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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
AGRICULTURAL BUILDING EXEMPTION 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
PROJECT INFORMATION
Site Address: 2789 DURHAM DAYTON HWY
Owner:
Permit NO: B07-2453
APN: 039-240-012
SOUTHAM, MATTHEW J & EV
Issued Date: 1/8/2008 By GLB
Permit type: MISCELLANEOUS
2789 DURHAM DAYTON HWY
Subtype: Ag Exempt
CHICO, CA 95928
Expiration Date: 1/7/2009
Description: AG BUILDING FOR WALNUT HAIR
(530) 521-1383
Occupancy: Zoning: A20
Contractor
Applicant:
Square Footage:
SOUTHAM, MATTHEW J & E
Building Garage Remdl/Addn
2789 DURHAM DAYTON HW'
CHICO, CA 95928
Other Porch/Patio Total
(530)521-1383
FEE INFORMATION
DBEH Building Review Fee $75.70
DBOMSCF Ag Exemption Permit $115.98
Total Charged: $191.68 Fees Paid: $191.68
Balance Due: $0.00 Receipt No: B5494
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), 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
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
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
X 1/8/2008
the applicant to a civil penalty of not more than five hundred dollars [$500);
Please check one of the following:
Contractor's Signature Date
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
WORKERS' COMPENSATION DECLARATION
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
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
E]
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Carrier. Policy Number: Exp. Date:
(This section nee not a completed if the permit is or one -hundred ($100) or est
❑ I AM EXEMPT under Section B. & P.C. for this reason:
�j I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
19 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'
X 1/8/2008
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owne s Signatufel Date
provisions.
X r -11J1/8/2008
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
Signata Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
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 liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION,
( )
the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
prop�oeruthorize to act on the property owner's behalf.
1/8/2008
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Namef of Permittee MGNI Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
,Owner, 1:1 1:1 OR; Agent for Owner Agent for Contractor
FILE COPY
Lenders Address City State Zip
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
AGRICULTURAL BUILDING EXEMPTION STATEMENT
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.
Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for
an agricultural exemption.
Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any
requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte
County Environmental Health, or any state and federal agencies.
Initials .< AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
Initials /ft 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 manufactured home, and 23 feet from a commercial/industrial buildings
Initials A� AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a
residence and a manufactured home, and 40 feet from a commercial/industrial buildings
Site Address:
2789 DURHAM DAYTON HWY
Permit No: B07-2453
APN:
039-240-012
Square Footage: 0
Permit Type:
MISCELLANEOUS
Occupancy:
Permit Subtype:
Ag Exempt
Zoning: A20
Description:
AG BUILDING FOR WALNUT HARVESTIP
Required Setbacks:
Applicant:
SOUTHAM, MATTHEW J & EVALIS
Front: Side: 20' Rear: 20'
2789 DURHAM DAYTON HWY
Type of Construction:
CHICOCA95928
(530) 521-1383
Type of Siding: Stucco
Owner:
SOUTHAM, MATTHEW J & EVALIS
Est. Const. Cost: $ 60,000.00
2789 DURHAM DAYTON HWY
CHICO, CA 95928
Roof Covering: Lightweight Tile
(530) 521-1383
Floor Type: Concrete
I declare under penalty of perjury that the building will be used as stated above, and the proposed use
conforms 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 the necessary permits, inspections and approvals to comply with the
requirements in effect at that time and prior to occupancy.
Signature of owner: % X' Date: 12/4/2007
FILE COPY
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
APPLICANT SIGNATURE
Z�A- Ljo'--- I
X
NO.
O � ,
4/ 1
BIN #
PROJECT LOCATION
AP# 30,—
p— r o/;2
Property Address Awl a✓h4."
City C�►rw ��`1a
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 t U� g
CS
Address
DESCRIPTION OR SCOPE OF WORK:
36a.?4*
r YU.I-
piph
Sq FT- Living Garage Open v
❑ Structure Built without Permits / �\
❑ Proposed Change of Occupanc
(Note previous use).
For office u§$ori
OWNER INFORMATION
Last Name
Yv.
Firm vv
Mailing Address
CgIn
city a\�Lo
State
Stag
Zip pl5,10%
Phone �3U
5,1J- Tj
Fax
E-mail
I'y1o,
SovXV11w. ��S�•rW `�
APPLICANT SIGNATURE
Z�A- Ljo'--- I
X
NO.
O � ,
4/ 1
BIN #
PROJECT LOCATION
AP# 30,—
p— r o/;2
Property Address Awl a✓h4."
City C�►rw ��`1a
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name t U� g
CS
Address
DESCRIPTION OR SCOPE OF WORK:
36a.?4*
r YU.I-
piph
Sq FT- Living Garage Open v
❑ Structure Built without Permits / �\
❑ Proposed Change of Occupanc
(Note previous use).
For office u§$ori
CONTRACTOR
Name
(A✓14C
Address
City
No
State
Zip
Phone
Fax
E-mail
Lic. #
Class
APPLICANT SIGNATURE
Z�A- Ljo'--- I
X
NO.
O � ,
4/ 1
BIN #
PROJECT LOCATION
AP# 30,—
p— r o/;2
Property Address Awl a✓h4."
City C�►rw ��`1a
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 t U� g
CS
Address
DESCRIPTION OR SCOPE OF WORK:
36a.?4*
r YU.I-
piph
Sq FT- Living Garage Open v
❑ Structure Built without Permits / �\
❑ Proposed Change of Occupanc
(Note previous use).
For office u§$ori
ARCHITECT/ENGINEER
Name
(A✓14C
Address
City
No
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT SIGNATURE
Z�A- Ljo'--- I
X
NO.
O � ,
4/ 1
BIN #
PROJECT LOCATION
AP# 30,—
p— r o/;2
Property Address Awl a✓h4."
City C�►rw ��`1a
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name t U� g
CS
Address
DESCRIPTION OR SCOPE OF WORK:
36a.?4*
r YU.I-
piph
Sq FT- Living Garage Open v
❑ Structure Built without Permits / �\
❑ Proposed Change of Occupanc
(Note previous use).
For office u§$ori
APPLICANT INFORMATION
Name
SO U+
bre
Address
City
No
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
Z�A- Ljo'--- I
X
NO.
O � ,
4/ 1
BIN #
PROJECT LOCATION
AP# 30,—
p— r o/;2
Property Address Awl a✓h4."
City C�►rw ��`1a
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 t U� g
CS
Address
DESCRIPTION OR SCOPE OF WORK:
36a.?4*
r YU.I-
piph
Sq FT- Living Garage Open v
❑ Structure Built without Permits / �\
❑ Proposed Change of Occupanc
(Note previous use).
For office u§$ori
Zoning
Flood Zone
SRA
I Yes I
No
Occ.
Type Const.
Butte County Department of Public Works
J. MICHAEL CRUMP, DIRECTOR
LAND DEVELOPMENT DIVISION
Storm Water Managment Program
7 County Center Drive
Oroville, CA 95965
(530) 538-7266 Telephone
(530) 538-7171 Fax
www.buttecounty.net/dds
(C.4
�T3n
National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm
Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment
[LESS THAN 1 ACRE 1
Reference Number:
B07-2453
Date:
12/4/2007
Location:
2789 DURHAM DAYTON HWY
By:
GLB
Parcel Number:
039-240-012
Sub Type:
AE Exempt
Owner Name:
SOUTHAM, MATTHEW J & EVALIS
Phone:
(530) 521-1383
Description:
AG BUILDING FOR WALNUT HARVESTING AND FARM EQUIPMENT 3600'
By signing below, I the project owner/owners' 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 buildouts 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 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 this project that disturbes one acre or
more of land may result in revocation of grading and/or other permits or other santions provided by law.
Signed:
Title: 0wrie,r
FILE
Date: 12/4/2007
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) 538-2140 Fax
www.buttecounty.net/dds
NOTICE TO BUILDERS
Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental
Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to
expedite your permit:
0 Make sure your application is complete.
0 Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to processing time.
Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not
started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to
expiration an indefinite number of times, provided construction progress has been documented by the Building Division during
each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In
order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking
and documentation may be required. Upon completion of work covered by this permit, please contact this office for final
inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is
issued without a final inspection.
EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY
Application for which a permit has not been issued will expire one year after date of application.
Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications
(not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are
for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of
$54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration
of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any
refund amount) to determine no work was done.
Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/
Reference Number: B07-2453 Date: 12/4/2007
Location: 2789 DURHAM DAYTON HWY
Parcel Number: 039-240-012
Owner Name: SOUTHAM, MATTHEW J & EVALIS Phone: (530) 521-1383
Description: AG BUILDING FOR WALNUT HARVESTING AND FARM EQUIPMENT 3600'
Signature of Applicant: qlcud_ — Date: 12/4/2007
FILE
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) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that 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 $500 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 government as an employer and you are subject to several obligations including state and federal
° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
I PERSONALLY PL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT (Y)N R NO)
2. I/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
NAME
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED:
NAME ADDRESS PHONE TYPE OF WORK
Description: AG BUILDING FOR WALNUT HARVESTING AND FARM EQUIPMENT 3600'
Reference Number: B07-2453
Applicant Name: SOUTHAM, MATTHEW J & EVALIS
Owner's Name: SOUTHAM, MATTHEW J & EVALIS AP # : 039-240-012
Signature of Property Owner: Zgk Date: /02 —q-07
t Butte County Department of Development Services. eurrE aa�
IIq O T E S 7 County Center Drive, Oroville, CA 95965
(530)538-7601 vnvw.buttec0L1.ntynetiddS
RESIDENTIAL
APN: Permit No._
039-240-012 06-0148 -
Owner. SOUTHAM, MATHEW . +
2789 DURHAM DAYTON HWY, CHICO
iSite Address: 1 Cont: ROBERT HILL & ASSOC -
Contractor POOL & SPA (MSTR 506-01)
�
Type of Permit: -
t
SPECIAL CONDITIONS
CHECKED BY
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
Tu c -t 0�4 cT aQ0 Q
DATE JOB FINALED:
I
SIGNATURE:
.=OK
o = Not OK
MANUFACTURED HOMES
DATE I U PERMANENT FOUNDATION U SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fall/C/O-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Clrncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap . Nat Q or LP❑
Inch Sz Ft Lngth
7 Blckng; Sz-Spacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Cirncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -00 to Grade
12 Gas and Electricity Tagged
13 Tie Downs Q Foundation Q
14 Exits
MISCELLANEOUS
DATE IDECKS'COVERS`CARPORTS`GARAGES
( 1 Zoning -Setbacks -Easements
2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg
Frmg-Brcng
S Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnls
15 Cert of Occupancy?-.
16 HUD Label/insignia Numbers Serial Numbers
2 50s; Compaction -Structure Stability
Pool Structure; Steel -Cnnctns-Thickness
De Men -Lining
lec Rcptcls/Lting; Distance-GFI
t&�ec Pool Lting; 15 volts-GFI
Enclsrs; Conduit Entries -Terminals -Listed
t ec Bonding; Metal w/5'-Crcltng Eqp-Htr _
Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg
Bdxes-Enclsrs-pniboards-insultn to Main Conduit
1 9 Health Dept Apprvl
t6'Plmb; Cir Test-Wtr S y Test
11 Lt che (off GpFmpoumo Ole-
7
K-
_ G-17-c(o obL� q'� Is ng arms 4i
�ocnding, Diving board or Slide
A �
Drawing
1_
OK
Not OK
RESIDENTIAL (Single & Duplex)
DATE JUNDERFLOOR
DATE IPLUNIB ING
1 Zoning -Setbacks -Easements -Flood -Slope
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Grnd Ftg Dpth
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth.
55 DWV; Test Fittings & Anchr Nail Prtctn
4 Ftg Porches/Decks; SoilsSteel Ftg Dpth
56 Shwr Pan; Test, First flr-Tub Acc
5 Stemwalls Main; Steel-Blockouts-Wrapped
57 Test Tub & Shwr, 2nd fir - Tub•Acc
6 Stemwalls Garage; Steel-Blockouts-Wrapped
58 Gas Pipe; Sz & Anchrs
69 Hold Downs and Special Anchrs
59 Fire Sprinkler; Test
7 Slab, Steel Wrapped
60 Yard Gas Piping
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
°�• °� °'• m�
1t Wtr Pipe; Test-Anchrs-Rgltr-Service Test
12 Elec Undrgrnd
DATE MECHANICAL
13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn
61 AC Ducts Insulin & Support
_ 14 Girders-Sills-Anchr Bolts Joists-Vnts-Crippies
62 Vent Fan, Exhaust abv Insultn
15 Acc & Vntltn
63 Condensate Drain & Ovrf1w, Sz & Grade
16. Insulation
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Acc & Pitfrm if Furnace in attic
mac` c
��O'•Ole,
P S 0 p O�
DATE IFRAMING
17 Sills Proper Materials & Anchrs
DATE F 1 N A L
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
66 Ext Steps -Door & SideLt Prtctn-Landings
19 Bearing Walls over Girders & fir Nailing
67 Smoke Detector
20 Draft Stop in Walls (rat proof)
68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
In Garage; abv-flr-Ducts-Mech Prtctn
22 Headers & Beams-Sz & Bearing
69 Bedroom Exiting
23 Hangers -Post Caps-Anchrs-Cnnctns
70 GFI & Bath Fxtrs & Tub Acc-Spa
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg
71 GFI Arc Fault
25 Frplc Ties or Type A Flue-Frpic Throat Clmc
72 Elec Trim & Subpnl, Breaker Sts & Labels
26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
73 Stairs, Guard/Handrails
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
74 Frplc or Stove, Cimc-Hearth
28 Garage Fire Prtctn Framing -RC Channel
75 Elec Outlets at Wood Pnl, Int & Ext
29 Prprty Line Firewall & Opngs
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc
30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits
77 Elec Outlets & Rcptcls at Ktchn Counter
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
78 Garage Fire Door; Swing -Landing -Closure
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
79 AC Duct in Garage -Damper
33 Siding -Nailing Veneer
80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc
Mech Prtctn; LPG Appince Undr House 3" drain
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
81 Plmb; Elec & Mech Eqp Listed for Loctn
36 Shear Walls; Nailing -Bolts
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
37 Brace Int/Ext Wall pnls
83 Insultn-Foam-Looked in Attic
38 Insultn-Walls-Ceilings
84 Guard Rails & Deck Cnstrctn-Post Caps
39 Infiltration-Walls-Wndws
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Clrnc Drnge Planters ❑Yes [_]No
c
87 Stucco Brown -Finish
o'`• m o'• m`
88 AC Unit Dscnnct, Elec-Pimb
89 Vnts abv Roof, Plmb-Appfnc-Frplc-Clrnc to Opngs
90 Wtr Well, Dscnnct, Elec, Plmb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
DATE JELECTRICAL
40 Fxtr & Trnsfrmr Clrnc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
92 Vntitn thru House
42 Sz Boxes & No Of Cndctrs Stapled
93 Glass Prtctn
43 Romex Installed Close to Edge of Studs & CJ
94 Corrections from previous Inspctns
44 Eqp Grnd made up w/Mech Fstnrs
95 Gas Test -Meters Tagged, Gas-Elec
45 Grndng Electrode Bond Gas & Wtr
96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl
46 2 Appinc Cirrs in Ktchn & Cndctr Sz GFI
97 Energy Cmpinc Cert -Other Certs
47 Subfeed Wire Sz g ❑ CU or ❑AL
98 Address Posted
AC Wire Sz SP ❑ CU or ❑ AL
99 Fire Sprinkler
48 Range Circ ea 0 CU or AL
Oven Circ g. ❑ CU or ❑ AL
Insulated Neutral ❑ Yes ❑ No
°>`• 0�` °,• o`er
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrnrs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
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
the Business and Professions Code, and my license is in full force and
effect.
