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HomeMy WebLinkAbout028-300-050It , 3 - - _ 28-30-44►�iO Bangor Community Club > NW corner of Oro B VgorfHw. & $a�vol��., Park Rd. Ban o //2 e airs Comm . 1Pa Permit �k 13 } 28-30=. .SD Bangor Community Club Contr: Chuck's Electric, Oriovil e Permit #3915-83E Fq (elec s/c and cleanup) X028-300-050 05-0978 BANGOR PARK, 7500 ORO BANGOR HWY, BANGORI CONT: OWNER NEW PWR PO�IMPMaD lcc, 028-300-050 06-1966 BANGOR ITY C TER, 7500 OR 'G Cont: TRUI G ASSEMBLY LDG(5000 SgUTJ 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 FEE INFORMATION Small Assembly Building $0.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires TRUITT GROUP GSLB-771326 I HEREBY AFFIRM UNDER PENALTY.OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 09/27/2006 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR 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 WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: (This section need not be completed if the permitis or.on� a hundred dollars ($100) or less. ®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. n /t X 09/27/2006 Signature // gr� Date. WARNING: FAI RE TO SECURE WORKERS' COMP ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip $0.00 Fees Balance Due: 1 $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5j, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: —]1. AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractors) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: 09/27/2006 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liabilityfor personal injury, including death,. and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorise representatives of Butte County to enter the above boned property for, inspection purposes. I hereby certify that I am the prppe comer or am autho ' o e property owners behalf. ��� � ,! 7ii 1Lr I n r ft a 09/27/2006 ---7 yc.....ucc rte. -J A rya -p1_ / ,� � / YQIC Owner Contractor OR. ®Agent for/r-aOwnneryE]Agent for FILE COPY PROJECT INFORMATION Site Address: 7500 ORO BANGOR HWY Owner: Permlt NO: �(-1966 APN: 028-300-050 BANGOR, PARK TRUSTEES OF Permit type: COMMERCIAL P O BOX 171 Issued Date: 09/27/2006 By KEJ Subtype: Small Assmbly Bldgs BANGOR, CA 95914 Expiration Date: 09/22/200 'Description: ASSEMBLY BLDG(5000 SQ FT) (530) 679-2112 Occupancy: Zoning: Contractor Applicant: - Square Footage: TRUITT' GROUP BANGOR, PARK TRUSTEES ( Primary SF 2nd Occ. SF 3rd Occ SF 417 STIMPSON ROAD P O BOX 171 OROVILLE, CA 95966 BANGOR, CA 95914 4th Occ SF 5th Occ SF Total SF (530)521-6449 (530)679-2112 FEE INFORMATION Small Assembly Building $0.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires TRUITT GROUP GSLB-771326 I HEREBY AFFIRM UNDER PENALTY.OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 09/27/2006 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR 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 WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: (This section need not be completed if the permitis or.on� a hundred dollars ($100) or less. ®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. n /t X 09/27/2006 Signature // gr� Date. WARNING: FAI RE TO SECURE WORKERS' COMP ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip $0.00 Fees Balance Due: 1 $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5j, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: —]1. AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractors) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: 09/27/2006 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liabilityfor personal injury, including death,. and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorise representatives of Butte County to enter the above boned property for, inspection purposes. I hereby certify that I am the prppe comer or am autho ' o e property owners behalf. ��� � ,! 7ii 1Lr I n r ft a 09/27/2006 ---7 yc.....ucc rte. -J A rya -p1_ / ,� � / YQIC Owner Contractor OR. ®Agent for/r-aOwnneryE]Agent for FILE COPY r75't)(o S g BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER VVFORMATION Nat /rn�An t Na e Addre 6 y City l Statee^ Zip s `�/ I Phon� - % i "t ' �-(� Fax JO ' �i Q _ a E-mail a0.` F p @_ CAJ L` 'n C e_ tr0 APPLICANT INFORMATION CONTRACTOR Name r r' C (� Name Address Zip S Q t! Fax _ 6,1 q - d rirl State Address ..l Phone J City Orpv * j E-mail tat tA ZCip5 9 S oqqqF�_'3D-f i6, — 703 E-mail Lic. 13 Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name r r' C (� 5 U S Address Zip S Q City Fax _ 6,1 q - d rirl State Zip Phone Map Book Page Fax E-mail Date Approved: State License Number APPLICANT INFORMATION Name Address City Q6 r State Zip S Q Phone— - Fax _ 6,1 q - d rirl E-mail C4GL� 4 A a e - G n e. . C-0 V1i1 I APPLICANT SIGNATURE X For office ujA only: Zoning P ert Address ' / 17rr Flood Zone Cross Street (Y log WORKER'S COMPENSATION No lt Occ 3{1 m� Type Cons Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS KAFORMS\BUILDING FORMS0dgApplSubRgmts.doc PERMIT -lq 'r-" C?)I PR�OJJE/CT, LLO"CATION APk P ert Address ' / 17rr Ei Cross Street (Y WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Desai tion,or Scope of ork: 5 ego3D Sq FT- Livin§ Open Co ❑ 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. Received by: Amount: r `mss Bldg h I SRA Receipt #: Sheriff SMTP Date: Other ,-,, Page 1 of 2 652- REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISfON 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax,(530)538-2140 PERMIT APPLICATION DATA SHEET {{QQ X00 ()� OWNER: `r-��/� ASSESSOR PARCEL NUMBER., 2� 0 Proposed Building Use: PYl7 Uk� �t W64 Permit Technician:TP' Date: � e o b Items required in order to apply for aupermit. AlL�oxes MUST be checked OR marked NA in order to apply. lb 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. r❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. P��i 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ,�� ^ j �c�"ale 4. Engineered truss details and layouts in duplicate. No faxesl " ❑ 5. Letter from Engineer or Architect for truss design review. 6 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. - 7 9. Metal Bldgs:') Metal Bldg Plans,P) Fnd plans and calcs in triplicate, -(C) Elevations in triplicate`(iD) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 010. Flood Elevation Certificate, wet -stamped and signed, in duplicate. 1. 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form 1:1 13. Acknowledgement of building permit application without required clearances. `t ❑ 14. Other ing items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ®,Orroville, as applicable ��0 ❑ 16. Fire Sprinklers............................................................................................ .o. 17. -Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ' ❑ 18. Soils Report and/or Engineered Foundation required ........................................... 0 19. Erosion Control Plan Required........................................................................ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 6 21. City of Chico Plumbing permit......................................................................... 22. Site -plan and business license approval from the Cipf Biggs .............................. 23. California Department of Forestry plan approval & paid. Sent by: 3d sent, 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ............ �` g 25. Contact Land Development about _ Improvements, _ Drainage ........................ ,gyp 26. NPDES Form.............................................................................................. N 27. Encroachment Permit for driveway from the Public Works Dept ..................:........ ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... �5 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34' Deed Restriction.......................................................................................... ❑ 35. ❑ Legal descri ti�nA, _❑� M 'Ile, title search, registration or MCO ......................... 36. Other: 'lb�- &!/ C p g � ❑ 37. Other: When issued Telephone,.10'6 70 "'1 / 2 , Ma1 V%//�Znd hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit applia tion for the above ��ryis nine ed: Plan Check Leiter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Dale: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owye as advised of the abo ed by ❑ phone, ❑ mail, ❑ counter b Date: Plans reviewed by: Date: Q, I Plans approved by: Date: Structural reviewed by: Date: Structural approved by: a Date: Note transfer by: Date: Yellow: Building Division TO: FROM: Building Division = Development Services Environmental Health SUBJECT: Sanitation Cleara ce �A.t) NO —Gyy1 YV I f � Owner J E.H. USE ONLv Plot Plan Attached Floor Plan Attadatd�- Sent to 8D/DS I Plan Approved for: Sewage Disposal: Clearance for dwelling. Other Water Spply: Public e ell pig, YA v7: nvatk�� 2T Hold final for: Final clearance O.K. for: NOTE:3,�, T,�_ xZ COUNTY AUG 2 2 2006 Environmental Health Specialist SERvrcE;5 Building Clearance 9/2005 Date btr-19-C'U� WC; .)1r I-KUI'I: rTU.I U (OJU I tK z)1.)19a•:0Cl71bC I U: b r 7V-I4 I r, l M • ROTO-ROOTER P.O. BOX 786 OROVIL,LE, CALIFORNIA 589-4030 - 533-5465 WA77 Bangor Community. Park Association March 15; 200.5 P.O.' Box 171 { Work order # 10674 ,Bangor, Ca. 95971 SEPTIC TAMC INSPECTION 7400 ORO BANGOR HWY. . TYPE OF SYSTEM, 'TYPE OF TANK TYPE OF DRAINAGE y Septic tank Concrete Leaching field Tank size: Approx. 1000 gallons Liquid level ,in tank: Normal Sludge depth: 24 in. PROCEDURES • Introduced water into the system 1-5 gallons per minute for 30 minutes. The septic system took the water` Pike going to first D-box (redwood`box)' is flat. Line is orangeberg and has _lois of roots in line. Recommend adding new leach lines and new D-. boxes. w Pumped septic tank. Ucated 125 ft. of leach line. Checked condition of tank and baffles/tee's for cracks, deterioration or damage.Tank is 1000 gallon poured idplace'fank. The tank is in good condition. t Properly closed the tank. ' Checked leaching area for excessive moisture (water on ground) odor or effluent. None was found. t THERE IS NO GUARANTEE ON THE LIFE OF A SEPTIC SYSTEM. Past and future Maintenance of the system and the amount of water that is ingested into the system can only determine.the longevity"or life of a system. As well as length of time that existing system has been in place. Thank you, Roto-Rooter . N Butte 1 Lic.:# 569053 t. y; • r P PRTMENT ok- N -Department ®f Public Works d G C o u n t y o f B u t t e 0 7 County Center Drive 0 Oroville, CA 95965 o J. Michael Crump, Director (530)538-7681 (FAX) 538-7171 p�t�c�woF�a Shawn H. H. O'Brien, Assistant Director Moo— a�0 Assessors Parcel Number`: Building permit # Owners Name: Owners Mailing Address: ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: 0(p,(� �7 2 - ENCROACHMENT PERMIT EXEMPT -ION., Reason for exemption: n Not a County maintained road FJ Existing driveway conforms to County S-31 standard [� Other Approved by Printed Name Title 6/ j & 1,M Ei AJN A Ids Date CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage. BU 2. An existing home with only minor remodeling or repairs. COUNTY AUG 17 2006 DEVELOPME, NT Q PS;��IT o���, Department of Public Works l! C- o u n t y o f B.0 t t e ° J. Michael Crump, LAND DEVELOPMENT DIVISION ° - o � Storm Water Management Program Director 7 County Center Drive Oroville, CA 95965 (530) 538-7266 QLIc WOA (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction- Storm Water Permit and Storm- Water Pollution Prevention Plan (SWPPP)- Acknowledgement [LESS THAN 1 ACRE1 Project Description: Project Location and/or Parcel Number: ✓7� Ute! a�l 0 By signing below, I, the project owner/owner's agent, certify that this project WELL NOT DISTURB 1 acre or more of land .and that L therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information, or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Butte CourntyDepartmeiit o.f Developrnelzt Sel vices °�uTrF° .. 