HomeMy WebLinkAbout040-670-006COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
tRev.12/96) APPLICATION AND PERMIT 6
ASSESSOR PARCEL NUMBER
040-670-006
ZONING
B-1
- a
BU I LD I NG P ER M IT
OWNER
STEPHEN SCHUSM 894-0994
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
401
3389 R
7 '
1162 U 209916.00
CONTRACTOR'S NAME
OWNER
TELEPHONE
1159 C 15,067.00
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace I A 1500.00
Total Valuation $218,989.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filin Fee
$ 20.00
Permit Fee
$ 1056.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 686.40
BUILDING ADDRESS
Energy Plan Checking Fee
$ 23.00
$
PERMIT FEE
$1785.40
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
1 7.00105.00
Solar or heat pump water heater
1 23.00
Water piping
15.00 15.00
Each as water heater or vent
15.00 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: I'EW SINGLE FAMILY
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00 15.00
Mobile Home IS I GI W
@20.00
PERMIT FEE
$ 185.00
ELECTRICAL PERMIT
I Filing Feel 20.00
Main Service eoo' OR IESS
200A OR
1 23.00 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 u11 force and effect. /� `
License Class Lic. No. Z/�3 7 6 9
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service PGOA TO IOOOA
1 46.00NEW
CONST. DWELLING OCCUP.
OR ADONS. ( a ACC. BLDS.
SO
3.5¢Fr: 159.3
NEW CONS T. MULTI-OUTLETNCH -CIRCUITS
NON•RESID.
�O 7.50
POWFA APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FORURES
00
BAL 9 .50
Ex. Occup. ounces a IEs o.DEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$ ' 30
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.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
worker ' ompe sation rovisions of section 3700 of the Labor Code, I shall
forthw h omply with a provisions.
X Date _
Signature of/Applicant - wner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
2 20.00 OUT
Cooling 00
Hood 6.50 S.50
Ventilation
4 4.50 18.00
GAS FIREPLACE 4 15.00 60.00
PERMIT FEt s 194.50
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
oc
}Z
VNTOTAL FEE $2420.60
CONST. JFEES
HAZ.
D.IMP FLOOD I CDF PARCEL Po HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
applicable provisions
Resolutions to do work
been paid.
r� 6
Date C
2 3
et
Receipt No.
WHITE-D.D.S.- .D. CANARY -A CT GO ENR2 PPLICANT
•""'Ar t��'..-- .. '."'.""r7�y ''.1. `r'.1'�--f`". r.ee-•Cr,;``�` 'rA'.`"•..IS''i.�.p rt:'..r!• `I't 'r'�ta{1t1�•�ii t_t?t.�� 7r rd__•,<r ... -. ��.. ,• .r r �.
8j i ,� F � t r�,• f.�i..: `,`,''�t r5.�•,1r •+-.w\tr :+ e r. -F- '/ ) ��' ' � ✓"��,i�—' t/ '.
... 6 s, w r a •� y 7�..i' V
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Orovilie, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET-'
OWNER: �f� \lam ��/ J//�/ ASSESSOR PARCEL NUMBER C J 1110 _6 1/0 '/ 0[ /
Proposed Building Use: �� ` Counter Technician: _ Date:
�items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
,,,��,��, . 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.
�l 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
4. Engineered truss details and layouts in duplicate. No faxes!
5. Energy compliance design and supporting documentation in duplicate.
0',6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate.
❑ T, 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
` rystamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed.
returned to the plan review line-up when required items are received.
�. Date Received
Flood Elevation Certificate, wet -stamped and signed, in duplicate ......... A
p
9. Site plan and business license -approval from the City of Biggs ................. f..................
10.'. Letter of intent for non-residential buildings.........................................................
.❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Fire Sprinklers...........................................................................................
14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by a1- �--
15. Other -
The permit will be indexed and
By
fining items needed to issue the permit. (May require additional plan review upon r i of the f Ilowing items.),,
• F as shown on the attached Schedule of Fees Due Sheet ..................................
Sta ment of Intent for Non heated and AIC Buildings..................................../.'.�.�.�...��
18. Sa itation and site plan approval from the Environmental Health Department in l�
i`; ❑ 19. Ity of Chico Plumbing permit ............................
ji*0. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 21. Planning approval for (A) Use: CD1< (B)Parking: (C) Parcel Check: -or�!s
❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
23. NPDES Form ......................: "..
....
❑ 24. Encroachment Permit for driveway from the Public Works Dept .................................
❑ 25. Pre -Inspection for required ................
❑ 26. Contractor's license information.,(Number, Name Style, Classification) ......................
❑ 27. Worker's Compensation Carrier and Policy Number .............................................
❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 29. Letter of Signature authorization....................................................................
❑ 30. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 31. Manufactured home utility clearance...............................................................
❑ 32. Existing violations and/or expired permits.........................................................
❑ 33. ❑ Grant Deed, ❑ M.H: Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 34. Other:
When issued Telephone C- . / " and hold for pickup.
I have been infor ' d f the above it s and requirements for obtaining a building Ie mit.
r •
Applicant: ate: Gi � _
1. Index permit applicatiorKor the above items numbere . Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above da a y phone, ❑ mail; ❑ .counter, by Date:
Contractor, designer, owner advised of the above da by ❑ phone, • ❑ mail, ' ❑ counter, by Date:
-Plans reviewed by: C7N� Date: o Plans approved by: Date:
f' Structural reviewed b : Date: Structural approved by: Date:
j;ra`
-•Note transfer by: Date: -03 —U
Yellow: Building Division::,, . •
E.H. USE ONLY
Piot Pisa Anschad
M
Floor Attaslfad
Sent too G.D.B.
TO: Building Department
FROM: Environmental Health 2
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public ./ Private Well
Clearance for dwelling. Other
Hold final for•
Final clearance O.K. for:
NOTE:
Environmental Health Specialist Date
8/96
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES /
OWNER LS��� A.P. #
PROPROSED BUILDING USE DATE
RECEIPT # DATE
PERMIT FEES �j %4UILDING
alance Due .................... $_ / )
--- Additional Fees Due........... $
--- Revised Revised Plan Checking Fee.... /$p / , (�
HOOL DISTRICT FEES (��/c�'� Vto J �C] O
(paid at School District Office) (form available after Plan Check)
3. SHERIFF FEES (paid at Building Divisio --"366
6 6 .� C p
Residential............ X $360.0
Units
mmercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
ZIAURBAN AREA FEES l (paid at Building Division)
.Residential (per unit)..... X
—# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Fig. Amt.
5. RECREATION DISTRICT FEESC�i eogf 1� �*2��o /-52�
id at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid. at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $
Sq. Ftg. Amt.
10. 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 during e n ec rocess.
APPLICANT DATE4*3—
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
BUTTE COUNTY PARRS DEVSLOPMENT•FSB CERTIFICATION FORM
CHICO AREA RECREATION AND j %
PARK DISTRICT
CR
Assessor Parcel Number(s) V 1 0 6-7 - v `� (
Property OwnerV l Ll� '
k ()6S6
_FProjectsLocation/Address 1 t
-vl%(w&N 0&k_S
Subdivision V i/�/ Lot-Number(s)
Residential Development: (check one)
New Development _Alteration/Addition
Total Number of Dwelling Units 1
Comment:
Mobilehome(s) Non -Residential
to Residential
Iz-_63
5
Building Dep rtment Representative " Date
"f
•� *sr
Chico.Area Recreation and Park District(CARD) certifies that
(9pp4ricant Name)
(Street Addre )
one
(City) ``'. (State) (Zip Code)
has complied with the requirements of Butte Co. Resolution No. 90-140 by
payment for dwelling units 1@ $`1k189 for total payment -'of $
CARD Rep esenta ive Date
PAID BY CHECK NO.. / REMARKS:
BANK NO. �r'U' 1/ZOLlf L //
PAID BY CASH
RECEIPT N0.
Distribution: White --Applicant
Pink --CARD
park.fec (form revised 11/90)
12/M/03 #5671 ": 73FFm MXFfOTAI. $1189.00
Yellow= -Butte Co. Building Dept.'
Goldenrod --City of Chico Building Dept.
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District U Building Department No.
A.P. Number 00b Jurisdiction: city County
Property Owner 15ch L L'S+ -C-, K
Property Location/Address
(Phone Number)
C
Subdivision C6
Residential Development
.......................
Q
. ............
Q
Lot No.
..... ................ ......................................
Q Sq. Footage
No of Living
Mobile Home
Addition/
*Supplemental to (Group R)
Units
Installation
Conversion
Permit #
........................................................................
*(No foundation Inspection)
! .............................
Commercial/industrial
. Building Department
New Adaiflon'.-
i--
five
District Iden tification No. � U)
0'5 School District certifies that
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Sq. Footage
(including Exterior
Roofed Areas)
Date
(Applicant)
L/,/- 0 ell (V
(Street Address) V
(Phone Number)
C
C.
-7
(City)
(State)
(Zip Code)
has complied with the requirements of Resolution No. '0-- 0 -- by payment of $ /2-s 2 q't
representing
School District
^ 0-1
square feet.
Paid by Check # Remarks:
JAB 2926 $
IFULL MITIGATION $
-2-
Date
Noyes: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In cornpile" with
Gamin Brit Code Section 66020(a), within 90 days from the date less are paW. Failure to s ubn* a timely written protest will'prohlbIt ,
you from challenging the Imposition of the foes In any court action
N, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is
rroflllsd by firs appllabte Local PlannIngAgency that tits ~Is being reviewwd under the CalffomisEnviron mortal GWky Act (CE04
this projoet mmy be subject to additicoal school fen to fully mitigate. its Impact on the school district'. schools.
