HomeMy WebLinkAbout030-290-042BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
2
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO. 0 2Sn - 2-qn - N 9-
ZONING A�r
OWNER
C IS
P°533 lel
OWNER'S A S -PAUk-C+,' ff CA-
LOCATIO��FBUILDING
USE OF BUILDING
SIZE OF STRUCTURE
' ��
X = SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL CONCRETE OTHER (Specify)
TYPE
TYPE OF IDI G
ROOF COVER!
FLOOR TYPE
ESTIMATED COST OF CONSTRUCTION
$ —
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as
follows:
FRONT 1 SIDES &261— REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary perm'ts, inspections, and approvals to com y with the r ireme is in effect at that time and before
occupancy.
Date O 1 Signature of Owner
Permit Fee -$109.98
Receipt No. q � b 1
The above described AG Building is exempt from a buildinq permit
/,/IUWwRo -
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
FLOOD
PARC
P.D.
ROOF G
ISSUE
]
I
/,/IUWwRo -
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
-= NOTES
RESIDENTIAL
- --
PERMIT N0. — 01;0-290-0,137� �04=2003 -
SCOTT, JOS ,K, KRIS--
t CNRUCH CT, OROVILLE
VY NEW SINGLE FAMILY
k
m
•
44 b C - _� oy Rf�m&,j 11
11 SPECIAL CONDITIONS - 11
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
} OFFICE COPY c>
Address
GAS r -
Meter By Date
ELECTRIC
'Meter By Dai��l
M
1
l
�yy
'F
t
t
v1r,
'
f!
C
Y
•
44 b C - _� oy Rf�m&,j 11
11 SPECIAL CONDITIONS - 11
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
} OFFICE COPY c>
Address
GAS r -
Meter By Date
ELECTRIC
'Meter By Dai��l
JOB FINALED (Date)4 4 loe—
f I
;, Signature
4 •
JOB FINALED (Date)4 4 loe—
f I
;, Signature
J=OK
0 = Not OK -'
. = NotReadyable 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 Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s -
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
1 . Zoning Requirements -Setbacks -Easements
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
2. Footings; Size -Spacing -Marriage Line
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
3. Gas; MH Test -Demand -Valve -Connector
Carports; Windows -Doors
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Electric
5. Drain; MH Test -Fall -Flex Connector
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
6. Water; MH Test -Regulator -Connector
Siding; Nailing -Veneer -Stucco -Mesh
7. Water and Sewer Connected -C/O to Grade -HD Approval
Roof; Shthg-Roofing
8. Gas and Electricity Tagged
Ext.; Steps -Doors -Landings
9. Tie Downs -Type -Installation Cert.
Braced Wall Panels
10. Exits; Insp.-Sketch
11. Cert. of Occupancy
Elec.; Enclosures; Conduit Entries -Terminals -Listed
x`
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1. Zoning Requirements -Setbacks -Easements
Plumb.; Cir. Test -Water Supply Test
2. Footings; Size -Spacing -Marriage Line
11.
3. Blocking
4. Gas; MH Test -Demand -Valve '
Enclosure; Fencing -Alarms
5. Electricity; MH Test
6. Water; MH Test
Date
7. Water and Sewer Connected
Card B-1 Date Card B-1
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
;f:
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
a
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
x`
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
a
J=OK
0 = Not OK
= Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UN2W2PCOOR (Plans) OK except #'s
Z g -Setbacks -Easements -Flood -Slope
,50'-Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg._,Porches & Decks; Soils -Steel-/ /" Ftg. Depth
emwalls, Main; Steel -Blockouts-Wrapped
f • .AJ 6 mwalls. Garaoe: Steel- Blockouts-Wranned
Downs and Special Anchors
7. Slab
I.V.; Fall -Fitting -Test -2 Way C/O -Sewed ,, Zt
Gas Pipe; Size Anchors -Yard G aping; LA Test
er Pipe; Test -Anchors -Regulator -Service Test
\'D 13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 'w
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date - - MNSING (Permit) OK except #'s
Air
First Floor -Tib
2yrTest Tub & Shower, Second Flcor-Tub Access
g2% Gas Pipe; Sixe & Anchors
23: Fire Sprinkler; Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELEC ICAL (Permit) OK except N's
Fixture & Transformer Clearance -Ins. Protection �.
5. Efec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors Stapled
Romex Installed Close to Edge of Studs & C.J.
2$/Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
2 Appliance Circuits in Kitchen & Conductor Size GFI
0 r ubfeed Wire Size/ / Cu or AI-A.C. Wire SizeAZ lglMru or Al
3Y Rang Cir I r AI -Oven Circ. / /ga Cu or Al
Insul tral O Yes O No
3X Service -Riser Conductors & Ground Main Disconnect
13,/Equip. Clearances Panels-Motors-Mech. Equip.
4. Clothes Closet Liaht-Shower Liaht-SDa Light
35iSSmoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
3V A.C. Ducts Insulation & Support
7� Vent Fan, Exhaust above insulation
Condensate Drain & Overflow, Size & Grade
36. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
4,15. Attic Access & Platform if Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRA G (Permit) OK except #'s
Sills Proper Materials & Anchors
4 Palls Studs -Nailing Spacing & Braces -Plates -Sound
4 Bearing Walls over Girders & Floor Nailing
4/7Draft Stop in Walls (rat proof)
45. fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
6- Headers & Beams -Size & Bearing
Date
F
MING (Continued)
88.
47.
Hangers -Post Caps -Anchors -Connectors
Ventilation Throughout House
48.,,Cling.
Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring.
91. Corrections from Previous Inspections
49r,
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
93.
5K.
Attic Access; Size & Romex Protection -D top -Ins. Baffles
Energy Compliance Certificate -Other Certificates
51
dam. Windows or Exiting Doors-S&Hf. & Dimensions
/_/&4'0,W_/MU.arage
Fire Sprinkler
Fire Protection Framing -M Channel
Card B-1 Date Card B-1
23'
Property Line Firewall & Openings
Date
5
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
46 -Si -airs; Width -Headroom -Rise -Run -Landing -Fire Protection
5K
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing Veneer
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
.
Glazing Area -Glass Protection -Skylights -Plastic
6
hear Walls;_09iling-Bolts
61.
Brace lg for/Exterior Wall Panels -�
62.
Insulation -Wags -Ceilings
t(
6
Infiltration -W IIs -Windows
Date I'LW
Card 13 Date Card B-1 -
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom 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-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location ti•
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
Clear a Looked under Floor O Yes
_
83.
.
85.
wing Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No
Stucco Brown Finish
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91. Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.netldds
PERMIT NO.
BP042003
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 09/07/2004 APN: 030-290-042-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
r�
She Address: 470 g )2^i c H CT O te.o
Date: Contractor.
Map Index:
Description: NSF(2245)GAR(572)COV(300)
OWNER43UILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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: SCOTT JON E. &KRISTIA D.
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
1278 BLOCK RD
signed statement that he or she is licensed pursuant to the provisions of
GRIDLEY CA
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
95948-9525
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).):
O I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: SCOTT, JON E. & KRISTIA D.
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
0ontractor:
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 a ' ndlff r rticle13 of the Business n rofession Code
E mpt
U %
Date: Oer: L -�
License #:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect:
is issued.
Engineer: CAPREALIAN, MICHAEL
❑ 1 have and will maintain workers' compensation insurance, as ,
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 3117 S. F.
Valuation: $164,453.00
Policy #:
Census Code:
I certify that in the performance of the work for which this permit is
issued, 1 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 coom1 ply with tM
Date:/'r `�
Applicant:
WARNING: Failure to secure workers' compensation coverage is
•*064,7%Q 7Ig/D4.►
unlawful, and shall subject an employer to criminal penalties and one
thousand dollars ($100,000), in addition to the cost of
I 15�¢• 91-7104,hundred
L� (2 G(r 7 �1 3
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit 's hereby issued under the applicable provisions of the Butte County Coda anrVor
affirm I hereby arm that there is a construction lending agency for the
Resolutions o do work indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Z rJ � -7 • 0.4—
`7
Name:
By: �- Date:
� - ? � O
Address:
PER IT XPIRES ON:
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
Cl 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 substanipe of any official f6 o} docTt Butte County. I hereby
authorize represent Ives of Buunty toe a upon the above mentioned property for inspection purp s s.
<�/� �.
��
Print Name: Signature:
A I ✓
Date:
0 Owner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor
�
REV 10/92
'
COUNTY OF BUTTEBUILDING
DIVISIONDEPARTMENT
OF DEVELOPMENT SERVICES7
County Center Drive t Oroville, CA4! (530) 538-7541
ATTOLL
FREE (530) 891-2751CORRECTION
NOTICEOWNER
PERMIT NO.A
roullne inspection indicates that the following violations of butte county Ordinances exist at theabove
address and should be corrected. Please notice [his office when correction of work is
-completed.
It you have any questions pertaining to this matter, or need additional explanation,please
contact this office immediately.
�
REV 10/92
'
MICHAEL CAPREALIAN
CIVIL ENGINEER, RCE 22907
Dec. 1,'04 1743 Mulberry St. Chico, CA 95928
(530) 521-6886 - 891-6886
Richard Nixon, Butte Co. Bldg.lnsp.
Fax # 538-2140
Oroville Ca.
Re: Retrofit for omitted hold-down bolts on Scott house: BP -042003
Dear Mr. Nixon:
This letter is to verify a retrofit for omitted hold-down bolts for the Scott house. I '
understand there are 8 places that need retrofits: 4 on the front of garage and
four at the back wall. Below is the plan showing the'retrofit.
e
4
Fi cv, 1�
4 .
