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040-390-004
040-390-004 03-0731 STEPHENS, DAN• 215 ESTATES.DR, CHICO Cont: RMS BUILDERS HVAC, WTR HTR &'GAS LINE 3.2y-o cfl �O�c�. �ernmw-S COUNTY OF BUTTE - DEPARTMENT'OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Count Center Drive • Oroville, California 95965 • Telephone 53q 538-7541 P �� o (Rev. 12/96) y APPLICATION AND PERMIT (v) h� ASSESSOR PARCEL NUMBER Oyo M 31 41 ZONING BUILDINGPERMIT OWNER S \\ She 1^en TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESSG\ s..?? CONTRACTOR'S NAME S \ l TELEPHONE I M -t! ! 2. CONTRACTOR'S MAILINGADD RESS+� (� �['' ..� _ ,6X /� l\- 9Jc(2 1 CONSTRUCTION LENDER Y-\ Y1V Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Feb '$ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS?w S k*5TAPE5 �R - ' Energy Plan Checking Fee $ $ CA/i<0 PERMIT FEE $ LOT NO. SUBDMISIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF/ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 157 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ _ Describe Work: ir4G V WA D FR HrX 6,A.S L/nJE' Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I WT—' @20.00 PERMIT FEE S� d ?. , 3Z957 57 ELECTRICAL PERMIT I Filing Feel 20.00 600V OR LE Main Service .0A0RLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I 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 '. full force and effect./ License Class Lic. No. C„S/ C )M OWN WILDER DECLARATION 1 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 sooA TO 1000A 46.00 + NEW CONST. DWELLING OCCUP. OR ACDNS. MNG BLDS. SO `'- 3.5Q F7. NOµA DESIDT MULTI.OUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET BAL @'.550 FIXED APPLNS. OR Ex. Occup. ouTLETs RESID. EA 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' 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.) ❑� 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 comply wit those provisions. (� X Date Signature of Applicaritt - ❑ Owner ^Contractor ❑ Agent An OSHA perm'is=required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling'j Hood 6.50 Ventilation PERMIT FEE $ Sp Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 027 --- HAZ. ---- D. FEES_ IMP , D,..=CCF QLOQ .PARCEL PD HD IS u This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B All y PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. f Date ��/ i1 +�} Defe rI ReceiptNo. 3753`d6 1%r / 41V WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT NOTES to RESIDENTIAL PERM .040-39-0-004 *99-0679 BPEM. — STEPHENS, Daniel ' 215 Estates Dr, Chico ` s (cabana/pool) i qui F r SPECIAL CONDITIONS ..CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS ; VERIFY or USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER t ' r r a 1 JOB. FINALED (Date) t Signature . _ •tet I /=OK. 0'= Not OK• = Not Applicable = Not Ready MOBILE;HOMES. Date MOBILE HOME UTILITIES (Plans) OK except #'s DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Zoning Requirements -Setbacks -Easements 1 2. Soils; Special MH SupportSketch Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) Wood Awn.; Posts-Beams-Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"tt./ /'LPG Carports; Windows -Doors 7. Well Clearance & Disconnect _ 8. Utility Clearance Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings,; Size -Spacing -Marriage Line ' 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. 5. Drain; MH Test -Fall -Flex Connector 2. 6. Water; MH Test -Regulator -Connector 3. 7. Water and Sewer Connected -C/O to Grade -HD Approval 4. 8. Gas and Electricity Tagged 5. 9. Tie Downs -Type -Installation Cert. 6. 10. Exits; Insp.-Sketch 7. 11. Cert. of Occupancy 8. 12. Permanent Foundation Only; License Decal 9. Health Department Approval Date Plumb.; Cir. Test -Water Supply Test Card B-1 Date Card B-1 Date Light Niche ; Card B-1 Date Card B-1 1- Date Card B-1 Date 4. 4 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. - Pool. Lghtg. Boxes- Enclosure s-Panelboards-Ins. to Main in Conduit ' 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche ; Date Card B-1 Date Card B-1 1- Date Card B-1 Date 4. ' r 4 ' ' r /= OK 0Kot OK = Not Applicable = Not eady RESIDENTIAL (; Date nderfloor (Plans) OK except #'s Date Z�g-Setbacks- Easements- Flood- Slope 23. Ftg., Main; Soils-Elec. Grnd.-/tJ-/" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ F Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 1 . HV Downs and Special Anchors 29. la Leel -Wrapped 30. iers-Fireplace Ftg.-Steel Condensate Drain & Overflow, Size & Grade D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Service -Riser Conductors & Ground Main Disconnect Water Pipe; Test -Anchors -Regulator -Service Test 32. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date 5-3-f w -f � Card B-1 Xe ; Date 5'-/7--5IF Card B-1 /L/3 Date S.i qU 9 q Card B-1 1L.0 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower an; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access \ 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors c� W 4 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or N-A.C. Wire Size/ / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Condensate Drain & Overflow, Size & Grade Insulated Neutral Q Yes Q No Siding -Nailing Veneer 31. Service -Riser Conductors & Ground Main Disconnect 58. 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Date Card B-1 Date Card B-1 Date 47. Card B-1 Date Card B-1 Date 49. MECHANICAL (Permit) OK except #'s 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 35. A.C. Ducts Insulation & Support 52. Property Line Firewall & Openings 36. Vent Fan, Exhaust above insulation 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 37. Condensate Drain & Overflow, Size & Grade 56. Siding -Nailing Veneer 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 58. 39. Attic Access & Platform if Furnace in Attic -hear Walls; Nailing -Bolts S• 60. Brace Interior/Exterior Wall an4s Insulation -Walls -Ceilings . Infiltration -Walls -Windows Date 5 •-/`7--0,1 Card B-1 Date Card B-1 Date T Car -1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date Smoke Detector Card B -t Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing v jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic L%4 -hear Walls; Nailing -Bolts S• 60. Brace Interior/Exterior Wall an4s Insulation -Walls -Ceilings . Infiltration -Walls -Windows Date 5 •-/`7--0,1 Card B-1 Date Card B-1 Date T Car -1 Date Card B-1 Date FINAL (Plans) OK except #'s 3. Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector nce-Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection r Exdmg X.I. & Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel, Breaker Sizes & Labels 59. airs & Haiju 715,4 Fire ace or StoVe, Clearance -Hearth u at Wood Panel, Int. & Ext. I . ance; Ground -Air Gap -Cooking Clearance _ lec. utlets & Receptacles at Kit. Counter I Q. ge or; Swing -Landing -Closure C. Duct in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air Connector -P. . ,M Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location ec.ecep les in Garage (F.F.I.)-Romex Protection 70. ulation- Foam- Looked in Attic and Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth jOrearance Looked under Floor Q Yes wing Instld.prive ]>ds' J No/Walks • es :1 No/Planters ❑ Yes - o Unit Disconnect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings connect, Electrical, Plumbing Ex for Elec. Trim, G.F.I. Receptacle -Underground 8 V dation Throuahout House &&Glass Protection Corrections from Previous Inspections gr - Tagged, Gas -Electric r & Sewer Connected -C/O wGrade-HU411proval Address Posted Date -3 ^Card B-1 Date Card B-1 Date --jq Card B-1 0_ P-1 Date Card B-1 Date .4rCard B-1 IM Date Card B-1 Comments at Final: � r-...-. ....:ti. -.r>: r.'.-v`:.-..�..nC.-s��•...s:-tJ�..,�..ns . •:,. _',fi'.fv+ir;..�^L ^ �'t i.�,_f r ,--" F COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530)-891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE .54 OWNER 99 d6-7 PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have an.y`questions pertaining to this matter, or need additional explanation, please contact this office"immediately. �1 PiOSei a.i!!� W'o,e_,/-" a i- c DateT� 3 1 Inspector 4 4 k REV 10/92 7 4 COUNTY OF BUTTE BUILDING DIVISION ` DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise',..CA - (916)x•872-6307 ti CORRECTION NOTICE u ,j -sume'y.0 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. a001dc de- crlcv% � �s rL45Y 70 01-4t/L 9' lags if Wi/l Ive rC' Date Inspector REV 10192 ; E c ion C CCS Date Inspector REV 10192 ; COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530)' 538-7541 CORRECTION NOTICE OWNER A routine inspection indicates that the above address and should be correc completed. If you have any question! please contact this office immediately t //—,h // PERMIT NO. glowing violations of butte county Ordinances exist at the 'rd. Please notice this offickwhen correction of work is pertaining tdthis matter, q%eed additional explanation, i t�' Date h ^ r_� Inspector�lJ REV 10/92 COUNTY OF BUTTE, BUILDING DIVISION : DEPARTMENT OF DEVELOPMENT SERVICES (411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (53-0-)-538-7541 CORRECTION NOTICE OWNER v PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above addres and should be corrected. Please notice this office when correction of work is completed. }you have any questions pertaining to this matter, or need additional explanation, please co act this office"immediately. Date -2—&—g9* Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530)'53 8-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine in sp ction indicates that the following violations of butte county Ordinances exist at the above addre and should be corrected. Please notice this office when correction of work is completed./f you have any questions pertaining to this matter, or need additional explanation, pleaseco tact this office immediately. 0,- J- cCr-id.✓ V / /0 g 9 _ 0/11 c l A��� Sue1�►,,..i '�,hse brr bb 4 Scru, c Puc Date 7— 2 Q Inspector Fe L4 S tj ,� /�_ ✓� I REV 10/92 COUNTY OF_BUT-TE-�'` BUILDING 01VISION DEPARTMENT'OF DEVELOPMENT SERVICES 4 -Miarin Street - Chico, CA - (530) 891-2751 7 -County Center Drive - Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the a ove address and should be corrected. Please notice this office when correction of work is c mpleted. If you have any questions pertaining to this matter, or need additional explanation, Please contact this office immediately. C 0 _e 1A 3n �c.G✓ u c f. � U �v✓� i ���> v/ d r t� .rr C'o cid o Date -2- Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER ��bbb PER/MIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. �oo Date 3 Inspector REV I 92 V s .Sz' ' COUNTY OF BUTTE - DEPARTMENT. OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 PE MIT NO. (Rev. 12/96) APPLICATION AND -PERMIT ASSESSOR PARCEL NUMBER 040-39-0-004 ZONING R1 BUILDING PERMIT OWNER TELEPHONE SO, FT, OCC. BUILDING VALUATION 40 C 00Q. .OWNERS MAILING ADDRESS 520. CONTRACTOR'S NAME TINKNOO TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation s27,520 ARCHITECT OR ENGINEER UCENSENO. Filing Fee $ 20.00 Permit Fee Or' $271.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $176.50 BUILDING ADDRESS 215 ESTATES DRIVE, CHIC -0- Energy Plan Checking Fee $ 25.00 $ PERMIT FEE $491.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 28.0 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other Solar or heat pump water heater 23.00 Water piping 15.00 15 • Q Each as water heater or vent 15.00 5.00 TYPE OF WORK Newx9 Addition ❑ Remodel ❑ UBlities ❑ Installation ❑ Other ❑ Describe Work: CABANA FOR SWIMMING POOL Gas piping system 1 - 5 outlets 15.00 5.00 Building sewer 15.00-.15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 108.00 ELECTRICAL PERMIT Fling Fee 20.00 RLE Main Service 2I.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.FOWER 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. weI, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 he 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 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall orthwi� comply with those provisions. _ X Date � LM Sign ture of I ant Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionAV��. of structures over 3 stories in hei ht. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING Cs0 OR ADDNS. ( 8 ACOCUP. C. S.3.50Fr. 17.50 NO"ESID. OUTLET CIRCUITS @7.50 APPARATUS 8 SINGLE OUTLEr CSI R. .00 EX. Occup. OUTLET OR FIXTURES BAL @ 1, 0 Ex. Occup. OUT ETS pESID°Ep 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 3 7.50 MECHANICAL PERMIT Fling Fee 20.00 Heating wall turn 15.00 Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ D CIC co•WPE TOTAL FEE $ 722.00 HQ- -- DD IM 1 lite- CDF PAR PD HD SUE I This permit is hereby issued under of the Butte Coun Code and/or in ' e b fo which fees have B PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date / I '! ate) Receipt No. 1�,011 WHITE-D.D.S.-B.D. CANARY -A SSOR PI K-INSPE R GOLDENROD -APPLICANT -s�.�,:[�.*�..w=�,«r+�::�--�%f�i�h(*.v.�rr��,s�'e►v��"r-•xx.K^�+r���,6�.+�Ar�.,'�*x"'',.:mti�"'c'W�i; �. - COUNTY OF BUTTE`- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICA TION DA TA SHEET OWNER: 1.i " ASSESSOR PARCEL ER: 7 a 3 ( , _-0 o I Proposed Building Use: C Building Inspector: %4Zoo, D -- 91 _ At time of permit application, I was advise the following data must be submitted prior to perp i " processing and issuance: Date Received By 111. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. -------------------- 7 --------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ------------------------------ ---------------------- ❑4. 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 fakes! ------------------ 9ergy Design Compliance and supporting documentation. ---------- 4 ❑--------------------------------------------------------- El � s 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- - } ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ �4 ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ 4 -5b------------------------------------------------------------- ----------------------- .9 Z . Impact fees as shown on the attached schedule. Se- ,-z------------------------------------------------ ❑ 12. California Department of Forestry plan approval/fees. -- 33. . Flood elevation certificate. ----------------I---------------------------- ------------------------------------------ �l'4. Sanitation and plot plan approval C3kC-0 Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval frQm the City of Biggs. ---------------------------------------------- 7. Planning approval for (A) Use: 7 (B) Parking: -------------------------- ❑ 18. Contact Land Development about Impro ements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 111. 9. ---------------------- ❑1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑ 20. Pre -inspection for required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- 022. Workers' Compensation carrier and policy number. ------------------------------------------ 7----------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization.--------------------------------------------------------- ---------------------- ,_112 Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- z / r2b. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. ---------------------------------------------------- ---------------------- ❑ 28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 1343 A, C3 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- ❑30. other:------- �rZel�hone u issue the ermit, process as follows ❑ Mail to owner, ❑Mail o contractor. 3 - 3113 and hold for pickup at 0 /� fire. ❑ Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, 11 Air Pollution Date: By: , Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ O ate: By: y 1. Index permit application for the above items numbered: 041an Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ BuilWv's' n anter, by De: Plans reviewed by: Date: Plans approved by: Date: 7;g Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance .cam: USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.D. 4 - 1 - I)a" 21,E Ey�, few Dr. 040 , 390 - Li !t Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public _,Y Private Well Clearance for -=dvm ting. Other Caba,<td z✓% 6,2--4A -,r4,04Vvt Hold nal for: Sn_in9 'c, Ye.na,4.tt ce.r- )'F . Final clearance O.K. for: =gid�4 N�1 ���.�_Ii1����1 ��J•�a Environmental Health Specialist 8/96 Date pR4 1ECT PROCESSING -'ORD APPLICANT: OWNER: PERMIT l: A.P.h WORK DESCRIPTION: DATE `C. L9, DFSCRIPTION OF STEP 0 April 1-9, 1999 Daniel Stephens 215 Estates Dr. Chico, Ca. 95928 Assessor Parcel Number: 040-390-004 Building Permit Number: 99-0679 BEAUTY DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX:(5 0) 538- 140 . q 1 v1 The above referenced building plans were reviewed by this o e. Please respond in writing to each comment by creating a response letter. Indicate whZrresponses detail, specification, or calculation shows the requested information. Your com/s. will expedite the re -check and approval of this project. Please be sure n the resubmittal the engineer's "wet" stamp, signature, registration number and exe on all sheets of plans depicting the designed elements and cover sheets of calculide additional information and/or make revisions to plans, specifications and calculaws: ter. Square footage of this building is 509/square feet. Plot plan is to include loc/declaation. wimming pool. Provide distance, on plans, between pool and pool house. Enclosed is your flood plaOwner of property is to fill out ad return to the building department. XYou have located withV this building a gas water heater and a gas wall furnace, because the plumbing and mechanical odes limit the location of these appliances to areas outside of sleeping rooms, we are requestin that you sent us a letter specifically stating that this building will not be used as a bedroom or q est house for the overnight accomadations of guests. This letter will be added to the permanen building file. Building orientatiol shown on energy calcs is incorrect. South is actually North and West is actually East. Glass square footage in West orientation is incorrect - it is 18 square feet. Revise calcs. Calcs are to bJ specific to this .building. A4 do not find the S meson strap you called out for a holddown on the alternat braced wall panels. Would you please call out the page number in Simpson catalog? I haven't seen LST staps used in a foun ation situation. 