7 County Center Drive ° o Oroville, CA 95965 ° a (530) 538-7601 Telephone °cam-_ (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained a . I am responsible for notifying Development Services, in writing, to stop processingof the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or r uire submission of amended building plans to the Building Division.. Once the plans examination process begins, there will be no refund of plans examination fees.' Any changes requiring submission of amended plans to the Building Division will incur additional fees. ' Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to.all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: tl�_" Building site address: 500 O O ICA af�) APN: aZY c 2 -0f0 Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: S G RE OF APPLI DATE August 15, 2006 To Whom It May Concern: Our Secretary, Marjorie Daley, has the permission of the Bangor Park Trustees' to apply for and/or sign any permits or -applications required on our behalf for the construction of the Bangor Hall. Thank you, Sincerely, &'aWarren-Daley Bangor Park Trustee CHIEFS ADMINISTRATIVE OFFICE 'COUNTY OF BUTTE °eVTtF0 25 COUNTY CENTER DRIVE ''MEMBERS OF THE BOARD °' OROVILLE, CALIFORNIA 95965-3380 o Telephone: (530}538-7631 Fax: (530)-538-7120 BILL CONNELLY �- ..° ,. JANE DOLAN ° cDUNty MARY ANNE HOUX PAUL MCINTOSH CURT JOSIASSEN HIM K. YAMAGUCHI CHIEF ADMINISTRATIVE OFFICER July 12, 2005 Marjorie Daley, Secretary Bangor Community Park Association P:O. Box 46 Bangor, CA 95914 RE: Request for Waiver of Fees ; Dear Ms. Daley: On June 28; 2005, the Board of Supervisors approved the request of the Bangor,Community Park + Association.lo waive fees associaied with the reconstruction of the Bangor Hall., Enclosed you will , find Minute Order No. 0511=002(71), certifying that acfion. TheE Department -of Development------ - - Services has also been provided a copy of this Minute Order. ' N Please do not hesitate to contact'me if you any,. additional questions, or;if I can"be of;:assstance:r Thank you: i Sincerely, _ �r 4- anon Rev Assistant Clerk of the Board i MENVOW, r, M BOARD OF SUPERVISORS Minute Order No. 0511-002(71) BILL CONNELLY First District JANE DOLAN Second District MARY ANNE.HOUX Third District CURT JOSIASSEN Fourth District KIM K. YAMAGUCHI Fifth District, Chair MEETING DATE: June 28, 2005 ITEM SUBJECT: Bangor Community Park Association - Request for Waiver of Fees. ITEM DESCRIPTION: Pursuant to Butte County Code ° Section 3-40.5, the Bangor Community Park Association requested the Board waive building permit fees and other fees associated with reconstruction of the Bangor Hall. The , Hall is used as a gathering place for the community of Bangor and was destroyed by fire Thanksgiving Day 2004. BOARD ACTION TAKEN: PURSUANT TO BUTTE COUNTY CODE SECTION 3-40.5, --__-_ -- - ---------.-. - _.__ -- -- - __.—.—_ - - ---INTONED`TO-FINDTHAT IT--IS-IN THE-P-UBL-IC INTERES- ---- ----- — TO WAIVE THE FEES ASSOCIATED WITH RECONSTRUCTION OF THE BANGOR HALL; AND APPROVED THE WAIVER OF FEES. VOTE: Ayes: Supervisors Connelly, Dolan, Houx, Josiassen, and Chair Yamaguchi. Noes: None. Absent: None.. Not Voting: None. Unanimously Carried. CERTIFICATION: I hereby certify that the above action was taken by the Butte County Board of Supervisors on the date listed above and that the action has not been revised, amended or rescinded as of this date. Memorandum TO: Marjorie Daley Bangor Community Park Association P.O. Box 171 Bangor, CA, 95914 Department of Developm CC: Scott Rutherford, Butte County Building Official Doug Fogel, Department of Environmental Health FROM: Tim SriOlings-, Director Department of Development Services Planning Division SUBJECT: Use Permit Requirement for Replacement of Bangor Hall Following Arson.. , APN: 028-300-050, Building Permit application 7, _ DATE: September 7, 2006 Dear Ms. Daley: We are in receipt of your September 5, 2006 petition requesting that the Development Services Director determine if the Bangor Hall atBangor Community Park, following arson fire in November of 2004, is required to obtain a use Permit from the County for the proposed replacement structure (BP#06-1966). The structure destroyed by fire was located on a parcel zoned A-5 Agricultural 5 -acre minimum. The A-5 zoning code Section 24-90(c) (1) requires that quasi -public uses such as the Bangor Hall'are allowed by approval of a use permit. The Bangor Hall use is therefore considered a "non- conforming use". Within the limits established by -the zoning code, pre-existing non- conforming uses are allowed to continue, as long as they are not "abandoned". Butte County zoning code I Section 24-35.45 (a) states the following: 24-35.45 Abandonment of Nonconforming Use. (a) Abandonment; consequences. A nonconforming use shall be abandoned when it is voluntarily discontinued with the intent not to resume it.. There shall be a presumption that a nonconforming use which has been discontinued for a period of twelve (12) consecutive months has been abandoned; however, the property owner, occupant or other part asserting the right to said use may submit evidence to rebut Bangor Hall Use Permit Determination, September 7, 2006 the presumption including evidence that the discontinuance was not voluntary. The property . owner, . occupant or other party asserting the right to a legal nonconforming use has the burden of proving the.legal and continuing existence of the use. Once abandoned, a . nonconforming use shall no longer be a legal nonconforming use entitled to the rights and privileges described in this chapter and thereafter shall be made to conform to the uses, 'standards and requirements of the zone in which it is located. Based on the =information provided in your December 5, 2006 letter, we have determined that the Bangor Hall facility/building use was not voluntarily discontinued, as the interruption in use and loss of the building was due to arson. Based on the various community activities that raised funds to replace the building and the ongoing community activities that occur. on the site, we have further, determined that the Bangor Community Park Association and'the Trustees of Bangor Park (owners) have shown clear intent to resume -the use of this building/facility. Although under County zoning code Section 24-35.45 (a) there is a presumption that a nonconforming use that has been discontinued for a period of twelve (12) consecutive months -has been abandoned, we have determined that your September 5, 2006 petition adequately proves the,legal and continuing existence of this non -conforming use. No use permit will be required by Butte County for the replacement of the Bangor Hall building. It is our understanding from the Building Department that your building permit, submittal of August 17 2006 (BP#06-1966), for the replacement building is likely 6 to 8 weeks from being plan -checked. This office cannot authorize you to proceed with .the .building project prior to receipt of an approved building permit. We would also encourage you to contact .the Butte .County Public Health Department. immediately to know of any requirements. they might have for the "warming kitchen" proposed as. part of this replacement building. Please contact Steve Troester, Associate Planner, (538-7153) should you have any questions or requ"ditional information regarding this determination. Tim Snellings, Director' Department of Development Services Bangor Hall Use Permit Determination, September 7, 2006 2 Bangor -Association - Box Bangor, 95914 September 5, 2006, Tim Snellings BUTTE Dept. of Development Services Director COUNTY - SEP 0 5 2005 Re: Bangor Hall AP# 028-300-050 / BP#06-1966 DEVELOPMENT SERVICES Dear Sir; The Bangor Park and Hall has been an important part of our town since 1916. 'The property, which is 8.14 acres, was given to the citizens of Bangor in 19.16 for use as a park with the Bangor Park Trustees listed as the owners. In 1946 with the help of the Bangor School and the hard work of the citizens of Bangor to raise the funds, barracks from Beale Air Force Base were purchased and brought out to Bangor. The Bangor School held classes in the hall for numerous years. The people of Bangor have used the park for picnics and family gatherings and have continued to use the picnic grounds even after the loss of our building. The Hall was used by the people of Bangor for memorials, wedding receptions, family reunions, and places to hold fundraisers to pay for the taxes and insurance for the park and Hall along with the maintenance and upkeep of the property. Other groups such as the Bangor Women's Improvement Club, the Bangor School, and (when we have one) the Bangor 4-H Club use the Hall to hold their meetings and other functions. The School uses the hall to have their Christmas program, Halloween Carnival, fundraising functions, graduations, as well as the small room of the hall for their weekly relief program, etc. The Bangor Women's Improvement Club uses the hall for their monthly meetings, fundraising functions, etc. The Bangor 4-H Club (when they are active) holds their meetings and other gatherings in the hall. Unfortunately on November 24, 2004 we lost our building to an arsonist and we were determined to rebuild as soon as possible. Then we found out from our insurance that we did not have replacement insurance and when we started getting quotes we were shocked to see that we didn't have enough money to replace our building. We found out how expensive it was to replace what we had in March of 2005 when the first bids came in and we have been having fundraisers to raise enough money to build ever since. The Bangor Fire Department, the Bangor Church, the Bangor Women's Improvement Club, and the Bangor School have been very supportive and have helped us to raise the funds we needed to rebuild. Some of our fundraisers such as the Bangor BBQ take place at the Bangor Park (even without the building the Bangor BBQ has continued to be at the Bangor Park and this past May was our 63`d Annual BBQ) and the others.we have been able to have in the apparatus room (where the engine, tender, and squad park) at the Bangor Fire Station. They have been very supportive and kind enough to move, their equipment out in order for us to have a building to use in bad weather. The Bangor Church had a Chili Cook off last year with all the proceeds going towards the rebuilding of the Bangor Hall. The Bangor School and Bangor Women's Club have also helped to raise funds so that we will be able to rebuild. We are building the new building in the. same spot that our bld building was the only difference is. the new building is rectangle instead of the "L" shape that it use to be. The -reason is the "L" shape was more expensive and we just didn't have enough funds. It has taken us 1-%i years to`raise enough funds to build as it is. The square footage stayed the same and the rooms are still the same as what we'had just in a BUTTE COUNTY SEP 0 5 200- DEVELOP jKENT different lay out. " The only thing the new building will have that our old building" did not is a covered porch, which will help keep the kids dry`when the school_ uses it and the other groups that use the building. We greatly appreciate your time', and help with our Bangor Hall. Please if you have.any questions call me at 679-2112 (home) or 864-6071 (cell) Sincerely, Marjorie Daley BCPA Secretary i Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-5366 Facsimile ADMINISTRATION * BUILDING * PLANNING August 23, 