HomeMy WebLinkAbout039-450-008I
Lu
ED I I I
039-45-0-008 #98-2484
KNIECIK, AL
2522 DURHAM DAYTON RD.DL
BUTTE ROOFING INC.
REROOF
039-450-008 02-0465
FULTZ, Teresa
2522 Durham Dayton Hwy, Durham
Cotn: Glenn Schukei
Reroof/SF
039-450-008 04-3520
FULTZ,TERESA
2522 DURHAM DAYTON HWY,
DURHAM
Cont: MIKE RICHARDS
SUNROOM ADDITION f -Ig 4J 127)41
it
.t
NOTES - RESIDENTIAL
'-039-450-008
PERMIT NO. f-�_ 04-3520
FULTZ,TEAESA'" j
2522 DURHAM DAYTON HWY, lI
DURHAM
• + Cont: MIKE RICHARDS
SUNROOM ADDITION
tt _
i
4
r
a.
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
rt
E
r!
I
JOB FINALED (Date)
Signature tA cco
J=OK
0 = Not OK
. =
NotApplicable
Not Ready
1.
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
3.
1.
Zoning Requirements -Setbacks -Easements
Wood Awn.; Posts- Beams- Rftrs-Con nectors
Shthg-Frg-Bracing
2.
Soils; Special MH Support Sketch
6.
3.
Sewer; Location -Test -Fall -C/O -Concrete
Electric
4.
Water; Location -Test -Easement Needed (Sketch)
9.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Roof; Shthg-Roofing
6.
Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or / P' L "ft./ P LPG
12.
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- Regu lator-Con hector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking .
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9. Exits
10.
License Decals
11.
Verify #'s with Office
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Con nectors
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- Panel boards- Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not = NotAApplicable
p
. = Not Ready
FRA ING (Continued)
RESIDENTIAL
Date
UNDER OR (Plans) OK except #'s
i ng -Setbacks -Easements -Flood -Slope
Card B-1 Date Card B-1
Date
tg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel -Blockouts-Wrapped
6.
Stemwalls, Garage; Steel- Blockouts-Wra ed
6a.
dDowns and Special Anchors
29.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
Smoke Detector
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
race IntebiarlExterior Wall Panels ..>
15.
Access & Ventilation
Card B-1 Date Card B-1
16.
Insulation
Date Card B-1 Date Card B-1
Date _ Card B-1 Date Card B-1
Date PLUMBING ( r it) OK except #'s
17. Water Htr.: Vent -Access -Combustion Ak-Beffte
18. Water Pipe; Test & Anchor -N ' rotection
19. D.W.V.; Test Fi 'ngs & chor-Nail Protection
20. Shower Pan; Te irst Floor -Tub Access
21. Test Tub ower",Second Floor -Tub Access
22. Gas Me; Sixe & Anchqrs
23. Fir Sorinkler: Test
(Single & Duplex)
Date
FRA ING (Continued)
Card B-1 Date Card B-1
Date
ngers-Post Caps -Anchors -Connectors
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24.
Fixture & Transformer Clearance -Ins. Protection
25.
F.t'ec. Receptacles Spacing -Lights & Switches at Doors
51.
Si a Boxes & No. of Conductors Stapled
7
ex Installed Close to Edge of Studs & C.J.
2 .
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All
Insulated Neutral ❑ Yes ❑ No
32.
Service -Riser Conductors & Ground Main Disconnect
33.
Equip. Clearances Panels-Motors-Mech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
35.
Smoke Detector
race IntebiarlExterior Wall Panels ..>
Date
62.
Card B-1 Date Card B-1
Date
63.
Card B-1 Date Card B-1
Date
MEC ANICAL (Permit) OK except #'s
Card B-1 Date Card B-1
Date
A.C. Ducts Insulation & Support
Card -1 Date Card B-1
37.
Vent Fan, Exhaust above insulation
lans) OK except #'s
38.
Condensate Drain & Overflow, Size & Grade
Steps -Door & Sidelight Protection -Landings
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
Smoke Detector
40.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRA ING (Permit) OK except #'s
69.
W.
S s Proper Materials & Anchors
70.
Stairs & Rails
Walls Studs -Nailing Spacing & Braces -Plates -Sound
71.
43.
Bearing Walls over Girders & Floor Nailing
72.
44.
Draft Stop in Walls (rat proof)
73.
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
74.
46.
Headers & Beams -Size & Bearing
75.
Garage Fire Door; Swing -Landing -Closure
t
Date
FRA ING (Continued)
W.
ngers-Post Caps -Anchors -Connectors
Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
C}arage Fire Protection Framing -RC Channel S
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
airs; Width -Headroom -Rise -Run -Landing -Fire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
S,rcco Mesh -Drip Screed -Fd. Vents-Underflr. Access
.
Glazi Area -Glass Protection -Skylights -Plastic
60.
S ar Walls; Nailin -
race IntebiarlExterior Wall Panels ..>
62.