License Class : -"Ls License Number:
Date: ( p Contractor. age,(21 641LA
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such* permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec: 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or imp>Dves thereon,
and who contracts for such projects with a contractotts) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
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
J is issued. ,
l� 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:
PERMIT NO.
BP060148
Issued Date: 02/16/2006 APN: 039-240-012-000
Site Address: 2789 DURHAM DAYTON HWY DUR
Map Index:
Description: POOL MASTER 506-01
Owner: SOUTHAM MATTHEW J & EVALIS
7498 HWY 162
WILLOWS, CA
95988-9617
Applicant: HILL & ASSOCIATES, ROBERT T.
199 E. SHASTA AVE
CHICO, CA 95973
530-891-4280
RHill@Sunset.net
Contractor: HILL & ASSOCIATES, ROBERT T.
199 E. SHASTA AVE
CHICO, CA 95973
530-891=4280
RHill@Sunset.net
License #: 377409
Architect:
Engineer:
Carrier. J 1 M , N N
Policy #: 'j,��-p Total Square Ft: 0 S. F.
Valuation:
❑ I certify that in the performance of the work for which this permit is Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: l (Q
t
Applicant:W_fj%�^ (34'.9Wwt
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
___CO_NS_TRUCTIONLENDING AGENCY _ ^���,This permit
I hereby_ affirm that there is a cons_truction lending agency for'the Resor
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name: By:
Address:
$0.00 Li z
V
Z/1�
applicable provisions of the Butte County Coda anftr
Ztofees have been paid.
4--1 Date:
ON:
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms. ,
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of a official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
4
Print Name: o a q, 6 �-7 Signature: um kiyu, it
Date: 1 I" to(,
r
0 Owner ❑ Contractor ❑ Agent for Owner •LYAgent for Contractor
.COUNTY OF BUTTE......
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
_?9GU I N <:�;P 21,AI t, l4 7r �
TT16,0T LernU 7 N 7-n CLOSE
G- 87f
Eh -'606 G /Z A 0E - A�- kN O P,�
Date 1 - 2 Inspector')')l PnCe F) tj
REV 4/05 Phone # 53u - (n 7 7
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
i
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.netldds
PERMIT NO.
BP060148
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 02/16/2006 APN: 039-240-012-000
the Business and Professions Code, and my license is in full force and
effect. `3�-�
License Class : � License Number: 31/I
Site Address: 2789 DURHAM DAYTON HWY DUR
Date: r 0 Contractor. ' r'�{�,izr WYA �7SSd1/i
Map Index:
Description: POOL MASTER 506-01
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: SOUTHAM MATTHEW J & EVALIS
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
7498 HWY 162
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
WILLOWS, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95988-9617
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: HILL &ASSOCIATES, ROBERT T.
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
199 E. SHASTA AVE
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
CHICO, CA 95973
proving that he or she did not build or improve for the purpose of
530-891-4280
Sale.).
RHill@Sunset.net
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: HILL & ASSOCIATES, ROBERT T.
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of the Business and Professions Code
199 E. SHASTA AVE
CHICO, CA' 95973
Date: Owner:
530-891-4280
RHill@Sunset.net
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of pe6ury one of the following declarations:
License #: 377409
❑ 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.
Architect:
I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carder and policy number are:
Carrier: Ji NNP .
Total Square Ft: 0 S.F.
'L %2^O `
Policy #:
Valuation: $0.00 LIZ
❑ 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
Census Code:
61l
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
�0-q
6
forthwith comply with those provisions.
I to 0 (0
�/I ��
Date: f
e-0
Qd,%0A/r— eit.�Lnm
Applicant:
I
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is er6by issuer the pplicable provisions of the Butte County CodR anrt/or
1 hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
Resolutio o dowo ' i ted ab a for ich fees have been paid.
Z-16 .—o
Name:
BY Datce� ` �7
PERMI EXPIRES ON:
Address:
(Date)'r—
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of a official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: {i F.1�L1 I�9jj� YIA/1 Signature:
Date:
0 Owner ❑ Contractor ❑ Agent for OwnerAgent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERNIIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR NSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 591-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY**
OWNER
Last Name SO4t Am
'"6 NA^
Address 27 0q DU�rn �tI'q
�/
City 64" State CA,
Zip 5"z*
%'t
Phone $a4-- 133 Fax
E-mail
APPLICANT NAME
CONTRACTOR
Name 8vr-
k�L 4 k5d(i1
Address Cl
S5
City Ck40
Fax
State ck,
Zip IS -173
Phone 61(_¢gyp
Dg4"SI 33
I
Fax 911 -03q4 -
E -mail
Date�Apq ed.
I rig
Lic. # 3,71
lass
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Dg4"SI 33
I
Fax
E mail
Date�Apq ed.
I rig
State License Number
APPLICANT NAME
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X fw'x'�U4
For office use only:
Zoning
Property Address
S784 Qdgt4"
Flood Zone
Cross Street
SRA
Yes
No
Occ.
Type Const.
bdivision Name I Map
ftPAOK
Book I Pa- jn
41
Lot #
pl �
i
V �
Date�Apq ed.
I rig
OVER FOR SUBMITTtAL REQUIREMENTS
KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
ok.p.olL-Fo
BIN #
LOCATION
API
l 137_ 24>d - '71Z 1 2
Property Address
S784 Qdgt4"
TCity
c�ce�
Cross Street
SRA
WORKER'S COMPENSATION
Policy Number
Carrier f:;JlV
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:
UW f�2 0 1 4 s
'ftj-- *-
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.
Page 1 of 2
REV 2-24-05
Receive y:
Amount: '` r� �� Bldg
SRA
Receipt #:
Sheriff
L4q-�
SMIP
Date: f6 �,
/;O�
Other
'1,
L Total
Page 1 of 2
REV 2-24-05
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: �fJ�^� ASSESSOR PARCEL NUMBER
Proposed Building Use: GI,\ �� V� 1" l Permit Technician: 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.
❑ 4. Engineered truss details and layouts in duplicate. No faxesl
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 11. Hazardous Material Form
❑ 12. Acknowledgement of building permit application without required clearances.
❑ • 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ 15. Fire Sprinklers............................................................................................
❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 17. Soils Report and/or Engineered Foundation required ...........................................
❑ 18. Erosion Control Plan Required........................................................................
❑ 19. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 20: City of Chico Plumbing permit......................................................................:.
❑ 21. Site plan and business license approval from the City of Biggs ..............................
❑ 22. California Department of Forestry plan approval ❑ paid. Sent by:
23. Planning approval for (A) Use:(B) Parking: (C) Parcel Check:
❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................
❑ 25. Fire Marshall Review (commercial projects only). Sent by: ......................
26. NPDES Form.............................................................................................
0 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Contractor's license information. (Number, Name Style, Classification) ...................
❑ .29. Worker's Compensation Carrier and Policy Number ..........................................
❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 31. Letter of Signature authorization....................................................................
❑ 32. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 33. Existing violations and/or expired permits ................................""" ......
.............
❑ 34. Deed Restriction..........................................................................................
El 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO .........................
❑ 36. Other:
❑ 37. Other:
When issued Telephone �i� y 'a� rJ and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: U l V G� 1�) Date:
1. Index permit application or the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: i I Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
K/Building/Plan ChecklData Sheets/data sheet page 2 9.27.05
FI
DAVCO BUSINESS FORMS • (530) 743-8511 Forth 84702
COUNTY OF BUTTE
;� FFICIAL ECEIPT /
443565
O FICE OR PEPARTIVI
Received from v
I ING RECEIPT
1or
,(�
The Sum of
19b $
For -
LIS
Received: �� �� "� p
CASH [:]Title
CHECK
Received By
By
n
DAVCO BUSINESS FORMS • (530) 743-8511 Forth 84702
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
www.buttecounty.net/dds
OWNER: E)(n"�CAyy\_ ASSESSOR PARCEL NUMBERy 4b ` )
Proposed Building Use: 7 Gb�V15 �-/1 Permit Technician: Date: �o
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order td -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.
❑ 4. Engineered truss details and layouts in duplicate. No faxesl
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal 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.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 11. Hazardous Material Form.
0 12. Acknowledgement of building permit application without required clearances.
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ 15. Fire Sprinklers
❑ 16. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office
❑ 17. Soils Report and/or Engineered Foundation required.
❑ 18. Erosion Control Plan Required.
❑ 19. Fees as shown on the attached Schedule of Fees Due Sheet.
❑ 20. City of Chico Plumbing permit.
❑ 21. Site plan and business license approval from the City of Biggs.
❑ 22. California Department of Forestry plan approval ❑ paid.
❑ 23. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 24. Contact Land Development about _ Improvements, _Drainage.
❑ 25. Fire Marshall Review (commercial projects only).
P 26. NPDES Form
❑ 27. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 28. Contractor's license information. (Number, Name Style, Classification).
❑ .29. Worker's Compensation Carrier and Policy Number.
❑ 30. Owner -Builder Verification (_ Given to owner, _ Mailed to owner).
❑ 31. Letter of Signature authorization.
❑ 32. Recorded copy of Agricultural Acknowledgment Statement.
❑ 33. Existing violations and/or expired permits.
❑ 34. Deed Restriction.
❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO
❑ 36. Other:
❑ 37. Other:
When issued Telephone USI • LA -C -)'S b and hold for pickup.
have been informed of the above items and requirements for obtaining a building permit. r %
Applicant: U 1 �� Date:
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, and other department costs are not refundable.
Original -Applicant
K/Building/Plan Check/Data Sheets/data sheet page 19.27.05
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERIVIIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 391-2834
OFFICE 9: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
*PLEASE PRINT CLEARLY**
OWNER
Last Name M
st a e A—G
Address TI
City �UD St to-
ipY
Phone 13� Fax
E-mail
CONTRACTOR
Name g 1,k
udie
Address
19
A44-
City (AGO
State
Zip
Phone l -W-00
Fax 951-0314-
5(_4-
E mail
E-mail
Lic. #lass
3-77
--C-5
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name ,
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X $C&0� 61�
For office use only:
Zoning
Property Address >
2461 W
Flood Zone
Cross Street
SRA
I Yes I
No
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
•6l V_G
BIN #
LOCATION
AP#
03q__0 1
39 202
Property Address >
2461 W
City
Cross Street
WORKER'S COMPENSATION
Policy Number
2—o i
Carrier
S 11A�
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:
1
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Recceive'd by: Amount: Bldg
4X SRA
Page 1 of 2
Receipt #:( Sheriff
L/�SI , 7 SMIP
Other
Date Ao�,
I"� ' � )�
7" Total
REV 2-24-05
10
1� a
Ci,_ Department of Public Works
0
C o u n t y o f B u t t e
° J. Michael Crump, Director LAND DEVELOPMENT DIVISION
Storm Water Management Program
7 County Center Drive
Oroville. CA 95965
(530) 538.7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase li
Construction Storm Water Permit and Storm Water Pollution ..,Prevention
Plan (SWPPP) Acknowledgement [LESS THAN IAPRE)
Project Description: NfIJ �oYLo�lr1`�
Project Location and/or Parcel Number: - 039-2*0 —pl2
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 reed 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.
lam aware that submitting false andlor inaccurate information or failure to apply for a Construction
Storm Water Permit from the State of California Regional Water Quality Control Board for a project•
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by law.
Signed:
Title:
Date:
Lis than I Acr: NPDES & SWP PP Compliance Certification
TO: Building Division = Development Services
FROM: Environmental Health
f
SUBJIECT: Sanitation Clearance
Owner
►� s °NLY
Plot Plan Attached
Floor Plan AhadW
Sent to BD/DS /
��e O
Plan Approved for: Sewage Disposal: Water Supply: Public
Clearance for dwelling. Other
Private Well
Final clearance O.K. for:
NOTE:
,
/X
/� 0 K9
Environmental ealth Specialist Ode e
Building Clearance 9/2005
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.