1 ,eFoundation plan to show location of holddown and additional anchor bolts required for alternate braced wall panels. - XYou show 3 2x members to support ridge beam in a space between the two french doors which is labeled as one and one-half in width. How do you fit 3 2x members in an inch and one- half space? In addition provide header sizes at all enterior openings. All requirements from the structural calcs are to be located on the plans and plans are to be stamped and signed by the architect of record. I am sending two sets of plans including new submitted sheets to the Chico office. Please add new sheets to the plans and return two sets to your architect. I have enclosed with your plans one set of energy calcs and one set of structural calcs. If you have questions about any requirements, you may contact me at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Sincerely, Martha Whitney Plans Examiner cc: Larry Warner, Architect FA RESIDEi14IAL PLAN CHECKIlr GUIDE j SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY Q OWNER: ei I'li�IRS BUILDINGP gt; . l ',O(0 7 PLAN CHECKER: I j [A/ A. P. NUMBER: L OQ� V : ing requirements: (side yards and number of permitted living units). uation. s signed by designer. er description of work on application. Existing violations on property. Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.). Recorded notice of violation. PLOT PLAN: Complete parcel size and dimensions. �i Setbacks, side yards, easements, etc. Other buildings or structures. :v; Grading, fills and/or drainage. ,05 Flood hazard. F (OcL lavafi 0O(r. Special conditions on creation map (Noise, SA.A., Fire Sprinklers, Water Tender, Trees, etc.). F.A.U. & F.A.S. road setback. g� Building or utilities across lot lines (Record form). FLOOR PLAN: Complete to scale plan with dimensions. /2' Required windows for light and ventilation (Section 1203). X Required windows for second exit (Section 310.4). -4! Skylights (Section 2409 & 2603.7). XY. Glazing in Hazardous Locations (Section 2406). ,A' Required room sizes, ceiling heights (Section 310.6). i7' G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210). Al Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Location of water heaters, heating and cooling equipment, other electrical or gas equipment. Garage firewall, door size and closer (Section 302.4). J4* Minimum of one 37 exterior door (Section 1004.6). Fireplace and wood stove location, alcoves and clearance. 13. Smoke detectors (Section 310.9.1). 14. Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAII.S 1 Conventional Constructio - Unusually Shaped Buildings (Section 2326.5.4). /) 0 Standard bracing or engineered design (Section 2326.11.3). 3. Clerestory requiring balloon framing and/or engineering. ,4! Three story building requiring engineered calculations and plans. 5. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. 7. Elevations and wall construction details complete enough to construct building. 8. Roof construction details complete enough to construct building. Rafter ties or bearing ridge beam. / Fireplace construction details and calc. if necessary. Xl . Garage door and/or porch header sizes. 12. Stud heights. 13. Adobe soils - special foundation design. 14. Retaining walls requiring design. 15. Special Inspection requirements. 16. Header size. June 1997 3.2 NIISCELLANEOUS ITEMS TO L� OUT FOR: • ' 1. Stairway details: landings, s.. dnd run, head clearance, handrails (Section 1QuO,. •2. Guardrail details (Section 509). -3' Brick or stone veneer (Section 1403). 4' Exterior plaster - weep screeds (Section 2506). 5. Proper roof pitch for roof covering (Section 1501). • Roof covering type - (fire hazard). - !, Foam insulation - protection. 36" halls and stairways. fJ' Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts. 1,0'- Two exits on three - story dwellings (Section 1003). - ,J,r Underfloor access and ventilation (Section 2317.7). ,1.Y. Attic access and•ventilation (Section 1505). Combustion air for fuel burning appliances - L.P.G. requirements. J4," Noise requirements on duplexes. Energy design. Flashing at all exterior openings. C.D.F. responsible area requirements. jg--' Automatic Fire Sprinkler Systems (Section 310.10) 19. For Inspection Jacket: Flood Hazar&Elevation Certificate SRA Requirements :... Special Inspection Requirements Automatic Fire Sprinklers June 1997 3.2 i .. 0 I 1 V, C h . 'a Ow'V e.'L VI GARA j 7 +F- NtL� ��rL d o J- i_in / D/ W. a l , \ u\ to Environmental Health APR 1 41999 _ Date Chic®, Callf©rnla / Signatt�rc; /� — A �. `�_ - ____-__SCALE (� 110 VOL -1" SI" IOKE DE 1 EG -I OR IN I"EIRGONNEC I"ED EXHAUST FAN 20'-0' R -3G2 PR 3068 FRENGH DOORS FRENCH DOORS z 3 LL. . . FLOORING TO ALL TILE TO BEVERIFIED Y OWNER m VAULTED V TED WALL MOUS MEGHANIAL 'APPROVED SF1 Butte County Environmental Health sP --- 4=-I 4-=��--- . 20@ Date �w e L Q' 8'-0" GL HT.--- v -- Signature LU Q 0 a Li Environmental Health F APR 14 099 3030 HS 404o HS CMloa, California 8,� ELEVATION CERTIFICATE O.M.B. No. 3067.0077 • FEDERAL EMERGENCY MANAGEMENT AGENCY xptres Ju y 1999 NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to pro- vide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). You are not required to respond to this collection of information unless a valid OMB control number is displayed in the upper right corner of this form. Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I BUILDING OWNER'S NAME STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER OTHER DESCRIPTION (Lot and Block Numbers, etc.) CITY POLICY NUMBER COMPANY NAIC NUMBER STATE ZIP CODE Chico, ` CA 95928 _ SECTION B FLOOD INSURANCE RATE MAP '(FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE- 6. BASE FLOOD ELEVATION (in AO Zones, use depth) 06007C 520 C June 8 1998 AE 197.0 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑NGVD'29 ❑Other (describe on back) 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: I I I I I I .J feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5,and 6 that best describes the subject building's reference level 1 2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of i_J_11191 .0J feet NGVD (or other FIRM datum -see Section B, Item 7). (b). FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of 1 I 1 1 1 U feet NGVD (or other FIRM datum -see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is. LU.J feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is W .Ll fee; above ❑ or below ❑ (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ] No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: 0X NGVD '29 ❑ Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ® Yes ❑ No (See Instructions on Page 4) 5. The reference level elevation is based on: ❑ actual construction ® construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is: I 1 119 141.1 1 feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: L I I I I I.J feet NGVD (or other FIRM datum -see Section B, Item 7). 2. Date of the start of construction or substantial improvement 3/1999 FEMA Form 81-31, MAR 97 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION • SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al—A30, AE, AH, A (with BFE),V1—V30,VE, and V (With BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. /certify that the information in Sections Band Con this certificate represents my best efforts to interpret thef�eta: ayaila 1 understand that any false statement -maybe punishable by fine or imprisonment under 18 U.S. Code, Sp 'did P U.� William J. Dinsmore C29113•.- CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) l\0 2013 Civil Engineer Rolls Anderson & Rolls - ' TITLE COMPANY NAME "i' 115 Yellowstone Driv Chico, �:CA,r�l,� 95- ADDRESS CITY 'C�StTTE;',! �,•�'J� ZIP SIGNAT DATE PHONE - Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. COMMENTS:1 o1 certificate is forpool equipment o• .d - R ON WITH ON P:LES, SLAB BASEMENT PIERS, OR COLUMNS A v A A v ZONES ZONES ZONES ZONES ZONES • REFERENCE REFERENCE lEvEl REFERENCE BASE LEVEL LEVEL FLOODI ELEVATION . BASE BASE .AOJaCENT••:' ;:it8 REFERENCE F1000 FLOOD LEVEL ELEVATION GR ELEVATION REFERENCE ADJACENT aOE LEVEL G -ACE !ADJACENT {. ' m �.,..;• �.,..;::: GRADE The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 -,.�-�'-�•y.�.ter,--^^—y^.--.-.�...-.,�,�,..,,�,,y---.aar...fv.r.....a--�,,,..nu-�"ti..��ar��i'M...,i...+�'ttrr.�� .�...(�*�'rti'hr��.-'+ti+r-�..tr r•�-��"'�ti--�Y.r� BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) k } School District. ,%sn Building Department No. A.P. Number Cjr�j (y.• �'� - �� Jurisdiction: City County n C\ Property Owner Property Location/Address t�' O j�" lir. tZ26 LAI , Subdivision Lot No. Residential Development Sq. Footage No of Living Mobile Home DdPion (Group R) Units Installation Poo Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative * d`s j ~ $ Date (rioor rians revieweD Dy acnooi uistnci rersonneu r District Identification No. School District certifies that , O ;4 '(Applicant► cl - -(Street Address) (Phone Number) o low co4-- 2S9 2 (City) (State) (Zip Code) IZ - has complied with the requirements of Resolution No. _ C by payment of $ B 2926 $ LL NUTIGATION $ Date representing �� square feet. Paid by Check # ' r Remarks: ri Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit youfrom challenging the Imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQAI, this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) . feeform.xls (2/97)dmm COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES ' OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING ro : ONE: BUILDING PMT. # 4o.- 3RD - oo4 OWNER: tD. h.1 i 4��- L__ �-664 -> PHONE: MAIL ADDRESS: 2 is -1t-- c-; "D e-- e-I+IC-0 c -A 'r S -i Z1�6 SITE ADDRESS: SA V%/, E PROPOSED USE: bo - 4o vs -e - 853 -3193 PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) 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? 2. Is the structure already built, under construction, or under notice of code violation? 3. Will items produced in this building be offered for sale? 4. Will the public have access to this building? 5. Will any advertising, on or off site, be associated with the use of this building? 6. Will this building be occupied at any time as a sleeping quarters? 7. Will this building be occupied at any time as an eating area? 8. Will this building be occupied at any time as a cooking area? 9. Will this building be occupied at any time as a living area? SITE CONDITIONS: 10. Is the structure foundation within 5' of septic tank or 10' of leach lines? 11. Is any portion of the proposed structure located closer than 20' to your front property line? 12. Do you plan to add a driveway or modify existing access to a county maintained road? 13. Will the proposed structure encroach within any recorded easement? CONSTRUCTION FEATURES: Yes: is No: j4 Yes: No: is Yes: No: ie Yes: No: iC Yes: No: X Yes: No: i0 Yes: No: 18. Yes: No: �- Yes: No: Yes: No: j4 Yes: No: �Q Yes: No: ie Yes: No: _ W 14. Will this building have insulated floor, walls, or ceiling? Yes: No: 15. Will this building be heated or cooled? Yes: %Q No: 16. Will this building have a water closetttoilet? Yes: n No: 17. Will this building have a sink? Yes: X No: 18. Will this building have a water heater? Yes: X No: 19. What type of floor covering will the building have? czem1,vw -P LE 20. What type of wall covering will the building have? r) Vow- Vii/ VJA 'J' 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. 1 understand that Real Estate Disclosure laws require disclosure of this information if or when offered for sale. OW ER'S SIGNATt DATE OWNER'S SIGNATURE DATE FOR DEPARTMENTAL USE REVIEWED BY: DATE: COMMENTS: April 26, 1999 Martha Whitney Butte County Building Department 7 County Center Drive Oroville, CA. 95965-3397 Accessor Parcel Number: 040-390-004 Building Permit Number: 99-0679 The pool house will not be used as a bedroom or guest house. Sincerely, Dan Stephiens l FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under building permit ?OLVU i T'i Cid-oC-M application number: at the location of _-215 Erni A 7L 2W o E ahm.Ck, q -q2-& . Assessor Parcel Number: 04.0 - -g-go e cr&4 for the construction of an addition for VppL,l v does not equal or exceed the definition of "Substantial Improvement'". I am aware the building site is in a flood - plain area, even though I am not required to comply with the flood plain management criteria. Property Owner: PhoneNumber: (s��T4-:3 K13 Date: Substantial improvement is defined as follows: Any repair, reconstruction, or improvement of a structure, the cost equals or exceeds 50% of the market value of the structure either, (a) before improvement or repair is started or (b) if the structure has been damaged, and is being restored, before the damase occurred. NOTE: Documentation may be required to substantiate cost. NOTES PERMIT NO. /2- t� ��tl-v nib �" u �'U' °' r� � v ✓ OCA, P � a 11S. J t'nI��cl� /— � CEJ fid t I n F 'rl Q4. 0 RESIDENTIAL 040-390-004 05-2024 STE.PHENS, DAN' & JILL 215 ESTATES DR, CI ICO r Cont: RIMS BUILDERS ADD -REMODEL 07; _73 r i s, :y 5-, cl_l� SPECIAL CONDITIONS CHECKED BY SRA FLOOD6FITIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS _ SUB -STANDARD HOUSING LETTER JOB FINALED (Dat (� t. Signature Zz zt, Feb 07 06 10:18a p.2 Job ISTEEP1210 Lonagfeltow Lumber r ype Adam Dietz s Jun /7 2004 M Tek Industries. 6-4-1. I 1240 I 17-7.15 24m6-0 6.4.1 5-7.15 5.7-15 C-4.1 Scale= 1:39.7 4x4 = 3 41 TION B 8-2.11 • ---' 440 1s9•s _, _.__ 24.40 ez-n 7 •,0 8.2.11 46-0 GENERAL REPAIR NOTES: 1. THIS REPAIR IS FOR MOVING THE BEARING AT JT. 5 0-6-0 TO THE RIGHT AS SHOWN. 2. ATTACH 2X10 SCAB (DF NO.1&BTR OR BETTER) AS SHOWN TO ONE SIDE OF TRUSS WITH 16D COMMON NAILS (0.162"DIA. X 3.5"LGT.) @ 3" O.C., 2 ROWS. Plate Offsets (X.Y): 11:0-2-0.0-1-81, [5:0-2-0,0-1-81 LOADING(psf) SPACING 2-0-0 CSI TCLL 16.0 Plates Increase 1.25 TC 0.44 DEFL in floc) We' L!d PLATES GRIP Vert(LL) 0.17 5-7 >999 240 MT20 2201195 TCOL 10.0 Lumber Increase 1.25 BC 0.98 Vert(TL) -0.26• 5-7 >999 180 BCLL 0.0 Rep Stress Incr YES WB 0.24 I Horz(TL) 0.05 6 n1a n/a BCDL 7.0 Code UBC97/ANSI95 (Matrix) I I Weight: 102Ill LUMBER TOP CHORD 2 X 4 OF No.I &Btr G BOT CHORD 2 X 4 OFNo.t&BirG WEBS 2 X 4 OF Std G LBR SCAB 6-8 2 X 4 OF X No.1 &Btr one side BRACING TOP CHORD Sheathed oro -2-0 oc puffins. BOT CHORD Rigid ceiling directly applied or 1"-0 oc bracing. REACTIONS (Ib/size) 1=80 310-3 5, 6=776/Mechanical Max Hort 1=8(load case 3) Max Uplifil=18(load case 3), 6=-11(load case 4) FORCES (Ib) - Maximum Compression/Maximum Tension TOP CHORD 1-2=-1904!59.2-3=-1681189,3-4=-1766187.4-5-2013161 BOT CHORD 1-10=-2411762, 9.10=0!1226, 8-9=0/1226, 7-8=0/1226.7.11=-18/1878, 5-11=18/1878, 5;6=0/0 WEBS 2-10=332)15,3-10=42/501, 3-7=-44/596, 4-7=-3 6 111 5 os-zo 2-4 13UTTeE COUNTY BUILDING DIVISION A�PPROVED .- ..,, NOTES 1) Attached 9-8-11 scab 6 to 8, back face(s) 2 X 4 DF No. t&Btr G with 1 row(s) of 0.131-x3" Nails spaced 91' o.c.except : starting at 0-0-0 from end at joint 8, nail 1 fowls) at 7 0,0, for 2-0-0; starting at 7-2.11 from end at joint 8, nail 1 row(s) at 7 o.c. for 2-0-D. 2) Unbalanced roof live loads have been considered for this design. 3) This truss has been designed for the wind loads generated by 75 mph winds at 25 It above ground level, using 10.0 psi top chord dead load and 7.0 psi bottom chord dead load, 100 mi from hurricane oceanline, on an occupancy category I, condition I enclosed building, of dimensions 50 ft by 25 ft with exposure B ASCE 7-93 per UBC97/ANSI95 It end verticals exist, they are not exposed 110 wind. If cantilevers east, they are exposed mo wind. If porches exist, they are exposed to wind. The lumber DOL increase is 1.33, and the plate grip increase is 1.33 4) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads. 5) A plate rating reduction of 20% has been applied for the green lumber members. 6) Refer to girder(s) for truss to truss Connections. LOAD CASE(S) Standard /Rd'r ESS/O,L.� /ems `0.�iDONG YG rf�'L Z C 19 ti *� EXP. 913010$ ( WARMC - V-0 design pnramrrers and"" NOTES ON THIS AND INCLUDED HTTEX REFERENCE PAGE IM -7473 BEFORE USE i 7777 C,reenba Ics U ! CPJQS Meight>, CA. Ue j n veld for use Dory soh Malek connectors. this des'ren a based .0, Upon paomc:en shown. end is icr on individual burlding corponent. ! Suite 109 co App b(Ety of design pr+e orbrnlers and proper incorporoiior. of eomponeni n responsibility o' building designer -not Uuss dei®ner, Bracing shown ! is for lateral sup{iors of indrvfdualweb members Dray, Addiliorol lamporary brocirg to insure liability during consfruc!ion is the respcmibillity of the vers. Acdir.4ici parmanenl bracing ar fire avc-ro:lslne hoe is fbe respan,ibwry at the bolding designer. bort ganntot guiderXe regading fa0rfaotion. quay control afacge. delivery. erection end bracing, ccrovll ANfI/TPI1 Quality Crltoria, DSa-89 Doff eC511 Willing Component Solely rntormotlorl awila4fa!rsm 7ress.>gle lmldu:e: 5@30'Ono'.Ts thrive. M.ad a.^..';.r 5171?. 4 m l Feb 07 06 10:19a p,3 jab /6• Tres ISTEPt210 IAt 1{F Lonft�h. tmn%W Ce., loc.. 0*aa Ce• ride -74u. A*M ITxM t _ . . _.....!�•! .. _ _ .._ f . 2799 S 1 RUBS= B.00DaAA1T2008r�e ,lne."Wee RamG14S:49vS2D0�Sega{ S.)•iS e.Odli 1 , eel'.