White (applicant), Yellow (building department), Pink (school district) feeform-As (10/03)dmm
• COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN DIVISION I
' 7 County Center Drive - Oroviilllle, California
wA959[6�5 9 Telephone (530) 8-7541 i PERMITNo:Y
(Rev'12/96) / -�/�►P�LIi�/�Ilol�lAIVDP"EUI�CI�ITdL
ASSESSOR PARCEL NUMBER - — G BUILDING PERMIT
r4
OWNER TfLUMON9 SQ. FT. OCC. BUILDING VALUATION
.OWNERS171
// SS .,/1 A ,01,ac c /'yin tioi') iia ?sz i 1_
CONTRACTORS MAILING ADDRESS
•
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
ARC._CT OR ENGINEERS MAWNG ADDRESS
BUILDING ADDRESS /-y
PERMIT FEE PAID
SRA
SHERIFF
OTHER
$ X70.95
$ ()ti
AMOUNT RECEIVED
DATE RECEIVED.
RECEIPT # <
lace
Filing Fee
$
IAT NO.
SUB brvisioNsNAmE •�
PARCEL MAP
Main Service
U EOFSTRU TURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
Main Service
SPECIFY
$
TYPE OF WORK
New ❑ Addition ❑
Remodel
❑ Installation ❑ Other [34"
<
(❑''Utilities
S
Describe Work:
1
PERMIT FEE PAID
SRA
SHERIFF
OTHER
$ X70.95
$ ()ti
AMOUNT RECEIVED
DATE RECEIVED.
RECEIPT # <
lace
Filing Fee
$
_
Permit Fee
Fling Fee . 20.
Main Service
Plan Checking Fee
$
Main Service
Energy Plan Checking F ee
$
NEW CONST.
(
DWEUJNO OCCUP.
$
<
PERMIT FEE
$
NEW CONS
NON•RESID.
PLUMBING PERMIT
07.50 ,.
F Ing Fee ,
Each Trap
Solar or heat pump water rte er
723.00
7.00
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S G I W
@20.00
0.00
v
Ex. Occup. OUTLET OR FIXTURES
PERMIT FEE
_
ELECTRICAL PERMIT
Fling Fee . 20.
Main Service
noon ow mss
23.00
Main Service
200A TO TGooA
46.00
NEW CONST.
(
DWEUJNO OCCUP.
OR ADDNS.
8 ACC. BLOC.
3 5¢So.
FT.
NEW CONS
NON•RESID.
MULTI.OUTLET
meucu roortu
07.50 ,.
Ex. Occup. OUTLET OR FIXTURES
IBZ O
Ex. Occup. aunEis P61D GE.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirinq
23.00
PERMIT FEE $ - /
MECHANICAL PERMIT Filing Fee I 720.00)
Hood 6.50
.
Ventilation _.01
Csi
PERMIT FES 1 $
Mobile Home Installation Fee $W[*'�Dl-l-
Energy Inspection Fee $
c TnE TOTALFEE$D. FEES ,IM FL�pD COF
Th' ermit is hereby issued under the applicable provisions
f the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid. �'-w
4T / J
By Date 1
PERMIT EXPIRES ON
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002
ELEVATION CERTIFICATE
Importaft Read the instrucfions on pages 1- 7.
SECTION.A - PROPERTY OWNER INFORMATION For Insturarm Conpany Use:
BUILDING OWNER'S NAME Policy Number
Stephen Schuster
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, andfor Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
Lot 6 Pasatiempo Drive
CITY STATE ZIP CODE
Chico CA 95928
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 6 Fairway Oaks Subdivision
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
Residential
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type)-
( #1f - #W - ##.##" or ##. ) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other: --
b-EGT10N B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE
Butte County Urrinoorporatsd Area Bulb CA
B4. MAP AND PANEL
E. SUFFIX
97. FIRM PANEL
193.3 ft(m)
B9. BASE FLOOD ELEVATIONS)
NUMBER
B6. FIRM INDEX DATE
EFFECTiVEIREVISEDEATE
B8. FLOCO ZONES)
(Zane AO, use depth of Wing)
0600700520
C
Jure 1998
06.08,98
AE
192.3
v1 u IJaac 1 M L.=VC1 I I turCr UGtd UI U6`.ti IKM uepui enrerea in tv.
❑ FIS Profie ® FIRM ❑ Community Determined ❑ Other (Describe):
B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 [:]Other (Despite):
B12 Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ®No ' nation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ® Construction Drawings' ❑ Building Under Construction' ❑ Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number8 (Select the building diagram most similar tote building for which this cerffficate is being completed - see pages 6 and 7. If no diagram
accurately represents the budding, provide a sketch orphotograph.)
C3. Elevations–ZonesAl-A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, ARIAE, AR/A1-A30, AR1AH, AR/AO
Complete Items C3, -a4 below according to the building diagram specked in Item C2. State the datum used. If the datum is ditferentfrom the datum used for the BFE in
Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the spaoe provided or ft Comments area of
Section D or Section G, as appropriate, to document the datum conversion.
Datum Conversion/Comments
Elevation reference mark used Does the elevation mferenoe mark used appearon the FIRM? ®Yes ❑ No
O a) Top of bottom floor (including basementorencbsure)
pe
Q b) Top of next higher floor
193.3 ft(m)
O c) Bottom of lowest horizontal structural member (V zones only)
Q d) Attached garage (top of slab)
— —ft(m)
E
Q e) Lowest elevation of machinery andforequipment
u,
servicN the building (Describe in a Comments area)
193.3 ft(m)
O f) Lowest adjacent (fnished) grade (LAG)
189.8 it(m)
z' 0
Q g) Highest adjacent (finished) grade (HAG)
189. 2A(m)
Q h) No. of permanent openings (flood vents) within 1 ft above adjacent grade 16
J
Q ) Total ane. of aft t flood
rmanen openngs ( vents) n W.h 4553 sq. in. (sq. cm)
v Leslie W. Coke
O
No. 5712
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
1 certify that the informafion in Sections A, B, and C on this certificate represents my best efforts to interpret the data available.
1 understand that any false statement may be punishable by fine or imprisonment under 18 U S Code, Section 1001
CERTIFIERS NAME Leslie W. Coke LICENSE NUMBER LS 5712
TIT LELand Surveyor COMPANY NAME Precision Surveying
ADDRESS CITY STATE 21P CODE
717 Frfih Street Orifi CA 95963
SIGNATURE G DATE TELEPHONE
11-12-03 530Z66.4194
IMPORTANT. In these spaces, copy the conesponclirtg inb7nation fmm Section A For Insane ccxnpary Use:
BUILDING STREET ADDRESS (Inducing Apt, Unit Suite. an dfOr Bldg. No.) OR P.O. ROUTE AND BOX NO. per, Number
Lot 6 Pasafiemp Drive
CITY
Chian STATE a DE Coapany NAIC Number
CA 9M
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) oommunity official, (2) insurance agenUoompany, and (3) building owner.
COMMENTS
C3. a
The interiorgrade under crawl space is not subgrade on all sides.
The bench mark is the curb flowline at the eudention of the South property line of Lot 6 elevation 187.35
❑ Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (IMTHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed.
Et. Building Diagram Number—(Select the building diagram most similar to the budding for which this certificate is being completed — see pages 6 and 7. If no diagram accurately
represents the building, provide a sketch orphotograph.)
F2 The top of the bottom floor (including basement or enclosure) of the building is _ ft.(m) _in.(an) ❑ abmre or ❑ below (check one) the highest adjacent grade. (Use
natural grade, if available).
E3. For Building Diagrams 68 with openings (seepage 71 the ne)d higher floororelevaled floor (elevation b) of the building is _ ft.(m) _in.(cm) above the hghest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the communlys floodplain management ordinance?
❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property ownerorowner's authori2Bd representative who completes Sections A, B, C (Items C3.h and C3.i only), and E forZone A (without a FEMA -issued or community -
issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZJP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
SECTION G - COMMUNITY INFORMATION (OPTIONAL) El Chea here if attachments
The local official who is authored by law or ordinanoe In administer the oommunitys floodplain management ordinance can complete Sections A, B, C (or E7, and G of this Elevation
Certificate. Complete the applicable item(s) and sign below.
G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by
state or local law lo certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2 ❑ A cwmmunly official completed Section E fora building located in Zone A (without a FEMA4ssued or eommunily4ssued BFE) or Zone A0.
G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes.
G4. PERW NUMBER G5 DATE PERMIT ISSUED G6. DATE CERTIFICATE OF 00 C ISSUE
G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement
GB. Elevation of as -built lowest fluor (including basement) of the building is: _. _ft(m) Datum: _
G9. BFE or ('n Zone AO) depth of flooding at the building site is: — _ ft(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
L] Check here if attachments
Sj�r PI -M
APPROVED
Butte Counh
�o
FC4,r UvOqk SIL WL5161� 2OAt- -
Y
0 0 — U-110 _ 00 4nvironmen.tal Health
OCT
2 � 2003
Chico, California
_ zC
PUNNING DIVISION - BUILDING PLAN APPROVAL
Use: .0 �� nate:
Parking: Landscaping:
Other.
Signature:
L0+
Zu4c e-
<Ctoc-
P91 5, �,, ;
FC4,r wcxNL SuL l���s��11 2CPAt,
y )2-1
At 9 Oz!0-670 �o�
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e-1
October 17, 2003
Steve Schuster
4011 Spyglass
Chico, CA 95973
E
Department of Development Services,
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
Assessor Parcel Number: 040-670-006
Building Permit Number: 03-2606- lot 6
Thank you for submitting the plans for your building project. The plans have been reviewed, and
the plan examiner's comments are listed below. . Your complete and clear response will
expedite the re -check and approval of this project.
bto111' // ,
ur Flood Elevation Certificate is incorrect The total area of permanent openings must
include the garage. Please provide a wet -stamped copy of the corrected certificate.
%Change your cross-section (Detail A/8) to show a raised floor and the flood condition. Show
V the height of the stemwall and floor, and the flood venting. Show that all materials below
the BFE will be flood resistant. Sheetrock is not flood resistant, and cannot be used below
the BFE.
Provide a detail similar to detail 8/5 of your mastered house plan to go along with the cross
section that shows all building materials, etc. from the roof covering to foundation. (with
raised floor)
,j Per the subdivision map, the building foundations/footings shall be designed by a registered
civil engineer or licensed architect in accordance with the soils analysis letter from Applied
Testing Consultants dated February 26, 2001. Please have your engineer submit a letter that
he has reviewed this soils analysis letter and designed the foundation accordingly.