2006 Bangor Community Center P.O. Box 171 Bangor, CA 95914 Subject: Building Permit 06-1966 (APN 028-300-050); Assembly Building Dear Bangor Community Center, The Butte County Department of Development Services, Planning Division, has reviewed the submitted permit application, and requires the following information in order to continue the review, ❑ Creation Deed ❑ Site Plan Resubmit — Follow Requirements 0 Erosion Control -Plan ❑ Setback Conformance ❑ Watershed Protection Zone ❑ Front Yard ❑ Cohasset Specific Plan ❑ Side Yard ❑ Subdivision Map Note ❑ Rear Yard ❑ Off -Street Parking; Develo meet Standards ❑ Special Setback or Par el Limitation ❑ Parking for Specified Use ❑ Federal Aid Road/Arterial ❑ Lot & Landscaping Requirements ❑ Easement ❑ Oak Tree Plan ❑ Subdivision Map Condition/Note ❑ SRA Setback* ❑North Chico Specific Plan — Erosion Control ❑ Fire Sprinklers* ❑ Notification Only — No Action Required Other. It appears that this is an, expansion of a "non -conforming use" in the Unclassified zone, I have attached this zoning information, which states that a public or quasi -public use requires a use -permit. I have also attached a Use Permit application. The requested information, or notification, is described on. the included hand-outs. You will- also be given some brief direction, on the following page, of how the , information should be submitted or returned to the County. Should you have further questions please contact the Planning Division between the hours of 7:30 a.m. and 4:30 p.m. Monday through Friday at (530) 538-7601. ' 7ncly, dler Contract Planner 24-90 A-5 through A-160 (Agricultural) Zones. Page 1 of 2 Chapter 24 ZONING* Article III. Zone Districts* 24-90 A-5 through A-160 (Agricultural) Zones. The following permitted uses, uses requiring a use permit, and uses requiring an administrative permit shall apply to all zones A-5 through A-160. Uses that are unique to a particular:zone and site requirements for each zone will be listed separately. (a) Uses permitted: (1) One (1) single-family dwelling or modular home per parcel. (2) Agricultural uses, including the keeping of animals, subject to the animal maintenance requirements of sections 24-255 through 24=255.15, inclusive, of this Code, the growing and harvesting of forestry products, and aquaculture. (3) Mining, quarrying, and commercial excavation which is exempt from a mining permit and reclamation plan pursuant to chapter 13 of the Butte County Code. Oil and gas wells including reinjection wells for natural gas. (4) The erection, construction, alteration or maintenance of gas, electric, water or communication transmission facilities. (5) Housing facilities (including mobile homes) to accommodate up to twelve (12) agricultural workers and their families employed by the owner or operator of the premises or owners or operators of other agricultural lands pursuant to section 17021.6 of the California Health and Safety Code and subject to state permits. (6) The use of a single-family residence as a small family day care home, licensed family care home, foster home, or group home for mentally disordered or otherwise handicapped persons or neglected children. Said homes shall serve six (6) or fewer persons and shall be subject to all applicable state regulations and limitations. (b) Accessory uses: (1) Those uses normally associated with a single-family residence use and are in conjunction with or incidental to the residential -use, including but not limited to a garage, workshop, shed, garden, private swimming pool, private tennis court, gazebo, spa, etc. (2) A guest house as defined by section 24-305.175. (3) Buildings and uses accessory to the permitted uses, including agricultural processing plants, airstrips used for crop dusting or seeding, barns and other storage or shop buildings, seasonal hunting and fishing camps, including those which accommodate recreational vehicles and travel trailers, providing that said recreational vehicles and travel trailers shall not be used for year_ round occupancy, recreational uses not requiring permanent improvements and not interfering materially with agricultural operations, including hunting, fishing, camping, hiking, riding and similar uses, the processing,and sale of firewood and wood products grown on site. (c) Uses requiring use permits. The following uses are permitted subject to a use permit: (1) Public or quasi -public uses. (2) Public tasting rooms in conjunction with a winery, provided that such tasting room be considered accessory to the on-site,winery. (3) Kennels, feed stores, public or riding stables, and academies. (4) Outdoor commercial recreational facilities on sites not less than five;(5) acres. (5) Wood lots and wood processing plants selling and processing wood not grown on site. Mining and commercial excavation requiring a mining permit and reclamation plan pursuant to chapter 13 of the Butte County Code. (6) Private airports or air strips that are not accessory to an agricultural use. (7) The segregation of a homesite pursuant to section. 24-285, the segregation of an agricultural R-4-90 A-5 through.A-160 (Agricultural) Zones. Page 2 of 2 processing site pursuant,to"section 24-290. (d) Uses requiring a minor use permit. The following uses may be permitted oursuant.to=the requirements of section 24-41; (1) Large family day care:facilities subject to the requirements of section 24-265. (2) Bed: and breakfast home. (e) Uses requiring an administrative permit. The following uses may be permitted subject to the requirements of. section 24-40:, (1) Home occupations pursuant to section 24-270. (2) Temporary uses as listed in section 24-300. (3) A temporary mobile home subject to the requirements 'of sections 24-295 and 24-295.10. (.Ord. No. 3176, § 1(Exh. A), 1-24-95; Ord. No. 3321, § 1, 2-11-97; Ord. No. 3495, § 1, 3=9-99) << previous next >> „........,--A , V,,,,...,o— Tl AT A /! 1i.T A vTRI?7d/A,4;"I. DEVELOPMENT SERVICES' 7 County Center Drive r <'. PLgNIJING�' fEFSFCQLLEC%ED FORTHER DEPARTMENTS Oroville,'CA 95965 " co fi TOTAL FEES .. uq COLLECTED FLAT 1,�EIYV" '2` p° CLERK, rL.. t (530)538-7601 , 538-7785 Fax FEE + www.bun eDL .retidds 11 'Otdiame3a6e-Effective:2Jee S v"t' �EA`liH„a•, y FlR£ts�OEINOD .>aAG }ts •:.. [ADMINISTRATIVE PERMITSt, $,,332 50 $ 30Demporary Moblli'Home "Aunt Minne" " '+ r e� - Temporary Mobile Home "Aunt Minne" Renewal + $ 50 $. SQ� t ' 566 $•:. 566�� x 0 Home Occupatiori $� �s 0 Tem ora Uses $ 100 x . $ 50 $ APPEALS 1 CERTIFICATE OF CORRECTION CERTIFICATE OF MERGER $ 1,511.5U $.: 78D 359$��s2fso s Fee er resultin lot lots x $20 + $20/lot EXTENSION OF TIME FOR FILING FINAL MAP t $ • 676 .FINAL MAP CHECKING `FEE Final Subdivision Map $ 2,128 c Four Or Less Parcels - (Ping) Final Parcel Map 1-3 Lots See BIIIaWe'Fees Below foYS'or snore paicels PLUS $76 per lot over 3$1440 + LAND CONSERVATION AGREEMENT - INCLUSION, $ 1100 LAND CONSERVATION AGREEMENT - Cancellation.or easement exchange ;$ 51`15 LEGAL`LOT DETERMINATIONICERTIFICATE OF COMPLIANCE $ 2,435.50 S 1 213`82"1 4a9 NR����$��� LOT LINE ADJUSTMENT ' ' $. 1;214 50 '$ 555: " „$ ,20464 a ;32�sos ►� $ 1,286 50 Deeds MININGfINANCIAC ASSURANCE REVIEW $ 839 $ 839 0�';� a MINOR USE PERMIT $ .2,332.50'::$:,:,:,.1:§§.r ad8$c ` +E11 Pee p�r"�s MINOR VARIANCE �$' 1,642.50 : $::::1;297: r PARCEL MAP A $ 4;020.50 $ 3198 91h ' t ®' 5 3' $ 36 I$9 .5° $ r - + ' + EH Fee by"Lr S ''t�i"Es x PRE -APPLICATION MEETING (per mtg., excluding PUD) $ 1,608.50 RIGHT-OF-WAY_:ABANDONMENT ' . t 1r4"";•��$`�fig$ s09 !, .• _ $ 2,551.50 •$ 1;469' •$���0:_ s . STAFFING OF -THE AIRPORT LAND USE COMMISSION $ 1,531 '$ 1531 SUBDIVISION MAP • - `a a$�� " 1-15 lots Plannln -•,Fees $ 3,977 50 Must add in EH and Land Dev.Fees ;+ EH + LD vs D` termined m. r a Each additional Iot,6ver-15 $69 each(Planning Fee Is 69 69 149 lots. Land Dev Fee )+ per lot fee below Each lot 1 49 $5 each Land Dev Fee �'� rv�` 3 0 50 lus lots Land Dev.DEPOSIT - billed hour) at $1341hour SE PERMIT. 3,550.50 2 8T0 $ 6s Det'emtl ea E$.yT + EH.FeeY►iJ!i a 3t A • - _ ' T[us.$701each addl hour of tune required r #Reins ecttons $95mr r'IN BILLABLE FEE PLANNING .f,EES CO'Llz''E_C D FaR THER D PAR7R11E TS MINIMUM DEPOSIT REQUIRED .DEPOSIT'- ,� a ;�' HOURLY RATES APPLY 'TOTAL APPLICANTS WILL BE BILLED WHEN_DEPOSITS ARE 75% DEPLETED AIRPORT LAND USE COMMISSION CLUP. REVIEW COUNTERIPHONE RESEARCH. FEE &WRITTEN'RESPONSE $68 Minimum DEVELOPMENT AGREEMENT t� .' , of FEESINITIALLY COLLECTED $ 3,829 $ 137 $ 4,411 + EH FeeYt_��_ BILLED AT . s:c1LtDx+c . HOU RLY °f RATE$F37 ,- H� 7A 3 iltE m.• o D� t SAG S R 4: •.4;411 d. FINAL MAP, CHECKING FEE -f Five or More Parcels $ 3;028` $ 8,194.50 r$ 1 481 $ *$ t t $ 6 GENERAL PLAN AMENDMENT MINING AND RECLAMATION $ 13,372.50 3fetarm� + EH Fee 40 ui�� 13Y v MINING INSPECTION FEE '� $ 1,577 _ MITIGATION:MONITORING,FEE PLANNED -UNIT: DEVELOPMENT $. 1,340 $ 1,34D e_ _ $' 9,300.50 h +EH Fee' PUBLISHINGIL•EGAL NOTICES ' $ 137 $ 137 y REZONE , $ 6,585.50 ..$..,.c.5..,499...$ t16d 8U0� ,54 35M 6t �$3250P SPECIFIC PLAN $ 11,598.50 35 • +EHFee Y r SUBDIVISION- MAP -(Fees frorri above portion of form need to be calcuiated first) See.Flat �_ Deterrnined " .re L' 50+ Lots -'THIS ISA DEPOSIT FOR LAND DEVELOPMENT: BILLED @ $1341W.' F Fees: • �$ 32 50 WAIVEROFPARCELMAPS:. $ =3;929 - 5::2,468 , :" M_n� __>3 "'.I�agagmm±5`a��...1-1 ZONING ORDINANCE AMENDMENT '< , , * $ 4,588.50 . $ ' 4;378 ;598 . ENVIRONMENTAL IMPACT REPORT PREPARATION Pass-ttrou9hlno:depcsit �. i�r0_ l t� 3m9 -.- "- -. " Deposit, fee calculated it hourly rate • 'moi•. op .r ' ' , Rev 062405 Krcemw Flsc.vv�:v F.. swevkmEw r�.:n Eee 5d"mne Crew r r -t Butte County Department of Development Services. TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile APPLICATION PACKET FOR USE PERMIT OR MINOR USE PERMIT Applicant Name: Check One ❑ USE PERMIT ❑ MINOR USE PERMIT Project Number:_ APPLICATION PACKET CHECKLIST The applicant should. discuss the application requirements with Department of Development Services, Public Works and Environmental Health staff prior to preparing this application..Please note that acceptance of your application is not an indication of approval. Application packets with missing components cannot be accented. Include this checklist along with your submittal. Applicant Planner 1. ❑ ❑ Complete a Pre -Application Review with -the Environmental' Health Division and provide evidence of meeting their requirements for sewage disposal and water supply in one of the following ways: ❑ A pre -application completion letter from Environmental Health ❑ A Willing and Able to Serve Letter from the appropriate utility district ❑ A completed cooperative agreement for annexation into a utility district 2. ❑ ❑ A completed, signed Project Information Form. ❑ ❑ A complete Project Setting Description (instructions attached). 4. ❑ ❑ If the application is signed by an agent for the owner, an agent authorization form must be submitted along with the application. The application cannot be accepted unless signed by the owner or authorized agent. 