Insulation -Walls -Ceilings
63.
nfiltratio -Walls,:llUindows
Dat
,
Card B-1 Date Card B-1
Date
Card -1 Date Card B-1
Date
FINA
lans) OK except #'s
Steps -Door & Sidelight Protection -Landings
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
0Aarage; Above Floor-Mech. Protection
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
83.
Following Instld./Drive O Yes ❑ No/Walks O Yes O No/Planters O Yes O No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
er Well, Disconnect, Electrical, Plumbing
V,Fxterior
Elec. Trim, G.F.I. Receptacle -Underground
V ntilation Throughout House
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
er & Sewer Connected -C/O to Grade -HD Approval
W5
ergy Compliance Certificate -Other Certificates
96.
Address Posted
Fire Sprinkler
Date
-CQ
Card B-1 tV Date Card B-1
Date
`
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
insulation Certificate
L2
Z.
-wTff nTNG OWNER: i ewes
BUILDING LOCATION:
Description of Installation
ROOF
Material
Thickness (inches)
BUILDING PERMIT #: o I - u
Brand Name
Thermal Resistance (R -Value)
CEILING
Bau or Blanket Type : \ " � b � Brand Name
Thermal Resistance. (R -Value) V
Thickness (inches) Brand Name
Loose Fill Type inches
Contractor's minimum installed weight/ft lb Minimum thickness Value)
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R-
EXTERIORMAe)tz� —
Material Thickness (inches
RAISED FLOOR
Material
Thickness (inches)
SLAB FLOOR
Material
Thickness (inches)
Width (inches) —
FOUNDATION WALL
Brand Name
Thermal Resistance (R -Value) 1 c1
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
Material Brand Name
Thickness (inches) "';ermal Resistance (R -Value)
Declaration
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of -the
California A inistrati
90
License Number
neral actor rl rj „O/e)
Date
Sign and Title
11 a_ License Number
Sub -Contractor (Insulation Installer)
A/441 Date
Signature and Title
THIS CERTIFICATE MUST -BE PROVIDED TO THE NBUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
D
APPROVAL AND A COPY SHALL BE PO JANUARY 1993
BUTTE COUNTY
PERMIT NO.
DEPARTMENT OF DEVELOPMENT SERVICES
- BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891•-2834 (CHICO) BP043520
OFFICE #: (530) 538-7541 -
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: License N er: Q
Dal ^29 Contractor. Ce" •`
'OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from the
Contractors' Stale 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 Slate 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 rive hundred dollars (8500).):
❑ 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' Slate License Law does not apply to an
owner of properly 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' Slate License Law does
not apply to an owner of properly who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
Dale: Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penally of perjury one of the following declarations:
❑ 1 have and will maintain a certificate or 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 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Policy
Issued Date: 03/28/2005 APN: 039-450-008-000
Site Address: 2522 DURHAM DAYTON HWY DUR
Map Index:
Description: ADDITION (445)
Owner: KMIECIK TERESA F
2522 DAYTON DURHAM RD
DURHAM, CA
95938
Applicant: RICHARD, MIKE
2 HEMMING LANE
CHICO, CA 95926
(530) 894-2135
Contractor: RICHARD, MIKE
2 HEMMING LANE
CHICO, CA 95926
(530) 894-2135
License #: 640473
Architect: CRETE, TIMOTHY J.
Engineer:
Total Square Ft: 445 S. F.
Valuation: $28,925.00
1 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.
Dale: — S
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
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.)
Name:
its p here Issued under the applicat
asol t work_Indlccted above fo-Lnhf
i provisions of the Butte County Code and/or
� fees have been pa
`?s,
s,
Da
PERMIT EXPIRES ON. ✓ � v
Address: Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification In accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled constructiZh'I.
❑ Attached are copies of the required E.P.A., notification forms.
I hereby certify that I have read thrill plication, that the above Information Is correct, and that I am the owner or the duly authorized aI agree to comply with
all county and slate laws relal l uildin Ilion. I acknowledge it Is unlawful to alter the substance of any official form or dGvu�ily-Htm
authorize representatives County l • ente pon th above mentioned property for inspection purposes.
Print Name: l L. Signature:
Date:
C] Owner �-Contractor ❑ Agent for Owner 13 Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.netldds
"PLEASE PRINT CLEARLY"
PERMIT
NO.
BP ®435
I BIN A#,ql
LOCATION
AP#
S-0 O
Property Address City
Z5Z7-
Fross
Street
WORKER'S COMPENSATION
Policy Number -
Carrier
If hiring anyone othe than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
GA .
APPLICANT NAME
OWNER
Last Narner,
City Stat e'+
o C�
irsttime
Addr ss Z
2
City
City
State,/ _
Zip
Phone
Phone
Fax
E-mail
E-mail
PERMIT
NO.
BP ®435
I BIN A#,ql
LOCATION
AP#
S-0 O
Property Address City
Z5Z7-
Fross
Street
WORKER'S COMPENSATION
Policy Number -
Carrier
If hiring anyone othe than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
GA .
