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040-200-015
li I a -b PERMIT RENEWAL �J DATE: l BP# I '4yy, jl Ntl 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. BP040480 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: 06/04/2004 APN• 040-200-015-000 the Business and Professions Code, and my license is in full force and effect. ' 9,;2y License Class: License Number: Site Address: -928$ -STANFORD LN DUR Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: NSF(3216) GAR (1025) 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 Owner: WASHBURN BRIAN & LISA M to its issuance, also requires the applicant for such permit to file a g283 STANFORD LN signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section DURHAM, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95938 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).): IN/I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: WASHBURN BRIAN &LISA M Code: The Contractors' State License Law does not apply to an pp 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 improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article oft e Business and Professions Code k-94 Date: — Owner License #: WORKERS'COKIPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect' is issued. ❑ 1 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: Total Square Ft: 3216 S.F. Po1ic #: Valuation: $209,040.00 Census Code: certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: (o— q —c)1`4 Q �,� Applicant: I L414 AA . �f �Cl�(�l.]t Q 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. Z p / ¢/ CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Cods anrVor I hereby affirm that there is a construction lending agency for the Resolutiqpyto dq work indi dab e r whic fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) O Name: ate: PERMIT EXPIRES ON: Address: to ❑ 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 toenterupon the above mentioned property for inspection pu ses. Print Name: Ir�rl �Q V� , 06—,SWh( —y— n Signature Date: 2 6 ner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor a;/ k/sr P&� t D BUTTE COUNTY DE ARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO.) OFFICE #: (530) 538-7541 L A B. C. Suildinn Ponnif n1-9..nd nn 9 APN: D © — M —O `/ ZONING: A5 NEAREST CROSS STREET: TRACT/LOT#: SITE ADDRESS:--C)�2� SY-A lam, A� C ZIP: OWNER NAME: riA in+ n PHONE: 53o -34s -44osq STREET ADDRESS: YA j �j5`_{ 63v — J CITY, ZIP: ,M �j• ?� W r ` c>� E-MAIL a5tnbur C6 APPLICANT NAME: PHONE 1� X trl STREET ADDRESS: FAX: CITY, ZIP: E-MAIL* CONTRACTOR NAME: PHONE u� STREET ADDRESS: FAX: CITY, ZIP: E-MAIL: LICENSE NUMBER LICENSE TYPE ARCHITECT/ENGINEER NAME: HONE STREET ADDRESS: 1 b L� �� • FAX: CITY. ZIP: C'� co 512- LICENSE NUMBER ca I 3 EMAIL: DESCRIPTION OR SCOPE OF WORK: Struct a Bu without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will ex o e yea r e to of pli r to renew action on an application after expiration, a new a lication, a and f it 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. For office use only: Notes: Application Received by: Date: Y �l Receipt number: Amount Received L A B. C. Suildinn Ponnif n1-9..nd nn 9 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 /PEiRMIT APPLICATION DATA SHEET` OWNER: CIV � �� '�/ t/� ASSESSOR PARCEL NUMBER- (/ 4�/�' -7 Proposed Building Use: ` i`''ce Counter Technic an: �� Date: ��- 7 (J erJr t required in order to apply for a permit. All boxes MUST be checked OR marked NAder to apply. J 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 faxes! 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. \�e 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate O 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 Cl 14. Hazardous Material Form 15. 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.) el 17. Fire Sprinklers............................................................................................ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by.. D K19. Soils Report and/or Engineered Foundation required ........................................... ❑0. Erosion Control Plan Required........................................................................ ........ 21. ees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ r 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 9 24. Planning approval (A) V�:a K (B)Parking: (C) Parcel Check: 3_ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES 4�Form..............................................................................el ............... 27% Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 32. Letter of Signature authorization......................................:............................. 33. Recorded copy of Agricultural Acknowledgment Statement ................................. &.4-0+- 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 V 'I and hold for pickup. I have been igformed of the,agove ilefns and requirements for obtaining a building permit. Applicant: 1. Index permit applAli( n for the above it s nu 2. Additional items re I uired Contractor, designeryo r, as advised of the Contractor, designer was advised of the Plans reviewed by: Date: ' Structural reviewed by: Date:_ Note transfer by: Date:_ FIV Date: � ,- /� r S Plan Check Letter data by ❑ pts ail, ❑ counter, by Date: 0 16 1, d ab phone, 111mail; ❑ counter, by _Date: o i Plans approved by: 2 Date : Structural approved by: Date: 5 28 Yellow: Building Division TO: " ---Bdiidrtg-Uepartment FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Not Nen Attach" nhod Flow Plan Attsslsad Sent to 9.0. I qu&p Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for. dwelling. Other Old final for Final clearance NOTE: Environmental Health Specialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 &:�"= RECEIPT OF FEES OWNER SED BUILDING USE f1. U]LDING PERMIT FEES Balance Due ..................... --- Additional -Fees Due........... A.P. # DATE_;9— / 7 —04 RECEIPT # DATE REC. � 1 --- Revised Plan Checking Fee.... 2. SCHOOL DISTRICT FEESVA4 7—Res at School District Office) (form available after Plan Check).S RIFF FEES (paid at Building Division) ential............ X $360.00Units ommercial (sq. fig.)..... X $0.03 = $ _ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. W01 Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES S— p� ' (paid at Recreation District Office) (form available after Ian 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 Commercial (sq. ftg.) ......... X 10. OTHER Amt. Ftg. Amt. #;a. g o A n P l' tion, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed durinAi he plan chgcl ing prgcess. APPLICANT DATE Pursuant to Government Code Sed'tion 66020, you are kereby 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) Q-1 Ul National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more 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 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading anor other ermits or other sanctions provided by law. Si ed: L,__ Title: W weh- Date: 2 —1 ?—OAF O.B.- I OAR -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. II personally plan to provide the major labor and materials for construction of the proposed Property improvement: YES e' NO E3 I HAVE.13 HAVE NOT Msigned an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: may_ PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: 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: _ ADDRESS PHONE TYPE OF WORK NOTE. This Owner -Builder Verification is required by Section 19531 and 19832 of the California Health and Safety Codes This verification must be completed and returned to our office before we are permitted to issue the permit OVER 1 O. .-1 I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord 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. 0 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 cagy 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 penak erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic 1 C. Vi ira, C.B.O. M ger, Building Inspection NOTE. Yhls Ow>ser-BuM&rinfomtWon is required by Section 19830 of the California Health and Safely Code OVER AND WHEN RECORDED MAIL TO: BJTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER.DRIVE OROVILLE, CA 95965 C0PY of Document Recorded 04 -Jun -2004 2004-0033809 Has not_been'compared with original BUTTE COUNTY RECORDER AGRICULTURAI; 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 r 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 inconveriience or discomfort from normal; necessary farm operations., All that real property situate in the County of Butte, State of California, described as follows: Date (0 44 - zooq PROPERTY OWNERS: ria. �)4 SWOU_y. n �--i sa- 04,,E-_ :b U; r Irl State of California ) County of Pj, ) personally appeared 77K,W a4,JxJA AAA — persmraft known to me (or proved to m, a on the basis of satisfactory evidence) to be the person(s) whose name(s)is/are subscribed to the within instrument and acknowledged to me that hefshe/they executed the same in his{#er/their authorized capacity(ies), and that by, hi&f /their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. n Signature / J / Seal: 1 CHRISTI A. CLARK .. A.P. # aq Q. 2t0-- d 1, -o0V oil 11%,i Preliminary Report Order No. BU -212945 DT Description `• The land referred to herein is situated in the State of California, County of Butte, and is described as follows: THAT PORTION OF FARM ALLOTMENT NO. 44, AS THE SAME IS DESIGNATED AND DELINEATED ON THAT CERTAIN MAP ENTITLED, "SUBDIVISIONAL PLAN OF THE DURHAM STATE LAND SETTLEMENT, BEING A PORTION OF THE ESQUON RANCHO, SITUATED NEAR DURHAM, BUTTE COUNTY, CALIFORNIA", WHICH. MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 1.7, 1918, IN BOOK 8 OF MAPS, AT PAGE(S) 17 AND 18,.MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF SAID.FARM ALLOTMENT NO. 44, WHICH IS A POINT IN THE DURHAM-OROVILLE ROAD; THENCE ALONG EXTERIOR BOUNDARIES OF SAID FARM ALLOTMENT NO. 44, NORTH 88° 47' EAST, 155.5 FEET; THENCE SOUTH 31° 44' EAST 1525.0 FEET; THENCE SOUTH 12' 16' WEST, 78.5 FEET; THENCE SOUTH 1'00 01' WEST, 58.8 FEET TO A POINT WHICH IS THE POINT OF BEGINNING OF THE LANDS HEREBY DESCRIBED, WHICH POINT OF BEGINNING LIES IN STANFORD ROAD; THENCE SOUTH 68° 56' WEST, 565.0 FEET; THENCE NORTH 17° 24' WEST 295.0 FEET; THENCE SOUTH 680 14' WEST, 338.1 FEET, MORE OR LESS, TO A POINT ON THE WESTERLY BOUNDARY OF SAID FARM ALLOTMENT NO. 44; THENCE FOLLOWING EXTERIOR BOUNDARIES OF SAID FARM ALLOTMENT NO. 44, SOUTH 7° 39' EAST, 359.3 FEET; THENCE SOUTH 580 30' WEST, 79.7 FEET; THENCE SOUTH 17° 41' EAST, 604.2 FEET; THENCE NORTH 62° 54' EAST, 723.0 FEET; THENCE NORTH 100 O1' EAST, 702.2 FEET ALONG A LINE IN STANFORD ROAD TO THE SAID POINT OF BEGINNING. APN 040-200-015-000 Butte County Department ofDevelopment Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING March 24, 2004 Brian and Lisa Washburn 9283 Stanford Lane Durham, CA 95938 RE: Site Plan Review for APN: 40-200-015, New Single Family Dwelling Dear Mr. and Mrs. Washburn: Staff has concluded a site plan review for the above referenced building permit application. The following Butte County Code Section applies to this review: 24-305.020 Agriculture Employee. An individual who verifies, by personal affidavit and by affidavit of his employer, that he is, or will be, employed at least thirty-two (32) hours per week for at least sixteen (16) weeks per year, or that his primary source of annual income is, or is anticipated to be, derived from, any of the following described occupations: (a) The preparation, care and treatment of farm land, pipelines or ditches, including leveling for agricultural purposes, plowing, discing and fertilizing the soil. (b) The sowing and planting of any agricultural or horticultural commodity. (c) The care of any agricultural or horticultural commodity. As used in this subdivision, "care" includes, but is not limited to, cultivation, irrigation, weed control, thinning, heating, pruning, or tieing, fumigating, spraying and dusting. (d) The harvesting of any agricultural or horticultural commodity including, but not limited to, picking, cutting, threshing, mowing, knocking off, field chopping, bunching, baling, balling, field packing, and placing in field containers or in the vehicle in which the commodity will be hauled on the farm or to the place of first processing. (e) The assembly and storage of any agricultural or horticultural commodity including, but not limited to, loading, roadsiding, banking, stacking, binning and .piling. (f) The raising, feeding and management of livestock, fur -bearing animals, fish, frogs and other aquatic animals, and bees including, but not limited to, herding, housing, hatching, milking, shearing, handling eggs and extracting honey. (g) The operation, conservation, improvement or maintenance of such farm and its tools and equipment. Enclosed please find the application required to approve agricultural employee housing for the additional housing unit on this property. If you believe you qualify for an additional dwelling for agricultural housing, please complete this application and return it to our office for review. Thank you for your cooperation in this matter. Should you have any questions please feel free to contact me between the hours of 8:00 am and 4:00 pm Monday through Friday at (530) 538- 6572. Sincerely, J ph Baker Tanning Manager Attachment Is Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 6512; Mar -30-04 9:06AM; Page 2/3 OL- - 8y 80 s• AGRICULTURAL AFFIDAVIT EMPLOYER Employer Brian Washburn PI6ft' 530-345-4059 Employer's Address 92.83 Stanford Lane, Durham, CA 95938 Name of Property Owner Brian Washburn Property OWner'S Address 9283 St:...fold Lane D rh — 2238 Owner'sAssessor'sPNumber 040-200-015-000 ; ParcelS¢e is Ac. 1 (farm addit oval 5? -Ac.)) , Brian W shburn , do deglara, subject to th® penalty of perjury. that I arm the employer of Bud Washburn address (present) 9257 ctanf o rd I.Onp and that I will be employer under Section 2¢305.020 c for at least thirty-two (32) hours per (a) t4 (g week for a ast sixteen (16) weeks per year on AP# 040-200-015-000 l Signed • Dated: f itRMsir71*wba L f �.ti►#,►w4t4tt*+tfhfl�*wlw+►1l+tlMiNt�sikt�*t#ti►/►if4#ilA+kfkf►wwlltiw*7t,tif#*�Ft!#t �ti+wwr++,ink Environmental Health Approval: Permit Description and Number Datelssued Planning Approval: Date 170 16.4 Zone S Dwelling on AP# Oy0-u0-01 By Crop/CommodRy Produced -� Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 6512; Mar -30-04 9:07AM; Page 3/3 AGRICULTURAL AFFIDAVIT EMPLOYEE Employee Bud Washburn Phone 530-894.-1238 Employee's Address (Present) 9257 Stanford Lane, Durham Name of Property OWner Brian W shburn Property OWner'S Address 9283 Stanford bane, Durham, CA 95930 Owner'sAssessor's Parcel Number 040-200-015-000 Parcel Size 15 AC. (farm additional 52 Acres) Bud Washburn , do declate, subject to the penalty of pedury, that l am the employee of __ Brian Washburn address (present) 9257 Stanford Lane and that t will be employee under Section 24 0,5.021) c for 8t least thirtyfirvo (32) hours per (a) to (9) week for at least sixteen (IS) weeks per year on•AP# 040-200-015-600 Dated, c�%a4 —�V. **trlklrW fk fttrk� R R **tiF• RtKrtle # N•*syrA rwwt#*�kitw *r**aie,R A Rit4 tit•,F*1�ilrlt*tlkwtr•es;,ttttf-R*�t!!tt# Environmental Health Approval: Permit Description and Number Datelssued 3 Q Planning Approval: GREGORY 'A.. PEITZ ARCHITECT' 1907 MANGROVE, SUITE "E", CHICO CA 95926 (916) 894-5719 PROJECT: I have reviewed the truss submittal for the above project and all loading design criteria have been met. /GreiryA. Peitz Architect . r SITE PLAN REVIEW APPLICATION Date: l� —12 r D`� AP# Q,� (J' C> i �. Permit Number (if applicable) OLd 4 d Bin Number i LICANT INFORMATION Parcel Size: J a -��, O �d sName: IA/X1Sl-4 02Aj, 4321 Aof LI S14 V i J 2 8 3 ST r� tV -P DYL ers Address: 1i L�J• b U 2- N A V,/-- LA q sC) 3 g Telephone No.: S96- 62. S'� Situs Address: Proposed Use: • 'I I Residential New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ® Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation.(if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well is Agricultural Buffer Form ❑ Applicable a N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date )1 �- Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) -` ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ^ % 6e ® 100 -Year Flood Plain: (See attached) • Flood Zone: q D q • Flood Panel No.: D S Z0 C_ Index Date: b— ❑ 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 — 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 �- D C 1_ Side Side Street Rear 1 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 .A . Applicable Development Fees: Standard Fees ❑ Fire • ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Amount Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. • Parcel Created By Deeds: • Date of Creation: ) S 3 Legal Access Provided: ❑ No 0 Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No 19 Yes, Road Name: SrA Complies with County Standards for Deed Creation -El No ❑ Yes Comments: T rAx, 20 tL s t >y Gf, gs 13 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 . ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: w.. Page: • Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ 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 Plane must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. EJ u Page 4 of 5 • j BUTTE COUNTY `1L a ti 3 • • 4DEVELOPYIMNT AGRICULTURAL BUFFER NOTIFICATION AND/ORERVrCES 100WUN, oUNUSUAL CIRCUMSTANCES REQUEST Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner or Authorized Agent must complete the following and return with the required site plan to: Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601 Name: Brian & Lisa Washburn Phone: 898-6259 day/345-4059 home Mailing Address: 9283 Stanford Lane, Durham, CA 95938 E -Mail address Iwashburn@csuchico.edu Assessor's Parcel Number: 040-200-015-000 Reason you believe you qualify for the unusual circumstances exception: In an effort to meet the 300 foot buffer between neighboring agricultural operations and a residence. we have selected our new house placement in the middle of our 15 acre parcel, as best we can. As you can see, all sides of our home placement exceed the 300' requirement except for one. The only side that does not meet this requirement is to the north of our property. This adioining 3.92 acre parcel (#48 on Assessor's Map No.40-20), is used only for residential non-commercial use. In addition, placement of our new house cannot be moved any further south due to existing structures and due to the existing lot size and shape. For additional clarification we have identified the use of all other surrounding properties. It is our request that the 300' buffer be waived due to the residential non-commercial use of property (#48) indicated above. Please see attached maps for greater clarification. or Authorized Agent's signature Date a7- a00a UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements ................................................................................................................................................... Internal Dept. Contact Info: ❑ Env. Health ❑ Planning ❑ Building ❑ Other Contact Person: Phone: FORWARD THIS FORM TO LARRY IN DEVELOPMENT SERVICES FOR PROCESSING ......................................................................................................................................................................................... For Agricultural Commissioner office use only: (to be completed after submittal ) DISCRETIONARY PERMITS(Planning) Exception Recommended Exception NOT Recommended Reason/Conditions/Specific setbacks from adjacent a ricultural -sl1L,6�..� s�Opears -�-0 hie hes- o�ssab MINISTERIAL PERMITS (Building) ❑ Exception Granted with the following conditions: Agricultural Department Signature:-ate:L l DIt/ 11/03 r,�pl- cd N - YMC 7/1/03 PLAN REVISION Owner's Name: ( ia_( o bor_eo BP#:_���" G 0 Date: t�W Contact Person & Phone Number: AP#: r_ML - =..61115 Received By: Time: / 2 z}m PURPOSE OF RE -SUBMITTAL OR REVISION ❑ Permit Application Data Sheet Item ❑ *Engineering ❑ *Plan Revision ❑ *Requested by Building Inspector's Correction Notice - Inspector's Name: jK-R-equested by Plan's Examiner - Plan Examiner's Name: ❑ 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 to 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 #: ❑ Fee not required for revisions requested by plans examiner prior to issuance of permit. ❑ Additional Fee Amount: Receipt #: Revised 2/04 PI -AN REVISION Owner's Name: �.S.bU� n , AP#: BP#: n O , (nl� U c) Received By: Date: " �) f 1/ Time: Contact Person & Phone Number: �s' yG�S� ` ���a � C��-sh17ff q PURPOSE OF RE -SUBMITTAL OR REVISION ❑ Permit Application Data Sheet Item ❑ *Engineering C" *Plan Revision r1ew T(,Sses ❑ *Requested by Building Inspector's Correction Notice — Inspector's Name: ❑ Requested by Plan's Examiner — Plan Examiner's Name: ❑. 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 to 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 $54.99 Receipt #: ❑ Fee not required for revisions requested by plans examiner prior to issuance of permit. ❑ Additional Fee Amount: Receipt #: Revised 2/04 BUTTE COUNTY PARK FACILITY FEE PAYMENT CERTIFICATION FORM DURHAM RECREATION AND PARK DISTRICT f, Assessor Parcel Number (s): q0— 200— 015 Property Owner (s): + (A ov Project Location/Address: -J Subdivison Name: Type of Residential Development (check one): Assessable Square Footage: 3 2- 1 U New Development U Alteration/Addition U Mobile Home (s) U Non -Residential to Residential Comments: Ilk Building DiV� ion Representative Date Durham Recreation and Park District (DRPD) certifies that Applicant Name -L . -T5 Address Applicant Phone Number 0 W 5 C13 8 City State Zip Code hqs..compl�ied with -the rquiroents,qf..;thq.Buttep 7, y �q m unt -Boar, o,�pl-,$kjpervisQrs,R6sqlution.No.....,. , ... C _ 93 - 114 by payment for 32 \ (o square feet at $ 1.04 per square foot for a total payment of$ 3 3H 4 .6H DRPD Representativo Date PAID BY CHECK NO - HPMqr1Cq* BANK No.: PAID BY CASH: RECEIPT No.: I cl ZT0 DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW - BUTTE CO. BUILDING DIVISION BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Ctrl r- L A-'X—h Building Department No. q3 e) A.P.Number Jurisdiction: city County Property Owner 4- a W6!5 1A (8 1A f Property Location/Address 4e r'- A.'; 0a r - Subdivision Lot No. ................................. 4 ........... . ......................... Residential Development 0 Q Q Q Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation Inspection) ....................................................................... 1 ............................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Com —Sq, Footage, New Addition (16616dirig- Roofed Areas) Building Department District Identification No. 64P -7✓� . 41 - Date DU r?~ ON t ri L -b School District certifies that 0 - CA` (Applicant) (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing 3.9 / 10 —square feet. Paid by Check # Remarks: by payment of $ JAB 2926 $ IFULL MMGATION — $ I Nafte: You may protest the Imposition of the fen IdenNed above by submitting a wften protest to the District. In compliance with Government Code Section 66020(a), wWdn 90 dais from the date fen we paid. Failure to submit a firmly written protest will'prohlbit you from challm%ilng the Imposition of the fen In any court action. ff, subsequent to do School Distild,ftpresentative signing this Bu tle County Sdmft Impact Fee Certification Form, . the School District Is -01HIN to by the applicable Local.Planning Agency that this project Is being reviewed under tie Caltliornia Environments! Quality Act (CECkAh this project maybe subject to addiftmal school fen to fully mit1gate.lits Impact on the school districrs schools. White (applicant), Yellovv (building department), Pink (school district) feeform.xis (10/03)dm,m DATE: PERMIT #: ASSESSOR PARCE OWNER'S NAME: FEES (Amount and BALANCE OF FEE ADDITIONAL FEE REVISED PLAN Cl SHERIFF FEE: SRA: COPY FEES ($1 or URBAN AREA FE] CHICO OR THER: THERMALITO DI CSA (North Chico WATER TENDER BALANCE OF FEES SHEET e t SMIP Ce . OTHER �f o� RECEIPT NUMBER(S) AND WHEN RECORDED MAIL TO: r�.." 2a6b04—�4�3380►9 B'aJTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE- '010 Recorded OROVILLE, CA 95965 ��0µYA Official I REC FEE 10.00 I CONFORM 1.00 yyRecords CouM Of CANDACE J. GRUBBS 1 Recorder I ROSEMARY DICKSON I Assistant 1 Lisa 10:39AM 04 -Jun -2004 I Page 1'of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT a FOR RESIDENTIAL DEVELOPMENT Section 264 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building ,2( 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 withiri 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_ (0 -4 - zoo4 PROPERTY OWNERS: State of Californi County of 'j, l r_ian WQ s(&b _r n �--i sa- �_)&Sktb (.L r n Yyy - before,me, personally appeared_ ' tc Z.0e, W 4.0,{n,(,u ~ — persanally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Ware subscribed to the within instrum� and acknowledged to me that h®lshe/they executed the same in hWher/their authorized capacity(ies), and that by his,4mr/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature / o ( Seal: 1 CHRISTI A. CLARK 9 OOmm. # 1318769 5. UJBUTTE NOMPBU � COUNTY A.P. #_ j�-{ () '�- (� - Dl S ~ D(j (� MyComminon Expires AUG. 2S, 2005 Preliminary Report Description Order No. BU -212945 DT The land referred to herein is situated in the State of California, County of Butte, and is described as follows: THAT PORTION OF FARM ALLOTMENT NO. 44, AS THE SAME IS DESIGNATED AND DELINEATED ON THAT CERTAIN MAP ENTITLED, "SUBDIVISIONAL PLAN OF THE DURHAM STATE LAND SETTLEMENT, BEING A PORTION OF THE ESQUON RANCHO, SITUATED NEAR DURHAM, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 17, 1918, IN BOOK 8 OF MAPS, AT PAGE(S) 17 AND 18, MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF SAID FARM ALLOTMENT NO. 44, WHICH IS A POINT IN THE DURHAM-OROVILLE ROAD; THENCE ALONG EXTERIOR BOUNDARIES OF SAID FARM ALLOTMENT NO. 44, NORTH 88" 47' EAST, 155.5 FEET; THENCE SOUTH 31° 44' EAST 1525.0 FEET; THENCE SOUTH 12° 16' WEST, 78.5 FEET; THENCE SOUTH 100 01' WEST, 58.8 FEET TO A POINT WHICH IS THE POINT OF BEGINNING OF THE LANDS HEREBY DESCRIBED, WHICH POINT OF BEGINNING LIES IN STANFORD ROAD; THENCE SOUTH 68° 56' WEST, 565.0 FEET; THENCE NORTH 17Q 24' WEST 295.0 FEET; THENCE SOUTH 68° 14' WEST, 338.1 FEET, MORE OR LESS, TO A POINT ON THE WESTERLY BOUNDARY OF SAID FARM ALLOTMENT NO. 44; THENCE FOLLOWING EXTERIOR BOUNDARIES OF SAID FARM ALLOTMENT NO. 44, SOUTH 7° 39' EAST, 359.3 FEET; THENCE SOUTH 58° 30' WEST, 79.7 FEET; THENCE SOUTH 17° 41' EAST, 604.2 FEET; THENCE NORTH 62° 54' EAST, 723.0 FEET; THENCE NORTH 100 01' EAST, 702.2 FEET ALONG A LINE IN STANFORD ROAD TO THE SAID POINT OF BEGINNING. APN 040-200-015-000 ';,3"O�` JOB FINALED (Date)Z- Signature V=OK O = Not OK INotReady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK exczpt #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / ^21t. / /Nat. or/ /"L"ft./ /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 Vatve-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 MISCELLANEOUS Date DECKS VERS, CARPORTS, GARAGES(Plans) OK except #'s Hing Requirements -Setbacks -Easements ngs; Soils -Size -Depth -Spacing -Connectors -Steel 3. ec s; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric rrng.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date j 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/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFLOOR (Plans) OK except ft's Date 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main;'Soils-Elea 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-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except tr's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------------------------------------------------ --- - -- --- 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe. Size -& Anchors ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------- ---- ------------- -- ----------- ------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ------------- --------- --------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors -------------------------------------------------------- 24 Size Boxes & No. of Conductors-Stapled --------------------------------------------------------------------- -- - - 25. Romex Installed Close to Edge of Studs & C.J. -----------..-------------------------------- -- ----------..... 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ------------------------------------------------._..__.. -------- ------- -- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI --------------------------------------- ... ... 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At ------ ----------------- - ---- -- ------------ 29. ---------- 29. Range Circ. ga. Cu or AI -Oven Circ. I I ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------- --- --------------------------- _ ---------------- .. 30. Service -Riser Conductors & Ground -Main Disconnect ----------................ .. ..... ....... ....... 31. Equip Clearances Panels-Motors-Mech. Equip. --------------- ,------- --------- 32. Clothes Closet light -Shower Light -Spa Light - ---------- -- - - ---------.------ -- . ---- 33. Smoke Detector --- ---- - .................. .._ .. ....... . Date Card B-1 Date Card B-1 - ------------- ....... ................ . _ ..------- .... ... ... ... ... ... .. Date Card B -t Date Card B-1 Date MECHANICAL (Permit) OK except r+'s 34. A.C. Ducts Insulation & Support -----------------...--------- ............................_ .... . . 35. Vent Fan: Exhaust above insulation ------ - -------...... ------............. .. 36. Condensate Drain & Overflow: Sze & Grade - .. .... ._...... ........... ........ .. . 37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -------------------------- 38 ..--- ------ --. 38 Attic Access & Platform f Furnance in Attic Date Card B -t Date Card B-1 Date Card B -t Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils. Proper Material & Anchors ... ... .. ... ... . . ... ... ... ... ... 40 Walls Studs -Nailing. Spacing & Bracing - Plates -Sound --- - -- --------- ...... 41. Bearing Walls over Girders & Floor Nailing 42 Draft Stop in Walls (rat proof) 43. Fire Slops: Furred Ceilings -Stairs -Chases -Tub -----...----- . ....... ...... _ .. 44. Headers & Beam -Size & Bearing & Duplex) FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ------------ 49. --Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ------------ - 50. Garage Fire Protection Framing ----------------------------------- 51. Property Line Firewall & Openings ----------------------------------- - 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits --------------------- 53. --------------------53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers -------------- .. 