••' •7.SMb..i -. t R� - » � 3re10, t.2VG b 3.6 - poo 2' It1pk a 3.5' bYdnwtah o4e SUPPORT b,.ts Lt�L_ NO LUMBER DEFECT NS ALLOWED mnTnuy it ate t• n Sar' OP WltW VT" GENERAL REPAIR NOTES: 1.THIS REPAIR IS FOR 3-1x8 OVERHANG ON THE LEFT SIDE AS SHOWN WITH Y X 5.5" BIRDMOulTH- 2.ATTACH A 2X6 SCAB (OF NOA OR BETTER) AS SHOWN TO ONS SIDE OF TRUSS VNTH 106 COMMON VWRE NAILS (0.148" DIA X 3r LGT) 0 3" O.C. 2 ROWS FOR ALL OVERLAPPING MEMBERS. L6wma1p* TCU 16.0 4126 SPACING Z." Ptalml"emare 2,25 C51 TG a28 OWL in pest ma ud N ATE& GRW TCOL wil Lumbeftn mso 1.25 BC 0." beRm .0.12 6.0 .m NO VW00 -0.74 GA AM 180 paY20 22d19S 9Cu. 0.0 BCDL 7.o Rap aw"s ma Y13 Coae 1/BC971ANSMS va 0.18 0.00 5 " nfa _Idalplbefi, waism aom LUMBER ..... TOP CHORD 2 X • OF Na molt a YOP CHORD &smmad a 4•t0'S aaWms- OOTCHORD 2X4DFft*AU1rG WEBS 2 X o DF Sea G BOTCHMO RoWeoi!Vdn:edyopoWoft00.Oocera 20 REACTq►Ls AWA Ha 176210 cas>>B2r03•e �i. Horn t �(ioid mac 3j BUTTE COUNTY- "up"tt-l0{roee east 5T. 5=-40Besa Deet 4) FORGeS b)' Uwiman Cort�pe=aWVMaiunom Tension TOP MA"O 1.2� 170L20, 2•S..Ta00/02, 3AB 1406/02, BUILDING' h5=170St28 RD t•e--29161.34-3 -DIVISION wElks YYepS Z-0•-29SIt t. }Of57M69.1-Iii-37H59. t^tv�-290/11 469.367 37lta•3.5,-2Wn5 �"" AP®R®VE® _ i) UnBstsrt�d tmlgvo Jooda lssrs: bean sancideaa fa rstis 4asugn 2) Tris DIAD Has been 4e3gnea farttm trip W& Otinr3alaO 7S srtpb trines n Jv`/•// o apfE S1 WO ane 10 pN atom dwd dead rood_ job ori ban Marko came.. m an 00e"B t>laq lord. uang tab pat soy Cam Gerd d;menlims 50 k by 25 k aim °OA1P°MY aglop0ry L eendtae s aegesae uutanB, er setsportre B ASC! 7.93 6w ilwAytAttt3190 cend vark" erd1L vWY a» Rat tuposeg O) tw�a tl Cwd&v a saeL envy are eapsaeA t0 ttrind. N 000" OWL troy 2M OPOW W WAI TM Mseme DM %lactose 4 1.33. and Oro plale ~ �• �► yiv incwme is t.D3 y) 7sric sntsa nay Ercms sbtsptwa ter r 10.0 Ott 0esrstn drmd &*lard "amac wmiN w6s asyler arwr iawL W Y 4)Ap(alaraiBl9rcawcddnofZg%MSUahA�tas0M,eWQ�1PwtbaMM*M a C 04 33 LOADCAMS) Ss�lQaro ,t E 7 caaa=•valpeesy o&ftrftfto"Xgtoap asarrOr+wsrdtRsysmraar�r�asassr»aauoretrt Ott_ONtll Ws Gft %W*% oorow;sm lmd eba btSrta EPORn,tast p,na enearorewiui:�d..ai... ___ _ FabFUZEY 2,2005 4, Received from ki CK. The Sum of IV For Rbrifvor, FSeceived: 46 CASH ❑ �r CHECK �2« UAVUU bU.31Nt:tJU FUMMb • (blU) /44-MilI 1'OrM t54tVZ UNTY OF BUTTE FICIAL RECEIPT JR DEPA ENTji UING RECEIPT nn1Cs . /VeY►nI On AP# no n-qcr.�- 0C Received By - Title By 444615 - V 20 _$ 54 qq c , i PLAN REVISION Owner's Name: AP#: o�i�i' Received By: Date: SJ ,1- 0 (� Time: P % Contact Person & Phone Number. PURPOSE OF RE -SUBMITTAL OR REVISION , ❑ Permit Application Data Sheet Item ❑ *Engineering *P1an.Revision - ❑ *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 and hold for pick-up. Deliver with next inspection. Minimum- revised plan check fee to be collected at time of submission of revi ion, plans examiner will determine if additional plan the eeded: O �p ® Minimum $54.99 Receipt i q � l CJ O Fee not required for revisions requested by plans examiner prior to issuance of permit. CertainTeedM ' InsulSafe 4 � Builders Statement Fiber Glass Blowing Insulation t. A s �.�.\ Homeowner Name / Jobsite Name Home ress �► 4A All /Il Builder (sign) Inspected By (sign if required) WS Company Name Company Name R Date R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: abs.) Should not be less than: Cin.) 60 36.5 27 } 0.986 22 49 29.6 34 _ 0.800 18% 44 26.4 38 0.712 163/4 38 22.8 44 ! 0.615 143/4 30 18.0 56 1 0.485 12 26 15.5 65 1 0.418 10'/2 22 13.1 76 1 0.353 9 19 11.1 90 . 0.301 73/4 13 7.7 129 1 0.209 51/2 11 6.6 151 0.179 43/4 t THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft of net area fdr each R -Value listed. I • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. i DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE iC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2002 CertainTeed Corporation 11/02 R -VALUE THICKNESS i AREA (SQ. FT.) INSULSAFE 4 (✓) BAGS USED BATTS/ROLLS (✓) 3 CEILINGS 1 WALLS FLOORS t THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft of net area fdr each R -Value listed. I • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. i DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE iC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2002 CertainTeed Corporation 11/02 Manufacturer Insulation Fact Sheet This is CertainTeed Corporation lnsubafe411 Fiber.Glass Blowing Insulation CertainTeed Corporation P.O. Box 860 Valley Forge, PA 19482 CertainTeed EI :I THERMAL PERFORMANCE—HORIZONTAL OPEN BLOW .Y z The following thermal performances are achieved at weights and coverages specified when insulation is instal'led.with pneumRiCequipment in a horizontal open blow application: R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM MINIMUM WEIGHT- SQ. FT. PER BAG POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag Weight per sq. ft. of should not cover installed insulation should more than: (sq. ft.) not be less than: (Ibs.) Should not be less than: (in.) 60 36.5 27 0.986 22 49 29.6 34 0.800 1872 44 26.4 38 0.712 163/4 38 22.8 44 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 1012 22 13.1 76 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129 0.209 5'2 11 6.6 151 0.179 4 3/4 R -values are determined in accordance with ASTM C 687 and C 518. Complies with ASTM C 764 as Type 1 insulation. THERMAL PERFORMANCE—SIDEWALL RETROFIT APPLICATION When installed with pneumatic equipment in sidewalls, the following thermal performances are achieved at the thicknesses, weights and coverages specified. R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (lbs.) Should not be less than: (in.) 29 35.8 28 0.967 71/4 22 27.2 37 0.733 52 16 19.8 51 0.533 4 15 17.9 56 0.484 31/e 14 17.3 58 0.467 3'/2 READ THIS BEFORE YOU BUY What you should know about R -Values. The chart shows the R -Value of this insulation. R means resistance to heat flow. The higher the R - Value, the greater the insulating power. Compare insulation R -Values before you buy. There are other factors to consider. The amount of insulation you need depends mainly on the climate you live in. Also, your fuel savings from insulation will depend upon the climate, the type and size of your house, the amount of insulation already in your house, and your fuel use patterns and family size. If you buy too much insulation, it will cost you more than what you'll save on fuel. To get the marked R -Value, it is essential that this insulation be installed properly. cs • L� J=OK 0 = Not OK . = Not Readyable V ®BILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Cana B-1 Date 1. Zoning Requirements -Setbacks -Easements Date 2. Soils; Special MH Support Sketch Card B-1 3. Sewer, Location -Test -Fall -C/O -Concrete PERMANENT END SYSTEM (ONLY) 4. Water, Location -Test -Easement Needed (Sketch): 5. Electricity, Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" Lt. / P Nat. or/ /" L "ftl P LPG 2. Footings; Size -Spacing -Marriage Line 7. Well Clearance & Disconnect 8. Utility Clearance 4. Gas; MH Test -Demand -Valve Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectot 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 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s _ 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Stricture Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s _ 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Stricture Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Ingle & Duplex) Date U52' RFLOOR (Plans) OK except #'s 4. Aning-Setbacks-Easements-Flood-Slope . Ftg., Main; Soils-Elec. Gmd. / /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. d Downs and Special Anchors 1% ?X,615 j ; v;� 7 Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-Frtting-Test-2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date- Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Ater Htr.; Vent -Access -Combustion Air Baffle Ater Pipe; Test & Anchor -Nail Protection W.V.; Test Fittings & Anchor -Nail Protection Shower Pan; Test, First Floor -Tub Access 21 eest Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors 6 Size Boxes & No. of Conductors Stapled ly'Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. jiguip. Clearances Panels -Motors -Meth. Equip. . Clothes Closet Light -Shower Light -Spa Light 3b Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MEC ANICAL (Permit) OK except #'s Ducts Insulation & Support Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRA_ NIG (Permit) OK except #'s . SjD6 Proper Materials & Anchors !fAalls Studs -Nailing Spacing & Braces -Plates -Sound Baring Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45.ire Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FR G (Continued) W�wrgers-Post Caps -Anchors -Connectors . Ging. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers __§Z -Siding- Nailing Veneer 58. Stucco esh-Drip Screed -Fd. Vents-Underflr. Access o Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date % -1�ard B-1 (�-` Date Card B-1 Date 3 - Card B-1 Date Card B-1 Date FINAh,(Alans) OK except #'s E eps-Door & Sidelight Protection -Landings moke Detector 66. Furnace Vents -clearance -Comb, Air-Connector- arage; Pove Floor-Ducts-Mech. Protection Be iting F. Bath Fixtures & Tub Access -Spa 71Q,4ec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Receptacles in Garage (FF.I.)-Romex Protection We'Insulation-Foam-Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. F owing InstldJDrive 0 Yes O No/Walks 0 Yes O No/Planters O Yes 0 No ^) V.1 Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle- Underground 89. Venti ion Throughout House (91,6ass Protection 91 Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93_ W er & Sewer Connected -C/O to Grade -HD Approval 9 . En y Compliance Certificate -Other Certificates Address Posted 96. Fire Sprinkler Date j•-2` 21, Oce 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: NOTES RESIDENTIAL i� 040-390-004 02-3285 PERMIT NO. _ STEPHENS, DAN & JILL 215 ESTATES DR., CHICO r NEW ATTACHED GARAGE Esc ` CONVERT EX GARAGE TO LIVING ' 42� 7-3). vtX. :7 1I t n 1 i r r: SPECIAL CONDITIONS CHECKED BY `�- SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS ' VERIFY { USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER IL 14-B 6)✓ y • i JOB FINALED (Date) Signature t COUNTY OF BUTTE _,.,. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE 4rp 1)L-=- yi s n Z--�z OGONER- PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completef you have any questions pertaining to this matter, or need additional explanation, pleas ontact this office immediately. s Date 0I (-/ I `' ✓ Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT -OF DEVELOPMENT SERVICES 411 Main Street -Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be,,ppgected. Please notice this 0 Ifice when correction of work is completed. If you have any questions pertaining to this• matter;. or need additional explanation-, please contact this office immediately. be C( 164t 'I S A I 1., -1, F I X054'ff 1.4f h. I, -is P ZAA (It-- cl 073) CA J=OK • 0 = Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 8. . 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) Date 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Card B-1 Date Card B-1 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG i, MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric / j mg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Sidin ailing -Veneer -Stucco -Mesh of; Shthg-Roofing 11. Ext. ps-Doors-Landings raced Wall Panels Dalp, Card B-1 Date Card B-1 Dat Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4, Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i, MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric / j mg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Sidin ailing -Veneer -Stucco -Mesh of; Shthg-Roofing 11. Ext. ps-Doors-Landings raced Wall Panels Dalp, Card B-1 Date Card B-1 Dat Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4, Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Si Date UNDER R (Plans) OK except #'s 1 o ' i,g-Setbacks-Easements-Flood-Slope g., Main; Soils-Elec. Grnd.-/ I )/" Ftg. Depth 3. Ftg., Garage• Soils-Steel-Elec. rnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. St walls, Garage; Steel- Blockouts-Wra ed old Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date - 0 Q zj Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date RUMBING (Permi) OK except #'s Vater Htr.; Vent -Access -Combustion Air Baffle 1 . Water Pipe; Test & Anchor -Nail Protection 18_Z6WAfr,-Test Fittings & Anchor -Nail Protection 128. AVM4Rq Test, First Floor -Tub Access Test Tub & Shower, Second Floor -Tub Access 22. as Pipe; Sixe & Anchors ire prinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Velf_vAure & Transformer Clearance -Ins. Protection Zio"ElSp. Receptacles Spacing -Lights & Switches at Doors e Boxes & No. of Conductors Stapled V. -I -516 --ex Installed Close to Edge of Studs & C.J. eEr Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 9. 2 Appliance Circuits in Kitchen & Conductor Size GFI 0. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI -11 . Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al 15wrated Neutral ❑ Yes ❑ No "Iervice-Riser Conductors & Ground Main Disconnect 3. Equip. Clearances Panels-Motors-Mech. Equip. 4. Clothes Closet Light -Shower Light -Spa Light 5. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHAWCAL (Permit) OK except #'s W-A.C. Ducts Insulation & Support 37 Vent Fan, Exhaust above insulation C38.Condensate Drain & Overflow, Size & Grade Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 'I 40./Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMIN ermit) OK except #'s Materials & Anchors 49� Walls Studs -Nailing Spacing & Braces -Plates -Sound ming Walls over Girders & Floor Nailing 4 .!tzStop in Walls (rat proof) ire_Stops, Furred Ceilings -Stairs -Chasers -Tubs qD,A?eaders & Beams -Size & Bearing 4. , ngle & Duplex) • ,�,_ t Date FR G (Continued) 7. ers-Post Caps -Anchors -Connectors 46'Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Apkc Access; Size & Romex Protection -Draft Stop -Ins. Baffles 1. ,ZOO 3. drm. Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Framing -RC Channel Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts .61. BraceJnterior/Exterior Wall Panels -63. Infiltration -Walls -Windows Date 14 1, Co Card B-1 Date Card B-1 Dates Z Card B-1 Date Card B-1 Date -' FINAL(Plans) OK except #'s 64: fist. Steps -Door & Sidelight Protection -Landings OC" -Smoke Detector 6t --Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 66-0,1F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel, Breaker Sizes & Labels 74 -Stairs & Rails -'17 Fireplace or Stove, Clearance -Hearth 7.2. Elec. Outlets at Wood Panel, Int. & Ext. -a3- Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance -74,. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closure W6-A.C. Duct in Garage -Damper •79�- Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 46- P11w, Elec. & Mech. Equip. Listed for Location jec. Receptacles in Garage (FF.I.)-Romex Protection Be"I in Attic V -Guard Rails & Deck Construction -Post Caps •82-- Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes 83. F wing Instld./Drive 0 Yes 0 NoMalks 0 Yes 0 No/Planters 0 Yes 0 No Stucco Brown -Finish -65-A.C. Unit Disconnect, Electrical -Plumbing ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 9�-)p/3ter Well, Disconnect, Electrical, Plumbing Vterior Elec. Trim, G.F.I. Receptacle -Underground 8900rLptilation Throughout House Glass Protection Corrections from Previous Inspections 92 -Gas Test -Meters Tagged, Gas -Electric _ 98- Mater & Sewer Connected -C/O to Grade -HD Approval ,7_3,017 - . Energy Compliance Certificate -Other Certificates 16- Address Posted 96 -Fire Sprinkler D16-,30, Card B-1 IL • 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 - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 Y Telephone (530) 538-7541o,7,57 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER I TELEPHONE - SO. FT. OCC. BUILDING VALUATION 606 @18 10,908.00 .OWNERS MAILING ADDRESS ' 219 FSTATES DR CHICO, CA 95922 740 @ 20/ 14 800.00 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ , Q ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 258.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee '$ 168.03 BUILDINGADDRESS 215 ESTATES DR. CHICO Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 469.53 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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: NEW GARAGE (attached) W/CONVERSION EX GARAGE TO LIVING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 nVobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service WDOA 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.POWEPPARATUS 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. Jd, 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 WOOL TO IO 46.00so NEW CONST. OWEWG OCCUP. SO N CU OR ADDNS. ( a Acc. S. 3.50 NOµRULT ESID. MI.OU CUT @7.50 a SINGLER AOULET TCIR. .00 EX. Occup. OUTLET OR FIXTURES BAL @ I.50 O uTLEA. 5.00 Ex. Occup. OPPRESID.) E Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ A7 11 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 PuGt Extenstien PERMIT FEE $ 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.) g6 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 worker ' compensation provisions of section 3700 of the Labor Code, I shall ly ith those pro f hwrApplican"t�'- ,of X Date �� d� Sig re o Owner ❑ Contractor ❑ Agent An OSHA permit is requir for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONSTYPE TOTT. FEE $ 622 , H > p IMP FLo �j COF .s PARC ISS This permit is here y is Lied under the applicable provisions a tte my de and/or Resolutions to do work in icate r w cf� fees have been paid. , /13 0- _ to PERMIT EXPIRES ON 7w0tr Date ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR I K- NSPECT GOL EN OD -APPLICANT •fir �r.��r • ,.•..4--.-.- --" , ��- --r -_7Y "'►,� -� - ?r`sl�a's� n ^u'wr" ---`r ryn-....."�,"�..;,�,r.�-+r9!"` �$,w"'-_t^' .�'"�o,'t�0�'�6,�RpSt�'t,�jt', "�iep"�Si- ' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: So►/ � F?xf�h{�/ ASSESSOR PARCEL NUMBER O �/J Proposed Building Use: kC,44l/ 6W /Gl%i 46,bnter Technician: /dl Date:/ ��J Q2. . Items required in order to apply f9r a permit. All boxes MUST be checked OR marked NA in order to apply. j0� 1.. Plot plans, 3 or 4 sets, signed�y the preparer of the plans. -t�f7 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. tngine.ered trussdetails and layouts in duplicate. No faxes! ergcompliance design and supporting documentation in duplicate. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. `V ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. j Date Received By Flood Elevation Certificate, w'et-stamped and signed, in duplicate ................................ 9. Plot plan and business license approval from the City of Biggs .................................... ,;\ ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ...................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .............................. '........ ❑ 15. Statement of Intent for Non -heated and A/C Buildings ......................... .. ...........:..... Sanitation and plot plan approval from the Environmental Health Department in I C� -& z L / ❑ 17: City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent. by: ...................... ❑ 19. Planning approval for (A) Use: © K (B)Parking: (C) Parcel Check: Q__ ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). r11411F ❑ 22. Pre -Inspection for required................. _ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... _ ❑ 2 1orker's Compensation Carrier and Policy Number ..............:.............................. _ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 6 L f S' h etter o Ignature apt orization..................................................................... Recorded copy. -of Agricultural Acknowledgment Statement .................................... o � ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ i ❑ 31. Other: When issued Telephone ,� -. and hold for pickup. I have been informed f the above items and requirements for obtaining a building permit. �I Applicant: Date: r 1. Index permit application for the above iLe �_ s num�bered: Plan Check Letter \2. Additional items required 'Contractbr, designer, w er, was advised cf the above data by hone, ❑ mail, ❑ counter, by Date: _L1 t 4 Contractor, designq , was advised of the above data by & - Kone, ❑ mail, ❑ counter, by _��LDate: .Z Plans reviewed by: Q,b Date: 11#.bt�- Plans approved by: Date: Structural reviewed by: Date: _ KStructural approved by: Date: Note transfer by: Date: Yellow: Suildine DivisionGmM E.W. USE ONLY Piot Pian Attnchod Floor Pian A': chad sent to B.D. Val I TO: BuVding,,Department T FROM: EnvNronmental Health SUBJECT: Sanitation Clearance 57�� �/�iliS - �/.S- �S�i���.S �� P �� •- 390 ����� Owner Location . AP# Plan Approved for: Sewage Disposal L-' Water Supply: . Public Private Well nr_e fnr Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 BUILDING USE SCHEDULE OF FEES DUE A.P. # -Cliz DATE RECEIPT # DATE REC. -IZ' 1. BUILDING PERMIT FEES� 00 3 1 p , aq ��� �' Balance Due ....................... $ Additional Fees Due ................. $ ' Additional Fees Due ................. $ Revised Plan Checking Fee .......I......$-12 /�n jQ _ 2. SCHOOL DISTRICT FEES Ch I(VV / ^� �'`J 1- 4-o (paid at District Office) (Available after Plan Check) p uJ N e r J2 -/L(0/ o Z R41 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft'.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... x = $ # Units Amt. Commercial (sq. ft.) ............ —x—=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES i (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA -87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER ,G3.1 p At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) Building 112, I (_ - Date Irioor rians rewewea oy scnooruistnct versonneii District Identification No School District certifies that. (Applican (Street Address) }�` (Phone Number) (City)`! - has complied with the requirements of Resolution No. representing 4 i0 square feet. 't School,District Representative Paid by Check # Remarks: (State) " AB 2926 i 4 _j. FULL MITIC by payment of $ $ IATION s f .! -. Date Notice:. You may protest the imposition of the fees identified above by submitting a.written protest to the District, in compliance with . Government Code Section 66020(a), within 90 days from` the date fees are paid.', Failure to, submit:p timely written protest will prohibii-. :you from challenging the imposition of the fees in any court action. if., subsequent'to the School District Representative signing this.Butte County Schools Impact Fee Certification Form, the School.District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school, district's schools: White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm 4 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School Distract n (' tf �� a Building Department No. A A P. Number 4%a .= Jurisdiction: .Clty •County . Property Owner �) •�'• `;.� •a n Property Location/Address0 Ila Subdivision P-1-4-4 j c Ct'v n kF :s 46-A r t I Lot No. . Residential Development��/� ... Sq. Footage 77 No of Living Mobile Home Add ion/ 'Supplemental to(Group R) ' Units Installation ConversionPermt (No foundation inspecti6n)i< Commercial/Industrial' - SgjFootage New�. Addition , ..' (Including Exterior ' a Roofed Areas) Building 112, I (_ - Date Irioor rians rewewea oy scnooruistnct versonneii District Identification No School District certifies that. (Applican (Street Address) }�` (Phone Number) (City)`! - has complied with the requirements of Resolution No. representing 4 i0 square feet. 't School,District Representative Paid by Check # Remarks: (State) " AB 2926 i 4 _j. FULL MITIC by payment of $ $ IATION s f .! -. Date Notice:. You may protest the imposition of the fees identified above by submitting a.written protest to the District, in compliance with . Government Code Section 66020(a), within 90 days from` the date fees are paid.', Failure to, submit:p timely written protest will prohibii-. :you from challenging the imposition of the fees in any court action. if., subsequent'to the School District Representative signing this.Butte County Schools Impact Fee Certification Form, the School.District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school, district's schools: White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm 4 Dec 03 02 10:01,a / P.1 �tLL- FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under building permit application number: at the location of Assessor Parcel Number: p L4for the construction of an addition for 1 6 E does not equal or exceed the definition of "Substantial Improvement `" I am aware the building site is in a flood - plain area, even though I am not required to comply with the flood plain management criteria. Property Owner: LA, Address: E' I i \6 01P. -I to PhoneNumber: Date: , ' Substantial improvement is defined as follo:vs: Any repair, -reconstruction, or improvement of a structure, the cost equals or exceeds 50% of the market value of the strt:eture either, (a) before imprnv�mPnt or repair is started or (b) if the stwauic lia5 been damaged, and is being restored, before the damage occurred. NOTE: Documentation. may be required to substantiate cost. AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSOid Assistant 02:38PM 20 -Dec -20021 i REG FEE 7.00 1 COPIES 2.00 I I I 1 1 I MaryR I Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT l FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lar I'31 AS !G" of l" 41--4r> e= u N ��as-� a o:�c �-t+a.'T CF-P-T'a' 84 r�'ta � G-:-a-4--r-ITLD., COMM.# 1351379 Ci =5TA"t �:��D�����o,�l v►u r'i Na . ® E ", irfk%tc-tA NOTARY PUBLIC -CALIFORNIA X � � '�r t+ >: 6 art c0 G F= '1rt+t= z�+� COUNTY OF BUTTE 0'L) ATS or- CA 'Fr, iAN , M A it-z4i f�L�, ! N ic- C-1 AT pA6IES- -3-141 --B f*- Iii, Atcu 1,--a Date ���— D� PROPERTY OWNERS: t -t Ty t-+ M^ CA, V- l NALA 40 E7SV-- •t State of California ) County of On personally appeared ��rr�h '��p�-�j��r�y, r�c� C�cr� N1���rt\iS+L� personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whole name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature "�. tij � �' Seal: A.P. # Jg01--190 -OD-4 ;...; LYNETTE GARTON ¢ COMM.# 1351379 > NOTARY PUBLIC -CALIFORNIA X COUNTY OF BUTTE y, Comm. Expires April 17, 2006 Certalfl edff Buifcter� Statement. 'Y 3 3 tnsulgafe: 4 �K�IYF���fr�' Q�Arrnrrrr. s BAGS PER 1000 SQ. FT.. MAXIMUM SQ. FT. PER BAG Homeowner Name / Jobsite Name MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: a., i ces �� Ch>- Ch- Weight per sq. ft of installed insulation should not be less than: (lbs.) - Hom dress 36.5 27 0.986 ONO 1/rc 3- -c8- Installer/Contractor (sign) Company Name Date 181/2 44 26.4 Builder (sign) Company Name Date 38 22.8 44 Inspected By (sign if required) 143/4 Date R-VAWE BAGS PER 1000 SQ. FT.. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT POUNDS PER S4 FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft of net area: Contents of bag should not cover more than: (sq. ft) Weight per sq. ft of installed insulation should not be less than: (lbs.) Should not be less than:) [n.) 60 36.5 27 0.986 22 49 29.6 34 0.800 181/2 44 26.4 38 0.712 16% 38 22.8 44 0.615 143/4 30, 18.0 56 0.485 12 26 15.5 65 0.418 101/2 22 13.1 77 1 0.353 9 . 19 11.11 90 0.301 73/2 13 7.7 129 0.209 51/2 11 6.6 151 1 0.179 4% THERMAL PERFORMANCE—A771C BLOWING APPLICATION. In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft of net area for each R -Value listed. The maximum net coverage must not exceed that specified for each R -Value. The installed insulation must be at or above the specified minimum thickness for each R -Value. Failure to install. the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in - reduced R -Value. This productshould not be mixed with other -blown insulations or the thermal claims will become invalid. DANGER:. RECESSED LIGHT FIXTURES -TO. PREVENT OVERHEATING, DO NOTINSULATE.ON.TOP OR WITHIN 3!"OF SUCH DEVICES. DOES: NOT APPLY TO TYPE IC UGHT FIXTURES OR TO FLUORESCENTFIXTURES WITH THERMALLY PROTECTED BALLASTS:. 30-24=233 Builders statement- A Saint-Gobain Company 02002CertainTeed Corporation.1/02 R VAWE. THICKNESS AREA (S(L FT.) INSUISAFE 4.(✓) BAGS USED BATTS/ROLLS,(✓) CEILINGS so-.�L \/' WALLS Yy; V00 FLOORS THERMAL PERFORMANCE—A771C BLOWING APPLICATION. In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft of net area for each R -Value listed. The maximum net coverage must not exceed that specified for each R -Value. The installed insulation must be at or above the specified minimum thickness for each R -Value. Failure to install. the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in - reduced R -Value. This productshould not be mixed with other -blown insulations or the thermal claims will become invalid. DANGER:. RECESSED LIGHT FIXTURES -TO. PREVENT OVERHEATING, DO NOTINSULATE.ON.TOP OR WITHIN 3!"OF SUCH DEVICES. DOES: NOT APPLY TO TYPE IC UGHT FIXTURES OR TO FLUORESCENTFIXTURES WITH THERMALLY PROTECTED BALLASTS:. 30-24=233 Builders statement- A Saint-Gobain Company 02002CertainTeed Corporation.1/02 Jun. 3. 2003 6:59AM MEEKS CHICO No -3251 P. 1 APA =5 WIVE Certificate, of Ca nformance. Certificate— - 0 5 2 7 3 6 THIS IS TO CERTIFY that the glued laminated timber products identified with a Mile,- ve mark of Engineered Wood Systems (EWS) were manufactured in accordance with the applica;,i, standards Mid associated specifications indicated below: - ANSI Standard AIgo. 1-1992, For Wood Products - Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP- Cornputer Program for Determining Design Stresses 1, RITC 117.93 - Manufacturing - Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timbt;- members were produced in a manufacturing facility subject to regular audits in accordance with the Engineered Wood Systema (EWS) Quality Assurance Program. Routine audits include inspoc-iron of the manufacturing process and evaluation of the in -plant QA program with adequate sampl;)g to verity conformance to industry standards for lumber grade and glueline bond quality. M� /1,5 �� ,lis ' �5 ; At -'� Z-/"5 Cs_A/-5 00 SEAQ, = by — �— i"' y— Thomas G. Williams(,): Executive Vice Presid(• Il 111111 G, Off. 6Nc�NFEREln Mtppp srSrCrvly,a s 1e�e1�A [01M's1ton 01 APA rNa1fJEEnfQWoof) UCL{7K9n� �^ 70t 1Suum t91t, 5titioel n,0. eoa 11700 - )sCCntn, WA yP4t ,.071gJ 7�Ier nuns (243) W-6000 • Fev Nvmbel (7S3) 606- 7266 0 RESIDENTIAL PLAN REVIEW GUIDE SINGLE FAMILY, DUPLEX AND . MISCELLANEOUS ONLY Owner: D,4, j+ A i l( 5fe�p� Building Permit Number: 00-2,— 3iY5 Plans Examiner: L2= td s s t I( A. P. Number: q0 - 3 S— 0,041 GENERAL: 1. Zoning requirements - (number of permitted living units). Building permit valuation. 3. Plans signed by the designer. 4. Proper description of work on the application. 5. Existing violations on the property. 6. Recorded notice of violation. PLOT PLAN: A,' 06mplete parcel size and dimensions. Setbacks, side yard, easements, etc. ;/! Other buildings or structures. 4 ----Grad g—, fills and/or drainage. -5—.Flo-ad hazard. -6—Special conditions on Parcel Map (Noise, SRA, Fire Sprinklers, Water Tender, Traffic and Drainage fee's). b��/FAc FAS road setback. •t�! Building or utilities across lot lines (record form). FLOOR PLAN: 1. Plans and specifications drawn to scale with dimensions and of sufficient clarity (Uniform Building Code section 106.3.3). 10% of natural light and 5% of ventilation (Uniform Building Code section 1203). 3—Egress-windows (Uniform Building Code section 310.4). -4--�$kylights (Uniform Building Code section 2409 & 2603.7). /Glazing in Hazardous locations (Uniform Building Code section 2406). Viequired room sizes and ceiling heights (Uniform Building Code section 310.6). 7----GFfil-ui-baths, garage, kitchen, wet bar, and exterior receptacles (NEC 210). 8-r—Prohibited locations of gas water heaters (Uniform Plumbing Code 509& 1213.5). 9-reliibite_dlocations of gas heating equipment (Uniform Mechanical Code 304.5). L Garage firewall separation - required on garage side including supporting walls and posts (Uniform Building Code section 302.4 exception #3). 44--Wbod=stove-locatioz- Alcove clearance (UMC section 205 confined space & 223 unconfined space). 'L�m i &tectors (Uniform Building Code section 310.9.1). 44—Water-el©sevelearances (Uniform Plumbing Code 408.5). N Shower=coW- artment minimum 1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7). December 1999 3.2 ST TURAL DETAILS: nventional construction - Unusually shaped buildings (Uniform Building Code section 2320.5.4). Standard bracing or engineered design (Uniform Building Code section 2320.11.3). .3-- er$starj-rtquirtng balloon framing and/or engineering. 4"ee o ding requiring engineered calculations and plans. k"ui Foundation plan complete enough to construct building (Uniform Building Code Table 18 -I -C). -10 fiction details complete enough to construct building. E17 evvaations and wall construction details complete enough to construct building. Poof construction details complete enough to construct building. ZERIaft-or4iies or bearing ridge beam. 10, ikeplaee-construction details and calculations if necessary. Garage door header size(s). 42=P-prch-header size(s). )tud heights. 1.4--&-pansive-5oil•- special foundation design required. 15 -Retaining -walls requiring design. ecim-inspection requirements. Header sizes. 18. Gypsum wallboard nailing inspection required. MISCELLANEOUS ITEMS: 1---Staipway-details—landings, rise and run, head clearance, handrails (Uniform Building Code section 1006). 2---GuardmA&f&nifbrm Building Code section 509). nc Building Code section 1403). 4. Exterior plaster -weep screeds (Uniform Building Code section 2506.5). Roof pitch for roof covering (Uniform Building Code Table 15-B-1& 2,15-D-1 & 2). 6 -,-Roof covering type - (fire hazard). 7. Foam insulation - protection. 8. 36" halls and stairways (Uniform Building Code section 1004.3.3.2). 9--Tve t .can threee- story dwellings (Uniform Building Code section 1004.2.3.2). 4-_UAderfloor_aecess-and.ventilation (Uniform Building Code section 2306.3 & 2306.7). 11. Attic access and ventilation (Uniform Building Code section 1505). 12. Combustion air for fuel burning appliances - LPG requirements. 3-S�und-requirements. hergY design compliance and supporting documentation. (Z - /• a. X L( W t.�-- (� S Flashing at all exterior openings. 1,6-GDF-GDFrequirements. l�Building Permit requirements: Flood elevation certificate. i-7-3----fire-Sprink4ers required. W-4—_.SpeeiaRnspection requirements. 1-7-5---- Use-Patit conditions. 17-6.—ub=Standard Housing letter. December 1999 3.3 0 l � -2Gl0 Z �tI a-��S ¢-r o�r•� ,moo/ W / 1v� l� , /� � u ; 3 r v.� e < rC.v ; 3 C g C2 C, w l { �cP ti� %�►1'°�.�.-,�/� FNer� dvo �- C-44- <<< g la -� o r -e. P -e , �- Mathews Readymix, Inc. P.O. Box 749 Marysville, CA 95901 (530)- 899-9668 Concrete Test Report Summary Mix: C0501F F'c: 3000 psi 07/06/99 P. 1 Moving Avg 3 Con 7 day 28 day 28 day Sample Slump TMP Comp Comp Comp ID in deg F psi psi psi ----------------------------=------------------------------------------- ------------------------------------------------------------------------ 1 - - 2440 3760 - 2 - - 2440 3070 - 3 - - 2580 4060 3630 179 4.50 76 1870 3185 3438 259 3.75 73 2510 3945 3730 260 3.50 70 2300 3660 3597 423 7.25 67 1950 3345 3650 493 7.50 75 1340 2600 .3202 569 6.00 71 2370 3520 3155 570 5.00 70 2510 3610 3243 ------------------------------------------------------------------------ 825 4.00 62 1765 3340 3490 848 5.75 78 1840 2965 3305 854 6.00 73 2670 3765 3357 873 8.00 67 1800 3040 3257 874 7.75 70 2100 3240 3348 1105 3.00 75 2020 3165 3148 1114 2.25 84 2010 2925 3110 Count---------------------------------------------------------------------- 14 14 17 17 . 15 Average-------------------------------------------------------------------- 5.30 72 2148 3364 3377 Standard Deviation --------------------------------------------------------- 1.88 5 365 397 202 Range---------------------------------------------------------------------- 2.25 62 1340 2600 3110 8.00 84 2670 4060 3730 Coefficient of variation --------------------------------------------------- 35.38 7.47 17.00 11.81 5.98 P. 1 July 6,. 1999 TO: Sierra Built Construction PROJECT: Stephens Cabana ---------------------------------------------------------------- Gentlemen; Enclosed is the mix design package that you 'requested for the above-mentioned project. The package consists of mix C0501FD, a 2500 psi mix. I have also enclosed historical data for this mix which indicates that the mix consistently achieves the required 2500 psi. If you have, any questions feel free to call me at 530-899-9668. Sincerely, CUR S HIGGINS, QUALITY CONTROL MANAG------------ Y� --------------------------- ER.. 6 MIX ID : C0501FD [ ] _OIG + ADYMIX, INC. CONCRETE MIX DESIGN 2500 PSI CONTRACTOR SIERRA BUILT CONSTRUCTION PROJECT : STEPHENS CABANA SOURCE OF CONCRETE MATHEWS READYMIX, CHICO CONSTRUCTION TYPE 2500 PSI MIX / PUMP MIX PLACEMENT : PUMP OR CHUTE WEIGHTS PER CUBIC YARD ASTM C-150 / TYPE II CEMENT, LB POZZOLANIC FLY ASH / TYPE F, LB CONCRETE SAND ROBINSON, LB 1" BY #4 ROBINSON, LB 3/8" BY #8 STONEY CREEK, LB WATER, LB (GAL -US) TOTAL AIR, o WATER/CEMENT RATIO, LBS/LB SLUMP, IN CONCRETE UNIT WEIGHT, PCF PREPARED Y 1 1 CURTIS HI N; (SATURATED, SURFACE -DRY) YIELD, CU FT 400 2.03 71 0.49 1591 9.37 1642 9.14 170 1.02 292 ( 35.0) 4.68 1.0 0.27 TOTAL 27.00 QUALITY CONTROL MANAGER 0.62 4.00 154.3 "PROVIDING A SOLID FOUNDATION" POST OFFICE BOX 749 • MARYSVILLE, CALIFORNIA 95901 • (530)749-6525 • FAX (530)741-8313 Q.C. LAB 899-9668; YUBA CITY 671-2400; CHICO 893-8856; OROVILLE 534-0880; ANDERSON 365-0191 j r _11,4�$ +��u a> . 