>3c StvDs 5 VV ;o P 3 w
Sincerely yours: :.,
Michael Caprealian " -
WIMALI�'1
'EAPWA M
2*7
s�qT CMI. �
OF.
EXP
EXP DATE: 12-31-2905
.--e�-.,.yw.�� _�J�-....�--J�ti. �.#.�,t� R� .. {j.. r.,�.�...�wv�'r.Ll+�i.• "i^`' -....tip,.. tv�, .. �.;,`�,:
COUNTY OF BUTTE
BUILDING DIVISION
t• DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
el,'yz
OWW&07J P RrMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact. this office immediately.
Date _
REV t
MICHAEL CAPREALIAN.
CIVIL ENGINEER, RCE 22907
Dec. 1,'04 1743 Mulberry St • Chico, CA 95928 � �`
(530) 521-6886 • 891-6886 36 � `D •
Richard Nixon, Butte Co. 'Bldg.'Insp. - a
Fax # 538-2140
Oroville Ga. ti
Re: Retrofit for omitted' hold-down bolts on Scott house: BP -042003
Dear Mr. Nixon:
A
This letter is to verify a retrofit for omitted hold-down bolts for the Scott house. I
understand there are 8 places that need retrofits: 4 on the front of garage and
four at the back wall. Below is the plan showing the retrofit.
r
(3� P. l3 W
I
.:
74
.• NYf�tiAq.AlttN .;
6APF
CTC .62
207
jg�paXY s
SOF..
EXPDATE:
i
C
Sincerely yours:
r
Michael Caprealian
FROM :JIFFYPRINT
FAX NO. :5308950eee Dec. 01 2004 04:23PM P1
MICHAEL CAPREALIAN
CIVIL ENGINEER, RCE 22907
Dec. 1,'04 1743 Mulberry St. -'Chico, CA 95928
(530) 521-6886 • 891.6886
Richard Nixon, Butte Co. Didg.lnslp.
Fax # 638-2140
O.roville Ca.
Re: Retrofit for omitted hold-down bolts on Scott house: l3t- 042003
4
Dear Mr. Nixon:
This letter is to verify a retrofit for omitted hold-down bolts for the Scott house. I
understand there are 8 places that neem retrofits: 4 on the front of ,garage and
four at the back wall. Below is the plan showing the retrofit.
3w r
All �' ply
P1Y.,)2 3b63 Noir . DocaiN
• - , - ��8''1'�6�'8a ADD
•;_.__.._._._..
cone A
VCfC 4.7 2W
A eroxy CfMt v.
OF,
4 Q A 4' EXP -DATE 12-31-2005
Sincerely yours:
Michael Caprealian
11/09/04 17:15 FAX 916 379 0257
Kliman Sales, Inc.
'Manufacturer's Representatives
DATE:
TO:
KLIMAN SALES
0001
CPUC otla 0)(--
W -N,
ATTENTION: _
NUMBER OF PAGES TRANSMITTED (including coversheet):
PLEASE CALL (916) 379-0784 AND CONTACT C �4 A• R L t F
IF YOU DID NOT RECEIVE ALL PAGES OR IF YOU NEED ANY
ADDITIONAL INFORMATION.- •
COMMENTS:
n
• 4
k
Sao
1179 Campbell Avenue
San Jose, CA 95126
Phone: (408) 275-1784
Fax: (408) 275-8906
11/09/04 17:15 FAX 916 379 0257 „- KLIMAN SALES 0 002
i
Noveon, Inc.
4832 Cory Ct.
Carmichael. Ca 95608
/ Tc1:916.487.8384 Fa.:916.484.0733
Celi„lar Phone: 916.952.7238 Toll -Free: 888.234.2436 Eat 5622
September 28, 2004
Chief Building Official .
4e FO X Ca mpct111
Re: CPVC for Rcw- Cbu.r+ '3oh0
The 2001 California Plumbing Code; Section 604 1.2 allowing CPVC to be used in for
hot and cold water distribution system within residential building as long as the following
. conditions are satisfied. Part (d) section 301.0 of appendix 1 of this code, Installation
standard for CPVC solvent Cemented Hot and Cold water distributions systems, IAMPO
IS 20-98, page 341 of the CPC. Below is part A Finding requirement.
The attached water reports show the water to be very hard water, the aggressive index is
11.8 over the recommended levels, see explanation for consideration of CPVC pipe with
this water.
r
Harry Moos
Piping Consultant
The Specialty Chemicals Innovator"'
11/09/04 17:15 FAX 916 379 0257 KLIMAN SALES 10 003
� 4
Cci-tificate ofCompliance
For Installation of CPVC Plumbing Materials
(Pursuant to California PIumbing code 604.1 b(e)and(f)
To: CHIEF BUILDING OFFICIAL
I am licensed by the State of California as a plumbing contractor,
and seek a building permit for. residential construction, which
involves the installation of CPVC plumbing materials as provided
for under California Plumbing code section 604. lb. Pursuant to
section 604.1 b, l hereby certffi that:
a. I am aware of the health and safety hazards associated with
CPVC plumbing installations.
b. My company's health and Injury Prevention Plan satisfies the
worker training safety guidelines of the California Department
of Industrial Relations, and includes information about the
hazards associated with_ CPVC plumbing pipe installations.
c. My company will comply with all of the installation and health
and safety requirements of the California Plumbing Code
applicable to the installation of CPVC plumbing materials,
including therequirements set forth at Section 301.0 of
Appendix I thereto.
Signed:
Company :
11/09/04 17:16 FAX 916 379 0257 KLIMAN SALES
veMonarch
Laboratory, Inc.
J
10004
563 EAST LINDO AVENUE
CiHICO, CALIFORNIA 95926
PHONE (530) 343.581B
Page 1 of 4
TEST REPORT_ 220738-2
NOVEON, INC.
4832 CORY COURT
- -
CARMICHAEL, CA 9590
Sample Men tif witlon:
ROUCH COURT
Date & Time Taken:
10J05r10t74 1000
Collected Br.
BILL FOX
Sample Matrix:
Liquid
Reaeimd: 10AX02004 Client MOV075
Report Dahe.•
10252004
Otker Data JOHN
SCOTT HOME
Resift
for Sanole 220738 .
Parameter
Result
Unit
MAL
001
Aggressive Index
10.9
002
Laugher 0 80 a
-0.38
mgfL
003-
Langlier Sat Index
-0.90
MOIL
004
pH, Drinking Water
7.7
SU
0.1
005
Temperature, Drinking Water
30
degrees C
008
Acidic Turbidity, Drinking Water ►
0.25
NTU
0.05
007
Atkidinity. Drinking Water
77
rrlg/L
2.0
008
Bicarbonates, Drinking Water
94-
nV4-
2.0
1108
Carbonates. Drinking Water
<1.0
mg<L
1.0
010
Total Hardness. Drinking Water
48
MOIL
0.030
011
Specific Conductance,Drink % t Mr
180
urnhoslcm
1.0
012
Calcium, Drinking Wafer
82 -
MOIL
0.010
013
Magnesium, Drinking Waver
8.8
mg1L
0.002
014
Potassium. Drinking Wafer
1.0
mglL
0.015
015
Sodium, Drinking Vater
13
mg1L
0.010
018
Sulfate, Drinking Wafer
0.82
mgi'L
0.45
017
Chloride, Drinking Water
2.0
MOIL
1.0
AnaWcal
Detafts fff Sanole 220738
Parameter
CAS Method
Bottle
Analyzed
By
001
Aggressive Index
AVW1bAAsbestos-Cement
10fioac 4
DLS
002
Langliera 811 c
AWAR VAB.No.3.1992
10/1912004
DLS
003
Langlier Set Index
AWWA V:1B.No.3.1992
10/182004
DI -S
004
pH, Drinking Water
EPA Method 150.1
112=1 004
EMJ
- 005
Temperature, Drinking Water
EPA Method 17OA
10108/2004
DC
000
Acidic Turbidity. Drinking Water
EPA Method 180.1
10!1412004
DLS
007
Alkalinity. Drinking Water
SM 23208
10/1312004
DLS
Guts
Gicarbon2bgs, Drinking 'MbT
SM ['s2ud
1uiiM004
.ids
009
Carbonates. Drinking Water
SM 23208
1011212004
JBS
010
Total Hardness, Drinking Water
SM 23408
101192004
DLS
n+ •
c......X^ r..,,,f.,...n,,..o nrirw VtMer,
SM 75110 B
WM82004
SSP
11/09/04 17:16 FAX 916 379 0257 KLIMAN SALES
V41. Monarch
Laboratory, Inc.
