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HomeMy WebLinkAbout027-011-053NOTES RESIDENTIAL 1 PERMIT NO.! —027-110-053 - 04-2192--, POBLANO CHRIS i L� "` PFNDERC AS .' LIN GROvi- TL[ NN•1�� SING, FAMILY' r • 7 . Y ' X - e4 JOB FINALED (Date) - Signature y �i� t r 1 . A l� 7 . Y ' X - e4 JOB FINALED (Date) - Signature y �i� = OK =Not OK = NotApplicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Date Card B-1 Date Card B-1 Date Card B-1 Date 'Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings, Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectot 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch Date 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals Date 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Cin ulating.Equip: Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 OK NotOK Ap Notpfrw6le RESIDENTIAL (Single & Duplex) Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. 15tg., Main; Soils-Elec. Gmd.-/ ILP E!p. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gr /" Ftg. Depth . Ftg., Porches & Decks; Soils -Steel-/ i Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wr ed 6aAold Downs and Special Anchors 7. 2lab, Steel -Wrapped Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. irders-Sills-Anchor Bolts-Joists-Vents-Crippies 1 . Access & Ventilation 16. Insulation 014 Date ) � � � Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17 ater Htr.; Vent -Access -Combustion Air Baffle 18/W ater Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 2p: Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access as Pipe; Sixe & Anchors 2 . tre Sprinkler, Test Date ! DS Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 Date ELE TRICAL (Permit) OK except #'s 24 Fixture & Transformer Clearance -Ins. Protection . 26. Elec. Receptacles Spacing -Lights & Switches at Doors 26 Size Boxes & No. of Conductors Stapled 2 Romex Installed Close to Edge of Studs & C.J. 28, Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 2'9, 2 Aooliance Circuits in Kitchen & Conductor Size GFI 36. Su feed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31 ange Circle/ I /ga Cu ,or AI -Oven Circ. / /ga Cu or Al Insulated Neutral es O No 32/ Service -Riser Conductors & Ground Main Disconnect 33 --Equip. Clearances Panels -Motors -Meth. Equip. ,84 -Clothes Closet Light -Shower Light -Spa Light 365"Smoke Detector Date (c - J ► Card B 1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Duds Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & latform if Furnace in Attic Date L4 Ir- Card B-1 Date Card B-1 Date t Card B-1 Date Card B-1 Date FR.AMING (Permit) OK except #'s t . Sills Proper Materials & Anchors 4 ails Studs -Nailing Spacing & Braces -Plates -Sound 4 Bearing Walls over Girders & Floor Nailing 44. Stop in Walls (rat proof) 451 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date 48. ";21ina. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shtinq.-Rtna. 49-,rireplace Ties or Type A Flue -Fireplace Throat Clearance 50/Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles SJ/)Bdnn. Windows or Exiting Doors -Sill Ht & Dimensions 52/ Garaae Fire Protection Framinq-RC Channel Sy Ext. Doors -One T -Check Garage 3rd Story, 2 Exits Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 5 . Plywood on Roof Overhang -Attic Vents -Rafter Outriggers ding -Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60 Shear Walls; Nailing -Bolts f� .. Brace Interior/Exterior Wall Panels 3 �/ , . � 696 -Insulation -Walls -Ceilings Car I Infiltration -Walls -W ' dows Date r// & and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINA Plans) OK except #'s ,Ext. Steps -Door & Sidelight Protection -Landings 65- Smoke Detector 66/Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 6 . B droom Exiting 6 . G.FI. & Bath Fixtures & Tub Access -Spa 69-'Elec. Trim & Subpanel. Breaker Sizes & Labels 70' Stairs & Rails 71eFireplace or Stove, Clearance -Hearth 72-,'Elec. Outlets at Wood Panel, Int. & Ext. 73� Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 7 . C3arage Fire Door, Swing -Landing -Closure 76' FyC. Dud in Garage -Damper 7 Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Gara e; Above Floor-Mech. Protection 7 . P .; Elec. & Mech. Equip. Listed for Location 7 f,1€c. Receptacles in Garage (F.F.I.)-Romex_Protection 8 Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82eltdri. VBents & Crawl Hole Door Drainage & Wood -Earth learance Looked under Floor 0 Yes 8 Following Instld/Drive 6 Yes D No/Walks O Yes No/Planters O Ye No cc Brown -Finish 85 A.C. Unit Disconnect, Electrical -Plumbing 8flerrits Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings t Water Well, Disconnect, Electrical, Plumbing Exterior Elec. Trim, G.F.I. Receptacle -Underground 89/Ventilation Throughout House 99/ Glass Protection 91/ Corrections from Previous Inspections Qr- 9 . Gas Test -Meters Tagged, Gas -Electric 93 Water & Sewer Connected -C/O to Grade -HD Approval 94 nergy Compliance Certificate -Other Certificates 9 ddress Posted 9 . Fire Sprinkler Date o qrj Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: D'w o y 3 LS"Z 6H- 3)32 Gy ICERTIFICATION'OF INSULATION ADDRESS OR TRACT SACRAMENTO BUILDING CONTRACTORS KP ��f V`'� y: 11309 MELODY ROAD, MARYSVILLE, CA 95901 LIC#202026 ❑ 605 S. AUBURN STREET, GRASS VALLEY, CA 95945 LIC�202026 ❑ 3881 BENATAR WAY, SUITE A, CHICO, CA 95928 LIC#202026 i]� b ,/� /� (' Il l �LI l��i� vC J� ❑ .� 8924 AIRPORT ROAD, REDDING, CA 96002 LIC #202026 R ' '�` DATE INSULATION COMPLETED ( square feet) (�Sv� square feet) ( square feet) ,TYPE OF INSULATION ' TYPE OF INSULATION TYPE OF INSULATION MATERIAL MATERIAL MATERIAL FIBERGLASS FIBERGLASS FIBERGLASS Al FORM BATTS FORM BATTS& BLOW FORM BAITS MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURER MANUFACTURER MANUFACTURER CT KN CT OCF KN OCF CT OCF KN G21 + R -VALUE APPLIED R -VALUE APPLIED MIN. INSTALLED WEIGHT PER R -VALUE APPLIED INSTALLED THICKNESS INSTALLED THICKNESS SQUARE FOOT INSTALLED THICKNESS 177) / x!4 KNEE WALLS IF R-VALUE'IS OTHER THAN WALLS ABOVE MATERIAL . FORM R -VALUE MANUFACTURER FIBERGLASS BATTS `` CT OCF KN AIR INFILTRATION SEALANT MATERIAL 7' MANUFACTURER FOAM HILTI HANDY FOAM I THIS IS TO'CERTIFY THAT INSULATION AMOR'SEALANT HAS BEEN INSTALLED IN CONFORMANCE..WITH,'APPLICABLE CODES, MATERIAL STANDARDS AND -REGULATIONS SI TU -INS N T /f /% DATE , SIGNATURE - GENERAL CONTRACTOR TITLE DATE REMARKS WHITE - Builder Copy, GREEN' -'Builder Copy; YELLOW - Customer Copy, PINK - Attic Copy, GOLD' File Copy Al dA NOTES RESIDENTIAL ,PERMIT NO. l ^ 1 y�.- �i>yo k cal-c,- 1)7 al-c,>1)7 p"o r2gA-s r I_.,► j Fou se ks yeti coy- Zs� i t i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) _ Signature �J I SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) _ Signature �J = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Sate UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils -Sec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd. / /" Fig. Depth 4. Ftg., Porches. & Decks; Soils -Steel-/ /" Ftg. Depth S. