENTIFIED BY END JOINT NUMBERS/LETTERS. 9. Camber is a non-structural consideration and is the responsibility of truss fabricator. General practice is to x perpendicular to slots. Second camber for dead load deflection. dimension is the length parallel to slots. 10. Plate type, size, orientation and location dimensions LATERAL BRACING CONNECTOR PLATE CODE APPROVALS shown indicate minimum plating requirements. Indicated by symbol shown and/or BOCA 96-31, 95-43, 96-20-1, 96-67, 84-32 11. Lumber used shall be of the species and size, and in all respects, equal to or better than that by text in the bracing section of the specified. output. Use T, I or Eliminator bracing if indicated. ICBO 4922, 5243, 5363, 3907 12. Top chords must be sheathed or purlins provided at spacing shown on design. BEARING SBCCI 9667, 9730, 96048, 951 1, 9432A 13. Bottom chords require lateral bracing at 10 ft. spacing, Indicates location where bearings or less, if no ceiling is installed, unless otherwise noted. (supports) occur. Icons vary but reaction section indicates joint 14. Connections not shown are the responsibility of others. number where bearings occur. 15. Do not cut or alter truss member or plate without prior approval of a professional engineer. Industry Standards: ® MiTek 16. Install and load vertically unless indicated otherwise. ANSI/TPII: National Design Specification for Metal Plate Connected Wood Truss Construction. DSB-89: Design Standard for Bracing. a BCSII : Building Component Safety Information, Guide to Good Practice for Handling, Installing & Bracing of Metal Plate Connected Wood Trusses. MiTek Engineering Reference Sheet: MII-7473 © 2004 MITek® Job nlss toss type ty y CERVANTES RES. 8 GARAGE SPACING 2-0-0 CSI i DEFL in (oc) I/defl Ud PLATES GRIP TCLL 16.0 1 819946919 CERV0201 Al KINGPOST 1 Lumber Increase 1.25 Job Reference (optional) v.w r ro nn r es --sure., mc. uvea leo ui i s:oaaa tuna rage s 21.7-8 ,-2-D-01 B-4-3 1 11.0.0+ 21-4-8 21{ 0 36.5-5' I 43-0-0 4S-0-0{ 2-0,0 6.4-3 4-7-13 10.4-8 0.1.8 14.9-13 6-6-11 2-0.0 CONN. OF GABLE STUDS BY OTHERS. 5x6 ipa1[eE H18D BEH18D 6.00 F12 1 5x6 16 19 "v 44 4342 41 61 4062 63 391 38 37 3x6 - 3x6 = 3x6 = 3x4 = 3x4 = 3x8 = 3x6 = �lg Scale = 1:100.3 6-4-3 11-0-0 15-7-14 21-6-0 29.1-12 36-5-5 43-0-0 6-4-3 4-7-13 4.7-14 5.10-2 7-7-12 I 7.3.8 6-6-11 Plate Offsets (X,Y): f12:0-2-5 0-2-8] [13:0-0-11 0-1-2] [17:0-3-0 0-1-8] [20:0-0-11 0-1-2] [27:0-2-4 0-2-0] [29:0-2-12 0-3-4] [34:0-2-12 0-2-8] [40:0-2-4 0-0-'12] LOADING(psf) SPACING 2-0-0 CSI i DEFL in (oc) I/defl Ud PLATES GRIP TCLL 16.0 Plates Increase 1.25 TC 0.99 Vert(LL) 0.044 1 -43 >999 240 MT20 220/195 TCDL 10.0 Lumber Increase 1.25 BC 0.24 Vert(TL) -0.08 41-43 >999 180 M1118 170/148 BCLL 0.0 Rep Stress Incr NO WB 0.58 Horz(TL) 0.05 19 n/a n/a BCDL 7.0 Code UBC97/ANSI95 (Matrix) Weight 690 Ib LUMBER BRACING I TOP CHORD 2 X 4 DF No.1&Btf G TOP CHORD Sheathed or 6-0-0 oc purlins, except BOT CHORD 2 X 4 DF No.1&Btr G 2-0-0 oc pudins (6-0-0 max.): 4-8, 8-34, 12-23. WEBS 2 X 4 DF Std G BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing, Except: OTHERS 2 X 4 DF Std G 6-0-0 oc bracing: 4041,39-40. JOINTS 1 Brace at Jt(s): 8, 17, 27, 11, 24, 30, 26, 6 i REACTIONS (Ib/size) 2=1784/0-3-8, 37=2897/21-3-8, 40=3986/21-3-8, 39=2925/21-3-8, 16=186/Mechanical, 19=159/Mechanical, 35=592/21-3-8 1 Max Hor72=-75(load case 3) { t Max Uplif12=27(load case 5), 