5. ❑ ❑ A signed agreement for Butte County Archaeological Resources Project Review by the Northeast Information Center (NEIC) accompanied by its required topographic map and a check in the amount of $60.00 made out to "NEIC". &U, UWV95 MAMMMURR Civil Engineering & Design PO Box 5115 Chico, CA 95927 Phone: (530) 521-2648 Fax: (530) 343-5320 eda@ausmusengineeri ng.com CA Civil 65286 Exp..09/30/07 °- besign*in Conjunction>with Steelwgij" ?Plans`dafed° z ,1Y24L + x Foundation Calculations Project Name: Bangor Community Center Site Information APN: 021-160-083 Peterson Ave Gridley, CA . l Owner Information: Hayden Leen 417 Stimpson Road, Gridley, CA 95948 pfESS/p %9 oOVGLA C/) rn C r_1 No 65286 * 09 30-2007 C 1 V OF C A\ -\F 8/5/2006 Footing Design f 2000 International Building Code (97 NDS)1 Ver: 6.00.7 By: ERIC D. AUSMUS , AUSMUS ENGINEERING on: 08-04-2006: 9:08:37 PM Project: BANGORCOMCTR - Location: A LINE 5 Summary: Footing Size: 2.5 FT x 2.5 FT x 18.00 IN Reinforcement: #5 Bars @ 7.00 IN. O.C. E/W / (4) min. Footing Loads: Live Load: PL= 4900 LB Dead Load: PD= 700 LB Total Load: PT= 5600 LB Ultimate Factored Load: Pu= 9310 LB Footing Properties: Allowable Soil Bearing Pressure: Qs= 1500 PSF Concrete Compressive Strength: F'c= 2500 PSI Reinforcing Steel Yield Strength: Fy= 60000 PSI Concrete Reinforcement Cover: c= 3.00 IN Footing Size: Width: W= 2.5 FT Length: L= 2.5 FT Depth: Depth= 18.00 IN Effective Depth to Top Layer of Steel: d= 14.06 IN Column and Baseplate Size: Column Type: (Steel) Column Width: m= 5.00 IN Column Depth: n= 8.50 IN Baseplate Width: bsw= 5.00 IN Baseplate Length: bsl= 8.50 IN Bearing Calculations: Ultimate Bearing Pressure: Qu= 896 PSF Effective Allowable Soil Bearing Pressure: Qe= 1275 PSF Required Footing Area: Areq= 4.39 SF Area Provided: A= 6.25 SF Baseplate Bearing: Bearing Required: Bearing= 9310 LB Allowable Bearing: Bearing -Allow= 126438 LB Beam Shear Calculations (One Way Shear): Beam Shear: Vu1= 0 LB Allowable Beam Shear: vc1= 35859 LB Punching Shear Calculations (Two way shear): Critical Perimeter: Bo= 83.25 IN Punching Shear: Vu2= 4861 LB Allowable Punching Shear (ACI 11-35): vc2-a= 216580 LB Allowable Punching Shear (ACI 11-36): vc2-b= 435691 LB Allowable Punching Shear (ACI 11-37): vc2-c= 199020 LB Controlling Allowable Punching Shear: vc2= 199020 LB Bending Calculations:. Factored Moment: Mu= 24245 IN -LB Nominal Moment. Strength: Mn= 893190 IN -LB Reinforcement Calculations: Concrete Compressive Block Depth: a= 1.15 IN Steel Required Based on Moment: As(1)= 0.03 IN2 Minimum Code Required Reinforcement (Shrinkage/Temperature ACI -10.5.4): As(2)= 0.97 IN2 Controlling Reinforcing Steel: As-reqd= 0.97 IN2 Selected Reinforcement: #5 Bars @ 7.00 IN. O.C. E/W / (4) Min. Reinforcement'Area Provided: As= 1.23 IN2 Development Length Calculations: Development Length Required:' Ld= 15.00 IN Development Length Supplied: Ld-sup= 9.50 IN Note: Plain concrete adequate for bending, therefore adequate development length not required: Footing Design-[ 2000 International Building Code (97 NDS)1 Ver: 6.00.7 Bv: ERIC D. AUSMUS , AUSMUS ENGINEERING on: 08-05-2006: 10:10:57 AM Project: BANGORCOMCTR - Location: A -LINES 2 THRU 4 Summary: Footing Size: 3.25 FT x 3.25 FT x 18.00 IN Reinforcement: #5 Bars @ 8.00 IN. O.C. E/W / (5) min. Footing Loads: Live Load: PL= 9900 LB Dead Load: PD= 2200 LB Total Load. PT= 12100 LB Ultimate Factored Load: Pu= 19910 LB Footing Properties: Allowable Soil Bearing Pressure: Qs= 1500 PSF Concrete Compressive Strength: F'c= 2500 PSI Reinforcing Steel Yield Strength: Fv= 60000 PSI Concrete Reinforcement Cover: C= 3.00 IN Footing Size: Width: W= 3.25 FT Length: L= 3.25 FT Depth: Depth= 18.00 IN Effective Depth to Top Layer of Steel: d= 14.06 IN Column and Baseplate Size: Column Type: (Steel) Column Width: m= 5.00 IN Column Depth: n= 8.50 IN Baseplate Width: bsw= .5.00 IN Baseplate Length: bsl= 8.50 IN Bearing Calculations: Ultimate Bearing Pressure: Qu= 1146 PSF Effective Allowable Soil Bearing Pressure: Qe= 1275 PSF Required Footing Area: Areq= 9.49 SF Area Provided: A= 10.56 SF Baseplate Bearing: Bearing Required: Bearing= 19910 LB Allowable Bearing: Bearing -Allow= 126438 LB Beam Shear Calculations (One Way Shear): Beam Shear: Vu1= 1500 LB Allowable Beam Shear: vC1= 46617 LB Punching Shear Calculations (Two way shear): Critical Perimeter: Bo= 83.25 IN Punching Shear: Vu2= 14280 LB Allowable Punching Shear (ACI 11-35): vc2-a= 216580 LB Allowable Punching Shear (ACI 11-36): vc2-b= 435691 LB Allowable Punching Shear (ACI 11-37): vc2-c= 199020 LB Controlling Allowable Punching Shear: vc2= 199020 LB Bending Calculations: Factored Moment: Mu= 73769 IN -LB Nominal Moment Strength: Mn= 1118326 IN -LB Reinforcement Calculations: Concrete Compressive Block Depth: a= 1.11 IN Steel Required Based on Moment: As(1)= 0.10 IN2 Minimum Code Required Reinforcement (Shrinkage7Temperature ACI -10.5.4): As(2)= 1.26 IN2 Controlling Reinforcing Steel: As-reqd= 1.26 IN2 Selected Reinforcement: #5 Bars @ 8.00 IN. O.C. EM / (5) Min. Reinforcement Area Provided: As= 1.53 IN2 Development Length Calculations: Development Length Required: Ld= 15.00 IN Development Length Supplied: Ld-sup= 14.00 IN Note: Plain concrete adequate for bending, therefore adequate development length not required. 34 t1 46� It Footing Design f 2000 International Building Code (97 NDS)1 Ver: 6.00.7 Bv: ERIC D. AUSMUS , AUSMUS ENGINEERING on: 08-04-2006: 8:30:13 PM Project: BANGORCOMCTR - Location: A-BP06-A Summary: Footing Size: 2.0 FT x 2.0 FT x 18.00 IN Reinforcement: #5 Bars @ 8.00 IN. O.C. E/W / (3) min. Footing Loads: Live Load: PL= 2400 LB Dead Load: PD= 400 LB Total Load: PT= 2800 LB Ultimate Factored Load: Pu= 4640 LB Footing Properties: Allowable Soil Bearing Pressure: Qs= 1500 PSF Concrete Compressive Strength: F'c=' 2500 PSI Reinforcing Steel Yield Strength: Fv= 60000 PSI Concrete Reinforcement Cover: c= 3.00 IN Footing Size: Width: W= 2.0 FT Length: L= 2.0 FT Depth: Depth= 18.00 IN Effective Depth to Top Layer of Steel: d= 14.06 IN Column and Baseplate Size: Column Type: (Steel) Column Width: m= 5.00 IN Column Depth: n= 8.50 IN Baseplate Width: bsw= 5.00 IN Baseplate Length: `' bsl= 8.50 IN Bearing Calculations: Ultimate Bearing Pressure: Qu= 700 PSF Effective Allowable Soil Bearing Pressure: Qe= 1275 PSF Required Footing Area: Areq= 2.2 SF Area Provided: A= 4.0 SF Baseplate Bearinq: Bearing Required: Bearinq= 4640 LB Allowable Bearing: Bearing -Allow= 126438 LB Beam Shear Calculations (One Way Shear): Beam Shear': " ' �• „ , Vu1= 0 LB Allowable Beam Shear: 'V61= 28688 LB Punching Shear Calculations (Two way shear): Critical Perimeter: Bo= 83.25 IN Punching Shear: Vu2= 1,175 LB Allowable Punching Shear (ACI 11-35): vc2-a= 216580 LB Allowable Punching Shear (ACI 11-36): `, vc2-b= 435691 LB Allowable Punching Shear (ACI 11-37): vc2-c= 199020 LB Controlling Allowable Punching Shear: vc2= 199020 LB Bending Calculations: Factored Moment: Mu= 8724 IN -LB Nominal Moment Strength: Mn= 671685 IN -LB Reinforcement Calculations: Concrete Compressive Block Depth: a= 1.08 IN Steel Required Based on Moment: As(1)= 0.01 IN2 Minimum Code Required Reinforcement (Shrinkagelfemperature ACI -10.5.4): As(2)= 0.78 IN2. Controlling Reinforcing Steel: As-reqd= 0.78 IN2 Selected Reinforcement: #5 Bars @ 8.00 IN. O.C. E/W / (3) Min. Reinforcement Area Provided: As= 0.92 IN2 Development Length Calculations: Development Length Required: Ld= 15.22 IN Development Length Supplied: Ld-sup= 6.50 IN Note: Plain concrete adequate for bending, therefore adequate development length not required. 46� It r-- ( Footing Design j 2000 International Building Code (97 NDS)1 Ver: 6.00.7 By: ERIC D. AUSMUS , AUSMUS ENGINEERING on: 08-04-2006: 8:30:14 PM Proiect: BANGORCOMCTR - Location: F-BP01-A Summary: Footing Size: 2.5 FT x 2.5 FT x 18.00 IN Reinforcement:#5 Bars @ 7.00 IN. O.C. E/W / (4) min. Footing Loads: Live Load: Dead Load: Total Load: Ultimate Factored Load: Footing Properties: Allowable Soil Bearing Pressure: Concrete Compressive Strength: Reinforcing Steel Yield Strength: Concrete Reinforcement Cover: Footing Size: Width: Length: Depth: Effective Depth to Top Layer of Steel: Column and Baseplate Size: Column Type: Column Width: Column Depth: Baseplate Width: Baseplate Length: Bearing Calculations: Ultimate Bearing Pressure: Effective Allowable Soil Bearing Pressure: Required Footing Area: Area Provided: Baseplate Bearing: Bearing Required: Allowable Bearing: Beam Shear Calculations (One Way Shear): Beam Shear: Allowable Beam Shear: Punching Shear, Calculations (Two way shear): Critical Perimeter: Punching Shear: Allowable Punching Shear (ACI 11-35): Allowable Punching Shear (ACI 11-36): Allowable Punching Shear (ACI 11-37): Controlling Allowable Punching Shear: Bending. Calculations: Factored Moment: Nominal Moment Strength: Reinforcement Calculations: Concrete Compressive Block Depth: Steel Required Based on Moment: Minimum Code Required Reinforcement (Shrinkage/Temperature ACI -10.5.4): Controlling Reinforcing Steel: Selected Reinforcement: Reinforcement Area Provided: Development Length Calculations: Development Length Required: Development Length Supplied: Note: Plain concrete adequate for bending, PL= 4900 LB PD= 700 LB PT= 5600 LB Pu= 9310 LB Qs= 1500 PSF F'c= 2500 PSI Fy= 60000 PSI C= 3.00 IN W= 2.5 FT L= 2.5 FT Depth= 18.00 IN d= 14.06 IN (Steel) m= 5.50 IN n= 8.50 IN bsw= 5.50 IN bsl= 8.50 IN Qu= 896 PSF Qe= 1275 PSF Areq= 4.39 SF A= 6.25 SF Bearing= 9310 LB Bearing -Allow= 139081 LB Vu1= 0 LB vc1= 35859 LB Bo= 84.25 IN Vu2= 4744 LB vc2-a= 231029 LB vc2-b= 436887 LB vc2-c= 201410 LB vc2= 201410 LB Mu= 23285 IN -LB Mn= 893190 IN -LB #5 Bars @ As(1)= As(2)= As-regd= 7.00 IN. O.C. ENV As= Ld= Ld-sup= therefore adequate development length not required. 1.15 IN 0.03 IN2 0.97 IN2 0.97 IN2 / (4) Min. 1.23 IN2 15.00 IN 9.25 IN 5 jl;-�t Footing Design f 2000 International Building Code (97 NDS)1 Ver: 6.00.7 Bv: ERIC D. AUSMUS , AUSMUS ENGINEERING on: 08-04-2006: 9:06:21 PM Proiect: BANGORCOMCTR - Location: F LINE 1 Summary: Footing Size: 2.5 FT x 2.5 FT x 18.00 IN Reinforcement: #5 Bars @ 7.00 IN. O.C. E/W / (4) min. Footing Loads: Live Load: PL= 4900 LB Dead Load: PD= 700 LB Total Load: PT= 5600 LB Ultimate Factored Load: Pu= 9310 LB Footing Properties: Allowable Soil Bearing Pressure: Qs= 1500 PSF Concrete Compressive Strength: F'c= 2500 PSI Reinforcing Steel Yield Strength: Fv= 60000 PSI Concrete Reinforcement Cover: c= 3.00 IN Footing Size: Width: W= 2.5 FT Length: L= 2.5 FT Depth: Depth= 18.00 IN Effective Depth to Top Layer of Steel: d= 14.06 IN Column and Baseplate Size: Column Type: (Steel) Column Width: m= 5.00 IN Column Depth: n= 8.50 IN Baseplate Width: bsw= 5.00 IN Baseplate Length: bsl= 8.50 IN Bearing Calculations: Ultimate Bearing Pressure: Qu= 896 PSF Effective Allowable Soil Bearing Pressure: Qe= 1275 PSF Required Footing Area: Areq= 4.39 SF Area Provided: A= 6.25 SF Baseplate Bearing: Bearing Required: Bearing= 9310 LB Allowable Bearing: Bearing-Allow= 126438 LB Beam Shear Calculations (One Way Shear): Beam Shear: Vu1= 0 LB Allowable Beam Shear: vc1= 35859 LB Punching Shear Calculations (Two way shear): Critical Perimeter: Bo= 83.25 IN Punching Shear: Vu2= 4861 LB Allowable Punching Shear (ACI 11-35): vc2-a= 216580 LB Allowable Punching Shear (ACI 11-36): vc2-b= 435691 LB Allowable Punching Shear (ACI 11-37): vc2-c= 199020 LB Controlling Allowable Punching Shear: vc2= 199020 LB Bending Calculations: Factored Moment: Mu= 24245 IN-LB Nominal Moment Strength: Mn= 893190 IN-LB Reinforcement Calculations: Concrete Compressive Block Depth: a= 1.15 IN Steel Required Based on Moment: As(1)= 0.03 IN2 Minimum Code Required Reinforcement (Shrinkage/Temperature ACI-10.5.4): As(2)= 0.97 IN2 Controlling Reinforcing Steel: As-reqd= 0.97 IN2 Selected Reinforcement: #5 Bars @ 7.00 IN. O.C. ENV / (4) Min. Reinforcement Area Provided: As= 1.23 IN2 Development Length Calculations: Development Length Required: Ld= 15.00 IN Development Length Supplied: Ld-sup= 9.50 IN Note: Plain concrete adequate for bending, therefore adequate development length not required. Footing Design ( 2000 International Building Code,(97 NDS)1 Ver: 6.00.7 By: ERIC D. AUSMUS , AUSMUS ENGINEERING on: 08-04-2006: 9:04:34 PM Project: BANGORCOMCTR - Location: C & E LINE 1 Summary: Footing Size: 2.0 FT x 2.0 FT x 18.00 IN Reinforcement: #5 Bars @ 8.00 IN. O.C. E/W / (3) min. Footing Loads: Live Load: PL= 3900 LB Dead Load: PD= 600 LB Total Load: PT= 4500 LB Ultimate Factored Load: Pu= 7470 LB Footing Properties: Allowable Soil Bearing Pressure: Qs= 1500 PSF Concrete Compressive Strength: F'c= 2500 PSI Reinforcing Steel Yield Strength: Fy= 60000 PSI Concrete Reinforcement Cover: c= 3.00 IN Footing Size: Width: W= 2.0 FT Length: L= 2.0 FT Depth: Depth= 18.00 IN Effective Depth to Top Layer of Steel: d= 14.06 IN Column and Baseplate Size: Column Type: (Steel) Column Width: m= 5.00 IN Column Depth: n= 8.50 IN Baseplate Width: bsw= 5.00 IN Baseplate Length: bsl= 8.50 IN Bearing Calculations: Ultimate Bearing Pressure: Qu= 1125 PSF Effective Allowable Soil Bearing Pressure: Qe= 1275 PSF Required Footing Area: Areq=. 