Tile roofing is not permitted on roof slopes less than 2 1/2:12 per Table 15-D-1, 2001 CBC.
Please change the slope of the roof to at least 2 1/2:12 or find a method of applying tile that is
06.
sted for this low slope application.
ince this is not to be mastered, please submit energy calculations for the orientation of this
uilding only.
If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours
of 1:00 p.m. and 4:00 p.m., Monday through Friday.
Please refer to your Data Sheet for remaining non -plan check items. (You received this form
when you applied for your permit.) The counter staff will answer any questions concerning the
Data Sheet.
Linda Simpson
Plans Examiner
November 18, 2003
VerticalTechnology
Engineering
M Pb Umb Aye #2M, Oro C4,959%
Ph (90) 899$916 Fac (590) 899-9102
Dept of Development Services, Building Division
7 County Center Drive
Oroville, CA 95965
To Whom it May Concern:
I have reviewed the soils investigation indicating mildly expansive soils at the
proposed building location. While minor cracking may occur due to settlement over
time, this is expected in any foundation system and will not be a cause for structural
failure. The proposed foundations as designed are structurally adaquate provided
the bottom of each footing is at least 18" into native soils and the soils are pre -
saturated for 24 hours prior to pouring concrete.
nl079- Ob/ P&+NJ
/,--i L1;F-
Schuster Homes
A land development Co.
4011 Spyglass Rd
=C-hico CA 95973
"SCL#483969
(530) 894-0894
Cell 570-6400
Hm 894-5875
Fax 894-2256
November 18, 2003
Linda Simpson
Plans Examiner
A�'# 0 410 - a-oo 6
Response to October 17 plan Check letter
k.
dAnclosed is a new wet -stamped copy of corrected certificate
See page 7 for"riew detail A/8 and foundation plan Page 3
See page 7 for new detail
Letter from engineer enclosed
Submitted 'detail previously and was approved by Filo Hunt
Energy calcs were done in all directionsd should meet code per Marty at Energy
Calculation Services. C� de_ 'C�eW
Steve Schuster 894-0894
Nov 12 2003 14:28 Energy Calculation Servic 5308943422
SLS
2001 Bidldin Enew Standard°Psi??
ii. The annual space -conditioning budget (kBtu/yr.-ft?) as determined
pursuant to Section 151 (b) 2.
B. Calculate the source energy consumption total of the proposed building, using
the proposed building's actual glazing area, orientation, and distribution, and its
actual energy conservation and other features, including the actual water -heating,
space -conditioning equipment and duct conditions and locations.
Include in the calculation the energy required Dr building cooling even if the
building plans do not indicate that air conditioning will be installed.
2. The proposed building design complies if the energy consumption calculated pursuant to
Section 151 (c) 1 B is equal to or less than the combined energy budget established in
Section IS l (c) l A.
MULTIPLE ORIENTATION ALTERNATIVE tosection.151: (e): A permit applicant may
demonstrate compliance with the energy budget requirements of Section 151 (a) and (b) for any
orientation of the same building model if the documentation demnnstrates that the building
model with its proposed designs and features would comply in each of the four cardinal
orientations.
th
(d) Compliance Methods for Performance Standards. Compliance with the energy budget
requirements of Section 151 (a) 3 and (b) must be demonstrated e4her✓by:
f !
?- Uysing the compliance version of the commission's Public Domain Computer Program
or any allemative calculation method approved by the eomnussion for use in complying
with Section 151 (a) and (b).
NOTE: Compliance with the water -heating budget need not be demonstrated using any of the
calculation methods referred to in Section 151 (d), if all the requirements of Section 151 (b) 1 B
are met.
(e) Required Calculation Assumptions. The commission shall publish the assumptions and
calculation methods it used to develop the standards for law -rise residential buildings, including
those specified in Section 151. In determining the water -heating and- space -conditioning
budgets and calculating the energy use of the proposed building design, the applicant sball use
only these assumptions and calculation methods (or alternative assumptions and methods
approved by the commission or its executive director).
i. Such assumptions shall include, but not be limited to, the following:
JAN -12-2003 SUN 01:22PM ID: PAGE:1
�ERGY CALCULATION SERVICES
ucliting, Analysis and Documentation
owg
A L L Y
CEG Certified Energy Plans Examiner - RES91-1006 / NR -91 -1002{ -HERS Analysts - RD/FmHa Auditors - Member of RRHA of Texas
November 20, 2003
Reference: Multiple Orientation Buildings.
To Whom It May Concern:
The following is plainly noted on ALL CFI forms generated for Cardinal run projects:
"This is a multiple orientation building with no orientation
restrictions.
This printout is for the front facing North.
Can it be any clearer? We went over this last year and you were proven to have erred,
and now we are going over it again. YOU WIN! I have not got the time or patience to
deal with this ridiculous waste of time and resources. What you are making me do is
wrong and contrary to the intent of the energy code. Cardinal runs are allowed to reduce
the amount of paperwork and time needed to replicate work that has already been done.
Sincerely,
Marty Runnells
CERTIFIED ENERGY PLANS EXAMINER 2001
RES -91-1006 / NRE -91-1002
574 Manzanita Avenue, Suite 9 ecs@energyguru.com 877 /530.894.8466 tel.
Chico, California 95926 Est. 1989 530.894.3422 fax.
SITE PLAN REVIEW APPLICATION
Date: Cg — 2 b— �� AP#
090— L 7 6— 0 O
Permit Number (if applicable) 0 3 —2. b0 (p Bin Number —
APPLICANT INFORMATION Parcel Size:
Owners Name: S C_H 0ST'e-6Z: S i }-b P,)
Owners Address:. y ] S Py CrCASS 1-1 i A
Telephone No.:
Situs Address: 809 PA .sA —Fl e mp o
Proposed Use:
Residential
New Single Family Residential
❑ Single Family Addition
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ . New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Other
❑ Septic
❑ Agricultural Exempt Building
❑ Other:
Brief Explanation (if necessary):
❑ Single Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
❑ Well
❑ Agricultural Buffer Form ❑ Applicable N/A
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
❑ Approved ® Conditionally Approved ❑ Resolve Problems Prior to Approval
Site Plan Stamped Approved
By Date - 2—
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Snow Load Area:
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required)
❑ SRA - (CDF to determine specific requirements)
19 100 -Year Flood Plain: (See attached)
• Flood Zone: A
• Flood Panel No.: O S20 C Index Date: 6— 8 - 9
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
---------------------------------------------------------------------------------------------------------------
❑ Detached Building Use Form ❑ Encroachment Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning: R — ,
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
L
Side
Side Street
Rear
S
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Applicable Development Fees:
Standard Fees Amount Formula
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area' Road
❑ Thermalito Drainage Area
❑ Thermalito Urban Area
❑ Other
-------------------------------7-----------------------------------------------------------------------------
Subdivision Map Special Fees
❑
Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
Other (per map)
* Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
Deeds:
Date of Creation: Legal Access Provided: ❑ No ❑ Yes
Deed of Reference: Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards for Deed Creation:❑ No ❑ Yes
Comments:
❑ Parcel Deemed to be legal
❑ Verify Legal Parcel ❑ Verify Legal Access . ❑ Provide Deed of Creation
❑ Obtain a Certificate, of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
Page 3 of 5
41 Subdivision Map/Parcel Map: -Fp 1 QL,),Ay
Map Date of Recording: t — (— 0
Lot: (p
❑ Use Permit/Minor Use Permit
Permit Number:
0 r:,, S S v c
Book: ) IS7 1
Date of Approval:
Page: Gi 3 A �,
Parcel Map/Subdivision Map/Use Permit Conditions
10 Comply with the following Conditions of Approval: M Attached ❑ None
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required:
❑ Property owners responsible for road maintenance, and stop sign maintenance.
0
Page 4 of 5
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National Pollutant Discharge Elimination System (NPDES) Phase II &
SWPPP Non -Certification for Project # for Butte
County Storm Water Permit Compliance
By signing below, I, the project architect/engineer of record, indicate that I am aware that a
construction project that disturbs more than 1 acre of land requires a Construction Storm Water
Permit from the State Water Resources Control Board. I, additionally, understand that it is the
project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm
Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources
Control Board to obtain such a permit. I, further, certify that this project will not disturb more
than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California
Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be
implemented to effectively minimize the negative impacts of this project's construction activities
on storm water quality. I acknowledge that it is my obligation to make the project owner and
contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure
their effectiveness. If, at any time, site conditions and/or observations by a County official
warrant reevaluation and revisions of the chosen BMPs, the appropriate changes will be made
without unnecessary delay. I am aware that failure to properly implement and maintain the
BMPs necessary to prevent the discharge of pollutants from this project during construction
could result in significant penalties and/or delays.
Signed: /
Title:
Date:
By signing below, I, the project owner/owner's agent, certify that I am aware that a construction
project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from
the State Water Resources Control Board and that it is my responsibility to submit a Notice of
Intent (N. 01), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00
made payable to the State Water Resources Control Board to obtain such a permit, if my project
disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1
acre of land. This document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified individuals properly
gathered and evaluated the information submitted. Based on my inquiry of the person or persons
directly responsible for gathering the information, I certify, to the best of my knowledge and
belief, that the information submitted is true, accurate, and complete.
Signed:
Title:
Date:
NPDES & SWPPP Non -Compliance Certification Draft
Butte County Stormwater Plan
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75410 P rR
(Rev. 12/96) APPLICATION AND PERMIT 04- t5`76
ASSESSOR PARCEL NUMBER
040-670-006
ZONING
R1
BUILDING PERMIT
OWNER
SCHUSTER STEPHEN 894-0894
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNER'S MAILING ADDRESS
4011 SPYGLASS ROAD CHICO CA 95973
125 R 6750.00
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LFireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 6750.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$90.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
s58.50
BUILDING ADDRESS
1809 PASA TIEMPO DURHAM
Energy Plan Checking Fee
$
$
PERMIT FEE
s 168.50
LOT NO.
SUBDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
I Fling Fee 20.00
Main Service 2o0A OR LE
1 23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000 of Division 3 of the Business and Professions Code,
( 9 )
and my license is in , I force and effect. Q
License Class Lic. No. —1 rJ,J
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 200A TO I000A
46.00
NEW CONST. DWELLMG OCCUP.
OR ADDNS. ( a ACC. BLDS.
s0
3.50FT. 4.37
NEW CONST. MULTI.0,',i
NON -REBID.
97.50
PLE OWER APPARATUS
S SINGOUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
BAL p x.50
Ex. Occup. oFucF EEDTSA 6.)o E,
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring23.00
PERMIT FEE
$
24-17
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.)
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'
com ensation laws of California, and agree that ff I should become subject to the
wo rs' compeA�Rons of section3700 of the Labor Code,fo ith complisions.
Date �[
n�—
i at a of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required fore ations ov '0" deep and demolition onstruction
of structures v 3 or'
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PI INSPECTOR GOLDENROD -APPLICANT
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee s
Energy Inspection Fee s
�c� TOTAL FEE $ 192.87
HAZ D FEES IMP FLOOD CDF pggCEl pp HD LAS
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated a ve f r which fees h e been paid.
/
zh/O
By Date((
PERMIT EXPIRES ON
Dale
IJ
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 - Telephone (530) 538-75d ! /_O PERRMILNO•
(Rev. 12/96) APPLICATION AND PERMITT -U
ASSESSOR PARCEL NUMBER
�Q
G I
BUILDING PERMIT
OWNER �1�
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILIAADl
LLO-
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Flirt Fee $ 2 ��
Permit Fee $
ARCHITECT OR ENGINEERS MAILING
Plan Checking Fee $
BUILDING ADDRESS
�c
J
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDNISDNS NAME
PANOR.W
PLUMBING PERMIT Fling 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 ❑ ��jRemod I U6fiti s ❑ Installation ❑ Other ❑
Describe Work: A ty /"'
Gas piping stem 1 - 5 outlets 15.00
Buildingsewer 15.00
Mobile Home S G W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
Main Service °zo0. on LESS 23.00
PERMIT FEE PAID $
SRA$
SHERIFF $
OTHER $
$
$ �
�'0
(/
AMOUNT RECEIVED $
DATE RECEIVED Lb
RECEIPT # �� �O
Main Service 200A TO 1000A 46.00
I
NEW CONST. ( DWELLING OCCUP. 3.52F°: . '3
OR ADONS. 8 ACC. BLDS.
NON -RES D. New CONsT. MULTFOUTRAMH CUI TS @7.50
POWERAPPARATUS
8 SINGLE OUTLET CITL
20 OUTLET OR FC(TURES @x'50
EX. OCCU SAL @ .so
S�a1p°El 5.00
Ex. Occup. 0 LETS
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE Sc94-3_7
MECHANICAL PERMIT Fling Fee 20. 0
Heating
Coolin
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE TOTAL FEE $ a f
H
D. FEES IMPFjrOOD
ICDF
PARCEL
I Pp HD
ISSUE
This permit Is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid. '
By Date
PERMIT EXPIRES ON
(Date)
12�
PLAN -.REVISION
Please complete the following information in order to pmcess your submittal. If this form is not complete, corse
and legible, it may cause a delay in processing.
Owner's Name: `s2hb 4P,( Received By: Date: - 3 -
A.F.R: U �I� ' Permit• 6" ��O Time: -',0
ContactPhoneNumber: <8 vL ► y �C
Purpose of submittal:
❑ Permit Application Data Item
❑ Engineering
C�1'Plan Revision
❑ Requested by Building Inspector or CorrectionNotice - Inspector's Name:
❑ Requested By Plan's Examiner- Examiner's Mame:
❑ Other:
if you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisions for pla
review. If engineering is involved in this revision, the engineer must put his requirements on these drawings m
stamp and sign the drawings. Include two. (2) sets of wet signed engineering. Revised drawings must clearlysbo�
When Approved, Process as Follows:
❑ Maid to Owner at this address:
❑ Mail to Contractor at this address:
❑ Call.. and hold for pickup at the ❑ Chico Omce ❑ Oroville Office
0 Deliver with neat inspection.
Revised Plan Check Fee: 01,4400 Receipt Alf: .� 0 Additional Fees Not Requires
Additional fees may be due based upon complexity and time iavoiyed to process this submittal
Additional Fees: Receipt I:
tT5l
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: ASSESSOR PARCEL NUMBER 0q0_V)6_W0
Proposed Building Use: h4l Counter Technician: Date:
Items required in order to apply for a permit. All boxes MIL18T be checked OR marked NA in order to apply.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ........................................... .........
❑ 20. Erosion Control Plan Required........................................................................ ........
❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 22. City of Chico Plumbing permit........................................................................
❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: T-
❑ 24. Planning approval (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. Pre -Inspection for required....,..
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 30. Worker's Compensation Carrier and Policy Number ..........................................
❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 32. Letter of Signature authorization ...................................... :.............................
❑ 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance...............................................................
❑ '35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction................;........................................................................
❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 38. Other:
❑ 39. Other:
When issued Telephone and hold for pickup.
have been informed of the above items and requirements for obtaining a building permit.-
Applicant:
ermit:
Applicant: Date:
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter,. by ate:
Plans reviewed by: Date: Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
School District
r -4-i
A.P. Number � T 0 —I
Property Owner
Property Location/Address
Subdivision
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
BuildingDepartment No.
Lot No.
County
Residential Development Q
. ..............
...................... ; ......................................
Sq. Footage
No of Living Mobile Home
Addition/
*Supplemental to
(Group R)
Units Installation
Conversion
Permit #
....................................................................................................
*(No foundation Inspection)
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Now Addftior
Department
District Identification, No.
School District certifies that
'7U
(Street
(City)
has complied with the requirements of Resolution No.
representing square feet.
"n r - ' r'.
School District Representative
Paid by Check # , 3n
Remarks:
(State)-
Sq. Footage
(Including Exterior
Roofed Areas)
/',
Date I
(Applicant)
. ��
(Phone Number)
(Zip Code)
by payment of $ . - t )QA
,JAB 2926 $
IFULL MITIGATION $
h Ll 16 4/
ld�
Date
Notice: You may protea the Imposition of the few klentifleci above by submitting a written protest: to the District, In compliance with
Government Code Section 66020(a), within 9.0 days from the date fen are paid. Failure to submit a timely written protest will'prohlbit
you from chalk"Ing the Imposition of the hm In any court action.
K, Subsequent to the School District Representativ* signing this Butte County Schools Impact Fee CertIfication Form. the School District Is
nofllled by the applicable Local Planning Agency that this project Is being reviewed under the CalHbnda Ernolronmental Quality Act (CEQA)
this p
meet may be subject to additional school fen to ftdly mIdgete.ft Impact on the school distriers schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/03)dmm
Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530895 6512; Jan-23-04 4:48PM; Page 1/3
s O r
• Pbt SIM W AR d Ansd�
r.;== I
awna�D. -
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
• �� D — f�70 --OD
Owner Location
AP#
Disposal Water Sup ly: Public X_ Private Well
Plan Approved for: Sewage p
Clearance for _-._• Other eo'
Hold final for:
Final clearance O.K_ for:
,cI ----� Date
Environmental Health Specialist
8/96
0
Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 6512; Jan -23-04 4:48PM; Page 2/3
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L64 -DJAN 2 3 2004
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VerticalTechnology
Engineering
383 Rio Lindo Ave Suite 200, Chico, CA 95926
Ph. (530) 899-8716 Fax (530) 899-1102
Email MDHPE@sbcglobal.net
Structural Calculations
Client: Schuster Custom Homes
Project: 3389 — Master Bedroom Expansion (ext: wall moved 6ft)
4o4 4� Dgsg7`k+��0
Location: Chico, CA
a
. C 60
�.6 BUTTE COUNTY
ewBUILDING DIVISION
®� c� ����� APPROVED
Attention: This engineer is not respo ible for on site inspection to assure compliance with the
standards, sizes, materials, or work m ship sp ified herein. This engineer is not responsible for any
structural element or system not stbificall oted in this set of specifications unless authorized in
writing by this engineer. Workmanbe of the highest quality and in all cases follow accepted
construction practice, the latest edition of the Uniform Building Code, and local building department
standards.
Wall (+'ane',
impa(,4eo
b%j wCk 6 t
w\04�
VerTech Engineering
Project: b
Engineer: A r
Desian of: Shear Walls Framina
Page:
Date: t
Panel Shear Walls
Resistive A35 Sill
Lateral Wall Attachment Attachment
Load Length Length Length Load/ft Edge Nail
Wall(lbs) (ft) (ft) u I b/ft) in
A 2INIM4 � ... ..��5 . 15 �. 15 . 1�3��
B 5466 15 15 15 364 4"
C
6000
18
18
18
333
4"
D
3013
11
11
11
274
4"
E
3130
13.25
13.25
13.25
236
6"
F
1633
9.5
9.5
9.5
172
6"
G
2173
5.75
5.75
5.75
378
4"
1
2566.
8
8
8
321
4"
2
1680
16
16
16
105
6"
3
6307
30.5
30.5
30.5
207
6"
4
7931
17.75
17.75
17.75
447
3"
5
4907
20.5
20.5
20.5
239
6"
ir
t�
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f IS,otA
ED
VerTech Engineering
Project: 3.580 . Page:
Engineer: AT Date: I �
Design of : Shear Walls Stability
Overturning
Overall Resistive Gravity OT OT Righting Net
Length Length Load Hecht Moment Moment M/D
Wall (ft) (ft) (1h/ft) (ft) (ft -IM fffi-Ihl llhl
p1-! op— olc.
FY
,ION
259. v
10
107413 , 8O;Q;O .4;43, 4:.
B
27
15
600
18
98388 218700 -3646
C
14
14
400
18
81000 36450 3570
D
11
11
150
10
30130 9075 1997
E
13
13
150
10
31300 13167.19 1468
F
10
10
150
10
16330 6768.75 1078
G
6
6
150
10
21730 2479.688 3391
1
4
4
550
1.0
12830 4400 2218
2
16
16
350
10
16800 44800 -1470
3
19
19
350
18
68860 59893.75 808
4
13
13
350
10
55852.1 27343.75 2499
5
11
11
350
18
47394.4 21175 2576
-T I t
DOI
p1-! op— olc.