40=87(load case 4), 39=-46(load case 3), 16=6(load case 4), 19=-4(load case 3), 35=-20(load case 3) Max Grav2=1784(load case 1), 37=2897(load case 1), 40=3986(load case 1), 39=2980(load case 7), 16=186(load case 1), 19=159(load case 1), 35=597(load case 7) FORCES (lb) - Maximum Compression/Maximum Tension 1 TOP CHORD 1-2=0/46, 2-3=-3264/24, 3-4=2951/53, 4-5=2269/7, 5-7=2184/19, 7-64=2260/14, 9-64=-2157/44, 9-12=-2160/49, 12-13=190/0, 13-16=1 1154, 19-65=5/44, 20-65=7/0, 20-23=-272/0, 23-25=2275/49, 25-28=2484/25, 28-29=2146/0, 29-31=2383/0, 31-33=-2598/0, 33-34=-2782/0, 34-66=-485/18, 35-66=647/0, 35-36=0/45, 4-6=-720!77, 6-8=-965178, 8 -10= -385/120,10 -11=383/120,11 -14= -398/120,14 -67=-398/120,17-67=398/120,17-21=0/1486,21-22=0/1486, 22-24=0/1486, 24-26=0/1503, 26-27=0/1503, 27-30=0/1525, 30-32=0/1525, 32-34=0/1525, 12-15=1938/76,15-68=1938t`76 68-69=1938(76, 18-69=1938/76, 18-23=-1938176 BOT CHORD 2-44=0/2830, 43-44=0/2830, 42-43=7/2293, 41-42=-7/2293, 41-61=306/59, 61-62=-306/59, 40-62=306/59, 40-63=306/59, 39-63=306/59,38-39=0/520,37-38=0/520,35-37=0/551 ' WEBS 8-41=-1321/9, 4-43=110/156, 8-43=0/423, 3-44=11/195, 3-43=272/20, 34-37=2710/0, 17-40=3775/3, 17-41=-64/2878, 27-39=2954/11, . -39=0/777, 27-37=0/235, 11-12=7/648, 23-24=8/741, 32-33=2/49, 30-31=25/28, 27-28=1314/13, �OQFLQFESSIpN�` CO 25-26=274/0, 18-21=1194/0, 6-7=368/7, 9-10=376/5, 14-15=-728/0 S. TjNC��2 LIJ C 00433 T' NOTES 1) 2 -ply truss to be connected together with 0.131"x3" Nails as follows: i Top chords connected as follows: 2 X 4 - 1 row at 0-9-0 oc. Bottom chords connected as follows: 2 X 4 - 1 row at 0-9-0 oc. Webs connected as follows: 2 X 4 - 1 row at 0-9-0 oc. 2) All loads ,are considered equally applied to all plies, except if noted as front (F) or back (B) face in the LOAD CASE(S)Isection. Ply to connections have been provided to distribute only loads noted as (F) or (B), unless otherwise indicated. 3) Unbalanced roof live loads have been considered for this design. Continued on page 2 ! 1 ® WARNING - Ver% design Parameters and READ NOTES ON THIS AND INCLUDED AUTEE REFERENCE PAGE MU -7473 BEFORE USF- Design S&Design valid for use only with MTek connectors. This design is based only upon parameters shown. and is for on individual building component. Applicability of design paromenters and proper incorporation of component is responsibility of building designer - not truss designer. Bracing shown is for lateral support of individual web members only. Additional temporary bracing to insure stability during construction is the responsibilfity, of the erector. Additional permanent bracing of the overall structure is the responsibility of the building designer. For general guidance regarding 1.bricotion, quality control, storage. delivery. erection and bracing. consult ANSI/TPII Quality Criteria. DSR -89 and BCSII Building Component Safety Information available from Truss Plate Institute. 