3.53 SF Area Provided: A= 4.0 SF Baseplate Bearing: Bearing Required: Bearing= 7470 LB Allowable Bearing: Bearing -Allow= 126438 LB Beam Shear Calculations (One Way Shear): Beam Shear: Vu1= 0 LB Allowable Beam Shear: vc1= 28688 LB Punching Shear Calculations (Two way shear): Critical Perimeter: Bo= 83.25 IN Punching Shear: Vu2= 1892, LB Allowable Punching Shear (ACI 11-35): vc2-a=216580 LB Allowable Punching Shear (ACI 11-36): vc2-b= 435691 LB Allowable Punching Shear (ACI 11-37): vc2-c= 199020 LB Controlling Allowable Punching Shear: vc2= 199020 LB Bending Calculations: Factored Moment: Mu= 14045 IN -LB Nominal Moment Strength: Mn= 671685 IN -LB Reinforcement Calculations: Concrete Compressive Block Depth: a= 1.08 IN Steel Required Based on Moment: As(1)= 0.02 IN2 Minimum Code Required Reinforcement (Shrinkage/Temperature ACIA 0._5.4): As(2)= 0.78 IN2 Controlling Reinforcing Steel: As-reqd= 0.78 IN2 Selected Reinforcement: #5 Bars @ 8.00 IN. O.C. E/W / (3) Min. Reinforcement Area Provided: As= 0.92 IN2 Development Length Calculations: Development Length Required: Ld= 15.22 IN Development Length Supplied: t Ld-sup= 6.50 IN Note: Plain concrete adequate for bending, therefore adequate development length not required. IA �-5 Footing Design f 2000 International Building Code (97 NDS)1 Ver: 6.00.7 By: ERIC D. AUSMUS , AUSMUS ENGINEERING on: 08-04-2006: 8:30:13 PM Prosect: BANGORCOMCTR - Location: B-BP05-A LINE 5 Summary: Footing Size: 2.0 FT x 2.0 FT x 18.00 IN Reinforcement: #5 Bars @ 8.00 IN. O.C. E/W / (3) min. Footing Loads: Live Load: Dead Load: Total Load: Ultimate Factored Load: Footing Properties: Allowable Soil Bearing Pressure: Concrete Compressive Strength: Reinforcing Steel Yield Strength: Concrete Reinforcement Cover: Footing Size: ' Width: Length: Depth: Effective Depth to Top Layer of Steel: Column and Baseplate Size: Column Type: Column Width: Column Depth: ' Baseplate Width: Baseplate Length: Bearing Calculations: Ultimate Bearing Pressure: Effective Allowable Soil Bearing Pressure: Required Footing Area: Area Provided: Baseplate Bearing: Bearing Required: Allowable Bearing: Beam Shear Calculations (One Way Shear): Beam Shear: Allowable Beam Shear: Punching Shear Calculations (Two way shear): Critical Perimeter: Punching Shear: Allowable Punching Shear (ACI 11-35): Allowable Punching Shear (ACI, 11-36): Allowable Punching Shear (ACI 11-37): Controlling Allowable Punching Shear: Bending Calculations: Factored Moment: Nominal Moment Strength: Reinforcement Calculations: Concrete Compressive Block Depth: Steel Required Based on Moment: Minimum Code Required Reinforcement (Shrinkage/Temperature ACI -10.5.4) Controlling Reinforcing Steel: Selected Reinforcement: Reinforcement Area Provided: Development Length Calculations: Development Length Required: Development Length Supplied: . Note: Plain concrete adequate for bending, PL= 3900 LB PD= 600 LB PT=- 4500 LB Pu= 7470 LB Qs= 1500 PSF F'c= 2500 PSI Fy= 60000 PSI C= 3.00 IN W= 2.0 FT L= 2.0 FT Depth= 18.00 IN d= 14.06 IN As(2)= (Steel) IN2 m= 5.00 IN n= 8.50 IN bsw= 6.00 1N bsl= 19.00 IN Qu= 1125 PSF Qe= 1275 PSF Areq= 3.53 SF A= 4.0 SF Bearing= 7470 LB Bearing -Allow= 339150 LB #5 Bars @ Vu1= 0 LB vc1= 28688 LB Bo= 48.00 IN Vu2= 1381 LB vc2-a= 103275 LB vc2-b= 225466 LB vc2-c= 114750 LB vc2= 103275 LB Mu= 16752 IN -LB Mn= 671685 IN -LB a= 1.08 IN As(1)= 0.02 IN2 As(2)= 0.78 IN2 As-reqd= 0.78 IN2 8.00 IN. O.C. E/W / (3) Min. As= 0.92 IN2 Ld= 15.21 IN Ld-sup 7.38 IN therefore adequate development length not required. 16 O« ✓ Footing. Design f 2000 International Building Code (97 NDS)1 Ver: 6.00.7 By: ERIC D. AUSMUS , AUSMUS ENGINEERING on: 08-04-2006: 8:30:13 PM Proiect: BANGORCOMCTR - Location: D-BP05-A LINE 5 Summary: Footing Size: 2.5 FT x 2.5 FT x 18.00 IN Reinforcement: #5 Bars @ 7.00 IN. O.C. E/W / (4) min. Footing Loads: Live Load: PL= 5100 LB Dead Load: PD= 800 LB Total Load: PT= 5900 LB Ultimate Factored Load: Pu= 9790 LB Footing Properties: Allowable Soil Bearing Pressure: Qs= 1500 PSF Concrete Compressive Strength: F'c= 2500 PSI Reinforcing Steel Yield Strength: Fv= 60000 PSI Concrete Reinforcement Cover: c= 3.00 IN Footing Size: Width: W= 2.5 FT Length: L= 2.5 FT Depth: Depth= 18.00 IN Effective Depth to Top Layer of Steel: d= 14.06 IN Column and Baseplate Size: Column Type: (Steel) Column Width: m= 5.00 IN Column Depth: n= 8.50 IN Baseplate Width: bsw= 6.00 IN Baseplate Length: bsl= 19.00 IN Bearing Calculations: Ultimate Bearing Pressure: Qu= 944 PSF Effective Allowable Soil Bearing Pressure: Qe= 1275 PSF Required Footing Area: Areq= 4.63 SF Area Provided: A= 6.25 SF Baseplate Bearing: Bearing Required: Bearing= 9790 LB Allowable Bearing: Bearing-Allow= 339150 LB Beam Shear Calculations (One Way Shear): Beam Shear: Vu1= 0 LB Allowable Beam Shear: vc1= 35859 LB Punching Shear Calculations (Two way shear): Critical Perimeter: Bo= 94.75 IN Punching Shear: Vu2= 3872 LB Allowable Punching Shear (ACI 11-35): vc2-a= 203861 LB Allowable Punching Shear (ACI 11-36): vc2-b= 449438 LB Allowable Punching Shear (ACI 11-37): vc2-c= 226512 LB Controlling Allowable Punching Shear: vc2= 203861 LB Bending Calculations: Factored Moment: Mu= 29189 IN-LB Nominal Moment Strength: Mn= 893190 IN-LB Reinforcement Calculations: Concrete Compressive Block Depth: a= 1.15 IN Steel Required Based on Moment: As(1)= 0.04 IN2 Minimum Code Required Reinforcement (Shrinkage/Temperature ACI-10.5.4): As(2)= 0.97 IN2 Controlling Reinforcing Steel: As-reqd= 0.97 IN2 Selected Reinforcement: #5 Bars @ 7.00 IN. O.C. E/W / (4) Min. Reinforcement Area Provided: As= 1.23 IN2 Development Length Calculations: Development Length Required: Ld= 15.00 IN Development Length Supplied: Ld-sup= 10.38 IN Note: Plain concrete adequate for bending, therefore adequate development length not required. jo�(l Footing Design f 2000 International Building Code (97 NDS)1 Ver: 6.00.7 Bv: ERIC D. AUSMUS , AUSMUS ENGINEERING on: 08-04-2006: 8:30:14 PM Proiect: BANGORCOMCTR - Location: F-BP03-A LINE 5 Summary: Footing Size: 2.5 FT x 2.5 FT x 18.00 IN Reinforcement: #5 Bars @ 7.00 IN. O.C. E/W / (4) min. Footing Loads: Live Load: Dead Load: Total Load: Ultimate Factored Load: Footing Properties: Allowable Soil Bearing Pressure: Concrete Compressive Strength: Reinforcing Steel Yield Strength: Concrete Reinforcement Cover: Footing Size: Width: Length: Depth: Effective Depth to Top Layer of Steel: Column and Baseplate Size: Column Type: Column Width: Column Depth: Baseplate Width: Baseplate Length: Bearing Calculations: Ultimate Bearing Pressure: Effective Allowable Soil Bearing Pressure: Required Footing Area: Area Provided: Baseplate Bearing: Bearing Required: Allowable Bearing: Beam Shear Calculations (One Way Shear): Beam Shear: Allowable Beam Shear: Punching Shear Calculations (Two way shear): Critical Perimeter: Punching Shear: Allowable Punching Shear (ACI 11-35): Allowable Punching Shear (ACI 11-36): Allowable Punching Shear (ACI 11-37): Controlling Allowable Punching Shear: Bending Calculations: Factored Moment: Nominal Moment Strength: Reinforcement Calculations: Concrete Compressive Block Depth: Steel Required Based on Moment: Minimum Code Required Reinforcement (Shrinkage/Temperature ACI -10.5.4) Controlling Reinforcing Steel: Selected Reinforcement: Reinforcement Area Provided: Development Length Calculations: Development Length Required: Development Length Supplied: Note: Plain concrete adequate for bending, PL= 4900 LB PD= 700 LB PT= 5600 LB Pu= 9310 LB Qs= 1500 PSF F'c= 2500 PSI Fv= 60000 PSI C= 3.00 IN W= 2.5 FT L= 2.5 FT Depth= 18.00 IN d= 14.06 IN As(2)= (Steel) IN2 m= 5.00 IN n= 8.50 IN bsw= 6.00 IN bsl= 19.00 IN Qu= 896 PSF Qe= 1275 PSF Areq= 4.39 SF A= 6.25 SF Bearing= 9310 LB Bearing -Allow= 339150 LB #5 Bars @ Vu1= 0 LB vc1= 35859 LB Bo= 94.75 IN Vu2= 3682 LB vc2-a= 203861 LB vc2-b= 449438 LB vc2-c= 226512 LB vc2= 203861 LB Mu= 27758 IN -LB Mn= 893190 IN -LB a= 1.15 IN As(1)= 0.04 IN2 As(2)= 0.97 IN2 As-reqd= 0.97 IN2 .00 IN. O.C. E/W / (4) Min. As= 1.23 IN2 Ld= 15.00 IN Ld-sup= 10.38 IN therefore adequate development length not required. 106441 Footing Design ( 2000 International Building Code (97 NDS) j Ver: 6.00.7 By: ERIC D. AUSMUS ; AUSMUS ENGINEERING on: 08-05-2006:10:11:34 AM Proiect: BANGORCOMCTR - Location: F -LINES 2 THRU 4 Summary: Footing Size: 3.5 FT x 3.5 FT x 18.00 IN Reinforcement: #5 Bars @ 8.00 IN. O.C. E/W / (5) min. Footing Loads: Live Load: Dead Load: Total Load: Ultimate Factored Load: Footing Properties: Allowable Soil Bearing Pressure: Concrete Compressive Strength: Reinforcing Steel Yield Strength: Concrete Reinforcement Cover: Footing Size: Width: Length: Depth: Effective Depth to Top Layer of Steel: Column and Baseplate Size: Column Type: Column Width: Column Depth: Baseplate Width: Baseplate Length: Bearing Calculations: Ultimate Bearing Pressure: Effective Allowable Soil Bearing Pressure: Required Footing Area: Area Provided: Baseplate Bearing: Bearing Required: Allowable Bearing: Beam Shear Calculations (One Way Shear): Beam Shear: Allowable Beam Shear: Punching Shear Calculations (Two way shear): Critical Perimeter: Punching Shear: Allowable Punching Shear (ACI 11-35): Allowable Punching Shear (ACI 11-36): Allowable Punching Shear (ACI 11-37): Controlling Allowable Punching Shear: Bending Calculations: Factored Moment: Nominal Moment Strength: Reinforcement Calculations: Concrete Compressive Block Depth: Steel Required Based on Moment: PL= 14100 LB PD= 300 LB PT= 14400 LB Pu= 24390 LB Qs= 1500 PSF F'c= 2500 PSI Fv= 60000 PSI C= 3.00 IN W= 3.5 FT L= 3.5 FT Depth= 18.00 IN d= 14.06 IN (Steel) m= 5.00 IN n= 8.50 IN bsw= 5.00 IN bsl= 8.50 IN Qu= 1176 PSF Qe= 1275 PSF Areq= 11.29 SF A= 12.25 SF Bearing= 24390 LB Bearing -Allow= 126438 LB Vu1= 2577 LB vc1= 50203 LB Bo= 83.25 IN Vu2= 18443 LB vc2-a= 216580 LB vc2-b= 435691 LB vc2-c= 199020 LB vc2= 199020 LB Mu= 99375 IN -LB Mn= 1121608 IN -LB a= As(1)= 'Minimum Code Required Reinforcement (Shrinkage/Temperature ACI -10.5.4): As(2)= Controlling Reinforcing Steel: As-reqd= Selected Reinforcement: #5 Bars @ 8.00 IN. O.C. E/W Reinforcement Area Provided: As= Development Length Calculations: Development Length Required: Ld= Development Length Supplied: Ld-sup= Note: Plain concrete adequate for bending, therefore adequate development length not required. 1.03 IN 0.13 IN2 1.36 IN2 1.36 IN2 / (5) Min. 1.53 IN2 15.98 IN 15.50 IN 1 *141 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING September 15, 2006 Marjorie Daley P.O. Box 46 Bangor, Ca. 95914 Assessor Parcel Number:- 028-300-050 Building Permit Number: 06-1966 (Bangor Community Center) Thank you for submitting the plans for your building project. The plans have been reviewed and comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re- check and approval of this project. 1. Provide Code analysis that specifies the type of construction as per 2001 California Building Code (C.B.C) chapter 6. List the fire rating and state if the building is to be provided with fire sprinklers or not. Separate the main assembly area from the meeting room on the code analysis provided. The main assembly area has an occupant load of over 300 which should be classified as an occupant use of A2.1. Verify with 2001 C.B.C., chapter 5, table 5B for the minimum types of constructions. Occupant group A2.1 is required to be 1 hour rated construction. 