APPLICANT NAME
CONTRACTOR
Name
City Stat e'+
o C�
Zip4, 5.78.
Phone a� ^ Z13� Fax
Address
,7
City
Occ, I
State
Zip
Phone
�Z13
Fax
E-mail
Date Approved:
Lic.
6
PERMIT
NO.
BP ®435
I BIN A#,ql
LOCATION
AP#
S-0 O
Property Address City
Z5Z7-
Fross
Street
WORKER'S COMPENSATION
Policy Number -
Carrier
If hiring anyone othe than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
GA .
APPLICANT NAME
Name
eCL r
Address
f�
City Stat e'+
o C�
Zip4, 5.78.
Phone a� ^ Z13� Fax
E-mail
For office use only:
Zoning
Flood Zone
SRA
Yes
Occ, I
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PLICATION
Applicatto„ i a permit has not been issued will expire one
year after the dato .,f 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
Received by: P211 4' Amount: +2�-. IS Bldg
Receipt #:14-107&-3
Date: o_.,57_04_
_SRA _•►5-04—
SRA
Sheriff
SMIP
Other
4240 • l lb Total
REV 7-27-04
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
p rmit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down
or fnd plans, all in duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Detached Accessory Building Form filled out by the owner (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only).
❑ 13. Sanitation and site plan approval from the Environmental Health Department. -
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required).
❑ 4. NPDES Form.
❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6. Contractor's license information. (Number, Name Style, Classification).
❑ 7. Worker's Compensation Carrier and Policy Number.
❑ 8. Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization (if required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538.7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04
N�- N.0
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: Fl.1LTZZ ASSESSOR PARCEL NUMBER -0 B q'
Proposed Building Use: Counter 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/ 4. Engineered truss details and layouts in duplicate. No faxes!
0 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) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
19. Soils Report and/or Engineered Foundation required ..................................... ........
Erosion Control Plan Required ............................................... ............ ..... .
).
s as shown on the attached Schedule of Fees Due Sheet..... ...............
*�=2!
22. City of Chico Plumbing permit ...................
23. California Department of Forestry plan approval ❑ paid. Sent by: ............ ;
24. Planning approval (A) Use: OK- (B)Parking: (C) Parcel Check:
❑ 25. Contact Land Development about _ Improvements, _ Drainage .........................
26. NPDES Form.............................................................................................
27. Encroachment Permit for driveway from the Public Works Dept ...........................
28. Pre -Inspection for required.......
29. Contractor's license information. (Number, Name Style, Classification) ...................
30. Worker's Compensation Carrier and Policy Number ..........................................
31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
0 32. Letter of Signature authorization ...................................... :.............................
❑ 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance...............................................................
❑ 35. Existing violations and/or expired permits.....................:...................................
❑ 36. Deed Restriction..........................................................................................
❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 38. Other:
❑ 39. Other:
When issued Telephone q f B4=7 and hold for pickup.
I have been informed 9.t-th ae bove t ms an ireme'` nests o obtaining a building permit.
1. Index permit application f r the a items numbered: Iw e / s
2. Additional items reQuiLed
Contractor, design er advisM of the above data by ❑ hone, mai , ❑ counter, by
ra , designer, ow r, was advised of the ab e a by un a hone, ❑ mail, ❑ cob,
-PMs reviewed by: Date Plans approved by:
Structural reviewed by: Dat . Structural approved by:
Note transfer by: Date:
Yellow: Building Division
Plan Check Letter
Date:
Date:
Date:
Date:
TO: —Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.H.U
Piot Plan Attached
Roar Plan Attached =�
Sona to B.D.
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for dwelling. Other
Hold final for`.
Final clearance O.K. for:
NOTE:
C,
Environmental Wealth Specialist
8/96
Date
t
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
`) SCHEDULE OF RECEIPT OF FEES
OWNER FILL=r'2 -K aq f eG1 1e-
PROPROSED BUILDING USE A0 o t -n o ij ( -44a)
1. BUILDING PERMIT FEES
--- Balance Due ..................... $
--- Additional Fees Due........... $
--- Revised Plan Checking Fee.... $
2. SCHOOL DISTRICT FEES-�'��`"
(paid at School District Office) (form available after Plan Check)
A.P. # 4!!!"39 . LISb •dog
DATE t A
RECEIPT # DATEREC.
3. SHERIFF FEES (paid at Building Division)
Residential............ X $360.00 =$ _
Units
Commercial (sq. ftg.)..... X $0.03 = $ _
Sq.Ftg.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit)..... X = $ _
# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Ftg. Amt.
5. RECREATION DISTRICT FEES}+�pO�
paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) .........
Sq. Ftg.