583 D'Onofrio Drive. Madison, col 53719. February 2,2006 7777 Greenback Lane m e Suite 109 On Citrus Heights, CA, 95610Q MiTek� Job fussTlrlulG,,..Tss ype Qty y CERVANTES RES. 8 GARAGE CERV0201 Al 1 819946919 2 Job Reference (optional) a.zuu s Jul I J Zuub MI I ek Industnes, Inc. Wed Feb 01 13:58:24 2006 Page 2 NOTES 4) This truss has been designed for the wind loads generated by 75 mph winds at 25 ft aboveground level, using 10.0 psf top chord dead load and 7.0 psf bottom chord dead load, 100 mi from hurricane oceanline, on an occupancy category[, condition I enclosed building, of dimensions 45 ft by 43 ftwith exposure B ASCE 7-93 per UBC97/ANS195 If end verticals or cantilevers exist, they are exposed to wind. If parches exist, they are exposed to wind. The lumber DOL increase is 1.33, and the plate grip increase is 1.33 5) 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" 6) Provide adequate drainage to prevent water ponding. 7) All plates are MT20 plates unless otherwise indicated. 8) All plates are 1.5x4 MT20 unless otherwise indicated. f. 9) See BEH18 DETAILS for plate placement. 10) Provisions must be made to prevent lateral movement of hinged member(s) during transportation. 11) Gable studs spaced at 1-4-0 oc. 12) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads. 13) A plate rating reduction of 20% has been applied for the green lumber members. 14) Refer to girder(s) for truss to truss connections. 15) Design assumes 4x2 (flat orientation) puffins at oc spacing indicated, fastened to truss TC w/ 2-10d nails. 16) Hanger(s) or other connection device(s) shall be provided sufficient to support concentrated load(s) 362 Ib down and 1 Ib up at 36-3-8 on top chord. The design/selection of such connection device(s) is the responsibility of others. LOAD CASE(S) Standard 1) Regular: Lumberincrease=1.25, Plate Increase=1.25 Uniform Loads (plo Vert 2-40=-14, 35-40=39(F=25), 1-4=-52, 34-66=143(F=-91), 36-66=52 Concentrated Loads (Ib) Vert 34=382(F) Trapezoidal Loads (plf) i Vert 4=104(F=52) -to -64=154(1==-102), 64= -154(F=102) -to -12=-170(F=118), 12=170(F=118) -to -16=182(F=130), 19=182(F=130) -to -65=-180(F=128), 65=271(F=219) -to -23=260(F=208), 23=260(F=208) -to -34=195(F=143), 4=52(F}to-8=102(17), 8=102(F}to-67=130(F), 67=131(F}to-17=-129(F), 17= -220(F) -to -34=143(F), 12= -170(F= -118) -to -68=182(F=130), 68= -183(F= -131) -to -69=-180(F=128), 69= -271(F=219) -to -23=260(F=208) ® WARNING - Verify design paramettn and READ NOTES ON THIS AND INCLUDED llfl7'EE REFERENCE PACE 71U-7473 BEFORE USE. 7777 Greenback Lane Design valid for use on with MwTek connectors. This design a based on u Suite 109 5 N 9 N pan responsibility fere shown. and is for n individual truss building component. Citrus Heights, CA, 95610 Applicability of design porvidual a and proper incorporation Additional of component is responsibility of building designer - not buss designer. Bracing shown � � is for lateral support of individual web members only. Additional temporary bracing to insure stability during construction is the responsibilGly of the wecdor. Additional permanent bracing of the overoll structure is the responsibility or the building designer. For general guidance regarding fabrication, cluarily control, storage. delivery. erection and bracing, consult ANSI/TPII Quality Crlterla,'DSB-89 and BCSII Building Component A �'��m Safety Information available from Truss Plate Institute. 583 D'Onofrio M Drive, Madison. WI 53719. i Job —IT fussHOWE runs y pe , Qty y Cf RVANTES RES. 8 GARAGE CERV0201 A2 PLATES GRIP 21 1 R19946920 ......... _. ��� o 0.15 21-22 >999 240 Job Reference (optional) 7 21-e-04-0-0 r 1-2-0-01 6-7-3 I 12-7-13 I 19-0-0 , 21-4-816 - 30-4-3 I 36-0-13 43-0-0 45.0-0 2-0.0 67-3 6-0.11 6-43 2-480.1-8 6.43 6.0.11 6-7-3 2-0.0 Scale = 1:91.4 5x8gg22 gg BEH18D 0.1BEH18D 6.00 12 8, 105x6-1 ---- 24 23 22 21 r 20 19 18 17 3x1u = 1.5x4 11 3x6 = 3x4 = ! 