10005
563 EAST UNDO AVENUE
CHICO, CALIFORNIA 95926
PHONE (530) 343-5818
Page 2 of 4
TEST REPORT: 220738
Chloride; Drinking Water (Anal rzed:10h2i2004 I= JOS Verified:10113r1004 11:36 DLS)
Anabifical Details for Sitrwie 220730
990
1000
m81L
Parameter
CAS
Method
Bottle
Analyzed
By
M2 Calcium, Drinking Water
220428
SAA 31118
35
10!0712004
DLS
913 Magnesium, Drinking Water
220430
SAA 31118
35
10107/2004
DLS
014 Potassium. Drinking V ter
220460
SM 31118
2.0
10!0712004
DLS
015 Sodium. Drinking Water
220464
SM 31118
110
10/07/2004
DLS
016 Sulfate, Drinking Water
220486
SM 4500 SO4-C,D,E
95
10!12/2004
DLS
017 Chloride, Drinking Water
220654
SM 4500 -CL -B
2.0
t 0/12/2004
Jos
0
Bottle Dalt for Sande
220738
.Bottle
0.$
Derived in Lab From
umhos/cm
'
#01- OTHER
74
71
umFros/cm
104
002 - PREPARED BOTTLE, PLASTIC 50 ML, HNO3
360
353
urnhos(cm
102
Quality Assurance fo
the SET with Sample 220738
1412
un-hos/cm
97
Sample
Description
Result
Value
Unit
%
Avid -it Turbidity. Drinking Water
( Analyzed:10r14r10a1 1100 OLS Verified:10!1512004 09:39 OLS)
1300
1300
umbos/cm
Blank
0.035
Dupficate
NTU
2050
umhos/cm-
Standard
0.75
0.80
NTU
94
Standard
7.5
8.0
NTU
94
Standard
18
18
NTU
100
220986
Duplicate
15
15
NTU
0
Calcium. Drinking Water. ( Analyied:111WEA A 1200 DLS
Veriifled:1W12QNM 10:46 DLS )
Standard
5.0
5.0
"VIL
t00
Standard
20
20
MOIL
100
Standard
50
50
rrrSfL
100
220737
Duplicate
26
20
mg1L
0
220737
Spike
15.4
rrq&
105
220737
Spike
115.4
nwL
107
LCS
31.7
30.8
"Ot
103
Chloride; Drinking Water (Anal rzed:10h2i2004 I= JOS Verified:10113r1004 11:36 DLS)
Standard
990
1000
m81L
99
220424
Duplicate
27
27
"WL
0
220428
Duplicate
35
35
mgtL
0
220430
Duplicate
35
35
"IL
0
220460
Duplicate
2.0
2.0
m0fl-
0
220464
Duplicate
110
110
mgJL
0
220486
Duplicate
95
95
"V&
0
220654
Duplicate
2.0
2.0
MOIL
0
Specific Conductance.Drink Water ( Analyzed: ICXWJ2004 VW SSP
Verified: lWUl12004 09:52 DLS)
Blank
0.$
umhos/cm
'
Standard
74
71
umFros/cm
104
Standard •
360
353
urnhos(cm
102
Standard
1370
1412
un-hos/cm
97
220398
Duplicate
1420
1420
umhoslcm
0
220399
Duplicate
1300
1300
umbos/cm
0
220433
Dupficate
2060
2050
umhos/cm-
0
11/09/04 17:16 FAX 916 379 0257 _ _ KLIMAN SALES
Monarch
Laboratory, Inc.
0 006
563 EAST LINDO AVENUE
CHICO, CALIFORNIA 95926
PHONE (530) 343-5818
Page 3 of 4
TEST REPORT: 220738
INagnesium, Drinking Water ( Analyzed:1010MAM 1200 DLS Verified:1011212004 10:54 DLS)
Standard
Quality Assu[ance for
the SETwith Sample 220738
nwL
100
Sample
'Description
. Result
Value
unit
%
Speeft
Conducbnce,Drink Water ( Analyzed:1a1060M
1730 SSP
Verified: 101071004 (9'52 OLS)
Standard
20
220438
Duplicate
880
080
u"Oslom
0
220539
Duplicate
700
700
umhoslcm
0
Carbonates. Drinking Water ( Analyzed:10M21100d 1100
JOS Verified:10113f1004 10.03 OLS )
4.72
"AOL
= Standard
270
250
"VL
108
220425
Duplicate
<i A
<1.0
mglL
220430
Duplicate
<1.0
0.0
rng1L
Standard
220476
Duplicate
<0:10
<0-10
meglL
25
220482
Duplicate
c0.10
<0.10
rregfL
50
Bicarbonates, Drinking Water (Analyzed -10M7/ M 1100 JBS VwMed:10M30M 10:17 DLS).
100
220737 Duplicate
18
Standard
270
250
rfwL
109
220425
Duplicate
290
290
mDIL
0
220430
Duplicate
360
300
malL
0
220476
Duplie=
5.9
5.8
meq&
2
220482
Duphoate
3.1
3.1
megfl
0
Potassium. Drinking Water ( Analyzed 10 2004 1300 DLS Verdred:.1011211004 10:46 DLS)
`
Standard
0.50
0.50
mglL
100
Standard
1.0
1.0
rrta(L
100
Standard
2.0
2.0
rrgfL
100
Standard
5.0
5.0
mg(L
100
220737
Duplicate
3.4
3.4
mall
0
220737•
Spike
0.52
malt
102
220737
Spike
0.52
melt
110
LCS
1.10
1.04
mOIL
106
INagnesium, Drinking Water ( Analyzed:1010MAM 1200 DLS Verified:1011212004 10:54 DLS)
Standard
1.0
1.0
nwL
100
Standard
5.0
5.0
moll.
100
S andard
10
10
m0(L
100
Standard
20
20
"OIL
100
220737 Duplicate
22
22
WGIL
0.
220737 Spike
4.72
rnwL
104
220737 Spike
4.72
"AOL
1013
LCS
9.00
8.45
MG(L
102
Sodium, Drinking Water (Analyzed: 101170M tam- DLS
Verified:10M2=04 10:54. DLS)
Standard
5.0
5.0
rrIG(L
100
Standard
10
10
rn91L
100
Standard
25
25
mO1L
•100
Standard
50
50
"WL
100
220737 Duplicate
18
18
"VIL
0
220737 Spike
15.9
ffq&
105
220737 Spike
15.9
malt
104
LCS
33.8
31.8
mglL
100
Sulcate. Drinking Water ( Analyzed: 10112rM 1100 DLS
Verified:111MA04 16:33 OLS)
Standwd -
5.0
5.Q
MIL
100
11/09/04 17:16 FAX 916 379 0257 KLIMAN SALES 10007
Monarch 563 EAST UNDO AVENUE
CHICO, CALIFORNIA 95926
Laboratory, Inc. PHONE (530) 343-5818
Page 4 of 4
TEST REPORT: 220738
artty Assunimce for the SET vAth Sermle 220738
Sample Description
Result
Value
Unit
-Sulfate. Drinking Water ( Analyzed:10H211004 1100 OLS
Verified: IM21M 16:33 DLS )
Standard
10
10
rrtglL
100
Standard
15
16
17vt
100
Standard
20
20
rrgIL
100
Standard
25
25
melt.
100
Standard
30
30'
MAIL
100
Standard
35
35
malL
100
Standard
40.
40
m91L
t0a
220737 DUplicate
18
18
MOIL
0
220737 Spike
20
mglL
101
220737 Spike
20
ftVL
104
LCS
10.5
20.0
melL
96
pH, Drinking WAer ( Analyzed -101061=11 1100 EhU Verified' 10MM 10:05 DLS )
Standard
4.0
4.0
SU
100
Standard
7.0
7.0
SU
100
Standard
10.0
10.0
SU
100
` 220143 Duplicate
7.4
7.5
SU
1
LCS
7.0
7.0
SU
100
Water hardness is classified as hard and slig aggressive metal pipes and fixtures. The rade of chlorides plus suffates divided by
bicarbonates is 0:40. Stagnetwvater in meta) pipes oan experience internal pitting and water leaking in several years.
Evaluate CPVC pipeto
minimize these problems.
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
2004-0050623
Recorded
Official Records
I REC FEE 10.00
I COPIES
County Of
BUTTE
3.00
I
I
CANDACE J. GRUBBS
1
Recorder
I
ROSEMARY DICKSON
I
Assistant
I Mark
11:40AM 18 -Aug -2004
I Page 1 of 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
SP -,Q- a -*00V
Date —/ �
State of California
County of '3,-� Q—
On
U �gj1 &Q2c-Kv0 V�,
PROPER Y OWNERS:
JOn C- �ko4+
alshg D -K�S� 'c" b a -
before me, G
L V\ P
personally appeared -\CS`n 'F.. �DC.Crk-\' 1`. ,v\c,, . Sc ls�t personally
kpown to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WIT hand and official seal.
Signature Seal: '""' LYNETTE CARTON
y Comm. # 1351379
® NOTARY PUBLIC -CALIFORNIA H"
�� 1q Q i County of Butte
Comm. Expires April 17, 2006W
Description
Order No. BU -219384-3 MAM
The land referred to herein is situated in the State of California, County of Butte, and is described as
follows:
PARCEL I:
PARCEL F; AS SHOWN ON THAT CERTAIN RECORD OF SURVEY OF AFTERBAY ESTATES,
RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, ON MARCH 17, 1980, IN BOOK 74 OF MAPS, AT PAGE(S) 57.
A CERTIFICATE OF CORRECTION WAS RECORDED JUNE 29, 1982, IN BOOK 2734, PAGE 211,
OFFICIAL RECORDS.
EXCEPTING THEREFROM ALL OIL, GAS ASPHALTUM AND OTHER HYDROCARBON
SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS BE DONE 200
FEET BELOW THE SURFACE, AND THAT NO DAMAGE SHALL BE DONE TO THE SURFACE
OF SAID LAND, AS RESERVED IN THE GRANT DEED RECORDED OCTOBER 21, 1980, IN
BOOK 2561, PAGE 473, OFFICIAL RECORDS.
APN 030-290-042-000
PARCEL II:
RIGHT OF WAY 80 FEET IN WIDTH FOR ROAD AND PUBLIC UTILITY PURPOSES, AS SHOWN
ON THAT CERTAIN RECORD OF SURVEY OF AFTERBAY ESTATES, RECORDED IN THE
OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON
MARCH 17, 1980, IN BOOK 74 OF MAPS, AT-PAGE(S) 57.
E.H USE ONLY
Rot Ren Attecfi
Floaa Ren Attached
Sent to B.D.
TO: BuildingDepartment
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposals Water Supply: i Public Private We 11
�l�� 1
Clearance for dwelling. Other i .11)i ��- 7/x,3
Hold final for:
Final clearance O.K. for:
NOTE:
Ith Specialist
8/96
?q<- -
D to
,.= BUTTE COUNTY
;'DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP042003
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 09/07/2004 APN: 030-290-042-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 4708 %-^%A.GH Or o je.o
Date: Contractor.