2. Show on the site plan existing and proposed parking spaces. Show the locations of the required accessible parking spaces. See 2001 C.B.0 section 1129B and Table 11B-6. Show an accessible route of travel from the accessible parking spaces to the main entrance, including any ramps and walkways. 3. Specify on the cover sheet that the 2001 C.B.C. C.M.C. C.P.C. and C.E.C. as amended by the state of California and the local jurisdiction are applicable to this project. 4. Provide on the.plans a door schedule that specifies the size, type, material, and hardware. 5. Exit and access doors serving A- occupancies shall not be provided -with a latch or lock'unless it is panic hardware except that the main exit in the A -occupancies may have key locking hardware if proper the signage is provided and the door is free swinging without latching when in the unlocked condition and a sign is provided over the main exit door stating: "THIS DOOR SHALL REMAIN UNLOCKED WHEN THE BUILDING IS OCCUPIED." In letters not less than 1" high on a contrasting background. C.B.0 1003.3.1.8 and C.B.C. 1007.2.5 Group A occupancy panic hardware. 6. Provide a suspended ceiling plan and details that show vertical supports and lateral bracing as required by the 2001 C.B.C, chapter 25, section 2504 and table 25A. 7. Note on plans the roof material for the building and covered porch. 8. Please revise the plans to clearly show the location of required Attic Draft Stops installed to reduce the enclosed attic areas such that any separately enclosed attic area shall not exceed the L9 3000 sq. ft. area maximum threshold. Specify attic draft stops shall be constructed of 3/8" plywood or 1/2" gypsum -board (drywall). 2001 C.B.C, chapter 7, section 708.3.1.2.2, 708.3.1.3. 9. Emergency egress lighting (required where the occupant load exceed 100) is not shown on the plans. Please show the locations of the required means of egress illumination at each required exit that automatically provide illumination in the event of the building has a power loss. Plumbing Comments 10. Note the minimum number of plumbing fixtures required, water closets, urinals, and lavatories on the plans, as specified by the 2001 C.P.0 Table 4-11.Show the calculations which is based on the occupant load as determined by the exiting requirements. 11. Revise the plans to show the required floor drain for any toilet room containing two or more water closets, also note that floor shall be sloped towards the drains and note the location of the trap primer. Electrical Comments 12. Please revise the plans to show the location and sizes of main electrical service panel and the sub panels. Be sure;to indicate which panels are new or existing: Provide a panel schedule for each on the plans. Show on plans a clear unobstructed area of 30"in front of the electrical service panels for access. Accessibility Comments 13. Provide a minimum clear space of 18"on the strike side of the door to the adjacent wall at the hallway door to the main assembly area. 14. Add a note on the plans for the maximum height of work services and counter tops to be 34"max and a minimum 28"from the finish floor. 15. Note on the plans that the maximum door threshold height of %" at the accessible doors. 2001 C.B.C, chapter" 11, section 1133b.2.4.1. 16. Revise the accessible water closet compartments to show a minimum clear space of 60" in front of the water closet to the opposite wall for side entry doors. 2001 C.B.C, chapterl 1, section 1115B.7.1. Note No.3. 17. Please revise the plans to specify that the maximum effort to operate accessible interior and exterior doors shall not exceed 5 -pounds of pressure. 2001 C.B.0 1133B.2.5. Structural Comments 18. The engineer is to sign and stamp all plan sheets. Some of the metal building plan sheets were not stamped. 19. Verify foundation designed to resist the reactions from the metal building manufacturer. 20. The engineer to sign and stamp the code analysis. Submit two new corrected sets of plans. Note: Due to the nature and the extent of the comments noted in this plan review, it is possible that future responses to the above noted comments and/ or new information supplied with future submittals for this project may generate additional plan review comments. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. ♦ 4 Jim Peterson Philo Hunt, P.E. . Plans Examiner Plan Check Engineer Cc: Eric Ausmus; Engineer Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING September 15, 2006 Marjorie Daley P.O. Box 46 Bangor, Ca. 95914 Assessor Parcel Number: 028-300-050 Building Permit Number: 06-1966 (Bangor Community Center) Thank you for submitting the plans for your building project. The plans have been reviewed and comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re- check and approval of this project. COMMENTS: 1/Provide Code analysis that specifies the tune of construction as per 2001 California Building Code (C.B.C) chapter 6. List the fire rating and state if the building is to be provided with fire sprinklers or not. Separate the main assembly area from the meeting room on the code analysis provided. The main assembly area has an occupant load of over 300 which should be classified as an occupant use of A2.1. Verify with 2001 C.B.C., chapter 5, table 5B for the minimum es of constructions. Occupant group A2.1 is required to be 1 hour rated construction. Show on the site plan existing and proposed parking spaces. Show the locations of the required accessible parking spaces. See 2001 C.B.0 section 1129B and Table 11B=6. Show an accessible route of travel from the accessible parking spaces to the main entrance, including any ramps and walkways. Specify on the cover sheet that the 2001 C.B.0 C.M.C.C.P.C. and C.E.C. as amended by the state of California and the -local j.urisdictio are applicable to this project. /4� ovide on the plans oor schedule that specifies the size, type, material, and hardware. Exit and accedoors serving A- occupancies shall not be provided with a latch or lock unless it is panic hardware -except that tfien exit in the A -occupancies may have key locking har ware if proper the signage is provided and the door is free swinging without latching when in the unlocked condition and a sign is provided over the main exit door stating: "THIS DOOR SHALL REMAIN UNLOCKED WHEN THE BUILDING IS OCCUPIED." In letters not less than 1" high on a contrasting background. C.B.0 1003.3.1.8 and C.B.C. 1007.2.5 Group A ccupancy panic hardware. Provide a suspended ceiling plan and details that show vertical supports and lateral bracing as •required by the 2001 C.B.C, chapter 25, section 2504 and table 25A. ote on plans the roof material for the building_andd vered porch. mei A 4 Please revise the plans to clearly show a location of required Attic Draft Stops installed to reduce the enclosed attic areas such that any separately enclosed attic area shall not exceed the feoe) 3000 sq. ft. area maximum threshold. Specify attic draft stops shall be constructed of 3/8" 1'ood or Y2" gypsum -board (drywall). 2001 C.B.C, chapter 7, section 708.3.1.2.2, 708.313. mergency egress lighting (required where the occupant load exceed 100) is not shown on the plans. Please show the locations of the required means of egress illumination at each required exit that automatically provide illumination in the event of the building has a power loss. Plumbim Comments 10. Note the minimum number of plumbing fixtures required, water closets, urinals, and lavatories on the plans, as specified by the 2001 C.P.0 Table 4-11.Show the calculations which is based on the occupant load as determined by the exiting requirements. 11. Revise the plans to show the required floor drain for any toilet room containing two or more water closets, also note that floor shall be sloped towards the drains and note the location of the trap primer. Electrical Comments 12. Please revise the plans to show the location and sizes of main electrical service panel and the sub panels. Be sure to indicate which panels are new or existing. Provide a panel schedule for each on the plans. Show on plans a clear unobstructed area of 30"in front of the electrical service panels for access. Accessibility Comments Provide a minimum clear space of 18"on the strike side of the door to the adjacent wall at the hallway door to the main assembly area. ,k4�Add a note on the plans for the maximum height of work services and counter tops to be �/ "max and a minimum 28"from the fmish floor. :i Note on the plans that the maximum door threshold height of at the accessible doors. 2001 C.B.C, chapter 11, section 1133b.2.4.1. 16. evise the accessible water closet compartments to show a minimum clear space of 60 iii front of the water closet to the opposite wall for side entry doors. 2001 C.B.C, chapterl1, section 1115B.7.1. Note No3. 17. Please revise the plans to specify that them wort to operate accessible interior and exterior doors shall not exceed 5 -pounds of pressure. 201 C.B.0 1133B.2.5. Structural CommentsQZ_ , 1engineer is to sign and stamp all plan sheets. Some of the metal building plan sheets were not stamped. .. Verify foundation designed to resist the reactions from the metal building manufacturer. ,20--T—he–'e'ngineer to sign and stamp the code analysis. Submit two new corrected sets of plans`. Note: Due to the nature and the extent of the comments noted in this plan review, it is possible that future responses to the above noted comments and/ or new information supplied with future submittals for this project may generate additional plan review comments. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Jim Peterson Plans Examiner Cc: Eric Ausmus; Engineer r, MEMORANDUM To: Alice From: Steve Date: August 30, 2006 Re: BP -06-1966 AP# 028-300-050 Fire Marshal Review Bangor Community Center No door schedule, no window or floor, ceiling or wall covering schedule, all of which I would, like to review. No mention of panic hardware on the doors.. No code analysis. Fire department requirements, so far: 1. 2A:10 BC fire extinguishers required. Suggested locations shown on plan. Mount extinguisher on bracket or in approved cabinet so top is no more than five feet from floor. 2. Two additional lighted exit signs with emergency exit lighting (attached) required: one at double door exit from the hall and one from the meeting room: Battery backup required. 3. Manual fire alarm system (with pull stations) required. Design and build to National Fire ProtectionAAssociation (NFPA) standards—NFPA 72. 4. 40 BC Class K fire extinguisher required in the kitchen. Location shown on floor plan --mount on wall bracket—top no more than 5 ft. from floor. 5. If a commercial range or similar cooking equipment (that produce grease -laden vapors) are installed a fire suppression system will be required in the hood. ��� S cam( ►��n�c F=-� ►� �'�- S YKo c -i- b S N STAtil A -CL p b Ve7A_(FX �b V nl cel ��UIQ S T- f,� ®►J MIEN vp ((� (N�EeOTb Sl GN.. Cotte A -N /A -L-` -5 1 `3 r►��YALcy&-79-ztIz A-J5) S 52 I 2 6,48 r Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING September 8, 2006 Marjorie Daley ©j P.O. Box 46 V I Bangor, Ca. 95914 / j�yi�Ji2 �d nc l CS 6W — 104 -77 Assessor Parcel Number: 028-300-050 Building Permit Number: 06-1966 (Bangor Community Center) Thank you for submitting the plans for your building project. The plans have been reviewed and comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re- check and approval of this project. COMMENTS: 1. Provide Code analysis that specifies the type of construction as per 2001 California Building Code (C.B.C) chapter 6. List the fire rating and state if the building is to be provided withfire sprinklers or not. Separate the main assembly area from the meeting room on the code analysis provided. The main assembly area has an occupant load of over 300 which should be classified as an occupant use of A2.1. Verify with 2001 C.B.C., chapter 5, table 5B for the minimum types of constructions. Occupant group A2.1 is required to be 1 hour rated construction. 