55. -Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts _59, Insulation -Walls-Ceilings 60. Infiltration -Walls -Windows ----------------------------------------------- - Date Card B-1 Date Card B-1 - - --- ---- ----------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except a's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------ -------- -------------------------- --- - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ------------------------------------------ 64. Bedroom Exiting ------------------------------- 65 ------ ------- ---65 G.F.I. & Bath Fixtures & Tub Access -Spa ...... - - . .. . -- - ----------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ..-- --------------------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth - ---------------------------------- 69 Elec. Outlets at Wood Panel: Int. & Ext. ------------------ - ---------- -------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance - - - ----------------------------------- -- 71 Elec. Outlets & Receptacles at Kit. Counter ._... ... ... ..................... ---------- 72. Garage Fire Door: Swing -Landing -Closer _ 73. A.C. Duct in Garage -Damper ....--...------------------ -------- ----- ----- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ...... ------ -------------------- 75. ------- q - P --------- ---- 75. Plb.. Elec. & Mech. Equip. Listed for Location ...... ------------------------ --•- -------------------------------------- - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ...... -------------- ------------------------------ 7,. Insulation -Foam -Looked in Attic ❑ Yes ---- --------------------------------------- 78. Guard Rails & Deck Construction -Post Caps --- --------------------------------------- 79. ------------...---------------------79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Follow n instld�; Drive ❑ Yes ❑ -No:-Wal k s ❑ Yes ❑ No; Planters ❑ Yes ❑ No ----- ---------------------- --------- ---------- 81. Stucco: Brown -Finish ---------------------------------- ---- 82 A CUnit: Disconnect. Electrical. Plumbing ... ... ... ... ........*-------------------- ------- -- ----- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings . ........_... ----.....--- ----------------------- ------ 84 Water Well: Disconnect, Electrical, Plumbing - - ... . -- ------------ ----------- ------------- - 65 Exterior Elec. Trim. G.F.I. Receptacle -Underground _--_-_--.__._-__-__-_.-_.------ 86 Ventilation Throughout House . .. .._. --- ------------------------------------- 67 Glass Protection 88 Corrections from Previous Inspections 89 Gas Test -Meters Tagged: Gas -Electric . . . ..... . .. .... ---------------------------------- --- 90 Water & Sewer Connected-CrO to Grade -HD Approval -- ---------------------------- 91 Energy Compliance Certificate -Other Certificates ----------- -------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center'Drive, G?roville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 1��8�1Py2i� c16-U� Z� f 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 notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date '��r Inspector REV 10/92 I— fCOUNTYOFBUTTE -DEPARTMENT OFDEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 040-200-015 ZONING A20 BUILDING PERMIT OWNER LISA WASHBURN TELEPHONE 345-4059 SQ. FT. OCC. BUILDING VALUAT ON Q 208 C 2,704 OWNERS MAILING ADDRESS 9283 STANFORD LN. 12 COMP ROOF 720 CONTRACTOR'S NAME OWNER TELEPHONE f / _ 1-30 {p CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 15 11 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ $ , ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ L, 405_ 315--tf Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 9283 STANFORD LTV, DURHAM PERMITFEE $153.118.10 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF CX Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition XD Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: COVERED DE(X & REROOF - Mobile Home I S I G W 1 @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service 000V OR LESS ( 200A OR LESS ) 23.00 Main .Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Lr the following reason: V, 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 NEW CONST. DWELLING OCCUP. SO. OR ACDNS. ( 8 ACC. BIDE. ) NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 97. 0 POWER APPARATUS ( & SINGLE OUTLET CIA. ) Ex. Occup. ( OUTLET OR FIXTURES ) Q . BAL20 1SO00 Ex. Occup. (oFIXED (PUNS..°Ea ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation /°f 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 lwith those provisions. ` forthwith com�Ow_ne_r __Date g turao Applicant - ❑ ❑ Contractor ❑ Agent An OSHA permit is require for excavations ov r 5'0" deep and demolition or construction of structures over 3 storie in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC ��3 CONST. TVP V TOTAL FEE $ 153.6 HA2. D. FEES IMP FLOOD CDF PARCEL PD HD U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above o4r which fees have been paid. By Date P MITEXPIRESON Oste) Receipt No. o �J D� �� WHITE-D.D.S.- A ARY-ASSESSOR PINK-INSP C OR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT N . APPLICATION AND PERMIT ASSESSOR PARCEL NUMBED �2r ZP""0 BUILDING PERMIT OWNER SO. FT. I OCC. VALUATION OWNERS wwNO / PE� J L•l A / . �BUILDING I wV' I `-'� CONTRACTOWS NAME ^ j & TEt,EPMONE CONTRACTORS MAULING ADORESS Fireplace CONSTRUCTION LENOER UNIaOWN Total Valuation S LeNDEas MAIUNO ADDRESS Fling Fee S 20.00 Permit Fee ARCMMCT OR ENaNEER LICENSE NO. Plan Checking Fee _� I S /a Energy Plan Checking Fee I S ARCHMECT OR EMMEEps WAILING ADORESS , Penalty b auanwaADORESS /1 2 j f PERMITFEE I S flejo 40,)A,A1e,47 PLUMBINGPERMIT I Fling Fee 20.00 Each Trap I 7.00 LOT NO. SU60NBIONS NAMEPAR CEL MAP Solar or heat pump water heater I I 23.0 Water piping I I .00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other sPeci� Each gas water heater or vent I t 5.00 Gas piping system 1 - 5 outle I 1 5.00 Building sewer I 15.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ In Ila' n ❑ Other ❑ T— Describe Work: CoJG'tiG.� ��c � �• Mobile Home I SI W I @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT I Fling Fee 20.00 Main Service ( e00v OR LESS I 200A OR LESS 23.00 Main Service mow To 1000A I I 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chanter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and m license is in full force and effect. Y License Class 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, army 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. 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 polity number are: Carrier 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.) ❑ 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 3.700 of the Labor Code. I shall forthwith comply with those provisions. X _____ Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit Is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories In heignt. NEW CONST• WELLING OCCUP sa.l OR •OONs ( a •cc. ITLE 3.5E Py. NEW CONST. ULTI.OUTLET NON-RES10. ( aR N ciacurrs ( I @7.50 I TUS ( PING 'PPT"'' cz s srLrr LrTLET cis. Ex. Occup. (ounEToa aruREs � I � A` 20 r%'•0O 9 So p. Fixed •PP OR Ex. Occup. (ouTLErs (.ES10. EA ) 5.00 Temporary Service I 23.00 I Mobile Home Facilities 20.00 Misc. Wiring I I 23.00 I PERMITFEE S Contractor MECHANICAL PERMIT F In I 9 Fee i 20.00 Heating Cooling ( I Hood I 6.50 Ventilation PERMITFEE S Contractor Mobile Ho a Installation Fee S Energ nspection Fee S OCC ' CONST. TYPE I JLam TOTAL FEE S �� / I I .AZ I 0 FEES: IMP I FLOOD I COs I PARCEL i PO i Ho I =L;E This permit is hereby Issued under tree appiicaoie provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMITEXPIRESON :I)wn Receipt No. wr.rITC 3- % n 8 C CAN ANY.AGE SCL%A oNA. ti��c;-_Oc GGLOENRr)().AOOI •CAN: . COUNTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET Li S(1- �%A5H6 URAL (�(3_ Z %S - OWNER A. P. No. Proposed Building Use CoJ Dec Building Inspector C-- Date 3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10, 11. 12. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. ., 30. 31. 32. 33. 34. All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans . ........................... Complete plans, 3/4 sets, signed by preparer of plans. . engineered plans and calcs, 3/4 sets, with wet signature on plans. ......... Hazardous Material Form . ............................................ Energy Design Compliance and supporting documentation . ................. . Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manyfacturer's installation instructions, 2 sets. ........... Fees of $ 3S .15 S .......................................... Impact fees as shown on attached schedule . .............................. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval C�f" Health Department . ............ City of Chico plumbing permit . ......................................... Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ......... Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy) Preanspedion request Pre -inspection for required. . to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner _). .......... . Recorded copy of Agricultural Acknowledgement Statement . ................... Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... Documentation of legal access . ..................... :................... Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plan check list. .................................................... . When you issue theprmiit process as follows: Mail toowner Mail to contractor. V Telephone ::33 and hold for pickup at office. Deliver with inspector. Other Z Parcel Creation ,/�,,Wood& / Acreage Applic Cnt ' r 1J Date -3//4 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items N 2. Additional items required: Contractor, designer ova% r was advised of above required data by `� phone _ mail Counter by _ Date Contractor, designer o ner was vis of above required data by _✓ phone _ mail ter Date Plans checked by Date �'?�5 Plans approved by Date __y' Sets of plans on hold in File cabinet AP folder LOCopy - Department of Public Works LWSE ONLY. PkA Pim .: Fbw phn Sent to B.D. ( Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other C Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date Q ie� i TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance LWSE ONLY. PkA Pim .: Fbw phn Sent to B.D. ( Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other C Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date Q ie� O.B.-1 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 PQ NO[ ]. 2. I HAVE[] HAVE NOT[ ] signed an application for a building permit for the proposed work. F, 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER; % V t Q)[7)a SOCIAL SECURITY NUMBER: DATE:, NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.- I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 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. 0 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. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 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 "ownerbuilder" 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. Sin cc/lrel Micha4l C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER � ' Eatte Count BUILDING DIVISION DEPARTMENT opDEVELOPMENT SERVICES rCOUNTY CENTER DRIVE ' onov/LLE, CALIFORNIA ysyss'000r rsLspxows. (916) 538-7541 pxx. (916) 538-2140 2/25/90 8e: B.P.#98-0524 A.P.#040-200-015 ' With reference to the above subject, attached is: /A Plan Check List [l Bed Marked Calculations [ l Bed Marked Plans ' [l Other Action Required: [ � Comply With Plan Check List [ l Resubmit Plans with Revisions As Required [ l Return All Original Materials aud.Bevised Plans to the Building Department [ l Other �' ` Sbould.you have any questions, please contact this office at tbeaddress or phone number listed above. Sincerely, ^ M&KI8A WHITNEY - PLAN CHECKER 51 Permit Applicant: LISA WASHBURN Assessor Parcel Number: 040-200-015 Permit Number: 96-0524 Date: 3/25/96 ?he above referenced building . plans were reviewed by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: ,1 PROVIDE SPACING OF ROOF RAFTERS. ?,�- DETAIL CONNECITON OF RAFTERS TO HOUSE. 1Y SIZE BEAM AND CONNECTION OF ROOF RAFTERS. IINIMUM OF 7' CLEARANCE REQUIRE AT OUTER EDGE OF COVERED DECK. f� PROVIDE PLOT PLAN - ENTIRE PLOT AND SETBACKS FOR EXISTING BUILDING AND NEW STRUCTURE. EXPLAIN POST (?) SITTING OFF BY ITSELF. (FOOTING?) f1. RAISED WOOD OR SLAB - JOISTS SIZE - DECKING SIgx-- @K—NTAXIMUM SPACING 6' FOR GIRDER SUPPORTS SHOW 7'. PROVIDE GRADE OF LUMBER TO BE USED. PROVIDE ROOFING MATERIALS TO BE USED. 11ZW190d �5 e". GV—PLANS ARE INADEQUATE TO COMPLETE PLAN CHECK. i If you wish to discuss any requirements, you may contact me at (916) 538-7541 between 1:00 P.M. and 4:00 P.M. Monday through Thursday. MARTHA WHITNEY - PLAN CHECKER IV' oy I q�t. C mv Jq viriHen soiswnewitHoui I -A 2 X —41T nl& Wo 0 any pernuss; im— cl County ion-dosoro-ferct' Nei - ---ALI;- A F Accxdcomc -.-. I villf IH AUM SET BACK —r-T.-FRCYA 2,r M q quAfy _ jam I -N off uc SJ RRO -T. -;;-Alr-?v BWI;dlq onal ;ES Sk - Ol-' A T EAVE ?AqAoic ---w.�th-- prosvibed - kr —At BE JCI 2s FT. AE IREAR -El R- -- OJA, RE EMANG. -4- kec,.- n;x-e, fcr limbint 1. La CD EQUIPMENT EM I F D CENT W(--rkfr d f1re I -IN -0 AL -V ERTY RUNESH imas rvipF- G, Specified achurlicul. - sl LUIN Shc uso -0- 0 E AN AU. 1 -2 in "a M BE -u f6 -X- p DEPA AT ME U -- zD 1 L -V IT I jX] 1 1 A I �N I I I ION I L. 1 T. /Y\ I I /A 1 1-1 TI cr - I W/I �' i i I I ; i i ,If Es 1-4 p6l MI it 101 81 I PA XF- if 7040-200=015 w.:PERMIT#.95-0509.� WASHBURN, Brian &''Lisa 19283Stanf1.or1.d ,,Ln, Durham,` ,' ..Ele for�well & 'lighting/SF- ` t m COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, galifornt a 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT - n�- ASSESSOR PARCEL NUMBER 040=t2_0 ZONING A5 BUILDING 7RMIT OWNER A WASHBURN BRIAN & LISOWNERS TELEPHONE 345-405 SO. Fr. OCC. UILDING VALUATION MAILING ADDRESS 9283 STANFORD N DURHAM 95938 CONTRACTOR'S NAME r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace ' CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20,00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 9283 STANFORD LN DURHAM PERMITFEE $ PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23,00 USEOFSTRUCTURE SFM Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other AJi Describe Work: WML ELECTRIC & LIGHTING .� ��%j• .> Mobile Home S I G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service Ooov OR LESS ( zooA oR LESS 23.00 Main Service ( 2.0A TO IooOA ) 46.00 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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from tfie Coltractors License Law or the following reason: ne?a is ,� 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 NEW CONST. DWELLING OCCUP. OR NS. ( a ACC. ) SO. 3.50 FT. NEW CT CONST. MULTI.OUTLETLE NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET S Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 BAL 0 .50 Ex. Occup. FIXEDPLNS..OR OUTLETS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor 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 Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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. f�Date X (t ah h iC,/�/ �(G" � Sigriature 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. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 43. HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD I 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 � ./00 Date PE M XPIRESON ]��G�S� I (Date) ReceiptNo. 175 77 I WHITE-D.D.S.-G.