�.�P1'0. OTHER � � P
At time of permit application,
may be changed duringgi�o
s
_X =$
Amt.
required to be paid prior to issuance of the permit. These fees
DATE
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM
❑ FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ' BUTTE
0 CHICO AREA RECREATION AND PARK DISTRICT (CARD) COUNTY
❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) MAR 0 9 2005
P(DURHAM RECREATION AND PARK DISTRICT (DRPD) AEVELOPMENT
SERVICES
Assessor Parcel Number (s) ��,�% 1t:5 O od Building Permit Number Oq _ 3 S A 0
Property Owner (s) FLa l -1—
Project Location /Address ;t!5 a u r Q e J Lkr�
Subdivision Name ssessaWe Sq. Ftge 9 LA 5
Type of Residential Development (check one)
New Development Single Family -Detached Single Family -Attached
i / Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling
Mobile home Mobile home replacement verified by Assessor Department
Demo Permit (date issued ) verified by Building Department
Comments:
❑ FRRPD ❑ CARD 0 PRPD B DRPD certifies that:
cant Name
Phone Numher
Has complied with requirements of the Butte County Board of Supervisors Resolution No.
by Payment of:
Dwelling Units @ $
Square Feet @ $ _
per unit for a total of $
per sq foot for a total of $
Remarks: less' 4IG n eq. :4 no c.kl,
Paid by Check No: Paid by Cash: _ _ _ Receipt No:
KAFORMSWILDING FORMS\park-rec standard form rev Ldoc
j�e
School District
A.P. Number
Property Owner
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
r Lea� Building 6 eipartriikms=int P46-. -
03 7- q!50-- pOx Ju Iction; r City- County
Property, Location/Addreis
pd .7
P, As. -I
Subdivision
Lot No.
Residential Development
.........»........_......_.._
..............................
..... .... . .........................
Sq. Footage
L
7
No of Living
Mobile Home
Addirtiord
*Supplemental to
(Group R)
Units
Installation
Conversion
Permit #
.....................
. ..................................
*(No foundation inspection)
Deed Restricted Sq. Footage,
n9dcoptjof,D00..R4str!qti 'a qp; nd;ge.of-Limited Us-e.-Facilit,v,do.cument),,:,,...,,,
Commercial/Industrial
Q
Sq. Footage
Now
Addition
(Including Exterior
('3ol
District Identification No.
School District certifies that
Roofed Areas)
,�l �/oma
Date
Fo L7 -z -
(Applicant)
led
(Street Address) (Phone Number)
I D U le 014-7-7)
(City);7eovrf "* .0
1- 11 /.-/-/ /-/Z
to
2
has compliedAdOhekre
qUirements of Resolution -
representing sqUare feet.
School District Representative
Paid by Check #
(State) lodip co,
topayment ofoel
172926
Date
OR=
Remarks: kjP1'vL--7-) 5Z"7)5
Notle*: You may protest the Imposition of the fan k1lontilled above by submitting a written protest to the District, In compliance with
Government Code Section 66020(a), within 90 days from the daft fees we. paid. Failure to submit a timely wrlllen protest w1irprohlbit
you ftom challenging the Imposition of the less In any court adkwL
N. subsequent to the School District Representative signing this Butte County Schools tmpsct ImpFee Cardfication Form, the School Dh*id Is
nhotlaed by the applicable Local Planning Agency that this project Is being reviewed under the Calitiornim Environmental Quality Act (CEQA),
this project may be subject to additional school fen to fully midgets. Its Impact on the school distrIces schools.
White (applicant), Yellow (building department), Pink (school district) feeformads (10/03)drnm
a O 0STMENr p�
/ o�UTrF0.
o
O O
O O
a °)
11�;C/p��� WORDp
Department
.0 o u n t �
J. Michael Crump,. Director
Public
f B u t
Works
LAND DEVELOPMENT DIVISION
Storm Water Management Program
7 County Center Drive
Oroville, CA 95965
(530) 538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase 11
Construction Storm Water Permit and Storm Water Pollution Prevention
Plan (SWPPP) Acknowledgement [LESS THAN I ACRE)
Project Description: cJ--zoo ���.' i o.._,•
Project Location and/or Parcel Number: ?—S-27 �y12h/�.-, Pv4•y7at_---7
By signingtbelow, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB
1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit
from the State of California Regional Water Quality Control Board. Phased projects that contain
multiple site build -outs of less than one acre but when combined with subsequent phases total more
than one acre of disturbed soil will require a Construction Storm Water Permit from the State of
California Regional Water Quality Control Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction
Storm Water Permit from the State of California Regional Water Quality Control Board for a project
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by law.