BP060149
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: 01/23/2006 APN: 039-240-012-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: 13-65' License Number: 32:M 9/�
Site Address: 2789 DURHAM DAYTON HWY DUR
Date: I ?.0 06 Contractor: gsirqrf ad Ron,
Map Index:
Description: GAS LINETO BBQ
OWNER43UILDER 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: SOUTHAM MATTHEW J &ENACTS
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
7498 H WY 162
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
WILLOWS, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95988-9617
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ 1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: HILL &ASSOCIATES, ROBERT T.
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
199 E. SHASTA AVE
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
CHICO, CA 95973
proving that he or she did not build or improve for the purpose of
530-891-4280
Sale.).
RHTII@Sunset.net
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: HILL & ASSOCIATES, ROBERT T.
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
199 E. SHASTA AVE
CHICO, CA 95973
Date: Owner:
530-891-4280
RHill@Sunset.net
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
License #: 377409
❑ 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.
Architect:
I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier: S NN0
Total Square Ft: 0 S. F.
Policy #:
Valuation: $0.00
❑ I certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: 1 '2O 06
..� f
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is herebg issued under the applicable provisions of the Bntte County CodA ?nrVor
I hereby affirm that there is a construction lending agency for the
Resolutio s ork in ated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
BY D✓at�e:
Address:
PERMIT EXPIRE O
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes
Print Name: "&9AMISignature:
Date: f.12e 10 0
0 Owner ❑ Contractor ❑ Agent for Owner LT Agent for Contractor
Flat Plan Attnci ad
Floor Plan Attachacq
Sent to4-43
TO: I Building Departmea i
FROM: Environmental Health
SUBJECT: Sanitation Clearance i
i
Owner tocat-ion--7 AP#
Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well
Clearance for dwelling. Other
Hold final for: � S
Fina c earance O.K. for:
NOTE:
Environ men taffiealth Specialist Date
8/96
INTER -DEPARTMENTAL MEMORANDUM
TO: BUILDING DIyISION,
VMS"
ENVIR. HEALTH, CHICO
DATE: '� l
RELEASE NV. HEALTH HOLD ON BUILDING FINAL FOR:
OWNER NAME: SEPTIC: SEPTIC: ?� WELL:
AP#: ADDRESS/LOC,ATION: ��,��• ��2 �/�7%�/
Comments:
GUmemos/releasehold
-J
NOTES RESIDENTIAL"
PERMIT N0. _ 039-240-012 ` 03-1446
t SOUTHAM, MATTHEW - / '-
2_JSn_ DURHAM DAYTON, DURHA 4
' NEW SINGLE FAMILY v
s
f
�y.
F
�J
C
:J
iJ
FI
a
SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ:
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
CHECKED
BY
OFFICE COPY
! A Address
Meter By r Date 1 i
yt ELECTRIC C(22�
.1 Mete y Date {
JOB FINALED (Da
_ r
Signature
J=OK
0 = Not OK
= NotAppliReady
MOBILE HOMES
. =Not Ready
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ P' L'ft.
/ P Nat..or / P' L "ft./ A 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
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)
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
1. Zoning Requirements -Setbacks -Easements.
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
2. Footings; Size -Spacing -Marriage Line
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
3. Blocking
6.
Carports; Windows -Doors
4. Gas; MH Test -Demand -Valve
7.
Electric
5. Electricity; MH Test
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
-6. Water; MH Test
9.
Siding; Nailing -Veneer -Stucco -Mesh
7. Water and Sewer Connected'
10.
Roof; Shthg-Roofing
8. Gas and Electricity Tagged
11.
Ext.; Steps -Doors -Landings
9. Exits
12.
Braced Wall Panels
10. License Decals
11. Verify #'s with Office
Card B-1 Date Card B-1
Date
Date
Card B-1 Date
Card B-1
Date
Card 6-1 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
= OK
= Not OK
= Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDUAFLOOR (Plans) OK except #'s
Main; Soils-Elec. GrndA (-aFtg. Depth
<i/T�tg., Garage; Soils-Steel-Elec. Grnd.-j Z P Ftg. Depth
4. %, Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Cl/Stemwalls, Main; Steel-Blockouts-WraDDed
@a -Hold Downs and Special Anchors
7. Sufi, Steel -Wrapped
. Piers -Fireplace Ftg.-Steel
9. .W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
1V,/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.
1 irders-Sills-Anchor Bolts-Joists-Vents-Crippies
%. 0gcess & Ventilation
117 Insulation
Da4l ZZ, U 5 Card B-1 Date Card B-1
Date F Car Date Card B-1
Date PLU IN (Permit) OK except #'s
1 rjWer Htr.; Vent -Access -Combustion Air Baffle
V26 Pipe; Test & Anchor -Nail Protection
W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower. Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
2 i ture & Transformer Clearance -Ins. Protection
2f. 4eq.Receptacles Spacing -Lights & Switches at Doors
2E.4e Boxes & No. of Conductors Stapled
2i7 Romex Installed Close to Edqe of Studs & C.J.
J8/ quip. Ground made up w/Mech Fasteners -Bond Gas & Water
,2'Appliance Circuits in Kit & Conductor Size GFI
115. Subfeed Wire Size/ /g . Cu AI-A.C. Wire Size/ /qa Cu or Al
Date FRAMING (Permit) OK except #'s
4 ills Proper Materials & Anchors
4 alls Studs -Nailing Spacing & Braces -Plates -Sound
4Y Bearing Walls over Girders & Floor Nailing
4 Draft Stop in Walls (rat proof)
4 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
6. Headers & Beams -Size & Bearing
Date FR ING (Continued)
Hangers -Post Caps -Anchors -Connectors
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
.) Fireplace Ties or Type A Flue -Fireplace Throat Clearance
W. �Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
Garage Fire Protection Framing -RC Channel
Property Line Firewall & Openings
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
§,5_-8tairs; Width -Headroom -Rise -Run -Landing -Fire Protection
66 -Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
15?-Sofig-Nailing Veneer
5�/Stucc Mesh Drip Screed -Fd. Vents-Underflr. Access
rin
g Area -Glass Protection -Skylights -Plastic
-1 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. Steps -Door & Sidelight Protection n
cr. a Detector
In ge; Above Floor-Ducts-Mech�ction
64 -'Bedroom Exiting
68. G.F. Bath Fixtures & Tub Acces -
ec. Trim & Subpanel, Breaker Sizes Labels
70. s & Rails
ireplace or Stove, Clearance -Hearth
Outlets at Wood Panel, Int. & Ext.
it. . & App lance; Ground -Air -Gap -Cooking Clearance
74 e . utl & Receptacles at Kit. Counter
74-Gara ire Door; Swing -Landing -Closure
76 A CDuct in Garaqe-Damper
C7Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in ra ; Above Floor-Mech. Protection
Ib. & Mech. Equip. Listed for Location
7 Receptacles in Garage (F.F.I.)-Romex Protection
nsulation-Foam-Looked in Attic
81. Guar>+fails & Deck Construction -Post Caps
n. VBents & Crawl Hole Door Drainage & Wood -Earth
_ Clearance Looked under F oor O Yes
3. F win stld./Drive No/Walks O No/Planters s O No
St o Brown Finish
A.C. Unit Disconnect, Electrical -Plumbing
86. Vents A4ove Roof, Plbg-Appliance-Fireplace-Clearance to Openings
&Z.__We!,Well, Disconnect, Electrical, Plumbing
8r Elec. Trim, G.F.I. Receptacle -Underground
89. en ' ron Throughout House
94_263r'ections from Previous Inspections
9?. -Gas Test -Meters Tagged, Gas -Electric
93. W r & Sewer Connected -C/O to Grade -HD Approval
*.--EnerCompliance Certificate -Other Certificates
ddress Posted
96. Fire Sprinkler
Dat ,C/!:4Card B-1 Date Card B-1
Dat Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
-0+-"'d 7gMircle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
/ Insulated Neutral O Yes O No
3t.
Service -Riser Conductors & Ground Main Disconnect
3a7Equip.
Clearances Panels-Motors-Mech. Equip.
4.
Clothes Closet Light -Shower Light -Spa Light
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Car B-1 Date Card B-1
Date
ME "ICAL (Permit) OK except #'s
3 . Ducts Insulation & Support
3 ent Fan, Exhaust above insulation
3
ondensate Drain & Overflow, Size & Grade
3
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40.
Attic Access & Platform if Furnace in Attic
Date
Way
Card B -1n Date Card B-1
Date
Card 1 �r Date Card B-1
Date FRAMING (Permit) OK except #'s
4 ills Proper Materials & Anchors
4 alls Studs -Nailing Spacing & Braces -Plates -Sound
4Y Bearing Walls over Girders & Floor Nailing
4 Draft Stop in Walls (rat proof)
4 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
6. Headers & Beams -Size & Bearing
Date FR ING (Continued)
Hangers -Post Caps -Anchors -Connectors
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
.) Fireplace Ties or Type A Flue -Fireplace Throat Clearance
W. �Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
Garage Fire Protection Framing -RC Channel
Property Line Firewall & Openings
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
§,5_-8tairs; Width -Headroom -Rise -Run -Landing -Fire Protection
66 -Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
15?-Sofig-Nailing Veneer
5�/Stucc Mesh Drip Screed -Fd. Vents-Underflr. Access
rin
g Area -Glass Protection -Skylights -Plastic
-1 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. Steps -Door & Sidelight Protection n
cr. a Detector
In ge; Above Floor-Ducts-Mech�ction
64 -'Bedroom Exiting
68. G.F. Bath Fixtures & Tub Acces -
ec. Trim & Subpanel, Breaker Sizes Labels
70. s & Rails
ireplace or Stove, Clearance -Hearth
Outlets at Wood Panel, Int. & Ext.
it. . & App lance; Ground -Air -Gap -Cooking Clearance
74 e . utl & Receptacles at Kit. Counter
74-Gara ire Door; Swing -Landing -Closure
76 A CDuct in Garaqe-Damper
C7Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in ra ; Above Floor-Mech. Protection
Ib. & Mech. Equip. Listed for Location
7 Receptacles in Garage (F.F.I.)-Romex Protection
nsulation-Foam-Looked in Attic
81. Guar>+fails & Deck Construction -Post Caps
n. VBents & Crawl Hole Door Drainage & Wood -Earth
_ Clearance Looked under F oor O Yes
3. F win stld./Drive No/Walks O No/Planters s O No
St o Brown Finish
A.C. Unit Disconnect, Electrical -Plumbing
86. Vents A4ove Roof, Plbg-Appliance-Fireplace-Clearance to Openings
&Z.__We!,Well, Disconnect, Electrical, Plumbing
8r Elec. Trim, G.F.I. Receptacle -Underground
89. en ' ron Throughout House
94_263r'ections from Previous Inspections
9?. -Gas Test -Meters Tagged, Gas -Electric
93. W r & Sewer Connected -C/O to Grade -HD Approval
*.--EnerCompliance Certificate -Other Certificates
ddress Posted
96. Fire Sprinkler
Dat ,C/!:4Card B-1 Date Card B-1
Dat Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
t
REV 10/92
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA - (530) 891-2751
7 County .Center Drive - Oroville, CA - (530) 53877541
CORRECTION NOTICE
OWNER
PERMIT
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.
COUNTY OF BUTTE ! E
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 53877541
CORRECTION NOTICE
OWNER r PERMIT N0.
A routine inspection ind/ny
hatthefollowing violations of butte county Ordinances exist at the
above address and shocorrected. Please notice this office when correction of work is
completed. If you havestions pertaining to this matter, or need additional explanation,
please contact this ice immediately.
,1�..
R;
i 7- C C!/ G AA
(Re-A&Z16,
' 1 � 1/l�lG'! Co�� �2 �✓ l c 2
,1�..
• COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
14-
7
County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 E o
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
039-240-012
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
-
SO, FT. OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS
7498 HWY 1629 WITIMS,CA 9998R
3101 R 167,454.00
1073 U 19,314.00
CONTRACTOR'S NAME
NOT YET CHOSEN
TELEPHONE
652 C 8,476.00
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ igg- AA
ARCHITECT OR ENGINEER
LICENSE Na.
Filing Fee $
-00
20.00
Permit Fee $
979- 90
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
634 75
BUILDING ADDRESS
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDNIS IONS NAME
PARCEL MAP.
PLUMBING PERMIT
Filing Fee
20.00
USEOFSTRUCTURE 24.95 AC
SF ❑ Duplex 0( Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
98.0
Solar or heat pump water heater 23.00
Water piping 15.00
15.0
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: „ NSF W/ATT GARAGE
r
Gas piping system 1 - 5 outlets
15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE $ 17R
0
ELECTRICAL PERMIT
Filing Fee
20.00
Main Service zo.A OR LESS
23. 0
LICENSED CONTRACTOR'S 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 the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
15( las owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 2°0A To ,IIIA
'46.60'
NEW CONST. DWELLING OCCUP. S°
OR ADDNS. ( 8 AGC. BIDS. 3.5¢
146.0
rNiorFa°es,oT MULTI-OUTLEll T @7,`.30
l
POWER APPARATUS
a SINGLE ourLer CIR.
Ex. Occup. OunEr OR FIXTURES 20 x''00
BAL @ .50
ALNSI
Ex. Occup. °Flx. R ° 5.00
Temporary Service' 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S 212.
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Fling Fee
20.00
Heating 2 1 20.00
40.00
Cooling 2 25,00
50. 00
Hood 6.50
Ventilation
GAS
PERMIT FEE S
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one 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 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.
X Date 5—n,, -0,3 _
Signatur of Applican Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" d e d oli . n r construction
of structures over 3 stories in height.3
Mobile Home Installation Fee $
Energy Inspection Fee $
°
°°"sT OTAL FEE $ 2238. 17
HAZ D. FE IMP/
FLOOD
CDF
PARCEL
PD
Issu
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indica d above for which fees have been
y ate
PERMIT EXPIRES ON
D
provisions
to
paid.