Map Index:
Description: NSF(2245)GAR(572)COV(300)
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 SCOTT JON E. &KRISTIA D.
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
1278 BLOCK RD
signed statement that he or she is licensed pursuant to the provisions of
GRIDLEY CA
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
95948-9525
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).):
O 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
Applicant: SCOTT, JON E. & KRISTIA D.
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor:
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 a E mpt nd�r rficleMtheBs n rofession Code
Date:I O Ver:
License #:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the perfornance of the work for which this permit
Architect:
is issued.
Engineer: CAPREALIAN, MICHAEL
❑ 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:
Cartier
Total Square Ft: 3117 S. F.
Valuation: $164,453.00
Census Code:
Policy#:
I certify that in the performance of the work for which this permit is
issued. I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with th p v' ions.
�vfl
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
4 -0(p -7-7p 43 (5Z) •c% 3 7lg/40¢
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
L� (2 (Ct 7 l �J ❑ 4 •�-t,3 C�/' /Q.¢
compensation, damages as provided for in Section 3706 of the Labor
[ ((
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit's hereby issued under the applicable provisions of the Btitte County CodR 2nrvor
I hereby affirm that there is a construction lending agency for the
Resolutions o do work indicated above for which fees have been paid.
z,
performance of the %york for which this permit is issued (Sec 3097 Civ.)
I Z rj .7 • Q 4 -
`7
Name:
By:Date:
7
Address:
PERIT XPIRES ON:
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that 1 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 substan a of any official o d Butte County. I hereby
authorize represen ives of B unt to a upon the above mentioned property for inspection pure s S.
al
Print Nam iSignature:
Date:
❑ Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor
(0
0
0
0
\0
$ �04i!57* .9-71 k
BUTTE COUNTY
0 DEPARTMENT OF DEVELOPMENT SERVICES
0 BUILDING PERMIT APPLICATION
0 AND SUBMITTAL REQUIREMENTS
0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
0 OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY"
OWNER
Last Name irst Narpe
Address ._.,-.l�l'�
City i 61
l
State Pipp 5' NK
P 5
Fax
E-mail
APPLICANT NAME
CONTRACTOR
Name
l
Address
City
City
State rA
State
Zip
Phone
Fax
Fax
E-mail
State License Number
Lic. #
Class
APPLICANT NAME
ARCHITECT/ENGINEER
NameI
l
Address
City
C _ �`i'
State rA
Zip 5ng
_/
Phone
, jj — V
0
Fax
E-mail
Lot #
State License Number
APPLICANT NAME
Name
Address
City
State
Trp
Phone
Fax
E-mail
EAPPLICANT SIGNATURE
�L�
For office use only:
Zoning
Aglo
Flood Zone
City
SRA I
Yes
Occ. _
Typ6 Const. v ,1 i
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
BP
�y
LOCATION
AP#
Property Address
City
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
tisPzzus -s w.�0v,
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change o�Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
OVER FOR SUBMITTAL REQUIREMENTS L
KAFORMSWILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
3 a // 0/. a? 7, -,-1--
Receivedby:>P Amount: ,�� SZ'f �A
SRA
Receipt #:I Gro Sheriff
SMIP
Other
/ .S • '-Total
REV 6-16-04
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE
LEGIBLE AND IN INK.
Residential, New, Remodels, Additions, and Accessory Structures:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER!
OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions -to
mobile or modular homes.)
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Detached Accessory Building Form, filled out by the property owner (if required).
❑ 8. Sanitation and site plan approval from the Environmental Health Department.
❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 2 Data sheets and installation instruction manual.
❑ 3. 2 Marriage line information.
❑ 4. 2 Floor plans.
❑ 5. 2 Engineered Tie Downs or Foundation plans.
❑ 6. Sanitation and site plan approval from the Environmental Health Department.
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis. ,
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation (if required).
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Statement of Intent for Non -heated and A/C (if required).
❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
❑ 9. Letter of intent.
❑ 10. Hazardous Material Form:
❑ 11. -Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSSUILDING F0RMSS1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
// C-)
OWNER: N ('I' S ASSESSOR PARCEL NUMBER_ � 30
Proposed Building Use: t Counter Technician: f I Date:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
►] 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
11} 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
0-• 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. Al of these
must be stamped and.wet-signed ng ed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
Y 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico 05.&Uvville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........
❑ 20. Erosion Control Plan Required........................................................................
94,0" 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 22. City of Chico Plumbing permit........................................................................
23. California Department of Fore plan approval ❑ paid. Sent by:
®Planning approval (A) Use: f#�(B)Parking: (C) Parcel Check:��
❑ 25. Contact Land Development about _ Improvements, _ Drainage .........................
26. NPDES Form.............................................................................................
IFIX1. 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 30. Worker's Compensation Carrier and Policy Number ..........................................
31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
32. Letter of Signature authorization......................................:...............I............
33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance...............................................................
❑ 35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 38. Other:
❑ 39. Other:
When issued Telephone /S r I S f r Viand hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit. ) J
Applicant: ( � Date:
1. Index permit application for theo i ms numbered: Plan Check Letter
2. Additional items required 'c,-
Contractor, designer, owner, was a ised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑counter, by ate:
Plans reviewed by: Date: Plans approved by: to
Structural reviewed by: Date: Structural approved by: = Date:
Note transfer by: Date
Yellow: Building Division
!;2�
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER N eat]_- A. P. #
PROPROSED BUILDING USE , �I S� DATE
/ RECEIPT # DATE RFC.
1. BUILDING PERMIT FEES /' (�
--- Balance Due ..................... $ S�'7 • � t C11i All 0 /
--- Additional Fees Due........... $
--- Revised Plan Checking Fee.... $ I,, '
TO2. SCHOOL DISTRICT FEES S /0!/ L.
(paid
(` at School District Office) (form available after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential............ X (:L Q =$
Units
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit)..... X = $
# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Ftg. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid. at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $
QQ Sq. Ftg. �Ajsmt. �j
_Z10. OTHER Vm/� J.p %��Y S 4'i v i 7i -� % b q
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan chn5g proc s. � C/
APPLICANT DATE ITI
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
�QWTM T
.o �U�o�
TT
°
°
O ;;:. O
° a
O O
�oUNI
Al
�eLIC WORDS
Department
C o u n t y
f Public
o f B u t t
Works
LAND DEVELOPMENT DIVISION
Storm Water Management Program
7 County Center Drive
Oroville. CA 95965
(530)538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase II
Construction Storm . Water Permit and Storm Water Pollution Prevention
Plan (SWPPP) Acknowledgement - %LESS THAN 1 ACREI
f
Project Description:
Project Location and/or Parcel Number:Q-
By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB
1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit
from the State of California Regional Water Quality Control Board. 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:
� VI
Title:
Date: %
Less than 1 Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/24/04
DX,
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES-A,,NO ❑
2. I HAVE _❑ HAVE NOT 0 signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise; and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: I CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
. PROPERTYOWNER:
SOCIAL SECURITY NUMBER:_
.DATE: -71<M nU
NOTE: This Owner -Builder Verification is required by ,Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
O.B.- I
I OWNER BUILDER INFORMATION --�
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit.will not be issued until the verification is returned.
rely,
Mic el C. Vi ira, C.B.O.
M ger, Building Inspection
NOTE: This Owner -Builder information is required by Section 19830 of the California Health and Safety Code,
OVER
AND WHEN RECORDtD MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
OV/- 60,3
0 <36 a cl0- 0'-g�2_
iE2!Ka �5�1623
Recorded
Official Records
I REC FEE 10.00
I COPIES
County Gf
3.0®
I
BUTfE
I
CANDACE J. GRUBBS
I
Recorder
I
ROSEMARY DICKSON
i
Assistant
11:40AM 18 -Aug -2004
I Mark
I Page
1 of 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
.FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to .issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
Date
State of California
County of
On
PRO/,E—RY;
WNERS:
_ Jin �
�� ao
before me,
� V -'s -)A-[,
personally appeared�i�\y-\ IE' , SCc��� �,� w personally
kpown to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
VVIT`rl]ECS-Iny hand and official seal.
Signature c -r-- �;1� �' Seal: LYNETTE CARTON
t!f Comm. # 13513; 9
Err ® NOTARY PUBLIC CALIFORNIA
/� .. C3 B P County of Butte y
A. P. # ��1. 7a-7n�/%_-GY_�C� Comm. Expir�sAprll 17, 2006
r
r% Order No. BU -219384-3 MAM
i%
Description
The land referred to herein is situated in the State of California, County of Butte, and is described as
follows:
PARCEL I:
PARCEL F, AS SHOWN ON THAT CERTAIN RECORD OF SURVEY OF AFTERBAY ESTATES,
RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, ON MARCH 17, 1980, IN BOOK 74 OF MAPS, AT PAGE(S) 57.
A CERTIFICATE OF CORRECTION WAS RECORDED JUNE 29, 1982, IN BOOK 2734, PAGE 211,
OFFICIAL RECORDS.
EXCEPTING THEREFROM ALL OIL; GAS ASPHALTUM AND OTHER HYDROCARBON
SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS BE DONE 200
FEET BELOW THE SURFACE, AND THAT NO DAMAGE SHALL BE DONE TO THE SURFACE
OF SAID LAND, AS RESERVED IN THE GRANT DEED RECORDED OCTOBER 21, 1980, IN
BOOK 2561, PAGE 473, OFFICIAL RECORDS.