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped _ 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr:; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nati Protection 20. Shower Pan; Test, First" Floor -Tub Access 21. Test Tub & Shower Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) .OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Meth Fasteners -Bond Gas & Water 29.2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Ging. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdnn. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location - 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage $ Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstldJDrive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform 'if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Ging. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdnn. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location - 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage $ Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstldJDrive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: r t AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ja004-10106S4S30 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 12:21PM 26 -Oct -2004 REC FEE 10.00 CONFORM. 1.00 Jason Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT - Section 26-8 of the Butte County Code required this acknowledgment to.be recorded prior to issuance of a building SC permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm Operations. All that real property situate in the County of Butte, State of California, described as follows: Date ID/20/0 PERTY O V CER)S: I s .lay �Y C l� r15 polble'vi o State of California ) County of 2!5(/rJ-E7- ) On /FI /.6'/61--% before me, C74`� `�- ✓�/0J7�4Gy�7�v personally appeared L'69 �T.�? y=�D.l" wo ?Z-'--� personally known to me (or preved to ' •tory evi ec to be the person(s) whose name(s) ii/are subscribed to the within instrument and acknowledged to me that bye We/they executed the same in bsMr/their authorized capacity(ies), and that by bis/h.9r/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the i trument. WITNESS my hand and of cial se 1. GAYLA WILDER V COMM. # 1399916 Signat e (sw�- Seal: 0INOTARY PUBLIC C NTFORNIA 0 BUTTE courlrr COMM. EXP. FEB. 22 2007'" � M A.P. Exhibit "A" Legal Description THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1995, IN BOOK 136 OF MAPS, AT PAGE(S) 41 AND 42. RESERVING THEREFROM A RIGHT OF WAY AND PUBLIC UTILITY EASEMENT, AS SHOWN ON SAID MAP. AP NO. 027-110-053 PARCEL II: A 60 FOOT RIGHT OF WAY AND PUBLIC UTILITY EASEMENT WITH A 50 FOOT CUL DE SAC, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1995, IN BOOK 136 OF MAPS, AT PAGE(S) 41 AND 42. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. Jim Pursell Civil Engineer RCE 60924 Date: 12/16/04 Garage Revision Calculations _ Job Number: 104-03-55 .� Job Name: Chris & Sara Poblano Assessor Parcel No.: 027-110-053 Analysis: 2001 CBC Dead Loads Live Loads Roof: Comp. Shingle 6.0 1/2" O.S.B. 1.5. Framing 6.0 Insulation 1.0 1/2" Gypsum 2.5 17.0 psf. 16 psf. Wall: Stucco 10.0 3/8" O.S.B. 1.5 Framing 2.5 1/2" Gypsum 2.5 Insulation 1.0 18.0 psf. Floor: Flooring 4.0 3/4" plywood 2.5 Insulation 1.0 I joists 2.0 1/2" Gypsum 1.5 11.0 psf. 40 psf. Lateral Loads Wind: P=CeCggI where Exposure B Ce 0.62 @ 15 feet Cg= 0.3" in/0.9 out windward roof 0.67 @ 20 feet 0.7 out leeward roof 0.72 @ 25 feet 0.8 in windward wall 0.76 @ 30 feet 0.5 out leeward wall Seismic: V=2.5C8IW/1.4R where Ca 0.36 I= 1 R= 5.5/4.5 Page #1 BUTTE COUNTY B1ILIDIIV&VISION APPROVE® q= 14.5 psf @ 75 mph I= 1 S�nIA2i�S 1.N1�A''�'t�t13Q Z HO Ki, Afi,103 Soil Bearing Lateral Sliding Lateral Bearing ;t;,,l,tig AN 1500 psf Coeff.=0.35 200 psf/ft. !� D PT & CEOpyl: V) �A»�r1. R�.ti-rslo;�I LIS I" `( � w� 0 �1 6 5 3 7 444 >S il S 1 /lk7 G1 .. 3 � < yo5 psi Ps 3 Z1 V/ 7oriq 1-1 Lc� D z6 �o 00 P-Ac.'F- 2c-I�� WESTERN WOODS USE. BOOK VII -51 DESIGN — BENDING MEMBERS )ntinuous Beam—Two Unequal Spans—Uniformly Distributed Load L, ) z (,40* 11) - rr. 3 PR� W/1 W12 . R M, Wil — 71>c?2Cr zN .80,.aW Ar�- S T � Ll . . . . . . . . . . 5632-A R:. . . . . . . . . . . . .....w1i + Lul: —R, — R, R,=v .. . . . . . . . . . M1.. ... 2 _q q V.. . . . . . . . . . . .. . =R, IL V: I . . . . . . . .. . . . . . . = W1, — R,_ V,. . . . . . . . . . . .. R. V. . . . . . . . . . . . . . . R, M, . . . . . . . . . .. . . . LVI" + wl" 13) mr, when X, . . . . . . . = R.Y1 W R, when x. W pz, C> 5 759 L ""I Y/,6. V/ �Nr-�lS ��3L�-►JU lip, �3.3�'s4 0 -----_ ls� Psi {moo z�-r F'',�3 PQ�5 10 Chris Poblano Column Calculation for post supporting Floor Beam A- Garage Page 6 Slenderness Ratio: Post: 6x6 #2 D.F. sawn lumber Lei (ft.) = 8.33 Ke = 1.0 di (in.) = 5.50 Le2 (ft.) = 8.33 d2 (in.) = 5.50 Lei (Ke) = 8.33 ft. Let/dl = 18 < 50 OK Le2/d2 = 18 < 75 OK (during construction) Column Stability Factor: - Cp = (1+Fce/F'c)/2c) - (((1+Fce/F'c)/2c)^2 - (FcelF'c)/c)^1/2 Post or stud: b = d2 = 5.50 h = di = 5.50 Fc = 700 psi F'c = Fc'CD'CM'Ct'CF'Ci'Cp CD = 1.00 CM = 1.00 F'c = 700 psi CF = 1.00 Ct = 1.00 Ci = 1.00 Fce = Ke*E/(Lel/di)^2 : Kce = 0.30 (visually graded lumber) Fee = 1453 psi E = 1.60 X 10^6 Fce/F'c = 2.08 C = 0.8 (sawn lumber) Cp = (1 +Fce/F'c)/2c) - (((1 +Fce/F'c)/2c)^2 - (Fce/F'c)/c)^1 /2 = 0.87 .Therefore, F'c = 611 psi Actual Compression Stress: fc = Load / Area Load= 14749 Ib. fc = 488 psi Area = b*h = 30.25 sq.in. fc- < F'c 488 < 611 OK! Use 6x6 #2 D.F. sawn /umber sq,? tt),,,� Z. :=, E50 P Z.v�- = /353 Ib R,= /3ITel�l Alk - 6.3Z ( �T - IL I SI �3��-1353(6•���So(13 �3 /3 /3S3 6.5 �f jqqe-:> 10 Lateral Analysis Wall 6O Garage floor level Chris Poblano Page 6 Improtance Factor I= 1 P (Total) = 2750 Seismic Govems Seismic Roof Weight: Pitch = Rise:Run Pitch Factor 8 : 12 = 1.2 (Pitch factor)x(Area)x(Wt.(psf)) = Wt.(Ib) 1.21 504 x 17 = 10297 Wall Weight: (Area)x(Wt.(psf)) = Wt.(Ib) 675 x 18 = 12150 Floor Weight: (Area)i (Wt.(psf)) = Wt.(lb) 442 x 11 = 4862 Ca = 0.36 Total Wt.(Ib) R = 5.5 W = - 27309 Base Shear Ib) V = (2.5 x Ca x I x "/(1.4 x R) = 3192 )OA n } M M D� tiAILS 6 3`� G �G� Iz�IF/�•� USS 17Y37 �yPA RfTT� v• �. �. W� � �� 7 Wind Roof: Windward Leeward q I P (Coef.) (Coef.x A + Coef. x A) (@80) (lbs) P(30)= 0.76 0.3 10 0.7 10 14.5 1 = 110.2 P(25)= 0.72 0.3 50 0.7 50 14.5 1 = 522 P(20)= 0.67 0.3 0 0.7 0 14.5 1 = 0 P(15)= 0.62 0.3 0 0.7 0 14.5 1. = 0 Wall: Windward Leeward q I P (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) P(30)= 0.76 0.8 0 0.5 0 14.5 1 = 0 P(25)= 0.72 0.8 0 0.5 0 14.5 1 = 0 P(20)= 0.67 0.8 65 0.5 65 14.5 1 = 820.9 P(15)=. 0.62 0.8 111 0.5 111. 14.5 1 = 1297 P (Total) = 2750 Seismic Govems Seismic Roof Weight: Pitch = Rise:Run Pitch Factor 8 : 12 = 1.2 (Pitch factor)x(Area)x(Wt.(psf)) = Wt.(Ib) 1.21 504 x 17 = 10297 Wall Weight: (Area)x(Wt.(psf)) = Wt.(Ib) 675 x 18 = 12150 Floor Weight: (Area)i (Wt.(psf)) = Wt.(lb) 442 x 11 = 4862 Ca = 0.36 Total Wt.(Ib) R = 5.5 W = - 27309 Base Shear Ib) V = (2.5 x Ca x I x "/(1.4 x R) = 3192 )OA n } M M D� tiAILS 6 3`� G �G� Iz�IF/�•� USS 17Y37 �yPA RfTT� v• �. �. W� � �� 7 :i I Z S 7 � 3 ? .33 r� 4� Chris Poblano Page 10 Lateral Analvsis Wall OB at Garage only! Improtance Factor I = 1 P (Total) = 2994/ Wind Governs Seismic Roof Weight: Pitch = Rise:Run Pitch Factor 8 : 12 = 1.2 (Pitch factor)x(Area)x(Wt.