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G PSI: 2500 PSI Mix: C0501FD 07/06/99 MIX ANALYSIS 40 W 0 R K 35 A B I L 30 I T Y MIX VOLUME, CU FT 27.00 COARSENESS (Q / (Q + I)) 61.1 WORKABILITY 39.1 W - ADJUST 36.6 PERCENT MORTAR 56.0 TOTAL FINENESS MODULUS 4.89 --------- --------- --------- --------- --------- ------------------ --------- --------- --------- 0 25 ---- --------- --------- --------- --------- x - TOTAL MIX o - AGGREGATES * - BOTH 20 --------- --------- --------- =--------1--------- 100 80 60 40 20 0 C 0 A R S E N E S S [ Q/ (Q + I) ] MATERIALS CHARACTERISTICS STONE 1 STONE 2 SAND ------- ------- ------ DENSITY, SP G 2.88 2.68 2.72 Is PASSING 3/8 " SIEVE 21.0 95.0 100.0 PASSING # 8 SIEVE - 4.0 .81.0 FINENESS MODULUS 6.97 5.82 2.76 PERCENT OF AGGREGATE 46.8 5.2 48.0 MINERAL ADMIXTURE DENSITY, SP G 2.30 NO SEVERE EXPOSURE PSI: P E R C E N T P A S S I N G 2500 PSI *---*-I--- Mix: C0501FD --- 07/06/99 FULL GRADATION ANALYSIS SIEVE STONE 1 STONE 2 SAND PASTE TOTAL AGGR ------- 1-1/2 " ------- -------------- ------- ------- 100.0 ------- 100.0 1 100.0 ----- --- --- 100.0 100.0 3/4 " 81.0 --- ----- ----- ----- 93.6 91.1 1/2 42.0 100.0 80.4 72.9 3/8 21.0 95.0 100.0 73.1 62.8 # 4 1.0 17.0 96.0 62.0 47.4 # 8 - 4.0 81.0 56.0 39.1 # 16 - 2.0 67.0 51.0 32.3 # 30 - - 48.0 44.3 23.0 # 50 - - 25.0 36.4 12.0 # 100 - - 7.0 30.1 3.4 # 200 - - 2.0 100.0 28.4 1.0 # 325 - - - 95.6 26.5 - Liquid - - - 66.2 18.3 - GRADATION CHART 100 *---*-I--- - --- ----- ----- ----- X 90 --- -0--- - --- ----- ----- ----- --- ------ ----- --- --- 80 --- - ---x- --- ----- ----- ----- --- ------ ----- --- --- O X 70 --- - --- -I--- ----- ----- ----- --- ------ ----- 0 60 --- - --- - ---x----- - 50 --- - --- - ---I ------x ----x----- I --- ------ ----- --- --- O X 40 --- - --- - --- ----- o-.---- ----- --- ------ ----- -.-- --- X 30 --- - --- - --- ----- -----0----- --------- x ----- x--- --- o x 20 --- - --- - --- ----°- ----- ----- --- ------ ----- --- ---x 10 --- - --- - --- ----- ----- ----- ---0------ ----- --- --- 0 --- - --- - --- ----- ----- ----- ---I------I-----0---0---0 1 1 3 1 3 # # # # # 1 2 3 L SIEVE / // 4 8 1 3 5 0 0 2 i 5 4 2 8 6 0 0 0 .0 5 q x - ALL COMPONENTS o - AGGREGATES * - BOTH Insulation Certificate BUILDING OWNER: ii�i'1- -- t ,P 9� Y� BUILDING PERMIT BUILDING LOCATION: ZlS Description of Installation ROOF /I Material 7i7 n '. C OVA O er ` l:, 1n- Brand Name 'Ihici ness (inches Thermal Resistant: (R -Value) CEILING Batt or Blanket Type Brand Name 0Vj—oV? - (0fyttVu(-\ Thickness (inches) Thermal Resistance (R -Value) — Loose FM Type Brand Name Contractor's minimum installed weightlft` lb Minimum duckness inches Manufac=-er's installed weight per square foot to acheive Thermal Resismnce,(R-Value) EXTERIOR WALL I Material � �rG I 5 I0 Brand Name - . OW eVS Cor <n k Thickness (inches) 3y2_1, Thermal Resistance (R -Value) " RAISED FLOOR Mazenal Thickness (incites) Brand Name The..mal Resistance (R -Value) SLAB FLOOR Materiai _Cern.Crjt BiandName Thickness (incites) ' The. -mal Resistance (R-Vaiue) Width (inches) FOUNDATION WALL Material Gr r .. Thickness (inches) t Declaration Brand Name Thermal Resistance (R -Value) I herebv ce:tifv that the above insuiadon was installed in the buildins at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. lkmow -D kr-z- -61wT r,,- aiConaaa:or u'car) S name and Tkie Sub-Cunaa or(Insulationinstaticr) 2SgL,:43 - License Number Date License Number 7� Signature and Ticie Date n1IS CERTIFICATE MUST BE PROVIDED TO T1IE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 permit xumber: Daft: q q J / ♦' III I' II / I' I I .I AW / ♦ / II I/ N & At If I' II .I I N //I I' /♦ / I I 9c 0M/ ��- �; , If you wish to discuss any requirements, you may contact me at (916) 538-7541 between 1:00 PJAeL and Al.- 00 PIM., Monday through Thursday. G' ,�✓ Wim- W J17 14k� � ( � -Wve- — GENERAL INFORMATION ConeManed--F-1 aor-. Area : Building Type: Building Front Orientation.- Number rientation.Number of Dwelling Units: Floor Construct±orr Type: BUILDING SHELL Component Type --------------- Wall Ceiling Floor l}ENESTRA,TI.ON 500- f t2 SFD Single Family Detached 5 -deg (North) 1.00 Slabs on gr de INSULATION Insul Assembly R -value U -value -------- -------- 15 0.078 0 0.027 0 0.722 Orientation ----------------- Window "West .Window North Window-- Nortir Window East Skylight- Location/Comments ---------------------------------------- Outside Outside Grade Area U= Int7erior- Exterior CERTIFICATE 0 ----------------------------------------------------7--------------------------- Project Title. Stephens PoolHouse Run: 178 22 -Apr -99 Project Address: 215 Estates Dr stephens pool house -1 and Fins Chico, Ca ----- 32'.0 Building - Title- 500 s, f, pool house Buil i �P� i # Document Author: AEC GROUP C8 Telephone: Larry J. Warrfer AIA Pia k Compliance Method: CALRES2 Version 1.31 Fie d C eck / Date Climate Zone: -------------------------------------------------------------------------------- 11 Screen GENERAL INFORMATION ConeManed--F-1 aor-. Area : Building Type: Building Front Orientation.- Number rientation.Number of Dwelling Units: Floor Construct±orr Type: BUILDING SHELL Component Type --------------- Wall Ceiling Floor l}ENESTRA,TI.ON 500- f t2 SFD Single Family Detached 5 -deg (North) 1.00 Slabs on gr de INSULATION Insul Assembly R -value U -value -------- -------- 15 0.078 0 0.027 0 0.722 Orientation ----------------- Window "West .Window North Window-- Nortir Window East Skylight- Location/Comments ---------------------------------------- Outside Outside Grade Area U= Int7erior- Exterior Overhang Frame (ft2) value Panes Shading Shading and Fins Type ----- 32'.0 ----- 0.500 ----- 2 ---------- Std Drape ---------- Bug Screen -------- Overhang -------- Vinyl 14.0 0.500 2 Std Drape Bug Screen Overhang Vinyl 20.0 0.490 2 Std -Drape Bug Screen Overhang Wood 80.0 0.490 2 Std Drape Bug Screen Overhang WdDoor 15.0 0.500 2 Std Drape Bug Screen None Metal . THERMAL MASS Area Thick Type Exposed.?- (f t2 ) tirrp ----------------- ----- ----- Floor 'Yes -500.0 3.5 HVAC SYSTEMS Looat7ion/Comments ---------------L- --------------------- Grade Type Efficiency Furnace 0.85 AFUE Air cond. central split 10.00 SEER Duct Location and value -- ----- Attic R-4.2 Attic R-4-.2 JUTE COUNlr \ V R0 V 1 CERTIFICATE- CPP- COMPLIANCE: Res"identia"l Page 2 CF -1R Project Title: Stephens PoolHouse Run: 178 22 -Apr -99 WATER HEATING SYSTEMS Distrib Water- Nater- # of Energy Volume Wrap System Name Type Heater Name Heater Type Htrs Factor (gal) ------ R-val ----- -------------------- STD-HE-GAS.6 Standard ------------ STD -EE -Gas -.6 ----------------- Storage gaga ---- 1 ------ 0.60 50 12 WATER HEATING SYSTEMS MISC Solar savings Solar- system'• Wooer stove Wood stove System Name fraction type boiler? boiler pump? ------------ ------------- ------------ ---------- ----- -------- STD-HE--GAS_6 -- -- No No WATER HEATER/BOILER DETAILS Water Recovery Heater-' Namer Efficiency- AFUIE STD=HE-Gan:6 715% -- Rated Input (k$tuh ) 3'6.00 HYDRONIC DISTRIBUTION AND TERMINALS System/Name Type Number -------------- ------------- ------ Ngne SPECIAL FEATURES, REMARKS, ANIT 1107S None Pilot Standby Tank Light Loss R -value (Btuh) Pipe Pipe Insul Insul run (ft) diam (in) thck (in) R -value -------- --------- --------- ------- COMPLIANCE STATEMENT This- certificate of compliance lists tie- building features and performance specifications needed to comply with the Energy Standards in Title 24, Parts 1 and- 6, of the- Ca-lifvinia Code o� Regulations-, acrd- the Administrative regulations to implement them. This certificate has been signed by the individual with overalll desigrr When this certificate of compliance is submitted for single building plan to be built in multiple orientations, any shading feat�rrre� that is- varied is indicates- in the Specia-1 Features, Remarks, and Notes section. JUTM Cv -V N CERTIFICATE CrF C014PLIANCE: Residarttial Page 3 CF -1R Project Title: Stephens PoolHouse Run: 178 22 -Apr -99 DESIGNER OR OWNER Larry J . Warner AIA AEC Group 399--D Comm -s- Cts Chico, Ca 95926 530-892--8(08- Lic #: 6196 E9 . ZZ P6ied Date ENFORCEMENT AGENCY mane Title: Agency: Telephone. - Signed Doe DOCUMENTATION AUTHOR AEC GROUP AEC Group 331 Rio Vista Dr Suites Auburn, CA 95603 Larry -J. Warner AIA Kgned I' Date Jvrm coin A ;" , _. l R-10VIIE.E-.. COMPUTER METED SUMMARY Page 1 C -2R -------------------------------------------------------------------------------- Pro7et:t--Titl-e : St-ephens foal -House Run: 178 22 -Apr -99 Project Address: 215 Estates Dr stephens pool house -1 Chico, Ca Building- Tit -le-.-- 500 s, f�, poul house Building Permit_ # Document Author: AEC GROUP Telephone: Larry J. Warner ATA Plan Check / Date Compliance Methacd: CALRES2 V-ersion 1.31 Field Check / Date Climate Zone: 11 ENERGY USE SUMMARY (kBtu/ft2-yr) Energy UsL---------------- - - - S-Des±grr Space Heating. 7.67 Space Cooling 15.83 Nater Heating 32.85 Total- 5.&. 3 -5 - GENERAL INFORMATION Conditioned Floor Area: Building Type: Building- Front Orientation: Number of Dwelling Units: Number of Stories: Pragas-e& Des>i�gn ------------- 7.97 19._10 27.33 -------- Complies 54.40 Yes 560 f t2 SFD Single Family Detached 9- deg- ( North ) 1.00 1 Floor Construction Type: Slab on grade Number of Conditioned Zones: 1 Total Conditioned Volume: 4000 ft3 Conditioned_. F'ootprirft Area- 500 f t 2 Ground Floor Area: 500 f�2 BUILDING--ZE}NaF INFO TION F~loor- Zone Area Volume Nattts (f -t-2) ( ft3 ). Typs House 500 4000 Conditioned OPAQUE SURFACES Vent Vent Thermostat Height Area Type (ft) ( f t 2 ) CEC Standard 210" 24.6 Surfacs Area U- Irrsl- TrU- Slr Construction Type (ft2) value Rval Azm Tlt Gns Type Location/Comments ---------- ------ ----- ---- --- --- --------------- -------------------------- Zone = House. wall 1A6__0 Q _Q78 1.5_ 9. 90. Yes wl5 _2x4.S.S Wal l_ 8_Q_0 0-0-78. 15 44 30_ Yes .KL5_ 2x4SS . wall, 2.t1Q_Q 0 _V& i.S l.aa 94 .Yes w-.5 ..2x"S. wall 129.0 0.07 8 15 279 94 Yes 615.2x4 SS Ceiling 484.0 0.027 0 -- 0 Yes Std_R38 Floor 566.0 -- 6 -- 180 No Slab14 6E Outside Outside Outside Outside Outside,' Grade BUILDING" OEPAR VEW 4 COMPUTER" METHOD SUMMARY Page 2 C -2R Project Title: Stephens PoolHouse Run: 178 22 -Apr -99 ---------------------------------- PERIMETER LOSSES Perimeter Length F2 Insul Tppe ffti Factor R=val ------------------- ------ ----- Npne i FENS SU RATTOIIF . SURFACE S Fenestration Name Zone.= House 1 2 3 dr -3 dr --1 dr -2 sl -1 sl -2 rns�ul Depth (in) Location/Comments ------ ---------------=------------------ Area Tru Open Frame Type ( ft 2 ) Aznt' T•I t- TyFa Type' Glazing Charactr Name ------------ Wind 16.0 2'343 ._9.. S11der -Vinyi CLR- . 50 Wind 16.0 279 90 Slider Vinyl CLR-.50 Winch 14.0 .g. 30 Slider Vint' -1 CLR- . 50 Wind 20.0 9 90 Hinged Wood CLR-.49 Wind- 40.0 91� 30- Hinged --WdDovr CLR- .49 Wind 40.0 99 90 Hinged WdDoor CLR-.49 Skyl 8.0 -- 0 Fwd -MeM1 CLR- . 50 Skyl 8.0 -- 0 Fixed Metal CLR-.50 GLAZINT CH7MeTER=CS Glazing 410" Charactr- Glazing - Name Type ------------ 'CLR- . 50 --------- -Car CLR-.49 Clear OVERHANGS Fenestration Comments ----------- Name Height Width 1 4'0" 410" 2. 4' Q" 41 01' 3 # of- of- U- SC GIs, Interior SC Int Exterior SC Ext Panes value Only Shade Type Shade Shade Type Shade ------ ----- 2 ----- 0.500 ------ 0.880 ---------- Std Drape ------ 0.78-0 ---------- Bug Screen 0.870 2 0.490 0.880 Std Drape 0.780 Bug Screen 0.870 Name Height Width 1 4'0" 410" 2. 4' Q" 41 01' 3 32 6-1 4'0 " dr -3 6'- 8', 31 0" dr -1 6-1&" 610" dr -2 61811 61011 FINS Fenestration Name-------- Hetet Width - Name Above Left Right Depth Glazing Extension Extension ------ --------- --------- --------- 21011 --------2'0" 11411 21011 191011 2.' Q" 1-1 411 210'1 1-910" 3-10- 4" 21011 231-011 V V 4" 2t0". 2410" 2. t (pt 1 t 4 l' 21011 1 7 1 .0 11 21011 11411 21011 171011 Left Firr Right Fin ---------------- -------� Exten Dist ,:rh ExteDist - - Fin_. Fin. above . ta.. Fin Fin `aY ove::t o Ar k. I - Depth Height glzng glzing Depth Height_ -zng glzing COMPUTER METHOD SUMMARY Page 3 C -2R Project Title: Stephens PoolHouse Run: 178 22 -Apr -99 THERMAL MASS Vol Cond- Area Thck Heat duct- Construction Insd Mass Name (ft2} (in) Carp ivity Type Rval Location/Comments Zone = Mouse FLOOR -SLAB 5-}O.0 3.5 28 0.94 Slab14OE 0 Grade SOLAR GAIN DISTRIBUTION Ferrestraft tinter Summer Targetted Name Fraction Fraction Thermal Mass- Comments None HVAC SYSTEMS ' Duct Location System Name System Type Efficiency and R -value Zone E. douse Gas Fu=n_ _a5_ E' r rn a r* a 0 . aS. AFUE Attic P--'4..2 Acspliti.O- A.ir cond. -- central split 10.00 SEER Attic R-4-.2 WATER HEATING SYSTEMS Dist -rib' Wate2--.. i+�-ater # of Energy Volume Wrap System Name Type Heater Name Heater Type — Htrs Factor (gal) R-val STD-HB-GAS_.6 Standard STD -HF Gas.6 S-torage gas 1 0.60 50 12 WATER HEATING SYSTEMS MISC Scrrar savings- Salam system wood stove Wood stove System Name fraction type -boiler? boiler pump? STD-HR-GAS.6 -- -- No No WATER HEATER/BOILER DETAILS Water Heater Name: Recovery Efficiency AiFUE 7U$ -- Rated Input Standby Tank (kBtuh) Lass R -value 16. 010 Pilot Light (Btuh) i ccy Y. C0MPUT$R • MET'H0Dr - HAY Page 4 C - 2 R Project Title: Stephens PoolHouse Run: 178 22 -Apr -99 HYDRONIC DISTRIBUTION AND TERMINALS Pipe Pipe Insul Insul .System/Name Type Number run (ft)- d:am (in) thck (in) R -value None SPECIAL FEATURE&, REMARKS, AND NGTES None tum- C -f .... WILDING DEPARTME Mandatory Measures Checklist: Residential MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER I ENFORCEMENT Building Envelope Measures * §150(a): Minimum R-19 ceiling insulation. §150(b): Loose fill insulation manufacturer's labeled R -Value. 3 * §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). FL1 * §150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. §150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. §118: Insulation specified or installed meets California Energy Commission quality standards. Indicate type and form. r §116-17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. "50, 4q b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. Q §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. p. §150(f): Special infiltration barrier installed to comply with §151 meets Commission quality standards. ,M §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2: No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. §150(i): Setback thermostat on all applicable heating systems. §1500): Pipe and Tank Insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55°F insulated. 5. Piping insulated between heating source and indirect hot water tank. * §150(M): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC Sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers.. / ✓ §114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36' pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. §115: Gas-fired central furnace, pool heater, spa heater or household looking appliance have no continuously buring pilot light. (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.) Lighting Measures R, AM -r (TRARTAAR §150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover) approved. Y�4 1, VE Revised January 1992 i, LIMITED STRUCTURAL CALCULATIONS FOP, ADDITION 1�E1`'IODE� FOR Dan �t Jill Stephens JOB SITE 215 Estates Drive Durham, GA A*E*C Gi1.OUp ARCHITECTURE + ENGINEERING + CONSULTING Larry J. Warner A.I.A., ARCHITECT 389 CONNORS CT., SUITE D CHICO, CALIFORNIA 95926 530-892-8008 c -C, Sw C1689 f REM. ?_g 1.99 �s� �ALIF��•. PROJECT: STEPHENS ADDITION PROJ. No. ER916STE LOCATION: DURHAM, CA DATE: 3/31/99 BY: LJW PAGE 1 OF CODES: Uniform building code, 1994 Edition AISC, Manual of steel construction, 9th Edition ACI, Manual of Concrete Practice, 1988 Edition AITC, Timber Construction Manual MATERIAL: Concrete: f = 2,500 psi min. @ 28 days Masonry: f c = 1500 psi C Mortor: f c = 1800 psi, Type "S" Grout: f c = 2500 psi @ 28 days Steel Reinforcing: ASTM A-615 Grade 40 for #4 or smaller ASTM A-615 Grade 50 for #5 or larger Structural Steel: ASTM A-36 Steel Pipe: ASTM A53 Grade B Steel Tubing: ASTM A500 Grade A or B Machine Bolts: ASTM A307 Grade A Anchor Bolts: ASTM A307 Grade A, unfinished Wood Connectors: Simpson Strong -Tie or equal Wood: Light Framing: Const. Grade Douglas Fir Struct. Lt Framing, Joists & Planks: Doug, Fir No. 2 Beams & Stringers, Posts & Timbers: Doug Fir No. 1 Plywood: A.P.A. Rated sheathing, Grade CD, UBC Std.25-9 Glue -Lam Timber: ANSI / AITC A190.1-1983 Simple Spans: 24F -V4 Combination Cantilevers: 24F -V8 Combination LOADS: Roof Live Load: 20 psf NON -Snow Floor Live Load: 40 psf Seismic Zone: 3 Wind Speed: 75 mph Exposure: B Method 2 used unless noted otherwise. Allowed Soil Bearing: 1,500 psf NOTE: Any structural or non-structural items that are not specifically addressed in the following calculations and or details are designed by others and are not the responsibility of AEC Group, Larry J. Warner AIA, Architect. Verification of the soil conditions at the project site to determine the expansive or bearing capacity is by others. AEC GROUP., Larry J. Warner AIA, Architect, 389-D Connors Ct., Chico, CA 95926, 530-892-8008 PROJECT: STEPHENS ADDITION PROJ. No. ER916STE LOCATION: DURHAM, CA DATE 3/31/99 BY: LJW PAGE 2 OF ROOF DEAD LOAD CALCULATIONS CONVENTIONAL FRAMED ROOF ROOFING 2.0 PSF 1/2" CDX PLY 1.5 2x6 @ 24" O.C. 1.4 2x6 @ 24" O.C. 1.4 5/8" GYP BRD. 2.8 INSUL 0.5 TOTAL 9.6 PSF USE 10.0 PSF. ED ROOF SYSTEM OFING 2.0 PSF 1/2" PLY 1.5 TRUSSES " O.C. 3.5 5/8" GYP BRD. 2.8 INSUL 0. TOTAL 9.3 PSF USE 10.0 PSF. 0 SYSTEM AMING FLOOR) (1 -JOIST FRAMING FLi 3/4" CD 2.3 PSF 3/4" CDX PL JOIST 2.2 I-JOI INSULATION 0. ' GYP BRD MISC 1.0 ISC& INSUL FLOORING FL NG TAL 9.6 PSF TOTAL. USE 10.0 PSF. 2.3 PSF 1.4 2.8 1.5 1.0 9.O-PSF-� USE 10.0 AEC GROUP., Larry J. Warner AIA, Architect, 389-D Connors Ct.., Chico, CA 95926, 530-892-8008 3 t_1 se.pr1 /-Potrr/ 'e—rc;q LA, -(OJT. Rafter Spacing: Rafter Loads: Roof Live Load: Roof Dead Load: Rafter Pitch: Rafter Unbraced Length: Roof Duration Factor: Slope Adjusted Spans And Loads: Interior Span: Cantilever Span: Rafter Live Load: Roof Loaded Area: Roof Live Load Method: 1 Rafter Dead Load: Rafter Total Load: Properties For: #2- DOUGLAS FIR -LARCH Bending Stress: Shear Stress: Modulus of Elasticity: Stress Perpendicular to