3x8 = 3x6 = 1.5x4 II 3x4 = r 3x4 = s 1 6-7-3 I 12-7-13 l 19-0-0 121-6-0 1 240-0 1 30-4-3 I 36-413 I 43-0-0 t 8-7-3 6-0-11 6.43 2.6.0 ! 2-6-0 6.43 6-0-11 6.7.3 IRIZINil 0 6l' LOADING (psf) SPACING 2-0-0 CSI DEFL in (loc) I/deft Ltd PLATES GRIP TCLL 16.0 Plates Increase 1.25 TC 0.28 Vert(LL) 0.15 21-22 >999 240 MT20 220/195 TCDL 10.0 Lumber Increase 1.25 BC 0.41 Vert(TL) -0.29 21-22 >999 180 MII18 170/148 BCLL 0.0 Rep Stress [nor YES WB 0.35 Horz(TL) 0.17 10 n/a n/a BCDL 7.0 Code UBC97/ANS195 (Matrix) Weight 241 Ib LUMBER BRACING TOP CHORD 2 X 4 DF No.1 &Btr G TOP CHORD BOT CHORD 2 X 4 DF No.1&BV G WEBS 2 X 4 DF Std G BOT CHORD WEBS REACTIONS (Ib/size) 2=1601/0-3-8, 15=1601/0-3-8, 8=54/Mechanical, 10=37/Mechanical Max Horz2=75(load case 4) Max Uplif18=-5(load case 4), 10=3(load case 3) t Sheathed or 3-9-3 oc purlins, except 2-0-0 oc purlins (4-11-13 max.): 6-9. Rigid ceiling directly applied or 10.0.0 oc bracing. 1 Row at midpt 12-20, 5-21, 6-20 FORCES (lb) - Maximum Compression/Maximum Tension I TOP CHORD 1-2=0/46, 2-3=2876/0, 3-4=2449/0, 4-5=2322/0, 5-6=2017/5, 6-7=-57/0, 7-8=11/16, 10-11=7/4, 9-11=54/0, 9-12=-2018/5, 12-13=2322/0, 13-14=2449/0, 14-15=2877/0, 15-16=0/46, 6-25=1753/35, 9-25=1753/35 BOT CHORD 2-24=0/2488, 23-24=0/2488, 22-23=0/2488, 21-22=0/2128, 20-21=0/1750, 19-20=0/2127, 18-19=0/2488, 17-18=0/2488, 15-17=0/2488 WEBS 6.21=0/506, 9-20=0/504, 12-19=35/379, 14-17=-11/223, 14-19=-421/28, 12-20=539/45, 3-24=-11/222, 5-22=35/380, 3-22=420/28, 5-21=-545/46, 6-20=206/214 1 NOTES 1) Unbalanced roof live loads have been considered for this design. 2) This truss has been designed for the wind loads generated by 75 mph winds at 25 It above ground level, using 10.0 psf top chord dead load and 7.0 psf bottom chord dead load, 100 mi from hurricane oceanline, on an occupancy category 1, condition I enclosed building, of dimensions 45 It by 43 ft with exposure B ASCE 7-93 per UBC97/ANS195 If end verticals or cantilevers exist, they are exposed to wind. If porches exist, they are exposed to wind. The lumber DOL increase is 1.33, and the plate grip increase is 1.33 3) Provide adequate drainage to prevent water ponding. 4) All plates are MT20 plates unless otherwise indicated. 5) See BEH18 DETAILS for plate placement. 1 6) Provisions must be made to prevent lateral movement of hinged member(s) during transporation. 7) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any ether live loads. 8) A plate rating reduction of 20% has been applied for the green lumber members. 9) Refer to girder(s) for truss to truss connections. I 10) Design assumes 4x2 (flat orientation) puffins at oc spacing indicated, fastened to truss TC w/ 2-10d nails. LOAD CASE(S) Standard /9RpFESS/ON9\ S. TjNcF`F� CK C 04433 T *\ EV�W07 ' /* OF February 2,2006 WARNING - Irer(/y design parameters and READ NOTES ON THIS AND INCLUDED WTEE REFERENCE FACE MU -7473 BEFORE USE. 7777 Greenback Lane Design valid for use only with Weir connectors. This design 's based only upon parameters shown, and is for on individual building component. Sure 109 Applicability of design poromenters and proper incorporation of component is responsibility of building designer - not truss designer. Brocing shown. Citrus Heights, CA, 95610��� is'for lolerol support of individual web members only. Additional temporary bracing to insure stability during construction is the responsibillily, of the erector. Additional permanent bracing of the overall structure is the responsibility, of the building designer. For general guidance regarding .