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO 7 County Center Drive - Oroville, California •95965 - Telephone (916) 538-7541. PERMIT NO. APPLICATION AND PERMIT �� ASSESSOR PARCEL NUMBER OAQ-200-015 ZONING A5 BUILDING P MIT OWNER BRIAN & SA WASHBURN 345-4059 SO. FT. OCC. UILDING VALUATION OWNERS MAILING ADDRESS 9283 STANFORD LN, DURHAM 95938 CONTRACTOR'S NAME OWNFR TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 9283 STANFORD LN DURHAM PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT No. SUBDNIS IONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF}PJ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other n Describe Work: WELL ELECTRIC & LIGHTING Ow /J.Jiwo hoi5e_ rflryGll/�✓ - Mobile Home ISI GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service a0OV OR LESS ( 2000A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 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 Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law jor 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 NEW CONST. DWELLING OCCURSO. OR NS. ( a ACC. ) 3.5,tFT. NEW CCONST. MULTI-OUUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8 FOSINGLER E APPARATOUTLETUS ) CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 a 1.00 BAL e W50 .OR Ex. Occup. (oFIXEEDrs IPE ISE .E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMITFEE $ 43.00 Contractor 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' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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. t , /� _ ____ Date a ' tQ % 1 ilt re 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. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 43.0 HAZ. I D. FEES I IMP I FLOOD I COF PARCEL PO HD I 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. B �✓`' --� / Date j� y PEAS— MI EXPIRESON (Date) Receipt No.I7�yI7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE Department of Development Services Bufi$ing Division Oroville: , 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 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 or no). - 2. - I (have/have not) JA -" ,P- signed an application for a building permit for the proposed work. 3 I have contracted with the following person (firm) to provide the proposed construction: Name ` Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Ownerb Social Security umber Date --� - I L- r Ci S NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Rqad, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE uk'-A �r 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 notify 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. x � Pe✓ W k%�/<) ra Date !/ IN Inspector REV 10/92 � ... �.: •. .. ; , r.` r' it ,, .�,� � v. r. I tw. 'a'✓frr � _ ,. �_ .d7�s.. :i `s X/ s - . t —�/^�—/:y.L//�/ ? . • 4�. kzj r. -w«. •.. _ _ _ .tee... M.._ ., . • • _ ,. - ♦ • F �.• .. OFFICE COPY FAS {: Date%��% �" Date } _ r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS/ PERMIT NO. 7 County Center Drive - Oroville`, California 95965 - Telephone 916/534-4541 ! / ". I f �/ APPLICATION AD PERMIT � ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME , TELEPHONE CONTRACTOR -'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER /, " ` UNKNOWN Total Valuation Is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF R1Duplex❑ Mobilehome❑ Other •r ,�f! i, , �� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti litie s;.© Installation❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service R LES SLESS 100 AMP ORS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑. I am licensed under provisions Of Chapt. 9, Div. 3 of the BUslnesS and Professions Code and my license is in full force and effect. License No. Classification r ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. (OR ACDNS. ACC. BLDGS. DWELLING OCCUP.&) '/x2sgft NEW CONSTR. MULTI -OUTLET 2,50 ea NON.R ESID BRANCH CIRC ITS POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. OCcu 20e50e Occup(OUTLETS OR FIXTURES eAL@30 FIXED Ex. Occup. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 _d `. , -_ J . - ,, . I Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X r �� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST,TYPEJ I I FLOOD PARCEL I PO ND ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above r for which fees have been paid. DIRECTOR OF PUBLIC WORKS I By 00, , - _ Date PERMIT EXPIRES Date �- / 1 Receipt No. / 7C- r + • WHITE-D.P.W., YELLOW' ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT t. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N � ASSESSOR P 'CEL NUMBER ZONING U'y� BUILDING PERMIT OWN TELEPHONE iC sh-19&1le/ SQ. FT. OCC. BUILDING VALU TION OWNER'S MAILING ADDRESS CONTRAC• R'S N AME- ♦ �- TELEPHONE C ALTO 'S`MAILING ADDRESS -- �' Fireplace CONSTRUCTION" LENDER. Nt'. - UNKNOWN Total Valuation $ Filing Fee $ 1000 LENDER'S MAADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE ND. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 - USE OF STRUCTURE SF� "Duplex❑. Mobilehome❑ Other sVl� e� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New❑,• Addition❑ Remodel❑ Utilities Installation[- Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10,00 dd Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ® am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ and Professions Code and my license is in full force and effect. r License No. 't/0'f CZ -Z,- Classification /C/ ��11 El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.8i , h2sgft NEW AR. CONSTR. ULTBI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APMI-1PAT RAUS I! (SINGLE OUTLET CIR. EX, Occup(OUTLETS OR FIXTURES e20050a AL@30 FIXED PR EX. Occup. OUTLETS (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 UQ 5�r//% Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �l have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said unt in c nse pence of the granting of this permit. X Date �_�Z 7 Signature of Applicant — Owner Contractor [j4' Agent Elwork An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP, CONST.TYPC I FLOOD PARCEL I PD HO 99UE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECT F PUBLIC By PE&M EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date / / - Receipt No. 774.476 WHIT! -D. r. W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ,. .. i -� ,... r.'.. -.R Q,-._ w..+s-s.�-+f„ 3eRa1�v-a�Y is":a�4v+.c. Ys'S:�.i+l'3♦'f+3:frv,r«. . ,.,,. . � '.'� ' � ' ffro COUNTY OF BUTTE - DEPARTMENT.;O';'_F'y LIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLECALd;F.ORNIA 95965 - TELEPHONE: 916/531 PERMIT APPLICATION DATA SHEET OWNER ///i Ste. Permit No. A. P. No. Proposed Building Use T Building Inspector Date a -tea - At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1'... All items have been submitted. . . . . . . . . . . . 2: Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid" Stamp on Floor Plan . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: - 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License'lnformation (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), _15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . Pre-Inspec. request t9:2 7a -,F% ffg �^(Date) 17. Pre -Inspection for Required- Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 12W 21. 2�� � 2. ^Z.P7 When you issue the permit, process as follows: Mail to owper, Mail to contractor. -��Telephone and hold for pickup atc�fice, Deliver w/inspector.. Other Applicant A�L le --LZ-2 -P7 Copy of plans sent Health Dept., Fire Dept., Other Date r The following data must be submitted prior to permit issuance: (Circle new item1not checked above). 1. Index permit for above items No. 2. Additional items required: � fr. Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone—mail—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovillc, Caiif;:rnia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWN"R q TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESSi 76 l / it J '� C ONTR AC R'S NAM G&L-" TELEPHONE —.� C ACTOR'S MAILING ADDRESS 1 . ` < Fireplace CONSTRUCTION LENDER 1f1e"`2* UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS `� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each vas water heater or vent 5.00 USE OF STRUCTURE SF� Duplex[] Mobilehome❑ Other �/= l�//%%1�3{— SPECIFY Gas piping system 1 - 5 outlets '5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New ❑ . Addition ❑ Remodel ❑ Uti litiesA Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service Doov OR LESS 100 AMP OR LESS 10.00 �lZi Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q/I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 'u0 {O?_� Classification �' –/Zi ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&` OR ADDNS. ( ACC. BLDGS. / /r¢SQft NEW CONSTR. MULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS a (SINGLE OUTLET CIR. Ex. Occup(ouT LETS OR FIXTURES 3020@50 BAL@ 20@930 Ex. Occup. OUED P T LETS (RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ct7 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self-Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. i also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said unt in c nse uence of the granting of this permit. �_/Z_V7 Signature of Applicant — Owner Contractor [}' Agent ❑ An OSHA permit is required for excavations over S'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPC I IFLOODIPARCELI PD ND 59UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Aeceipl No. WkITE-D.P.W., YELLOW-ASSE330R. PINK•INSPECTOl1. COLDEN110D-APPLICANT ... _ , _. _ �-�....-�,..,. .....,...aw^•.+w -„-a�,.!� w.r. _.-w.-'+x� en.yo......,�isr.- _anz ;..r •- ,>r�►, • j.,,,-..z-.,�.� .. _ -040-200-u015 v '.PERMIT#97-2270 WASHBURN' Lisa 9283 Starifor n: d' L Durham Cont• ' .,; Craig & Dan Hill Cdnst. Reroof/SF - a t v • L COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION '< 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 41 P MIT NO (Rev.1 �961� APPLICATION AND PERMIT P ASSESSOR PARCEL NUMBER o4o-ao040-200-0155 ZONING A 20 BUI ING PERMIT OWNER HSA WASTTBTFVN TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 9" S N D N M 'x r1 CONTRACTOR'S NAME C DAN� CRA TELEPHONE � I 1 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ 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: T)E�1?00V 2{• Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200AORLESS 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,N-RENEW and my license is In ull force and effect. License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for tie 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. usiness 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. ❑ 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' corppQnsatgi ins�ance carrier and policy number are: Carrier 451+1 C tr-s � Policy Number S7 — V7 (The above sections need not be completed if the 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 forthwith co ply it those provisions. X-� Date 10/21 _ Signature of Applicant - ❑ Owner MofContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service ( To 46.00 CCU000A NEW CONST. / DWELLING .S. SO DWE200ALLING OR ADDNS. \ a Acc. sLos. 3.5¢FT: s",o. MULTI -OUTLET g7,50 POWER APPARATUS SINGLE OUTLET CIR. 20 @ 1.00 Ex. Op. OUTLET OR FucTUREs SAL @ .50 Ex. Occup. ouTLEEDTs AEs o.oea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 I FLOOD I CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above fo which fees have been paid. /j to _ PERMIT EXPIRES ON V Date Receipt No. Q WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF,I)EVE-LOPMENTSERVICES -BUILDING DIV ION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 41 PERMIT NO (Rev.12/96) APPLICATION AND PERMIT —10 i' ASSESSOR PARCEL NUMBER 040-200-015 ZONING BUIWJINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATTIION OWNERS MAILING ADDRESS 9283 WANFORT) TIT T1111RHAM... CONTRACTOR'S NAME LT I TELEPHO E CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS STANFORD IN Energy Plan Checking Fee $ 9283 $ PERMIT FEE $ d 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 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RERE)E)F 15 SQ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G W @20.00 I PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 R LE OOOVMain Service � A OR LESS 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 infullforce and effect. �i License Class V 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 I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BUDS. SO 3.50FT. NON -RES DT ANC. C C� @7.50 POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES O I'50 BAIL 9 .so Ex. Occup. O ELE°TSA RES 6.) ENS p 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 insyrance carrier and policy number are: Carrier � Policy Number —F7 (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 co ly it those provisions. X _ _ __ Date 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. 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 the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above fo ich fees have been paid. e Dl / C� PERMIT EXPIRES ON ( o Date Receipt No. WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .. ...... -,---,..-.-ti.•.•.-....-.-,..-.....•,,.,�r'r+--�vrl.�^,�1,� � �,y.�.�,,.SJ ,•=v,�'�^res-!"�f*Y�.�'b��tF+h,}.h�s.^i;,�'T�:i,r��....- ��.+Y,.;. .�:,(t...:4 .. ,�... COUNTYOF BUTTE - DEPART.MENT OF DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE =OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT -APPLICATION DATA SHEET OWNER W A. P. N Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................ . ............... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ..:......................................... 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . . . . . . ... . . . . . 15. City of Chico plumbing permit . ......................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............ . 17. Planning approval for (A) Use: 4,(B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. 20. Pre -inspection for Pi'6Q°s- required. .. t° Buid ng Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . ................... 25. Letter of signature authorization ......................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . .....................: . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . .................................................... . 33. ,✓` 34. When you issue the nermi,t, process as follows: Mei too ner Mail to contractor. Telephone and hold for pickup a e!!' office. Deliver'with inspector. Other Parcel Creation 10 2� �� Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date . Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date. Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING PN: ONE: BUILDING PMT. # a Vo -a00 - o i 5 W OWNER: R,- y -A \ -t Los& - �7�b l�lr � � PHONE:S- MAIL ADDRESS: �)WVAII\a Myk 61S Cl SITE ADDRESS: c�Ol yVL1L ��lJQJ�2.. PROPOSED USE: 01owo- G\ e-- PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (248) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM: (PLEASE PRECEDE EACH COMMENT WITH RELATED QUESTION #) GENERAL INFORMATION: 1. Is there a primary dwelling on the property? Yes: \4 ' _ No: 2. Is the structure already built, under construction, or under notice of code violation? Yes: No: )-c- 3. Will items produced in this building be offered for sale? Yes: No: 4. Will the public have access to this building? Yes: No: 5. Will any advertising, on or off site, be associated with the use of this building? Yes: No: _x 6. Will this building be occupied at any time as a sleeping quarters? Yes: No: Y- 7. Will this building be occupied at any time as an eating area? Yes: No: x 8. Will this building be occupied at any time as a cooking area? Yes: No: iC 9. Will this building be occupied at any time as a living area? Yes: No: SITE CONDITIONS: 10. Is the structure foundation within 5' of septic tank or leach lines? Yes: No: 11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No: X 12. Do you plan to add a driveway or modify existing access to a county maintained road? Yes: No: x 13. Will the proposed structure encroach within any recorded easement? Yes: No: x— CONSTRUCTION FEATURES: 14. Will this building have insulated floor, walls, or ceiling? Yes: �_ No: 15. Will this building be heated or cooled? Yes: No: _ X 16. Will this building have a water closet/toilet? Yes: - No; X 17. Will this building have a sink? Yes: No: 18. Will this building have a water heater? Yes: No: X 19. What type of floor covering will the building have? Y,iZ Co Mhdp g 1&b 20. What type of wall covering will the building have? _VkA7vL.Q— ADDITIONAL INFORMATION: I hearby affirm under penalty of perjury the above infromation is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when offered for sale. e _4 59,14. AEA I'JER'S SIGNATURE AT FOR DEPARTMENTAL USE REVIEWED BY: COMMENTS: OWNER'S SIGNATURE DATE DATE: HERITAGE BUILDING SYSTEMS 2612 GRIBBLE STREET NORTH LITTLE ROCK, AR 72114 STRUCTURAL DESIGN CALCULATIONS FOR BRIAN WASHBURN 9283 STANFORD LANE DURHAM, CA CAX17106 BUILDING DATA Width (ft) = 45'.0 Length (ft) _ 60.0 Eave Height (f t) = 16.0/ 16.0 Roof Slope (rise/12 ) = 2.00/ 2.00 Dead Load (psf ) = 2.0 Live Load (psf ) = 20.0 Collat. Load (psf ) = 0.0 Wind Speed(mph ) = 80.0 Wind Code = UBC 97 Closed/Open = C ROFES Exposure- C �O oER P ti! - Importance Wind - 1.00CO Importance - Seismic = 1.00 & V Seismic Coeff = 0.36 � A! say C26rg6 Seismic Zone = 3 UP. 31. a®1^w_ - - Designer = A.K.W. ------------- BUTTf1 Cowry A D D P O V p f- 5/16/01 CAX17106 Design Loads For Each Building Component 5/16/01 7:32am FRONT SIDEWALL: --------------- LOADING Wind Wind Press Suct 16.2 -16.2 .. 21.6 -21.6 e. 16.2 -16.2 .. BACK SIDEWALL: --------------- LOADING Wind Wind Press Suct 16.2 -16.2 .. 21.6 -21.6 .. 16.2 -16.2 .. LEFT ENDWALL: -------------- Girt/Header Panel Jamb Girt/Header Panel Jamb BASIC LOADS: Dead Live Snow Collateral Basic Wind Load Load Load Load Load Wind Ratio 2.0 20.0 0.0 0.0 18.0 1.00 WIND PRESSURE/SUCTION: Wind Wind Rafter Press Suct Long 16.2 -16.2 :. Column 16.2 -16.2 .. Girt/Header 16.2 -16.2 .. Jamb 21.6 -21.6 .. Panel WIND COEFFICIENTS: Surf Rafter _Wind _1 Rafter Wind 2 Bracing Wind Long Id Left Right Left Right Left Right Press 1 0.80 -0.50 0.80 -0.50 0.80 -0.50 0.00 2 -0.90 -0.70 0.30 -0.70 0.30 -0.70 -0.70 3 : -0.70 -0.90 -0.70 0.30 -0.70 0.30 -0.70 4 -0.50 0.80 -0.50 0.80 -0.50 0.80 0.00 COLUMN-& BRACING DESIGN LOADS: No. Load Live/ Brace Wind Column Wind Load Id Dead Collat Snow . Left Right Press Suct 8 1 i.00 1.00 1.00 0.00 0.00 0.00 0.00 2 1.00 0.00 0.50 0.00 0.00 1.00 0.00 3 1.00 0.00 0.50 0.00 0.00 0.00 1.00 4 1.00 0.00 0.00 0.00 0.00 0.00 0.00 5 1.00 0.00 0.00 1.00 0.00 0.00 0.00 6 1.00 0.00 0.00 0.00 1.00 0.00 0.00 7 1.00 1.00 0.00 0.00 0.00 0.00 0.00 8 1.00 1.00 0.00 0.00 0.00 0.00 0.00 Surface Friction 0.00 0.00 0.00 0.00 Aux Id 0 0 0 0 0 0 0 0 RAFTER DESIGN LOADS: No. Load Load Id Dead 7 1 1.00 2 1.00 3 1.00 4 1.00 5 1.00 6 1.00 7 1.00 RIGHT ENDWALL: BASIC LOADS: Dead Live Snow Load Load Load 2.0 20.0 0.0 Collat 1.00 0.00 0.00 0.00 0.00 1.00 1.00 Live/ Rafter -Wind-1 Rafter_Wind_2 Press Aux Snow Left Right Left Right Id 1.00 0.00 0.00 0.00 0.00 0 0.00 1.00 0.00 0.00 0.00 0 0.00 0.00 1.00 0.00 0.00 0 0.00 0.00 0.00 1.00 0.00 0 0.00 0.00 0.00 0.00 1.00 0 0.00 0.00 0.00 0.00 0.00 0 0.00 0.00 0.00 0.00 0.00 0 Collateral Basic Wind Load Load Wind Ratio 0.0 18.0 1.00 WIND PRESSURE/SUCTION: Wind Wind Left Press Suct Friction 16.2 -16.2 .. Column 16.2 -16.2 .. Girt/Header 16.2 -16.2 .. Jamb 21.6 -21.6 .. Panel WIND COEFFICIENTS: Surf Rafter _Wind _1 Id Left Right 1 0.80 -0.50 2 -0.90 -0.70 3 -0.70 -0.90 4 -0.50 0.80 Rafter Wind 2 Left Right 0.80 -0.50 0.30 -0.70 -0.70 0.30 -0.50 0.80 COLUMN & BRACING DESIGN No. Load Load Id Dead Colla 8 1 1.00 1.00 2 1.00 0.00 3 1.00 0.00 4 1.00 0.00 5 1.00 0.00 6 1.00 0.00 7 1.00 1.00 8 1.00 1.00 RAFTER DESIGN LOADS: No. Load Load Id Dead Collat 7 1 1.00 1.00 2 1.00 0.00 3 1.00 0.00 4 1.00 0.00 5 1.00 0.00 6 1.00 1.00 Bracing Wind Long Surface Left Right Press Friction 0.80 -0.50 0.00 0.00 0.30 -0.70 -0.70 0.00 -0.70 0.30 -0.70 0.00 -0.50 0.80 0.00 0.00 LOADS: Collat Live/ Brace_Wind Column Wind ( Aux Snow Left Right Press Suct Id 1.00 0.00 0.00 0.00 0.00 0 0.50 0.00 0.00 1.00 0.00 0 0.50 0.00 0.00 0.00 1.00 0 0.00 0.00 0.00 0.00 0.00 0 0.00 1.00 0.00 0.00 0.00 0 0.00 0.00 1.00 0.00 0.00 0 0.00 0.00 0.00 0.00 0.00 0 0.00 0.00 0.00 0.00 0.00 0 Live/ Rafter Wind_1 Rafter Wind 2 Aux Snow Left Right Left Right Id 1.00 0.00 0.00 0.00 0.00 0 0.00 1.00 0.00 0.00 0.00 0 0.00 0.00 1.00 0.00 0.00 0 0.00 0.00 0.00 1.00 0.00 0 0.00 0.00 0.00 0.00 1.00 0 0.00 0.00 0.00 0.00 0.00 0 WIND PRESSURE/SUCTION: Wind 7 1.00 1.00 0.00 0.00 0.00 0.00 0.00 ROOFDES: Press Suct Suct_R 0.0 0.0 0.30 0.00 BASIC LOADS: 0.00 0.0 -18.0 Dead Live Snow Collateral Basic Wind Load Surface Load Load Load Load Wind Ratio Friction 2.0 20.0 0.0 0.0 18.0 1.00 0.00 WIND PRESSURE/SUCTION: Wind Wind Wind Weak_Axis_React Wind Ratio Load L_Col R_Col Press Suct Suct_R 0.0 0.0 0.30 0.00 -0.50 0.80 0.00 0.0 -18.0 .. Purlins 0.0 -23.4 .. Panels 14.4 -9.0 -12.6 .. Bracing PURLIN DESIGN LOADS: Surf No. _Des Load Live/ Wind. Wind Aux Id Loads Id Dead Collat Snow Press Suct Id 2. 2 1 1.00 1.00 1.00 0.00 0.00 0 2 1.00 0.00 0.00 0.00 1.00 0 3 2 1 1.00 1.00 1.00 0.00 0.00 0 2 1.00 0.00 0.00 0.00 1.00 0 BRACING DESIGN LOADS: Surf No. _Des Load Live/ Wind Wind Aux Id Loads Id Dead Collat Snow. Press -Suct Id 2 4 1 1.00 0.00 0.00 1.00 1.00 0 2 1.00 0.00 0.50 1.00 1.00 0 3 1.00 1.00 1.00 0.50 0.50 0 4 1.00 1.00 0.00 0.00 0.00 0 3 4 1 1.00 0.00 0.00 1.00 1.00 0 2 1.00 0.00 0.50 1.00 1.00 0 3 1.00 1.00 1.00 0.50 0.50 0 4 1.00 1.00 0.00 0.00 0.00 0 RIGID FRAME #1: --------------- BASIC LOADS: Dead Live Snow Collateral 2.0 20.0 0.0 0.0 WIND COEFFICIENTS: Surf --Wind 1 --- Id Left Right 1 0.80 -0.50 2 -0.90 -0.70 3 -0.70 -0.90 4 -0.50 0.80 DESIGN LOADS: X Basic Defl Seis Weak_Axis_React Wind Ratio Load L_Col R_Col 18.0 1.00 0.5 0.0 0.0 --Wind 2--- Surface Left Right Friction 0.80 -0.50 0.00 0.30 -0.70 0.00 -0.70 0.30 0.00 -0.50 0.80 0.00 -------------------- Load -Coefficients ------------------- No. _Des Load Live/ Live ---Wind-1 -- ---Wind 2-- Aux Loads Id Dead Collat Snow Right Left Right Left Right Seis Id 17 1 1.00 1.00 1.00 0.00 0.00 0.00 0.00 0.00 0.00 0 2 1.00 0.00 0.00 0.00 1.00 0.00 0.00 0.00 0.00 0 3 1.00 0.00 0.00 0.00 0.00 1.00 0.00 0.00 0.00 0 4 1.00 1.00 1.00 0.00 '0.50 0':'00 0`.00 0.00 0.00 0 5 1.00 1.00 1.00 0.00 0.00 0.50 0.00 0.00 0.00 0 6 1.00 0.00 .0.50 0.00 1.00. 0.00 0.00 0.00 0.00 0 7 1.00 0.00 0.50 0.00 0.00 1.00 0.00 0.00 0.00. 0 8 1.00 0.00 0.00 0.00 0.00 0.00 1.00 0.00 0.00 0 9 1.00 0.00 0.00 0.00 0.00 0.00 0.00 1.00 0.00 0 10 1.00 1.00 1.00 0.00 0.00 0.00 0.50 0.00 0.00 0 11 1.00 1.00 1.00 0.00 0.00 0.00 0.00 0.50 0.00 0 12 1.00 0.00 0.50 0.00 0.00 0.00 1.00 0.00 0.00 0 13 1.00 0.00 0.50 0.00 0.00 0.00 0.00 1.00 0.00 0 14 1.00 1.00 0.00 0.00 0.00 0.00 0.00 0.00 1.00 0 15 1.00 1.00 0.00 0.00 0.00 0.00 0.00 0.00 -1.00 0 16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.00 0 17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 -1.00 0 RIGID FRAME #2: --------------- BASIC LOADS: Basic Defl Seis Weak_Axis_React Dead Live Snow Collateral Wind Ratio Load L_Col R_Col 2.0 20.0 0.0 0.0 18.0 1.00 0..3 0.0 0.0 WIND COEFFICIENTS: Surf--Wind_1--- -- Wind _2--- Surface Id Left Right Left Right Friction 1 0.80 -0.50 0.80 -0.50 0.00 2 -0.90 -0.70 0.30 -0.70 10.00 3 -0.70 -0.90 -0.70 0.30 0.00 4 .-0.50 0.80 -0.50 0.80 0.00 DESIGN LOADS: No. Des Load Loads Id 17 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 -------------------- Load _Coefficients ------------------- Live/ Live ---Wind 1-- ---Wind 2-- Aux Dead Collat Snow Right Left Right Left Right Seis Id 1.00 1.00 1.00 0.00 0.00 0.00 0.00 0.00 0.00 0 1.00 0.00 0.00 0.00 1.00 0.00 0.00 0.00 0.00 0 1.00 0.00 0.00 0.00 0.00 1.00 0.00 0.00 0.00 0 1.00 1.00 1.00 0.00 0.50 0.00 0.00 0.00 0.00 0 1.00 1.00 1.00 0.00 0.00 0.50 0.00 0.00 0.00 0 1.00 0.00 0.50 0.00 1.00 0.00 0.00 0.00 0.00 0 1.00 0.00 0.50 0.00 0.00 1.00 0.00 0.00 0.00 0 1.00 0.00 0.00 0.00 0.00 0.00 .1.00 0.00 0.00 0 1.00 0.00 0.00 0.00 0.00 0.00 0.00 1.00 0.00 0 1.00 1.00 1.00 0.00 0.00 0.00 0.50 0.00 0.00 0 1.00 1.00 1.00 0.00 0.00 0.00 0.00 0.50 0.00 0 1.00 0.00 0.50 0.00 0.00 0.00 1.00 0.00 0.00 0 1.00 0.00 0.50 0.00 0.00 0.00 0.00 1.00 0.00 0 1.00 1.00 0.00 0.00 0.00 0.00 0.00 0.00 1.00 0 1.00 1.00 0.00 0.00 0.00 0.00 0.00 0.001-1.00 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.00 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 -1.00 0 CAX17106 Reactions, Anchor Bolts, & Base Plates 5/16/01 7:32am ----- ----- ---- Foundation Loads (k) ---- --------- ----------------- Frame Col Max Pos Val Max Neg Val Anc. Bolt Base Plate Line ----- Line ----- Id -- Horiz ----- Vert ----- Id Horiz Vert No. Diam Width Len Thick 1 C 9 2.08 0.10 -- 10 ----- -2.08 ----- 0.10 --- 2 ----- 0.750 ----- 7.00 ----- 8.00 ----- 0.250 8 0.00 0.10 1 B 9 2.08 0.10 10 -2.08 0.10 2 0.750 7.00 8.00 0.250 8 0.00 0.10 4 A 8 0.00 0.21 2 0.750 7.00 8.00 0.250 3 0.00 1.48 11 0.00 -0.85 4 B 9 2.08 -1.57 10 -2.08 -1.54 2 0.750 7.00 8.00 0.250 3 0.00 3.82 11 2.08 -2.11 4 C 9 2.08 -2.11 10 -2.08 -1.54 2 0.750 7.00 8.00 0.250 3 0.00 3.82 9 2.08 -2.11 4 D 8 0.00 0.24 2 0.750 7.00 8.00 0.250 3 0.00 1.48 9 0.00 -0.85 *2 D 1 5.62 9.60 2 -6.00 -6.71 2 0.750 6.00 9.00 0.500 3 3.93 10.50 2 -6.00 -6.71 *2 A 4 6.00 -6.71 5 -5.62 9.60 2 0.750 6.00 9.00 0.500 3 -3.93 10.50 4 6.00 -6.71 1 D 6 2.79 2.37 2 -2.86 -3.08 2 0.750 6.00 8.00 0.500 3 1.86 5.52 2 -2.86 -3.08 1 A 4 2.86 -3.08 7 -2.79 2.37 2 0.750 6.00 8.00 0.500 3 -1.86 5.52 4 2.86 -3.08 ------------------------------------------------------------------------------ *2 Frame Lines : 2 3 Load Load Id Combination ---- ------------------------------ 1 DL+CO+LL+WR2/2 2 DL+WL1 3 DL+CO+LL 4 DL+WR1 5 DL+CO+LL+WL2/2 6 DL+LL/2+WR2 7 DL+LL/2+WL2 8 DL+CO 9 DL+WRI+WS 10 DL+WP 11 DL+WLI+WS BRACING/PANEL SHEAR REACTIONS: ------------------------------ ------- Bracing(k ------------------------------------Bracing(k )-------- Panel ---Wall-- Col ----Wind---- --Seismic--- Shear Loc Line Id Horz Vert Horz Vert (lb/ft) ---- ---- ----- ----- ----- ----- ------------ L-EW 1 Rigid Frame At Endwall F SW A 2 ,3 4.71 3.24 3.04 2.09 R_EW 4 B 2.59 2.74 0.56 0.59 C 2.59 2.74 0.56 0.59 B_SW D 3 ,2 4.71 3.24 3.04 2.09 CAX17106 Additional Reactions Report 5/16/01 7:32am Rigid Frame Column Reactions ---------------------------- Frame Col ---Dead--- Collateral ---Live ---- -- Live -- -Wind L1-- Line Line ------ Horiz ----- Vert ----- Horiz ----- Vert ----- Horiz Vert Horiz _R Vert Horiz Vert *2 D 0.49 1.50 0.00 0.0.0 ----- 3.44 ----- 9.00 ----- 1.72, ----- 2.18 ----- -6.48 ----- -8.20 *2 A -0.49 1.50 0.00 0.00 -3.44 9.00 -1.72 6.82 -0.75 -4.78 1 D 0.28 1.02 0.00 0.00 1.58 4.50 0.79 1.09 -3.14 -4.10 1 ---------------------------------------------------------------------------- A -0.28 1.02 0.00 0.00 -1.58 4.50 -0.79 3.41 -0.47 -2.39 Frame Col -Wind R1-- -Wind L2 -- -Wind R2-- Seismic L- Seismic Line ----- Line ------ Horiz ----- Vert ----- Horiz ----- Vert ----- Horiz Vert Horiz Vert Horiz _R- Vert *2 D 0.75 -4.78 -5.47 -1.46 ----- 3.39 ----- -1.79 ----- -0.51 ----- -0.35 ----- 0.51 ----- 0.35 *2 A 6.48 -8.20 -3.39 -1.7.9 5.47 -1.46 -0.51 0.35 0.51 -0.35 1 D 0.47 -2.39 -2.71 -0.73 1.72 -0.89 -0.25 -0.17 0.25 0..17 1 ------------------------------------------------------------------------------ A 3.14 -4.10 -1.72 -0.89 2.71 -0.73 -0.25 0.17 0.25 -0.17 *2 Frame Lines : 2 3 Endwall Column Reactions ------------------------- -Out Of Plane - Frame Col Dead Collat Live -Brc_Wind -Brc Wind R- Wind_P Wind Line ----- Line ---- Vert ----- Vert ----- Vert ----- Horz _L- Vert Horz Vert Horz _S Horz 1 C 0.10 0.00 0.00 ----- 0.00 ----- 0.00 ----- 0.00 ----- 0.00 ------ -2.08 -=---- 2.08 1 B 0.10 0.00 0.00 0.00 0.00 0.00 0.00 -2.08 2.08 4 A 0.21 0.00 1.27 0.00 0.37 0.00 -0.83 0.00 0.00 4 B 0.51 0.00 3.31 2.59 -2.00 0.00 0.81 -2.08 2.08 4 C 0.51 0.00 3.31 0.00 0.81 2.59 -2.00 -2.08 2.08 4 D 0.21 .0.00 1.27 0.00 -0.83 0.00 0.37 0.00 0.00 Endwall Column Reactions ------------------------- Frame Col -Raf Wind L- -Raf_Wind --Seismic_L- --Seismic_R- Line Line Horz Vert Horz _R- Vert Horz Vert Horz Vert 1 C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4 A 0.00 -1.07 0.00 -0.83 0.00 0.02 0.00 -0.01 4 B 0.00 -2.61 0.00 -2.08 0.00 -0.62 0.00 0.60 4 C 0.00 -2.08 0.00 -2.61 0.00 0.60 0.00 -0.62 4 D ---------------------------------------------------------------------- 0.00 -0.83 0.00 -1.07 0.00 -0.01 0.00 0.02 HERITAGE BUILDING SYSTEMS 2612 GRIBBLE STREET NORTH LITTLE ROCK, AR 72114 FRAMING SUMMARY FOR BRIAN WASHBURN 9283 STANFORD LANE DURHAM, CA CAX17106 BUILDING DATA Width (ft) = 45.0 Length (ft) = 60.0 Eave Height (ft) = 16.0/ 16.0 Roof Slope (rise/12) = 2.00/ 2.00 Dead Load (psf ) = 2.00 Live Load (psf ) = 20.00 Collat. Load (psf ) = 0.00 Wind Speed(mph ) = 80.0 Wind Code = UBC 97 Closed/Open = C Exposure = C Importance - Wind = 1.00 Importance -'Seismic = 1.00 Seismic Coeff = 0.36 Designer = A.K.W. --------------- 5/16/0.1 ----------------------------------- CAX17106 FRAMING SUMMARY: Roof 5/16/01 7:32am PURLIN LAYOUT: Surface Purlin Surf _Ext Stub _Purlin Total Peak Set - Id ------- Type ------ Left ----- Right ----- Left ----- Right Rows _Space Space Space Row 2 ZB 0.00 0.00 N ----- N ----- 5 ----- ---=- --- 1.333 3 ZB 0.00 0.00 N N 5 1.333 PURLIN & EAVE STRUT SIZE: Surface Bay Purlin Id Id Size ------- --- -------- 2 1 8X25216 2 8X25Z16 3 8X25216 3 1 8X25216 2 8X25Z16 3 8X25Z16 BOLTS AT EAVE STRUT: Wall Frame Line Id Id Type 2 1 RF 2 2 RF 2 3 RF 2 4 EW 4 4 RF 4 3 RF 4 2 RF 4 1 EW -Purlin—Lap- IS Flg Eave Left ----- Right ----- Strap Strut Type ----- 1.00 ------ 0 -------- 8E14 1.00 1.00 0 8E14 1.00 2 0 8E14 2 1.00 0 8E14 1.00 1.00 0 8E14 1.00 0.500 0 8E14 Lap ------Bolt—Size ------ oltSize------ Plate Plate ----- No -- Type ----- Diam Washer 2 A325 ----- 0.500 ------ 2 N 2 A325 0.500 2 N 2 A325 0.500 2 2 A325 0.500 2 0 A325 0.500 2 N 0 A325 0.500 2 N 0 A325 0.500 2 0 A325 0.500 2 CAX17106 FRAMING SUMMARY: Left Endwall 5/16/01 7 32am COLUMNS: Column Column Column Column--Base_Bolts-- ---Top Bolts-- Id Offset Len+/- Size No Type Diam No Type Diam ------ ------ -------------- -- ----- ----- -- ----- ----- 2 15.0 17.5 8X35C12 0 2 A325 .0.625 3 30.0 17.5 8X35012 0 2 A325 0.625 GIRTS: Girt Girt Type Lap ZF 0.000 GIRT LOCATION: Bay No. Girt Location Id Girt 1 2 --- ---- -------- -------- 1 2 7.3333 13:2500 2 2 7.3333 13.2500 3 2 7.3333 13.2500 GIRT SIZE: (Full Bay Girts) Bay No. Girt Id Id Girt 1 2 --- ---- -------- -------- 1 2 8X25Z16 8X25Z16 2 2 8X25Z16 8X25Z16 3 2 8X25216 8X25Z16 ------------------------------ CAX17106 .FRAMING SUMMARY: Right Endwall 5/16/01 7:.32am RAFTERS/SPLICE PLATES: Surf Rafters Id Id Len+/- Size ---- -- ------ -------- 2 1 22.8 8X35C14 3 2 22.8 8X35C14 COLUMNS: Splice Plates I Bolts Type Width Thick I Type Diam Space Gage Row ------ ----- ----- ---- ----- ----- ---- --- Moment 3.5 0.375 A325 0.625 4.00 0.00 4 Column Column Column Column Id ------ Offset Len+/- Size 1 ------ 0.0 ------ 15.1 -------- 8X35C14 2 15.0 17.5 8X35C12 3 30.0 17.5 8X35C12 4 45.0 15.1 8X35C14 --Base_Bolts-----Top_Bolts-- No Type Diam No Type Diam 0 2 A325 0.625 0 2 A325 0.625 0 2 A325 0.625 0 2 A325 0.625 GIRTS: Girt Girt Type Lap ZF 0.000 GIRT LOCATION: Bay No. Girt Location Id --- Girt ---- i 2 1 2 -------- 7.3333 -------- 13.2500 2 2 7.3333 13.2500 3 2 7.3333 13.2500 GIRT SIZE: (Full Bay Girts) Bay No. Girt Id Jamb -------- Id --- Girt ---- 1 2 1 2 -------- 8X25Z16 -------- 8X25Z16 2 2 8X25216 8X25216 3 2 8X25Z16 8X25Z16 WALL BRACING: Bay Brace Brace Brace Id Height Type Diam 2 16.61 Cable 0.313 ------------------------------------ CAX17106 FRAMING SUMMARY: Front Sidewall 5/16/01 7:32am DOOR JAMBS/HEADERS: Bay ---------- Opening_Size---------- Id Width Height Sill Offset ----------------- ------ ------- 1 14.0000 14.0000 0.000 4.0000 3 14.0000 14.0000 0.000 4.0000 GIRTS: Girt Girt Type Lap -------------Member Size -------------- Left Right Door Door Jamb -------- Jamb -------- Header Sill 8X35C14 8X35C14 ---------------- 8X35C14 8X35C14 8X35C14 8X35C14 ZB 1.000 GIRT LOCATION: Bay No. Id Girt 1 2 2 2 3 2 Girt Location 1 2 7.3333 11.3333 7.3333 11.3333 7.3333 11.3333 GIRT SIZE: (Full Bay Girts) Bay No. Girt Id Id Girt 1 2 --- ---- -------- -------- 2 2 8X25Z16 8X25Z16 GIRT SIZE: (Partial Bay Girts) Bay Girt Girt Id Id Id 1 2 --- ---- -------- -------- 1 L -J 8X25216 8X25216 J -R 8X25216 8X25Z16 3 L -J 8X25Z16 8X25216 J -R 8X25Z16 8X25Z16 WALL BRACING: Bay Brace Brace Brace Id Height Type Diam 2 16.00 Cable 0.375 ------------------------------------ CAX17106 FRAMING SUMMARY: Back Sidewall 5/16/01 7 32am ---------------- GIRTS: Girt Girt Type Lap ZB 1.000 GIRT LOCATION: Bay No. Girt Location Id --- Girt 1 2 1 ---- 2 -------- 7.3333 -------- 11.3333 2 2 7.3333 11.3333 3 2 7.3333 11.3333 GIRT SIZE: (Full Bay Girts) Bay No. Girt Id Brace Id --- Girt ---- 1 2 1 2 -------- 8X25Z16 -------- 8X25Z16 2 2 8X25Z16 8X25Z16 3 2 8X25216 8X25Z16 WALL BRACING: Bay Brace Brace Brace Id --- Height Type Diam 2 ------ 16.00 ----- Cable ----- 0.375 F O R STEEL BUILDING FOUNDATIONS AND BREEZEWAY BRIAN & LISA WASHBURN 9283 STANFORD .LANE DURHAM, CA 95938 F L T ENGINEERING 5790 CLARK ROAD BUTTrA c;w%fl PARADISE, CA 95969 .