FY
,ION
s
Design of: Shear Walls Stability
Segment
Segment
OT
Righting
Net
Length
Height
MMT
MMT
M/D
Wall (ft)
(ft)
(ft -Ib)
(ft -Ib)
(lb)
PI -102 (A.
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Schuster Homes
A land development Co.
4011 Spyglass Rd
Chico CA 95973
SCL#483969
(530)894-0894
Cell 570-6400
Hm 894-5875
Fax 894-2256
Feb 3, 2004
Butte County
Building Dept
To whom I may concern. Laura Ortland is authorized to sign all necessary forms and
permits on behalf of Schuster Homes.
Sincerely
*4)Zf � I
Stephen J. Schuster
NOTES r RESIDENTIAL -
PERMIT NO- 04'0;670-006 X04=0370
S.CHUSTER, STEPHEN
1809 PASA"TIEMPO DR DURHAM
CONT: B MRD ROOT IN(;
ADDITION,.
q
SPECIAL CONDITIONS
f
CHECKED
BY,
'~
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
j
JOB FINALED (Date)
;•
Signature
4 • 2 4�f
A... S S l'� .Y.
J=OK
0 = Not OK
s = NotReadyable
7.
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
2.
1.
Zoning Requirements -Setbacks -Easements
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
2.
Soils; Special MH Support Sketch
Date
3.
Sewer; Location -Test -Fall -C/O -Concrete
Date
4.
Water; Location -Test -Easement Needed (Sketch)
Date
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
1. Zoning Requirements -Setbacks -Easements
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or / /" L "ft./ P LPG
7.
Well Clearance & Disconnect
1.
8. Utility Clearance
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
Date
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
Card B-1 Date Card B-1
Date
Ext.; Steps -Doors -Landings
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
Card B-1 Date Card B-1
3.
Gas; MH Test -Demand -Valve -Connector
Card B-1 Date Card B-1
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
8.
Elec:; Grounding; Equip. w/5'. Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
9.
Health Department Approval
Date
10.
Card B-1 Date .. Card B-1
Date
11.
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Enclosure; Fencing -Alarms
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
Card B-1 Date Card B-1
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 -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.;-Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec:; Grounding; Equip. w/5'. Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1. Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1. Zoning -Setbacks -Easements -Flood -Slope
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
5. Stemwalls, Main; Steel-Blockouts-Wrapped
53. Property Line Firewall & Openings
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
6a. Hold Downs and Special Anchors
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
7. Slab, Steel -Wrapped
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
8. Piers -Fireplace Ftg.-Steel
Siding -Nailing Veneer
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Stucco Mesh -Drip Screed -Fd. Vents-Underllr. Access
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
Glazing Area -Glass Protection -Skylights -Plastic
11. Water Pipe; Test -Anchors -Regulator -Service Test
Shear Walls; Nailing -Bolts
12. Electric Underground
Brace Interior/Exterior Wall Panels
13. Plenums & Ducts; Clearance -Material -Support -Ins.
80.
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. 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 Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23, Fire Sprinkler; Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes ❑ No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. 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
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underllr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Wal Is -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (FF.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
83. Following Instid./Drive O Yes D No/Walks 0 Yes O No/Planters O Yes D No
84. 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. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
Ad
NOTES
RESIDENTIA
PERMIT
&,tcc(611
�T
r040 -616-006`.'l 03-2606 1
SC USTER, STEP141EN,-__
1809.PASA tlE,MP0DR, DURHAM
NSF
0'(- 370
- - /. ^i-feW -e—
COPY
OFFICE
bq
Address
Date22Py
GAS 5v Al pat
eLeC-Tl ��
Meter BY
SPECIAL CONDITIONS'
CHECKED
BY_'
SRA
FLOOD CERTIFICATE REQ.
IRE SPRINKLERS REQ.
—SPECIAL INSPECTION ITEMS—.
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER,
"64 ZA
4 -
I
�as�G��`l
.JOB FINALED
_T
Signature
13
Lx�
x1l
3?�
�T
r040 -616-006`.'l 03-2606 1
SC USTER, STEP141EN,-__
1809.PASA tlE,MP0DR, DURHAM
NSF
0'(- 370
- - /. ^i-feW -e—
COPY
OFFICE
bq
Address
Date22Py
GAS 5v Al pat
eLeC-Tl ��
Meter BY
SPECIAL CONDITIONS'
CHECKED
BY_'
SRA
FLOOD CERTIFICATE REQ.
IRE SPRINKLERS REQ.
—SPECIAL INSPECTION ITEMS—.
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER,
"64 ZA
4 -
I
�as�G��`l
.JOB FINALED
_T
Signature
13
'r
J=OK
0 = Not OK
/
= Not Applicable Re /
. =Not Ready
Date UND F OR (Plans) OK except
i ng -Setbacks -Easements -Flood -Slope
F g',� Main; Soils-Elec. Grnd.-/ % " Ftg. Depth
GeO`Ptg., Garage; Soils-Steel-Elec.' Grnd.-/ /" Ftg. Depth
4. Ftg,,,Forches & Decks; Soils -Steel-/ /" Ftg. Depth
5,_13%rnW&s, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6�Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
6 L - . .V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
OF Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
j Y 64- ater Pipe; Test -Anchors -Regulator -Service Test
12. Elec is Underground
P h
3. ums & Ducts; learan_ce-Material-Support-Ins.
Girders -Sills- ho
cr Bol oists-Vents-Crippies
ntr
Access & Vea ion
16. Insulation
RESIDENTIAL (Single & Duplex)
#'s I Date FRAMI ont
Date - - fJ Card B-1 Date Card B-1
Date Z-6- oFtf Card B-1 Date Card B-1
Date PJLYMBING er it) OK except #'s
Water Htr.; Vent -Access -Combustion Air Baffle
Water Pipe; Test & Anchor -Nail Protection
1 D .V.; Test Fittings & Anchor -Nail Protection '
/ Shower Pan; Test, First Floor -Tub Access
21. Te ub & Shower, Second Floor -Tub Access
2 as Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
Date Card B-1 Date Card B-1
Date Card B -J Date Card B-1
Date ELECT AC (Permit) OK except #'s
Transformer
25" E . Rqe6ptacles Spacing -Lights & Switches at Doors
Siz oxes & No. of Conductors Stapled
2 o x Ins alled Close to Edge of Studs & C.J.
2 qqj round made up w/Mech Fasteners -Bond Gas & Water
A liance Circuits in Kitchen Conductor Size GFI
30. Subfeed Wire Size/ 'Z /ga`Cu r AI -,.C. Wire Size/ 'V'/gaCCArAl
31. Range Circle/ g u A en Circ. / /ga Cu or Al
Insu� Neutral Oyes O No
3 ervice-Riser Conductors & Ground Main Disconnect
33.
Closet L
Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECH ICAL (Permit) OK except #'s
A. cts Insulation & Support
Ve Fan, Exhaust above insulation
e sate Drain & Overflow, Size & Grade
39-`Fuace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date FRAMRfG (Permit) OK except #'s
. Sill oper Materials & Anchors
4
s Studs -Nailing Spacing & Braces -Plates -Sound
Bearing Walls over Girders & Floor Nailing
4
W
Draft Stop in Walls (rat proof)
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
I.
48! . o
Clingist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
4Q F' gla" Ties or Type A Flue -Fireplace Throat Clearance
SC—AtfloAccess: Size & Romex Protection -Draft StoD-Ins. Baffles
50_,Vdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
5�. G (age a Protection Framing -RC Channel
r rty Line Firewall & Openings
xt. oors-One 3' -Check Garage 3rd Story, 2 Exits
55. irs; Width -Headroom -Rise -Run -Landing -Fire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Si g- ailing Veneer
esh-Drip Screed -Fd. Vents-Underflr. Access
/ _ G.Ia6inci Area -Glass Protection-Skvliahts-Plastic
Wall Panels
Date 1,4
Card B-1 %/ Date Card B-1
Dates t Card B-1 Date Card B-1
Date FINAL,(Wa�ns) OK except #'s
641 -Ext -Steps- Door & Sidelight Protection -Landings
mo�tector
66 rnace Vents -clearance -Comb, Air-Connector-
Lrj,�Fage; Above Floor-Ducts-Mech. Prote'c'tion
Bedr6om Exitino
68- G.FJ.-& Bath Fixtures & Tub Access -Spa
Frim & Subpanel, Breaker Sizes & Labels
. Staireirs'& Rails
lace or Stove, Clearance -Hearth
� .. 8 tlets at Wood Panel, Int. & Ext.
ext. & Appliance; Ground -Air -Gap -Cooking Clearance
7t4!EI . Outlets & Receptacles at Kit. Counter
ge Fire Door; Swing -Landing -Closure
. A.C� Buct in Garage -Damper
7 tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
i arage; Above Floor-Mech. Protection
P14.�-Elec. & Mech. Equip. Listed for Location
. Receptacles in Garage (F.F.I.)-Romex Protection
�"ation-Foam-Looked in Attic
�G
8uao_Rails & Deck Construction -Post Caps
dn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clear a Looked under Floor O Yes
83. F ing Instld./Drive O Yes O No/Walks D Yes O No/Planters D Yes 0 No
Stucco Brown -Finish
85. A.0 Unit Disconnect, Electrical -Plumbing
ents bove Roof, Plbg-Appliance-Fireplace-Clearance to Openings
8 at pr Well, Disconnect, Electrical, Plumbingxte '
O. or Elec. Trim, G.F.I. Receptacle -Underground
8 pntalation Throughout House
9%.iC9Frections from Previous Inspections
Cis Test -Meters Tagged, Gas -Electric
Valer & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
9 . ddress Posted
D '" Car B-1 Date Card B-1
Dat B-1 Date Card B-1
Date r B-1 Date Card B-1
Comments af Fin
J=OK
0 = Not OK
. = No ReaQyApplicable
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements-Setbacks-Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location-Test-Fall-C/O-Concrete
4.