�, �k fabrication, quality control, storage. delivery, erection and bracing, consult ANSIfti'll Quality Criteria. DSB-89 and BCSII Building Component M. ,� Safety Information available from Truss Plate Institute. 583 D'Onotrio Drive. Madison, WI 53719. 4 Job ruSsfuss Type Qty Ply CERVANTES RES. 8 GARAGE 2-40 6-7-2 &4116-43 1 2-4-8Y1-8 6-43 6.411 6-7-2 819968839 CERV0201 A2A HOWE 8 1 6.7-2 Plate Offsets (X,Y): [2:0-10-4,0-0-141, [6:0-3-0,0-2-41, [7:0-0-11,0-1-21, 5x8 \\ [11:16-8-0,19-4-21, [12:0-2-4,0-1-12], [16 0-0-14 Edge] [22:0-5-0 Edge] [24:0-1-8,0-1-81 LOADING (psf) Job Reference (optional) i-2-40, 6-7-2 12-7-13 79-40 21-629-0-0 21-4-D RP 3443 36-4-14 43-40 A5-40 2-40 6-7-2 &4116-43 1 2-4-8Y1-8 6-43 6.411 6-7-2 2-40 Scale = 1:100.4 6-43 2-6.0 2-6.0 01151Vi41§ 6-411 6.7-2 Plate Offsets (X,Y): [2:0-10-4,0-0-141, [6:0-3-0,0-2-41, [7:0-0-11,0-1-21, 5x8 \\ [11:16-8-0,19-4-21, [12:0-2-4,0-1-12], [16 0-0-14 Edge] [22:0-5-0 Edge] [24:0-1-8,0-1-81 LOADING (psf) SPACING 2-0-0 CSI 5x8 in (loc) I/deft Ud PLATES GRIP TCLL 16.0 BEH18D 8EH18D TC 0.61 Vert(LL) r 6.00 12 8 10 MT20 220/195 TCDL 10.0 Lumber Increase 1.25 BC 0.75 67 11 -0.90 19-21 >570 180 M1118 170/148 BCLL 0.0 12 WB 0.77 Horz(TL) 0.71 10 3x6 - 3x4 r- ^ n/a BCDL 7.0 Code UBC97/ANSI95 (Matrix) 3x4 -- 3x6 Weight: 244 lb 5 13 4 14 3x4 i 3x4 3 15 2 21 N 3x4 zz 2 1 12 � 20 19 16 1 3.00 12 3x4 18 171q ^ 3x10 = 5x8 WBzz 1.5x4 II 4x12 Z d 27 26 25 24 2328 1.5x4 11 3x6 = 3x4 = 5x8 = 1.5x4 11 1 6-7-2 12-7-13 19-40 21-6-0 24-40 30-4-3 BOT CHORD 36-414 43-40 1 Row at midpt 5-24 6.7-2 6-411 6-43 2-6.0 2-6.0 6-43 6-411 6.7-2 Plate Offsets (X,Y): [2:0-10-4,0-0-141, [6:0-3-0,0-2-41, [7:0-0-11,0-1-21, [11:16-8-0,19-4-21, [12:0-2-4,0-1-12], [16 0-0-14 Edge] [22:0-5-0 Edge] [24:0-1-8,0-1-81 LOADING (psf) SPACING 2-0-0 CSI DEFL in (loc) I/deft Ud PLATES GRIP TCLL 16.0 Plates Increase 1.25 TC 0.61 Vert(LL) 0.4619-21 >999 240 MT20 220/195 TCDL 10.0 Lumber Increase 1.25 BC 0.75 Vert(TL) -0.90 19-21 >570 180 M1118 170/148 BCLL 0.0 Rep Stress Incr YES WB 0.77 Horz(TL) 0.71 10 n/a n/a BCDL 7.0 Code UBC97/ANSI95 (Matrix) Weight: 244 lb LUMBER TOP CHORD 2 X 4 DF No.1 &Btr G BOT CHORD 2 X 4 DF No.1 &BtrG WEBS 2 X 4 OF Std G *Except* 22-24 2 X 4 OF No.1 G, 6-22 2 X 4 OF No.1 G BRACING TOP CHORD Sheathed or 2-6-11 oc puffins, except 2-0-0 oc purlins (3-2-14 max.): 6-12. BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. WEBS 1 Row at midpt 5-24 2 Rows at 1/3 pts 6-24 JOINTS 1 Brace at Jt(s): 9 REACTIONS (Ib/size) 2=1591/0-3-8,16=159110-3-8, 10=54/Mechanical, 8=54/Mechanical Max 1-1=2=169(load case 3) Max Uplift2=-75(load case 5), 16=-63(load case 5), 10=5(load case 3), 8=-5(l6ad case 4) f� , FORCES (lb) - Maximum Compression/Maximum Tension TOP CHORD 1-2=0/46, 2-3=-2853/134, 3-4=-2428/142, 4-5=2301/168, 5-6=-1996/201, 6-7=-57/0, 7-8=-11/16, 10-11=11/6, 11-12=57/0, t 12-13=3908/91, 13-14=-4559/102, 14-15=4650/74, 15-16=5279/103, 16-17=0/44, 6-29=-3843/97, 9-29=-3843/97, 9-12=-3856/96 r BOT CHORD 2-27=0/2467, 26-27=0/2467, 25-26=0/2467, 24-25=0/2110, 24-28=0/10, 23-28=0/10, 21-22=0/3561, 2C-21=0/4237, 19-20=0/4218, 18-19=0/4763, 16-18=3/4757 WEBS 6-24=2443/0, 12-21=76/456, 22-23=18/19, 9-22=0/45, 22-24=0/3402, 6-22=0/3555, 13-19=-40/351, 15-18=20/202, 15-19=550/63, 13-21=-696/73, 3-27=12/223, 5-25=-27/377, 3-25=-417/26, 5-24=546/34, 12-22=-4/935 NOTES 1) Unbalanced roof live loads have been considered for this design. 