APN 030-290-042-000
PARCEL II:
RIGHT OF WAY 80 FEET IN WIDTH FOR ROAD AND PUBLIC UTILITY PURPOSES, AS SHOWN
ON THAT CERTAIN RECORD OF SURVEY OF AFTERBAY ESTATES, RECORDED IN THE
OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON
MARCH 17, 1980, IN BOOK 74 OF MAPS, AT PAGE(S) 57.
7
2 — 76 SITE PLAN REVIEW APPLICATION
Date: 3 AP#
Permit Number (if applicable) o ti " ? 3 Bin Number — l
APPLICANT INFORMATION Parcel Size:
Owners Name: jz- � � 7-,:, `
Owners Address: ae,
Telephone No::
Situs Address:.
Proposed Use:
Residential
New Single Family Residential
❑ Single Family Addition
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family "
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
❑ Single Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
Other
❑ Septic ❑ Well
❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A
❑ Other:
Brief Explanation (if necessary):
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
& Site Ppotamped Aged
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Snow Load Area:
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required)
❑ SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attached)
• Flood Zone: X
• Flood Panel No.: 0cf 6 QC Index Date:
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
-------=----------------------------------------------------------------------------------------------------------------------------
❑ Detached Building Use Form ❑ Encroachment Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning: �*— (U &/0,
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
Side
Side Street
Rear
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
y
Applicable Develgpment Fees:
Standard Fees
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Drainage Area
❑
Thermalito Urban Area
❑ Other
---------------------------------------
Subdivision Map Special Fees
❑
Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
Other (per map)
Amount . Formula
* Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
Pageds:
Date of Creation:
Deed of Reference:
Parcel Frontage on Publicly Maintained Road:
Complies with County Standards for Deed Creation
Comments: de^I . "/U
Legal Access Provided: ❑ No ❑ Yes
Legal Access Required ❑ No ❑ Yes
❑ No ❑ Yes, Road Name:
p/�N�o -I Yes
lr, U/ .A % S (a_0 it �-/ cP�
❑ Parcel Deemed to be legal
❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain -a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
Page 3 of 5
OEI Subdivision Ma /Parcel Ma
Map Date of Recording:
Lot: Book:
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
Page:
Parcel Map/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of Approval:
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan
must be prepared by a registered civil engineer or other qualified,professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential' development. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for road maintenance, and stop sign maintenance.
EJ
n
Page 4of5
Summary of Specific Requirements:
This information provided in this summary is based on the application information and on the best available data at the time
of review.
ti
C:\Larrys\Building Permit Site Plan Reviewl.doc
Page 5 of 5
August 31, 2004
Mr. Michael Vieira
County of Butte
7 County Center Drive
Oroville, CA 95965-3397
Phone: (530) 538-7541
Fax: (530) 538-2140
Re: Plan Review: Scott SFD
Address: . Ranch Ct.
Dear Sir/Madam:
Page 1
County of Butte- FINAL REVIEW,
Jurisdiction Application No.: 04-2003
LP2A Job No. 2040015-097
Linhart Petersen Powers Associates (LP2A) has completed a final review of the following
documents:
1. Plans: Two (2) copies Plan Sheets 1 through 4 not dated by Bob Metzger.
2. Structural Calculations: Two (2) copies dated June 20, 2004 by Michael Caprealian.
3. Title 24 EnerqV Compliance Documentation: Two (2) copies dated June 21, 2004 by Bob
Metzger.
4. Prefabricated Roof Truss Calculations: Two (2) copies dated June 10, 2004 by Longfellow
Lumber.
�7k
The 2001 California Building, Mechanical, Electrical, Plumbing and Energy Codes (i.e., 1997 UBC,
s 2000 UMC, 2000 UPC, and 1999 NEC as amended by the State of California) were used as the
{ basis of our review. No further plan review comments. (Provide E.O.R. "wet" signature on all
,4 a plan sheets.)
Enclosed for your use are the above referenced documents bearing the LP2A plan review stamps
along with the applicant's response letter. Please let us know if you have any questions. Thank
.. you.
Sincerely,
LINHART PETERSEN POW ASS ATES
Gary Cox
ICBG Plans Examiner
GC:ag
Enclosures:
UNHART PETERSEN POWERS ASSOCIATES
® 7610 Auburn Boulevard • Citrus Heights, CA 95610
(916) 725-4200 • FAX (916) 725-8242 9 Toll Free (877) 235-0653
„FF.OM,.: J I FFYPR I NT
FAX N0. :5308950888 Aug. 31 2004 10:35AM P1
MICHAEL CARREALIAN
CIVIL ENGINEER, RCE 22907
Aug. 31,'04 1743 Mulberry St. • Chico, CA 95,928
(530) 521-6886 • 891.6886
Roger Perterson Fax # 816-725-8242
Plan Checker for Butte Co. Building Dept.
Oroviile, Calif,
Re: Status of Plan Check for Scott House:
don't know why your copy of the truss calculation doesn't have the drag truss.
Perhaps the owners didn't understand that they needed to submit the revised
talc's. However included is a copy of the layout sheet and truss C20.
Sincerely Yours: r
Michael Caprealian
6,
FROM,.;JIFFYPRINT FAX NO. :5308950888 Aug. 31 2004 10:39AM P2
4
a TN66_^--_•-—i
RpNGM10 C20
N88 TYPID
1:A711EORA1
..- ._ ...--(PIY
�
witll�eiCenaO
LbRolefence
'-
-
TCLL 1B.0
Platoslncroaso 1,25
TC 0.43
TCDL 10,0
LanpFollow LuMDef, Cnlia, Cs 05020
BC 0,56
....� ....__...._...,(00tionall
6.000 s Jun 17 2004 MTek 1n4v,h•s. Inc. Mon Aug 20 07:33:44 2004 Pap, 1.._..
l •2t1-0 I 5.6.12 I 10-00
BCDL 7,0
18-2-8 _ 17.0.0 22.5.14
27.11.11�_..__.. • aa.o-o
...� 39-0�
20.0 "-12 4.5.4
TOP CHORD 2 X 4 OF No.t&Btr G
5-2•6 019.0 5.5-14
5-5-1.1 6 0.5
2 -20 2 X 6 DF SS -G, 19-20 2 X 6 DF $S•G,
8.18 2 X 4 OF Std -G
WEBS 2 X 4 OF Std G 'Except*
fila
e�x ilei'
WEDGE
1.5.4 W120 it
Right: 2 X 4 OF Std
(7 , ,,• �_-_
Webs connected as follows: 2 X 4 - t row at 0.9.0 oc.
Weight; 414 Ib
Y
N�, C664 24
10 ply Connections have been provided to distribute only loads noted as (F) or (B), unless otherwise Indicated.
�xf'. 6-3U Oti
ti.pa FIT
a
4) This truss has been designed for the wind loads generated by 75 mph winds at 25 1t above ground level, using 10,0 psi top chord
s'j CMG
dead load and 7.0 pat bottom chord dead load, 100 ml from hurricane oceanline, on on occupancy category I, condition I enclosed
UBC971ANS195It they
\Q
9T�OFCAL%F-
building, of dimensions 45 R by 34 ft with exposure B ASCE 7.93 per end vortieNs or cantilevers exist, are
porches exist, they aro oxposed to wind. The lumber DOL. increase is 1,33, and the plate grip increase Is 1.33
Con9XrQuo�1cnopYge 21f
�\.
1 2.4 MIN 11
WARMNO - V.rtN dasrgn Parnmewro an4 Fur n NoTaC ON ME AND INCLUDED hUTEK REPERP.NCK PAOB Mrr•747a herons USE.
4.8W20c.
valid for use only vAih Mitek connectors. Ttur de.ipr\ is based only upon pansmeters shorn.and bfor an individual bvpcfin0 component.
a.4 M11120.% _
• L, mn2o :� ,'i ��-. �,\
•.• �...:. ,\
1.4 wile
1
�
M1
3x1 M1121
Is Fou klaral tvppat or fndlviduci web members only, Addlponel fampmarybroclnp to hswo stabmly tiurfng r ;jNotic ,i h Ina rosporolbfl0ly of the
( __
-"- ___
- \\�
'�1. '• 1011
- -
20
7.e MTra-,12
fdbrfcollon, quality conhot storage, delivery, election and bracho, Consult ANSI/IPII qualify Cnlono, bS0.69 and lIC511 Building Component
,T
MOW
Satisfy InlormalIgn 4vadoo43 from buts Plate Institute, 5931YOnahlo Drive. Madison, WI 53719,
-___
_
24 70MIR011
'-
100 12
l
`•`•
131
Ose MIIZO='
f0 ZS
17 Za 10 Is 14
_
z.0nalan_. '..l
Z(4 MIIIO 11
9.12 W120-+ 3.4 M1120-0.4 W120-
3.5 W1200
1.5.4 HIM It
10.0.0 19-2-e, 22-5-14 27-11.11 34 - .....