2. Show on the site plan existing and proposed parking spaces. Show the locations of the required accessible parking spaces. See 2001C.B.0 section 1129B and Table 11Ba6. Show an accessible route of travel from the accessible parking spaces to the main entrance, including any ramps and walkways. 3. Specify on the cover sheet that the 2001 C.B.C, C.M.C, C.P.C. and C.E.C. as amended by the state of California and the local jurisdiction are applicable to this project. 4. Provide on the plans a door schedule that specifies the size, type, material, and hardware. 5. Exit and access doors serving A- occupancies shall not be provided with a latch or lock unless it is panic hardware except that the main exit in the a A -occupancies. They may have key locking hardware if proper signage is provided and the door is free swinging without latching when in the unlocked condition and a sign is provided over the main exit door stating: "THIS DOOR SHALL REMAIN UNLOCKED WHEN THE BUIDING IS OCCUPIED." In letters not less than 1" high on a contrasting background. C.B.0 1003.3.1.8 and C.B.C. 1007.2.5 Group A occupancy panic hardware. 6. If you -wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. { + .1 NOTES \' RESIDENTIAL PERMIT NO. _ 028-300-050 - 05-0978 BANGOR PARK, }' 7500 ORO BANGOR HWY, BANGORI CONT: OWNER NEW PWR POLE&TEMP SRV SPECIAL CONDITIONS -CHECKED _ BY t _ SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address D 9/�/d �/k, l�Gy GAS Meter By Date ELECTRIC Meter By �'✓`� Date JOB FINALED (Date) _ Z� Signature 1_ J=OK 0 = Not OK = NootReadya61e . MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch - 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L"ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date- . Card B-1 - Date t . 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 -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. , 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test + 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1. Date Card B-1 Date Card B-1 Date Card B-1 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. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date' Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. _ Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -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 Date 16. Insulation 47. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Fireplace Ties or Type A Flue -Fireplace Throat Clearance 17. Water Htr; Vent -Access -Combustion Air Baffle 50. 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 20. Shower Pan; Test, First Floor -Tub Access 52. 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Property Line Firewall & Openings 23. Fire Sprinkler; Test 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 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 Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 26. Size Boxes & No. of Conductors Stapled 59. 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Shear Walls; Nailing -Bolts 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 61. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes 0 No Insulation -Walls -Ceilings 32. Service -Riser Conductors & Ground Main Disconnect 63. 33. Equip. Clearances Panels-Motors-Mech. Equip. Date 34. Clothes Closet Light -Shower Light -Spa Light Card B-1 Date Card B-1 35. Smoke Detector Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 65. 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 38. Condensate Drain & Overflow, Size & Grade 67. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Stairs & Rails 41. Sills Proper Materials & Anchors 71. 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing Elec. Outlets at Wood Panel, Int. & Ext. 44. Draft Stop in Walls (rat proof) 73. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 -Meeh. 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 O Yes 83. Following Instld./Drive 0 Yes O No/Walks 0 Yes D 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/0 to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHIQO) OFFICE #: (530) 538-7541 PERMIT NO. BP05Q978 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/15/2005 APN: 028-300-050-000 the Business and Professions Code, and my license is in full force and effect. License Class : license Number: Site Address: 7500 ORO BANGOR HWY BAN Map Index: Date: Contractor: Description: NEW POWER POLE AND TEMP SERVICE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: BANGOR PARK TRUSTEES OF permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of C/O BANGOR COMMUNITY PARK 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 ASSOCIATES she is exempt therefrom and the basis for the alleged exemption. Any P 0 BOX 171 violation of Section 7031.5 by any applicant for permit subjects the BANGOR CA 95914 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through 'his or her own employees, Applicant: BANGOR PARK TRUSTEES OF 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 C/O BANGOR COMMUNITY PARK proving that he or she did not build or improve for the purpose of ASSOCIATES sale.). P 0 BOX 171 III 1, as owner of the property, am exclusively contracting with BANGOR, CA 95914 licensed contractors to construct the project. (Sec. 7044, Business and Rrofessions Code. The Contractors' State License Law does not 2ipply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business a d Professions Code Contractor: G -�� "D5 Date: Own WORKERS'COMPEN9ATION DECLARATIOIV I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by -Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. License #: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Architect: Carrier Engineer: Policy #: 4i 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 Total Square Ft: 0 S. F. become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Valuation: $0.00 - compensation provisions of Section 3700. of the Labor Code, I shall forthwith comply with those provisions. Census Code: Date: Applicant. WARNING:Failur to secure workers'pensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the ap lic ble provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to d • work indicated above for Oich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) � Date: � Name: BY: PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code• which regulate the storage, - handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte Count to enter upon the above mentioned property for inspection purposes. ' Print Name: ' . - or Signatur . Date: ❑ Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pq 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP050978 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/15/2005 APN: 028-300-050-000 the Business and Professions Code, and my license is in full force and effect. License Class License Number: : Site Address: 7500 ORO BANGOR HWY BAN Map Index: Date: Contractor: Description: NEW POWER POLE AND TEMP SERVICE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: BANGOR PARK TRUSTEES OF permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of C/O BANGOR COMMUNITY PARK 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 ASSOCIATES she is exempt therefrom and the basis for the alleged exemption. Any P 0 BOX 171 violation of Section 7031.5 by any applicant for permit subjects the BANGOR, CA 95914 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: BANGOR PARK TRUSTEES OF 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 C/O BANGOR COMMUNITY PARK proving that he or she did not build or improve for the purpose of ASSOCIATES sale.). P 0 BOX 171 �l 1, as owner of the property, am exclusively contracting with BANGOR, CA 95914 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business ar dd Professions Code • Contractor: 11-15-05 Date: Own WORKERS' COMPEN TION DECLARATI I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. License #: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Architect: Carrier: Engineer: Policy #: ti 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 Total Square Ft: 0 S. F. become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Valuation: $0.00 compensation provisions of Section 3700 of the Labor Code, I shall Census Code: forthwith comply with those provisions. �! 5� , Date: Applicant. WARNING: Failur to secure workers' pensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the ap lic ble provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to d • work indicatetl above for ich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) IV/, / Date: Name: By: PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte Count to enter upon the above mentioned property for inspection purposes. I-_'5/W4144�K Print Name: j% r Pi Signature. a�d.�Zl Date: ❑ Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor B. C. Buildinq Permit 01-16-04 pq 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT SIGNATURE X For office use only: OWNER Last Name lEirst Na Address D O 7 1 City -BQr\ O I No e Zip 5 Phone :::±I'a Map Book E-mail Phone eel/ APPLICANT SIGNATURE X For office use only: CONTRACTOR Name U n Address SRA City I No State Zip Phone Map Book Fax E-mail Phone eel/ Lic. # Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Flood Zone Address SRA City I No State Zip Phone Map Book Fax E-mail Phone eel/ State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name Flood Zone Address SRA City I No State Zip fir\ a Map Book Page Lot # Phone eel/ Date Approved: Fax ' S - 530- 6 7Q- o E-mail 00 '194 fox 6_0 r'� , co nn APPLICANT SIGNATURE X For office use only: Zoning Property Address .DOD o Flood Zone I I SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT BIN # LOCATION AP# C ;;� �•� V Property Address .DOD o Cit Cross Street a4 an r Q WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 92uT , — Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: `P Amount: G Bldg SRA Receipt #: Sheriff SMIP I Date Os Other r!y I I Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11, Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K1FORMS\BUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 BCPA Meeting. Notes November 16, 2004 Meeting called to order at 7:00 P.M. Pledge was lead by: Becky Wilson Treasurer's Report was read: $7,504.80 in checking: $2,726.12 in savings. Reported accepted by Margaret Daley, 2 by Jeanette, all in favor — yes. Minutes were read. Minutes accepted as, read by: Buck Daley, Id by Margaret Daley, all in favor — yes. Craft Bazaar is Saturday November 200' from 10 a.m. to 4 p.m. We have 6 tables rented so far. Mrs. Putman from Oroville is handing out flyers on our behalf:. She has attended our Bazaar every year and looks forward to it. Discussed the roof on the hall. The materials are in and we hope to get started on it soon. Paul Sommers and others have offered their assistance. Elections for .2005 held: New officers are: President: Gary Daley Nice President: Becky Wilson Secretary: Marjorie Daley Treasurer: Teresa Blackson Motion to accept new officers, made by Buck Daley and. 2`d by Margaret Daley, all in favor — yes. Bingo on November 12th was really small only 3 people showed up. Next Bingo will be December 10`h and then January 14'h. Marjorie will post a six-month schedule of the Bingo dates at the Post Office. Maybe this will improve attendance. Still need to change the locks on the Hall. Reports: , Cattleman's meeting and, luncheon will be the end of Feb. or beginning of March. Bangor School sold all of our daubers and some of our sodas: 'BCPA made $29.55 from the School's Gaino night: There function was a success. Next meeting will be January 18''. Meeting adjourned at 7:30 p.m i r ! c);3 3 a� . r w < i INCIDENT NUMBER 14421 DATE 11/25/2004 EVENT NUMBE r 14545 t' . SLOGGED B , JAMC REPORT TIM" 3:40 { LOCAL FIRE NUMBE _� AAf ��a� cera RO MCLEAN STATE FIRE NUMBER 637 aa► ca*a cin. BI CASE NUMBER 131 , aAH A a 'MEDICS LOCATION 7500 ORO BANGOR HWY COMMUNITY CENTER PRA• S4 ECC ElL. RP E55 PHONE.NUMBER REPORT METHO WALK IN WILDLAND FIRES ❑ ESTIMATEDACRES 0 FIRE INFORMATION , STRUCTURE FIRE PUBLIC ASSEMBLY" I FIRE INFO SENT HO E-MAIL BY. JAMC '. ' TO STA 55 OTHER FIRE • 7 -DAY LOGGED W INITIALS ,MAA MEDICAL AIDS INCIDENT NAM BANGOR' PSA/OTHER START DATE 11125/2004 START TIME 3:00 HAZ MAT DIAMOND # 11.1 COMMENTS CAUSE ARSON!i 40% INVOLVEMENT AT LAND USE DOMESTIC ARRIVAL ACRESF— 0➢ TYPEOFACRE DIAMONDS ONLY $ DAMAGE DOLLAR DAMAGE, 4600000.00 •SAVE 0.00 INJURIESlFATALITIE El i r. # CIVILIAN INJURIES _0 # CIVILIAN FATALITIES' J EMD .❑ DES ❑ # FF INJURIE _� # # FF FATALITIES 0� FC -40 INFORMATION ♦� ♦ J New Incident FC -40 ❑ DATE OF FC -40 INC AGENCY INC # INC P# FC -40 COMP DATE FC -40 COMP BY. D� County Notifications 0 EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑ a k " { 1 } f r ! c);3 3 a� . r w < i INCIDENT NUMBER 14421 DATE 11/25/2004 EVENT NUMBE r 14545 t' . SLOGGED B , JAMC REPORT TIM" 3:40 { LOCAL FIRE NUMBE _� AAf ��a� cera RO MCLEAN STATE FIRE NUMBER 637 aa► ca*a cin. BI CASE NUMBER 131 , aAH A a 'MEDICS LOCATION 7500 ORO BANGOR HWY COMMUNITY CENTER PRA• S4 ECC ElL. RP E55 PHONE.NUMBER REPORT METHO WALK IN WILDLAND FIRES ❑ ESTIMATEDACRES 0 FIRE INFORMATION , STRUCTURE FIRE PUBLIC ASSEMBLY" I FIRE INFO SENT HO E-MAIL BY. JAMC '. ' TO STA 55 OTHER FIRE • 7 -DAY LOGGED W INITIALS ,MAA MEDICAL AIDS INCIDENT NAM BANGOR' PSA/OTHER START DATE 11125/2004 START TIME 3:00 HAZ MAT DIAMOND # 11.1 COMMENTS CAUSE ARSON!i 40% INVOLVEMENT AT LAND USE DOMESTIC ARRIVAL ACRESF— 0➢ TYPEOFACRE DIAMONDS ONLY $ DAMAGE DOLLAR DAMAGE, 4600000.00 •SAVE 0.00 INJURIESlFATALITIE El i r. # CIVILIAN INJURIES _0 # CIVILIAN FATALITIES' J EMD .❑ DES ❑ # FF INJURIE _� # # FF FATALITIES 0� FC -40 INFORMATION ♦� ♦ J New Incident FC -40 ❑ DATE OF FC -40 INC AGENCY INC # INC P# FC -40 COMP DATE FC -40 COMP BY. D� County Notifications 0 EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑ k " { 1 f r...•. ,.-- ... < � _ r .- .�...�..,d., ."*Y`r..+.�1•r.�'Y'^`T�'^'` "s"� 1rr+��sYyti�..,�.•-�,..yv+��...'Yom^--'..t,�!':�...^r'''Y'"�-..ti _ �.. ..,.� •-�t,t Jv 3915-83E Bangor Community Clul 1 OFFICE COPY Address GAS Date---- Meter ateMeter By ELECTRIC Date%Z Meter By 4 T COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Celifornia.95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO,,. ASSESSOR PARCEL NUMBER �)� ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1 , CONTRACTO7'S NAME t '1 ��, C ti TELEPHONE CONTRACTOR'S MAILING ADDRESS ( `i. - =� \ - h� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER �•r LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS } 1, .��f..i ,.ii f.'�nY ii, ._1•/��il�r}i' I`,•'I / PLUMBING PERMIT Filing Fee 10.00 I I I Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. 1 SUBDIVISION NAME PARCEL MAP 7 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE /} \. N ) SF ❑ Duplex❑ Mobilehome❑ Other �„t SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other © Describe work: t'- C ��C �t ��'� n -� +' — 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 I Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 7 2/20sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions !Code and my license is in fulls force and effect. License No. � Ri7 Classification `,' /1* ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEWCONSTR POWER APPARATUS &' NON-RESID, SINGLE OUTLET CIR. Ex. Occup(OUTLETs OR FIXTURES .20@030 FIXED APPLN5. OR EX. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ~• Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. /f ��� �- X I/ ” i��-!- Date / / /r r Signature of Applicant - Owner ❑ Contractor 21, Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DIRECTOR ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which OF PUBLIC • By. \ ' `r _'.�' PERMIT EXPIRES Date It the applicable provi- resolutions to do fees have been paid. WORKS Date ' r Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT y COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspecte� Date /��- ;?—Zi COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,rCalifornia 95965 - Telephone 916/534-4541 k APPLICATION AND PERMIT PERMIT N� ASSESSOR PARCEL NUMB ZONING BUILDING PERMIT OWMR r t TELEPHONE SQ. FT. OCC. BUILDING VA ATION OWNER'S MA NG ADD SS CACTO NAM V TELEPHONE 33- 3 CONTRACTOR'S MAJLINJG ADDRESS 4-7 a .3 Fireplace CONSTRUCTION LENDER UNKNOy/N ✓ Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE � NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDI G ADDR N 0 -1 JIA I%C r PLUMBING PERMIT Filing Fee 10.00 Y� Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCRE `` SF ❑ Duplex -1 Mobilehome❑ Othe I%M, 0 a f SPECIFY Building sewer 5.00 Mobile Home S G W 10.00E TYPE OF WORK New F] Addition❑ Remodel Utilities Installation❑ Other Describe work: e -C S/(:!-- ►1 V Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 1000 ��gg . Main service EA. AOD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21h2sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. Y 67 /1) License No. �i''I �n ���_ Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR (MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &'\ NON-RESID. %SINGLE OUTLET CIR. / Ex. Occu BA @30 P�o OR FIXTURES BAL®30 FIXED A Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00S , 0-0 1 419 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X � �� ►r�/?ilJ Date //—/� g� ,�— Signature of Applicant — Owner F1 Contractor R�0' Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD I ISSUE_ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which BMECTOR OF PUBLIC BY PERMIT EXPIRES YDate the applicable provi- resolutions to do fees have been paid. WORKS o-� Date 746 Receipt No. / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT DAVID A. CRANE DAVID A. CRANE STRUCTURAL ENGINEER 2245 PARKTOWNE CIRCLE, #8 SACRAMENTO, CA 95825 5/2/80 Petroleum Tank Lines Enclosed are two sets of revisions only (drawings & calcs). D.A.C. by Dan Whisman 178 e e Bowmari� Department of_Public Works 7 County Center Drive " '— Oroville, CA 95965 f COUNPV brpr. OF ug AN e . 1980 it a 2130-80B •--""PERMIT NO. PERMIT EXPIRES Bangor Community Club OWNER CONTR. owner LOCATION (A.P. 28-30-3 NW corner of Oro Bangor Hwy & Bangor Park Rd., Bangor E ,I 1 . ,i i Temp. Power Pole Called PG&E Temp. Elec. Sery Called PG&E Temp. GasyyServ. Called PG&E JOB VIN% /LED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms A Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII j Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final — Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTVENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION A9D PERMIT ASSESSOR PARCEL NUMBER 5, — -, ZO ING� S BUILDING PERM OWNER l L�iL CdT Gls�* TELEPHONE G7 a7I SO. FTC. OCC. BUILDING UA�vfT�ION 'YQ OW D.I VS --F .cs CO'NTRACTOR'S NAME �T U TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER �Iv�Z UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER a� LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ i2zl. Qd BUILDING ADDRESS W G(5i2 UJC Ui�Lo p� PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 G Water piping LOT NO. SUBDIVISION NAME ARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE 1 L SF ❑ Duplex❑ Mobilehome❑ Other SP CI FY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel'. Utilities E]Instal tion❑ Other X Describe work: 1�Zb /b ��/ �/ -6 /�iescs� . �` ��CC - •/f 3 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELING OR ADDNS. ( ACCLBLDGS.CCUPM 22 sq It CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the BuSIneSS and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR.POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES BAL@1 AL�0Q FIXED APPLNS. OR \ Ex. Occup.(OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilitiesjudg is costs, and expenses which may in a way accrue ag 'n t said u in c sequ nce of the granting of this ermit. %� Date �y Signature of Applicant — Owner Vel C actor ❑ Agent ❑ An OSHA permit is required for exc'avvatitions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE 6 �u,OO occuP. GROUP I TYPE OF CONST. F PARCEL PD I ND Is uE This permit is hereby issued under sions of the Butte County Code and/or work kdicated above for which T OF P BLIC PERMIT EXPI S Date the applicable provi- resolutions to do fees have been paid. WORKS ,� Q Date -s- ate - "'a •�� r' Receipt No. $',�� 7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)� 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contrast d with the .following person (firm) to provide the proposed constsrlction: ; Namey - I J , Address Phone Contractors License No.. City 4. I plan to provide portions of this work, but I have hired the following person to co9rd inate,_supervise, and provide the major work: Name Address Phone k c,)'l — Contractors License No. 5. I will provide some of the work but I have (hired) the following persons to provide the work indicated: Name \ Addr ss Phgne Tvne of Wo k C \Ar\xN x rl�rt,Inr r'I A ,. (E5100 _1 7'1 I 1 Signed: Property Owner �i 11)ckoy_)X�� Q0 t V Social ecu ty number _ Date �4'L� DC7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Vk �'�-"ti .� .-r _ . v-�--" � _ err__ �5,��-. �_�. �.� r-���'�."f•�`�•��+^�'� �M, w.r�"•^'1._'� �'�.. � .�. -�. ` COUNTY OF BUTTE — DEPARTMENT OF-PU$LIC WORKS — BUILDING DIVISION 7 County Center Drive — Oroville, California 95965 — Telephone 534-4541 PERMIT APPLICATION DATA SHEET OWNER r Permit No. _ f�i.¢sc���r� Com- .� , -/_.�� rr A. P. .2Q X 41 > Proposed Building Use Permit fee based upon: Complete Contract Price DPW Valuation Q10er (explain) r Building Inspector c Date z�/.K �/ At time of permitp I ation, I was advised t i ollowing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9. Letter of signature authorization............................................................. 10. Sanitation approval from Health Dept.... 0 44 11. Planning approval for 12. Certificate of Workmen's Compensation Insurance ........................— C,rslL — u� Ld 3. C,541ract©r-srue Pnformation (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow) . ................................ :............................................................... 15. Pre -inspection for required. Pre-inspec. request to bldg.inspector (date) 16. Other When you issue the permit, process as follows: to owner Mail to contractor. Telephone and hold for pick-up at office. Deliver w/inspection. Other ri A lican �I Date '1 �1\CL PP Copy of plans sent Health Dept., Fire Dept., her Date— During the plan checking process, the following data must be submit d prior to permit issuance: (For required items not checked above at time of appli ircle item.) 1. Index permit for above Items No. - 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date OTHER: Copy/DPW SITE PLAN 7 ..... . ..... 7 ..... : ..... . ..... . ...... .................. ...... - - - - ;......;..........:......;.....i . . . ........ . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . ....... C ....... . . . . . . . . . . .. . . . . . . . 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