(530)-872-0254e' Anpp ?/2,4/o mice Coe 1 CIVIL • STRUCTURALi% BY: DATE: SHEET No. OF (530) 872-0254 FAX (530) 872-9331 5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 CHECKED BY: DATE: JOB No.�f R SUBJECT: 34_,2>4. r%S / S �S�L'• PROJECT: r--�� 7 r� . 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OF (530) 872-0254 FAX (530) 872-9331 5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 CHECKED BY: DATE: JOB No. 62 4,2 30 z 0- s,l) 4�>�z 4 2.9'�> �� d= �,�, �• 9'� 7-0 rl. ��P/� ---- GorJT �� %I� l%• �• .ems `.�.r� y � = za6 > 2 G Mr, EHMHEMM CIVIL • STRUCTURAL (530) 872-0254 FAX (530) 872-9331 5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 BY: DATE: !�`or SHEET No. ` OF CHECKED BY: DATE: I JOB No. ///-f Ts 0d3x /Z� lD o z SIC OZ _'.. /. / _ , Dz z 5/ Do? E.¢, ,g:;,osr 114r- i6- x 3 3 CIVIL • STRUCTURAL (530) 872-0254 FAX (530) 872-9331 5790 CLARK ROAD, PARADISE. CALIFORNIA 95969 BY: DATE: SHEET No. OF CHECKED BY: DATE: JOB No. 7-3.2 rt 2/ " c7//6 %osis — 's E'.f -c �A�✓�%. TC 3%l6 � Z/Zax 38��• S'�J� �J//-����� �,�30G-T F439 x, P2 _ , 393 iv? %Ova 3l/6 x '10 GENERAL CONSTRUCTION NOTES DESIGN CRITERIA L CODES AND STANDARDS 2. LOADS: GRAVITY SEISMIC WIND GENERAL 1997 UBC 1989 AISC 1995 ACI METAL BUILDING BY HERITAGE ZONE 3 75 MPH EXP. C 1. THE CONTRACTOR SHALL REVIEW ALL SHEETS OF PLANS AND VERIFY ALL DIMENSIONS AND CONDITIONS AT THE JOB SITE PRIOR TO STARTING OF CONSTRUCTION ( ANY EXCAVATI.ON FOR FOUNDATIONS) AND THE DESIGN ENGINEER SHALL BE NOTIFIED OF ANY DISCREPANCIES WITH ANY WORK SO INVOLVED. 2. DIMENSIONS SHOWN ON PLANS TO HAVE REFERENCE OVER THE SCALE. 3. IT IS THE CONTRACTOR'S RESPONSIBILITY TO COMPLY WITH THE PERTINENT SECTIONS OF THE "CONSTRUCTION SAFETY ORDERS" ISSUED BY THE STATE OF CALIFORNIA AND ALL OSHA REQUIREMENTS, AS THEY APPLY TO THIS PROJECT. THE DESIGN ENGINEER AND THE OWNER DO NOT ACCEPT ANY RESPONSIBILITY FOR THE CONTRACTOR'S FAILURE TO COMPLY WITH THESE REQUIREMENTS. 4. ALL PHASES OF WORK SHALL CONFORM TO THE MINIMUM STANDARDS OF THE LATEST APPLICABLE EDITION OF UNIFORM BUILDING CODE. 5. THE CONTRACTOR SHALL BE RESPONSIBLE FOR ADEQUATE DESIGN AND CONSTRUCTION OF ALL FORMS, BRACINGS AND SHORING REQUIRED FOR CONSTRUCTION. CONTRACTOR SHALL PROVIDE ADEQUATE STAYS AND BRACINGS OF ALL FRAMING UNTIL ALL ELEMENTS OF DESIGN HAVE BEEN INCORPORATED IN THE PROJECT. 6. COMPLIANCE WITH ALL SPECIFICATIONS NOTED ON PLANS OF THIS PROJECT IS REQUIRED. 7. THESE PLANS ARE NOT COMPLETE UNTIL STAMPED AND SIGNED BY THE DESIGN ENGINEER, REVIEWED AND ACCEPTED BY THE LOCAL BUILDING OFFICIAL. FOUNDATIONS 1. FOUNDATION DESIGN BASED ON AN ALLOWABLE SOIL BEARING PRESSURE OF 150 PSF (NO SOILS REPORT). 2. ALL FOUNDATIONS SHALL BEAR ON LEVEL GRADE AND CHANGES IN ELEVATION SHALL BE MADE BY STEPS OF 12" MAX. HEIGHT AND 36" MIN. WIDTH. CONTINUITY OF FOOTING REINFORCING SHALL BE MAINTAINED. 3. THE CONTRACTOR SHALL NOTIFY THE DESIGN ENGINEER ABOUT ANY CHANGES IN PLACEMENT OF FOUNDATIONS REQUIRED BY THE SITE CONDITIONS. REVISIONS TO THE ORIGINAL DESIGN SHALL BE PROVIDED BY THE DESIGN ENGINEER TROUGH A WRITTEN AND SIGNED CHANGE ORDER. CONCRETE 1. THE ULTIMATE COMPRESSIVE STRENGTH OF CONCRETE SHALL BE 2500 PSI MIN. FOR METAL BUILDING FOUNDATIONS AND 1500 PSI FOR BREEZEWAY FOOTINGS, IN 28 DAYS. 2. CEMENT SHALL CONFORM TO ASTM C150 TYPE I OR II AND CONCRETE AGGREGATES TO ASTM C33. 3. REINFORCING STEEL SHALL CONFORM TO REQUIREMENTS OF ASTM A615, GRADE 40 AND THE STEEL TO BE WELDED TO CONFORM TO REQUIREMENTS OF ASTM A706. 4. SPLICES IN CONTINUOUS REINFORCEMENT SHALL BE 40 BAR DIAMETERS OR 24" MIN. SPLICES IN ADJACENT BARS SHALL BE NOT LESS THAN 5'-0" APART. 5. PROVIDE CONSTRUCTION JOINTS BY KEYWAYS OR ROUGHENED SURFACE TO 1/4" DEEP DEFORMATION. 6. REINFORCING, DOWELS, ANCHOR BOLTS, ANCHORS, ETC. TO BE EMBEDDED INTO CONCRETE SHALL BE SECURELY POSITIONED BEFORE PLACING OF CONCRETE. 7. PROJECTION OF ANCHOR BOLTS SHALL BE AS PER METAL BUILDING MANUFACTURER AND EMBEDMENT PER FOUNDATION PLAN. 8. MAXIMUM FREE FALL OF CONCRETE MIX SHALL BE 4'-0". 9. CONSTRUCTION JOINTS IN SLAB SHALL BE PLACED THAT THE MAXIMUM DIMENSIONS DO NOT EXCEED 25 FEET, AND THE AREA IS 500 SQUARE FEET MAXIMUM. STRUCTURAL STEEL 1. METAL BUILDING FRAMING PER HERITAGE BUILDING SYSTEMS PLANS. 2. FABRICATION, ERECTION AND MATERIALS SHALL CONFORM TO THE AISC SPECIFICATIONS FOR THE DESIGN, FABRICATIONS AND ERECTION OF STRUCTURAL STEEL FOR BUILDINGS AND TO THE UNIFORM BUILDING CODE, LATEST EDITIONS. 3. ALL ROLLED SHAPES AND PLATES SHALL CONFORM TO ASTM A36 U. N. O. 4. STEEL PIPE SHALL CONFORM TO ASTM A53, TYPES E OR S, GRADE B. 5. STRUCTURAL TUBING SHALL CONFORM TO ASTM A500, GRADE B. 6. WELDING SHALL BE DONE BY THE ELECTRIC ARC PROCESS IN ACCORDANCE WITH AMERICAN WELDING SOCIETY STANDARDS, USING ONLY CERTIFIED WELDERS. ALL WELDING SHALL BE DONE USING E70XX ELECTRODES. 7. ALL STRUCTURAL STEEL SHALL BE ERECTED PLUMB AND TRUE TO LINE. TEMPORARY BRACING SHALL BE INSTALLED AND SHALL BE LEFT IN PLACE UNTIL OTHER MEANS ARE PROVIDED TO ADEQUATELY BRACE THE STRUCTURE. 8. PLACE NON - SHRINK GROUT ( 5000 PSI CAPACITY MINIMUM) UNDER ALL BASE PLATES BEFORE ADDING VERTICAL LOAD ( UNLESS NOTED OTHERWISE ). 9. BOLTED CONNECTIONS SHALL CONSIST OF UNFINISHED BOLTS OF ASTM A307. 10. HOLES FOR BOLTS SHALL BE OF THE SAME NOMINAL DIAMETER AS BOLT PLUS 1/16". USE STANDARD AISC GAGE AND PITCH FOR BOLTS U. N. 0. --7-94& 644, c Z /f tJ%Z \ -y4,137SC A5 LL Will be Barn X and Existing Garage-X:' removed after construction of new garage- 7�J - 'conmental Heaith nvti - pL 3 o csLM. Chico, Brian & Lisa Washburn AOVE© ,� I AP#040-200-015 Suns county New Garage Application w 7/16/2001 ��wnonrr: t>at Msa�+ r r��`%:�Y �t.,Ft'r."3t?alt7irVTi�! a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754.1FJ ! _ �� RgJ NO. (Rev.12/96) APPLICATION AND -PERMIT ASSESSOR PARCEL NUMBER 040-200-015 ZONING A-5 BUILDING PERMIT OWNER BRIAN & LISA WASHBURN345-4059 TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS "UNG ADDRESS ' 9283 STANFORD LN., DURHAM CA Us CONTRACTOR'S NAME OWNER TELEPHONE 302.5 COV. 4;972.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 54 040.00 ARCHITECT OR ENGINEER F L T LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 4-37.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 284.05 BUILDING ADDRESS 9283 STANFORD LN. DURHAM Energy Plan Checking Fee $ $ PERMIT FEE s 741.05 LAT 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 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: BREEZEKAY AND GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2DDA OR LESS 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 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 +o 46.00 NEW CONST. DWEWNG OCCUP. U OR ADDNS. ( a„ C BLD.. SO 3.5¢FT: 95.40 NOµpDSID MULT.1 CIRCUTITS @7,50 POWER APPARATUS 8 SWGLE OLJRET CIR Ex. Occup. OUTLET OR FORURES BAL @ 1.00 : 0 ' Ex. Occup. Dun.E-Drs PL.16.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE s 115.4 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 1s 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 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. XWffAAIAhl�-Date _ S tore 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. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEPE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ U CONST. TYPE VN TOTAL FEE $ 856.45 -X .. IMP FLOOD AO CDF - PARCEL X PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By © PERMIT EXPIRES ON O the applicable provisions Resolutions to do work been paid. D 2 0 Date a to Receipt No. 325073 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 (530) 538-7 1 P MIT NO. (Rev. 12/96) 1 APPLICATION AND PERMIT L `�� a 9 AS SESSOR PARCEL NUMSEA ZONNO BUILDING PERMIT OWNER SO Fr• OCC. BUILDING VALUATION °�(NFA9 MAlUIq AD 1 `1 cs�x \�l/1 In�iv O I in _ r i i n A . � � !3� �? _ CONTRACTOR'S w"F-AG.TOR's MAJUNG ADORE88 CONSTRUCnON LENOER LENDER'S MAILING ADDRESS MAILING ADDRESS SURDNG ADDRESS LOT NO. I SUBDN@ION'SNAMB USEOFSTRUCTURE SF X Duplex ❑ Mobllehome ❑ Other SPECIFY TYPE OF WORK New ❑ Addition K Remodel ❑ Utilities ❑ InstaOation ❑ Other ❑ Describe Work: brelo C4_ OOz> ©S2a 0-, *PERMIT FEE ' PAID SRA SHERIFF OTHER AMOUNT RECEIVED .0 a .i *RECEIPT NVMBER 6o<-5073 * TO k PVT INTO COMPUTER Fireplace Total Valuation E Flint? Fee 20.00 Permit Fee S - Main Service _0" OR LESS zow OR LE Main Service tow TO 1000A Q Plen Checkin Fee Energy Plan Checking Fee S S NON•RESID. NEW CONST. MULTI.OUTI.ET Q — POWER APPARATUS 6 SINGLE OUTLET qR, S Ex. Occup. OUTLET OR FORUilE3 20 ® 1.00 .50 1 FEE $ 1 Temporary Service 23.00 PLUMBI 20.00 Fling Fee 2 .00Each *PERMIT Tra 7.00Solar or heat ter 23.00 Water Diping 15.00 Each gas water heater or vent 00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home GW Q20.00 PERMIT FEE I S ELECTRICAL PERMIT Flin Fee 20.00 - Main Service _0" OR LESS zow OR LE Main Service tow TO 1000A 23.00 48.00 NEW CONST. pWELLNG OCCUP. OR ADONS. ( A ACC. BLDS. SO c 3.52 : Si 4O NON•RESID. NEW CONST. MULTI.OUTI.ET ^7.50 l { POWER APPARATUS 6 SINGLE OUTLET qR, Ex. Occup. OUTLET OR FORUilE3 20 ® 1.00 .50 1 l _ APP" Ex. eCCU OUTLETS 610. EA I _ 5.00 1 Temporary Service 23.00 i Mobile Home Facilities 20.00 PERMIT FEE t % MECHANICAL PERMIT Fling Fee •20.00 Heating Cooling i Hood 6.50 PERMIT FEPE _ bile Home Installation Fee E Energy Inspection Fee S rJ I %T' TM wlml. FEE4" Q I O. FEES V CDF P FL 6SU Y itVI This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do 'v!crk indicated above for which fees have been peid. By PERMIT EXPIRES ON Date _ _ sr :1, , :e. r �:ltry r:) ; v" bf ' Wst �i'.?w*-- 'r a . 1,V, : -- U4•M COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: �� b(A Ir ASSESSOR PARC NUMBER: O 'TV Q 0' Q Proposed Building Use: Is Building Inspector: Date: 7 1& 101 At time of permit application, I was advised the following data must be submitted prior to pe processing and/or issuance: Date Received . By ❑ 1. iiems have been submitted .------------------------------------------------------------------------------------- lot plans, sets, signed by the preparer of plans. ------------------------------------------------------------ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑ 6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ 8. Hazardous Material Form. --------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ---------- 0 10. Fees of $---------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- Flood elevation certificate. --------- ---------- ----------------------------------------------------------- F and plot plan approval ------------------------------------------- 5. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: C> K (B) Parking: -• ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainag , gal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --- 020. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). El 22. Workers' Compensation carrier and policy number. ----------------------- 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - ❑24. Letter of signatui-e'authorization. -------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------- ❑26. Letter' -of intent on building use. ---------------------------------------------- 027. Manufactured Home utility clearance. --------------------------------------- 028. Existing violations and/or expired permits. --------------------------------- 1129 ❑30 ❑433 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ Other: _ (Date)! W)en you issue the ermitt, process as follows ❑ Mail to owner, ❑Mail to ontractor. Welephone �� "' "! 1 and hold for pickup at r I�i office. C3 Deliver with inspector. STM tKT- • (�v 1 ti=1rJ 7' Z4I o 1 n• 1-�-. A74 Lo i pplicantti i Vl - Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑Air ollution Date: By: Copy of plans sent o Health Department, o Fire Department, o er: Date: By: x permit application for the above items numbered: ❑ an Check List C VAddi'tional items required: Pf a.%*v % h cr N Atite o p UAL 1 C Sblt Fall w CSS i AS &.0 TJ - 1 t -V -MS V,36. Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by Da e: i Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by Date. Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, wa ised of the above y ❑ phone, o mail, o Building D' ion t by Da Plans reviewed by: Date:r_.Plans approved by: Date: Sets of plans on hold in o Plan Cabinet, ❑ A.P. folder. Note transfer by: 510, Date: Yellow Copy - Department of Development Services, Building Division. ` f E.M. USE ONLY Plot Plan Anachad Floor Plan Attac ed Santto B.D. TO:' Building Department FROM: Environmental Health \r SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply; Public Private Well ✓ Clearance for dwelling. Other .Hold final for: v Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 to - ♦ ti \�,� It �♦ oo,'^41 .B. - 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. Ol I personally plan to provide the major labor and materials for construction of the proposed property improvement . YES ?K NO 0 I HAVE HAVE NOT 0 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: ITiTA CITY: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: ICONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY l DATE:_ ER:�° 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: Q B• _ 1 . An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work.is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. r rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 1?7vo. (Rev. 12/96) APPLICATION AND PERMIT ,. ASSESSOR PARCEL NUMBER ®� 00 _ 0 l =GNI _ 95 BUILDING PERMIT OWNE '&yj•._ r TE HONE 3 S SO. FT. OCC. BUILDING VALUATION .OWNERS MAILINGADDRESS Z 3 S CONTRACTOR'S UWE TELEPHONE COM ORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flan Fee $ 20.00 Permit Fee $ Z AR ITECT OR ENGINEERS MA,UNG ADDRESS Plan Checking Fee $ /� /� BUI NGAD R SJnr rA r (•`i`r!