10.0.0 a-2-8 6-3.6 5.5.14 6.0-5
F2_o-ae
BRACING
TOP CHORD
LOADING (psf)
SPACING 2-0-0
CSI
TCLL 1B.0
Platoslncroaso 1,25
TC 0.43
TCDL 10,0
Lumber Increase 1.25
BC 0,56
BCLL 0.0
Rep Stress Incr NO
WB 0.61
BCDL 7,0
Code USC97/ANSI95
(Matrix)
LUMBER
.0.59 20-21
TOP CHORD 2 X 4 OF No.t&Btr G
180
BOT CHORD 2 X 4 Or Na,1&Sir G *Except -
2 -20 2 X 6 DF SS -G, 19-20 2 X 6 DF $S•G,
8.18 2 X 4 OF Std -G
WEBS 2 X 4 OF Std G 'Except*
fila
5-20 2 X 4 OF No,1&Str-G
WEDGE
CO �
' ' =� Zp
Right: 2 X 4 OF Std
(7 , ,,• �_-_
BRACING
TOP CHORD
Sheathed or 4-4-15 oG purlins,
BOT CHORD
Rigid Ceiling directly applied of 6.0.0 oG hrbcing. F..xcept;
DRFL
In floc)
Well
Ud
TOP CHORD 1-2=0150, 2-3=•9308/4428.3-4-4-852314054, 4-55.031013948, 5.6=-228(31880, 8-7=-21641641, 7-8=-315311748,
PLATES GRIP
Vert(LL)
-0.48 20-21
>844
740
BOT CHORD 2.240-416118488, 21-24-4140/6495, 20-21=415710584, 19.7.0=•444718882, 18-1941-708n59, 6-19--2121126,
M1120 2201195
Ven(TL)
.0.59 20-21
X582
180
WEBS 3.20=•571!433,5-20--2713/5446, 5-19=6095/2889,17-19=,184712885. 7-19-242J10fil. 7-17=597/1234,
Hom(fl.)
0,41 12
n/s
fila
1 1) 2 -ply truss to be cortrtected together with 0.131•x3" Nails 19 follows:
Top chards connected as follows: 2 X 4 - 1 raw at 0-9-0 cc,
CO �
' ' =� Zp
Bottom chords connected as follows: 2 X 6 -2 rows at 0.9.0 oo. 2 X 4 - 1 row at 0-9-0 w.
(7 , ,,• �_-_
Webs connected as follows: 2 X 4 - t row at 0.9.0 oc.
Weight; 414 Ib
BRACING
TOP CHORD
Sheathed or 4-4-15 oG purlins,
BOT CHORD
Rigid Ceiling directly applied of 6.0.0 oG hrbcing. F..xcept;
Max Grav 2m2a29(load case 7), 12=2696(ioad case 6)
1 Row at midpt G-19
WEBS
1 Row at midpt 5-19
REACTIONS (Ibls)zo) 2=151710-3-8,12=2603/0-3.8
Max Herx 2=259(load case 13)
Max Uplift 2=903(load case 12), 12=•1891(losd case 11)
Max Grav 2m2a29(load case 7), 12=2696(ioad case 6)
FORCES (ib) -Maximum CompressloNMaximum Tension
TOP CHORD 1-2=0150, 2-3=•9308/4428.3-4-4-852314054, 4-55.031013948, 5.6=-228(31880, 8-7=-21641641, 7-8=-315311748,
B -z2=-3.504/1694, 9-2.2-396212498.9-10r-4233/2744, 10-11=445712905, 11.23=•4788/2831, 12-230-509213330,
12.13=0/67
BOT CHORD 2.240-416118488, 21-24-4140/6495, 20-21=415710584, 19.7.0=•444718882, 18-1941-708n59, 6-19--2121126,
18.25=•1197/1393, 17-25m-142811452, V-26=26013952, IC -26=-735t3952.15-18=-198613952, 14.15.2899/4442,
1 z-14-289914442
WEBS 3.20=•571!433,5-20--2713/5446, 5-19=6095/2889,17-19=,184712885. 7-19-242J10fil. 7-17=597/1234,
e-17-466/20, 9-17=1G781161, 9.15=-1611409, 1 1-1 4=7 219 6, 11-15=407/139, 3.21-1801143
NOTES
OQ�QFESS/Q��
4� S A. $0
U,p
1 1) 2 -ply truss to be cortrtected together with 0.131•x3" Nails 19 follows:
Top chards connected as follows: 2 X 4 - 1 raw at 0-9-0 cc,
CO �
' ' =� Zp
Bottom chords connected as follows: 2 X 6 -2 rows at 0.9.0 oo. 2 X 4 - 1 row at 0-9-0 w.
(7 , ,,• �_-_
Webs connected as follows: 2 X 4 - t row at 0.9.0 oc.
f
2) All Igads aro considered equally applied to all plies, except If noted as front (17 or back (B) face in the LOAD CASE(S) section. Ply
N�, C664 24
10 ply Connections have been provided to distribute only loads noted as (F) or (B), unless otherwise Indicated.
�xf'. 6-3U Oti
3) Unbalanced roof live loads have been considered for this design.
4) This truss has been designed for the wind loads generated by 75 mph winds at 25 1t above ground level, using 10,0 psi top chord
s'j CMG
dead load and 7.0 pat bottom chord dead load, 100 ml from hurricane oceanline, on on occupancy category I, condition I enclosed
UBC971ANS195It they
\Q
9T�OFCAL%F-
building, of dimensions 45 R by 34 ft with exposure B ASCE 7.93 per end vortieNs or cantilevers exist, are
porches exist, they aro oxposed to wind. The lumber DOL. increase is 1,33, and the plate grip increase Is 1.33
Con9XrQuo�1cnopYge 21f
August 23,2004
WARMNO - V.rtN dasrgn Parnmewro an4 Fur n NoTaC ON ME AND INCLUDED hUTEK REPERP.NCK PAOB Mrr•747a herons USE.
7777 6,••nbaek Lana
'ouxelee
valid for use only vAih Mitek connectors. Ttur de.ipr\ is based only upon pansmeters shorn.and bfor an individual bvpcfin0 component.
Clirus HOIpNs, ori 0!610
Ape%�Q
Appflcab011y of dadgn paromenlett and ptopor tneorporallon al componenl is telponabdy of bvDdinpp daegner • not buss dcs finer. Oroctng lho..n
M1
Is Fou klaral tvppat or fndlviduci web members only, Addlponel fampmarybroclnp to hswo stabmly tiurfng r ;jNotic ,i h Ina rosporolbfl0ly of the
erector. Additional pornignont bracing of the Overall structure Is the responsibility of the building designer. For general guidance reoor4,,Io
fdbrfcollon, quality conhot storage, delivery, election and bracho, Consult ANSI/IPII qualify Cnlono, bS0.69 and lIC511 Building Component
MOW
Satisfy InlormalIgn 4vadoo43 from buts Plate Institute, 5931YOnahlo Drive. Madison, WI 53719,
x
FROM :JIFFYPRINT FAX NO. :5308950.888 Aug. 31 2004 10:39AM P3
ern �
.r
nl ss Type .. .. y gees Rtsiaaft4
R102s7444
RANCO6f0coo CATri[ORAL 1 ZJob Reterence (o Lp'anel)
I
• •„ ..._ . ._ �
_- ..__ •• 6.000 s Jun 11 2004 MTok Industries, Inc. Mae Aug 2307:33:44 2004 Page....Z..
LorsOFanow LurhlMf, Chico, Ca 96920
NOTES
5) This truss has boon designed for a 10.0 pit bottom chord Rye load nonconcurrent With any other live loads.
0) A plate rating reduction of 20% has boon applied for the green lumber members.
7) Bearing at Joint(s) 2 considers parallol to grain value using ANSVTPI 1.1995 angle to pain formula. Building designer should verity capacity of bonring surface.
8) This truss has been designed for w total drag teed of 4442 Ib, Connect truss to resist drug loads along bottom chord from 24-0.0 to 30.0-0, 16-2-8 to 15-2-8 for 522.6 pit.
LOAF CASE(S)' Standard
1) Regular: Lumber Incresse41.25, Plats ln0ropset1.25
Uniform Loads (plf)
Vert: 1.7=•52, 7.22=52, 22-23=292(Ft.240), 13-23=-52, 2.20-.14, 19.20=14, 12.78--14
Concentrated Loads (lb)
Vert: 22=-120(F) 23x•120(7=)
WARNM • V4r(fy d44(Qn lowumeten and Rb4D NOTES ON T/Da AVP ZyCL rDED AOTEHREPSRXff= PADS MD -7473 BEFORE USK. 7777 droanoock Lane O
Design Valid for use an wtlh MTek Connaclon. IM des) n 11 bated o upon parameter thowo, and Is for an hvfivWt;cd building comoonenl, auBa tog
t7or tat>t1lN bl dodgnNppartmenlon and properineafporallon of comp nenl b IelpOruibinly of bulding dellgnar-nal (nu designer, Bracing shovm GIUve hlal9hle. C0. OSBtg
e IOr lateral support Of R1dMtlual web rnembWl only. Addlflonal temporary, bracing to Insure sfa>aN duMg com(melksn Is Oso responslbl IDY Of Ihd
erector. Additional permanent bru41119 of the overall slrvrluro Is Ino responsibility of Il)e b Mding designer. Far oneral guldoncd regarding
fabilcollon,quality control,storage,do&my,w*elksnand bracing, a0esylt ANUITP110vclllyC4leaa,010.6�andRCS11Building Componehl MiTek'°
:ialetylnlcrmeflon avolable lrem Truss Plate tnrlllvle, 593O'Onofrio Drive, MOCNOM W153719.
Aug 31 04 12:01p
JonaKris Scott 1 530 846 6838
MICHAEL CAPREALIAN
CIVIL ENGINEER, RCE 22907
1743 Mulberry St. • Chico, CA 95928
- - (530) 521-6886 • 891-6886
Aug. 20,'04
Butte Co. Building Dept.
#7 County Center Dr.
Oroville, Ca. 95965 .
RE: Truss Calculations for Scott House.
Gentlemen:
I have examined the truss calculations for Scott House and have found them to be
consistent with my calculations and my calculations are consistant with them.