O
lk
do work
ReceiptNo. 3 14S -Z— / . % IS60-
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-PrECTOR GOL ROD -APPLICANT
/ I
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
OF FEES DUE
OWNER
PROPOSED BUILDING USE W E
1. BUILDING PERMIT FEES
Balance Due ....................... $
Additional Fees Due ................. $
Additional Fees Due ................. $
Revised Plan Checking Fee .............$
2. SCHOOL DISTRICT FEES Z im �/I ra-r YA t°l2GOL
(paid at District Office) (Available after Plan Check)
3.' SHERIFF FEES (paid at Building Division)
Residential ...................... $360.00 =
Units
Commercial (sq. ft.) ............... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES (paid at Building Division)
Residential ................... -x-=$
# Units Amt.
A.P. #
DATE
RECEIPT # DATE REC.
3sg3� a-! 3
Commercial (sq. ft.) ............ -x-=$
Sq. ft. Amt.
5. ' RECREATIONAL DISTRICT FEES
(paid at District Office) (Available after Plan Check) , d PP(
6. THERMALITO DRAINAGE DISTRICT FEES /
`` 11 $510.00 (paid at Building Division)
`�v7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during the plan checking process.
APPLICANT
DATE S'-20<- 3
Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner
(Rev. 6/00)
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
;%V1
OWNER: ! j4 / / i /l��GrJ � lJ/Y]C( //y) ASSES I§i PARCEL NUMBER
Proposed Building Use: WSE T Counter Technician: Date: S , �RQ _r
Items required in orderito apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
L. Plot plans, 3 or 4 sets, signedty the preparer of the plans,
_02. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
4. Engineered truss details and layouts in duplicate. No faxes!
io5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot 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 .....................:...............
12. Hazardous Material Form...........
.......................................................
l3. Other P
Remaining items needed to issue the permit.(May require additional plan review upon receipt of the followin items.)
Q�14. '
Fees as shown on the attached Schedule of Fees Due Sheet ....................................... + �.....,M
❑ 15. -Statement of Intent for Non -heated and A/C Buildings ........................
. ..... . ..............
16. Sanitation and plot plan approval from the Environmental Health Department in
❑ 17. City of Chico Plumbing permit.........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent. by: ......................
❑ 19. Planning approval for (A) Use: 0 I` (B)Parking: (C) Parcel Check:jV_
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... '
_PJ21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier aid Policy Number ..............:..............................
l0 25. Owner -Builder Verification (❑Given to owner, ❑ Mailed to owner) .....................
Letter of Signature authorization....................................................................
7. Recorded copy of Agricultural Acknowledgment Statement...............................6 j g
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone (ie-(/ ,S 1 �3 GGri er_ and hold for pickup.
I have been informed of the above items and requirements for obtaining aabbuilding permit.
Applicant: Date: '� 'U?)
1. Index permit application for the above items numbered:
2. Additional items required
Contractor, designer, owner, was advised cf the above data by
Contractor, designer, owner, was advised of the above data by
Plans reviewed by: Date:
Structural reviewed by: Date:
Note transfer by: Date:
phone, ❑ mail, ❑ counter, by
phone, ❑ mail, ❑'counter,by
Plans approved by:
_Structural approved by:
Yellow: Buildine Division
Plan Check Letter .
_Date:
Date:
Date_
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUDING DIVISION 4
` -?'County Center Drive • Oroville, California 95965 • Telephone (5 O) 538-75AI, (�PE�f�1T c
I, APPLICATION AND PERMIT (� 'f (�
e>r4FZFMM
TRVCTION LENDER ',
E Y MAIUNG ADDRESS
LRC 4rrECT OR ENGINEER LICENSE NO.
1RCMRECT OR ENGINEERS MAUNG ADDRESS
3URDING ADD
IDT NO, sUBDN610Nb NAME PARCEL MAP
USEOFSTRUCTURE 24 C � AC
SF gr Duplex ❑ Mobilshome ❑ Other
sPEeffv
TYPE OF WORK
New Addition ❑ Remodel
s'^❑'Utiftm ❑ Installation ❑ Other ❑
Describe Work: i's F7 u.&
BUILDING PERMIT
OCC. I BUILDING VALUATION
Fireplace
Total Valuation S
Firing
Permit Fee
Plan Checkina Fee
Plan Checkina Fee
_ • Gla
$ 20.00
s so
$ S
s �C'
s S2• 415,
PERMIT FEE S
PERMIT FEE I
PLUMBING PERMIT
(ling Feel 20.00
Each Trap
7.00 OFT
Solar or heat pump water heater
23.00
Water piping
I5.00 S• moo"
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00 ,
Building sewer
15.00 lS s'`
Mobts Home I S I G I W
920.00
Ex. Occup. ovTLET OR FKTLREs
PERMIT FEE I
S 1 00
ELECTRICAL PERMIT . -•
-:'Fling Fee 20.00
Main Service
= cn L.Ess
23.OD
Main Service
20M TO 1000A
4s.oDNEW
(
D wo P.
3.50 FT.
OR ADDNS.T
DCS
Wise. Wiring
MW
2nwa th ' i
MULrroLm1
- i I
1 97.50
Ex. Occup. ovTLET OR FKTLREs
.yo I
Ex. Occup. DID.O
vrtErs ESEA.
5.00
Temporary Service
23.00
_
Moble Home Facilities
20.00
Wise. Wiring
23.00
PERMIT FEE
MECHANICAL PERMIT
Fling Fee
20:00 --
Heating
2.0.
�d
Cooling
Hood
s.50
Ventilation
Iq
19,
6O.Ls �_
�(rcPlqee.,
PERMIT FEL=
S
•SD
Mobile Home Installation..Fee
Energy Inspection Fee
s
L
CONST.TO AL FEES
".,
-Z. I D. FEES I :Imt I FLOOD I
CDF
I EL
MD 165:JE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
August"6,"2003 County of Butte- FIRST CWcCK
Jurisdiction Appl. No.: 03-14,46' '
LP2A Job No. 203015-036
Matthew Southam.. .
7498 Highway 162 „
Willows: CA 95988
Fax: 530-982-2090
Re: Plan R6view Southam-S1^Q
Address: Durham -'Dayton Highway -
Dear Mr. Vieria:
.Linhart Petersen Powers Associates .(LP2A) has completed, an initial review of the following
'documents:
1. ans:.One (1) copy plan sheets' 1 through .S title sheet dated May 18, 2003 by Gregor A.
Pl
Peitz.:
2. Structural -Calculations:.One (1) copy dated May 19, 2003 by Gregory,A. Peitz.
3 •. Title 24 Enemy Compliarice Documentation:- One (1)• copy dated May 18, 2003 by Gregory
A. Peitz.
Note: Floodplain Mitigatlon Measures and/or comments will be reviewer! by Butte County.' .
These documents 'were reviewed .only for their conformance, to tt,e 200:1. ' Califomia Building,
Plumliing,.Methaoical,.-an.'d.El.ectrical Code.' Our comments follow on the attached list.
•Pleasesubmit-an-.itemized-resRQnse.letter.aod.two-0-sets of complete and revised documents
with all revisions clouded.
Sincerely;
_ ART-PE'FEfV
RS -POWERS ASSOCIAT-ES
Jes lar-
I.C.B:O. Plans Examiner
JV:ag i:\pendingplanreview\.butte\203.015-036:doc
enclosures
-Mr. Michael Vieira; County of Butte, Fax: (530) 538-2140'
LINHA.R'T PETERSEN POWERS ASSOCIATES
.7610 Aubuin Boulevard Citrus -Heights, C.A. 956.10- .
(916).725-4200 - FAX(916)725-8242 - Toll. Frce (877) 235-0653
Southam SFD
Durham- Dayton Highway
August 6; 2003
Re: Occupancy Greup(s}-
Type of Construction:
Stories:
Building Area (sq. ft.);
/automatic Sprinkler.
R_ -31U-1
V -Id
One,,
3101/1073
Plot: specified
County of Butte - First Check
LPZA-Job No:: 203001-5--036-
Page
03001-5--t23&Page 2
A. Provide the following general information on the -cover -sheet of the -plans:
a. ' Bu4ding-0ccupancy.Gro.4Ps:
b. Type of Construction:
C. Stories:
d. Building Area'
e. Automatic Sprinklers;
B. The following plan review documents are based on the- County- of Butte- Building,
Regulations. For your convenience, the following comments are referred to the 2001
California Building Code unless otherwise noted.
C. Please respond in writing to each comment by marking -Me_ attached- comment.UsLor,
creating_a response letter. Indicate which detail, specification, or calculation shows the
requested information. Your complete and clear responses wilt -expedite -the -re -check and
hopefully, approval of this project. Thank you for your assistance.
Q. For clarity, specify on cover sheet that the 2001 CBC, CMC, CPC, CEC, as amended by
State of California and local jurisdiction are appticable-to-this-project. Sheet 1.
E. Please be sure to include on the resubmittal the- architect'slengineer's- "wet".- stamp,
signature, registration number and expiration date on all sheets of plans (all sheets of
plans depicting structural designed elements], and- cover sheets-- of specifications_ and,
calculations: UBG-1-06,x.2
F. Provide a complete plot plan showing the following -types -of -information: (1 -}-front, rearrand
side yard setbacks and lot dimensions; (2) distances between buildings; (3) house number
location. which is MAible to.tbe adjacent .public street; .(4)_Iioeatior►s .a _e istiq biuldi�ge..
on the site and setbacks to proposed construction; (5) north arrow; (6) location of private
sewage disposal system; (7) site grading and drainage to an approved- drainage -system;
UBC 496.3.3
G. (VOTE: Because no site, grading, drainage, nor plot -plans-were-included-with- the ..submiltal
for building code plan check, the following code comments reflect a review of building
plans only. If site -related comments are applicable -to -this project; they Mll_be generated
by others.(e..g,.. City Engineering, Public Works, Health,, etc.).
H. Provide review and approval by the Health Authority for the private sewage disposal
system (i.e., septic/leach field system).
ARC1 TECTURALCQUil1IMS;
Al. Specify 5/8" Type "x" gypsum board on ceilings and supporting members such as the GLB
header -beams -of the gar-age..CEiG_.Sections 302.2and 302.4 Ex.. 3
Southam SFD'' County of Butte - Firtt Check
Durham-. D.a)4an Highway LP2A Job No. 2030045-036
August 6. 2003 page -3,
A2. Specify 1-3/8 inch minimum solid core or 20 --minute rated -door atseparatioa.watl betwee-n
garage and residence. CBC Section 302.4 Ex. 3
A3. Provide minimum required means of emergency escape bedrooms. Specify that the
escape opening has a minimum net clear opening -of -5.7 square-feett,-nvnirraum-.net-clear
opening height of 24 Inches; and minimum net clear opening width of 20 inches. Further,
specify such windows have sill heights not more than 44 -inches above -the -floor -and -opens
directly to stre_et�public alley., yard or exit county. CBC Section 310.4
A4. Amend plans for shower and tubtshciWer walls to specify a smooth, hard, nonabsorbent
surface (e.g., ceramic the or fiberglass)'over a moist-ure-resistant-underlayment-(e g_, r.
gyp.Yto. a-height.of. 70 inches above.the drain inlet. CBC Section 807.1.3.
A5. Amend the plans to specify that the fireplace is pre -manufacture and that it is required to
be listed and shall be installed in accordance- With- theiF- Wing_ and-- manufactu(es
installation instructions:- CBC Section 3102.5.1.
MECHANICAL PLUMBING AND ELECTRICAL COMMENTS:
MPI. Amend plans to specify shower and tub -shower combinations shall be provided with
individual ' control valves of the- pressure balance- or- the. thermostatic..mixing- valve_ type.
CPC 420.0
MP2. Specify minimum capacity of water heater equivalent to not less than the first hour rating
as listed on CPC table 5-1. CPC 50-1.
MP3. Specify pressure absorbing devices or approved mechanical-deuioes,-_located_as_close- ap
possible to q uick acting valves t hat w ill absorb high pressures resulting from the quick
closing of quick -acting valves. CPC 609.Ia.
MP4. Amend the plans to specify that two,-srn-all-appliance- branch- circuits- are- required_for the.
kitchen and are limited to supplying. wall and counter space outlets for the kitchen,
pantry, breakfast room, dining room, or similar areas-. Note: These-circuits-cannot_sm.e.
outside plugs, range hood, disposals, dishwashers or microwaves — only the required
countertop/wall outlets including the refrigerator: CEC. Articles- 21-0--1-1(c)(1) &--21-0,-
.
5?(b)•
MP5. Amend the plans to specify- a dedicated -.20 -amp- branch- circuiL shall_ be-.pravided_.to.
supply the laundry receptacle outlet. CEC Articles 210-11(c)(2) &210-52(f).
MP6. Amend the plans to specify a- dedicated -20 -amp circuit- is-required..to..sierte_.th-e_require-0
bathroom outlets. This circuit cannot supply any other receptacles, lights, fans, etc.
(Exception -where the circuit supplies a single- bathroorrti outlets for other- equipment.
within the same bathroom shall be permitted to be supplied.) CEC Articles 210-11(c)(3)'-
210-52
MP7.'- Amend --the- plans -'to- specify- that an are fault- circuit interrupter.. shalL.. protecL..all
receptacles in the bedrooms. CEC Article 210-12(b).
SC••
Southam SF6 County of Butte - Rrsi` Checks
Durham- Dayton Highway LP2A Job No.' 2030095-036
August 6, 2003 Page -4
MP8. Locate electrical service panel on the site plan -or -flow plan--and-show-amperage- size- (1.CIO.
amps minimum). CEC Article 230-70(a).
MP9. Specify light fixtures in tub or shower enclosures with label "suitable for damp locations." .
CEC Article 410-4(a)
T-24-EYd€RGY COMPf=1AXMZOMMFATS:-...
T4; Permanently-affixfully- completed and- signed.forms.CF-1_R..and-W-IR energy compliance
forms to the plans.
T2.. Specify required insulation on plans in building sections, wall sections, details, etc.).