Water; Location-Test-Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp-Concrete
6.
Gas; Location -Test-Wrap; -/ /" L'ft.
/ P Nat. or / /" L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1.
Zoning Requirements-Setbacks-Easements
Card B-1 Date Card B-1
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
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards- Ins. to Main Conduit
11.
Cert. of Occupancy
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements-Setbacks-Easements
2.
Footings; Size-Spacing-Marriage Line
3.
Blocking
4.
Gas; MH Test-Demand-Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10,
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards- Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
3
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES: BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT o4 - 0'-5-70
ASSESSOR,=ARCEL(N'U-B_.ER _
IVL
ZONING
R1
BUILDING PERMIT
OWNEER(���r—!'WV
SIUHM 894-0994
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS
4011 SPYGIASS ROAD CHICO CA 95973
I� b/ •
CONT NAME NAME
TELEPHONE
CONTRACTOR'S MAJUNG ADDRESS
CONSTRUCTION LENDER
LENDER'S "UNG ADDRESS
Fireplace
Total Valuation $ .(X)
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$90.00' -
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$58.50
BUILDING ADDRESS
1809 PASA TIEMPO DURHAM
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 168.50
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
-
Solar or heat um water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ADnTTTtN3
Gas piping stem 1 - 5 outlets
15.001
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
R LESS
Main Service 20.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.`
License Class Lic. No. �
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ Iram exempt under Sec. Business and Professions Code for this
Main Service 200A TO 1000A
46.00NEW
CONST. DW LING OCCUP.
OR ADDNS. ( 6 ACC. BLOS.
SO
3.5QFT. 4.37
NEW CONST.MULTI.OUTLET
NON-RESID.
@7.50
aPONWEERAPFuS
GogCIR
Ex. Occup. OUTLET OR FIXTURES
B20 @ 1.00
Ex. Occup. .FIXsR� oR�
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
_ 24,37
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
,(Theabove sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 w"'iih those provisions.
!'
X %>f�.�a� 1 ��{ t,�J Date �_4"5? - _
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required or ex - ations over 5'0" deep and demolitio • r constructio
of structure �.o� e , 3 toric egg t. Q
Receipt No. % .�
Mobile Home Installation Fee $
Energy Inspection Fee $
R'!3-
TV PE TOTAL FEE $192.87
,,.,
HAz.
D FEES IMP FLOOD
CDF
PARCEL
,
pp
HD
ISSFIE
This permit is hereby issued under
of the Butte County Code and/or
indicated above or which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
%
Datey
Date
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
INTER -DEPARTMENTAL MEMORANDUM COUNTY
TO: BUILDING DIVISION, 0 VILLE SEP 13 2004
(DEVELOPMENT
FROM: A, ENVIR. HEALTH, CHICO SERVICES
DATE:
RELEASE ENV. I&AVH HOLD ON BUILDING FINAL FOR:
- OWNER NAME: $% SEPTIC:`- _-1ll�' WELL'": -
AP#: — 6 70 -00(,o ADDRESS/LOCATION:
b V_ O -3 .7 O �A\) (T)
Comments:
GL/memos/releasehold
INTER -DEPARTMENTAL MEMORANDUM
TO: BUILDING DIVISION,
FROM:
DATE:
ENVIR. HEALTH, CHICO
RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR:
--~ OWNER NAME: SEPTIC:--�' WELL:
AP#:19ga_ Cj 90"_ C�(Il/J ADDRESS/LOCATION:
Comments: 03-2606 dsf CLO /Z- 3-4; 4051-0770 AWd'1ib s 4ia'rd AF -0 --df!
A2 -7S
iz �3
GL/memos/releasehold BUTTE
COUNTY
AUG 2 6 2004
DEVELOPMENT
SERVICES
Y
" 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 indicat hat the following violations of butte county Ordinances exist at the
above address and a 4rected. Please notice this office when correction of work is
completed. If y any questions pertaining to this matter, or need additional explanation,
plea nt is office immediately.
l '�'3 le 0
WK_�
Dete�
REV 10/92
Inspector
_COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
• by 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PEGMM- NO.
(Rev. 12196) APPLICATION AND PERMIT }'+ "n,
AS SESSOR PARCEL NUMBER
040-670-006
��.�
ZONING
1..1
BUILDING PERMIT
OWNER �+/'��_��
S� SMUS LL
TELEPHONE
SO. Fr, OCC. _ BUILDING VALUATION
OWNERS MAILING ADDRESS
4011 AUGIAss cgiop cA
�i it 8390 % .00
1 bad 209916.W
CONTRACTOR'S NAME
. -..
TELEPHONE
11J 9 • Wg0
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace A 1.5w. ou
Total Valuation $Z18 9 9.
ARCHITECT OR ENGINEER
LICENSE NO.
-Filing Fee $ 20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee $1056.00
Plan Checking Fee $ W6.41JI
BUILDING ADDRESS
18
Energy Plan Checking Fee s23.00
$
PERMIT FEE s1785.40
LOT NO.
SUBDNIS IONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 1 7.00 10 .00
Solar or heat pump water heater 23.00
Water piping 15.00 15.00
Each gas water heater or vent 15.00 lij i10
•
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
y�,�� SINGLE FAMILY
Describe Work: :1F�L'^
-
Gas piping system 1 - 5 outlets 15.00 15.00
Building sewer 15.00 15 00
Mobile Home S IGI W1 920.00
PERMIT FEE $ 185.00
ELECTRICAL PERMIT I Fling Feel 20.00
Main Service aaov oR LEss
2o0A OR LESS 23.00 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 isin u11 force and effect. 3 ��
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for theNfollowing 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 this30
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
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
�
19 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 with ose provisions.
X _Date
Signature of'Applicant - 0Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.B
Main Service 200A TO ,000A 1 46.00
NEW CONST. DWEwNGOCCUP. O
OR ADDNS. ( a AGC. BLOS. 3.5aSFT:159.3C
EW
rNONR SIDT' MULTI -OUTLET QG 7.50
aFs WEER o =T IC R.
Ex. Occup. OUTLET OR FocrURES BAL Q'.50
PUNS
Ex. Occup. oflt Xmas RES D.OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ LV
MECHANICAL PERMIT Filing Fee 20.00
Heating L L . '4U•Wu
Cooling 25.00 Ol1.UV
Hood 6.50
Ventilation •RC1Its.00
AS f -L (Z j • b • ( )
PERMIT FEE S94.,5U
Mobile Home Installation Fee $
Energy Inspection Fee I $ 4b •
OCCCONST.
0
TYPE
VA TOTAL FEE $2420.60
HAZ•
D. FEES IMPFLOOD
CDF
PARCEL PD
HD
.,
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
! ^�
y v Date 6
PERMIT EXPIRES ON�
Dete'
/
Receipt No. i ! x
WHITE-D.D.S.-B.D. CANARY -ABBE AOR_ ...PIN=IN PEC,0P_y GOLDENROD -APPLICANT
-.7-1 lt_-I t U -t /- • C N
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 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.
,A—)
1 I � �s ►'Le e o1 e o/ /U i l -i
Date ` v 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) 53877541
CORRECTION NOTICE
2- Z5�7?-
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 tlyr'�office immediately.
.COUNTY OF BUTTE 4.•
►w-, BUILDING DIVISION t
r DEPARTMENT OF DEVELOPMENT SERVICES -
411 Main Street - Chico, CA - (530) 891-2751
7 County Center Drive - Oroville, CA - (530) 538-7541
3i
CORRECTION NOTICE
OWNER PERMIT NO.
.k
-;� 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,
{ r. please contact this office immediately.
rwddl u�Z i a�/
�3
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
s c Nvs7"�n 03-96"'p6,
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.
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
u
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 queslions pertaining to this matter, or need additional explanation,
please contact this office immediately.
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 '
sdqo
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.
rt
- 4 Inspector C/
REV'10l92`
r.
ENT
FEDERAL
NATIONAL FLOOD INSURANCFEAAGENCY
PROGRAM
ELEVATION CERTIFICATE
Read the instructions on Danes 1- 7.
SECTION A - PROPERTY OWNER INFORMATION
Stephen Schuster
BUILDING STREET ADDRESS Mcludir►g Apt, UniL Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
Lot Pasatempo Drive
O.M.B. No. 3067-0077
Expires July 31, 2002
'Far trrais►;oec«ryay use:
Policy Number
Company NAIC Number
CITY STATE ZIP CODE
Chico CA 95928
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Desaption, etc.)
Lot 6 Fauvway Oaks skin
BUILDING USE (e.g., Residential, Nonce, Addition, Accessory, etc. Use a Comments area, if necessary.)
Residential
LATTTUDEILONGTTUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):
( #ff- W -##fflF or W ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ OdW.
SECTION 13- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAIVE & COM INITY NUM3D2 B2 COUNTY NAM= B3. STATE
Bills Canty Uniroapask!Area &rtle CA
134. MAP AND PANEL
B5. SUFFIX
o a) Top of bottom floor (including basement or enclosure)
B7. FIRM PANEL
B9. BASE ROOD ELEVATIONS)
NUMBER
136. FIRM INDEX DATE
EFFECTNDREVISED DATE
BB. ROOD ZONES)
(ZareAO, use dePoltl ft
OWC0520
C
4une1998
060M
AE
1923
B10. Indicate the source of the Base Food Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile N FIRM ❑ Community Determined ❑ Other (Describe):
B11. Indicate the elevation datum used for the BFE in W. N NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
B12 Is the buffing located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (0PA)? ❑ Yes N No Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawwngs' ❑ Building Under C nstrudion' N Fnished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2 Building Diagram Number8 (Select the building diagram most similar o the building forwhich this oertificate is being completed - see pages 6 and 7. ff no diagram
accurately represents the building, provide a ketch or photograph.)
C3. Elevations—ZonesAI-A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, ARIAS, ARIA1 X130, ARIAH, AR/AO
Complete Items C3. -a4 below according to the building diagram speCdied in Item C2 State the datum used. If the datum is difletentfrom the datum used for the BFE in
Section B. convert the datum to that used forte BFE Showfield measurements and datum conversion calculation. Ilse the space provided orthe Comments area of
Section D or Section G, as appropriate, to document the datum conversion.