Sincerel yours:
7
Michael Caprealian
WCHAEL ALLEN
CAPREALIAN:
22907
OF
EXP DATE: 12 -31 -MS
p.2
Applicant: Scott, Jon & Kristina Permit 04-2003
Project Type: NSF. APN: 030-290-042
100% 70%
Plan Check Fees $ 1,219.95 $ 853.97
$ 1,219.95 $ 853.97
LP2A Fee $ 853.97
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other—
Other ds
pe S 152q �3
,1
Butte County Department ofDevelopment ServicesX10 T tF
YVONNE CHRISTOPHER, DIRECTOR 00 00
o o
M7
County Center Drive o
/
Oroville, CA 95965
c�U
O
(530) 538.7601 Telephone N'�y
(530) 538.7785 Facsimile
0
N
TO: LP2A
'
Rqe.
FROM: Scott Rutherford (530) 538-7160
TOM,
srutherford(ftuttecounty.net
SUBJECT: Plans Transmittal For Review Per Contract
0
W
DATE: 07/09/2004
Applicant: Scott, Jon & Kristina Permit 04-2003
Project Type: NSF. APN: 030-290-042
100% 70%
Plan Check Fees $ 1,219.95 $ 853.97
$ 1,219.95 $ 853.97
LP2A Fee $ 853.97
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other—
Other ds
pe S 152q �3
,1
�.
,/,Q ... .. - . .. a •r—. j -r. .. .. . .., � .
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
,
(One form per Building)
School District
A.P. Number W "/t�� D Jurisdiction: City
l e
Property Ovmera
Property LocatiorVAddress
a
Subdivision
Residential Development
r
r
r
s'
Building Department No.
/�' County
04aDo 3
ng Department Representative
ii
Lot No.
............ ......................
�.....................................
�. Footagep
Addition/ 'Supplemental to(Group R)
Conversion Permit # t
*(No foundation Inspection)
:............................................................................................... _...
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
District Identification No. `p .
School District certifies that
I (Street Address)
(City)
has complied with the requirements of Resolution No.
representing 2S square feet.
E \—.i 1--" 1 \ \ 1`
School District -Representative
Paid by Check #
Remarks:
Sq. Footage
(Including Exterior
Roofed Areas)
Date
(Phone
��..11. (State) (Zip Code) ^
+t Q' by payment of $ Z .
2926 $
FULL MMGATiON $
�
Date
Ce-
s
Notice: You may protest the Imposition of the fess kientHied above by submitting a written protest to the District, in compliance with
GovsmrrMnt cods Sections 66020(a), within 90 days from the data fess ars paid. Failure to submit a tirmsly written protest wig'prohibit
you from challenging the Imposltkm of the hes In any court aetlan.
If, subsequent to the School District Repromdedw signing this Butte county Schools Impact Fee CeMNcation Form, the School District its
notlllsd by the applicable Local Planning Agency that this project Is being mviwrsd under the California Environmental Quality Act (CEQAL
thispr -1aet may be subject to additional school fen to fully midgets. Us Impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.x(s (10l03)dmm
•
F, BBA ENGINEERING
a e i Alan G. Brown, P.E.
A California Corporation
July '29, 2004 1 n01,b .
A
Mike Vierra
BUTTE COUNTY BUILDING DEPARTMENT_
7 County Center Drive
.Oroville, CA 95965
Re: John Scott - Owner
Rauch Court, Butte County,.CA
APN 030 -290 -042, -
Dear Mr. -Vierra.:
Enclosed•are Relative Density tests taken -on engineered
fill placed on the above referenced residential building
pad.
Vegetation and organic materials were removed from the pad
area. Native ground was then scarified•and,moisture
conditioned. The native ground was then compacted. The
native engineered f.ill'was moisture conditioned and placed
in lifts and compacted with a'loaded scraper.
Representative test results indicate the fill has been
compacted in excess -of 90% Relative Density per ASTM 2922
nuclear gauge.method and was observed to be structurally
stable and suitable for a single family residence
construction..
If you have any questions please call our office.
Very truly yours pFESS/
.QR ONgI
E N Oeorge 8�0 �y
C
/ No. 24578 m
1 a G. B w . EEXP_ 12-31-05
Principal En r
Enclosure CP� Civil.
Cc: John Scott 9rFCF CA1-�F��
2060 Park AveJ4 - 0 2 4
P.O.. Box 1576
Oroville, CA 95965
(530)534-1911
(530)533-6457
FAX (530) 534-0908
bbo@cncnet.com
-------- -- --- ----- - -r ---- --- --- -_ ___ -- --- - - - - - - --�_.._.�- -- ----- -=- .......... -.... ----._-.—_ -
76
60' O
65Ac
CZkQ
9
k
V
(Q
I. I VIW. I1.VG..V !A.i/..i./. M/II.
Z O
~ � W
v
W� 126 Q
�I N. 890 48' E. 4938.77 aaaA.. I ,
i 1 G 1 I rgi 4/ E 1 1 O 9 C 1 1 ®B QA
2 11 2 43 f ,"n' 2 N / � I73AQ2 � / 'n' 2 /
1 i 16.77 AC. �I 1 9.12 AC. 9.17 AC. "I 1 �` n 9 26 AC �` 1 9.30 AC. a74 AC
.sMx
I 1 I 1038.36
1 I I H I I O1 ®J I I ®K ®L 11 49 M ®N
3 1 4 ' 4 I' 3 4 1 1 3 4 1 1 3 4
116.40 AG I. i 11.24 AC 11.24 AC j. I /1.24 AC. 11.24 AC • JU44 AF /a 52 AC
�PiPF� ,,j7 I�' 38 11 1 I t
----L-------1 L----- 1 - 11------- 1 --------=—------ -----
- i STATE 01F CALIF 1 7153.21 ---- -----1 ---- ----- ----- -----
I I i (DWR) 1 16.40AC 12.I7AC 12.10 AC -
R
C I'
2 1 I I 2 r. / I �R
I I T 11 a0
1 1 �9��± I I ® s TH s/ o
I I I `/ / OpP
1/ 12.03AC I l /. 9 A; 1.13 AC'
-- -----� 1------�/��+ --1 I AFTE STATES -
''--- 1
3 4 3 I 4 I' a 3ro�At 3 4
I 1
------------� L-------1 — '—--J----_� L-- — ------
2 1 / 1, 2 / i i / 2 /
--¢----; �--- - 2r�9 = ---, 1 ------ r- --j- -
3 i 4 i 3 j ¢ j i _i 4 i 3 4
OROV/LLE WILLOWS
(ROAD)
34 �
0'�o-- Zql�
ORANGE
O"AC
\ 22-141 50 SHEETS
Jl
�C �1`W , 22-142 100 SHEETS
MPAD 22-144 200 SHEETS
U
RELATIVE DENSITY TESTS
John Scott
APN 030-290-042
Rauch Court
Butte County, California
Relative
Test
Date
Location
Density
1
7-28-04
SG,
SE Corner
96
2
7-28-04
SG,
W Side
98
3
7-28-04
SG,
N Side
99
4
7-28-04
SG,
SE Corner
99
ASTM -1557
Maximum Dry Density 120.7 PCF
@ 8.2% Moisture
04-024,
Moisture
4.9
7.4
5.2
4.7
. . . . . . . . . .
-A1ERINC
6n • P.E.
A California Corporation
July '29, 2004
Mike Vierra
BUTTECOUNTYBUILDING DEPARTMENT.
.7 County Centex.Drive
Oroville..,: CA- 95965
Re:. 'John S&ott Owner
—
...Rduch'Court Butte. County,. CA
APN 030-2--90-042
Dear Mr... Vierra,:
Enclosed -are Relative' Density 'tests taken on engineered
_.fill Place'd on the I above-re.ferenced residential building
pad
Vegetation and organic materials were removed from the pad
area. Native ground was then scarified,and.-moisture
conditioned. The native ground was then compacted. The
.
native engineered'.f.ill was moisture conditioned and placed
in"lifts and compacted with a loaded scraper.
-
Representative test results indicate the fill has been
compact,ed in -excess 'of 90% Relative Density per-ASTM2.922
nuclear gauge .method 'and.'Was observed to be structurally,
stable and suitable for a single family residence
construction.
Ify 'ou have any questions please call our, office.
Very. y 10 'At tlours. FESSioA,�
& .
,a G. B w
Principal 8n
George ler,*
C
N-6.24578
rn
EExp. 12-31-05
Enclosure- vit
IL
.0 '
John Scott'
F C A0
2060 P6'rk Avenu�4-024
P.O. Box 1576
Oroville, CA 95965
(530) 534-1911
(530) 533-6457
FAX (530) 534-0908
bbo@cncnet.com
. ........ . . . . . ..........
7.55
60' O
65Ac
9
i
q3
C
0
N
4
QO
I • I V / I • ! f • %% L.. V Me 4,06 , i/. M I FF •
I - a) � l\g4J1 y
3 I 4 II 4
I 11, 116.40 AG
7-lo,PF,4 --37 1 38
i
STATE 01 CALI F I 7153.21
(DWR) I
2 i ' I I 2
11 I
I
O1 ami ® I �K �L I 49 M N.