`� Energy Plan Checking Fee $ $ n PERMIT FEE $ LOT NO. SUBDNSIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um 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 syste!2 t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE ,S f�GG ELECTRICAL PERMIT Fling Fee 20.00 800Vw Main Service p A OR LESS 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 Lic. No. 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 To , j 46.00SO WEE200A NEW CONST. DWEWNG OCCUP. U OR ADDNS. ( a ACC. sins. SO 3.5¢FT; NOµR61DT' MULTI -OUTLET @7,50 R A WELEPUTLETPARATUS 8PSIONGOCIR. Ex. Occup. OUnEOR FUTURES Q': oOWNER-BUILDER BAL Ex. Occup. GFUTiEtDrsA R D.G� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 66 J 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 permitis issued. My workers' compensation insurance carrier and policy number are: Carrier 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. `1 Date 10-2 U ( � 9L_ _ ' n Lure of Applicant -Owner ❑ Contractor 13 Agent An OSHA permit is require for excavations over 60" deep and demolition or constructionte structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FE1 S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ ST. TYPE C TOTAL FEE $ O i D. FEES IMP FLOOD CDF' PARCEL PD HD S UE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been D By [rateReceiptNo. PERMIT EXPIRES ON provisions to do work paid. # -11,C Ovof a> w WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT � 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 verifxcationIs received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES N013 2. I HAVE �K HAVE NOT d signed an application for a building permit for the proposed work. 3. I have contracted. with the following person (firm) to provide the proposed constauction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAINIE: ADDRESS: CITY: 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 ADDRESS PHONE TYPE OF. WORK SIGNED: - PROPERTYO WNER: SOCIAL SECURITY NUMBER: — DATE: I b ` Z 0'eL - NOTE. This Owner -Builder periftcation is required by Section 198.1 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 40-4 6!S.d mG / 00' 5.95 AC R \ \ o RS110-70 . 1 46 \ \ \ �V / \ 4 45 0.10 4 44 G� N J 565 N /I,89Ac. � X23 r ,'►� cx 46 1� 1/ Q 5519 QJ � sq 6.6 _- Ass.essor's Map No. 40-20 I�-1JC = Regi66t�tia�-Q�_r ?gs. ire i8C- Cow►�er�ia-1 u�eo J County of Butte, Calif. REVISED; 9 - 89 -18 _ lHA 66a.17 a f59-17 2 83 7 1/8.00 AC 3 m ?6.lOaet �\ 1 �` A 4 122.10 AC 5 � 524 5�C� 40-4 6!S.d mG / 00' 5.95 AC R \ \ o RS110-70 . 1 46 \ \ \ �V / \ 4 45 0.10 4 44 G� N J 565 N /I,89Ac. � X23 r ,'►� cx 46 1� 1/ Q 5519 QJ � sq 6.6 _- Ass.essor's Map No. 40-20 I�-1JC = Regi66t�tia�-Q�_r ?gs. ire i8C- Cow►�er�ia-1 u�eo J County of Butte, Calif. REVISED; 9 - 89 44 b Iw lllpll,'� ncl G` / N -;; Zen f.0 q ` c <, VI o A o��, des 1 :z a O1 Ccp1jr � S0 g vl' J� 4 . O Kt 7i 1039' eFb 'D 4 396 4 �L J 401 4I U: U Q Q O N � O W • �, 5 N R2 � 9,16.,- � � � �\ TRS c 8.6ell O U N lot ai rt� �• 00 _4 w [L c o � 0 U 0 I O w U: U Q Q O N � O W • �, 5 N R2 � 9,16.,- � � � �\ TRS c 8.6ell April 29, 2004 Brian & Lisa Washburn 9288 Stanford Ln. 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: 40-200-015-000 Building Permit Number: 04-0480 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. NON-STRUCTURAL COMMENTS: The enclosed school fee form is to be completed by the Durham Unified School District and the completed form returned to this office. eThe enclosed park fee form is to be completed by the Durham Recreation and Park District and return the completed form to this office. 3"Please correlate the orientation of the fenestration included in the energy certificate of Lompliance with the orientation of the structure as found on the plot plan. ine C3b on the flood elevation certificate should be 162.1' since lowest and highest adjacent grade is 159.1 and the base flood elevation is 2'. The finish floor is required to be 1' above se flood. Please revise. Please complete line C3e. All equipment and electrical to be above base flood elevation. V,Lne C3h and i to include flow thru opening for the attached garage. Please revise. lease provide minimum of 2 flow thru openings per enclosed under floor space at one square inch per square foot of enclosed space. Please show location and size on the foundation plan. ST CTURAL COMNMNTS: Pase address note #8 on truss calculation K1. VIndicate all areas to be California framed on the roof framing plan. Include size and spacing framing members. VPlease specify species and grade of material to be used for roof framing over the covered p io. 4ase correlate foundation plan and foundation detail for North exterior foundation. ow anchor bolt spacing for shear walls along line 1 on the foundation plan. Provide CS 16 straps at top plate splices along line 1 and 4 as specified in the structural calculations. 14je-e : eAve- �i11/iA/e C3� /7 y" e 3 �er- 1 of 2 ,;�-a, Cw/J;-J7_-7/,0q P-6 V/ Provide shear wall nailing on the plans along wall line 1 as specified in the structural �alculations. Y!Provide SSTB20 anchor bolts as specified in the structural calculations along lines 3, 4 and D. Puns show SSTB16. 151,—a1 -c /'WD 2-- rc vide anchor bolt spacing along lines C and D as specified in the structural calculations. WP ide 3x mudsill along line C as specified in the structural calculations. Plans specify 2x3. lease specify header size required over the 8' garage door. 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. Russell Bloomfield Philo Hunt, P.E. Plans Examiner Plan Check Engineer cc: Greg Peitz, Architect 2 of 2 3�3 RESPONSE FOR. PLAN CHECK LETTER DATED: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: SL. ��., PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: 0 COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK REM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: tESPONSE FOR PLAN CHECK LETTI ALAN CHECK ITEM A BY: LVcAIlum VN PLANS/CALCS: PLAN CHECK ITEM 0 RESPONSE BY: LOCATION ON PLANS/CALCS: <� -020 c - 4/ . 4- f5v CHECK ITEM M j RESPONSE BY: LOCATION ON PLANS/CALCS: o 7/3 PLAN CHECK ITEM 0 � �2�- RESPONSE BY: Q i LOCATION ON PLANS/CALCS: I %p,or er Q� COMMENTS: O c �e i ✓t e PLAN CHECK ITEM X" ��s 11 RESPONSE BY: C `p LOCATION ON PLANS/CALCS: COMMENTS: t' C u( Q PH -0 K -CL CC i C( t74 -M,114-7 PLAN CHECK ITEM r-- ; RESPONSE BY: P LOCATION ON PLANS/CALCS: ,P� o COMMENTS: PLAN CHECK ITEM N RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: ' I A PLAN REVIEW RESPONSE FORM - 3 1: order to expedite the review of your plans, please complete the following information and return this form with your re -submittal. this form is not complete, as to all correction'items, we will not be able to accept your re -submittal for review. There must be a va response to every item requested in our plan correction letter. `Sy others" is not considered a valid response. Please indicate yc response to each item and the location where the information can be found on the plans/calcs. ATTACH THIS FORM TO A COPY OF YOUR PLAN REVIEW LETTER AND RETURN WITH REVISED AND ORIGINAL PLANS. OWNERS NAME 9 DATE: F3 e" ut.X l-, -//5 ASSESSORS PARCEL NUMBER PERMIT NUMBER 410 00 • DSS .000 . Oy� Olga DATED: PLAN CHECK ITEM # / RESPONSE BY. LOCATION ON PLANS/CALCS: COMMENTS: p AJ< <-aJ e h .e.r C �c COMMENTS C- le PLAN CHECK ITEM # / t� RESPONSE BY. RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS C- le Q S e /�'►a t r► L�/P Y t - PLAN CHECK IT^EM/ # RESPONSE BY. RESPONSE BY: LOCATION ON PLANS/CALCS: . LOCATION ON PLANS/CALCS: COMMENTS: W n _ L 4� Y COMMENTS u •1 a Z c...r . - PLAN CHECK ITEM # - / RESPONSE BY: LOCATION ON PLANS/CALCS: . COMMENTS: W n _ L 4� Y PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: k� GREGORY A. PEITZ ARCHITECT 383 RIO LINDO AVENUE, CHICO CA 95926 (916) 894-5719 Structural Calculations For: AR it 3N*. 021263 >Ir LOAD SUMMARY Wind Analysis Normal force method, exposure •B, 75 mph wind speed P=CeCgQsI 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 = .72 * 1.3 * 14.5 * 1.0 = .0136 ksf @ 25 ft. P =.76 * 1.3 * 14.5 * 1.0 =.0143 ksf @ 30 ft. 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 x.01 1 ksf.-@ 25 ft. P =.76 * 1.0 * 14.5 * 1.0 =.0.1 1 ksf @ 30 ft. ROOFS 9:12 TO 12:12 P =.62 * 1. 1 * 14.5 * 1.0 =.010 ksf@ 15 ft. P =.67 * 1. I * 14.5 * 1.0 =.01 1 kst @ 20 ft. P=.72* 1.1 * 14.5* 1.0=.012 ksf@ 25 ft. P =36 * 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: 10 psf dead load + 16 psf live load = 26 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 W W UA xxx YfNH O O O N1 O a �- N .-aa aaa N h C C N fV rA � �•,� 3� � 3�y r 1 V o V Q Wig L A 22-141 50 SHEETS 22-142 100 SHEETS 22-144 200 SHEETS TO N �9 9� 11 n 22-141 50 SHEETS 22-142 100 SHEETS 22-144 200 SHEETS TO N 22-141 50 SHEETS 22-142 100 SHEETS 22-144 200 SHEETS r /V L !D I e � N NJ) vl � v N r� N W p �® N 1 �+ 09 v � � v 0 V V 22-141 50 SHEETS 22-142 100 SHEETS 22-144 200 SHEETS r la I e � N � v N p �® N 1 �+ v V 22-141 50 SHEETS 22-142 100 SHEETS 22-144 200 SHEETS r I tl 22-141 50 SHEETS 22-142 100 SHEETS 22-144 200 SHEETS jD W, 09 0 n jD W, sk 22-141 50 SHEETS AMPAD 22-142 100 SHEETS 22-144 200 SHEETS 22-141 SO SHEETS 22-142 100 SHEETS 22-144 200 SHEETS `j m 22-141 SO SHEETS 22-142 100 SHEETS 22-144 200 SHEETS `j \ ( vi T N � VI IA H LULU W W W W W xxx W a %A LM20 ..C4 as AAA N h N (0) = S_©`7 r< .5 ", &P, GI/w :41 6 j< -67 e Ale � f''��J�� 2• z.X �l� S� >Zo� 4 t/ .' • � ' _ �, � • � � Pte. � ,�-.�,✓(.�� � ' � ;�, 1 us UA LU usUALU . f LU LU us to ina b00 . . d i� H �. 4..i1 l Q G_�j ° v� a� ! P VII,xx�.� a, ' NC4 V ' PPP • ' / �-�i.-�•-(J� �� (� ^ rl - k" , P y MM(F/ - .. 3 ftu 07 t^ 57)-(ci P S �3r. t 557Q Y' - fo� w dip r►� ¢oma l �,4-a 22-141 50 SHEETS 22-142 100 SHEETS a«+ 22-144 200 SHEETS . . , � `� v� ``� `� ire N �► � . . 016 VO f ' Y .. •, � • � C ; - � - • ' • .� 999777 ... � �' r .. ` Art �• } Y Multi -Loaded Beam[ 97 Uniform Building Code (91 NDS)1 Ver: 5.03 PL1-2= If By: Gregory -Peitz, Gregory A. Peitz Architect on: 01-30-2003: 03:00:29 AM Location (From left end of span): X1-2= Proiect: JAMES - Location: REAR PATIO PSI Bending Stress: Fb= Summary: Fv= Modulus of Elasticity: E_ 5.5 IN x 11.5 IN x 18.0 FT / #1 - Douglas Fir -Larch - Dry Use Fc_perp= Adjusted Properties Section Adequate By: 96.5% Controlling Factor: Section Modulus / Depth Required 8.2 In Fb'= Adiustment Factors: Cd=1.00 Cf --1.00 Center Span Deflections: FV: FV= Adiustment Factors: Cd=1.00 Dead Load: DLD-Center= 0.13 IN Live Load: Total Load: LLD -Center- 0.16 IN = U1328 Center Span Left End Reactions (Support A): TLD -Center= 0.30 IN = L/728 Live Load: LL-Rxn-A= 432 LB Dead Load: DL-Rxn-A= 408 LB Total Load: TL-Rxn-A= 840 LB Bearing Length Required (Beam only, Support capacity not checked): BL -A= 0.24 -IN Center Span Right End Reactions (Support B): Live Load: LL-Rxn-B= 432 LB Dead Load: DL-Rxn-B= 408 LB Total Load: TL-Rxn-B= 840 LB Bearing Length Required (Beam only, Support capacity not checked): BL -B= 0.24 IN Beam Data: Center Span Length: L2= 18.0 FT Center Span Unbraced Lenqth-Top of Beam: Lu2-Top= 0.0 FT Center Span Unbraced Length -Bottom of Beam: Lu2-Bottom= 18.0 FT Live Load Duration Factor: Cd= 1.00 Live Load Deflect. Criteria: U 240 Total Load Deflect. Criteria: U 180 Center Span Loading: Uniform Load: Live Load: wL-2= 0 PLF Dead Load: wD-2= 0 PLF Beam Self Weight: BSW= 15 PLF Total Load: wT-2= 15 PLF Point Load 1 Live Load: PL1-2= Dead Load: PD1 -2= Location (From left end of span): X1-2= Properties For: #1- Douglas Fir -Larch PSI Bending Stress: Fb= Shear Stress: Fv= Modulus of Elasticity: E_ Stress Perpendicular to Grain: Fc_perp= Adjusted Properties Fb' (Tension): Fb'= Adiustment Factors: Cd=1.00 Cf --1.00 FV: FV= Adiustment Factors: Cd=1.00 Design Requirements: Controlling Moment: M= 9.0 Ft from Left Support of Span 2 (Center Span) Critical moment created by combining all dead loads and live loads on span(s) 2 Maximum Shear: V= At Right 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= Area (Shear): Moment of Inertia (Deflection): S= Areq= A= Ireq= 1= 864. LB 540 LB 9.0 FT 1350 PSI 85 PSI 1600000 PSI 625 PSI 1350 PSI 85 PSI 6941 FT -LB 840 LB 61.7 IN3 121.2 IN3 14.9 IN2 63.2 IN2 172.5 IN4 697.0 IN4 Multi -Loaded Beamr 97 Uniform Building Code (91 NDS) 1 Ver: 5.03 By: Gregory Peitz, Gregory A. Peitz Architect on: 03-08-2003: 01:19:49 AM Proiect: JAMES - Location: FRONT HEADER SUPPORTING TRUSS D4 Summary: 3.5 IN x 9.25 IN x 9.2 FT (3.2 + 6) / #2 - Douglas Fir -Larch - Dry Use wL-3= Section Adequate By: 37.0% Controlling Factor: Area / Depth Required 6.75 In Center Span Deflections: Beam Self Weight: Dead Load: DLD-Center= Live Load: LLD -Center= Total Load: TLD -Center - Right Cantilever Deflections: Shear Stress: Dead Load: DLD-Riqht= Live Load: LLD -Right= Total Load: TLD -Right= Center Span Left End Reactions (Support A): Fb' (Tension): Live Load: LL-Rxn-A= Dead Load: DL-Rxn-A= Total Load: TL-Rxn-A= Bearing Length Required (Beam only, Support capacity not"checked): BL -A= Center Span Right End Reactions (Support B): Controlling Moment: Live Load: LL-Rxn-B= Dead Load: DL-Rxn-B= Total Load: TL-Rxn-B= Bearing Length Required (Beam only, Support capacity not checked): BL -B= Dead Load Uplift F.S.: FS= Beam Data: Center Span Length: L2= Center Span Unbraced Length -Top of Beam: Lu2-Top= Center Span Unbraced Length -Bottom of Beam: Lu2-Bottom= Right Cantilever Length: L3= Right Cantilever Unbraced Lenqth-Top of Beam: Lu3-Top= Right Cantilever Unbraced Length -Bottom of Beam: Lu3-Bottom= Live Load Duration Factor: Cd= Live Load Deflect. Criteria: U Total Load Deflect. Criteria: U Center Span Loading: Uniform Load: Live Load: Dead Load: Beam Self Weight: Total Load: Point Load 1 Live Load: Dead Load: Location (From left end of span): Riqht Cantilever Loading: Uniform Load: wL-2= wD-2= aSW= wT-2= 0.01 0.01 0.01 -0.02 -0.03 -0.06 907 875 1782 0.81 907 1011 1918 0.88 1.5 3.2 0.0 3.2 6.0 0.0 0.0 1.25 240 180 0 0 8 8 l'Z_ IN IN = U6629 IN = U3425 IN IN = 2U4419 IN = 2U2605 LB LB LB IN LB LB LB IN FT FT FT FT FT FT PLF PLF PLF PLF PL1-2= 1814 LB PD1 -2= 1814 LB X1-2= 1.6 FT Live Load: wL-3= Dead Load: wD-3= Beam Self Weight: BSW= Total Load: wT-3= Properties For. #2- Douglas Fir -Larch Bending Stress: Fb= Shear Stress: Fv= Modulus of Elasticity: E= Stress Perpendicular to Grain: Fc_perp= Adjusted Properties Fb' (Tension): Fb'= Adiustment Factors: Cd=1.25 Cf=1.20 FV: Fd= Adiustment Factors: Cd=1.25 Design Requirements: Controlling Moment: M= 1.6 Ft from Left Support of Span 2 (Center Span) Critical moment created by combining all, dead loads and live loads on span(s) 2, 3 Maximum Shear: V= At Right Support of Span 2 (Center Span) Critical shear created by combining all dead loads and live loads on span(s) 2, 3 Comparisons With Required Sections: Section Modulus (Moment): Sreq= Area (Shear): Moment of Inertia (Deflection): S= Areq= A= Ireq= 1= 0 PLF 0 PLF 8 PLF 8 PLF 87.5 PSI 95 . PSI 160.0060 PSI .625 PSI 1313 PSI 119 PSI 2842 FT -LB 1871 LB 26.0 IN3 49.9 IN3 23.7 IN2 32.3 IN2 16.0 IN4 230.8 IN4 INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING DIV SION, 0 OVILLE r FROM:. �/f�. , ENVIR. HEALTH, CI DATE: RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME:'.�SEPTIC: fADDRESS/LOCATION:' Comments: GL/memos/releasehold ... .. ... .x-_�.�_-r-_...�......_..�.. _�-__...-._..........r,...._. �...__.`..__._........._.. �._..- ._.. ..-... _. .... __ 17--- 613 6 z k0 „_ tee►' .fid V �. 