Signed:
Title:
Date: / Z ���'•%
9
Less than 1 Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/24/04
SITE PLAN REVIEW APPLICATION
Date: I �l -�0 5' AP#
Permit Number (if applicable)
APPLICANT INFORMATION
Parcel Size:
Owners Name:
Owners Address: A44 Cowl
Telephone No::
Situs Address: /vl
Proposed Use:
Residential
❑ New Single Family Residential
❑ Single Family Addition
❑ Mobile Home
® Residential Accessory — �� joervl
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Other
❑ Septic
❑ Agricultural Exempt Building
❑ Other:
Brief Explanation (if necessary):
❑ Single Family Remodel
%(.000�vt2On
❑ Commercial Remodel
❑ Industrial Remodel
❑ Well
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
a
11 Approved.- " ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
(� Site Plan Stimped 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: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
11 Expansive Soils (Test for expansive soils and if verified proper foundation design required) 0'06&'L
❑ SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attached)
• Flood Zone:
• Flood Panel No.: -U 00 GO -2GC Index Date: 6/r/,?
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the Califomia 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)
r"
Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit
El Minor Variance E] Administrative Permit
❑ Variance
--------- —-------- —---- ----------- ---------------- --------- --- —-------- —---------- —----- ---------
❑ Detached Building Use Form ❑ Encroachment -Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning: JK —
GP —A-i4P
Applicable Building Setbacks:
Front
Zoning
Zoning Code
201
Streets & Highways
Fire Prevention
Subdivision Map
1
Side
5—
Side
Side Street
Rear
Height
s
/ZEE
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 Developihent Fees:
Standard Fees
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Impact
❑ Other
----------------------------7---------
Subdivision Map Special Fees
Amount i` i Formula
❑ 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
❑ Deeds:
Date of Creation: Legal Access Provided: ❑ No
Deed of Reference: Legal Access Required ❑ No
Parcel Frontage on Publicly Maintained Road: ` ❑ No R'Yes, Road Name:
Complies with County Standards for Deed Creation: F-1 No ❑ Yes
Comments:
❑ Yes
❑ Yes
❑ Parcel Deemed to be legal
❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
Page 3 of 5
IN Subdivision Map/Parcel Map: 7r?e--rl& viva, (�
Map Date of Recording: 4PO
Lot: Book: a - Page: 3
❑ Use Permit/Minor Use Permit
Permit Number: Date of Approval:
Parcel Map/Subdivision MapfUse Permit Conditions
❑ Comply with the following Conditions of Approval:
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development.. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for roa
Page 4 of 5
El -
Summary
Summary of Specific Requirements:
This information provided in this summary is based on the application information and on the best available data at the time
of review.
CALarrys�3uilding Permit Site Plan Reviewl.doc
Page 5.of 5
PLAN REVISION/RETURN
Owner's Name: F1,J+a AP#:
BP#: 0 f..'.5 Received By:
Date: �" y Time: C)
1
Contact Person & Phone Number:
PURPOSE OF RE -SUBMITTAL OR REVISION
❑ Permit Application Data Sheet Item
❑ *Engineering
❑ *Plan Revision
❑ *Requested by Building Inspector's Correction Notice — Inspector's Name:
Requested by Plan's Examiner —Plan Examiner's Name:
1
❑ Other:
*If revising a plan which has already been issued, submit two (2) drawings reflecting the revision
for plan review along with your approved plans. If engineering is involved in this revision, the
engineer must put his requirements on these drawings and wet stamp and sign two sets of
engineered drawings. Revised drawings must clearly show changes proposed and locations
involved.
WHEN APPROVED, PROCESS AS FOLLOWS:
❑ Mail"tb Owner/Contractor at this address:
❑ Call
❑ Deliver with next inspection.
and hold for pick-up.
Minimum revised plan check fee to be collected at time of submission of revision, plans
examiner will determine if additional plan checking fees are needed:
Minimum $54.99 Receipt #: s
Fee not required for revisions requested by plans examiner prior to issuance of permit.
Additional Fee Amount:
I
Receipt #:
Revised 2/04
V
PLAN REVIEW RESPONSE FORM,
In order to expedite the review of your plans, please complete the following information and return this form with your re -submittal. If
this forth is not complete, as to all correction items, we will not be able to accept your re -submittal for review. There must be a valid
response to every item requested in our pian correction letter.`" `By others" is not considered a valid response. Please indicate your
response to each item and the location where the information can be found on the plans/calcs.
ATTAC14 TNTC vnDM 4n A rnnv nc vnl la n1 AU neUteus 7 e I en .un .,�........................_ . _.==____--
OWNERS NAME - - - - — - - --- -
r6 ri
....10 XNV. V &- I..r new %0AAWHI\AL F'LANb.
DATE:
L) 2 ®®
l
A A L; I2
�
COMMENTS: bV� 9�+AY@ . �� .. 7,0
ASSESSORS PARCEL NUMBER
PERMIT NUMBER
os� — 450- 60%
0q+- 3 zo
RESPONSE FOR PLAN CHECK LETTER DATED:
PLAN CHECK ITEM #4)f) _ 51--„ RESPONSE BY: LOCATION ON PLANS/CALCS:
COMMENTS:
I
PLAN CHECK REM # RESPONSE BY: LOCATION ON PLANS/CALCS:
COMMENTS: a C
PLAN CHECK ITEM #
RESPONSE BY.