STRUCTURAL COMMENTS:
S1. Check-p,,the-Reliabilityl edundaakyFactonper-UBC.1630_
S2. Specify--maximtwrFl -conerete-roo€-weight- on-calculation-sa- Lwill-not_be. over. the -calculated
value.
S3.- for designed shear- walls- where-the-aJlowatite-shear--value--must exceed_350-ptf-amend
plans to specify minimum single 3x (nominal) framing members at foundation sill plates
and at framing members receiving-edge-raging-from-abuttingpanels, UBC -.TABLE -23, -
II -1-1, Footnote #3
S4. Provide details and-calculafiorts-to-confirm-(based-on-actual-geornetr-aadload-conmor.1s)
that kickers supporting purlins (or other inclined posts or supports at roof framing) are
capable--of-transferring-t#4--worst-case horizontal -component -of_ kicker- force -into -wall-top
plates.
S5. Amend the framing plans to provide specific and clearly delineated collector members and
splices/com.mtkms;-.to-.-.tr.ansmit-: te.nsio.n-..arid. _c-.om- pressioij-_,-
gorcesy..: Note. that- as- the.
diaphragm sheathing cannot be used for this purpose, collectors should extend the full
width -of the -diaphragm -or- a�leastas-far--as-possible (or until-a-NWspUc�-can-be-achieued(
in the collectors). Exampleison gridline B.
S6. At roof framing plans indicate forces at re-entrant corners and provide structural ties and
collectors- as -required;
ST Collectors in the floor framing level should be edge nailed joists and/or lines of blocking
and strapping-across-the-ceifin-g--foists Provide. such. collectors- .aligned -with- shear --wal.ls.
and detail-how-tbey will be connected to the wall top plates.
S8: Specify the-roofdiaphragmtype-thickness,andgrade-.and nailing -on -the -plans.
S9. , Specify doubled joists under and parallel to bearing partitions. UBC 2326.8.5
S10. Provide calculations and details for the splices in the diaphragm chord members.
Southam SFD County of Butte - First Check
Durham- Dayton Highway LP2A Job No.: 2030015 5
August 6, 2003 Paggee 5.
S11. Specify and referenced holdown details for raised floor condition which includes
clarification of holdowns are continuous from grade beam to end of shear wall above floor
- coupler and threaded rods. Normally this is accomplished witty a threaded- rod --and.
coupler.
S12. Provide construction detail and method of tying the chimney.strur-ture back -to -the.- -main
roof;framingto withstand any pull-away forces deriving from seismic loads.
If you have any questions regarding the above comments, please contact Roger Peterson or Jess
Villar at (916) 725-4200 between 8:00 A.M. to 5:00 P.hIF::, IA -F.
[END]
ButteCountyDepartrnentofDevelopmentServices
YVONNE CHRISTOPHER, DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
TO: LP2A
FROM: Michael Vieira (530) 538-7159
mviei ra(cD-buttecou ntv. net
SUBJECT: Plans Transmittal For Review Per Contract
DATE: 7/14/2003
Applicant: Southam, Matthew Permit No: 03-1446
Project Type: NSF APN: 039-240-012
100% 70%
Plan Check Fees $ - 634.08
Energy Calc Fees $ 23.00
$ 443.86
$ 16.10
$ 657.08 $ 459.96
LP2A Fee $ 459.96
Copies Attached: Qty
Ch
Application
tl Site Plan Review
FEMA Elevation Certificate
Building Plans
O -q Truss Calculations
Energy.Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
TO LARRY PAINTER RETURN TO CHIICO EH
ry
SITE PLAN REVIEW APPLICATION
Date: AP#
w
• Permit Number (if applicable) 03- L4 L4 (p
•
APPLICANT INFORMATIO/N�/ Parcel Size:
wners Name: - -
Owners Address: ?6,/ 1 (�� ;� l.(� �hlr -r�
Telephone No.:� —J
Situs Address:. �,YIlC►,
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
sZ)-FZt3 9�_
❑ Single Family Remodel
❑ Commercial Addition ❑ Commercial Remodel
❑ New Industrial
❑ Industrial Addition ❑ Industrial Remodel
Other
❑ Septic Well
❑ Agricultural Exempt Building
❑ Other:
Brief Explanation (if
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
Approved ❑ Conditionally.Approved ❑ Resolve Problems Prior to Approval
11 Site Plan Stamped Approved
By Date
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Snow Load Area: •�
Land Conservation Act Minimum Acreage: ) Q A c- ❑ 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 a he )
o Flood Zone:
e Flood Panel No.: D S l -S C-1 Index Date: 6-8—c)&
❑ 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: A -- 2zn
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
2�
Side Street
Rear
2�
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
•
Applicable Developrient Fees:
Standard Fees Amount Formula
• ❑ . Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ -Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Impact
❑ . Other
--------------------------------------
Subdivision Map Special Fees
* 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
• N .Deeds:
•
Date of Creation: ) C)-) -2 Legal Access Provided: ❑ No R Yes
Deed of Reference: 20 t 2 Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No 9 Yes, Road Name: _DU QH4wr,
Complies with County Standards for Deed Creation:❑ No ❑ Yes -H ti.r y
Comments: /
9 Parcel Deemed to be legal
❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation
❑ Obtain a Certificate of Compliance
T❑ 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
Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
Other (per map)
* Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
• N .Deeds:
•
Date of Creation: ) C)-) -2 Legal Access Provided: ❑ No R Yes
Deed of Reference: 20 t 2 Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No 9 Yes, Road Name: _DU QH4wr,
Complies with County Standards for Deed Creation:❑ No ❑ Yes -H ti.r y
Comments: /
9 Parcel Deemed to be legal
❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation
❑ Obtain a Certificate of Compliance
T❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
Page 3 of 5
❑ Subdivision Map/Parcel Map:
Map Date of Recording:
Lot: Book: Page: •
❑ Use Per Use Permit
Permit Number:
Date of Approval:
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 1985, as amended.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control PS
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for roa
Page 4 of 5
0
Summary of Specific Requirements:
S
y f.
•I
This information provided in this summary is based on the application information and on the best available data at the time
of review.
CALarrys\Building Permit Site Plan Reviewl.doc
is
Page 5 of 5
�f
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
Recorded
Official Records
County Of
I
I
I
BUTTE
I
CANDACE J. GRUBBS
I
Recorder
I
ROSEMARY DICKSON
I
Assistant
12:35PM 30 -May -2003
I Cheryl
I Page 1 of 2
REC FEE
CONFORM
A. P. 4Q39 - —QUO— 0
10.00
1.00
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:
I Fn
PROPERTY OWNERS:
State of CalifoJ nia
County of j
On `1?0 0 j
cr
+krt rh
Euc l- L+5 �J` o"Ay-1C �m
personally appeared Sv +✓c.J e� Veil' Uk,5 fit pe!Tmtatty
klrewn-tsme (or proved to me on the basis of satisfactoryFevidence to be the person(s) whose name(s)*Iare subscribed
to the within instrument and acknowledged to me that a/they executed the same in tRs/h-er/their. authorized
-capacity(ies), and that by hWhtWtheir signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrume
WITNESS my hand ficial eal. — -
1 GLAIR L. MERMAN
Q0 COMMbsion 1 1392957
Signature Seal: NOWY PubBc — Coftn10
1 Butte County
L Y Comm. Expkes Feb 7. 2007
ri --Ocro
ALTA OWNERS POLICY ORDER NO. BU -190679 DMP
(REGIONAL EXCEPTIONS)
EXHIBIT "A"
THE LAND REFERRED TO IN THIS POLICY IS SITUATED IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS:
BEGINNING AT A POINT ON THE NORTH LINE OF SECTION 25, TOWNSHIP 21
NORTH, RANGE 1 EAST, M.D.B. & M., SAID POINT BEING SOUTH 890 38'
WEST 580.7 .FEET FROM THE NORTHWEST CORNER OF LOT 1, AS SHOWN ON
THAT CERTAIN MAP ENTITLED, "R. W. TURNER'S SECOND SUBDIVISION",
WHICH MAP WAS RECORDED IN THE OFFICE OF THE. RECORDER OF THE COUNTY
OF BUTTE, STATE OF CALIFORNIA, IN BOOK "B" OF MAPS, AT PAGE(S) 10;
THENCE SOUTH 890 38' WEST 580.0 FEET ALONG SAID SECTION LINE;
THENCE SOUTH 00 48' EAST 1874.1 FEET; THENCE NORTH 890 25' EAST
580:0 FEET; THENCE NORTH 00 48' WEST 1871.9 FEET TO THE POINT OF
BEGINNING, AND BEING A PART -OF LAND LYING IN SAID SECTION 25 AND
BEING A PART OF THAT CERTAIN TRACT OF LAND KNOWN AS THE FIMPLE
LANDS.
APN: 039-240-012-000
PAGE 5
J
D.B.- I
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 L( NO ❑
2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work.
3. I Have contracted with the following person (firm) to provide the proposed construction:
NAME: KV2 - q.A-
ADDRESS:
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: _ yle
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME Ye-� ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER: o� r -
SOCIAL SECURITY NUMBER
DATE 5 — o;�U
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
OWNER BUILDER INFORMATION
Dear Property Owner:
O.Bi.- I
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 cant' out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only 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.
9rely,
1�61cel C. Vi ira, C.B.O.
Mer, Building Inspection
NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
National Pollutant Discharge Elimination System (NPDES) Phase II &
SWPPP Non -Certification for Project # for Butte
County Storm Water Permit Compliance
By signing below, I, the project architect/engineer of record, indicate that I am aware that a
construction project that disturbs more than 1 acre of land requires a Construction Storm Water
Permit from the State Water Resources Control Board. I, additionally, understand that it is the
project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm
Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources
Control Board to obtain such a permit. I, further, certify that this project will not disturb more
than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California
Storm Water Quality Task Force, Sacramento, CAA certify that appropriate BNPs will be
implemented to effectively minimize the negative impacts of this project's construction activities
on storm water quality. I acknowledge that it is my obligation to make the project owner and
contractor aware that the selected BNPs must be installed, monitored, and maintained to ensure
their effectiveness. If, at any time, site conditions and/or observations by a County official
warrant reevaluation and revisions of the chosen BNPs, the appropriate changes will be made
without unnecessary delay. I am aware that failure to properly implement and maintain the
BNPs necessary to prevent the discharge of pollutants from this project during construction
could result insignificant penalties and/or delays. -
Signed: A 6-t7v�
Title:
Date: 5-Q0 w�
By signing below, I, the project owner/owner's agent, certify that I am aware that a construction
project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from
the State Water Resources Control Board and that it is my responsibility to submit a Notice of
Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00
payable to the State Water Resources Control Board to obtain such a permit, if my project
disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1
acre of land. This document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified individuals properly
gathered and evaluated the information submitted. Based on my inquiry of the person or persons
directly responsible for gathering the information, I certify, to the best of my knowledge and
belief, that the information submitted is true, accurate, and complete.
Signed:
Title:
Date:
NPDES & SWPPP Non -Compliance Certification Draft,
Butte County Stormwater Plan
FROM SOUTHAM FAX NO. : 5309822092 Feb. 26 2003 03:58PIl P2
ENCROACHMENT PERMIT
COUNTY OF BUTTE ♦ BEPARTMENT,OF PUBLIC WORKS
7 County Center Drive ♦ Orovillei, CA 95965 * Phone: (530) 538.7681 ♦ Fax: (530) 538.4356"
`.. Download Forms: www.buttecounty,neUpubucworks
PfZNOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Permit Number Dist
Phone: (530) 538-7339 1030Z766
APPLICATION
i 1 WE, the undersigned, hereby apply to the County of Butte for an encroad><nent.perrM to do the Wowing work under or over the County ►pads aid
w hwn s all in aoeordance with county ofdnanm and general laws. AI intorrnation excepts ,ature must be Pmed orbt rinted _
1. ApprcenYs Name.
2- Address: �q � a t,.); t a CA . 909Sq
3. ahoy 530 Sd! -13`d Assasso'+e parcel wurtaro}t-,7
S. Law> m of work 11) be Mane Q�x
of 0
Lbw ' Wcs-t
6. Appsaude signabrrx ' l + l.c�fE%: _ _,� �• "Data a- aH _ 03
a CWndoes Name:
9. Addm=
10. Phone
12 Contractors Nranber.
. Contras sgnsur
15, Aatlgbted Agent
16. Pwo Cho* Curb: 0
17. Ddrwrey (Let ryper (� . ,_ . — .
1Q. ConEM
CONTRACTOR s INFORMATION
11. Fax
13. Cedits B at maria=
TYPE OF WORK TO BE DONE
Gutter. 0 Sidewalk: , 0
PERMIT GRAUMD
subted to all teens, corltAS Pdudirtg those printed on
of this
I-e-Aer
20.AI work shall conform to a=npanying, Dull �i�1s 0 Spa" Conditions O
NO
Dub
Dete: 23 3uretq Yes
�1. ts� 3 a7 G�^ 33 0 7 C y
'Mike Crump, Director of Public Works By
"Note: I permits are faxed to any number besides (530)5384356, they can be delayed up to one week.
hee l ori
oeaeHt C - see PM 2
o
—` low,
/ st S,
B.
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A. 0-,
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piJRNAA! �YEL�Q�Y ���RO.�J
LAr. w w I
o
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to
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2739
i k � I do {�� A►° i °► �
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✓T q r � �j � � / i`�.
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
COPY of Document Recorded
30 -May -2003 2003-0035060
Has not been compared with
original
BUTTE COUNTY RECORDER
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to 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 _' 4 X • '� PROPERTY OWNERS:
State of California ,�^ )
County of c�u'TJ.L� )
On `�v d be lof e me
personally -appeared ,� e' ✓ � vocq 1,5 fit per"nal7ly
knawnlu-me (or proved to me on the basis of satisfactory evidence . to be the person(s) whose name(s)*/are subscribed
to the within .instrument and acknowledged to me that Kel§+e/they executed the same in his/h-er/their authorized
capacity(ies), and that by bis/htr/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrume
WITNESS my hand ao ficial eal.