(psf)) = Wt.(Ib) 1.21 416 x 17 = 8499 Wall Weight: (Area)x(Wt.(psf)) = Wt.(Ib) 306 x 18 = 5508 Floor Weight: (Area)x(Wt.(psf)) = Wt.(Ib) 0x 11 = 0 Ca = 0.36 Total Wt.(Ib) R = 5.5 W = ' 14007 Base Shear (lb) V=(2.5xCaxIxW)/(1.4xR)= 1637 �jl%A�� ® SN�a►y �N�L .mss i� N �'•v �-�� L.. v -.i � SN-� � = a-.-� r =. ;z,i . �L / s Pia ✓ � �� -A q S`7J�_ SP�iGInG� A�GY�cl� �(1'►'S S/1.L iQ, ,�ti �aA6 A4/ �_G ✓�RTt�r� r� � j9 GcA:�;�.,v �J�'' (�v�S't'���..�'-/e;.��V BANS '5+6W 8WpsTy'hE I� SW stt vel I.4 O Nt,Y q' vj W N sqows AhSrfi- - �i�� C� C).- LDWOM (ieNj eri- <..7l 6w Ie. WpS Wind Roof: Windward Leeward q I P (Coef.) (Coef.x A + Coef. x A) (@80) (lbs) P(30)= 0.76 0.3 14 0.7 14 14.5 1 = 154.3 P(25)= 0.72 0.3 61 . 0.7 61 14.5 1 = 636.8 P(20)= 0.67 0.3 26. 0.7 26 14.5 1 = 252.6 P(15)= 0.62 0.3 0 0.7 0 14.5 1 = 0 Wall: Windward Leeward q I P (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) P(30)= 0.76 0.8 0 0.5 0 14.5 1 = 0 P(25)= 0.72 0.8 0 0.5 0 14.5 1 = 0 P(20)= 0.67 0.8 60 0.5 60 14.5 1 = 757.8 P(15)= 0.62 0.8 102 0.5 102 14.5 1 = 1192 P (Total) = 2994/ Wind Governs Seismic Roof Weight: Pitch = Rise:Run Pitch Factor 8 : 12 = 1.2 (Pitch factor)x(Area)x(Wt.(psf)) = Wt.(Ib) 1.21 416 x 17 = 8499 Wall Weight: (Area)x(Wt.(psf)) = Wt.(Ib) 306 x 18 = 5508 Floor Weight: (Area)x(Wt.(psf)) = Wt.(Ib) 0x 11 = 0 Ca = 0.36 Total Wt.(Ib) R = 5.5 W = ' 14007 Base Shear (lb) V=(2.5xCaxIxW)/(1.4xR)= 1637 �jl%A�� ® SN�a►y �N�L .mss i� N �'•v �-�� L.. v -.i � SN-� � = a-.-� r =. ;z,i . �L / s Pia ✓ � �� -A q S`7J�_ SP�iGInG� A�GY�cl� �(1'►'S S/1.L iQ, ,�ti �aA6 A4/ �_G ✓�RTt�r� r� � j9 GcA:�;�.,v �J�'' (�v�S't'���..�'-/e;.��V BANS '5+6W 8WpsTy'hE I� SW stt vel I.4 O Nt,Y q' vj W N sqows AhSrfi- - �i�� C� C).- LDWOM (ieNj eri- <..7l 6w Ie. WpS C. Poblano Column Calculations for king stud (a) Garage Door: Slenderness Ratio: Stud: 4x6 #2 D. F. Lei (ft.) = 18.00 Ke = 1.0 di (in.) = 5.50 Le2 (ft.) = 8.00 d2 (in.) = 3.50 Lei(Ke) = 18.00 ft. Leddi = 39 < 50 OK Le2/d2 = 27 < 75 OK (during construction) Column Stability Factor: Cp = (1+Fce/F'c)/2c) - (((1+Fce/F'c)/2C)^2 - (Fce/F'c)/c)^1/2 Post or stud: b = d2 = 3.50 h = di = 5.50 Fc = 1350 psi F'c = Fc*CD*CM*Ct'CF*Ci*Cp CD = 1.25 CM = 1.00 F'c = 2194 psi CF= 1.30 Ct = 1.00 Ci = 1.00 Fce = Ke*E/(Lei/di)^2 Fce = 311 psi Fce/F'c = 0.14 Kce = 0.30 (visually graded lumber) E = 1.60 X 10^6 C = 0.8 (sawn lumber) Cp = '(1+Fce/F'c)/2c) - (((1+Fce/F'c)/2C)^2 - (Fce/F'c)/c)^1/2 = Therefore, F'c = 302 psi Actual Compression Stress: G = Load / Area G = 14 psi G < F'c 14 < 302 4x6 #2 D.F. 0.14 Load = 260 Ib. Area = b*h = 19.25 sq.in. OK! OK in compression on1v Page �% C. Poblano Column Calculations for king stud (a Garage Door: Bending & Axial Compression: (fc/F'c)^2 + fb/(F'b(1-fc/Fce)) < 1.0 where fc < Fce Fb = 900 psi (#1 D.F. sawn lumber) F'b = Fb'CD'CM'Ct'CF'Ci'Cr CD = 1.60 CF = 1.30 F'b = 1872 psi Cr = 1.00 Calculate Bending Stress fb Wind Pressure P = Ce•Cq•q•1 Ce = 0.62 = 1.00 Trib. Width= 9 ft. w (unif.load) = P x Trib.Wdth = 64.7 plf Reactions @ top & botom = w(Let)/2 = 583 Ib. M (maximum moment) = w(Let)^2/8 = 2621 ft.- Ib. fb = Mc/I = (6M)/(bh^2) = 1783 psi Thus....... (fc/F'c)^2 + fb/(F'b(1-fc/Fce)) = 1.00 < 1 where Use 4x6 #2 D. F. Page /,7— CM = 1.00 Ct = 1.00 Ci = 1.00 Cq = 0.80 q = . 14.50 psf Let (ft.) = 18.00 b=d2=3:50 h=dt=5.50 fc < Fce 14 < 311 OK! C. Poblano Page /3 Column Calculations for king studs (cD windows: Slenderness Ratio: Stud: 2x6 #2 D. F. Lei (ft.) = 18.00 Ke = 1.0 d1 (in.) = 5.50 Le2 (ft.) = 8.00 d2 (in.) = 1.50 Lel(Ke) = 18.00 ft. Lei/d1 = 39 < 50 OK Le2/d2 = 64 < 75 OK (during construction) Column Stability Factor: Cp = (1+Fce/F'c)/2c) - (((1+Fce/F'c)/2c)^2 - (Fce/F'c)/c)^1/2 Post or stud: b = d2 = 1.50 h = di = 5.50 Fc = 1350 psi F'c = Fc*CD*CM*Ct*CF*Ci*Cp CD = 1.25 CM = 1.00 F'c = 2194 psi CF = 1.30 Ct = 1.00 Ci = 1.00 Fce = Ke*E/(Lel/dl)^2 Kce = 0.30 (visually graded lumber) Fce = 311 psi E = 1.60 X 10^6 Fce/F'c = 0.14 C = 0.8 (sawn lumber) Cp = (1+Fce/F'c)/2c) - (((1+Fce/F'c)/2c)^2 - (Fce/F'c)/c)^1/2 = 0.14 Therefore, F'c = 302 psi Actual Compression Stress: fc = Load / Area Truss Load =. 858 Ib. fc = 104 psi Area = b*h = 8.25 sq.in. fc < F'c 104 < 302 OK! 2x6 #2 D. F. OK in compression only Page CM = 1.00 Ct = 1.00 Ci = 1.00 Cq = 0.80 q = 14.50 psf Reactions @ top & botom = w(Lei)/2 = 173 Ib. M (maximum moment) _. w(Lei)^2/8 778 ft.- Ib. fb = Mc/I = (6M)/(bh"2) = 1234 psi Thus....... (fc/F'c)^2 + fb/(F'b(1-fc/Fce)) = 0.98 < 1 where fc 104 Use 2x6 #2 D.F. Lei (ft.) = 18.00 b=d2= 1.50 h=`di=5.50 4 Fce < 311 OK! R. Poblano Column Calculations for tallest stud (cD "Morning' Bay wall: Bending & Axial Compression: (fc/F'c)^2 + fb/(F'b(1-fc/Fce)) < 1.0 where fc < Fce Fb = 900 psi (#1 D.F. sawn lumber) F'b = Fb'CD'CM'Ct'CF'Ci'Cr CD = 1.60 CF= 1.30 F'b = 2153 psi Cr = 1.15 Calculate Bending Stress fb Wind Pressure P = Ce•Cq•q'I Ce = 0.62 = 1.00 Trib. Width = 2.67 ft. w (unif.load) = P x Trib.Wdth = 19.2 plf Page CM = 1.00 Ct = 1.00 Ci = 1.00 Cq = 0.80 q = 14.50 psf Reactions @ top & botom = w(Lei)/2 = 173 Ib. M (maximum moment) _. w(Lei)^2/8 778 ft.- Ib. fb = Mc/I = (6M)/(bh"2) = 1234 psi Thus....... (fc/F'c)^2 + fb/(F'b(1-fc/Fce)) = 0.98 < 1 where fc 104 Use 2x6 #2 D.F. Lei (ft.) = 18.00 b=d2= 1.50 h=`di=5.50 4 Fce < 311 OK! R o F& 724GG A/6 G /ALCL /A/t-7— Lfj0AJ 6A 1 s ggTOk { f BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\d& PERMIT NO. BP042592 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: 12/07/2004 APN' 027-110-053-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 117 PENDERGAST LN ORO Date: Contractor. Map Index: Description: NSF (2556) ATT GAR (860) COV POR (380) 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: POBLANO CHRISTOPHER &SARA FAMILY permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a TRUST signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 2041 NAND DR she is exempt therefrom and the basis for the alleged exemption. Any YUBA CITY, CA 95993 violation of Section 7031.5 by any applicant for a permit subjects the to than five hundred dollars (530) 790-6629 applicant a civil penalty of not more ($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: POBLANO CHRISTOPHER 8r SARA FAMILY owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, TRUST provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 2041 NAND DR proving that he or she did not build or improve for the purpose of YUBA CITY, CA 95993 sale.). (530) 790-6629 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. tractors' State License Law does not apply to an owner of who builds or improves thereon, and who contracts for scts with a contractor(s) licensed I'tat pursuant to the ContractLicen w.Contractor: ❑ I am Exempt under Articl iusi a andd CodeDate.11-7 Professions b Owner:t WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: PURSELL, FRANK JAMES insurance carrier and policy number are: Carder: Total Square Ft: 3796 S.F. Policy #: I certify that in the performance of the work for which this permit is issued. I in Valuation: $192,860.00 shall not employ any person 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 forthwit comply with those provisions. Date: L , Applicant: QAX1 WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to crimi6al 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 •s here -issued under the applicableproSisions of the Butte County C.6d - ' 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.) Resolutiwork indicated above for which fees have been paid 1 Name: By Da��t . PERMIT EXPIRE ON -I - v Date Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,. handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owe ort duly apodzd 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 substan e f a officialdocument of Butte County. I hereby authorize repres ntjattives of But County to enter upon the above mentioned property for inspection pu sPrintName: ' 1S �di0[MVI ,U I� Signature:✓`� Date: 121 % / C —r Owner 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor 5�RIS,7�-. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" i a 9� 'O 1400-91 OWNER LOCATION e T"D (D � 010 0 irst Name � I•s AP# 0 Z-7 _ I 2 -ow �3 4XK A' O r . ytf-_ Pr erty Ad ress state G?%1" ZievIA-- P°15 1�► I E-mail C S t7 OC> Fax °k CLX31JCr_: pOBLAN'O LRGAST L.N. 0 '0\'1LL -, CONTRACTOIF10,\11_`{ ARCHITECT/ENGINEER Name �vv� rnV' l Address City occw i (I State Zip r1 Jac! (P i0 Phone 533— 2I 3 I Fax 534 ^ 09 D Z. E-mail State License Number 60 11 APPLICANT NAME Name /1 c. l.. s A-Seure' ob (6_,tA o Address 20q ( l-�vtd �Y City \6 _ State C44 Zip Phon Fax E-mail Book APFILICIANT SIGNATURE X �% cS rcb(o� I For office use only: Zoning IA -5 I Flood Zone I X I SRA es No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BPo4-25g2 BIN 0v-ov; 3y-v� IQ� jr G CU610 s WORKER'S COMPENSATION O U0 t Ct.I Ot s�r 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 Q (j &ftom. Nr Address Description or Scope of Work: �N-et,a CCPA6(7 rte �w-- Sq. Foota a 2; / 55 (P ❑ Structure Built without Permits` ❑ Proposed Change of c J (Note previoususe 0n as not been issued will expire one nation. In order to renew action on an ion, a new application, plans and fee will be REQIMT FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR. SUBMITTAL REQUIREMENTS L K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: KM Receipt #: I y 18 Date: 9.3 • oA� Amount: 5245.74— Bldg -PO4-•98 SRA 34"t5•_ _. Sheriff SMIP 119-291 Other 3 830. 01 Total REV 6-16-04 SUBMITTAL 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 AVEg AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer..NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flo6d Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations 'in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured,,or,Modular_Homes: �'� A" ❑ 1. 3 -Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. '2 Data sheets and installati61 instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered T_ ie Downs or Foundation plans. ❑ 6. Sanitation 2nd site plan)approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Adiditiont and Remodels: ❑ 1. 4 Site Plans, signelby thbrpreparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with_ wet sij�hature on plans AND 2 sets of stamped and signed calculations, with code analysis. 4 ❑ 3. ,* 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the emdueer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSIBUILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 w; COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �Nr r---;" !77 n N r"f E P_ L ASSESSOR PARCEL NUMBER ®.7 • Ito - e:;,53 41, Proposed Building Use: t'I ' �� ? '�'`� /v� F C fi $gyp) Counter Technician: Date: 3 4- �`�% Items required in order.to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 40 1. Site plans(i)or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans' 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. l 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. V 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A). Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ' 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other FRaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 17. Fire Sprinklers............................................................................................ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ 20. Erosion Control Plan Required................................................................................ 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................� ❑ 22. City of Chico Plumbing permit .............................. .................. pproval 23. California Department of Forestry plan aaid. Sent by: 4.'3 �Q�- D • q 9 0¢ 24. Planning approval (A) Use: �(B)Parking: (C) Parcel Check: 10 1-6 01( ❑ , 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... O / 30. Worker's Compensation Carrier and Policy Number .......................................... I 31. Owner -Builder Verification (Ziven to owner, _Mailed to owner) ..................... 32. Letter of Signature authorization .......... ...............:............:.......................... ... 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M:H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issuedielephone4,!23 and hold for pickup. 7� px !P I have been i%rmfid of th'e_ab6ve items and re ements for Applicant: 1. Index permit application for the a ove numb e : ,' t i Check Letter 2. Additional items required Contractor, designe, owner, as advi ed of the a ove data b phone, ❑ mail, ❑ counter, by Date: �20 Contractor, -designer ner, as 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: �¢_ Date: Note transfer by: Date: Yellow: Building Division E.H. USE ONLY Plot Plan Attached Flava Man Attschad'� San4to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation ClearanceP=' " %L SAS . JJ� — •- s R Owner Location AP# Plan Approved for: Sewage Disposal. W ter S ply: n Public! -0 Private Well Clearance for dwelling. Other c� 1-i" AA 1 ��^ � S e Hold final for: Final clearance O.K. for: NOTE: nmen al Health Specialist 8/96 C) !J ri ate COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION f 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES' oz il0.CS OWNER P /�>�O A.P. # ]� 3 i PROPROSED BUILDING USE S F DATE Q.3 - c 4 RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ 3 2 -*5. 7A- 41118 1 q -_3-.n4- --- •3.04---- Additional Fees Due........... $ { ` --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES efD�2oy I L�L-E (paid at School District Office) (form available after Plan Check) I Vem+D &MJ�,p•- d 3. SHERIFF FEES (paid at Building Division) Residential............ l X $360.00 �}-I 21 S G 3.04- j Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ � #Units Amt. ' t Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) r 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE 1 $89-.W(paid at Building Division) . 