2) This truss has been designed for the wind loads generated by 75 mph winds at 25 ft above ground level, using 10.0 psf top chord dead load and 7.0 psf bottom chord dead load, 100 mi from hurricane oceanline, on an occupancy category 1, condition I enclosed building, of dimensions 45 ft by 43 ft with exposure B ASCE 7-93 per UBC97/ANSI95 If end verticals or cantilevers exist, they are exposed to wind. If pF ESS/ porches exist, they are exposed to wind. The lumber DOL increase is 1.33, and the plate grip increase is 1.33 Q� 3) Provide adequate drainage to prevent water ponding. 4) All plates are MT20 plates unless otherwise indicated.ONG i'G FiL 5) See BEH18 DETAILS for plate placement. c 2 6) Provisions must be made to prevent lateral movement of hinged member(s) during transportation. 7) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads. � C 19 rn 8) A plate rating reduction of 20% has been applied for the green lumber members. 9) Refer to girders) for truss to truss connections. * EXP. 9/30/06 10) Bearing atjoint(s) 16 considers parallel to grain value using ANSI/TPI 1 angle to grain formula. Building designer should verify capaci of bearing surface. 11) Design assumes 4x2 (Flat orientation) purlins at oc spacing indicated, fastened to truss TC w/ 2-10d nails. 1ST C LOAD CASE(S) Standard OF Februa 12006 WARNING - Ver j& design p—meters and READ NOTES ON TRIS AND INCLUDED WTES REFERENCE PAGE AM -7473 BEFORE USE, 7777 Greenback Lane Design valid for use only with m7ek connectors. This design is based only upon parameters shown, and is for on individual building component. Suite 109 Applicability of design poromenters and proper incorporation of component is Citrus Heights, CA, 956101MEW po g to insure of building designer - not truss designer. Bracing shown is for lateral support of individual web members only. Additional temporary bracing to insure stability during construction is the responsibilfity of the erector. Additional permanent bracing of the overall structure is the responsibility of the building designer. For general guidance regarding tobrication, quality control, storage, delivery, erection and bracing, consult ANSI/TPII Quality Criteria, DSB-89 and BCSII Building Component 4 tD Safety Information available from Truss Plate Institute. 583 D'Onofrio Drive, Madison. WI 53719. M iTek I Job NSS r ry y=CERVANTES.RES,GARAGE floc) I/deft Lid CERV0201 B1 TSs7y`p`e_ 4 TC 0.19 R19946921 nnn(allrm I umharCn Ing Ch'v MT20 220/195 TCDL 10.0 Lumber Increase 1.25 onalI ---. ._____..... _.....___...__...._. ..,...�,.., ,.. �,...,..�...,...., aye, -2-OA5.9.4 11-0-0 ! 16-2-12 22.0-0 2-0.0 5-9.4 5-2-12 5-2-12 5-9.4 4x4 Scale = 1:41.4 = I 4 3x4 = 3x4 = 3x4 = 7-6-3 14-5-13 22.0-0 7-6-3 __ _. 6-11-11 7-63 lg LOADING(psf) SPACING 2-0-0 CSI DEFL in floc) I/deft Lid PLATES GRIP TCLL 16.0 Plates Increase 1.25 TC 0.19 Vert(LL) 0.07 6-7 >999 240 MT20 220/195 TCDL 10.0 Lumber Increase 1.25 BC 0.28 Vert(TL) -0.13 6-7 >999 180 BCLL 0.0 Rep Stress Incr YES WB 0.17 Herz(TL) 0.03 6 n/a n/a BCDL 7.0 Code UBC97/ANSI95 (Matrix) Weight: 92 lb LUMBER BRACING TOP CHORD 2 X 4 DF No.1&Btr G TOP CHORD Sheathed or 5-10-4 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 (Ib/size) 2=833/0-3-8, 6=711/0-3-8 Max Horz2=60(load case 4) Max Uplift2=26(load case 5) s FORCES (Ib) - Maximum Compression/Maximum Tension TOP CHORD 1-2=0/46, 2-3=1225/18, 3-4=1070/64, 4-5=1091/71, 5-6=1235/25 BOT CHORD 2-9=0/1031, 8-9=0/709, 7-8=0/709, 6-7=0/1057 WEBS 3-9=255/11, 4-9=28/400, 4-7=39/413, 5-7=271/16 NOTES 1) Unbalanced roof live loads have been considered for this design. 