1. BLAIR L. HERMAN
- commiWon #1392957
Signature a n Seal: Notary Public —California
Butte County
My Comm. Expires Fab 7. 2007
A. P. # 031 'ANO -- 0 --G00
ALTA OWNERS POLICY' ORDER NO. BU -190679 DMP
(REGIONAL EXCEPTIONS)
EXHIBIT ,'!A"
THE LAND REFERRED TO IN THIS POLICY IS SITUATED IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS:
BEGINNING AT A POINT ON THE NORTH LINE OF SECTION 25, TOWNSHIP 21
NORTH, RANGE 1 EAST, M.D.B. & M., SAID POINT BEING SOUTH 89° 38'
WEST S80.7 FEET FROM THE NORTHWEST CORNER OF LOT 1, AS SHOWN ON
THAT CERTAIN MAP ENTITLED, "R. W. TURNER'S SECOND SUBDIVISION",
WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY
OF BUTTE, STATE OF CALIFORNIA, IN BOOK "B" OF MAPS, AT PAGE(S) 10;
THENCE SOUTH 890 38' WEST 580.0 FEET ALONG SAID SECTION LINE;
THENCE SOUTH 00 48' EAST 1874.1 FEET; THENCE NORTH 89° 25' EAST
580:0 FEET; THENCE NORTH 00 48' WEST 1871.9 FEET TO THE POINT OF
BEGINNING, AND BEING A PART OF LAND LYING IN SAID SECTION 25 AND
BEING A PART OF THAT CERTAIN TRACT OF LAND KNOWN AS THE FIMPLE
LANDS.
APN: 039-240-012-000
PAGE 5
GREGORY A. PEITZ.
ARCHITECT
383 RIO UNDO AVE., STE. 100, CHICO, CA 95926.(530) 894-5719
VY
45
f .-ewv c. -e-.o�
-7 ell, Alo e-- 4
20 'A
AM
Wo. C 21203
-7 "1
LOERKE INSULATION CO., INC. INSULATION CERTIFICATE
Nurnwanclaniff
.moi ar
IESCRIPTiON OF INSTALLATION
Material
Thickness (inch",
CEILING
Batt or Blanket Type -- Mmgg ass Bad
Thldutess (inches)- 3
Loose Fill Type Fibs
Brand Name
Thennai (R Value)
Brand Name Johns Manvifte
Thermal Resistance (R -Value)
Brand Nacre Johns Manville
Contractoris min. installed wevim sq.. 615 s,. Minimum Thlckness S -'45 inures.
Mamdachmer's installed weight per square foot to achieve ThenjW Resistance (R Value) 'k3$
L EXTERIOR WALL
Mahvial Ebrghm BattsBrand Name __ .kiln: Manville
Thickness (intim .• S Them W Resistance (R Value)
k RAISED FLOOR
Material _- Emmiam No Brand Nacre ` Jahns Manville
ThIdoms (Nt&m) 6 • S Thermal Resistance (R -Value) Zi b4
s. SLAB FLOOR / PERIMETER
' Malarial Brand New
Thk* sss Thermal Resistance (R-Va
Perimeter Insulation
1. FOUNDATION
Malarial Bid
i cit fndres)- The nc a (R -Value)
XCLARATION
Reaulatlorts ince
E4 mf� f°r r+��bw&,PaertlM�fom� o
on ptianc;e, *we sppticeble.
C.L� 2 • S_Oy LOERKE INSULATION CO., INC.
Ge (Co. artaM019.r
Genera & (. ane) r er
signature, DaW3u
Genera nsontrac for Co,r ane Orame r r
'd..
School District
BUTTE.COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
P U /z t-/ A/.I
Building Department No. —03—
A.P.
3—
A.P. Number 0317— Z 7 O."'a/Z Jurisdiction: City County
Property Owner / �4 T rffE i.�/ Fou T H ,4 M
Property Location/Address /JV la /'f� �i I y n% %y / 1 W J
SubdivisionAlNE . �C'i2 �.4 r� fl, DE eo) Lot No.
Al
..................................................................................................................
Sq. Footage g .3/4/ 1
�
Residential Development
No of Living Mobile Home i Addition/ \] 'Supplemental to (Group R)' .`
installation rr Conversion i, Permit #
(No'foundation'irispectiiin)
Commercial/Industrial • R
New Addition
Building Department
noor rians reviewea ov acnom uismci
Sq. Footage
(Including Exterior
Roofed Areas)
8/29�03
Date /
District Identification No.
/iJ�j kn, 11A1 K;J School District certifies that
(Applicant)
0z M9
(Street Address) (Phone Number)
(City) (State)
has complied with the requirements of Resolution No.
representing�f✓
square feet
District Representative
Paid by Check #
Remarks:
(Zip
by payment of $/
AB 2926 $
,a°JFULL MITIGATION
da—'e
I/
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) - feeform.xls (10/98)dmm
BUTTE COUNTY PARK FACILITY FEE PAYMENT CERTIFICATION FORM
DURHAM RECREATION AND PARK DISTRICT
Assessor Parcel Number (s): 03,7 - 2 V-0 — U / Z
Property Owner (s): T F I
... .R
2 7 8 9 !D l-lA M IDA yr(2,�l llyy`•
Project Location/Address: i
Subdivison Name: itis Assessable Square Footage: 3 / y
Type of Residential Development (check one):
New Development
•y� ��:-
C:4 1 . �at;:�6 r�:..r.7^•^--2v.xaK -s�.s y:' �,..u�..:.;.� of
o►nm'ents
Afteration/Addition Mobile Home (s)
Non -Residential to Residential
8 /-Z'7 0 3
Building Division Representative Date
Durham Recreation and Park District (DRPD) certifies that
EVC'I SO U-.1 h a am 13 q — 5!5 3cl
Applicant Name Applicant Phone Number
Street Ad
(k)
City State Zip Code
has'complied with the requirements of the Butte County Board of Supervisors Resolution No.
93 - 114 by payment for 3101 -square feet at $ 1.04 per square foot for a total payment
of $ 3, ZZS,o —
8 29 v-5
DRPD Representative Date
PAID BY CHECK No.:
BANK No.: I - N ZB 'T�
PAID BY CASH:
RECEIPT No.: i o n c R
Remarks:
DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW - BUTTE CO. BUILDING DIVISION
0/2,
o
GREGORY A. PEITZ
ARCHITECT
383 RIO LINDO AVENUE, CHICO CA 95926 (916) 894-5719
3
Structural Calculations For:
MW
IR -
It y
R-RY .4.
No. C 21203 4
PEN
OF �W
H,
LOAD SUMMARY
Wind Analysis
Normal force method, exposure B, 75 mph wind speed
P= Ce Cq'Qs I
WALLS
P=.62*1.3*14.5.*1.0=.0117 ksf@ 15 ft.
P =.67 * 1.3 * 14.5 * 1.0 =.0126 ksf @ 20 ft.
P =32 * 1:3 * 14.5 * 1.0 = .0136 ksf @ 25 ft.
P =.76 * 1.3 * 14.5 * 1.0 =.0141 ksf @ 30'A.
ROOFS 2:12 TO LESS THAN 9.12..
P ='.62 * 1.0 * 14.5 * 1.0 = .009 ksf. @ 15 ft..,
P =.67 * 1.0 * 14.5 * 1.0 = .010 ksf. @ 20 ft.
P=.72*1.0*14.5*1.0=.011 ksf. @25 ft. ..
P=.76*1.0*14.5*1.0=.01I ksf @'30 ft:
ROOFS. 9:12. TO 12:12
P=.62*IJ 1.4.5 * 1.0 =.010 ksf@ 15 ft:
P =.67 * 1.1 * 14.5 * 1.0 = .011 kst @ 20 ft: _
P=.72*I.1*14.5*1.0=.012 ksf @25 ft.
P. =.16 * 1.1 * 14.5 * 1.0=.012 kst @ 30 ft.
Seismic Analysis
Static Method
V = 2.5 Ca (w) = 2.5 * .36 .1636 (w) @ plywd. shear walls
R 5.5
V = 2.5 Ca (w) = 2.5 *.36 = .20 (w). @ plaster and gyp. bd. shear walls
R 4.5
Gravity Loads
ROOF LOADS: 18 psf dead load + 16 psf live load = 34 psf total load
FLOOR LOADS: 10 psf dead load +'40 psf. live ;load = 50 psf total load
WALL LOADS: 12 psf @ 3 -coat plaster exterior walls; 8 psf @ interior walls;
10 psf @ exterior walls with 1 -coat stucco.or siding
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Roof Beamf 97 Uniform Building Code (91 NDS)1 Ver: 5.06
By: greg peitz , Gregory A. Peitz Architect on: 05-04-2003: 9:47:19 PM
Proiect: SOUTHAM - Location: LIVING ROOM / ENTRY FLUSH BEAM
Summary:
3.5 IN x 11.875 IN x 16.5 FT / Versa -Lam 2800 Fb DF - Boise Cascade
Section Adequate By: 53.0% Controlling Factor: Moment of Inertia / Depth
Required 10.31 In
Section may not be readily available.
Deflections:
Dead Load:
DLD=
0.40
IN
Live Load:
LLD=
0.31
IN = U630
Total Load:
TLD=
0.72
IN = U275
Reactions (Each End):
Live Load:
LL-Rxn=
1518
LB
Dead Load:
DL-Rxn=
1957
LB
Total Load:
TL-Rxn=
3475
LB
Bearing Length Required (Beam only, Support capacity not checked):
BL=
1.10
IN
Beam Data:
Span:
L=
16.5
FT
Maximum Unbraoed Span:
Lu=
0.0
FT
Pitch Of Roof:
RP=
5
:12
Live Load Deflect. Criteria:
U
240
Total Load Deflect. Criteria:
U
180
Non -Snow Live Load:
Roof Loaded Area:
RLA=
189.8
SF
Live Load Method:
Method =
One
Roof Loading:
Roof Live Load -Side One:
LL1=
16.0
PSF
Roof Dead Load -Side One:
DL1=
18.0
PSF
Tributary Width -Side One:
TW1=
7.5
FT
Roof Live Load -Side Two:
LL2=
16.0
PSF
Roof Dead Load -Side Two:
DL2=
18.0
PSF
Tributary Width -Side Two:
TW2=
4.0
FT
Roof Duration Factor:
Cd=
1.25
Beam Self Weight:
BSW=
13
PLF
Slope/Pitch Adiusted Lengths and Loads:
Adiusted Beam Length:
Ladi=
16.5
FT
Beam Uniform Live Load:
wL=
184
PLF
Beam Uniform Dead Load:
wDadi=
237
PLF
Total Uniform. Load:
—WT=
421
PLF
Properties For: Versa -Lam 2800 Fb DF- Boise Cascade
Bending Stress:
Fb=
2800
PSI
Shear Stress:
Fv=
285
PSI
Modulus of Elasticity:
E= 2000000
PSI
Stress Perpendicular to Grain:
Fcl_perp=
900
PSI
Adjusted Properties
Fb' (Tension):
Fb'=
3504
PSI
Adjustment Factors: Cd=1.25 Cf=1.00
FV:
FV=
356
PSI
Adiustment Factors: Cd=1.25
Design Requirements:
Controlling Moment:
M=.
14335
FT -LB
8.25 ft from left support
Critical moment created by combining all dead and live loads.
Controlling Shear:
V=
3475
LB
At support.
Critical shear created by combining all dead and live loads.
Comparisons With Required Sections:
Section Modulus (Moment):
Sreq=
49.09
IN3
S=
82.26
IN3
Area (Shear):
Areq=
14.63
IN2
A=
41.56
IN2
Moment of Inertia (Deflection):
Ireq=
319.27
IN4
1=
488.41
IN4
147
Roof Beam[ 97 Uniform Building Code (91 NDS) 1 Ver: 5.06
By: greq peitz , Gregory A. Peitz Architect on: 05-04-2003: 9:43:21 'PM
Proiect: SOUTHAM - Location: REAR PATIO HEADERS
IN = U859
Summary:
IN = U321
5.125 IN x 12.0 IN x 17.0 FT / 24F -V4 -Visually Graded Western Species
- Dry Use
Section Adequate By: 78.3% Controlling Factor: Moment of Inertia / Depth Required 9.9 In
Deflections:
3820
Dead Load:
DLD=
Live Load:
LLD=
Total Load:
TLD=
Reactions (Each End):
0.0
Live Load:
LL-Rxn=
Dead Load:
DL-Rxn=
Total Load:
TL-Rxn=
Bearing Length Required (Beam only, Support capacity not checked):
BL=
Camber Reqd.:
C=
Beam Data:
Span:
L=
Maximum Unbraced Span:
Lu=
Pitch Of Roof:
RP=
Live Load Deflect. Criteria:
L/
Total Load Deflect. Criteria:
L/
Camber Adiustment' Factor:
CAF=
Non -Snow Live Load:
Roof Loaded Area:
RLA=
Live Load Method:
Method =
Roof Loading:
Roof Live Load -Side One:
LL1=
Roof Dead Load -Side One:
DL1=
Tributary Width -Side One:
TW1=
Roof Live Load -Side Two:
LL2=
Roof Dead Load -Side Two:
DL2=
Tributary Width -Side Two:
TW2=
Roof Duration Factor:
Cd=
Beam Self Weight:
BSW=
$lope/Pitch Adiusted Lengths and Loads:
Adiusted Beam Length:
Ladi=
Beam Uniform Live Load:
wL=
Beam Uniform Dead Load:
wD adi=
Total Uniform Load:
-WT=
Properties For: 24F -V4- Visually Graded Western Species
0.40
IN
0.24
IN = U859
0.64
IN = U321
1428
LB
2392
LB
3820
LB
1.15
IN
0.60
IN
17.0
FT
0.0
FT
5
:12
240
180
1.5
X DLD
178.5 SF
One
16.0 PSF
25.0 PSF
9.0 FT
16.0 PSF
14.0 PSF
1.5 FT
1.25
15 PLF
17.0 FT
168 PLF
281 PLF
449 PLF
Bendinq Stress: Fb= 2400
Shear Stress: Fv- 190
Modulus of Elasticity: Ex- 1800000
Stress Perpendicular to Grain:
Bending Stress of Comp. Face in Tension:
Adjusted Properties
Fb' (Tension):
Adjustment Factors: Cd=1.25
FV:
Adiustment Factors: Cd=1.25
Design Requirements:
Controlling Moment:
8.5 ft from left support
Critical moment created by combining all dead and live loads.