4- (1) 61 9.3.04' t -1)o4.9b 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) r 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ i Sq. Fig. Amt. d 10. OTHER At time of permitpil ic 'on, I wa ad sed the above fees are required to be paid prior to issuance of the permit. These fees may, be changed g e plan c ec g p ocess. APPLICANT ) DATE ql3)0 Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have'90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR County Center Drive roville, CA 95965 30) 538.7601 Telephone 30) 538-7785 Facsimile TO: FROM: SUBJECT: DATE: 0 WILLDAN Scott Rutherford (530) 538-7160 srutherford(c)buttecou nty:net Plans Transmittal For Review Per Contract 9/7/2004 ti Applicant: Poblano, Chris Permit 04-2592 Project Type: NSF/Gars e/Cov APN: 027-110-053 100% 70% Plan Check Fees $ 1,298.30 $ 908.81 $ 1,298.30 $ 908.81 WILLDAN Fee $ 908.81 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other ' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM i a. (One form per Building) I. . School District jf I A.P� Number ' 1 d' Jurisdiction: City i Property Owner Property Location/A Subdivision Building Department No. County ................................................................ ................. Residential DevelopmentEl Sq. Footage GA Noo Living Mobile Home Addition/ 'Supplemental to (Group R) f 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 District Identification. No. 050131 t` / z i ( I t. -C .Lj wr�A 4) School District certifies that e j/j &'O'l /QUA (City) has complied with the requirements of Resolution No. representing J5(to square feet. School District Representative Sq. Footage (Including Exterior Roof Areas) . to -ao 6.,_ Date Its" (Applicant) , (Phone Number) (State) (Zip Code) v �"9 by payment of $ ! � 5' �( y JAB 2926 $ FULL MnT1GATION $ Date • Paid by Check d / 0 r rr Remarks: J Node@: You may protest the Imposition of the fess Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fess aro paid. Failure to submit a timely written protest will'pohibh you from challenging the Imposition of the fess In any court action. % If, subsequent to the School District Representative signing thleBulb County Schools Impact Fee Certification Form, ft School Dbtrtct Is rrotlllsd by the applicable Local Planning Agency that this project Is being rsvlswed undwr the California Environmental Quallty Act (CEQAh tire' pojeet may be subject to additional school fees to fully mitlpate.1ts Impact on the school district's schools. White (applicant), Yellow (building department), fink (school district) feeform.xls (10/03)dmm �i AND August 31,2004 Butte County Building Department Oroville, CA 95965 RE: Building Permit We are submitting our building plans today for permit approval of two single family homes in Butte County with a special request. We would like to ask the county to only do an in house county plan review and approval. If this is not possible then we ` would only life our plans to be shipped out to Gorden Wright P.E. of Wikian in Sacramento CA. Thank you in advance for your time and consideration to our request. Robert T. Pohlano Chris T. Poblano 3100 Oroville Dam Blvd. Oroville, CA 95966 • Phone (530) 534-4568 .- Fax (530) 534-3657 U -Department of Public Works. C o u n t y o f B u t t e J. Michael Crump, Director LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System. (NPDES) Phase ff Construction Storm Water Permit'and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement ILESS THAN 1 ACRE1 rr�IectDescription: - Project Location and/or Parcel Number: �v o5 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit. from the State of California Regional Water Quality Control Board. 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 bllaw,., n Signed: Title: Apr Date: - r Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/12/04 O.B.-1 OWNER -BUILDER VERIFICA'TION Attention Property Owner: An "owner bvildee' building peanit has been applied for in your name and bearino,your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit No building permit will be issued until this verification is received. *1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO O *2. I HAVE 13 HAVE RIOTFOUowing ned an application for a building permit for the proposed work. 3. I have contracted with the person (firm) to provide the proposed construction: NAME: ADDRESS: —CITY.. PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. + { I-wil]rp��e-soma-of�he�r-k iizri-I-3mave-cone ��-�e�fotiow3ng-persons-#s�rovide the work indicated: NAME ADDRESS PHONE TYPE OR WORK ,VDATE: /o NOT' This Owner -Builder VenflMdOn is required by Sec€ion 1983.1 and 19832 of the California Hea hh and Safety Code. This verz)kation must be completed and returned to our office before we are permitted to issue the r3m?na OWNER BUILDFA INFO TIr©N Dear Property Owner. � i _ a bMI&g Permit has bei submitted m your„. Y if as sp gm builder of property ForyourP 04 You should be aware that as "ownev4, ld,” y0u are a Pparty ofrecord on sncdz Pmt Buldmg pew are not requaed to be signed by property owners ualess are own work If your work is being pew by someone other than �' personally perform�g their liability if that person applies for the yourself; you �' P yourself from, possible ProPurP� is his or her name. license from o� by law to be licensed and bonded by fe State of Califaaua and to have a business aPPl3'• city ` T� are also requaed bylaw to put tinea license member oa all p= for which trey be aware of the foIIowing mfbzm nn ,ffir w� the mon of various trades that you plan to sobconirart, you should yom benefit: and prof =&m. Ifyan employ or otherwise age my persons other than your immedIft &MilY, and the work (Mckdrmg mate and other costs) is $300 or more for the entire projeCksuch P are not licensed as conte thea you may be an employe: and or ♦ If you are an emPlaYer, you const register Wft fire State and Federal Governments as as employer and subject to several obiiga&m including s� and fedeai you are workers compensation nice co nzcom$ withholding, fede=aa! social secuzity �, ♦ Thome may be financial � £arMrj compensation cow, With respect to wormr's comps n � these DbHgaSms, and these risks are especially sadous ♦ For more specifc mon aborrt your obligations under Federal Law ifyou wish, Bre U.S. Small Busiaess .. . caatract tine ins"al Reveraie Service (aMA State Law, cxinact the Department of Benefit �- For mare spex ific iaSomon about your obligations under Pay�nb and the Division of hzdusttial Ate, If fire is intended for sale, property owners who are not used opo rk naliy theg own employees, Without a licensed ���, only tinder limited A freQueat practice of MXcensed P=ons Pwg to be contractD. b to severe an " P� erzoneau mP15n that Sze p TP=y owner is provid;ag bis or her own °�• bmlde .building penazi� are rat required to be signed labor and dial ply, g��g Infirmadon about �� owners uate�c �' are Pig their over worn persoaaIly. amity or at 1020 N SbvA S Y o Contr=MState Lam Board is your Please � � CA. 95814. camp "Ow=Builder vedfioasoe on the reverse side of this fora so that we can conf that are aware of twee mameis. The building p� tm will not be issued a the ve�ficadm is r Y. „ �L1T 0loliel $iCii�Q pTl7lQr It T equfred by Section 1-9n# of ae CaCifoTafa 111111 Safety Code r%IvrTw-r, AND August 31,2404 Butte County Building Department Oroville, CA 95965 RE: Building Permit i We are submitting our building plans today for permit approval of two single family Domes in Butte County with a special request. We would like to ask the county to only do an in house county plan review and approval. If this is not possible then we would only like our plans to be shipped out to Gorden Wright P.E. of Wildan in Sacramento CA. Thank you in advance for your time and consideration to our. request. Sincerely, IS lc,� R nhPrt T_. Pnhiann1?ris T . Pnhlano 3100 Oroville Dam Blvd. Oroville, CA 95966 Phone (530) 534-4568 Fax (530) 534-3657 I - VJ , rAl li..lt r. -i_ alu „t 1.a U - txlltlSs. . QUILLING COMPONENT'S D:Cernber 1rd, 2004 Butte County Building & Planning.Departmen>. 