I 4 I 3 4 1 1 3
i. j /1.24 AC. 11.24 AC j, 1 11.24 AC. 1124 AC. I /� �4 AG /0.52 AG
I I
1- ---- 1
16.40AC 12.17AC ---- ----------- -----
' ---- -----1 /2/OAC. ----- � ---- --
1 ' 1
I s 5 1 0 l l 5l 0°
®T Cis rH O
I 12 03A l /. 96 A 11.13 AC
AFTE STATES r 2 - -7 - - •� -
I 1 1 ► j i w 1-n
3 4 3 I 4 �.4� ��fq tP 11 3 4
� I I I I I '" 1 1 `"•s O
1 I 7Rf. 1 1 �►
---J--------� L-------1 - '- --J------1 .L--- - ------
- ----- -----
--- -------1 -_ ---r-•-MIN , � -AVE---r------, !---y---- i� WP7-
� 1 1
2 I / II 2
1 11 1 e
7-PPA"39�;
1 � I
3 i 4 �i 3 j 4 ji _i i 4 �i 3 4
OROV/LLE WILLOWS
(ROAD)
34 �
i
ORANGE
c�o•Z q to
1
3 i 4
� 11
1
i1
1
THEI MALI Iri
1 L—
I
5RABE
11
1
36 1
I
3 2 I / 34
' 3s C
I '
v 32 31 � ' 30
1�
4
i 1
--FA- R LANE--
a" AC
WVAJ
O
v
4+
Q
4
-rsrro�
QR9 ^[E
�4V
CG
N. 890 48' E.
4938.77
G
1
('
4l E
I O
9 C 1
®8
QA
i ��
2 1 / I I 2 43 / „�
' 8
I 16.77 AC. �1
1
N
2
9.12 AC. $
/
9 I T AC-
�1
e�
"1
s �sAo2 � / �
1 x` 05 9.26 AG i
f
2
9 30 AC
/
874 AC
I - a) � l\g4J1 y
3 I 4 II 4
I 11, 116.40 AG
7-lo,PF,4 --37 1 38
i
STATE 01 CALI F I 7153.21
(DWR) I
2 i ' I I 2
11 I
I
O1 ami ® I �K �L I 49 M N.
I 4 I 3 4 1 1 3
i. j /1.24 AC. 11.24 AC j, 1 11.24 AC. 1124 AC. I /� �4 AG /0.52 AG
I I
1- ---- 1
16.40AC 12.17AC ---- ----------- -----
' ---- -----1 /2/OAC. ----- � ---- --
1 ' 1
I s 5 1 0 l l 5l 0°
®T Cis rH O
I 12 03A l /. 96 A 11.13 AC
AFTE STATES r 2 - -7 - - •� -
I 1 1 ► j i w 1-n
3 4 3 I 4 �.4� ��fq tP 11 3 4
� I I I I I '" 1 1 `"•s O
1 I 7Rf. 1 1 �►
---J--------� L-------1 - '- --J------1 .L--- - ------
- ----- -----
--- -------1 -_ ---r-•-MIN , � -AVE---r------, !---y---- i� WP7-
� 1 1
2 I / II 2
1 11 1 e
7-PPA"39�;
1 � I
3 i 4 �i 3 j 4 ji _i i 4 �i 3 4
OROV/LLE WILLOWS
(ROAD)
34 �
i
ORANGE
c�o•Z q to
1
3 i 4
� 11
1
i1
1
THEI MALI Iri
1 L—
I
5RABE
11
1
36 1
I
3 2 I / 34
' 3s C
I '
v 32 31 � ' 30
1�
4
i 1
--FA- R LANE--
a" AC
22-141 50 SHEETS
c,AWIWPAD' 22-142 100 SHEETS )
C, 22-144 200 SHEETS
m
M
a
RELATIVE DENSITY TESTS
John Scott
APN 030-290-042
Rauch Court
Butte County, California
ASTM -1557
Maximum Dry Density 120.7 PCF
@ 8.2% Moisture
04-024
Relative
%
Test
Date
Location
Density
Moisture
1
7-28-04
SG,
SE Corner
96
4.9
2
7-28-04•
SG,
W Side
98
7.4
3
7-28-04
SG,
N Side
99
5.2
4
7-28-04
SG,
SE Corner
99
4.7
ASTM -1557
Maximum Dry Density 120.7 PCF
@ 8.2% Moisture
04-024
LrOERKE IN WLATM CO., IMC. INWLATION CERTIFICATE
�...,_�
SubdWiMM
DESCRIPTION OF INSTAU.AYM
1. ROOF
Thida►ess (b�fies) T rand RedsWm(Ra/�tte)
2. CEIUNG
80 or Brod NOM .hams Movflle
Tiffs , ►3 Thenod R (R•VWw) �3g
Lmse FM Type Brand Norte Johns MonvMe
Cw*wtodi min. iced WOWM sq._.:_ bl S �_ Awn TMdmm S. 7 S .
III ft Mill lis b dwdht Per sq+o fmjo ea+hle 7herj" Rimae (R Naas) 2.3�
& EXFERIOR WAU.
Mab .
4. RAISED FLOOR
VAMN Ekwa u Balis
Tf WMU (inohes).-
S. SM FLOOR 1 PERIMETER
Padmater Insulation Depth ( 1
8. FOUNDATION WALL
Brod NMW .ins Limine
Themnd Rema (R-VAM `��3
Brod Nope ishumanym
Theenal R (R -VAN)
Thenal Rice
Bund Nome
Thtafamss Ondm) . The mei Rite m (R -V l
Iej��;1 T.�ii1�:
r.,t:l�.� _ :Tip � n• . :I - �•
t.-.. : rt. . • •
-.1.11�M'.Itt[• ''I�:■l�i��i;:111_: �� •1111_=.
lr
Li
1
CI
1
O�
l
I
I Aw1 -1 .1. 41
r
I
Mm
P4,
''I
e 0 tA 1)
7-
0 1,, t -A
TM
p
eO -' -04 2 .-1
zt� A I
IAIzAzl
t4
Vi
ll
fl "4--
v
11
0
APPROVED
Butte cou t
Envirciren I eafth
gna re
0
,A)l ?� it 2- 1!- 011
TW_'9, 4LIV> 6�
X —W1
(e0
444 -If
V-00 �A
11
T r t_ L&
VIV
-
9)
VERIFY ALL DIMENSIONS, NOTES & VIEWS IN FIELD SMOKE DETECTORS 1-0 BE HARD WIRED w/ BATTERY BACKUP
1, ALL CONC. TO BE 2500 P.S.1, 28 DAY, 5 SACK MIX.
GENERAL NOTE-. SOIL BEARING RESISTANCE IS BASED ON 1200 P.S.F
THIS DRAWING BY BOB METZGER - O.D.S. HAS BEEN PROVIDED TIIE
OWNER ACCORDING TO THE CALIFORNIA BLDG. & PROFESSIONAL CODE & 61, APPROXIMATE
THE CONTRACT BETWEEN B.M.-O.D.S. & THE OWNER. FOR ANY QUESTIONS
CALL B. M OR OWNER. BOB METZGER OR O.D.S.IS NOT AN ARCHITECT jo AJC COND. UNIT(s) NOT TO BE WITHIN YSIDEYARD.
OR IN ANY WAY REPRESENT ITSELF AS AN ARCHITECT OR ENGINEER. ALL
ENGIKEERING NEEDED FOR THIS PROJECT' WILL BE DETERMINED BY THE tl{ADDRESS NOs.TO BE LARGE ENOUGH TO BE CLEAI;(LY SEEN FROM
LOCAL BLDG. DEPT, THE WHOLE PROJECT IS SUBJECT TO APPROVAL & STREET.
INSPECTION BY THE LOCAL BLDG. DEPT. BOB METZGER - O.D.S. IS NOT
RESPONSIBLE FOR ANYBODY'S INTERPRETATION OF THE PLAN J,&BOB METZGER IS NOT AN ARCHITECT OR PROVIDE ANY ENGINEERLiG
SERVICES..
STANDARD NOTES: A4U. VvWAVAA(A
1. VERIFY ALL DIMENSIONS, NOTES & VIEWS IN FIELD. M04 I t) 1 [-A I A'm p 4A (2-60 LT PLOC,
2. SEE ATTACHED SHEETS FOR C.E.0 T-24 CALLS. (KEEP w/ PLANS) f'_4V4 A'_ Ljkd(A[V_� kp_eA5/p1m1
66,PP-04106 VOTAL K�',6;� Oe PWfA�tAtt IC -AT
VAid 4,,C -:.OLA LIOL-:: PL�_9_ -Vk6LiC-_ -(-P Z4' " 9:: -- I IL , 0 f-- 5'
3, HOSE BIBS TO HAVE BACK-FLOW DEVICES.'
i4a,&�AC-V-_ DC-AtLfe,;, Q c A 0 kCV, XrT 0A4j
fv'0\A,,1vc_- k , '
se_A�rA�)LT "p-,
4. LUMBER, NO. 2 D.F. LARCH TYP. U.O.N. Ul' L: k1 L
k4( 6 e -A PW V -M
("Y
Ml oil
16 _0s.�
nl_ T3
k' W4.0 Pot-),(
ALI
-Iry ' bOA-0 W10
_4 kv-
C.0 A4
1 It
IL p';I.
TTM
A / v �,�.
LP A/
vo %4 c
Ul FIL 144 1 - 1�
6M
U -W 1641d"a. 4
&
14 4.L V6
14
0--. 006 Y_ Ile
AqL
4-
40
IL L
q ONkk
9 11
L
it I I
G
it Ito,)
T
4 it
4/1 � 6 LA
V
aT
Jitric, T I L&
I it
44 L t
At'
1 N6 VO 0 �A
pup— e_M
feT 1 6 VA 15Y
4- it I It AA t
'942 eA' 1 61
r- Ido
otio poi'r 0,
I LA J�U
'4
AIX
C) �A R -co
u IATs.
poll,
0
it
LJ\&
�t I LA
T
Ord
------ �Iliv
eg 44 .9-1. r-ot cec atz� wit'viev fo P� AA),
6?
_U4
6, r-- t
v" '___4
C/A 4N,
�A4 eIV64 I
tA, uLje
�h�
_ __ _ - - _ _ � -_ - _ . _ __�. --- - -_.- .-_�--L
__--....v,-. _ __ .. ___ _--- .- -�--
_ __.
i�����
��
w�� ����
L ���
y,� :..� .� ��
°�
��� a "�
���'b
���.. �
�/��