Datum Conversion/Comments
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? N Yes ❑ No
o a) Top of bottom floor (including basement or enclosure)
o b) Top of nerd higher floor
193.58 ft(m)
o c) Bottom of lowest horiaontal sinxiural member (V zones orgy)
o d) Attached garage (op of slab)
E
o e) Lowest elevation of machinery and/or equilment
W m
servicing the binding (Describe in a Comments area)
193.58 ft(m)
o t) Lowest adjaoent (fnistred) grade (LAG)
189.8 ft(m)
z
o g) Higher adjacent (fn'shed) grade (HAG)
189. 9 ft(m)
9
o h) No. of permanent openings (flood vents) within 111. above adjacent
grade 16
o ) Total area of all permanent openings (flood vents) in C3.h 4553 sq. in. (sq. am)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I certify that the informafion in Sections A, B, and C on this certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Seddon 1001.
CERTIRER'S NAME Leslie W. Coke LICENSE NUMBER LS 5712
TITLELand Surveyor COMPANY NAME Precision Surveying
ADDRESS CITY STATE ZIP CODE
717 Fdh Street Orland CA 95963
SIGNATURE DATE TELEPHONE
8-12-04 53DB65.4194
rJ IMPORTANT. In these spaces, dopy the coffesilmdrIg information from Section A. ry M,ghceDanparhyllse:
BUILDING STREET ADDRESS (Irhdudrg Apt, Ur>ik Su9, erhdrar Bldg. No.) OR P.O. ROUTE AND BOX N0. Paimr Nurber
Lot 6 P Drive
CITY
Cfroo STATE � �y � Number
CA
SECTION D - SURVEYOR, ENGINEER, ORARCWTECT CERTTFlCATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community otfhcal, (2) insurance agent/company, and (3) building owner.
COMMENTS
C3. a
The in6eriorgrade undercrawt space is notsubgrade on all sides,
bench mark is the curb flowlihe at the a 6ention of the South property lire of Lot 6 elevation 187.35
❑ Check here if athchmenls
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (IMTHOUT BFE)
ForZone AO and Zone A (vuit pout BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed.
E1. Building Diagram Number_(Seled the building diagram most similar to the building for which this cefficate is being completed –seepages 6 and 7. If no diagram aoanratey
represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or enclosure) of the building is _ ft(m) _in•(cm) 0 above or 0 below (check one) the highest adjacent grade. (Use
natural grade, I available).
E3. For Building Diagrams 6$ with openings (seepage 7), tine next higher floor orelevated floor (elevation b) of the building is _ ft(m) _ir.(cm) above the highest adiaoent
grade. Complete items C3.h and C3.i on front of form.
E4. For Zone AO only. If no flood depth number's available, is the lop of the bottom floor elevated it accordance with the eommuniysfloodplain management ordnance?
❑ Yes 0 No 0 Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or awner's authorized representative who Completes Sedlons A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA4mued or communiy-
imu BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHOR12ED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP
SIGNATURE DATE TELEPHONE
COMMENTS
SECTION G - COMMUNRY INFORMATION (OPTIONAL) [:1 Check here iFattachments
The local official who is authorbBd by law orordinanoe to administer the eommunitys floodplain management ordnance can complete Sections A, B, C (or E), and G of this Elevation
Certificate. Complete the applicable ihem(s) and sign below.
G1.0 The information in Section C was taken from otherdocumentaton that has been signed and embossed by a licensed surveyor, enghw,, or archtied who is autorwd by
state or" law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2.0 A community official completed Section E for a building located in Zone A (without a FEMA -issued oroommuniy-issued BFE) orZone A0.
G3.0 The following information (Items G4 -G9) is provided for community floodplain management purposes,
G7. This permit has been sued fon: 0 New C Wjuction 0 Skbsantial lmproverrhent
G8. Elevation of as -built lowest floor (including basement) of the building is: —ft(m) Datum:
G9. BFE or (in Zone AO) depth of flooding at the building site is: — _ R(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
u Check here ffclactrnenfs
Aug.)). 2004 8:14AM MEEKS CHIC0'` ' ?. ' + ! No•4587 P. 3
Certifiv
catc of
Conformance
Certificate 052736
THJS IS TO CERTIFY that the glued laminated timber
aEn9.lr7eerW Wood Systems (EWS were rn Products identified with a cone •�e mark of
and associated t anufactured in accordance with the applicai:i" standards
specifications indicated below:
ANS( Standard A'190,1_1992, Por good Product's— Structural G{ued
Laminated Timber
NER-486 Glued Laminated Timber Combinations And "GAP"
C�Omputer Progrrm For Determining Design Stresses
AMC 117-93 -- Manufacturing -- Standard Speancations >✓or Structural
Glued Laminated Tmbar Of Softwood Species
IT IS HIwREBY CERTiI`lED tf12t'he APA. EWS trademarked stru-ctural glued laminated fir!;;;ar members
wood Systems (E
wore produced in a manufacturing facility subject to regular audits in accordance with the : riginSere1
tNS) Qu3liiy ,gssurar?ce m � pro ra.
H
manufacturin r g' outlne audiis include inspec:iion of the
9 P ocess and evaluation of the in -plant QA program with adequate samfyi �g t4 verify
cprtorman'q,e to industry standards for lumber grade and giueline bond quality.
C�f./dj'ISeYl7L,
J / @-C-,e
5
��,oe'►rrrii;ti�l
s
4TI�
..r,.,��
by J
Thus G•, Wil(iamsci!
Executive Vice Presiu(:!)t
K,00D S1 STC".3 � 9f.Ofpr,re�,pn Q) Rf!9 - :'.Y[ EiJL IN ^�
70+ i Scwm 1911 51,QIIi • fop, 1700 • 7 acO" EEAF,, 1"000 OCK7r �n T
'Iwievh0r : (253) s6_,-owu . Fer ru k WA 9i•'41)-070
mer. 1752) SGS.7.2$,,
OCT -12-2003 SUN 06:42AM ID:, PAGE:3
CertainTeedM
Builders Statement InsulSafe 4
Fiber Glass Blowing Insulation
Homeowner Name / Jobsite Name
0CJL
e Addres
Installer/Contractor (sign) Company Name Date
Builder (sign) Company Name Date
Inspected By (sign if required)
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. It. of
installed insulation should
not be less than: abs.)
Should not be
less than:
(in.)
60
36.5
27
0.986
22
49
29.6
34
0.800
181/2
44
26.4
38
0.712
163/.
38
22.8
44
0.615
143/4
30
18.0
56
0,485
12
26
15.5
65
0.418
10'/2
22
13.1
76
0,353
9
19
11.1
90
0.301
r/.
13
7.7
129
Q209
5'h
11
6.6
151
0.179
43/4
THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION
• In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. fl 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. fL 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.
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 02002 CertainTeed Corporation 11/02
R -VALUE
THICKNESS
AREA (SQ. FT-)
INSULSAFE • )
BAGS USED
BATM/ROLLS (✓)
CEILINGS
1,4
WALLS
FLOORS
THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION
• In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. fl 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. fL 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.
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 02002 CertainTeed Corporation 11/02
January 22, 2004
VerticalTechnology
Engineering
M Rio UmbAe #2W, � CA, 9891
PK(SM) 899eM F& CSM) 89 -9 -SIM
RE: Lot 6, Pasa Tiempo, Chico, CA
To Whom it May Concern:
Per your request we have reviewed following:
1. We observed placement of epoxy anchor bolts for shear foundation sills as
required per structural specifications. Anchor bolt installation appeared to be in
conformance to the manufacturer's specifications and meet the structural
requirements. No exceptions taken.
1
60387
*� FAP- eV30a 4 /
p,ROFESsjOygl
v'�'4 D.
J
No. S 4732<�
Exp. 6/30/06
SOF CALICO
Schuster Homes
A land development Co.
4011 Spyglass Rd
Chico CA 95973
SCL#483969
(530) 894-0894
Cell 570-6400
Hm 894-5875
Fax 894-2256t/�rJ✓
Aug 9, 2004
R.E Lot 6 Pasatiempo Dr. Chico CA
To whom it may concern:
The additional 6' extension of the master bedroom was done per approved plan. The
additional footings were actually dug 18" into native soil and were 12" wide. #4 rebar
was extended from the original pour at 18" intervals horizontal with 2 #4 bar placed in
bottom of footing. This was done at time of first concrete pour and was done by drilling
forms and extending the rebar 6' into the wet concrete. In addition we stabbed #4 bars
vertical at 36" O.C. from bottom of footing to top of form for additional reinforcing.
*ThyoSchuster
SCL #B493969
VerticalTechnology
er Engineering
M Rio LrcbAe #200, Chian CA, %M5
� AAAech PK PO) &&M6 FbxPO) 899-1=
�4 dG'Jj vim.
August 9, 2004
RE: Lot 6, Pasa Tiempo, Chico, CA
To Whom it May Concern:.
The foundations at the back of the house were extended with the review of our office.
The foundations were to be 12" wide and 12" min into undisturbed soils with a single
#4 bar continuous at the bottom of the foundation and a single #4 bar continuous at
the top of the foundation. With these requirements met or exceeded the structure is
safe to inhabit and meets the intent of the building code.
?ROFES��Q��l
d�S� D. ly( F2
� G
N0. S 4732<�
Exp. 6/30/06
\s�9 CTU'�v
�OF CALtf����`Q,
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 rou line 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 anyqu tions pertaining to this matter, or need additional explanation,
please contact this o" imately.
1-4/,
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 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.
/-() o fct� f- a a -K k0l) /I-) w (4+1f;1 1 Z r
o v s�ov( W � ( meeL)
Alv-
00- K4 4 Ar " , Com" a.19
N ( `,
Mtv iVrvc
CpUNTY OF BUTTE.,.,.,.,. ,
BUILDING DIVISION
j DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
RRE TI
C
r O C ON NOTICE
SANER PERMIT NO.