Controlling Shear:
At support.
Critical shear created by combining all dead and live loads.
Comparisons With Required Sections:
Section Modulus (Moment):
Area (Shear):
Moment of Inertia (Deflection):
Ey=
Fc perp=
Fb_cpr-
Fb'=
FV=
M=
V=
1600000
650
1200
PSI
PSI
PSI
PSI
PSI
PSI
3000 PSI
238 PSI
16236 FT -LB
3820 LB
Sreq=
64.95
IN3
S=
123.00
IN3
Areq=
24.13
IN2
A=
61.50
IN2
Ireq=
413.96
IN4
1=
738.00
IN4
rS
Roof Beam[ 97 Uniform Building Code (91 NDS)1 Ver: 5.06
re
By: gg Peitz, Gregory A. Peitz Architect on: 05-042003: 9:40:29 PM
Proiect: SOUTHAM - Location: GARAGE DOOR HEADER
5.125 IN x 13.5 IN x 18.6 FT / 24F -V4 -Visually Graded Western Species - Dry Use
Section Adequate By: 83.1% Controlling Factor: Moment of Inertia/ Depth Required 11.04 In
Deflections:
Dea&Load:
Live Load:
Total Load:
Reactions (Each End):
'Live -Load:
Dead Load:
Total Load:
Bearing Length Required (Beam only, Support capacity not checked)
Caanber•Regd__.
Beam Data:
Span:
Ma)amum Unbraced Span:
Pitch Of Root
Live Load Deflect. Criteria:
Total Load Deflect. Criteria:
Camber Adiustment Factor:
'NonSnow,Live°Load:
Roof Loaded Area:
Live Load Method:
Roof Loading:
Roof Live•Load-,Side0m-
Roof Dead Load -Side One:
Tributary Width-SiOe One:
Roof Live Load -Side Two:
Roof Dead Load -Side Two:
Tributary Width -Side Two:
Roof Duration Factor:
Beam Self Weight:
SlopelPitc# Adjusted- Lengths and Loads
Adiusted Beam Length:
Beam Uniform Live Load:
Beam Uniform Dead Load:
Total-Umform- Load:
Properties For: 24F -V4- Visually Graded Western Species
Bending Stress:
Shear Stress:
-Modulus of Elasticity:
Stress Perpendicular to Grain:
Bending Stress of Comp. Face in Tension:
Adjristed Properties
Fb' (Tension):
Adjustment Factors: Cd=1.25
Fd:
Adiustment Factors: -C&1.25
Design Requirements:
Controlling Moment:
9.3 ft from left support
Criticat moment created -by combining aA dead and
Controlling Shear:
At support.
Critical shear created by combining all dead and live
Comparisons With Required Sections:
Section Modulus (Moment):
Area (Shear):
Moment of Inertia (Deflection):
live loads.
loads.
-DLD=
*-0.40
•IN
LLD=
0.27
IN = U817
TLD=
0.68
IN = U330
t-1 _f bm--
1.7,84
,U3
DL-Rxn=
2641
LB
TL-Rxn=
4425
LB
BL=
1.33
IN
C=
0::61
!N
L=
18.6
FT
Lu=
0.0
FT
RP_
6
-:42
U
240
U
180
CAF=
1.5
X DLD
RLA=
254.8
SF
Method =
One
,L•L4=
44:0
fPSF-
DLI=
18.0
PSF
TW1=
12.2
FT
LL2=
14.0
PSF
DL2=
48.0-
PSF
TW2=
1.5
FT
Cd=
1.25
BSW=
17
PLF
Ladi=
18.6
FT
wL=
192
PLF
wD adi=
284
PLF
WT=
476
PLF
Fb=
2400
PSI
Fv=
190
PSI
-Ex=
'1800000
PSI
Ey=
1600000
PSI
Fc perp=
650
PSI
Fb_cpr=
1200
PSI
Fb'=
3000
PSI
Fv'=
238
PSI
M= 20575 FT -LB
V= 4425 LB
Sreq=
82.30
IN3
S=
155.67
IN3
Areq=
27.95
IN2
A=
'69.19
IN2
I req=
573.94
I N4
t=
1050.79
IN4
/I
;�a
Multi -Loaded Beam[ 97 Uniform Buildinq Code (91 NDS) j Ver: 5.06
By: greq Peitz, Gregory A. Peitz Architect on: 05-042003:
10:24:03 PM
Proiect: SOUTHAM - Location: NOOK FLUSH BEAM
Summary:
3.5 IN x 14.0 IN x 11.0 FT / Versa -Lam 2800 Fb DF - Boise Cascade
Section Aflequate By: 128.7% Controlling Factor: Section Modulus / Depth Required 9.26 In
*
Section may not be readily available.
Center Span Deflections:
Dead Load:
Live Load:
DLD-Center=
0.10
IN
Total Load:
LLD -Center=
0.07
IN = U1932
Center Span Left End Reactions (Support A):
TLD -Center-
0.17
IN = U796
Live Load:
Dead Load:
LL-Rxn-A=
1358
LB
Total Load:
DL-Rxn-A=
TL-Rxn-A=
1842
3200
LB
LB
Bearinq Lenqth Required (Beam only, Support capacity not checked):
PL -A=
1.02
IN
Center Span Right End Reactions (Support B):
Live Load: -
Dead Load:
LL-Rxn-B=
1181
LB
Total Load:
DL-Rxn-B=
TL-Rxn-B=
1745
2927
LB
LB
Bearing Length Required (Beam only, Support capacity not checked):
BL -B=
0.93
IN
Beam Data:
Center Span Lenqth:
L2=
11.0
FT
Center Span Unbraced Lenqth-Top of Beam:
Lu2-Top=
0.0
FT
Center Span Unbraced Length -Bottom of Beam:
Lu2-Bottom=
11.0
FT
Live Load Duration Factor:
Cd-
1.25
Live Load Deflect. Criteria:
U
240
Total Load Deflect. Criteria:
U
180
Center Span Loading:
Uniform Load:
Live Load:
Dead Load:
wL-2=
0
PLF
Beam Self Weight:
wD-2=
BSW=
0
15
PLF
PLF
Total Load:
Point Load 1
wT-2=
15
PLF
Live Load:
Dead Load:
PL1-2=.
640
LB
Location (From left end of span):
PD1 -2=
Xi -2=
640
2.5
LB
FT
Point Load 2
Live Load:
Dead Load:
PL2-2=
1899
LB
Location (From left end of span):
PD2-2=
X2-2=
2779
6.0
LB
FT
Properties For: Versa -Lam 2800 Fb DF- Boise Cascade
Bendinq Stress:
Fb=
2800
PSI
Shear Stress:
Fv=
285
PSI
Modulus of Elasticity:
E=
2000000
PSI
Stress Perpendicular to Grain:
FcLperp=
900
PSI
Adjusted Properties
Fb' (Tension):
Fb'=
3441
PSI
Adjustment Factors: Cd=1.25 Cf --0.98
Fv': -
Adiustment Factors: Cd=1.25
Fd=
356
PSI
Design Requirements:
Controlling Moment:
M=
14333
FT -LB
5.94 Ft from left support of span 2 (Center Span)
Critical moment created by combining all dead loads and live loads on span(s) 2
Controllinq Shear:
V=
3200
LB
At left support of span 2 (Center Span)
Critical shear created by combining all dead loads and live loads on
'span(s) 2
Comparisons With Required Sections:
Section Modulus (Moment):
Sreq=
49.99
IN3
Area (Shear):
S=
Areq=
114.33
13.47
IN3
IN2
Moment of Inertia (Deflection):
A=
Ireq=
49.00
180.94
IN2
IN4
1=
800.33
IN4
Roof Beam[ 97 Uniform Building Code (91 NDS)1 Ver: 5.06
By: gree Peitz, Gregory A. Peitz Architect on: 05-042003: 10:20:24 PM
Proiect: SOUTHAM - Location: KITCHEN / FAMILY ROOM FLUSH BEAM
Summary:
3.5 IN x 14.0 IN x 17.5 FT / Versa -Lam 2800 Fb DF - Boise Cascade
Section Adequate By: 60.2% Controlling Factor: Section Modulus / Depth Required 11.83 In
' Section may not be readily available.
Deflections:
Dead Load:
DLD=
0.42
IN
Live Load:
LLD=
0.29
IN = U734
Total Load:
TLD=
0.70
IN = U298
Reactions (Each End):
Live Load:
LL-Rxn=
1899
LB
Dead Load:
DL-Rxn=
2779
LB
Total Load:
TL-Rxn=
4677
LB
Bearing Length Required (Beam only, Support capacity not checked):
BL=
1.48
IN
Beam Data:
Span:
L=
17.5
FT
Maximum Unbraced Span:
Lu=
0.0
FT
Pitch Of Roof:
RP=
5
:12
Live Load Deflect. Criteria:
U
240
Total Load Deflect. Criteria:
U
180
Non -Snow Live Load:
Roof Loaded Area:
RLA=
271.3
SF
Live Load Method:
Method =
One
Roof Loading:
Roof Live Load -Side One:
LL1=
14.0
PSF
Roof Dead Load -Side One:
DL1=
18.0
PSF
Tributary Width -Side One:
TW1=
7.5
FT
Roof Live Load -Side Two:
LL2=
14.0
PSF
Roof Dead Load -Side Two:
DL2=
18.0
PSF
Tributary Width -Side Two:
TW2=
8.0
FT
Roof Duration Factor:
Cd=
1.25
Beam Self Weight:
BSW=
15
PLF
SlopelPitch Adiusted Lengths and Loads:
Adiusted Beam Length:
Ladi=
17.5
FT
Beam Uniform Live Load:
wL=
217
PLF
Beam Uniform Dead Load:
wD_adi=
318
PLF
Total Uniform .Load:
WT=
535
PLF
Properties For: Versa -Lam 2800 Fb DF- Boise Cascade
Bending Stress:
Fb=
2800
PSI
Shear Stress:
Fv=
285
PSI
Modulus of Elasticity:
E=
2000000
PSI
Stress Perpendicular to Grain:
Fc,
900
PSI
Adjusted Properties
-Perp=
Fb' (Tension):
Fb'=
3441
PSI
Adjustment Factors: Cd=1.25 Cf --0.98
FV:
FV=
356
PSI
Adiustment Factors: Cd=1.25
Design Requirements:
Controlling Moment:
M=
20464
FT -LB
8.75 ft from left support
Critical moment created by combining all dead and live loads.
Controlling Shear:
V=
4677
LB
At support.
Critical shear created by combining all dead and live loads.
Comparisons With Required Sections:
Section Modulus (Moment):
Sreq=
71.37
IN3
S=
114.33
IN3
Area (Shear):
Areq=
19.69
IN2
A=
49.00
IN2
Moment of Inertia (Deflection):
Ireq=
483.38
'IN4
1=
800.33
IN4
Roof Beam[ 97 Uniform Building Code (91 NDS) 1 Ver: 5.06
By: gree peitz , Gregory A. Peitz Architect on: 05-04-2003: 10:18:54 PM
Project: SOUTHAM - Location: MASTER BEDROOM
Summary:
5.5 IN x 9.5 IN x 13.0 FT / #1 - Douglas Fir -Larch - Dry Use
Section Adequate By: 65.8% Controlling Factor: Section Modulus / Depth
Required 7.38 In
Deflections:
Dead Load:
DLD=
0.19
IN
Live Load:
LLD=
0.15
IN = U1060
Total Load:
TLD=
0.34
IN = U460
Reactions (Each End):
Live Load:
LL-Rxn=
936
LB
Dead Load:
DL-Rxn=
1223
LB
Total Load:
TL-Rxn=
2159
LB
Bearing Length Required (Beam only, Support capacity not checked):
BL=
0.63
IN
Beam Data:
Span:
L=
13.0
FT
Maximum Unbraced Span:
Lu=
0,0
FT
Pitch Of Roof:
RP=
5
:12
Live Load Deflect. Criteria:
U
240
Total Load Deflect. Criteria:
U
180
Non -Snow Live Load:
Roof Loaded Area:
RLA=
117.0
SF
Live Load Method:
Method =
One
Roof Loading:
Roof Live Load -Side One:
LL1=
16.0
PSF
Roof Dead Load -Side One:
DL1=
18.0
PSF
Tributary Width -Side One:
TW1=
7.5
FT
Roof Live Load -Side Two:
LL2=
16.0
PSF
Roof Dead Load -Side Two:
DL2=
18.0
PSF
Tributary Width -Side Two:
TW2=
1.5
FT
Roof Duration Factor:
Cd=
1.25
Beam Self Weight:
BSW=
13
PLF
Slope/Pitch Adjusted Lengths and Loads:
Adjusted Beam Length:
Ladi=
13.0
FT
Beam Uniform Live Load:
wL=
144
PLF
Beam Uniform Dead Load:
wDadi=
188
PLF
Total Uniform Load:
—WT=
332
PLF
—Properties For: #1- Douglas Fir -Larch
Bending Stress:
Fb=
1350
PSI
Shear Stress:
Fv=
85
PSI
Modulus of Elasticity:
E=
1600000
PSI
Stress Perpendicular to Grain:
Fc_perp=
625
PSI
Adjusted Properties
Fb' (Tension):
Fb'=
1688
PSI
Adjustment Factors: Cd=1.25 Cf --1.00
FV:
Fv'=
106
PSI
Adjustment Factors: Cd=1.25
Design Requirements:
Controlling Moment:
M=
7018
FT -LB
6.5 ft from left support
Critical moment created by combining all dead and live loads.