LOCATION ON PLANS/CALCS:
COMMENTS: bV� 9�+AY@ . �� .. 7,0
+F V 0
C`. _ IL .•
PLAN CHECK ITEM # 4TI,. RESPONSE BY:,,-,- LOCATION ON PLANS/CALCS:
C, F, 'P,evd A 1POLO& Z Ca0
COMMENTS: w vo'4 c&AA e, v GS t o -A
pg
PLAN CHECK ITEM # 41'k,
RESPONSE BY:
LOCATION ON PLANS/CALCS:
3
OO _ B
COMMENTS:
Feb 09 05 02:33p
l'c'b1,Uarj' 81, 21_U7
TdresZ l'l!1t2.
2522 Dudt:ini
Durham, Ca. 95938
Dep day—(-ijae jj i)f Development Services
(I ildhi-gM Vision
Coluth; Center Drive
G'.0 ilie. CA 95105
(5 0) 535-7:;41 (5 -101' :332-2140 FAX
A0004n, r Paveol Nvinibcr: 039-450-008-C"100
Building Permit Nlnnber: 04-3520
Thank you for submitting the plans :for your building projcc-t. The plans have; been reviewed, and
the plan examiner's comments are listed belov. . Please respond in writing to each item by
completing and returning the enclosed PLAN REVIEW RESPONSE FORIM. Your complete
and clear response will expedite the re -check and approval of this project.
NON-STRUCTURAL COMMENTS:
1. The enclosed school fee form and. the Butte County Development Fee Certification Form Is to
be completed by the respective agency and returned to this office.
2. Please prov,,de a th'e project architect stating he has review the truss calculations
and tlle',v con;orni to 11is structtlral. design.
STRU_CTURY I. COiNIMENTS:
1. Provide natural 1iGht and ventilation for the living room per sections 1203.2 and 1203.3 of
the 2001 C.BC or provide all openin- in the common wall between the sunroom and living
1,00111 per section 1203.1.
21 Please address the uplift reaction shown on the truss calculations for trusses B1 and. B2.
3. Simpson PB66 requires a. minimum of 2" side cover. A 6" square concrete pedestal will not
l:,rovide thr required side cover. Please revise.
of you wish to discuss any o"these requireanents, please call (530) 538-7541 between the hours
')f 1:00 P.m. and Zl:0tl p.la.. Montiay !hrou2li Friday. To discuss tion -structural items, ask for
I`•_llss-1ll. l"I'do 'v.
Please refer to you!' l au -1 SileO for I't�tnalilFrig, hon -pian chick items. (You received this form
when you applied 'Lbr your permit.) 'G.e cou„ler st'AA Vvill ans,ver any questions concerning the
Data Sluect.
t
Russe l 13ia��rill;:;-.iil Phi l:) l:iun . PJ"'.
Plans ENtnlilili.`r
P.1
Timothy 3. Crete, Architect 2540 Suite 12, Esplanade
License No. C24094. Chico CA, 95973
....experience you can build on.... Ph. (530) 345-6676
Fax. (530) 898-0586
Architecture itMPlanning www.cretedesign.com
Monday, February 14, 2005
To:
County of Butte
Building Division
7 County Center Dr.
Oroville CA, 95965
Re: Truss Documentation Design Review
The Fultz Sunroom Addition
APN 039-450-008
Permit No. 04-3520
To Whom It May Concern:
We have reviewed the truss documentation, for the project listed above. The
trusses conform to applicable design criteria.
Si
Timothy
a
c rete d es i g.n
A R CAH I T E C T U R E A A D P L A N N I N G
?itnothy J. Crete - Architect ( C -24094 )
2510 Esplanade f112 Chico, CA. 95973
tele (5:10) 3C,' 6G7t www. creledesign . com fax (530) 898 - 0586
experience you can build on
Monday, February 14, 2005
FULTZ SUNROOM ADDITION
UPLIFT REACTION CALCULATIONS
INDEX
1. COVER
2. REACTIONS/CALCULATIONS
Truss B1uplift = -638#
Trusses 132 uplift = -337# ea.
Install Simpson hurricane tie "HI 0' at truss B 1
H10 = 905# total uplift; 638 < 905
Install Simpson hurricane tie `Hl' at trusses B2
H1 = 490# ea. total uplift; 337 < 490
Total uplift on affected trib-areas (see diagram below)
Area 1 = 1143#
Area 2 = 926#
Area 3 = 926#
Uplift Capacity of Simpson base PB66 = 1640#
Uplift Capacity of Simpson cap PC66 = 1470#
1470 > 1143
1470 > 926
UPLIFT AT PORCH
TR.
TR.
BI
B2
--____--
6x6
638#
33,E
AREA I +
638
331
168
Im34T
1 -� r;
' ,
33�#
331#
TR. B2
BEAM
TR. B2
6x6
TR. B2
AREA 2
168
3313
31
+
926
TR.
TR.
B2
B2
253 #
AREA 3
253
j/"'r.