-t
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,
r• please contact this office immediately.
r
Date ZQ- `+4 - t�' Inspector
REV 10/92
FROM : VERTECH ENGINEERING
;7,.
ill
• r
Verticaffechnology
Engineering
383 Rio Undo Ave Suite 200, Chico, CA 95926
Ph. (530) 899-8716 . Fax (530) 899-1102
Email MDHPE@sbcglobal.net
PrPr_ oject Schuster 3389
Date: 1/20/04
Re: Missed A.B. at shear walls fix
The fa for a missed'/" dia. anchor bolt at a shear wall is as follows:
1/2' dia. threaded rod in a 5/8" dia. hole with 4 '/4" embedment into concrete
secured with Simpson ET epoxy* Install per Simpson recommendations. A
VerTech representative must be present to observe installation and
conformance to Simpson installation recommendations.
,f.y
FAX NO. : 530 899 1102
Jan. 20 2004 12:51PM P1
{
MAR -22-2003 SAT 12:37PM.ID: ti
6i301Q4 �
GA`!�
PAGE:1
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WITH 7" EMBED
ADD'L
(1)
(3)(2)
LAD
FASTENING (3)
CUP SPACING
NOTES
2X PT SILL 3X PT SILL
6
`'
3/8"
260
12d 7'
A35
1/2' DiA.
1/2' DIA.
O.C.
1'-a" O.C.
3'--0" O.C.
3'--6" O.C.
4
e
3/8"
380
124 4.75'
A35
1/1" DiA.,
1/2' DIA.
O.C.
1'-2' O.C.
l'-0' 04%
2 -6' O.C,
(4)
3
3'
3/80
490
12d 3.75'
A35
1/2' DiA.
1/2' OIA.
(4)
O .C.
11�O.C.
0 -10 O.C.
1-10 O.C.
2
2'
3/8"
640
12d 275"
,A35
N jJ+
1 jr DiA.
f4�
O.C.
a O.C.
a -a ac.
4/4
40
760
2
DC.
7' OC.
N/A
1OSIDES
-r tCO.C.
(4)
3/3
3
2 SiDES
3/a"
_
!E0
20d 275'
O.G
A34
4.5" O.C.
N/A
I /2" DiA.
110 O.C.
(4)
2/2
2 SIDES
3/a.
1280
2 O.Q
3.26 O.C.
N/A
0_ 9- C.
(4)
1. FRAMING: USE 2' NOMINAL OR WIDER DOUGLAS FIR LARCH, PT OF FNDN Sill, STUDS
AT 16' O.C. MAXI BLOCK ALL PANEL EDGES.
2. SHEATHING. USE APA RATED (32/16) SHEATHING U.N.O. APPLY SHEATHING AND
NAit.ING TO BOTH SIDES OF WALL WHERE SPECIFIED •2 SIDES'
3. NAiLS: USE ad COMMON OR ad GUN NAILS (DIA. - 0.131') EDGE NAIL AT ALL PANEL
®GES. TOP PLATE, SOLE PLATE. MUD SILL, POSTS, AND HOLD-DOWN COMP. STUDS/
FIELD NAiL AT 12" O.C.
124/161 SINKER SHANK DIA. '•0.148", 204 COMMON SHANK DIA. -0.192-, SDS
DEN01ES *SIMPSON* SELF DRIWNG SCREW
STAGGER SILL FASTENING AND PRE -DRILL PILOT HOLES (MAX 75% NAiL DIA.) TO AVOID
SPLITTING WALL ELEMENTS.
4. USE 3X NOMINAL FRAMING AT ABUTTING PANEL EDGES AND STAGGER NAILING.
TYPICAL SHEAR WALL SCHEDULE
NO SCALE
W300
0
VN
It
. ,-
BUII_D
iN
VSD 2 L = ', goo
RAJ
Ile1 1'2 20' 1 D _ T 52'8 19'6
4'$ 412 1415
JABOVELTHS
<z 2AP GN 2X GEE - 12.5' <<I�D rj' 41i� 8016
6i.�C�Ck- F i-I�t_T . fel L.�•.- l • T2ABOVE ALL THREE
S.H. S.H. S.H. 6 PHD 26 S.H. S.H. S.M.0060• 5060 '5060 - - - -
5060 3060 5060
_----------------- - �_ -- ------ - -
di ID t4DD move, w"rJOVU6
- • LOZ I•HO 2 ;n
xr�
3'6
MOVE O:e
6AS ONLY 0 vi
1 In
L1"1 FIREPLACE 6h5 ONLY -1 I 61+15 ONLY
30eoF Wul
W" FIREPLACE Il
M �n MASTER BDRM ��'"`�`
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101-01 .268o fG�l
10` - o•
5 7- �k RAFTERS * PHD 2 FA OILY
Ncw 1
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v
g Na. c 60367 -�
* Exp. 640/04 '>*C
CIV1�- �t
T�OF CALi►�a4�
THESE PLAF: VE BEEN REVIEWED
• ONLY FOWITkN4C M PUANCE
RIJCTUR+►. CALCU T1ol1
[
L 9' 1 O 8 6016 L 8 6016 1�N
FHD 2 �[ LT. VE Q LT. ABOVE LT. ABOVE :t GL05ET PANTRY PHD 2
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-------------------
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PHD 2 n i I CEILING '� PHO 2 PHD 2 PHO 2 PH D 2 PHO 2 1 I 1
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6'4 I I'" I ) FIREPLACE GREATROOM 1 VININ& I
I i 14o ' 1 b' -O• + ! 0 1 a- KITCHEN
PHI;) 2 t- 0 l ley -d" O n 1 N
4 -TON 1 j0
1
GOND. 1 ART NICHE I ro
SELECT
ElDF.
1 sTUDs • � c• o,G.
:21]
MASTER BATH
10
:+- ty `f i 2' X !' D� SELECT 1 I (
V h I STRUCTURAL 5TUD5
•-------------------------- ------ , I 1
2,q -1 ) 1 I 1 SE�zVIGE
2'6 I O 1 1 t DI5GONNEGT
• � 1 � 1 fl, ••- N � I I
0 1 , 17
tv�-_----------------- ------
PHD 2I
PHD 2 PHD 2 I I F L 13.5' f I
r6 1
I I __------
HP
7810 - 8050 8050 -.._-.--_---__ .__ __ T ---------- ---- P
6 I
3 ( 1 bob0 6080 _. V
1
1 I Q 1 1 6016 6016
1 ( L , 4.5, 1 1 I 1 LT. ABOVE LT. ABOVE I PHD 2 LINEN /�
1 11'2 16'5 I 6'6 1' N ! J 4 -TON
20 7 n 5'6 25 GOND.
1 3
1 i �3REEZE1�lY i j - t ENTRY i -�10m j
fpORCH 0 1:3ATH-2
I I , 1 q' -O' 11 XQ iii 1O' -O" ry .li iJ
1 I I I
EXPOSE,:)1 I n HALL
L L
1 t RAFTER I -
PHD 2 , t L! f' FHP 2 iJ
-
1 1 ! 10'-0"
2660 _ i
i O
sob I
2050 _ 1
_ I 1 1 FLKED 3000 2050 FPHD 2
IXED ---- __
t
w A
I PHD 2 PHD Z 1 I I n D1
t 1 i 1 I %)1 I 50 GAL. NATER HEATER Irl/ I , p I -
- - - - - - -- -� P.T. YALYE AND DISCHARGE 1 � `0 I t p �
To OUTSiDE tN/ smsmiG i N r I ( BEDROOM -2 j STRAPS AT POINTS lAIITHIN 1 1 t 101-& n Ju
J
l THE OFFER AND LONER 1 I )
LINEN [
I i I u •a
ONE-THIRD OI✓ IT'S VERTICAL � �
I DIMENSION, THE LONER
1 6,8
I ANCHOR/STRAP LOCATED 5'6 ,2
iA 1 1
TO MAINTAIN A MiNIMUM 814 Oz
I
111 DISTANCE OF #" ABOVE THE
I CONTROLS.
t I , p ---------1
F'AGfCAGED POR HOT I i I
Y�IATER REGIRGULATION ) I tai 1 � s� °N I ATTIC FURNACE � L 18.25'
SYSTEM: 1 f BR EEZEINAY 10 t TOROOF 1 HD 2
O I
TIMER: GRUNDF05 I I PHD 2
+vo X505474 i q' -O" - -
-_-.1 1 , EXPOSED
I PUMP: GRUNDFOS PHD 2 i j - COURTYARD 1 1
1
SU15-
1 4 1 24'X56" ,
P- i 5- 7 85V 10 1 ATTiC 1 0
AGGl=58 1
I i1250 ! 1 1 25
'
I + ! I c,LO5ET o
_2abo-
LAUNDRY
• jj s ) � 1 n
I I I 1 1 Yi q ) 1
I I i 1
PHD 2 I GARAGE ; -_. i , x , PHD 2
FIREPLACE 1 � 4 I
I 1 O' - 0'
I I I
in
1
I I 1250 b .d
FIXED h J
I m
I I •--
--------, FouxrhlN j I o rfo I..
PHD 2 I i 11 BATH -
d �� _ PHP 2
BEDROOM -1401
I 1
n
"V 2 G n 200
o
O I,L AMP.
4 OSET
r" p ' .:.: ; , ; ►; , x .., ,, I 1 L - 9s' 1 1 SERYIGS
1 I •
-- - -- - i m II .
I I 1 Is 566 X020
PHD 2 5.H
-------J ARCHED
12'1 1 I I
1 1,-0. 14,4 218 812ol
L
NO (5ATED ENTRY
PHP 2 - 5' 75' Ill 1 1' - O" VAULT 6ENGH I
�7 PHA 2 ;Di
O a - - - - - - - - - - - - --
-- -
1- - -------- - - - - --
------- - - - - --
I
tr 2660 2660
Q S.H. 5 H -
i11
2666 1
FIXED ARCH
1 7'
25'q
6 tier
15'4
5'q
16'10
FLOOR PLAN
DIMENSIONS
1/4"- 1'-O"
REVISIONS BY
■
SCALE:
DATE:
U.S.A.