2) This truss has been designed for the wind loads generated by 75 mph winds at 25 ft above ground level, using 10.0 psf top chord dead load and 7.0 psf bottom chord dead load, 100 mi from hurricane oceanline, on an occupancy category I, condition I enclosed building, of dimensions 45 ft by 24 It with exposure B ASCE 7-93 per UBC97/ANSI95 If end verticals or cantilevers exist, they are exposed to wind. If porches exist, they are 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 I �oQR0FESS101,V 0 CO 4 3 * 7 -February 2,2006 ® WARNING - Ver{N design parameters and READ NOTES ON TMS AND IIfCLUDED MITES REFERENCE PAGE MU -7473 BEFORE USE. 1777 Greenback Lane Design volid for use only with MTek connectors. This design is based only upon porometers shown, and c for an individual building component. Suite 109 Applicability of design paromenters and proper incorporation of con component is res Citrus Heights. CA. 95610 9 or responsibility of building designer • not buss designer. Bracing shown is for lateral support of individual web members only. Additional temporary broking to insure stability cuing construction is the responsibil6ty, 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, derwery. erection and bracing, consul[ ANSI/TPII Quality Criteria. DSB-89 and BCSII Building Component \ 'a'rj`�� Safety Information available from Truss Plate Institute. 553 D'Onohfo Drive. ModMison. col 53719. „!k Ll Job russ Truss Type Qty Ply CERVANTES RES. 8 GARAGE CERV0201 C1 FINK 14 1 R19946922 ^ ��� a Job Reference (optional) vvcu reour —.—o— rages -2-0-0 6-3-4 12-0.0 17-8-12 24-0-0 26-0-0 2-0.0 6-3-4 5-8.12 5-8-12 6-3-4 2-0-0 Scale = 1:46.1 4x4 = 4 3x4 = 3x4 = 3x4 = B-2-3 15-9-13 24-0.0 8.2-3 7-7-11 B-2-3 Plate Offsets (X,Y): [2:0-2-12,0-1-8] [6:0-2-12,0-1-8] LOADING (psf) SPACING 2-0-0 CSI DEFL in (loc) Well Ud PLATES GRIP TCLL 16.0 Plates Increase 1.25 TC 0.19 Vert(LL) 0.08 6-8 >999 240 MT20 220/195 TCDL 10.0 Lumber Increase 1.25 BC 0.32 Vert(TL) -0.16 6-8 >999 180 BCLL 0.0 Rep Stress Incr YES WB 0.18 Horz(TL) 0.03 6 n/a n/a BCDL 7.0 Code UBC971ANSI95 (Matrix) Weight 103 lb LUMBER BRACING TOP CHORD 2 X 4 OF No.1&Btr G TOP CHORD Sheathed or 5-7-9 oc purlins. BOT CHORD 2 X 4 OF N6.1&Btr G BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. WEBS 2 X 4 OF Std G REACTIONS (Ib/size) 2=894/0-3-8, 6=894/0-3-8 Max Horz2=39(load case 3) Max UpIW=-24(load case 5), 6=-24(load case 5) FORCES (lb) - Maximum Compression/Maximum Tension TOP CHORD 1-2=0/46, 2-3=1339/18, 3-4=1169/69, 4-5=1169/69, 5-6=1339/18, 6-7=0.x46 BOT CHORD 2-10=0/1128, 9-10=0x167, 8-9=0(767, 6-8=0/1128 WEBS 1 3-10=283/12, 4-10=33/443, 4-8=33/443, 5-8=283/12 NOTES .l 1) Unbalanced roof live loads have been considered for this design. 