Controlling Shear:
V=
2159
LB
At support.
Critical shear created by combining all dead and live loads.
Comparisons With Required Sections:
Section Modulus (Moment):
Sreq=
49.90
IN3
S=
82.73
IN3
Area (Shear):
Areq=
30.48
IN2
A=
52.25
IN2
Moment of Inertia (Deflection):
Ireq=
153.93
IN4
1=
392.96
IN4
Roof Beamf 97 Uniform Building Code (91 NDS) 1 Ver: 5.06
23.81
IN3
By: qreq Peitz , Gregory A. Peitz Architect on: 05-04-2003: 10:21:31 PM
51.56
IN3
Project: SOUTHAM - Location: DINING ROOM FRONT WINDOW
19.77
IN2
A=
Summary:
IN2
I req=
42.68
5.5 IN x 7.5 IN x 8.5 FT / #1 - Douglas Fir -Larch - Dry Use
I=
19Q;36
IN4
Section Adequate By: 108.6% Controlling Factor: Area / Depth Required 5.1 In
Deflections:
Dead Load:
DLQ=
Q,.07
IJR
Live Load:
LLD=
0.05
IN = U1866
Total Load:
TLD=
0.13
IN = U815
Reactions (Each End):
Live LQad:l
LL Rw=
fz12
L-8
Dead Load:
DL-Rxn=
788
LB
Total Load:
TL-Rxn=
1400
LB
Bearing Length Required (Beam only, Support capacity not checked):
BL=
0.41
IN
Beam Data;
Span:
L=
8.5
FT
Ma)amum Unbraced Span:
Lu=
0.0
FT
Pitch Of Roof:
RP=
5
:12
Live Wad Cefled-- Criteria:
U
240
Total Load Deflect. Criteria:
U
180
Non -Snow Live Load:
Roof Loaded Area:
RLA=
76.5
SF
Live_ Lo_a_d Metho_d;,
W010 =
One
Roof Loading:
-d.
Roof Live Load,Side One:
LL1=
16.0
PSF
Roof Dead Load -Side One:
DL1=
18.0
P$F
Tributary Width -Side One:
TW1=
7.5
FT
Roof Live Load -Side Two:
LL2=
16.0
PSF
Roof Dead Lbad-Side Two:
D12=
18.0
PSF
Tributary Width -Side Two:
TW2=
1.5
FT
Roof Duration. Factor:.
C_d=
1 25
Beam Self Weight:
BSW=
10
PLF
Slope/Pitch Adjusted Lengths and Loads:
Adjusted Beam Length:
Ladi=
8.5
FT
Beam Uniform Live Load:
wL=
144
PLF
Beam Uniform Dead Load:
wDadi=
186
PLF
Total Uniform Load:
—WT=
330
PLF
Properties For: #1- Douglas Fir -Larch
Bending Stress:
Fb=
1200
PSI
Shear Stress:
Fv=
85
PSI
Modulus of Elasticity:
E= 1600000
PSI
Stress Perpendicular to Grain:
Fc�erp=
625
PSI
Adjusted Properties
Fb' (Tension): Fb'=
Adjustment Factors: Cd=1.25 Cf=1.00
FV: FV=
Adjustment Factors: Cd=1.25
Design Requirements:
Controlling Moment:
4.25 ft from left support
Critical moment created by combining all dead and live loads.
Controlling Shear: -
At support.
Critical shear created by Combiningall dead and live loads.
Comparisons With Required Sections:
Section Modulus (Moment):
Area (Shear):
Moment of Inertia (Deflection):
M
09
1500 PSI
106 PSI
2976 FT -LB
1400 LB
Sreq=
23.81
IN3
S=
51.56
IN3
Areq=
19.77
IN2
A=
41.25
IN2
I req=
42.68
I N4
I=
19Q;36
IN4
'23
21
Roof Rafter[ 97 Uniform Building Code (91 NDS) ) Ver: 5.06
By: greq Peitz , Gregory A. Peitz Architect on: 05-042003: 9:17:09 PM
Project: SOUTHAM - Location: RAFTERS
Summary:
1.5 IN x 7.25 IN x 14.0 FT (Actual 15.2 FT) (c� 24 O.C. / #2 - Douglas Fir -Larch - Dry Use
Section Adequate By: 8.2% Controlling Factor: Section Modulus / Depth Required 6.97 In
Rafter Span Deflections:
Dead Load:
DLD-Interior-
0.40
IN
Live Load:
LLD -Interior-
0.43
IN = U427
Total Load:
TLD4nterior-
0.83
IN = U219
Rafter End Loads and Reactions:
LOADS:
RXNS:
Upper Live Load:
112 PLF
224 LB
Upper Dead Load:
106 PLF
212 LB
Upper Total Load:
218 PLF
436 LB
Lower Live Load:
112 PLF
224 LB
Lower Dead Load:
106 PLF
212 LS
Lower Total Load:
218 PLF
436 LB
Upper Equiv. Tributary Width:
UTWeq=
7.0
FT
Lower Equiv. Tributary Width:
LTWeq=
7.0
FT
Rafter Data:
Interior Span:
L=
14.0
FT
Eave Span:.
L-Eave=
0.0
FT
Rafter Spacing:
Spacing=
24.0
IN O.C.
Rafter Pitch:
RP=
5.0
:12
Roof sheathing applied to top of joists -Top of rafters fully braced.
Live Load Deflect. Criteria:
IJ
240
Total Load Deflect. Criteria:
U
180
Non -Snow Live Load:
Roof Loaded Area:
RLA=
28.0
SF
Live Load Method:
Method =
One
Rafter Loads:
Roof Live Load:
LL=
16.0
PSF
Roof Dead Load:
DL=
14.0
PSF
Roof Duration Factor:
Cd=
1.25
Slope Adjusted Spans And Loads:
Interior Span:
L-adj=
15.17
FT
Rafter Live Load:
wL-adj=
27
PLF
Rafter Dead Load:
wD-adi=
26
PLF
Rafter Total Load:
wT-adj=
53
PLF
Properties For: #2- Douglas Fir -Larch
Bending Stress:
Fb=
875
PSI
Shear Stress:
Fv=
95
PSI
Modulus of Elasticity:
E=
1600000
PSI
Stress Perpendicular to Grain:
Fc -perp=
625
PSI
Adjusted Properties
Fb' (Tension):
Fb'=
1509
PSI
Adjustment Factors: Cd=1.25 Cf --1.20 Cr --1.15
FV:
FV=
119
PSI
Adjustment Factors: Cd=1.25
Design Requirements:
Controlling Moment:
M=
1527
FT -LB
- 7.583 Ft from left support of span 2 (Center Span)
Critical moment created by combining all dead loads and live loads on span(s) 2
Controlling Shear:
V=
403
LB
15.167 Ft from left support of span 2 (Center Span)
Critical shear created by combining all dead loads and live loads
on span(s) 2
Comparisons With Required Sections:
Section Modulus (Moment):
Sreq=
12.14
IN3
S=
13.14
IN3
Area (Shear):
Areq=
5.09
IN2
A=
10.88
IN2
Moment of Inertia (Deflection):
Ireq=
39.08
IN4
I=
47,63
IN4
Roof Rafterl' 97 Uniform Building Code (91 NDS) 1 Ver: 5.06
By: qreq peitz , Gregory A. Peitz Architect on:
05-042003: 9:16:55 PM
Proiect: SOUTHAM - Location: RAFTERS
Summary:
1.5 IN x 5.5 IN x 11.0 FT (Actual 11.9 FT) (ir) 24 O.C. / #2 - Douglas
Fir -Larch - Dry Use
Section Adequate By: 9.3% Controlling Factor: Section Modulus / Depth Required 5.33 In
Rafter Span Deflections:
Dead Load:
DLD-Interior=
0.35
IN
Live Load:
Total Load:
LLD -Interior=
0.37
IN = U385
Rafter End Loads and Reactions:
TLD -Interior=
LOADS:
0.72
RXNS:
IN = U197
Upper Live Load:
88 PLF
176 LB
Upper Dead Load:
83 PLF
167 LB
Upper Total Load:
171 PLF
343 LB
Lower Live Load:
88 PLF
176 LB
Lower Dead Load:
83 PLF
167 LB
Lower Total Load:
171 PLF
343 LB
Upper Equiv. Tributary Width:
UTWeq=
5.5
FT
Lower Equiv. Tributary Width:
LTWeq=
5.5
FT
Rafter Data:
Interior Span:
L=
11.0
FT
Eave Span:
L-Eave=
0.0
FT
Rafter Spacing,
Spacing=
24.0
IN O.C.
Rafter Pitch:
RP=
5.0
:12
Roof sheathing applied to top of joists -Top of rafters fully braced.
Live Load Deflect. Criteria:
U
240
Total Load Deflect. Criteria:
U
180
Non -Snow Live Load:
Roof Loaded Area:
RLA=
22.0
SF
Live Load Method:.
Method =
One
Rafter Loads:
Roof Live Load:
LL=
16.0
PSF
Roof Dead Load:
DL=
14.0
PSF
Roof Duration Factor:
Cd=
1.25
Slope Adiusted Spans And Loads:
Interior Span:
L-adi=
11.92
FT
Rafter Live Load:
wL-adi=
27
PLF
Rafter Dead Load:
wD-adi=
26
PLF
Rafter Total Load:
wT-adj=
53
PLF
Properties For: #2- Douglas Fir -Larch
Bending Stress:
Fb=
875
PSI
Shear Stress:
Fv=
95
PSI
Modulus of Elasticity:
E=
1600000
PSI
Stress Perpendicular to Grain:
Fc -perp=
625
PSI
Adjusted Properties
Fb' (Tension):.
Fb'=
1635
PSI
Adjustment Factors: Cd=1.25 Cf --1.30 Cr -1.15
FV:
FV=
119
PSI
Adiustment Factors: Cd=1.25
.Design Requirements:
Controlling Moment:
M=
943
FT -LB
5.958 Ft from left support of span 2 (Center Span)
Critical moment created by combining all dead loads and live loads on span(s) 2
Controlling Shear:
V=
316
LB
At left support of span 2 (Center Span)
Critical shear created by combining all dead loads and live loads
on span(s) 2
Comparisons With Required Sections:
Section Modulus (Moment):
Sreq=
6.92
IN3
Area (Shear):
S=
Areq=
7.56
4.00
IN3
IN2
Moment of Inertia (Deflection):
A=
Ireq=
8.25
18.96
IN2
IN4
1=
20.80
IN4
Roof Beam[ 97 Uniform Building Code (91 NDS)1 Ver: 5.06
-perp=
42.32
IN3
By: greg peitz , Gregory A. Peiti Architect on: 05-042003: 9:49:19 PM
51.56
IN3
Proiect: SOUTHAM - Location: REAR WINDOWS OF LIVING ROOM
32.12
IN2
A=
Summary:
IN2
Ireq=
83.00
5.5 IN x 7.5 IN x 9.3 FT / #1 - Douglas Fir -Larch - Dry Use
1=
193.36
IN4
Section Adequate By: 21.8% Controlling Factor. Section Modulus / Depth
Required 6.79 In
Deflections:
Dead Load:
DLD=
0.15
IN
Live Load:
LLD=
0.12
IN = U950
Total Load:
TLD=
0.27
IN = U419
Reactions (Each End):
Live Load:
LL-Rxn=
1004
LB
Dead Load:
DL-Rxn=
1271
LB
Total Load:
TL-Rxn=
2275
LB
Bearing Length Required (Beam only, Support capacity not checked):
BL=
0.66
IN
Beam Data:
Span:
L=
9.3
FT
Maximum Unbraced Span:
Lu=
0.0
FT
Pitch Of Roof:
RP=
5
: 12
Live Load Deflect. Criteria:
U
240
Total Load Deflect. Criteria:
L/
180
Non -Snow Live Load:
Roof Loaded Area:
RLA=
125.6
SF
Live Load Method:
Method =
One
Roof Loading:
Roof Live Load-$ide One:
LL1=
16.0
PSF
Roof Dead Load -Side One:
DL1=
18.0
PSF
Tributary Width -Side One:
TW1=
9.0
FT
Roof Live Load -Side Two:
LL2=
16.0
PSF
Roof Dead Load -Side Two:
DL2=
18.0
PSF
Tributary Width -Side Two:
TW2=
4.5
FT
Roof Duration Factor:
Cd=
1.25
Beam Self Weight:
BSW=
10
PLF
Slope/Pitch Adiusted Lengths and Loads:
Adiusted Beam Length:
Ladi=
9.3
FT
Beam Uniform Live Load:
wL=
216
PLF
Beam Uniform Dead Load:
wD adi=
273
PLF
Total Uniform Load:
WT=
489
PLF
Properties For: #1- Douglas Fir -Larch
Bending Stress:
Fb=
1200
PSI
Shear Stress:
Fv=
85
PSI
Modulus of Elasticity:
E= 1600000
PSI
Stress Perpendicular to Grain:
Fpm
625
PSI
Adjusted Properties
Fb' (Tension): Fb'=
Adjustment Factors: Cd=1.25 Cf --1.00
FV: FV=
Adiustment Factors: Cd=1.25
Design Requirements:
Controlling Moment:
4.65 ft from left support
Critical moment created by combining all dead and live loads.
Controlling Shear:
At support.
Critical shear created by combining all dead and live loads.
Comparisons With Required Sections:
Section Modulus (Moment):
Area (Shear):
Moment of Inertia (Deflection):
M=
go
1500 PSI
106 PSI
5290 FT -LB
2275 LB
Sreq=
42.32
IN3
S=
51.56
IN3
Areq=
32.12
IN2
A=
41.25
IN2
Ireq=
83.00
IN4
1=
193.36
IN4
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