7 County Center Drive Orovilk, CA 95965 REF: Chris Pvbla-no,`Robert Poblano Residences Pendergast Lane Oroville, California A.PIN's — 027-110-053 &'027-;110-054 To W- Tiorn It May Concem: The ptupose of this correspondence is to verify that the above referenced truss jobs are beth capeb!e of supporting the additional 'h pound DeadLoads created fi•om the instaliation of 1" PVC Fire Sprinkler System; and it's related components, applied directly to the top side of the tniss bottom chords. The truss designs inherently provide for a additiurial miscellaneous bottom chord DeadLoad of 1.5 pounds psf xvhich more than:covers the intended lire Sprinkler System. 1f there are any other concems with this or any' other plan ,please feel fi•ee to cotttact nae duriag regvjar business hours. Un -61 Such Tirne 1.Sober Designer/Estimator 8350 Industrial Aver+ue ®. Roseville, Calitornia 95678 ® (916) 774-1115 WI LLDAN Serving i Agencies October 17, 2004 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL Willdan Project No: 14353-1142 Jurisdiction Job No: 04-2592 Assessor's Parcel No: 027-110-053 Description: Chris Poblano Residence Dear Mr. Rutherford: 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: 1. Plans: Two (2) copies Site Plan; two (2) copies sheets Cover through 1-6 (7 pages) dated 01- 01-01, and two (2) copies Sheet 7 (1 page) dated 08-06-04, not signed 2. Structural Calculations: Two (2) copies dated 08-16-04 by Jim Pursell, P.E.. 3. Energy Calculations: Two (2) copies dated 06-30-04 signed by Don Freemyers. 4. Truss Calculations: Two (2) copies trusses and two (2) copies drag trusses dated 07-02-04 by Mehrzad Afifi, P.E., Erickson Building Systems. 5. Miscellaneous: Two (2) copies EOR's Truss Review Letter dated 8/16/04 by Jim Pursell, P.E: The plans have been stamped with the Willdan approval stamp and dated the date of this letter. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. SWI LLerving ,DA�N APPLICABLE CODES 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC". • Part 3, known as the California Electrical Code and abbreviated herein as "CEC". • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC". • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC". • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS". CODE ANALYSIS Type of Occupancy Type of Construction Sprinklers Stories V Floor S9 Ft 2 nd Floor Sq Ft Total Sq Ft R-3 V -N No 1 2556 N/a 2556 Garage V -N No 1 884* N/a 884* Covered Porch V -N No 1 380 N/a 380 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and notes as red -lined on the plans. 3. All architectural plan sheets shall be signed by designer or person responsible for the plans as required by California Health & Safety Code Section 5536.1. 4. The Title -24 -CF -1R -form shall be signed by the designer, owner or other person taking responsibility for the project design. CES 10-103(a)1 5. *Permit application building areas for Garage specified in the scope -of -work shall be reconciled with plans to Butte County's satisfaction. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Sincerely, �/ Rick Essenwanger Gordon Wright, P.E. Plans Examiner Plan Check Engineer Cc: E-mail Alice Mefford at: amefford@buttecounty.net Chris Poblano, FAX: (530) 534-3657, E-mail: c_pob@cwnet.com Jim Pursell, P.E., FAX: (534-0902 Pa -0 2 oft County of Butte Permit Application r04-2592 W.i.lidan. 4-1.4353-1142 w CDF FIRE SAFE REQUIREMENTS 027-110-053 BP -04-2592 Poblano AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail -ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures 1273.07 (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [X] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] 2. the length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.11 Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides . entrance, a 50 foot turning radius shall be used. . 1 CDF FIRE SAFE REQUIREMENTS - 027 -110-053 BP -04-2592 Poblano AP# PERMIT # NAME Fuel Modification 1276.01 Setback for Structure Defensible Space [X] 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements below. [X] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Other Requirements [ ] If Building Setback is 15 to 30 Feet: Class A or B roof Enclosed Eaves [ ] If Building Setback is Less Than 15 Feet — Class A or B roof with enclosed Eaves and: Choose any 2 of the following: - Metal or no doors on side toward property line with insufficient setback - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco — 3 coat Hardi-Board or Plank Masonry Masonry Veneer Metal Other Butte county Fire Department approved materials 09/09/2004 Darren Read Date Signature FA i ,z SITE PLAN REVIEW APPLICATION Date: lot ad6 AP# 0a 7 - //0-06-3 Permit Number (if applicable) Q L/ APPLICANT INFORMATION Parcel Size: Owners Name:C.!'l�i-[.S �� X/CCi/�'L 0 Owners Address: oZCG{i/ 7, -?.,,,d 7.�, co- q6 713 Telephone No: Situs Address: Proposed Use: - 7 ?d Residential IN New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family - Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Additiori- Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: ❑ Single Family Remodel ❑ Commercial Remodel Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date "m Page 1 of 5 r ❑ Commercial Remodel Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date "m Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (Seeattached) o Flood Zone: / Flood Panel No.: 467007"215i!Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) F] Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A- 5— �P-A2 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side �► v r Side Street Rear 5� 30t Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 0 Applicable Development Fees: ..V Standard Fees Amount Formula ❑ Fire ° ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map .Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of . the building permit. s Parcel Created By ❑ Deeds:. Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: - ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes r Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel T❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger' ❑ Obtain a Lot Line Adjustment. ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements ---------------------------------------------------------------------------------------- Page 3 of 5 Subdivision Map/Parcel Map: . I' Map Date of Recording: - 24' Lot: 2- ❑ Use Permit/Minor Use Permit Permit Number: Book: 'I3(e Date of Approval: Page: 4 , cf�A, Parcel Map/Subdivision Map[Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa u Page 4of5 C Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarryslBuilding Permit Site Plan Reviewl.doc Page 5 of 5 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING October 20, 2004 Chris Pablano 2041 Nand Drive Yuba City, CA 95993 Subject: APN — 027-110-053 Dear Mr. Pablano, The Butte County Department of Development Services, Planning Department, has reviewed the submitted Building Permit Application 04-2592. Attached, please find a copy of the parcel map notes for your property that was recorded in 1995. In this certificate, it states that you are required to have automatic fire suppression sprinkler systems installed in all new residential structures. For final approval on your Building Permit Application, we will need plans submitted for fire suppression sprinklers. Please submit these plans as soon as possible for review. Should you have any questions please feel free to contact me between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7601. Sincerely, /ana"Adleir Assistant Planner Alam s. S1-'Z1A1le4CR SY5T-cA46SZj41-1- )q6 I AjV7A1-tV) lk/ ALL sTevc-rz1�S kll-rw4 7WE A147'10A14Z- -574,UD,4el� rOR -171le 1A1S7AtL,4-rt0I)j CIF 7�C-06 /-V OAMT A AJO T&C x,4,114 Y 17kJ6 /- /- / �J6 6 .4,Q0 ~,431 e-5 A1Z--*CS, AJ. r. P,4. s74ko,4R,,? 13-1)1 41AJI-ESS .4 /IA,-rSS41R1ZE1) C&74-IM41q(JJ7-yA1A76oe SYS76-W, U117-,-1 F/,M MY'179AAIrS 7',1147- kt56T 1'4, Re S-1- S - 2) IC,4 /&670 PeRAY17' IS -oq(-5GZ1M6D A09 7-A1,5 R04) CROSS-.W�g 7-1.16 S-rZ,54�, 77-lJS 51441_t AE aq7-4j&1E17 /-gince, -ry .4klY 6ROxvAIG or oTmER oc-rlv17-}1 AwTami 74t--- --41;) S7-RC,4A-1 CW S)�IWZ OCCOR RAF/0',e 722 &-Ir- AR &X PERWIT16. * 1, g4u R,-comgrmc7-en 3.) AES1 PEIJ TIA- 81-111-D. 1AJG,'5 AIITUlkl 7-91S SZIA D t V1'G 10 1 6 OF. 7-mF &Amcne4i Be COWSM44C 76ON .4 P OF -.17-1ESe 1>4z�e45 S14AI e ME4,17 7MF rlRF. SAF -5 A,- 7- rl-,- Fae smrrAPA-s F,4, -Il- i -ric:5 sAw z )gc Vwj/) 7 -MZ PjMISVVY OF C1 -14P7 -,-P :-T, Atlee,- -Y OF 7.1/,- Aa7l-leeMIWT� anz5-- vbaw, . 1 :IV9WAAc--e OF SUIZ-01AA5 AMWI75 � 1/SC- PS J11 W 7AI-c A4454c- . 2� T -1 9,414D 4ALCOIA D Ar .4 -,,Y0MS- P,4,r . SAID rr2F Aft W 41- , .3 Z: "IA S AS ov I)A 7 Z- OF 4,F, 0 t, -1C, a 7 -/OA, J AW Ve ANIL / YA h 6 P50M 1 i ae as q ,141 or 7-agsg pAor,-i-g m.4Y rEwloE F4yhwAj-r of COM -rz 7) CWCTM, TIO"OF PRIWWAYAND VOADWAV WXL RE WN, (::761e5,,V Y wl-r,v qe pe/az To oevel-OPMEvr OF T-Ile-ve - Pneee-Ls Edward B. Pendergast, Tentative Parcel Map, AP 027-110-012, Road, 1700 ft. east of parcels located on the south side of Grubbs Club. Drive.;. Palermo area. .� Engineer: Ron ' Graves Cotatrp Assoc Late • Yeo :,.' ��7:�:i�',-`.Py;•'; t`��:!%%"-'t'•,�.' 'i., .`�.:lN J�:`'..,'v,.,_,. ;:_ . ONDITIONS.'. LA1tD DEVELOP? T .C., ._:.,f,5':;�d�°s;:�:;,"•.,- :::.; ;:.., ., :A -LD-II to each parcel RS -S < ' 1 raProvid®wo:ay_traversable access road or state highway. acoi,i-a=tytmaintained `•ill'/:: K ...S liN.%.:4�'i,, a.4 ',l*'r(,.ti .,; y'^:,:..' ;(«.'�I..', ^, ,i•.s'�Il':sp.Y-..''.?c 571 :.: :ia`.:R�. •. .. `. as per county ordinance and be'':'reservedin .deeds s' :for "dedication on the final map. - :> o-ffere)d °'; b ildiv:? setback line measured' fro« c=.'•t2r'---^-' ^f ... access easement.1> agr Bement . ,y , ,Provide :'road':inaintenance i; knVE51:-j ✓.. /',.; , a.3,~,�. .,; wa from the 30'. ft. right -of- y ..o °Cour Butte . Deed- to.�the.N ty.! of. r..ti....f'I �Grubbs,Road• °. a =r cente=lice fd r ; 50' ft building"setback . centerline of 4fi{Y J:lsaG 4d`i.P24'! �DV. .p/J Jrl"`n ) ( ' from the Iadicate'za Grubbs'.Road:Affi,the. s 'eiaents! of record on `.inal map. x -Show. 'all'"eas �:✓` ' .� et'. S�G..6y�y7. ',d..:y�y;,.. ,:: .' ..:)':5::: v'�.t-,'::. ,ri`. �.:. f P:'i. .v.+JS...Jj,.,-• requirements of the Department w.''.rL d �• Provide.�.street�y:name�'si s per: g] ` . Works }prior>.to•.recorda ion of the final map. m V4a x . > < ;.,:.. x Prov, elpermaneat solution for drainage. the:::'end 'of the street. 0` Provide ;cul a sac .,at :.. and.;a construct standard. road .11 Obtain• eacroachment .Permit" r3•ade the intersection aPPaCh;�gidin quate `sight: distance at t^ 4: Grubbs .. Ro ad r - of; acre"ssroadand '.,,::,; ,. . d ;:: .;`.; y.-.. .... .,.. .., ;,. ,[���yy� f%,j�:�.-u �: �" ;T,:.',•.l'r. ;mss", J: p}t" encrcaciiaientepermitfor:all'.driveways,.new or existing, 1Z and Cpastructi'`tocoiiatl!'?standards. as:'re ed. taxes QL e eat°�-NtaSes; or,;curreat requirements of the Butte `County Fire Department. 7 tom' Carl tr.aSL.,j='p.,{.b. o:ti,:?`r .:i l.i.,.: :Health;}D.ep :... .�: , =•ti. ^' :;,.�: ^: existin around "PrrOvv"Ieeshfe >fre::e':: :setback g . ;15' 100 ft. of thePro e=ty-.or.•wtnw h n 'the= ei `r P?'oPab°iia_daries`oa' "d, 50 leachf ehd`s;"setrack': fromthe drainage ways on 1 g ft« arcel ��.��•'?:+,� ,:s„fit:';:;::;., • , ► r 17 Show a 200 ft. leachfield setback from the hiahwater line of the lake on parcels 2 and 3. 18 Show the.:;•isable sewage disposal area proven to meet the requiremeat3.of.-the Subdivision. Ordinance on parcels 1, 2 and _.s=;1•}.�_fuyf±A`.`t•....`�.:;T2�'.`,'.X3LY��'C�����'J.� ,J�a P inkl e nature', bondition: �?;vrt: s.=:.�`.:;z:;•:.:h::.:�: ''' : ,:,, iti pact fee for tSherif`!s:,:facilities shall :be it to theproyisionsr,of 4Chapter 3, Ar`icle: II.`of ii tv Code':.':v=ior toy issuance,..of. building:ipermits it is bete the. case.-gf�aJifioY 1dj.dome .:park Said�;fee;v f r . ....... be drmianed�.-andgcalculat'edl=as;of:ahe ;date;;of;,:.:' for'theybuildi�{ag; permit` 'ornuse;permit: rsh' a.rK 5�i�+ 'c�-`• X 4 - �kt,§c.' '}��L ' ' :esEY gy �fYksG, �'•�'k �'., '1.+.. Yt4!'. ! v. _ .ae •' e:,,on--the;;additional�';:sap:•'sheet,that states: iT Fire spzinkler:systems..shall be -installed in:all new est=iictures'<in' accordance. with the National Fire ,I.bsociationfor the installation o , dist'ems?;in two- family -dwellings and mobile Standard'13D "unless a pressurized community water h'I�hydrants.;;that`'meet.Fire Dept. specifications parpeli `?�isturbancertsetback:shall be-located'along both �.:. `.. eam"channel:'..';This-. no disturbance zone shall ed on' .the. final;, map.:'.;. The zone can include the tht :road.:as! shown;•onl.the. tentative parcel map. e a.the fina] ; map _stating:' If a 1600 •Permit is = tIIeuroad °crossing'..the•:intermittent stream, this. btained>prior�`to?: any,;: grading . or other activity said;gstreaiii�oi. 'skiall 'occur:�prior' to issuance':of rlRitS �ti'^1�'3's�j���,G•''. �o`%`�"�ti�;'-_:`c:.• _ ra';j";. Ifo, ion ag•s.; notafPbn.,,th`e;, finah .map: Reside.itial oitlfs.this.�;.:ubdivision:.7shall.' be •constructed to l they"+require"inents,: ofJ..tbe ,.Uniform Building ' code.' 4o 0'WIN ALL 'COiTNTiGj,CONDITIONS OF..v'APPROVAL: ybe;xapproved:admnistratively by'the Directors of ialth�4 Planairig.r or:7Public );Works'' upon receipt of a ttea�regiie:st�by':;the;applicant'. and only as to those 4equirreinents: recommended i'.by.