2) This truss has been designed for the wind loads generated by 75 mph winds at 25 ft above ground level, using 10.0 psf top chord dead load and 7.0 psf bottom chord dead load, 100 mi from hurricane oceanline, on an occupancy category I, condition I enclosed building, of dimensions 45 ft by 24 ft with exposure B ASCE 7-93 per UBC97/ANSI95 If end verticals or cantilevers exist, they are exposed to wind. If porches exist, they are 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 nonconcument with any other live loads. 4) A plate rating reduction of 20% has been applied for the green lumber members. LOAD CASE(S) Standard OQ?,OFESS/Qyv� CO�`����R 0 Q m C'P 6433rn Ig February 2,2006 ® WARNING - Ver(fg design parameters and READ NOTES ON TMS AND INCLUDED AUTEE REFERENCE PAGE AID 7473 BEFORE USE. 7777 Greenback Lane • Design valid for use on with m1ek connectors. This design is based on u Suite 109 9 only r only pan parameters shown, and for on individual building component. Citrus Hei hts. CA, 956101- Applicabilily of design poramenters and proper incorporation of component rs responsibility of building designer -not truss designer. Bracing shown 9 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/TPII Quality Criteria. DSB-89 and BCSII Building Component�., m Safety Information available from Truss Plate Institute. 583 D'Onotrio Drive. Madison. WI 53719. M ■ 111116W e ....: , . ,i: . .,*r. r� �4'.,^Y;�..., � - ;,�. .... � a• ., , etc. ,:49� .i;,, .; o i � e .t:x•. .. o. :i+ .,,�.,.. .� .;F,.. -moi' ab r+r vt . , E.H. USE Oki Piot Pian Attachod Floes, Plan Attache TO: Building Department FROM: Environmental Health ` SUBJECT: Sanitation Clearance .. � A s' CIA, 26J: -� -� .3 �� 0 gr a r, Y-"� Owner Location AP# Plan Approved for: Sewage Disposals Water Su ply: �ublic Private Will-,, 4 Clearance for dwelling. Other ytLLA Hold final for: k- (A)Q Final clearance O.K. for: NOTE: d -A Wal Environmental Health Specialist Date 8/96 r BUTTE COUNTY BUILDING OFFICIALS i JURISDICTION Block Parcel No. . d � - Rapid Evaluation Safety Assessment Form BUILDING DESCRIPTION: OVERALT. RATING. (Clteek OJ.ie) Name:LG'n 1Z&I L-5 INSPECTED (Green) ❑ Exterior only Address. 7,% 3 G / j_W7�G 411L Exterior and Interior /2�LG�t�,U LIMITED ENTRY (Yellow) ❑ No. of stories: r>/ -V i✓ UNSAFE (Red) ❑ Basement: Yes ❑ No T�Uunknown ❑ INSPEC TOF- Primary Occupancy: Dwelling Inspector ID Other Residential ❑ . Commercial ❑ Office ❑ Affiliation '/S/v�� Industrial ❑ Public Assembly ❑ School*❑ INSPECTION DATE: Government ❑ Emer. Serv. ❑ Historic ❑ Mo/day /year Other Time am pm Instruc.C, ons: Review structure for the conditions listed below. A `yes" answer to 1, 2, 3, or 5 is grounds for posting entire structure UNSAFE. If more review is needed, post LINII'1`Elj ENTRY. 'A "yes" answer to 4 requires posting AREA UNSAFE arid/or barricading around the hazard. Hazards such as atoxic spill or an asbestos release. are covered by 6 and are to be posted and/or barricaded to indicate ARFA UNSAFE, More Review Condition Yes No Needed 1. Collapse, partial collapse, or building off foundation' ❑ ❑ ❑ 2: Building or story noticeably leaning ❑ ❑ ❑ 3. Severe racking of walls, obvious severe damage and distress ❑ ❑ ❑ 4. Chimney, parapet or other falling hazard ❑ . ❑ ❑ 5. Severe ground or slope movement present ❑ j ❑❑ ❑❑ 6. Other hazard present Recommendations: F� No further action required ❑ Detailed Evaluation required (circle one) ❑ Barricades needed in the following areas: ❑ ether. Posted at this Assessment Cor. Structural Geotechnical Other []Yes ❑ No a to .4 te t4 RLVISlusv7BY I r� r DRAWN JOB SHEET i OF SHEETS