396 - ��-, � 'fig ' •{,�� 1 �Q . s ' 1 N N - DO i 44 .......... .., .�....,. ., .., u .. _ ........., ., ,w+..-,.,..._,.....___._._., --• 06 396 0 v Q i 14 12Q I\ - I O O 4 18080 OAR, DR PROVIDE 25' LONG s 1/2' X 14• V% HDR W STRAPS • SWs PER IO I GOV D PATIO VAULTED GL6. AGE OhF I } 2068 LOWERED I 6080 &AR M. `� 9068 NET 3/8' CDX PLYMD. W8d5 O 6•. 12. O.G. I �� I/2 LTE - O 6X12 D.F. RI, 6X12 O.F. RI, TYP. FAMILh- ROOM 61919,19 T i 4 6X12 Of. 61, TYP. 4 •6'-10' RAFTERS IN 3'-4' O.G. • R. TO ACCE 1 LUMBINS _ _P�s 46% F7 . VAUL D GL6. TILE 2 FR COV'D PATIO66 yp.R 2610IO • 6'•IO• BENCH PIREPLAGB W I O O/ I GONG. / o0„DTE, 16.O.G. • ALL SUPPORTS WITH APPROVED FASTENERS. 4620 0 ,' I 6050 XO I. BEARING WALL HEADER SHALL BE 4X10 D.F. 82, MIN., TYP. V.O.N. NOOk ONTAOe 01I.1L IMV" TAM! x OA►. eo. CLO. 5066 R. BATH 4' GLC, I RIDGE LINE 9' G VNOWOO RS OF U Vl! A 0 Tx V IMV! A ,BORN. GOIOIP PERE TMO uYHtl OF VT C" TAM! x OAROM e�, AMR /1: NITH I WV TO M OOTTOM LK7ITD. M ON! OI D IRM 17M• CONT. TAR 6 P , 5 _ _ TILE t TILE E TO M IAL! uACR O PASTEN!" KM T aRDO r T t- TW FA P 6.6 POST I MOOD o r-- _ _ _ _ _ _ _ _ _ _ _TUBE FOOT W -M A M 6 W E IMLx AM 4R OG a M I 0 AxD I.O0 TAR O I ABOVE TO STOVE 1 VMWI4 ROM OP TAR O I MM J AM ADDIW jr 04. ATM ORT .p rnG a 2466 2468 PANTRY w• lom, AM PRO emeR eoe TIC ' W AM O' M 1 I . HALL TR. BATH lla T ORT ,00lT. M MALe uAeIT INT w IMOlD IRM �Olf iNe NO FACE L VISM � I I 4. C4,&. 00I.1700. T . AT eA OARAOe 28669 . q' (.L&. I MSTR BEDROOM I 2668 TRE n M/ SELF TILE I L V DBL. JDISTS LINE I I 4'-4• � �- ESN_ J 4 4' GLC. I Le' J TILEMANGERS 4 ► N LU26 ________ 7GARAGE RISERS RAF. OONC. 10' TREADS TUBE GA�ET L -------- 2666 Oft. JOISTS LR./VH TGE. I GAS KA W P.T. VALVE 4 ENTRY D15GNARSE TO O.S. ATOP •16• 771%9(•0• A I I 4TILE PLATFORM W SEISMIC, STRAPS TOP AND BOTTOM O2 I BATH L I COFFERED GL6. T FF. 0 IHE REP. LAUNDRY I I I I I UNDER COUNTER SEE SECTION 4' CL6. I I I ' FOR FRAMING TILE OVER &APACE I I I I DW I • o r 3046 SH I (2) VPP6 SH I O O 4 18080 OAR, DR PROVIDE 25' LONG s 1/2' X 14• V% HDR W STRAPS • SWs PER IO I GOV D PATIO VAULTED GL6. AGE OhF 2068 LOWERED I COFFER C .&. I �\ NET 3/8' CDX PLYMD. W8d5 O 6•. 12. O.G. I �� j --T� WALK-IN O 1/2' MIN. THICK &YP. BD. (4FT. SHI'5) WSd 6X12 O.F. RI, TYP. FAMILh- ROOM 4' GLfi. TUBE I ENVIRONMENTAL HEALTH i 4 6X12 Of. 61, TYP. TILE CARPET I RAFTERS IN 3'-4' O.G. • R. TO ACCE 1 LUMBINS _ _P�s . VAUL D GL6. y I COV'D PATIO66 2. PANEL SHALL SPAN THREE STUD BAYS. BE 4'-0' MIN. WIDE, AND HAVE ALL EDGES BLOCKED. 8 • 6'•IO• I PIREPLAGB W I O 7/8• GEMENT PLASTER WITH METAL LATHE FASTENED 5060 FK W () 2060 CASE. I GONG. - T.V. ABOVE 16.O.G. • ALL SUPPORTS WITH APPROVED FASTENERS. 4620 0 ,' I 6050 XO I. BEARING WALL HEADER SHALL BE 4X10 D.F. 82, MIN., TYP. V.O.N. 5066 R. ft2pl I RIDGE LINE s/6• GDX. PLYWo. OR 05D w Des 6 s•. 12. Or - r /� HICON Qa t EAR 8 P 6.6 POST I MOOD o r-- _ _ _ _ _ _ _ _ _ _ _TUBE FOOT a h I ABOVE TO STOVE 1 rnG a RDGE • I T 1 I . BE TR. BATH KITCHEN I I I 4• CL6.LA-Ij R I I MSTR BEDROOM I 2668 TILE n n . I COFFER C .&. I �\ NET 3/8' CDX PLYMD. W8d5 O 6•. 12. O.G. I I CARPET O 1/2' MIN. THICK &YP. BD. (4FT. SHI'5) WSd T FAMILh- ROOM 5HEARWALL 5GHEDULE ENVIRONMENTAL HEALTH • T' OL. • ALL SLPPORTS. WT. MIN. LENGTH TILE OR 4FT. MIN. LENGTH IF APPLIED TO BOTH SIDES. . VAUL D GL6. I &AS I 2. PANEL SHALL SPAN THREE STUD BAYS. BE 4'-0' MIN. WIDE, AND HAVE ALL EDGES BLOCKED. RST 3/6• GDX PLY00. OR O.S.B. W 6d5 • 6•, 12. O.G. I PIREPLAGB W I O 7/8• GEMENT PLASTER WITH METAL LATHE FASTENED PONY BRK I s/6• GDx. PLYhO. OR 056 w OO5 6 a•. I2• D.C. L - -__-_- T.V. ABOVE 16.O.G. • ALL SUPPORTS WITH APPROVED FASTENERS. MALL LME ,' I I. BEARING WALL HEADER SHALL BE 4X10 D.F. 82, MIN., TYP. V.O.N. RAISED I RIDGE LINE s/6• GDX. PLYWo. OR 05D w Des 6 s•. 12. Or - /� HICON Qa MET US* TICK HARDBOARD PANEL SIDING WITH 6d • 4•, W O.C. EAR I P L I CALIFORNIA CA®�LIF NIA I ARFAC, 22•X30' I 1 rnG a • I T 1 I . 2866 KITCHEN 2668 4'CL6. I TILE I I TIL PROI LID,I I r---11• E HALL �__ \ -FLUSH -10 I LINE I I I ' � �- ESN_ J 4 4' GLC. I Le' J TILEMANGERS 4 ► N LU26 ________ 2466 2666 I soba FR I 12 ENTRY DINING ROOM 4TILE I BATH COFFERED GL6. FF. 0 TILEin STUDY I A 4' C4_&. NARDMGOD � LIfaMT 3069 S.G. DR W (2) VALANGEJ - 1468 TEMMP. Sl. W fin TRAN34101 O/. SEE - - - - - - - - - © (2) 90SH © ELEVATU7N5. (2) 9060 5M 60 3.4' 5.4' i COVERED PORCH 6x10 DF. �I, T w' C.L.O. GONG. oti BEDROOM R� MNL -I 9' CLfj. R CARPET BEDROOM 4' GL6. CARPET SEAT 1) 9050 SH W 6420 ARCH O/ .417 0 APPROVED Butte County r rte th [)&o Signature BRACED WALL PANELS A 1st FLOOR PLAN 4 1/4"=1'-O" O1 NET 3/8' CDX PLYMD. W8d5 O 6•. 12. O.G. O 1/2' MIN. THICK &YP. BD. (4FT. SHI'5) WSd I. SILL "LIND AT BRACED MALL PALLS $HALL BE 5HEARWALL 5GHEDULE ENVIRONMENTAL HEALTH • T' OL. • ALL SLPPORTS. WT. MIN. LENGTH 160 • 5. OL. (MIERE APPLICABLE) OR 4FT. MIN. LENGTH IF APPLIED TO BOTH SIDES. 2. PANEL SHALL SPAN THREE STUD BAYS. BE 4'-0' MIN. WIDE, AND HAVE ALL EDGES BLOCKED. 1 3/6• GDX PLY00. OR O.S.B. W 6d5 • 6•, 12. O.G. GENERAL NOTES: A Ada 1 8 200 O 7/8• GEMENT PLASTER WITH METAL LATHE FASTENED n s/6• GDx. PLYhO. OR 056 w OO5 6 a•. I2• D.C. v 16.O.G. • ALL SUPPORTS WITH APPROVED FASTENERS. �, ,�.}T�}, ( pE({pgNDIC111,AR TA RR6r.F17 WGI 1 A90VE BLOCKING SIWLL BE PROVIDED I. BEARING WALL HEADER SHALL BE 4X10 D.F. 82, MIN., TYP. V.O.N. IRBER AND M NTH TH BRACED I'IAALL PANELS. Q s/6• GDX. PLYWo. OR 05D w Des 6 s•. 12. Or - /� HICON Qa MET US* TICK HARDBOARD PANEL SIDING WITH 6d • 4•, W O.C. 4. SLABS UNDER INTERIOR BRACED MALL PANELS SHALL Q s/6• GDX. PLYWD. OR OSB W 10dCOf-0 P 2•. 12. OG. PROVIDE494 POSTS s PANEL 2. THE AGGREGATE AREA OF PLUMBIN6 VENTS SHALL BE 19 9;7 L:I] Imr.uF4 1,011m1W CALIFORNIA CA®�LIF NIA I ARFAC, z s �� a i • • //40 1"m 120'-0" GREGORY A. PEITZ SITE PLAN ARCHITECT for. 3$3R•„,&„- admCA. 95976 CJ6,894,3719 BRIAN and LISA WASHBURN BUTTE COUNTY J 401 -®II NORTH GREGORY A. PEITZ SITE PLAN A,R--!-1!TSCT--I j for 383 Ric Llodo Am Chkw CA. 95926 (Mo $94-5719 'BRIAN and LISA WASHB URN , BUTTE COUNTY ®I -oil _. _ �� - � ar. ' .� � � ���� � � -.� a L. .� - _� r - �-�--s._.• � .. _ �r �..�.> - --t-s r..ra �+r ry-.�—. _ � - � �- _ � � �r • •C g� .d' i • • SPLICE BOLTS S�pplice Top Of Platin 81 E;Cln)� fMatti Ont T4p Dia Ltm ^ .. � S I - 2 325 3/4" 2" A OUTS DE FLANGE DE FLA G- PIECE T m.135 fda35 12.1 212 6 X I/4" x 239.1' 6 X 1/4!' x 22d9 riF2- 15/12.0" 0.135 13,G 6 x /4" x 193.8 6 ,x / " 02-2 120/12.0 0.19510.2 0.13D 2d0@ 6 x 1/4" x:240. 6 `x 1/4" x;221,1 120/12.0 0.135 24.1 6 x 1/41! X 24.1 6 .x 1/4" x 24.¢1 faF2-3 12./12.: 0.135 24.1 6 ;x I/4" x 24.1 6 x I/4" Y.• 24. 12./ 2.0 0.135 . x 1/4" g 240o 6 x 1/411 x 221LI SPLICE BOLTS S�pplice Top Of Platin Bottom Of Plate fMatti Ont T4p Dia Ltm Ont T,4p Dia Len .. � S I " 2 4. 2 , A325 3 " 2 325 3/4" 2" A ... S - 2 4 A325, 3/4" 2" 4 A325 3/4" 2" 5 _LICt: BOLT P Spll-�e B SIZE T B4 T 'CIn) OUTS DE FL E dNS DE F E PIECE i-I T/ 85/150 T IC 0,135 NCsT 110.9 -A x T x --_I — IN— 6 x /4" x 83b W x T k N b x I/4' :x 110.9 RF! -2 15.fl5fd 15./123. m.135 fda35 12.1 212 6 X I/4" x 239.1' 6 X 1/4!' x 22d9 2 12.0 0.135 24.0 G 4" :x d. x 1/4" k 24. 5 _LICt: BOLT P Spll-�e Top Of Plate. Bottom Of PIAL e, Mark Gant 7 DIa Len ll tr t IYEDla Iran' - I sp- 2 A325 31411211 2. A325 '3/4" 2° 'A325,3/411211/211 2 4_ A325' 3/4'! 21/2" 4 :FLANGERArnSi Both S Ideet1 I' r TA E ME1"iBEi� _RL_ FRAME L E NCS TN -A T LE :., �. MARK' PAR t CON, NECK 17L d PLATES, EC -2 8X35C1.4 15 5/ FRAME L INE. I _ E C-3 SX35C12 li ;,-8 5/$- ❑ MARK/PART. i 11T _ , LD 'MAR. R i 2 C 22 9 / �R 1_ SX35 1 _—. r�-r h- Ac=r /lMG I Inl>= d 1 SC1 2 NC -4 3 NC -31 .4 SC -,5 ER -2 SX35C14 22"-91/2" CQNNE CTION PLATES -3 5X25z1( 14'-4" FRAME LINE: C -ro SX25zlro 131-41/411 13 IDMARK/PART . C5..l 144LUm3132 - 1'.2V-100 f SC -S TRIM TABLE r-RAME LINE A RK FART L r .: LENGTH -_ C 2 =8 lvl4 ,_ 19- I�. I`L-IIG,: Ido` -0" _. 4, �9I _ 1/21"�. 14`'--2" TRI,Ml5 ;.'2 FL -266, I; TRIM I _' G-11 X s z -_. 25 16 /2- _ 25 Ido 211-1 1/2 TRIM TABLE r-RAME LINE A olD MARK LENGTH LE 20'-2" _!)TAIL` TfIM_3, I`L-IIG,: Ido` -0" TRIM - 1 FL -23G 14`'--2" TRI,Ml5 ;.'2 FL -266, W-4" TRIM I _' "T'o De artment of Development e nt Service o o o Building Division 0 7 County Center Drive o < o ' ... Oroville, CA 95965 (530) 538-7541 (530) 538-° L46 FAX ' ovN'� SPECIAL IIeISPECTION NOTE Special Inspections — Unlform'Building Code section 1701: In addition to the inspections . required by Section 1U8, the owner or the engineer or architect of recoid acting as the owner's agent shall employ one or more special inspectors who shall provide inspections during construction on, the types of work listed under Section 1701.5. The sps.-i: i inspector shall be a qualified person who shall demonstrate competence, to the satisfaction of the building official; for inspection of the particular' type of constryction or operation requiring special inspection. Duties and Responsibilities of the Special Inspectors 1. The. special inspector shall observe the work assigne' d for conformance with the al' ' W -d. design, drawings and specifications. 2. The special inspector shallfurnish inspection reoQrts to the building official and the engineer or architect of record. All di5crepaneies shall be biought to the immediate.attention of the contractor for, correction, then, if uncorrected, to the proper design authority and to the building official. { The special inspector shall submit a final signed report io'the Butte County Bullding Division i 11, ing iy+hether the work requiring special' inspection was;, to the best of his knowledge, in conformance with the approved plans and specifications and the applicable provisions of this code. 4, The special inspector, shall r advise the contractor that Butte County Building !)!vision inspections cannot be delegated to him, so inspections must also be made by the butte, ! County Building Division 5. Any change in special Inspection firms made Aer permit issuance shall be approved by the Butte County Building Division priorto the new firm performing any inspections. G. Special inspections are in a Buildiddition to the regular 'inspections performed by the Butte County ng'Divlmon Butte County inspection approval and sign Off !s not to be construed as authorization to proceed w.o ith work which obscures, covers ortherwise prevents proper special inspection. Speeal Inspection is required for the following !teens: ❑ Reinforced Concrete (T"g of test specimens, riacenient of reinforcing and;placing of cohcretc)i Structural Masonry High Stren th Bolting; Welding (0 C t LA 'Holts installed in Concrete R a ❑ Other: `Nanie d8peciai Inspection compaiiy t 1 of l i —"�u""".'» . ��rr�c�,.,u:; r+^ -K „=^t:,.? '.c," y.`"'""'r"iy "'1' , `*_" :'+wi"ht y.,^^�r.� �.,.y�.� :.e yr+.»av-..'w 'lw...-wwar ',.e-,.rn:u.w,.r>a ..y..w+-,•+. ?.`.t� ..+y�..._. , , P F FEDERAL EMERGENCY MANAGEMENTAGERY O M,8 No, 3Q87 O i ; y °NAT16►J4L FLOO©`INSflliANcE PROGRAM,','' Expires July=31, 2002 ELEVATION CERTIFICATE` Impertantt Read thednstiuctions`on pages 1 %, r•M - kx,. _ SECTION A. FROPER'(Y OWNER INFORMATION yFor.Insurancrf,Comparr'PUaer,:. �BUI TNGOWNEf<'S 'RMF PoIIry,Numbor,,„ ,yA/J /s�4 (,tJ#5HautEAi _. ! ,,. , r., i STREET AODRE$S (Induding'Apt , Uplt, Suite. aridHi Bldg, No) OR RO, ROUTE ANp BOX Nr] rCampeny NR1ONum13 BUILDI;, `138 3 S'-74nJF,a�t/J L , en CITY Dv> tf AM fp P STATE .� ZIP CODERS y 3 Q AU ,1 •;4',� t / O PROPERTY DESCRIP T ION ( t q 8locic Numbers, , parcel Numb'a��99st Doscripdon, etc,) ;# ..G �d Zc"�C?rI Q ! o BUILDING USE (e,g Residentlal, Non•resldemlal, Addltle•r, Accessory. otc.Wse Comments soctlon If nocowry.) LATITUDe" ONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE;- GPS type), - { Ars°? kµ tlMVgky br #M;##fNt#°) IAD 1927 L_I NAD 1993 �I USGS Quad Map,I Pother { l SECTIONS- FLOOD INSURANCE RATE'MAP'(F!RM) INFORMATION"T, B7, NFIP COMMUNITY NAME '& COMMUNITY NUM9ER B2 COUNTY NAME 83, STATE 907:7-- 44 cit �Ajed4-AV ,,g,ae;g r3 u ' a= Cox. ice' 810, Ilydlcate the sourA';0„the Bdse Flood Elevation ( FE) data -or. base flood depth entered In B9I.' I -I FIS Profile (I FIRM ° x 1'` ('ComintinityrDeterrrilned„( Other(oescr'be)} 811, Indicate a elevation detum.used for the BFE IrI 89; }i N(3VD 1929 ' I_, I ,NAND 1989 I__I Other (Daycnbe), ^- 812. Is tfie building located in a Coastal Barrie,-^,esources Syat,wftj (CBRS) area or Otherw)ae Protected Pvaa (OPA)? f Designation Date; ' SECTION C-'BUIL.DING ELEVATION INFORWA71ON,(SURVEY REQUIRED) v C1. Building elevations ere based ow IConstruction Drao Ags” I-.-,(8ullding Under Construction' ),IFirnshed Construaflon -*An ew 131evadon Cetttftcato will be required when conetrtudlor).of the building is complete } ^- C2. BUlldln Dlar ram Number ! g ) (Select the building diagram most similar the building fa' rthich this, Is b4 rig completed t;seo pages 6 slid 7. If no dledram occurately represents the bu(lding, provide a sketch or photogr ph,) r i , C3, Elevations 2onea Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE);,AR, A". AR!/tE, AR/AJ-A30, AWAH, ANAO fr } I p ns C3a-1 belcw,etxording to the building diagram specified in Item C2. State tha ratum usr*7 1i the datum is different,ffogl. , Corti lets Its( the datum lisetl fob the BFE In Section E„ convertthe:detum to.tlat used for the BFE_> Shaw s4(, rj measurements and �'atum conversion „ I tir calculetlon las khespeca providsd a Commertts`ares of Section D'or 3ectldn;G, as apluprlateA to tloc,Ime�itttle datum conversion, Datum ' Cenvers)on/Cb meets ,t EievaVon reference mark used ` Does'tiie elevation reference mark fiii d appear an the F1FM?. ° I Yes° I No ❑ ,ej lop of.bottom Qbar (Indudinb basemerrt'orenclosure)�,- hj lop of next higher floorQRdF$$/Q1q, w, ' ❑ c) Bottom of lowest horizontal structural member (V zones only) tt•O $ O ••!••• 8 ,t 0, d) Attached garage (too oPdlsb) G. �� ❑ e) Lowe st;elevabon of machinery and/or, equipment t aeryidng the building t ' ti CI f) lowest ad)acent.grade (LAG) / R, m). z I s"t r 1, a y)'HighestadJecerttgrade(HAG) /C-1�L:., 1 ,ttfm) �`�,, •sso�y o. 04. tf O h) No. of permanent openfhga (flood Vents) Within 1 R above'adlarartt_grade Pl ❑'.i) Total arae of all pemlenent openings (j* vents) in C3h1n (sq 'c4ti) �` t/'j �V •, ' •«y�? 1 ' 'SECTION D,a SURVEYOR, ,ENGINEM,ORARCHITECTCE This L4egiflcaflon la to be signed and sealed by`aland surveyor, ert9ineer, or arntr' tj� �,v �t evaflogljt(onnaflon, f certify that fhe'lriformedbn to Sectldria A, B end O on tMls cariMcete reprrfe!►f�ts° s! �fforjAte pi Ye U ,9 aba,labfe, lunderstand thafany fa/se`sfatemerrtmaxDe` unlsheble.b .Bneor-Im dsonm lio.;4 I, CERTIFIER'SNAME Ad�r ^ n' "LI S WB 717 ��i//G �1N�1/i%��1C COMPANA S'�Ci t1� was -i • ScJiryE /nlaj , ADDRESS CITY STATE LP CODE•y .5'`F i3G�4cK G�►✓_' 2. I5� Gro, SIGNATURE DA E FFMA,Fnm� A141, A iia QA' l � F1/) 1 IC Ft11'tfS�NC 1=VFRRF CIDP P(l,P r`,f1Mr1NI IA,,nnm RFPI !Ar`FC AI'i PR _, f1 t ' B4, MAP AND PANEL ,• BS SUFF�7�j ' Ba. FIRM INDEX- B7, FIRM PANEL 88, FLOOD 89. BASE FLOOD ELEygTION(S) NUMBER -DATE EFFEC7IVFJREVISED DATE ZONE(S) � (S) (Zone A0; use depth of ('�ioding} vb0of�:.a.S o, r� :lt1NE°•£3199 +��I 2�a' .Y t i J` d' F r. a 6 k f F i I 1 1 I7 lC, 9 rr .. Jai r ..,y_%I:",t(Y'r;^i_'].`u"!�SMS':"?'1'�kzi'h'i'..• g"'a"'y. Yom... .,'u'y„�i`:�t� �%,. eS`y°._e^�H�a.�w+�a�w���+..,,mn^"'1'^1:F17. �<�;y+ t t ` I I, ,r r IMPORTANT,: An chase spaces; copy the correspond(ng InJorttaPon frort ;Section A. ' Far• tnsutmnee Comdeny Use: BUILCING STREET'ADDRESS (Including Apt, Unn SURe, and/or Bldq No;) OR P,O^ gOUTE'AND,BOX NC POIIcANumCer CITE STATE., .t„21 CODE i Cotr:pan r.NAIC:Numt:ee ” SECTION D-'SURVEYOR;