Grain: Adjusted Properties Fb' (Tension): Adjustment Factors: Cd=1.15 Cf=1.30 Cr -1.15 Fv': Adiustment Factors: Cd=1.15 Design Requirements: Maximum Moment(Interior Span): At Location(From Upper Support): Moment At Cantilever: Maximum Shear: Shear At Peak: Required Cantilever Depth: Comparisons With Required Sections: Section Modulus: Area: Moment of Inertia: NDbase= 1.25 SPC= 24.00 IN IN = U670 IN = U404 FT FT FT FT IN IN IN O.C. LL= Roof Rafter[ 94 UBC (91 NDS)1 StruCalc 4.06 PSF DL= By: Larry J. Warner A.I.A., AEC Group on: 03-31-1999 PSF Proiect: ER916STE - Location: RFTR-1 4.00 :12 Summary: 0.0 FT 1.50 IN x 5.50 IN x 13.0 FT (Actual 13.703 FT) 0, 24.00 O.C. / #2 - DOUGLAS FIR -LARCH - Dry Use Section Adequate By: 30.7% Controlling Factor: Area / Depth Required 4.44 In 10.5 ' Notch depth exceeds recommended maximum depth of d / 10 CS1adi= Deflections: FT wL= Dead Load: DLD= 0.12 Live Load: LLD= 0.19 Total Load: TLD= 0.31 Rafter End Loads and Reactions: LOADS: RXNS: Upper Live Load: 80 PLF 160 LB Upper Dead Load: 48 PLF 96 LB Upper Total Load: 128 PLF 256 LB Lower Live Load: 135 PLF 270 LB Lower Dead Load: 89 PLF 178 LB Lower Total Load: 224 PLF 449 LB Upper Equiv. Tributary Width: UTWeq= 5.27 Lower Equiv. Tributary Width: LTWeq= 8.907 Rafter Data: FT -LB Vmax= Interior Span: L= 10.0 Cantilever Span: CS1= 3.0 Live Load Deflect. Criteria: U 240 Total Load Deflect. Criteria: U 180 Notch Depth (If Applicable): NDpeak= 1.25 Rafter Spacing: Rafter Loads: Roof Live Load: Roof Dead Load: Rafter Pitch: Rafter Unbraced Length: Roof Duration Factor: Slope Adjusted Spans And Loads: Interior Span: Cantilever Span: Rafter Live Load: Roof Loaded Area: Roof Live Load Method: 1 Rafter Dead Load: Rafter Total Load: Properties For: #2- DOUGLAS FIR -LARCH Bending Stress: Shear Stress: Modulus of Elasticity: Stress Perpendicular to Grain: Adjusted Properties Fb' (Tension): Adjustment Factors: Cd=1.15 Cf=1.30 Cr -1.15 Fv': Adiustment Factors: Cd=1.15 Design Requirements: Maximum Moment(Interior Span): At Location(From Upper Support): Moment At Cantilever: Maximum Shear: Shear At Peak: Required Cantilever Depth: Comparisons With Required Sections: Section Modulus: Area: Moment of Inertia: NDbase= 1.25 SPC= 24.00 IN IN = U670 IN = U404 FT FT FT FT IN IN IN O.C. LL= 16 PSF DL= 10 PSF RP= 4.00 :12 Lu= 0.0 FT Cd= 1.15 Ladi= 10.5 FT CS1adi= 3.2 FT wL= 29 PLF RLA= 21 SF wD=19 PLF WT= 48 PLF Fb= 875 PSI Fv= 95 PSI E= 1600000 PSI Fc_perp= 625 PSI Fb'= 1504 PSI FV= 109 PSI Mcent= 617 FT -LB X= 5.082 FT Mcant= 239 FT -LB Vmax= 274 LB Vpeak= 243 LB D(cant)= 2.76 IN Sreq= 5.0 IN3 S= 7.5 IN3 Areq= 3.8 I N2 A= 4.9 IN2 Ireq= 9.3 IN4 1= 20.7 IN4 0 s Roof Beam( 94 UBC (91 NDS)1 StruCalc 4.06 Bv: Larry J. Warner A.I.A., AEC Group on: 03-31-1999 Proiect: ER916STE - Location: RB -1 Ridge beam addition Summary: ( 3 ) 1.75 IN x 11.875 IN x 24.83 FT / 1.9E Microllam - TRUS JOIST -MACMILLAN Section Adequate By: 3.4% Controlling Factor: Moment of Inertia / Depth Required 11.74 In Deflections: Dead Load: DLD= 0.74 IN Live Load: LLD= 0.86 IN = U346 Total Load: TLD= 1.60 IN = U186 Reactions (Each End): Live Load: RL= 1738 LB Dead Load: RD= 1497 LB Total Load: RT= 3235 LB Bearing Length Reqd.: BL= 0.82 IN Beam Data: Span: L= 24.83 FT Maximum Unbraced Span: Lu= 0.0 FT Pitch Of Roof: RP= 4.00 :12 Live Load Deflect. Criteria: U 240 Total Load Deflect. Criteria: U 180 Beam Loading: Live Load: LL= 14 PSF Roof Loaded Area: RLA= 248 SF Roof Live Load Method: 1 Side One: Roof Dead Load: DL1= 10 PSF Roof Rafter Tributary Width: TW1= 5.0 FT Side Two: Roof Dead Load: DL2= 10 PSF Roof Rafter Tributary Width: TW2= 5.0 FT Roof Duration Factor: Cd= 1.15 Slope Adjusted Lengths and Loads: Adiusted Beam Length: Ladi= 24.83 FT Beam Live Load W/ Slope Red'n: wL= 140 PLF Beam Self Weight: BSW= 15 PLF Beam Total Dead Load: wD= 121 PLF Total Maximum Load: wT= 261 PLF Controlling Total Design Load: wTcont= 261 PLF Properties For: 1.9E Microllam- TRUS JOIST -MACMILLAN Bending Stress: Fb= 2600 PSI Shear Stress: Fv= 285 PSI Modulus of Elasticity: E= 1900000 PSI Stress Perpendicular to Grain: Fc_perp= 750 PSI Adjusted Properties: Fb' (Tension): Fb'= 2994 PSI Adjustment Factors: Cd=1.15 Cf--1.00 Fv': Fv'= 328 PSI Adiustment Factors: Cd=1.15 Design Requirements: Maximum Moment: M= 20081 FT -LB Shear ((a) d from beam end): V= 2977 LB Comparisons With Required Sections: Section Modulus: Sreq= 80.5 IN3 S= 123.3 IN3 Area: Areq= 13.7 IN2 A= 62.3 IN2 Moment of Inertia: Ireq= 708.6 IN4 1= 732.6 IN4 Roof Beam[ 94 UBC (91 NDS)1 StruCalc 4.06 By: Larry J. Warner A.I.A., AEC Group on: 03-31-1999 Project: ER916STE - Location: BM -1 Beam @ walk Summary: 3.50 IN x 7.25 IN x 11.75 FT / #2 - DOUGLAS FIR -LARCH - Dry Use Section Adequate By: 54.2% Controlling Factor: Section Modulus / Depth Required 5.84 In Deflections: Dead Load: DLD= Live Load: LLD= Total Load- - TLD= Reactions (Each End): Live Load: RL= Dead Load: RD= Total Load: RT= Bearing Length Reqd.: BL= Beam Data: Span: L= Maximum Unbraced Span: -Lu= Pitch Of Roof: RP= Live Load Deflect. Criteria: U Total Load Deflect. Criteria: U Beam Loadinq: Live Load: LL= Roof Loaded Area: RLA= Roof Live Load Method: 1 Side One: Roof Dead Load: DL1= Roof Rafter Tributary Width: TW1= Side Two: Roof Dead Load: DL2= Roof Rafter Tributary Width: TW2= Roof Duration Factor: Cd= Slope Adjusted Lengths and Loads: Adjusted Beam Lenqth: Ladi= Beam Live Load W/ Slope Red'n: wL= Beam Self Weiqht: BSW= Beam Total Dead Load: wD= Total Maximum Load: WT= Controllinq Total Desiqn Load: wTcont= Properties For: #2- DOUGLAS FIR -LARCH Bendinq Stress: Fb= Shear Stress: Fv= Modulus of Elasticity: E_ Stress Perpendicular to Grain: Fc_perp= Adjusted Properties: Fb' (Tension): Fb'= Adjustment Factors: Cd=1.15 Cf=1.30 Fv': Fv'= Adjustment Factors: Cd=1.15 Design Requirements: Maximum Moment: M= Shear ((a_ d from beam end): V= Comparisons With Required Sections: Section Modulus: Sreq= S= Area: Areq= A= Moment of Inertia: Ireq= 1= 0.13 0.17 0.30 423 315 738 0.34 11.75 0.0 4.00 240 180 16 53 10 1.5 10 3.0 1.15 11.75 72 6 54 126 126 875 95 1600000 625 1308 109 2168 662 19.9 30.6 9.1 25.3 43.0 111.1 0 IN IN = U812 IN = U465 LB LB LB IN FT FT :12 PSF SF ' PSF FT PSF FT FT PLF PLF PLF PLF PLF PSI PSI PSI PSI PSI PSI FT -LB LB IN3 IN3 IN2 IN2 IN4 IN4 17 Roof Beamr 94 UBC (91 NDS) ) StruCalc 4.06 Bv: Larry J. Warner A.I.A., AEC Group on: 03-31-1999 Proiect: ER916STE - Location: BM -2 Beam @ walk Summary: 1.50 IN x 3.50 IN x 5.0 FT / #2 - DOUGLAS FIR -LARCH - Dry Use Section Adequate By: 2.1% Controlling Factor: Section Modulus / Depth Required 3.46 In Deflections: Dead Load: DLD= 0.08 IN Live Load: LLD= 0.12 IN = U508 Total Load: TLD= 0.20 IN = U303 Reactions (Each End): , Live Load: RL= 180 LB Dead Load: RD= 122 LB Total Load: RT= 302 LB Bearing Length Reqd.: BL= 0.32 IN Beam Data: Span: L= 5.0 FT Maximum Unbraced Span: Lu= 0.0 FT Pitch Of Roof: RP= 4.00 :12 Live Load Deflect. Criteria: U 240 Total Load Deflect. Criteria: U 180 Beam Loading: Live Load: LL= 16 PSF Roof Loaded Area: RLA= 23 SF Roof Live Load Method: 1 Side One: Roof Dead Load: DL1= 10 PSF Roof Rafter Tributary Width: TW1= 1.5 FT Side Two: Roof Dead Load: DL2= 10 PSF Roof Rafter Tributary Width: TW2= 3.0 FT Roof Duration Factor: Cd= 1.15 Slope Adjusted Lengths and Loads: Adjusted Beam Length: Ladi= 5.0 FT Beam Live Load W/ Slope Red'n: wL= . 72 PLF Beam Self Weight: BSW= 1 PLF Beam Total Dead Load: wD= 49 PLF Total Maximum Load: WT= 121 PLF Controlling Total Design Load: wTcont= 121 PLF Properties For: #2- DOUGLAS FIR -LARCH Bending Stress: Fb= 875 PSI Shear Stress: Fv= 95 PSI Modulus of Elasticity: E= 1600000 PSI Stress Perpendicular to Grain: Fc_perp= 625 PSI Adjusted Properties: Fb' (Tension): Fb'= 1509 PSI Adjustment Factors: Cd=1.15 Cf--1-50 F�: Fv'= 109 PSI Adiustment Factors: Cd=1.15 Design Requirements: Maximum Moment: M= 377 FT -LB Shear (0) d from beam end): V= 267 LB Comparisons With Required Sections: Section Modulus: Sreq= 3.0 IN3 S= 3.0 IN3 Area: Areq= 3.7 IN2 A= 5.2 IN2 Moment of Inertia: Ireq= 3.2 IN4 1= 5.3 IN4 N ,Column[ 94 UBC (91 NDS)1 StruCalc 4.06 By: Larry J. Warner A.I.A., AEC Group on: 03-31-1999 Proiect: ER916STE - Location: C-1 Col @ RB -1 Summary: ( 3 ) 1.50 x 3.50 x 12.0 FT #2 - DOUGLAS FIR -LARCH - Dry Use Section Adequate By: 24.6% " Laminations to be nailed together per National Design Specifications for Wood Construction Section 15.3.3.1 Base Reactions: Live: RL= 1738 LB Dead: RD= 1540 LB Total: RT= 3278 LB Axial Loads: Live Loads: PL= 1738 LB Dead Loads: PD= 1487 LB Total Loads: PT= 3225 LB Column Data: Length: L= 12.0 FT Column End Condition: Ke= 1.0 Maximum Unbraced Length (X Axis): Lx= 12.0 FT Maximum Unbraced Length (Y Axis): Ly= 0.0 FT Eccentricity (X Axis): ex= 0.00 IN Eccentricity (Y Axis): ey= 0.00 IN Column Design Stresses: Compressive Stress: Fc= 1300 PSI Modulus of Elasticity: E= 1600000 PSI Bending Stress (X Axis): Fbx= 875 PSI Bending Stress (Y Axis): Fby= 875 PSI Adjusted Properties: Fbx': Fbx'= 1509 PSI Adjustment Factors: Cd=1.00 Cf --1.50 Cr -1.15 Fby': Fby'= 1660 PSI Adjustment Factors: Cd=1.00 Cf=1.50 Cfu=1.10 Cr=1.15 Fd(parallel): Fc'_parl= 272 PSI Adiustment Factors: Cd=1.00 Cf=1.15 Cp=0.18 Controllinq Direction: (X Axis) Compressive Stress: fc= 205 PSI Allowable Compressive Stress: Fc'= 272 PSI Column Properties: Column Section (X Axis): dx= 3.50 IN Column Section (Y Axis): dy= 4.50 IN Area: A= 15.75 IN2 Section Modulus (X Axis): Sx= 9.2 IN3 Section Modulus (Y Axis): Sy= 11.8 IN3 Length Depth Ratio: Lex/dx= 41.1 Ley/dy= .0 Column Bending Calculations: Combined Stress Factor: CSF= 0.75 Column( 94 UBC (91 NDS)1 StruCalc 4.06 By: Larry J. Warner A.I.A., AEC Group on: 03-31-1999 Project: ER916STE - Location: C-2 COL @ BM-1 Summary: 3.50 x 3.50 x 12.0 FT / #2 - DOUGLAS FIR-LARCH - Dry Use Section Adequate By: 68.7% Base Reactions: Live: RL= 603 LB Dead: RD= 478 LB Total: RT= 1081 LB Axial Loads: Live Loads: PL= 603 LB Dead Loads: PD= 437 LB Total Loads: PT= 1040 LB Column Data: Lenqth: L= 12.0 FT Column End Condition: Ke= 1.0 Maximum Unbraced Lenqth (X A)is): Lx= 12.0 FT Maximum Unbraced Length (Y A)is): Ly= 0.0 FT Eccentricity (X A)is): ex--0.00 IN Eccentricity (Y Axis): ey= 0.00 IN Column Desiqn Stresses: Compressive Stress: Fc= 1300 PSI Modulus of Elasticity: E= 1600000 PSI Bendinq Stress (X Axis): Fbx= 875 PSI Bendinq Stress (Y A)is): Fby= 875 PSI Adjusted Properties: Fbx': FbX= 1313 PSI Adjustment Factors: Cd=1.00 Cf--1.50 Fby': _ Fby'= 1313 PSI Adjustment Factors: Cd=1.00 Cf=1.50 Fc'(parallel): Fc'_parl= 272 PSI Adjustment Factors: Cd=1.00 Cf=1.15 Cp=0.18 Controllinq Direction: (X Axis) Compressive Stress: fc= 85 PSI Allowable Compressive Stress: Fc'= 272 PSI Column Properties: Column Section (X A)is): dx= 3.50 IN Column Section (Y A)is): dy= 3.50 IN Area: A= 12.25 IN2 Section Modulus (X A)ds): Sx= 7.1 IN3 Section Modulus (Y Axis): Sy= 7.1 IN3 Length Depth Ratio: Lex/dx= 41.1 Ley/dy= .0 Column Bendinq Calculations: Combined Stress Factor: CSF= 0.31 Square Footing Design f 94 UBC (91 NDS)1 StruCalc 4.06 By: Larry J. Warner A.I.A., AEC Group on: 03-31-1999 Proiect: ER916STE - Location: FTG -C-1 Summary: Size: 1.67 FT x 1.67 FT x 12.00 IN ' Footing has been designed without reinforcement. Footing Loads: Live Load: Dead Load: Total Load: Ultimate factored load: Footing Properties: Allowable soil bearing pressure: Effective soil bearing pressure: Concrete compressive strength: Selected Size: Length: Width: Area: Ultimate bearing pressure: Column Base Dimensions: Length: Width: Footing Size Selection: Required footing area: Minimum footing size required: Footing depth based on shear stresses: Selected footing depth: Punching Stress Calculations: Critical perimeter: Punching shear: Punching shear stress: Allowable punching shear stress: Beam shear stress calculations: Beam shear: Beam shear stress: Allowable beam shear stress: Bending Requirements: Factored moment: Nominal moment strength: 11 PL= 1738 LB PD= 1487 LB PT=3225 LB Pu= 5036 LB Qs= 1500 PSF Qe= 1350 PSF F'c= 2500 PSI L= 1.67 FT W= 1.67 FT A= 2.79 SF Qu= 1806 PSF 1= 5.50 IN W= 3.50 IN Areq= 2.39 SF Lreq= 1.55 FT D= 12.00 IN Bo= 58.00 IN Vu1= 2412 LB vu1= 6 PSI vc1= 133 PSI Vu2= 0 LB . vu2= 0 PSI vc2= 67 PSI Mu= 8594 IN -LB Mn= 54275 IN -LB A Square Footing Design f 94 UBC (91 NDS)1 StruCalc 4.06 By: Larry J. Warner A.I.A., AEC Group on: 03-31-1999 Project: ER916STE - Location: FTG -C-2 Summary: Size: 1.0 FT x 1.0 FT x 12.00 IN Footing has been designed without reinforcement. Footing Loads: Live Load: PL= 603 LB Dead Load: PD= 437 LB Total Load: PT= 1040 LB Ultimate factored load: Pu= 1637 LB Footing Properties: Allowable soil bearing pressure: Qs= 1500 PSF Effective soil bearing pressure: Qe= 1350 PSF Concrete compressive strength: F'c= 2500 PSI Selected Size: Length: L= 1.0 FT Width: W= 1.0 FT Area: A= 1.0 SF Ultimate bearing pressure: Qu= 1637 PSF Column Base Dimensions: Length: 1= 3.50 IN Width: w= 3.50 IN Footing Size Selection: Required footing area: Areq= 0.77 SF Minimum footing size required: Lreq= 0.88 FT Footing depth based on shear stresses: Selected footing depth: D= 12.00 IN Punching Stress Calculations: Critical perimeter: Bo= 54.00 IN Punching shear: Vu1= 0 LB Punching shear stress: vu1= 0 PSI Allowable punching shear stress: vc1= 133 PSI Beam shear stress calculations: Beam shear: Vu2= 0 LB Beam shear stress: vu2=0 PSI Allowable beam shear stress: vc2= 67 PSI Bending Requirements: Factored moment: Mu= 1232 IN -LB Nominal moment strength: Mn= 32500 IN -LB BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #. (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO52024 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/22/2005 APN: 040-390-004-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 215 ESTATES DR CHI License Class : License Number: Map Index: Date: Contractor: Description: ADD(479) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5• Business and Professions Code: Any city or county which requires a Owner: STEPHENS, DAN & JILL permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 215 ESTATES DRIVE signed statement that he or she is licensed pursuant to the provisions of CHICO, CA the Contractor's State License Law (Chapter 9 commencing with Section 95928 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any (530)893-3193 (530)893-9600 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: STEPHENS, DAN &.JILL Code: The Contractors' State License Law does not apply to an 215 ESTATES DRIVE owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, CHICO, CA provided that such improvements are not intended or offered for 95928 sale. If however, the building or improvements are sold within one year of completion, the owner•builder will have the burden of (530)893-3193 (530)893-9600 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 Contractor: R M S BUILDERS not apply to an owner of property who builds or improves thereon, RICK SHANKS and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 9871 SKILLIN ESTATES DR DURHAM, CA 95938 ❑ ]am Exempt under Article of B sin s a ons Code 530-624-7466 Date: owner: rmsbuilders@sunset.net License #: 684505 WORKERS' COMkNSATfO4 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 Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 479 S.F. Policy #: / Valuation: $31,135.00 (/ Census Code: lIccertify 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 laws California, ` I become subject to the workers' compensation of 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: Applicant: WARNING: Failure to 0ecreworkers' compensation coverage is unlawful, and shall subjec employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is reby issued un¢e a applicable ovisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.) Resolutions o do work i ibat bove fo whic ees have been paid. performance gy. Date: Name: PERMIT EXPIR ON: Address: Date) ❑ I 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 ea 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 I r i g to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize represen tiv s f Ile County to enter upon the above mentioned property for inspection purposes. Print Name: Signature: Date: ❑ owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 'Z(4 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION ANDS -SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 rn A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds zz "PLEASE PRINT CLEARLY" J �� CONTRACTOR OWNER Last Name 2.Tte t5 City C irst Name w Address2i,5 E�4TLs Phone q,; IZ City G14 E-mail State ZipQ5Z Pone ��3-?a►q Page Fax 11 C 4 -`ii ao E-mail Date Approved: CONTRACTOR Name Address p.. -1CdAt (P City C State Zipcj1Sg12_7 Phone q,; IZ Fax E-mail Lic. # Class ARCHITECT/ENGINEER Name Ui4i'�•2.¢yn�ls- Address �/Z ftlGGG��T � IZIt1E City Std zi9s Fax Zr Phone o 7 �mail 1 to AI•f1Gt ' %clr{ 4 bC P State License Number Q APPLICANT NAME Name 72,%N4 At LiE, Addre �4,,b5� O%L_ City 04.tttvSte Cross Street AV y I1 Zip PhonI e ff414 Fax .4&00 E-mail APPLICANT SIGNATURE X Ck— I For office use only: J Zoning Property Address ?,16' OCKA"(1r, D+2 Flood Zone Cross Street AV y I1 SRA I Yes o Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # LOCATION AP# 0 Lto — 00q Property Address ?,16' OCKA"(1r, D+2 City Cross Street AV y I1 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: A VINTION * Sq. Footage 4{-7 et S. t., ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received b}^F=' `—' Amount: p [ Bldg SRA Receipt#: 43 1W'"- Sheriff Date: _7/-W/05_ SMIP Other Total REV 2-24-05 cai n .5g oc- �,V -------------- SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non! -heated and A/C for Non -Residential Building's. ❑ 6. , Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D)'Tie down'or fnd plans, all in ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate,, (C) Elevations in triplicate. (D) Floor .. plans in triplicate. All of these must be stamped and wet -signed by the 'en`gineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). • ' Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) • • ' - i ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. �... .•'. .,^,;.�� ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction, approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Mame Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). •. ; ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. 1:111. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. Jf If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. ..REQUEST FOR FEE REFUNDS > Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 Applicant: Stephens, Dan & Jill Permit No: 05-2024 Project Type: Addn/Bdrm/bthrms 040-390-004 100% 70% Plan Check Fees $ 340.94 $ 238.66 $ 340.94 $ 238.66 WILLDAN Fee $ 238.66 Copies Attached: Qty Chk 0 Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other Butte County DepartmentofDevelopmentServices ��TTF YVONNE CHRISTOPHER, DIRECTOR 0 \ / o0 o o 7 County Center Drive o k- o Oroville, CA 95965 N (530) 538.7601 Telephone (530) 538.7785 Facsimile O N TO: WILLDAN ' FROM: Scott Rutherford (530) 538-7160 Lo t srutherford aabuttecountV.neLo SUBJECT: Plans Transmittal For Review Per Contract O DATE: 8/2/2005 Applicant: Stephens, Dan & Jill Permit No: 05-2024 Project Type: Addn/Bdrm/bthrms 040-390-004 100% 70% Plan Check Fees $ 340.94 $ 238.66 $ 340.94 $ 238.66 WILLDAN Fee $ 238.66 Copies Attached: Qty Chk 0 Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNT � S Y OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: `"� '� ASSESSOR PARCEL NUMB R ?� Is F_ Proposed Building Use: t . Permit Technician: Date: Items required in ordertita apply for a permit. All boxes MUST be checked OR marked NA in order to apply. �- 1. Site plans)3 or 4 sets, signed by the preparer of the plans. �. 2. Complete'plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engkeered 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. A 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal.bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Rem ining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) VU 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable MG. 9/6/00 ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 1 Erosion Control Plan Required........................................................................ piY 0. ees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 1. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs ............................. , ❑ , 2 . California Department of Forestr Ian approval ❑ paid. Sent by:" Planning approval for (A) Use: �--(B)Parking: (C) Parcel Check: ... !✓'.... ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ '30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone 5? /3- 3 f / 3 and hold for pickup. I have been infor a of the above items and requirements for obtaining a building permit. �Q Applicant: V-4Date: ` 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items re ' Contractor, designe�owne was advised of the above data by phone, ❑ mail, ❑ counter, b Date: �'Contractor, designerer, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: t Date: Structuralreviewed by- Date: Structural approved by: f Date: Note transfer by: Date: 5 Yellow: Building Division E.H. USE O i 'Piot Plan Attached Floes Plan Anachad� to B.D. ��- � TO: Building Departmenty 3.-.-3/ r`3 °` FROM: Environmental Health SUBJECT: Sanitation Clearance 22-E I Owner Location ` �...�P#'�' Plan Approved for: Sewage Disposal ai Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 -o?l COUNTY OF BUTTE cs-d DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER A PROPROSED BUILDING USE 1. BUILDING PERMIT FEES --- Balance Due ..................... $ a --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ A. P. # 10 t -CJ DATE MCEIPG#��� DATE REC. _rv� yRl 2. SCHOOL DISTRICT FEES Clki (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00.(paid at Building Division) n 0q q SMIP �( 9. DRAINAGE FEE 10. OTHER 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed d the plan checking process. T� APPLICANT Al DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) �• A School District A.P. Number Property Owner ` _. .r r-. , .i.-.. +.�-•� .�y�-��1-'i�-..,�h, ^" a. -Y"4J^_ �. 'ti .r r -f-� i n BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM. (One form per Building) Building Department No. Jurisdiction: City County Property tion/Address o+IL1--" ( LJv Subd"lon �Qt �1cf� "r l � f! � �%-2:7 C> Residential Development :.................. ...... __...... ........................ d ..:..._....................._._ Q Sq. Footage No of Living Mobile Home Addition) 'Supplemental to (Group R) " ' • . Units Installation Conversion Permit # i :......................................................... *(No foundation Inspection) _.. __... ....... ....... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) mercial/Industrial Q Q Sq. Footage New Addition (Including Exterior Roofed Areas) t 1 r B ilding Departrnent Representative t Date` ! c: V No. - District Ideritification � School District certifies that ,r (Applicant) 21C l S'(� i � S � YL �S �i �� SS X13 - �'1 `� Y, (Street Address) �. (Phone Number) (City) (State)' (Zip Code) ti has complied with the requirements of Resolution No. L I I square feet. Nstrict Representative Check X T Remarks: by Payment of $ �Z t ,i 2926 $ 1. ;tom g' " }: > FULL MRIGATION t t Date Notice: You may protest the Imposition of the fess identified above by submitting a written protest to the District, In compliance with - Gowm wd Cods Section 66020(a), within 80 days from the date fen are paid. Failure to submit a timely written protest will'prombit you from challenging the imposition of On fen In any court action If, subsequent to the School District Reprnenfatlw signing thle13uttrCoanly�Schools Impact Fn Certification Form, the School District Is Cnf : Co .. sAIR led by the applicable Local Planning Agency that this projed,16 being rwriiwed under the California Envlromnsntai Quality Act (CEQA), this prnoeA may ba,subjiet.to additional school fns to fully r *WU.ks Impact on the school dbbkft;selwok. White (applicant), Yellow (building department), Pink (school district) G ;' -. a' feeform.xis (10/03)dmm wdic� 9�is/m Department C n II n t J. 'Michael Crump, Director of Public o f B u t t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National P®llutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm, Water Pollution Prevention Plan (sWPPP) Acknowledgement BLESS THAN I ACRE Project Description: D6. (A . -C 43 Project Location and/or Parcel Number: J� By signing below, L the project owner/owner's agent, certify that this project NOT DISTURB I acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit firm the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a. Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply fora Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project., that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Butte County Department ol-Developlment Services o��frFo 7 County Center Drive C <: Oroville, CA 95965_� ~ 0 �' (530) 538-7601 Telephone ,o ° cO11%, (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: ® I need to submit applications for septic and/or well to Butte County Environmental Health immediately. e I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained v I am responsible for notifyirng Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. , Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture. buffer zones, and habitat/species). Please print: Applicant Name: (' `-MS APN: (�40 —02Z f' - 'U04 Building site address: 2 5 �-��7.k1"��yt C � CAP Permit No.: �tSziZ� I have read, understood and accept the terms and conditions as expressed herein as submission of the above -referenced building permit application and my signature below: SIGN URE OF APPLICANT indicated by my DATE • - �.� � WI LLDAN ServingPublic Agencies September 15, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Jurisdiction Job No: 05-2024 Assessor's Parcel No: 040-390-004 Description: Stephens AddnBdrm/bthrms Willdan Project No: 14353-1821 Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project• and recommends your approval with the conditions noted on the 2nd page of this letter. The plans and documents provided for•this review that have been found in compliance with the applicable codes are: * Plans: Two (2) copies, sheets G1, Cl, Al through A3, A5, S1, S2, El, dated 04/17/05.by Chad Finch Drafting. * Truss Calculations: Two (2) copies dated 03/24/05, by Longfellow Lumber Co. Inc. * Energy Calculations: Two (2) copies dated 04/24/05, revised date 8/31/05 by Chad Finch The plans have been stamped with the Willdan approval stamp and dated. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. �V WILL,DAN 9Agencies APPLICABLE CODES Our review was based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code (CBC). • Part 6, known as the California Energy Code, and Energy Commission Standards (CECS). CODE ANALYSIS Specific Use Type of Occupancy Type of Construction Stories I" Floor Sq Ft 2" Floor Sq Total Sq Ft Ft Addition R-3 V -N 1 479 NA 479 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. All plan sheets shall be signed by designer or person responsible for the plans as required by California Health & Safety Code Section 5536.1. 4. *Permit application building areas specified in the scope -of -work shall be reconciled with plans to Butte County's satisfaction. 5. Field inspector to verify installation of existing or new smoke detectors in all existing bedrooms and hallways leading to bedrooms (may be either battery operated or 110 volt with battery backup) as required when the valuation of any addition made to a Group R -occupancy exceeds $1000 per CBC 310.9.1.2 through CBC 310.9.1.5 SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals. Sincerely, Tom Trueb Plans Examiner Thank you Cc: Alice Mefford, amefford@buttecounty.net Chad Finch Drafting, Fax: 530-877-7573 Page 2 oft Butte County 05-2024 Willdan 14353-1821 TCH COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUI ING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (53 ) 538-7541LO5,6�� J (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 0'10 - 390- 00d( ZONING Je-i BUILDING PERMIT TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CO TORS MAILING ADDRESS Ii54 Zfi CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 7. 15, FS SATES AR - Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF�Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 �f TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: IyA rE4 HrA Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 FEE S �© TPERMIT Q , 32 gy ELECTRICAL PERMIT Filing Fee 20.00 Main Service '.OA 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 ' full force and effect. ( �y, �`^ License Class Lic. No. \.IL- c7l y OWNER -BUILDER DECLARATION 1 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 ,000A 46.00so NEW CONST. DWEL.IC. UP. ,3 SaSO. W:o Fr OR ADcoNST. ( MUL�Tco� NCµRaID, @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 204 1.1 Ex. Occup. CUTLET OR FUTURES BAL O .50 FIXED APPLNS. OR 5.00 Ex. Occup. OUTLETSRESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE i 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation KIof one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall of employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fC)0h-w—fthko—m$Tywqh those provisions. X Date 3--143 0 j S (Cg a of plican ❑S a of ❑ Owner Contractor 0 Agent n OSHA perm ' red for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling if Hood 6.50 Ventilation PERMIT FEt $ o Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ % O® ` HAz D FEES IMP PD HD IS U 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 Y 1ReceiptNo. PERMIT EXPIRES ON J631 (D. 1.) 3 -5506 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 202—X01701 22 Recorded I REC FEE 7.00 OfficialRecords Records I COPIES 2.00 Countf \/dAS BUTTE I ®'b CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I i Assistant I MaryR 02:38PM 20 -Dec -2002 I Page I of'1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT 1 FOR RESIDENTIAL DEVELOPMENT 41 Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. ,Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: LOT- 13, AS, S k ovJ r i A,--41> F L-1 " EAT -='0 o" `T i'aT Ct1�T� i T•I M rp�? CiVT1 Tt.E D/ o rl V t L i •T AI i> . 01,4 E irr Irl b'i L L iA \/dAS �iC_!r� i�.l 'T1ffi 6i=�iGE d� Tlft= 1-Go✓�iJ�� Gr T &:>u7 Ct" O F *L)tfL, `SATE of CAuf;Da-�"-A, tAAu-4-H 1-b, 19fob1 it-' N -r Y PA&eS 341 '3G , 3(F,. o,i.e S-7. Date ,�6 �jr D�Z PROPERTY OWNERS: J� %i " JiAN b�n.is ►e -D ESPN State of California ) County of On persoAally appeared SX\LLw\ Wd ksymcn �f' D,� TbGr\ wzr&ISkc-�\ personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature Seal: .�.. LYNME GARTON D A.P. k 040-390 ' 00'4 COMM.d 1351379 NOTARY PUBLIC -CALIFORNIA N Q , COUNTY OF BUTTE w Comin. Expires April 17, 2006 .• : hl4TES 4 RESIDENTIAL PES 040=39-0-004 99-0419 BPE. ,STEPHENS, Dan/Jill s ;215 Estates Dr, Chico (new pool) Nu Wave f , -Cons 4+�u e�h T::7 tom L leJ047 cn7 F; c04- Kt*tA.� A r po o I SPECIAL CONDITIONS CHECKED BY �A FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REO.", SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER °t JOB FINALED (Date) 7 IF' �p Signature - OK 7. • 8. 0=Not OK _ ('t ,iSf r = Not Applicable HOMES > Date MISCELLANEOUS = Not Ready Date ..,MOBILE Card B-1 Date Card B-1 Date Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Water; MH Test -Regulator -Connector - 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams- Rttrs.-Connectors 8. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 9. Shthg.-Frg-Bracing 6. Gas; Location -Test -Wrap;-/ /" L'ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Cert. of Occupancy - / P Nat. or / /"L"ft./ PLPG 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date AL (Plans) OK except #'s etb -Easements oils mpaction-Structure Stability &.415ol Structure; Steel -Connections -Thickness eI .; Receptacles and Lighting, Distance-GFI Elec.; Pool Lighting; 15 Volts-GFI 61"Elec.; Enclosures; Conduit Entries -Terminals -Listed Elec.' nding; Metal w/5'-Circulati Equip. -Heater ec.; Grounding; Equip. w/ ' uculating Equip. -Pool Lghtg. Boxes -Enclosure -Pan oard ns. to Main' Conduit 9. H&alth Department Approval PI ; C'r. Test -Water Supply Test Ligh eche � C Q t7l.r�lNLS Date Card B-407 Date - Card B-1 Date! .110Card B-1 6Date 7- 9-- Card B -1`C I 7. Well Clearance & Disconnect 8. Utility Clearance > Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector - 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged t 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy - 12. Permanent Foundation Only; License Decal,, Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date AL (Plans) OK except #'s etb -Easements oils mpaction-Structure Stability &.415ol Structure; Steel -Connections -Thickness eI .; Receptacles and Lighting, Distance-GFI Elec.; Pool Lighting; 15 Volts-GFI 61"Elec.; Enclosures; Conduit Entries -Terminals -Listed Elec.' nding; Metal w/5'-Circulati Equip. -Heater ec.; Grounding; Equip. w/ ' uculating Equip. -Pool Lghtg. Boxes -Enclosure -Pan oard ns. to Main' Conduit 9. H&alth Department Approval PI ; C'r. Test -Water Supply Test Ligh eche � C Q t7l.r�lNLS Date Card B-407 Date - Card B-1 Date! .110Card B-1 6Date 7- 9-- Card B -1`C I V = OK 0 = Not OK - = Not Applicable = Not Readv RESIDENTIAL (Single & Duplex) Date /tlnderflooLiPlans) OK except #'s 3. F arag!�Soil 1,Grnd.-/ P Ftg. Depth 4 t .. Porc s eck . Soils -Steel-/ P Fla. Deoth Anchors Date fi!Piers-Ffrplace Ftg.-Steel Card B-1 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Card B-1 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 64. 11. Water Pipe; Test -Anchors -Regulator -Service Test Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 12. Electric Underground 67. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Elec. Trim & Subpanel, Breaker Sizes & Labels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 93. Energy Compliance Certificate -Other Certificates 16. Insulation Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s tater Htr.; Vent -Access -Combustion Air Baffle 1�/Water Pipe; Test & Anchor -Nail Protection 1 .W.V.; Test Fittings & Anchor -Nail Protection 2 . Shower an; Test, First Floor -Tub Access t Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Fycture & Transformer Clearance -Ins. Protection 2 . E!, . Receptacles Spacing -Lights & Switches at Doors S!V-Boxes & No. of Conductors Stapled 26-:"RSpw3rInstaIIed Close to Edge of Studs & C.J. 27." -Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle/ / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No ,'iJ ervice-Riser Conductors & Ground Main Disconnect quip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 64. Smoke Detector A.C. Ducts Insulation & Support Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Vent Fan, Exhaust above insulation 67. G.F.I. & Bath Fixtures & Tub Access -Spa 3 Condensate Drain & Overflow, Size & Grade Elec. Trim & Subpanel, Breaker Sizes & Labels 69. 3 Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet A. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date RAMING (Permit) OK except #'s is Proper Materials & Anchors 1. ails Studs -Nailing Spacing & Braces -Plates -Sound ring Walls over Girders & Floor Nailing 3. Pratt Stop in Walls (rat proof) 4. 5R Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRAMING (Continued) 6. gers-Post Caps -Anchors -Connectors 4 . Cling. Joist-Rhr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. i treyac ype A Flue -Fireplace Throat Clearance is Access; Size & Romex Protection -Draft Stop -Ins. Baffles Windows or Exiting Doors -Sill Ht. & Dimensions Gar d'Fire Protection Framing 5 Perrty Line Firewall & Openings SK"Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits ; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers g Veneer tucc esh-Drip Screed -Fd. Vents-Undertlr. Access lazi rea-Glass Protection -Skylights -Plastic X59 ear Walls; Nailing -Bolts race Interior/Exterior Wall Panels -6 3--f nsvt5l i o n- W a I I s -C e i l i n g s of iltratio n -Walls -Windows Dat Card B- Date Card B-1 DatJ 6, Card B-1-7 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive J Yes J No/Walks J Yes :j No/Planters :J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: 1 r INTER -DEPARTMENTAL MEMORANDUM x TO: BUILDING DIVISION, OROVILLE FROM: ENVIR. HEALTH, CHICO 1 DATE: RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME: _ A-�-d SEPTIC: WELL: AP#: 046 - 3 -10 - OV4- ADDRESS/LOCATION: 2,15 E- ¢ � z_ ;r. Comments. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street * Chico, CA - (530) 891-2751 7 County Center Drive * Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER I PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, -*?,:g L'( C157 -t-, -1-4 7d C, I -e- Date Inspector 14 REV 10/92 - -V COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE �1/9 OWNER I PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. All h a �s ,ea.-�'/ ,,v Date 5-25- q9 Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 54 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 notice this office when correction of work is completed. If*you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date "I ! Inspector K u 4S2 e REV 10/92' ' J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUIL G DIVISION 7 County Center Drive Oroville, Ca!4fornia�95965 •Telephone 0 38-75 . PRI No. (Rev. 12/9'6) APPLICATION AND PERMI ASSESSOR PARCEL NUMBER 040-39-0-004 ZONING R-1 B DING PERMIT OWNER DAN AND JIT.T. STEPHENS TELEPHONE 893-3193 SO. FT, OCC. BUILDING VALUATION CONTR 20,000 .OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS 99, GRIDLEY CA 9,5948 CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 207.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 21-5 ESTATES DRIVE, CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ 250.00 LOT NO. susontSIJ fq�ECREEK ESTATES SUB 1 PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other 1208L SPECIFY Solar or heat pump water heater 23.00 Water Water piping 15.00 as water heater or vent 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MASTER #516-94 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 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."�' cam— License Class C t5_3 Lic. No. '7S �C�y ' OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. 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. 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' com ensation insuran carrier and policy number are: Carrier Policy Number l S'oL1�0 afe'0 (The above sections need not be complet6d 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall o with 3comrpwithose provisions. Date 3 pplicant - ❑ Owner Contractor ❑ Agent Sign re FrMit A HA p is required for excavation over 5'0" deep and demolition or constructionAfi7Z�R� Iructures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. SO OR ADONS. 6 ACC. BLDS. 3.5¢FT. NON-RESEW CO 1ST. MULTI -OUTLET @7,50 FOWER APPARATUS 8 SINGLE OUTLET CIS. .00 Ex. OCCU . OUTLET OR FIXTURESSAL @ �. 0 Ex. Occup. OF"ED RLNs oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 POOL ELEC 30.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee $ Occ CONST. TYPE TO AL FEE $ 335.00 HAZ. D. FEESI OOD C F PAR PD H ISSU 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 D e 3i7L PERMIT EXPIRES ON /17/6b fe Receipt No. 2579819 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT , w' `4t.':j "« . t Ywo+.ar-z K�..t� « `f '�'�'�ti ;., ff•, .., { i"'1 -.�... _?t"C'o'R$l.-� t .i S:. Kat:�rf+• •7 S� ..SrY' :iFH'�w-'�-s.�PY:.i�i y r•.,,,,T,�C' ••�"R..f1�r � %i. • - �G0 111 T Y-OF.HU_TTE. - DEPARTMENT OF D: • PMENT SERVIC LDIIVG DIVISION _ "- 7*060NTY CENTER DRIVE - OROVILLE, C*,Hy -(5 0) 538-7541 A ORNIA 95965 - P s C PERMIT APPIICATION DATA SHEET // 9_ooy OWNER: DQ Al .� S i (I c Sig ASSESSOR PARCEL NUMBER: y D Proposed Building Use: ,Nein 900Y .Y Building Inspector: PEAL Date: 3 — At time of permit application, I 4vas 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 set signed by the preparer of plans ---------------------------------- ---------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. --------- -y-------'--------------------------------- ❑4. 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. ---------------------------------------------------- 117. 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.------------------ ❑ 10. Fees of $-------------------- --------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12rnia Department of Forestry plan approval/fees- ---------------------- ----------------------------------- Flood,elevation certificate:--------------------------------------------------Y------------------------------------ 14Sanitation and plot plan anaPProval ��r Health Department - -------- 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- 04 ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for(A) Use: (B) Parking: -------------- ----------- El 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. --------------- 1119. --------------❑19. Encroachment Permit for driveway (construction approval prior to occupancy). -------------------------- ❑20. Pre -inspection for` required. Request to Building Inspector on 021. Contractor's fi"c rse information. (Number, Name Style, Classification). ------------------------------------ ❑22. Workers' Compensation carrier and policy number. ---------------------- r ----------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑).----------------- jif�----------------- ztti `,,x❑24. Letter of signature authorization. -------------------------------------------------------- ----------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ------- "---------------------------------------------------------------------------- ❑27.,Manufactured Home utility'clearance- -------------------------------------------------------------------------- ❑28 Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M:H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------- When you issue the ermit, process as follows ❑ Mail to owner, []Mail to contractoy��� `(j Telephone ows5 0 —0 and hold for pickup at -M3 office. 11 D liver with inspector. Applican . Date: ,,Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Poffution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: 13 , ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ B " lding Did ' n eo ter, by Date: Plans reviewed by: Date: Plans approved by: Date: 3 / Sets of plans on hold in ❑ Plan Cabinet, 0 A.P. folder. Note transfer by: Date: „� t; c j �. 7 i �r . �: .� :. �. �. ., .� 7 � I •i ' t, �. Y ,r „� j �. 7 i _t sr �N" Y TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached Y" Floor Plan Attached Sent to B.D. 3-S Owner Location AP# Plan Approved for: Sewage Disposal X Water Supply: Public Private Well Clearance for effg. Other P mt OW 194 I-At9mn= y'++ a6LQ Hwy.. Hold final for: Final clearance O.K. for: NOTE: zaa�� i 2IW5- Environmental Health Specialist -7-9-99 Date ELEVATION''CERTI FICATE O.M.B. No: 3067-0077 FEDERAL EMERGENCY MANAGEMENT AGENCY Expires July 31, 1999 NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to pro- vide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). You are not required to respond to this collection of information unless a valid OMB control number is displayed in the upper right corner of this form. Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I BUILDING OWNER'S NAME STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER OTHER DESCRIPTION (Lot and Block Numbers, etc.) POLICY NUMBER I COMPANY NAIC NUMBER CITY STATE ZIP CODE Chico CA 95928 _ SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION (in AO Zones, use depth) 06007C 520 C June 8 1998 AE 197.0 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑NGVD'29 ❑Other (describe on back) 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: I I I I I I Ll feet NGVD (or other FIRM datum—see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level 1 2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of i_J_11 191 .1001 feet NGVD (or other FIRM datum—see Section B, Item 7). (b). FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of l I I I I I .0 feet NGVD (or other FIRM datum—see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is '._LJ .0 feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is LJ_J.0 feet above Elor below ❑ (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ] No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: XIX' NGVD '29 ❑ Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: 52 Yes ❑ No (See Instructions on Page 4) 5. The reference level elevation is based on: [9 actual construction ❑ construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is: feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: I I I I I I.0 feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement 3/1999 FEMA Form 81-31, MAR 97 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al—A30, AE, AH, A (with 13FE),V1—V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. I certify that the information in Sections B and C on this certificate represents my best efforts to interpret'e';•ata;ble. 1 understand that any false statement may be punishable by line or imprisonment under 18 U.S. Cod ,S,StctTWfl"Iiam J. Dinsmore C2911 3 $1OOi%4',q� CERTIFIER'S NAME LICENSE NUMBER (or Affix S �1,'� 29113 T • •,• , r, Civil Engineer Rolls Anderson &Rolls � TITLE COMPANY NAME �',+•�^ 115 Ye:l l o w s t o n e Dri ChicoYg �9 73 ADO ESS CITY ZIP 7/6/99 ,Y, ~;1422 SI ATURE DATE PHONE Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. COMMENTS: This elevation certificate is for pool equipment floor grade. ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A V A A V ZONES ZONES ZONES ZONES ZONES REFERENCE REFERENCE BASE LEVEL REFERENCE LEVEL FLOOD I LEVEL ELEVATION BASE BASE ADJACENT i• REFERENCE FLOOD ADJ LE T . FLOOD• GRADE "'`: LEVEL ELEVATION ELEVATION REFERENCE ADJACENT LEVEL GRADE im ADJACENT:: GRADE The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations -for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 E' Qr EXACT oOS/rlOrVlNa �F D►ti'ELL/SIG SNCCL ,.. ,� �-- .DE � `E� MI NES �Y G�1/NE.� � CON' i K A � TO,K G/'✓ SI iE. 30 r p -011 1 ' N. 6� o WNC W000 W r e ayy avNec. kD I y + h h v GA1QA ca 6r T c F •� 1 B/ v r s u \J,..— _ p 0 00 FL- rty ae Y 0 E" n m n REORDER FROM CALIFORNIA SURVEYING 6 DRAFTING SUPPLY 1-800-243_1414 r NU WAVE Pools and Spas Construction • Service • Supplies Con. Lic. #738866 ' 1 °} 530-846-5500 867 Highway 99 r Jay Chesson Gridley, CA 95948 b i POOL SPECIFICATIONS / , F'-, !• SIZE S ,: PERIMETER'0 AREA �Oosq. h. DEPTH 35 TO VOLUME 5=0 GALS. CONSTRUCTION SPECIFICATIONS RAMP HALLO /DEEP SWIMOUT19L,x G i `t ` ' `zc: LOVESEAT _ x = WALKOUTc x A J EXCAVATION NTILEVER) FENCE: DOWN BY 4R UP BY o7A s A. t .. -. HOURS OF GRADING LOADS TO DUMP �> STUMPS LEAVE/HAUL CONCRETE: REMOVE — s h. STEEL/GUNITE/TILE/PLASTER q Ta RAISED BOND BEAM = FT. x = height .r+• � •y .;' ��" . RAISED BOND BEAM = FT.: =height TI DECK TIES L % -� COLOR OF PLASTEROle N Col�f ✓ ,. CAP FOR BOND BEAM CAP FOR RAISED BOND BEAM 1 SPA = x = LENGTH OF DAM CAP FOR DAM' SPILLWAY _ :a^ PLUMBING SPECIFICATIONS I , 1 POOL: NO. OF RETURNS.2t- MAIN DRAIN SIZE' ' . 4 IRG - ` \� SIZE OF SUCTION LINE�FROM SKIMMER SLIDE FILL LINE YFOUNTAIN LINE ft ����.�.j•,: _ 1 , SOLAR HEAT'T•s — POOL CLEANER tea` -""`\ 'i ��`•. ``t REVERSE FLOW PLMG.-='-DIV. ORD. =PRONG JIG SPA MAIN DRAIN SIZE ----NO. OF JETS LIGHT ---RETURN = VXLVE TYPE `?1 �rr1� f • ' :` NOTE: ALL AIR LINES PLUMBED BACK TO EQUIP. (111) UTILITIES ELECTRIC BY _A( m GzS GAS BY APPROVED _ `\ FP OL DECKING CANTILEVER A(O) Butte County - - SQ. FT. TYPE FINISH Environmental Health _ \ FOOTINGS =x_x= MASTICS_ \ DIVIDERS: TYPE dle-VVIO DRAINS RISERS —it Date POOL EQUIPMENT ....,�® FILTER: TYPE SIZE I MkRt Signature PUMP: TYPE-JUR-1757 SIZE I HP HEATER: TYPE SIZE �� OOOBTU / o �BLOWER: TYPE � SIZE�--�—' — AMPS POOL CLEANER TYPE D Z � �T I� BUILDER NOT RESPONSIBLE FOR CONCRETE\—N' SEPARATION TANK A/ d� BERY AND / OR UNDERGROUND OBSTRUC ACCESS POOL ACCESSORIES THE UNDERSIGNED APPROVES THIS WORKING PLAN LIGHTS: POOL SPA _ LENSE KIT _ AND ACKNOWLEDGES RECEIPT OF A COPY: BOARD _ BOARD STANDARDS " SLIDE STRT✓LC/RC COLOR �- A NUWAVE P OL DESIG ED E PECIALLY FOR GRAB RAILS/STEPS _ DDERHANDRAIL = POOL CLEANER TYPE �OIOSTiIf_ VACUUM HEAD AND —�-- FEET OF HQSE C14 I SALESMAN�T� �'MAINTENANCE KIT AND POLE HOME 3 - 1 p I USINES54 /gQ-r MAP BOOK PAGE: DRAWN BY CHECKED BY TRACT NUMBER: LOT NUMBER: 7 7 s � ELEVATION CERTIFICATE O.M.B. No. 3067.0077 FEDERAL EMERGENCY' MANAGEMENT AGENCY Expires July 31, 1999 NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to pro- vide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). You are not required to respond to this collection of Information unless a valid OMB control number is displayed in the upper right corner of this form. Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER Dan tpnhens STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER 915 Estates OTHER DESCRIPTION (Lot and Block Numbers, etc.) CITY STATE ZIP CODE Chico, (A 95998 _ SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. (uAi AE0 2 OOD ELEVAnes, use h) ON 06007C 520 C June 8 1998 AE 197.0 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑NGVD '29 El Other (describe on back) 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: I I I I I I .LJ feet NGVD (or other FIRM datum—see Section B, Item 7), SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level 1 2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of i_.1_111 1 AJ feet NGVD (or other FIRM datum—see Section B, Item 7). (b). FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of j l l l l l .0 feet NGVD (or other FIRM datum—see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is, ! I LU feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is IJ.0 feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. if no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes D No ❑ Unknown •3. Indicate the elevation datum system used in determining the above reference level elevations: B NGVD'29 ❑ Other (describe under Comments on Page 2). (NOTE: If the elevation datum used In measuring the elevations is different than that used on the, FIRM (see Section B, Item 7), then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ®Yes El No (See Instructions on Page 4) 5. The reference level elevation is based on: ❑ actual construction ® construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor In place, in which case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate will be required once construction Is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is:1 1 11 L9 141151 feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 Is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance Is: l I l l j l .U` feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement 3/1999 FEMA Form 81-31, MAR 97 REPLACES ALL PREVIOUS EDMONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the Certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. 1 certify that the information in Sections B and C on this certificate represents my best efforts to interpret the y Vag c I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, S o`►�` William J. Dinsmore C29113 SLAB - CERTIFIER'S NAME LICENSE NUMBERor Affix Seal f � c No. T% 14' 29113 Civil Engineer Rolls Anderson & Rolls w TITLE COMPANY NAME 11_5 Yellowstone Chico —Drive ADDRESS , CITY ZIP DATE PHONE Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. COMMENTS: This elevation certificate is for ooliji mR Pnt floor gradp- ON WITH ON PILES, SLAB BASEMENT PIERS. OR COLUMNS A v A A v ZONES ZONES ZONES ZONES ZONES " REFERENCE LEVEL REFERENCE LEVEL WASE I FLOOD ELEVATION REFERENCE LEVEL - - - - - ----- i;S.•'} BASE BASEJ. FLOOD ELEVATION REFERENCE : .. ADJACENT ADJACENT GRADE 7, "b REFERENCE :; LEVEL ON ELEVATION LEVEL GRADE The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 p, &* 681 NU WAVE �% pools and Spas Construction • Service • Suppiies Con. LiG. #738866 530-846-5500 867 Highway 99 W V i Jay Chesson Gridley, CA 95948 Y ' c POOL SPECIFICATIONS '�/ SIZE ILA -3-0 PPRIMETER'0 AREADOsq. ft. DEPTH TO 6 VOLUME s%D GALS. CONSTRUCTION SPECIFICATIONS PkM' Mid specilIOatio"s 1MUS1 RAMP HALLO /DEEP SWIMOUTL� x G 106 Of C tf1me5 and !f is LIflI L i LOVESEAT_: ^ WALKOUT, := CR nges or altearetion3 on game WifhoW EXCAVATION NnLEVER) * 1� FENCE: DOWN BT tR UP BY 07%f A-' l"i111 ion from As Deapoftet. * CS p HOURS OF GRADING LOADS TO DUMP a! P ,• t STUMPS LEAVE/HAUL CONCRETE: REMOVE = xq N. 1 y 1 STEELUGUNITEMLE/PLASTER (VORTEX/ RAISED BOND BEAM - FT. x'- height G •v+' ; '� c` RAISED BOND BEAM = FT.: = height DECK TIES_ TIL T � iy Wot manship S�4a B i# CAPTOR BOR OF ND BEAM 1► Poo( m � r 41 • qu a i f 4- 1 nized Good 1FractiG" and CAP FOR RAISED BOND BEAM wAac �. of a quallt� e► {� or fd49 $ t?C•tfiAe t 1I1 1 SPA :s LENGTH OF DAM _ LDOTG�O Ve (O` G Uniform Building, PIUA bin . p CAP FOR DAM SPILLWAY � {w „ he Ncf'i t�i � C,[CAJ�0n a5 nokct• an cev-f'i f-rC , ol1.Ci1 EI+ Oricd PLUMBING SPECIFICATIONS J-11 POOL: NO. OF RETURNS.12t- MAIN DRAIN SIf E I z SIZE OF SUCTION LINE-jr SKIMMER a' SLIDE= FILL LINE_kk//FOUNTAIN UNE $. t SOLAR HEAT T: = POOL CLEANER / y ... � i I - r ` REVERSE FLOW PLMG. = DIV. IND. ---PRONG JIG SPA MAIN DRAIN SIZE ---Nb. OF JETS LIGHT =RETURN = V1iLVE TYPE \ NOTE: ALL AIR LINES PLUMBED BACK TO EQUIP. (1-) UTILITIES ELECTRIC'; BY /1((.t L<� < �[ GAS BY /t y NJ�`. 'OL DECKING ulumEveR,�i ) (L ` SQ. FL TYPE FINISH Y\ \ FOOTINGS = x _ : _ MASTIC DIVIDERS:'TY1rE DRAINS. RISERS =T_ fle cd elevUlorl 6 19b .. POOL EQUIPMENT CTPJCAL , f1.ECHMCPJ, ANE) PLUMNS -COt4, STRUCTiON ( NOT PLAN CHECKED ) %4&L CC MPLY WITH CURRENT EDffXM Of NECt UA:�C AND UPC. a A REORDER FROM CALIFORNIA SURVEYING 4 DRAFTING SUPPLY 1-000-243-1414 • FILTER: TYPE La�C. - SIZE 0c %f1 PUMP: TYPE � lhi SIZE HIP HEATER: TYPE SIZE -�� OOOBTU • BLOWER: TYPE --SIZAMPS _ POOL CLEANER TYPE 40T" BUILDER NOT RESPONSIBLE FOR CONCRETE, SHRUB ' SEPARATION TANK N Ll BERT AND i OR UNDERGROUND OBSTRUCTIONS IN ACCESS POOL ACCESSORIES PO THE UNDERSIGNED APPROVES THIS WORKING PLAN LIGHTS. OL SPA —_ LENSE KIT AND ACKNOWLEDGES RECEIPT OF A COPY: BOARD _=BOARD STANDARDS " ---- SLIDE STNTAC12C COLOR 's A NU WA L DES -1 G ED E PECIALLY FOR GRAB RAILS/STEPS _DDER = HANDRAIL — /V POOL CLEANER TYPE EfOOS l'St ` 2 _ VACUUM HEAD AND .:= FEET OF HOJE SALESMAN MAINTENANCE KIT AND POLE HOME R93-311 USINESS I I MAP BOOK PAGE - DRAWN BY CHECKED BY TRACT NUMBER: LOT NUMBER: -��- 1 -or , `N towF ,r .a 000 0 Q a t + IA � J+ , .. O • o c d. nil 3e �I oW i l G• I I L- f I _ .. V •� � r 9� is op° OL - Z - � ,�.�...- . _ .. z-�—.• ,,. t�allcw ., .-"ri'!'�l i►.: -•... — ' � � 'i:1 � `•� fit•\♦' �` � � \, �, �� ` �` •� �' i • 10, klu o 3 V. Lz I. Y �Oh 1 �• J: NJk �. 14 = t 'calm r Ul y .l . ql • add p�,�;�15/X�• ; GILDING DEER EW APPROVED% u e W 1 Ul y .l . ql • add p�,�;�15/X�• ; GILDING DEER EW APPROVED%