<':<..their respective o to suchsapproval'jiverification shall.,be made by o�Division' that' ;the';modification is consistent tion_fees'`paid :and :environmental determination as )proved:' Changes d::emed to' be major or .significant require a formal application for amendment." \ " � � C T 6O'.%J✓ 1 P.U.6 iD RE J7CJ(/a�r/1 /.V /A?b7'S d.Vn DFjBIpFn FETr /M/J/C4T/D.0 � Y/�6 �' � � � :J a C/' .'/'22 I Ld/.t/7"✓ Ov RUTYE - I R= 970' .VCO' d2' i9'k/1P1/A?.YM! .K/7 '\,l P59S.. 77g4%a YMI y ----- —T I sc.or' b 4a P� 974.60' \ Il 3 RL Sg Y u ds Oq•?�'ft fCl O - C 70 R4.T8 —a/IrQ,.GT FZ7 �-�'��.POIO-00• tib: raa.79alAa: \ o J! 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'r ,1x.T f.'2 4�4y{. �7 b,�l iy`Jt� .-L t_':•5 i��: .i � 1nry`z:::Y.YV e ' - 2 3 � xa v r � } -• w- a�3���t � t.� c.. o- r r^ , � s: t , l - ;� 5''_.a Jr +t,, } j'r'!,',e�,� ,py} ' :�+, j ' ' fi. a d•,r "q a ) i.r '..;' $;: 'r .. t r!Sh} .J,q •i �,� f,4•,uMardEA� '� '��iT q � � :`T �,..., f .. -t .. r rpt;• • i 4 l T" _ ... 'p::'F: .•S:;it>• 7ii,':.�.� Vit: �'. .. _ \ "- e. Y. 1• t 4 •7 w •i Vis.•: aY' ..a lr`' ., •'.5.1; n.r `:' .. of � .t` �•� . ' COPY of Document Recorded 26-Oct72004 2004-0065630 AND WHEN RECORDED MAIL TO- Has not been original compared with BUTTE COUNTY BUILDING DIVISION BUTTE COUNTY RECORDER 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 C( D F -)\J,'/ 99.( AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm . operations. All that real property situate in the County of Butte, State of California, described as follows: Date_ I ol2010 V • PERTY O R _ State of California ------ — ) _ .... - ------County-of -- -----)------ --- On /0 he/` before me, personally appeared ,, a D J personally known to me ( ry 'evie c to be the person(s) whose name(s) ig/are subscribed to the within instrument and acknowledged to me that b&sNe/they executed the same in bis/iir/their authorized capacity(ies), and that by hts/hor/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the i trument. WITNESS my hand and of cial se1. GAYLA WILDER 'r /y VQ'. COMM. 9 1399916 Signat e G��L Seal: QNOTARBY�E COUP RNIA COMM. EXP. FEB. 22 2007 A.P. #/i0�-O 53 _ 4i Exhibit "A" Legal Description THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28,1995, IN BOOK 136 OF MAPS, AT PAGE(S) 41 AND 42. RESERVING THEREFROM A RIGHT OF WAY AND PUBLIC UTILITY EASEMENT, AS. SHOWN ON SAID MAP. AP NO. 027-110-053 PARCEL II: A 60 FOOT RIGHT OF WAY AND PUBLIC UTILITY EASEMENT WITH A 50 FOOT CUL DE SAC, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28,1995, IN BOOK 136 OF MAPS, AT PAGE(S) 41 AND 42. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name Cr�G/.QtS. Address —416 C) goo2D Ej�w 'toe V.0 City D.Qo ✓/e[G St effi Z' Phone _ X568 Fax E-mail CONTRACTOR ARCHITECT/ENGINEER J ,WQ Name �X 96,Wz \ Address Address City Fax City �Pov'��[G- Sta�R ZIP 9 6 6 P e 27-50 F &-O /8?...5^. E-mail Lic. # Class mac APPLICANT NAME ARCHITECT/ENGINEER Name \ Address Zip City Fax tate Zip Phone Book Fax E-mail Planner State License Number �\ APPLICANT NAME Name Address City State Zip Phone Fax E-mail For office use only: IF Zoning 14-5 1 Flood Zone SRA 12 e No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. (V/- 3 /3_-� BP BIN # LOCATION AP# Prope zr7s �i�f/L761�1' Li✓. �iQ�l//L.L� Cross Street C -1101056f Amy;) WORKER'S COMPENSATION Policy Number 2 ZZ vAi 2.3 Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit Issuance. LENDING AGENCY Name Address Description or Scope of Work: — c�'.� idrCL�L° rte! wird' d�O.0 Sq. Footage .� ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I I Received by.—e.Amount: ! Bldg I Receipt #:/// / �Ll l % q q Sheriff /`� j SMIP Other Date/O Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30-04 t BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP043132 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: 12/08/2004 APN: 027-110-053-000 the Business and Professions Code, and my license is in full force and effect. nn License Class: l—/6 License Number: 3Q5'9t'o5' Site Address: 117 PENDERGAST LN. ORO Date: I Contractor.f_COX� Map Index: Description: FIRE SPRINKLERS FOR 04-2592 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: CHRIS POBLANO permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 2041 NAND DRIVE signed statement that he or she is licensed pursuant to the provisions of YUBA CITY CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95993 she is exempt therefrom and the basis for the alleged exemption. Any (530) 790-6629 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 Applicant: CHRIS POBLANO Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: FOX COMPANY 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.). 3995 OLIVE HWY ❑ 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 530-533-2730 Date: Owner: License #: 305365 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. �( I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Jy7i m Fda A,> Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy#: 273 UN23 ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: a Applicant: wiml WARNING: Failure to secure war rs' 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 reby issued under th plic a prov' ions of the Bntte County Code anrl/or affirm I hereby arm that there is a construction lending agency for the Resolution o do work indi a e for ich fe have been paid. / performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: / PERMI PIRES ON: 2 D to Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & 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 representative of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: /7'� Signature: 01 Date: 7 0 Owner Contractor 0 Agent for Owner ❑ Agent for Contractor BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. 78Poo- ssg4- Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. _ O ZONING OWNER Ch�rIS � sacc, ab vlo PHONE 530-79e) Zq OWNER'S ADPRESS v 2o44t,�vt w-.0- aloe, 6JU1:5 LOCATION QF BUILDING i FV%X USE OF BUILDING � �- _ ( ��CI �r�,� � u f N��� ����• � �•K SIZE OF -STRUCTURE .X�rJB�SO.FT. TYPE OF CONSTRUCTION: WOOD FRAME ___2L STEEL CONCRETE _>!�— OTHER (Specify) TYPE OF SIDING �f f ROOF COVERING Corn FLOOR TYPE ESTIMATED COST OF CONSTRUCTION n- I $ ,",5. -) AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: �/� FRONTyS , 30 1-5-6 / SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as AG Building definition. If any change in use or occupancy of the I obtain any necessary permits, inspections, and approvals to coml occupancy. Date GEPT_ 3, !=)4- Signature of Owner Permit Fee a5go Receipt No. 41--1 �. about, and J 'posed use confirms with the tact the Building Division and in effect at that time and before The above described AG Building is exempt from a building permit. SVA- FLOOD PANEL P.Di RDO G ISSN Manager Building Division White — DPW, Yellow — Assessor, Pink — B. 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Assessor's Parcel Number. 0 [i] — 1 11 El 01 — 101 E 51 Scale: 1" Owner Name 0- hr; S. -A- s pe4f) I tv'�l V Address / Phon Site Location Contact: Name Phone :)Ibo - 119 y (.6,1-9 FOR OFFICE USE ONLY PROVIDE FOR ALL Zoning: ADJACENT PARCELS SIZE (AC): General Plan Desig'. ZONING: Size, Acres GEN PLAN: USES: 4.00r