33�#
TR.
B2
""
#
33�
+ 331
92(.14
•2
1.
2.
c r eta design
A R C W I T E C T U R E A N D P L A N N I N G
Timothy J. Crete - Architect ( C - 24094 )
2540 Esplanade #12 Chico, CA. 95973
tele (530) 345 - 6676 www , cretedesign , corn fax (530) 898 - 0586
... experience you can build on ...
Monday, February 14, 2005
FULTZ SUNROOM ADDITION
UPLIFT REACTION CALCULATIONS
INDEX
COVER
Truss Bl uplift = -638#
Trusses B2 uplift = -337# ea.
Install Simpson hurricane tie `H10' at truss Bl
H10 = 905# totaluplift; 638 < 905
Install Simpson hurricane tie `111' at trusses B2
H1 = 490# ea. total uplift; 337 < 490
Total uplift on affected trib-areas (see diagram below)
Area 1 = 1143#
Area 2 = 926#
Area 3 = 926#
Uplift Capacity of Simpson base PB66 = 1640#
Uplift Capacity of Simpson cap PC66 = 1470#
1470 > 1143
1470 > 926
UPLIFT AT PORCH
T.R.
BI
638
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AREA 3 331
011 st +331
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638
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33-14
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AREA 3 331
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Timothy 3. Crete, Architect 2540 Suite 12, Esplanade
License No. C24094 Chico CA, 95973
....experience you can build on.... Ph. (530) 345-6676
Fax. (530) 898-0586
Architecture &MPlanning www.cretedesign.com
Monday, February 14, 2005
To:
County of Butte
Building Division
7 County Center Dr.
Oroville CA, 95965
Re: Truss Documentation Design Review
The Fultz Sunroom Addition
APN 039-450=008
Permit No. 04-3520
To Whom It May Concern:
We have reviewed the truss documentation, for the project listed above. The
trusses conform to applicable design criteria.
Timoth�6 r Crete
February 8, 2005
Teresa Fultz
2522 Durham Dayton Hwy.
Durham, Ca. 95938
Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
Assessor Parcel Number: 039-450-008-000
Building Permit Number: 04-3520
Thank you for.. submitting the plans for your building project. The plans have been reviewed, and
the plan examiner's comments are listed below. Please respond in writing to each item by
completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete
and clear, response will expedite the re -check and approval of this project.
N -STRUCTURAL COMMENTS:
1. he enclosed school fee form and the Butte County Development Fee Certification Form Is to
e completed by the respective agency and returned to this office.
Please provide a letter from the project architect stating he has review the truss calculations
andijwyconform to his structural design.
ST CTURAL COMMENTS:
Provide natural light and ventilation for the living room per sections 1203.2 and 1203.3 of
th 2001 CBC or provide an opening in the common wall between the sunroom and living
oom.per section 1203.1.
XPase address the uplift reaction shown on the truss calculations for trusses B1 and B2.
Simpson PB66 requires a minimum of 2" side cover. A 6" square concrete pedestal will not
provide the required side cover. Please revise.
If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours
of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for
Russell. -.Philo will answer your structural questions.
Please refer to your Data Sheet for remaining non -plan check items. (You received this form
when you applied for your permit.) The counter staff will answer any questions concerning the
Data Sheet.
1?t.4� wovw+
Russell Bloomfield
Plans Examiner
Philo Hunt, P.E.
Plan Check Engineer
1 of 1
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P IT NO.
(Rev. 12/96) APPLICATION AND PERMIT — d 1 2�_o S_
ASSESSOR PARCEL NUMBER Q _ (
e
V o /0O
� I
ZONING
BUILD ERMIT
OWNER
T HONE
r
SQ. FT. OCC. BUILDING VALUATION
Cawt v
.OWNER'S
_Dtl le 1, 44oA
CONTRACTOR'
h 0
H NE
7 '/�
0
7 r>
V
CONTRACT S MAI SS �'I el - I' u . 0
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuatlon $
ARCHITECT OR ENGINEER
LICENSE NO.
Flln Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
IF
Plan Checking Fee $
BUILDING ADDRESS Z_�
C/-._ I w, *Energy
Plan Checking Fee $
$
PERMIT FEES
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 1
Each gas water heater or ve 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ nslallation ❑ Other
Describe Work: c
Gas piping system 1 outlets 15.00
Building sews 15.00
Mobile ISI GI W1 @20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
Main Service zo.A OR ORLE::23.00
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 force and effect. / /
License Class � Lie. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
❑ I, as 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
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I 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 .S`rA--r -' Fi/ii
Policy Number 2 13— 00,f11� t �
(The above sections need not be completed if the permit is drwork of a valuationInspection
one hundred dollars ($100) or less.)
1 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'AZ.
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 a Islons.
XDate ,) ���
r-� 4 -� --
Signature of Applicant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00NEW
CONST. DWELLING Occup. so
OR ADONS. ( a ACC. eLDs. 3.50
T.
NON-RESID. MULTI -OUTLET @7,50
POWER APPA
asINGLEO IR.
EX. OCCU OFIXTURES SAL @ I.00 . 0
Ex. Occu OuT�s RESID.OEA. 5.00
Temper Service 23.00
Mobil ome Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE _
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
ome Installation Fee $
KEnergy
Fee $of
PE00❑
_ TOTALFEE$
D FEES IMP
FLOOD
COP
PARCEL
PD
HD
6 UE
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 n . 0
L
PERMIT EXPIRES ON J , V3
Date
Receipt No.
WHITE-D.D.S.-B.D. CANA Y- SE SOR PINK-INSPEC OR GOLDENROD -APPLICANT
7
0
039-45-0-008 #98-2484
KNIECIK, AL
2522;DURHAM DAYTON RD.DL
BUTTE ROOFING INC.
REROOF / o —,?-
. i . i .
..a
(Rev. 12/96)
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
1✓ /
,_JP4E9 IT NO.
ASSESSOR PARCEL NUMBE i
ZONING
BUILDING PERMIT
OWNE _
TELEPHONE•`
•i/ '720 7
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
,054.2 Aa A
7�r
RACTOR'S NA TELEPHONE
ACNTRACTOR'S MAI AD.F_ES ( t
•
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ /Q ,
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $ 20.00
Permit Fee $�
ARCHITECT OR ENGINEER'S MAIU ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
-
Energy Plan Checking Fee $
$
_ , .. , ;..,.�,.: ..,•, .. N,y: x �.--.�, r,._ -n .�,,-„�„�k
�t:.-�-��.1►---+.......�....,�PE#tMIT=SEE ,f.,.,.,�,.
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
"• USEOFSTRUCTURE
SF* Duplex ❑ Mobildhome ❑ .Other 11
I SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
-0 1 1
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: �1� LyQ
Gas piping system 1- 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
Main Service 2oonoaLEss 23.00
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.pSINGLE
License Class 3EJ Lic. No ._ %4L,l 1
OWNER -BUILDER DECLARATION
I 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ I am exempt under Sec:Busin2ss and Professions Code for this
reason
Main Service ( 200A To 1000A 46.00
NEW CONST. DWELLING occUP. so
OR ADONS. ( DVT
Acc. BLDS. 3.5¢FT;
NN-gEgNp MULTI -OUTLET @7,50
ow ER APPARATUS
Y OUTLET CIR.
OUTLET OR FIXTURES 20 C' 1'00
Ex. Occup.BAL @ .50
Ex. Occup. ourLEE-Drs NS o
R S D.EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
-
IPERMIT FEE 3'” '
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit 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' comp nsation insurance carrier and policy number are:
Carrier J# ,/
Policy Number
(The above sections need not be completed if th permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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
forth it comply with those provisions.
X�- L/-1 Date1�5 / _
Signa re of pplicant -, ❑ Owner ❑ Contractor ltyl;Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
DOC
CONST. TYPE
TOTAL FEE $ `Vn
HAZ.
D. FEES IMP
FL000
CDF
PARCEL pO
HD
ISSUE
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
/ Data
Receipt No. /U & N
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 g8_,CAIT NO.
(Rev.12/96) APPLICATION AND PERMIT
OO �`j
ASSESSOR PARCEL NUMB .i n
ZONING
BUILDING PERMIT
0TELEPHONE
E
SO. FT. OCC. BUILDING VALUATION
N
NG ADDRESS
OWNER'S MAIUOft
RACTO R'S NA TELEPHONE '
C NT TOWS ILNG ADDLES �.
,0
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
'
Fireplace
Total Valuation $
J�
ARCHITECT OR ENGINEERLICENSE
NO.
Filing Fee
$ 20.00
Permit Fee
ARCHITECT OR ENGINEER'S MAILIN ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
0"-T
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO.
'S
SUBDIVISIONNAME -
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF`ODuplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
-
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 200A0RLE
23.00
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 9 Lic. No. ���
OWNER -BUILDER DECLARATION
I 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.
❑ I, as 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 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 8 ACC. BLDS.
SO
3.52F7.
NON-RESD. BRnricNEW COTl c� uTS
97.50
POWER APPARATUS
6 SINGLE OUTLET CIR.
OUTLET OR FIXTURES
Ex. Occup.BAL
20 @ 1.00
@ .50
LNS
Ex. Occup. oU ET RES D.OEAl
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
$
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' comp n ation insur ce carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if th permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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' ompensation provisions of section 3700 of the Labor Code, I shall
forthwit comply wi those provisions.
-12A��
X ate �UA
Signa re o pplicant - []'Owner ❑ Contractor gent J
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES
IMP
FLOOD
CDF
PARCEL PD
HD
ISSU
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
iw
PERMIT EXPIRES ON �L
the applicable provisions
Resolutions to do work
been paid.
Dat
(D, h0
Receipt No. =149&s
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT