Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
061-460-043
SPECIAL JNSPECTION #96-0013 1/14/97 CONV OF SCHOOL BUS STG TO PRI SHOP . / tz (o/ -q6 -y3 .�. :. Berry Creek School W/S Oro Quincy Hwy, @ Berry Creek School, Berry Creek A;ma %'1� contr: Erwin Roofing, Orovi le 1 Permit #4612-80B(reroof/class.r.00m) •061-460-043 PERMIT#96-1582 McBEE, Roland 9861 Oro -Quincy Hwy, Berry Cre k Cont:'Roger Soudan Const. Conv Schoolroom to'SF'--- / 97 061`-46-0-043 96-2819 MCBEE, ROLAND CONTR: SOUDAN CONST.,ROGER .9861 ORO QUINCY HWY, BERRY CREE - ELE SER FOR -GARAGE t L •k -ice _ .�...�� __�_—_` - — - _ate-"'�\ ^061-46-0-043 Y. 972562 BPEM ,MLBEE, Ronald ' `\ t, 4 9861 Oro Quincy Hwy, Oi',oville (add; bedroom, bath& deck) Soudan: x. r 061-46=0-043 99-0242•B• McBEE, Ronald _. 9861 Oro Quincy Hwy, Orovil ei (1st renewal/97-2562) 061-460-043 04-0218 FEDERAL HWY ADMIN, 9861 ORO QUINCY HWY, BERRY n LE CREEK Cont: OWNER COMM COACH (6 MNTHS) /t—t-'*7-zAT3 MM i MASONRYWALLS N E S W I &Lift 2nd Lift 3rd Lift 4th Lift 5th Lift 6th Lift FIRE WALLS (Occupanc , Area, Property) Gypsum Board' 1st Layer 2nd Layer Walls Ceiling 10 NOTES , F Z,c-,- 1 .s t COMMERCIAL 061-460-043 04-0218 FEDERAL I.INVY ADMIN, 9861 ORO QUINCY IJW- , BERRY CREEK Cont: OWNER COMM COACH (6 MNTIIS) � OFFICE COPY Address M=- ELECTRIC Meter By Date JOB FINALED (Date) —2— 1d6 Signature o,�d.,tf 44ti&� V=OK O=Not OK = Not Applicable ' = Not Ready COMMERCIAL Date UNDERFLOOR (Plans) OK except if's Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope -Soil Report _ 46. Hangers -Post Caps -Anchors -Connectors 2. Fig., Main; Soils-Ufer Ground.-Ftg. Depth 47. Roof Shthing-Nailing-Diap.Chord Splice 3. Hold Downs -Bolts -Straps -Embedment -Hair Pins 48. Firewall-Doors-Area-Occp.-Prop. 4. Concrete -PSI -Cert -SP. insp.-Loc. 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 50. Glu -Lam cert. -Placement -Support 6. Reinf. Steel -Grade -Placement 51. Steel Buildings-Purlin-Girders 7. Slab; Steel -Wrapped -Wire Mesh 52. Property Line Firewall & Openings 8. Piers -Steel 53. Ext. Doors -Handicap Access 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 55. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Siding -Nailing Veneer 12. Electric; Underground, Underslab 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Glazing Area -Glass Protection -Skylights -Plastic -Fire Port. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Shear Walls -Plywood-Nailing-Conn to Roof 15. Masonry -Rebar -Lifts 60. Insulation -Walls -Ceilings 61. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 62. Corridors -Openings -Fire Protection -Framing Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 167 Water Htr.; Vent -Access -Combustion Air -Baffle Date Card B-1 Date Card B-1 17. Water Pipe; Test & Anchor -Nail Protection Date Card B-1 Date Card B-1 18. D.W.V.; Test -Fittings & Anchor -Nail Protection Date FINAL (Plans) OK except #'s 19. Sinks -Floor -Grease Trap 63. Ext. Steps -Door & Sidelight Protection -Landings 20. Handicap-W/C-Backing 64. Exits -Size -Number -Placement 21. Gas Pipe; Size & Anchors - Firewall Penetrations 65. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Date Card B-1 Date Card B-1 66. Sprinklers -Placement -Test Date Card B-1 Date Card B -t 67. Suspended Ceiling-Seismic-Wires-Elec-Light & Mech. Date ELECTRICAL (Permit) OK except ff's 68. Elec. Trim & Subpanel; Breaker Sizes & Labels 22. Fixture & Transformer Clearance -Ins. Protection 69. Stairs & Rails 23. Single Phase -Three Phase -Equip. Bond 70. Handicap -Door Levers -Fin. Floor 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets at Wood Panel; Int. & Ext. 25. Romex Installed Close to Edge of Studs & C.J. 72. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. Above Floor-Mech. Protection 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. Plb., Elec. &Mech. Equip. Listed for Location 27. Wiring -90° -Protected -Color Coded 74. Insulation -Foam -Looked in Attic 11 Yes 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Guard Rails &Deck Construction -Post Caps 76. Fdn. Vents & Crawl Hole Door-Draina e & Wood -Earth Clearance Looked under Floor Yes 29. Fire Resistive-Fixture-Conduit-G.F.I.-Susp. Ceiling 30. Service -Riser Conductors & Ground -Main Disconnect 77. Stucco; Brown -Finish 31. Equip. Clearances Panels-Motors-Mech. Equip. 78. A.C. Unit; Disconnect, Electrical, Plumbing 32. Fire Wall Penetrations 79. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 80. Water Well; Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground Date Card B-1 -Date Card B-1 82. Off Site -Parking -Handicap Date MECHANICAL (Permit) OK except ft's 83. Glass Protection 33. A.C. Ducts Insulation & Support 84. Corrections from Previous Inspections 34. Vent Fan; Exhaust above insulation 85. Gas Test -Meters Tagged; Gas -Electric 35. Condensate Drain & Overflow; Size & Grade 86. Water & Sewer Connected -C/O to Grade -HD Approval 36. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Energy Compliance Certificate -Other Certificates 37. Attic Access & Platform if Furnance in Attic 88. Roofing Certificate -Fire Rating 38. FI.V.A.C.-Ventilation-Roof Access 39. Smoke & Fire Dampers Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sils, Proper Material & Anchors -Hold Downs 41. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops; Furred Ceilings -Stairs -Chases 45 Headers & Beam -Size & Bearing -Support Fix. (NOTE: An entry must be made each Certificate of Occupancy time you visit the job site) 7 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 12 U9 ASSESSOR PARCEL NUMBER 061-460-043 ZONING 1 11 BUILDING PERMIT OWNER FEDERAL 14TGHWAY ADMIN TELEPHONE I SO. Fr, OCC. BUILDING VALUATION OWNM IMAD6`15V WILLOWS CA 24,840.00 CONTRACTOR460 'S NAME owwa TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $24, 840 00 ARCHITECT OR ENGINEER LICENS E NO. Filing Fee $ 20.00 Permit Fee $ 126.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkini $ 81.90 BUILxgg pREORO QUINCY WY BERRY CREEK �j (�l Energy Plan Checking Fee $ $ PERMIT FEE $ 227.90 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPEcIFv 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: COMMERCIAL COACH (TEMP 6 MONTHS) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 500V LE Main Service A 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 is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: (�! I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 workers' compensation provisions of section 3700 of the Labor Code, I shall omply with those Prov' ' Date plic - ❑ Owner ❑ Contractor ❑ Agent VOSHArequired for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DwEwNo occuP. so OR ADDNS. ( a ACC. BLDS. 3.50IFT: �NjO R.,. ST.MULTI-14 OUTLETCITS @7,50 OWER APPARATUS b SINGLE OUTLET CIR. Ex. OCCu OUTLET OR FIXTURES 20 @ 1.00 BAL O .SO Ex. Occup. ovntTs AESS,,D OE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 320.90 HAZ. I D. FEES IMP I FLOOD I COF I PARCEL HD 5 This permit is hereby issued under of utte Cou Code and/or ndicat I e f r which fees have PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Da 2 6 OS D Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .r7 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville,SA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OW : `tNERPae ra_Q �YY� ASSESSOR PARCEL NUMBER-( ` `1 (p D- (D�� Proposed Building Use: C-40" Counter Technician: / p 1 Date: 1,9 O Item&irequired in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. l 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. C.- 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ` 3. Engineered glans, 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 ��15.14. Hazardous Material Form0 ¢ Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. G , �D J ❑ 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: ............. ❑`. 24. Planning approval (A) Use:QK (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. Contract6r'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 � � 01�,4�i - 5Z 7c' "7 and hold for pickup. I53c� CO - I have been informed of the above i ems and requiremen s for obtaining a building permit. Applicant:,, �/ / �:°ylj Date: 1. Index permit application for t�a6ove items numbered: Ian Check [Atter 2. Additional items required i Contractor, designer,©was advised of the above data by '' ,phone, ❑ mail, ❑ counter, b Date: 3 0 Contractor, designer, owner, was.advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date : Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division I— . F.M. RICHELIEU ENGINEERING Engineering & Design Services 10611 65th Ave. LOS MOLINOS, CALIFORNIA 96055 (530) 529-0720 CA Lic. #28202 • OR Lic. #16294 JOBEISERA� 1. HWY. ,Ub1`-1 Ill. F I IDS dL raEFI"C SHEET NO. OF 3 CALCULATED BY P 1'1 13- DATE J,AE 16 , 10!t CHECKED BY DATE SCALE F.M. RICHELIEU ENGINEERING Engineering & Design Services 10611 65th Ave. LOS MOLINOS, CALIFORNIA 96055 (530) 529-0720 CA Lic. #28202 * OR Lic. #16294 1K 1. JOB Fet?E�P-Aj, HWY &M)M. ID4-4 arc;tya) SHEET NO. OF CALCULATED BY P III RL DATE 04tl, 1c7,4p CHECKED BY DATE SCALE .... .... .. .... . .. ... .. .... .. ... . ..... . ..... . . ....... .. . . .. ........... .. ....... ...... .......... ........... .............. ........ . . .... .. . .. . ........... coo i 4. �zC( i�/ + PROMICI M4-1 )SI r4k Shos) St (Ndded) F.M. RICHELIEU ENGINEERING Engineering & Design Services 10611 65th Ave. LOS MOLINOS, CALIFORNIA 96055 (530) 529-0720 CA Lic. #28202 9 OR Lic. #16294 PADDULI ?,04-1 (9* Shfth) 205-1 (PaM) .. . ....... ............. .... .... .... .... . ....... . . ..... ... .... .. ........... . ..... ... ............. . ............. ............... ............. .. . JOB FP,12W,,61. HW!f 1 mvla SHEET NO. ..... . OF CALCULATED BY Fm DATE A& H o 15' CHECKED BY ....... . .. .............. .... ... ... l a DATE SCALE 140 .=7>....... . ... . ... ..... PADDULI ?,04-1 (9* Shfth) 205-1 (PaM) .. . ....... ............. .... .... .... .... . ....... . . ..... ... .... .. ........... . ..... ... ............. . ............. ............... ............. .. . ........ . ... ..... . ...... .... . ... . . . .... . .... .. .... ............. .40 1.- 1 mvla . .... ... ..... . ......... . ... .......... .. . . ...... .... . ... .. ..... ..... . . ....... ....... . ....... ....... . .. .............. .... ... ... l a 1.12 K 41 140 .=7>....... . ... . ... ..... r,> PADDULI ?,04-1 (9* Shfth) 205-1 (PaM) A i' January 23,2004 To Whom It May Concern: We have given the Federal. Highway Administration, permission to rent a portion of our property for their office trailer. The project engineer, Orin Lee, has our. permission to obtain any permits or services required to set up the trailer or obtain electrical or other services for the operation of the trailer. Roland & Mary Lou McBee 9861 Oro Quincy Hwy. Berry Creek,, CA 95916 rs �,. tF, ' E.H. ONLY Piot ilea Attached USE d Floor Plan Attached 90— 4x So to B. ! vc TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Lo tion AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: G'DyE.e �/ iF U•y.Pom Ti�AiLe2 7'0 Final clearance O.K. for: milia?7- NOTE: a 4V mental Health Wecialist Date 8/96 �OUNTYOFBUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION Qas 7 'County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 P� MIT 1Q� (Rev. 12'/96) 11 � APPLICATION AND PERMIT AS SES3UR PARCEL N?JMBER 061-46-0-043 ' ZONING BUILDING PERMIT OWNER ROLAND F MCBE TELEPHONE - SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9861 ORO QUTNCY HWY BERRY 636 R 34,344.00 47 7 C 6,201.00 CONTRACTOR'S NAME_ TE HONE ' ROBER SOUDAN CONSTRUCTION 589-0799 CONTRACTORS MAILNG ADDRESS 50 HASSLER COURT DROVILLE, CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 356.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDING ADDRESS Energy Plan Checking Fee $ 2-3-00$ _RF Ry CREEK, 99916 PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF a Duplex ❑ Mobilehome ❑ Other SPECIFY ach Trap 7.0021-00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition )17 Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD BEDROOM AND DECK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Feel 20.00 600V OR LE9 Main Service 200" OR LESS 23.00 TRACTOR'S D LARATION 1 hereby affirm under penaltyjury that I am lic used under provisions of Chapter 9 (commencing with Section f Division 3 of a Business and Professions Code, LICENSE/DEDE and my license is in full forceffect. License Class Lic. No. OWUILDE DECLARATION I hereby affirm under penaltyjury t t I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the propey mployees with wages as their sole compensation,Mobile will do the work, and ture is not intended or offered for sale.❑ I, as owner of the propm exclusively contracting with licensed contractors to construct the proje❑ 1 am exempt under SeBusiness and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. L.S. SO `z2.2 3.50so NON-FISNEW 11DT MULTI.OUTLET cl cu @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES flAL .50 2L@ .50 EX. OCCU OU7ELL7$Pq 1DOEA 5.00 Temporary Service 23.00 Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE t WORK' COMPENSATION DECLARATION 1 hereby affirm ender per Ity of perjury one of the following declarations: ❑ 1 have a.Td will aintain a certificate of consent to self -insure for workers' compensation, s provided for by section 3700 of the Labor Code, for the performance of he work for which this permit is issued. ❑ 1 have and will aintain workers' compensation insurance, as required by Section 3700 of the Lab r Code, for the performance of work for which this permit is issued. My workars' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation 1 4.5 1 4.50 PERMIT FEE $ 39.50 Policy Number (The aboie sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify 1:1 -at in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date _ i �t�t _ Signature of Applicant - ❑ Owner ❑ Contractor El Agent An OSHA permi- is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 Occ CONST. TYPE TOTAL FEE $ 811.16 A D. FES IMP I FLOOD I COF I PARCEL I PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Dare Receipt No. 206742 —.287.93// WHITE-D.D.S.-B.C. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541P10MIT NO. APPLICATION AND PERMIT �� -C;?sps VF ASSESSOR PARCEL NUMBER 061-46-0-043 ZONING BUILDING PERMIT OWNER ROLANIt F MCBEE TELEPHONE — SQ. FT. OCC. BUILDING VALUATION 96-78.4 3 3 OWNERS MAIUNG ADDRESS 9861 GIRO QUINCY iRbIY BERRY CREEK 1� CONTRACTOR'S Nr.ME ROGER SOUDAN CONSTRUCTION TELEPHONE 589-0799 WHITE-D.D.S.-B.D. CANARY -ASSESS PINK -INSPECTOR GOLDENROD -APPLICANT CONTRACTORS MAIU D ESS r-. /� 50 �L.►'t _ lcltp4' ©v1 Fireplace CONSTRUCTION LEdDER UNMOWN Total Valuation Is yro 5 Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee o $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ 9 nn ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESE 9861 ORO QUINCY HUY,E EER PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 21-00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 15.00 USEOFSTRUCTURE SF CK Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 TYPE OF WORK New ❑ Adcition q� Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD BEDR00141 AND DECK Mobile Home S G W @20.00 PERMITFEE $ 53.00 Contractor ELECTRICAL PERMIT Filino Fee 20:00 Main Service 000V OR LESS ( z00A OR LESS ) 23.00 Main Service 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class H5?7713 Lic. No. C bl3$g 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 - 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. bi I have and will maintain workers' compensation insurance, as required by Section 3700 o the Labor Code, for the performance of work for which this permit is issued. My -workers' ompensation insurance carrier and policy number are: Carrier � NEW CONST. / DWELLING OCCUR OR \ 8 ACC. so 3.5{ FT. CNS. NEW CONST. MULTI -OUTLET UTLE NON-RESID. ( BRANCH CIRCUITS ) (_ 97.50 lV ( a POWER APPARATUS ) SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL 50 Ex. Occup.(oFI ELETS PLNS..OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ - Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating FPRCED AOR. 15.00 Cooling Hood 6.50 Ventilation 1 450 4.50 PERMITFEE $ 39.50 Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 hwi`h c Iy with those provisions. ZX / / X � BL Date til --- Signatur of Applicant - ❑ Owner q3l�_Contractor ❑ Agent An OSHA per TLit is required for excavations over 60" deep and demolition or construction of structures ever 3 stories in height. Mobile Home Installation Fee is Energy Inspection Fee $ 46. 00 cc CONST. PE TOTAL FEE $ S"46 ,11 HAZ. EES IM FLOODCD ARC PO P:2' D ISSUE This permit is h issued under of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON the applicable pro sions Resolutions to do work been paid. Date ReceiptNo.20� ��'� 2 73 WHITE-D.D.S.-B.D. CANARY -ASSESS PINK -INSPECTOR GOLDENROD -APPLICANT (Date) �, ..y.,,,,,..nr4'M..tiv�.2�rr'7Y-., F-,art'�..re.-•,r.�I'�....{1.1.Y-..-.,t-_14�/�r►.r,..,., r,,N't•-��•,,n+rly�'a�N.'�...-.��✓trt�rJ'fT�+•�`'r"' �^Y'.,�.,.+....-n..^�i�. •�r•n,. :_�...:.•r= .t• ;d'T.=i•iw •r*iti"vti•-�• -+ •. ' COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES.- BUILDING DIVISION 7COUNTY CENTER DRIVE,p OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 _ PERMIT APPLICATION DATASHEET OWNER (r'. ��R C om.. A. P. No.f7 (_ L� - C) y-3 Proposed Building Use. 04,t - ft .S Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1a,All items have been submitted. . C2! Plot plans, 3/4 sets, signed by preparer of plans . .......................... Z" 3. Complete plans, 3/4 sets signed by preparer of plans . ...................... Engineered plans and calcs /4 sets, with wet signature on plans. CP fl- 9 7 Ca.2t.d 5. Hazardous Material Fo ............................................ . Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). Mobilehona data nd manufacture 's installation instructions, 2 sets. ........... Fees of $ 2 ....... .................. Impact fees as shown on attached schedule .•..... f.6 � .:- . 12. California Department of Forestry plan approval/fees. ....................... . 3: Flood elevation letter (100 year flood) by California, Engineer ................... Sanitation and plot plan approval UYy Health Department . ............ 15. City of Chico plumbing permit . ........................................... 16. Plot plan and business license approval from City of Biggs/Gridley. .............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection forP`�"�egns regUlred. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate, of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............. 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use. . . . : ..................................... 28. Mobilehome utility clearance. ..... . ................................. 29. Documentation of legal access . .....................:................•. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... A331' PI check lis . . Existing violations/expired permits . ...................................... t................... :. . .... . re . r ... �o . 34. ?r01 'P r When you issue the per it, process as follows: - Mail to owner. Mail to contractor. %L Telephones KK v 7 and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage V`Applicant Date 1014 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be:submitted prior to permit issu n e: (Circe ne_w4egI not checked above). 1. Index permit for above items No. j JJ 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner w advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date -84 Plans approved by Date Sets of plans on hold in File cabinet AP folder /\.(0 Copy - Department of Public Works r TO: FROM: SUBJECT: Building -Department Environmental Health Sanitation Clearance _ &RR. USE ONLY Plot P1m�AthcLed Plooc Plan AthcWl Scotto B.D.—/— ql" N Or 67 Owner / Location AP# Plan Approved wage Disposal �/ Water Supply: Public *Private �2 . "Clearance foilW mraw home. then s bA C 7- (-%? ill F e e=z— (,� K-7292 wt{ Hold -final for: I = -(,4 C- IA- P PR oy t4 -- Final °:clearance O.K."for: Nom, Environmental Health Speciali"� Date y �Aj 3 - �7 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSOSOi PARCEL NUMBER ZONING ex— BUILDING PERMIT OWNER , TELEI*IOC � NE SO. FT. OCC. BUILDING VALUATION / OWNERS A&UNG ADDRESS // - ` F \r t CONTRACTOR'S NAME g. TELEPHONE CONTRACTORS MALL) ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is ejIl7, O Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ � � O ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ - (2(, ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS t PERMITFEE $ Z, q3 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SPK Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 , C.)O TYPE OF WORK New ❑ Addition Remodel ❑ U61ities ❑ Installation ❑ Other ❑ J Describe Work: d'/�f �i YL�te0n Le- 1L (( Mobile Home IS I G1 W 920.00 PERMITFEE Contractor ELECTRICAL PERMIT Filina Fee 20:00 OR LESS Main Service 600 2..V ( 2..A OR LESS / 23.00 Main Service ( 200A TO IDooA ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( d ACC. BLDS. ) SO. •? 3.50 FT. J NEW CONST. MULTI -OUTLET NON-RESIO. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES) 20 9 I.50 BAL FIXED APPLNS.OR Ex. Occup. (ouTLErs IRESID.� EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S 37, Contractor reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ____ Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating ` ,-5.GCS Cooling Hood 6.50 Ventilation PERMITFEE $ S Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ _ O J. OC+D. . TYPE A TOTAL FEE $ 6 60g T% FEES IMP FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have (� / �g B �" (� yA PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. !yrf ji I�- I ' D / lam° ReceiptNo.� D r%tiz WHITE-D.D.S.-B. D. CANARY -ASSES R PINK -INSPECTOR GOLDENROD -APPLICANT O.B.- I ,OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property im� p�ivement : YES ❑ NO ❑ 2. * I HAVE C� HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contrac�d with the ollowing person (firm) to provide the proposed construction: NAME: 4 ADDRESS: CITY: . (� ��l—j' CITY• 1 v c PHON) e/e2:�Z'40NTRACTOR'S LICENSE NO. C: 4.' I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: � ,� � (r� )j�yeg, SOCIAL SECURITY NUMBER: % DATE: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and rued to our office before we are permitted to issue the permit. AUG 2.5 1997 BUT Co TY BUILDING pI ISION OVER OWNER BUILDER INFORMATION Dear Property Owner: O.B.- I An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete die "Owner Bui;der Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER REFUND CLAIM APPLICATION ' CLAIMANT'S NAME 'QouOAAj MAILING ADDRESS Orc�L)a �Q- C-4 �'S5 ASSESSOR PARCEL #: RECEIPT NUMBERS) Request a refund of fees paid on the above receipt number(s) for the following reasons: Cy,0i CAA :0n1 oy-o"f2a Aa kn. _Apel teu, rz--t -q) U Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) O 'Building Permit Fees ( ) f Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Urban. Area Fees Disposition of Plans: ( ) Plans returned to me at -counter ( ) Please mail plans to me at above address. ( ) Please dispose of plans. ' SIGNATURE DATE 11)413D PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. FOR BUILDING DIVISION USE: Receipt Information: Number: Date: Issued To: Amount: Fees Retained: Processing Fee: Bldg Filing Fee: Plbg Filing Fee: Elec Filing Fee: Mech Filing Fee: Energy P/C Fee: Plan Check Fee: Inspection Fee: SRA Fee: Total Amount Retained TOTAL REFUND DUE COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: ADDRESS: CITY & STATE: DATE OF CLAIM: SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERV/CES DATE I DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) IMPORTANT.• SEE INSTRUCTIONS ON REVERSE SIDE TOTAL AMOUNT 1, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this ` day of SLC' , 19TL, at Calif.:Dz�cm (h^— Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation [ ] or Specific Board Approval [ ] (Check one) for the same. 11 Dated this day of , 19_, at , Calif. Department Head or Authorized Deputy Dept. Code Exp. Code PAYABLE FROM Dept. Code Exp. Code PAYABLE FROM Dept Code Exp. Code PAYABLE FROM FUND i DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. INSTRUCTIONS TO CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, description and unit prices of ?rticles furnished or delivered. - Claims must be certified by the claimant and submitted to the Department head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. JANUARY 5, 2000 ROGER SOUDAN CONSTRUCTION 50 HASSLER COURT OROVILLE, CA 95966 L A N D O F NAT U RA L W EA L T H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 RE: Building Permit # 99-0242 Expiration Date: 12/4/99 A P /{ 061-46-0-043 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the categories marked below: [) Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original .expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. HXXX No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is. required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or. should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. MCV:ahb Attachments Chico Office - 1469 Humboldt Rd/891-2751 Yours very truly, 4MMicelC. V ira, C.B.O. Manager, Building Inspection Paradise Office - 747 Elliott Rd/872-6307 CC: RONALD MCBEE 9861 ORO QUINCY HWY, BERRY CREEK CA 95916 butte Fount, Poland McBee BUILDING DIVISION 9861 Oro Quincy Highway DEPARTMENT OF DEVELOPMENT SERVICES Berry Creek, CA 95916 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 9.5965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 Re:' Addition to Single Family Date: 6/26/97 A. P., No. 061-460-043 Permit #96-2505 With, reference to the above subject, attached is: [x] Plan Check List Red Marked Calculations ]Red Marked Plans Other: 'Action Required: [x] Comply with plan check list [x] Resubmit Plans with revisions as necessary [x] S ubmit additional calculations as necessary Return originally submitted material 'Should you have ave any questions, don't hesitate to contact me at (916) 538-7541 Monday through Thursday between '1:00 PM and 4:00 PM. Sincerelly, --de6rge R. Kellogg iPlan Check Engi cc: Frank yukos FLT Engineering 5790 Clark Road Paradise, CA 95969 f PLAN CHECK LIST Permit Applicant: Roland McBee Permit #96-2505 Date: 6/26/97 Plans for the above referenced project were reviewed by this office. Please provide additional information and/or make revisions to plans, specifications, or calculations as follows: Is the existing stucco between the proposed addition and the existing building to be remain? If not what is to replace it? If replacing, show adequacy of bracing in wall between the proposed addition and. the existing building. '2 The truss fabricator is to provide evidence of compliance with Section 2311.6 of the Uniform Building Code by providing adequate records of fabrication plant inspections. eoe`"Prcject engineer is to review trusses for adequacy to transfer lateral forces to and from designed lateral load resisting systems. Provide the elevation of the building site. It is highly recommended that the building structural design account for snow loading if the site is more than 1500 feet above sea level. . _ �� .` _.: ..,-•. ,rte _. t ,, _ , e I _]^w�`�•-K•••..�'t=':-+^'.,,,,"cty3•i""�o.�-..•�.z,t.w,v:�,,.a,�..--.�.''•�y..t�"x-L.,1 ,•-.�-fr'.- c.�'tT.-+1-v.--+^->-•til",..:>�.:�r�fi-`'q'-x' '�'v, +...3"��„f�a,a,,.a.�i- .,V;, .4W�•�:d•••r1.",y"-'..,'� ..,000NTY,OF BUTTE DEPARTMENT OF -PUBLIC WORKS.' PERMIT NO. 7 County. Center, Drive - Oroville J4Ifornia 95965 -Telephone 916/534-4541 ! :A:PPLICAT LOR',AND,PE.RMI.T "ASSESSQR'PARCELr NUMBER''. ' ZONING / /A BUILDING PERMIT /V OWNER . -• - tz TELE-HONE''.SQ. FT..'• OCC.• BUILDING'VALUATION '. /"IY I. �:.+.•.+ '-.OWNER'S MAILING:ADDRESS .` -. ..' -:... S. .• ., ._.-, - CONTRACTOR'S�NAME - TELE HONE - - - - C2ONTRRACTOR/,•''Spq MAIILlQI;N�GfADDRESS .' CONSTRU.CTION',LENDER' +' - UNKNOWN .Fireplace.. Total Valustlon' $,.< - :L'ENDER'S MAILING ADDRESS •' ', ° - Permit Fee $ %a ARCHITECT OR ENGINEER,.T ,' �ryy7�•',yy • LICENiSE NO.-' .Plan Checking Fee.$•' •Persalt y,$-'- • :ARCHITECT OR"'EN,GINEER'S MAIL! NG.,ADDRESS Permit fee $ C (�•. Q'L`1 BUILDING ADDRESS vl - , �. �✓ 111:00 C,* /^vkv K -a- fi) -- PLUMBING, PERMIT - Filing Fee 3.00 p� ?+ `Each Trap 2.00 •Repair drainage or vent piping " 2.00 j Water;.pipi:ng :'LOT -NO: -" '.,',SUBDI VISIONNAME- ,•,:_' s+': " '. PARC EL. MAP gaswater heae.orvent- , Q.00Each Gas piping system 1 - 5' outlets USE,OF�STRUCTURE r ..• SF ❑ . Duplex ❑ Mobi lehome ❑ '.'Other 00 ... "•, :. ,, _ SPECIFY Building sewer ;7. l.; Lawn. sprinkler system 2.00 ... TYPE OF WORK,,Permit New ❑ Addition ❑ •'Remodel ❑ /ti•lities ❑ Installation ❑ ' Other 2" Describe work. -f-' (11� /� yy / .�� G..• it J C/Q� 7 +✓ � �¢ '. .. ... Fee $ "Contractor ELECTRICAL'.PERMIT FrlingFee. 3.00 Main-seYvice. 600V OR LESS" 100 AMP OR LESS a '5.00 . - ,.,. '•.. .Main SerV:ICB/EA,: ADDU 100 TAMP -' ;.-.2.50• OR ADDNST ` AGC.LB LDGS.LING CC VP,&� c , 20 s..q ft. - ' CONTRACTORS LICENSE LAV.,'..."',, :1 declare 'under'penalt . of e'rjur y p l y (Check One)- ®s,'I am licensed under provisions of-:Chapt 9,: Div. 3 of -the Business - •.' / and Professions Code antl,.my license is, in full -=force and effect License No.; � r "�' Classification "�. ❑; I .as the owner,-o-r,my employees;w.ith.wage.s as their sole compen- sation-will do the'work,and the, -structure ,is•not intended or. offered ,for sale:; (Sec., 70.44) „ " .❑ ' 1', asAhe owner, am•,exclusively contracting. with licensed contract- ors. (Sec. 704.4) ' .. ❑' I am exempt under Sec. Business: and Professions Code- .for this reason` NE W�CONSTR ULTI:OUTLET •. ..•NON.RESIO^- BR ANCH CIRC ITS 2.50 ea .NEW CONSTR POWER APPARATU561 ' NON-RESID. SINGLE•OUTLET CIR. // sD @ 25c EX•'O�ecup(OUTLETS;-OR FIXTURES AL 1 B 0a • FIXED APP LNS, OR - Ex: Occup.,('OUTLETS,(RESID,)_EA.) Z.00:' Temporary'.service- 10.0.0. ,'Mobile,Home:Faciliiies./ `:« 15.00 ` Misc.Wiring 6.25 Kermit -Fee $ Contractor WORKMEN'S._COMPENSATION'INSURANCE declare under penalty of perjury, (check one): .❑• `Thepermit is for $100.00 -(valuation) or less; � ❑ I have placed on.file' with. the County of Butte Building, Department a• Certificate of 'Workmen's. Compensation Insurance or a Certificate of•Consent-:to-Self-Insure.,,, I shall not employ any person,m any manner so as,to become subject o:the-W.;C.. Laws of California... -Notice_ to*Appli'cant: If after making this statement, �should'you,become subject to:the W.:C. provisions`oftthe. Labor Code, yo'u'must forthwith compl-y with.such. provisions or this'permi.t shal1.be deemed•revoked ;;.:' ,.:. ',MECHANICA L.PERMIT. FilingRee 3.00 Heating`. •. " Cooling . :Hood 2.00 Ventilation permit Fee $ Contractor:. ('certify that"l have read this application and -state 4hat the above- in is'correct I agree -to comply;to'all County" Ord i.nances and State Laws relating•,. to-building'.construction, and, hereby':authoriie representatives ofthe,:Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save; indemnify and keep harmless: the:County' of :Butte against. all. liabilities, 'ud merits. a ainst liabilities,dg a cS,, costs, expenses which "may in any way accrue1. , g — y ' quence of the granting of:this permit '- X.. �.li �Date "sions .Signature.ofApplicant - ..Owner[❑�.�Cantracrar �'�Agenr❑ '� :..�• An --OSHA permit,'is required,for excavations over 5'0 deep and demolition or construct-,,DIRECTOR:OF on of structures'over.3 stories in height. Mobile :Home Installation Fee `$ Land ;DeveIopment.Fee $, TOTAL"'PERMIT-FEE $ ®C�'•' occu P, GROUP].. TYPE of coNST:: PARDE PD HD ISSUE E' This permit is hereby issued under ' th " u y Code' -worker nfdicatedtabove for which PUBLIC By PERMIT:EXPIREB Date the applicable.provi-. nfeesr^haveUbeen ,pa id : WORKS Date �""�% : Lk :Receipt No.. a--°'7"�0�� WHITE-D.P. W .:,I•EI LOW -ASSESSOR,. PINK-INSP E' CTOR, �GOL DENROD�AP PLI.CANT' '!'. •' COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS ERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAA1ON AND PERMIT l/ AS ES OR PARCE NUMBER `& f _, _d ZONI G %R}?i r, G&JAJ4 BUILDING PERMIT 1®j o€RoC�iL satioaL `7 / TELEPHONE SQ. FT. OCC. BUILDING VALUATION S� -9-0 r OWWNNECER� R'S MAILING ADDRESS V S NAME P-OOR/VELEPH%/N 0h/ / CONTRACTOR, MAI �)G l�pDRE�„n✓✓/J[�r[{f/ ,��(/ UNKNOWN CONSTRUCTION LENDER Fireplace Total Valuation Is S _p O LENDER'S MAILING ADDRESS Permit Fee $ Q , &CJ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Zo. 00 BUIL NG ADDRESS 4/15 ®40 (%Pw y ��� / PLUMBING PERMIT Filing Fee 3.00 ej Ke �G4 100 L ['1t/ Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF [_1 Duplex❑ Mobilehome❑ Other af4s$ ��M SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑tllities ❑ Inst Ilation❑ Other Describe work: eC`P60fC e/�f!/-IWO — `7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 00V OR LESS 1 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 9�alicensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Coe and my license is in full force and effect. License No. l ' Classification J ( ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NE NON-RESIONSTD R BRANCH CIRC TITS 2.50 ea NEw •CONSTR ( POWER APPARATUS &\ NON R ESID, SINGLE OUTLET CIR, /m ExOccu 50@256' . P(OUTLETS OR FIXTURES BAL@106 FIXED APPLNS. OR ` Ex. Occup.(OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s ounty incons ence of the granting of this permit.. ` X r 1i4 Date Signature of Applicant — Owner Er Contractor Agent n An OSHA permit is required for excavations over 5'0” deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ -20, 0C) OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work ' dicated a ove for which 1 CTOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS G Date Receipt No. 3 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT C�I ®h mer J Owner.: Address • ?� V ,� &Y, / iJ Tenant: Building Location: Type of Inspection requested: 1. Housing / /. 2. Financing f� 4. Other (specify) Present use of building: F-- 6> 26--ne_ 4-1, A. P. # (��--0 ^c7zO Date of Insp t 'od 2S Inspector / / 3. Change of Occupancy to A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. 'Connection to sewage disposal: 12. Connection to water supply: ' 13:, Rubbish'and garbage facilities: X14. Comments: " B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall'construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Pro_rble[� or v. lation (give complete description): 2. What action taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. C. Write letter. / L.D. Other: —�C 52 L PROJECT PROCESSING RECORD . OWNER: . M A. O•. - • i• DATE , a I Roland F. McBee 9861 Oro Quincy Hwy Berry Creek, CA 95916 Dear Mr. McBee, BEAUTY DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 January 14, 1997 RE: Special Inspection # 96-13 A.P. # 061-460-043 INVith reference to the above subject and your request for inspection of the school bus storage facility at 5816 Oro Quincy Hwy, and the proposed conversion of this building to a private shop - garage, the inspection was made on January 1, 1997. The building was constructed without permits and inspections from this office, but the Pioneer School District states that the structure was built in approximately 1967 under permit from the state. We were not able to perform the required inspections during construction, but made a reasonable visual inspection, without going on the roof, under the building, or in the attic, and found the structure appears to conform to the intent of code requirements for the use intended and described in a letter from Roland McBee dated 12/11/96, and will be considered an allowable use. Inspection by the County of Butte does not act as a guarantee or warranty as to the internal soundness of said private shop - garage. If the use described in the above mentioned letter is modified, it will be in order for you to submit complete Flans in triplicate to this office including plot plans, foundation plans, floor plans and structural details; apply f.:)r the required permits, and pay the appropriate fees. The permits must be obtained rior to any work being done. Should you have any questions concerning this matter, please contact Michael Vieira or Scott Rutherford of this office at the address or phone number listed above. Sincerely, Mic ael C. Vieira, C.B.O. Ma ager, Building Inspection 1 COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS / 7 County Center Drive, Oroville, California 95965 Telephone: 538-7541 APPLICATION FOR SPECIAL INSPECTION Owner P0 I a. -"v ct C f) e..e- A P No Mailing Address 98(0 nl) u me 14wu de✓ru Creetr_ Telephone No $99 a9 (Q�t Applicant D V.)." -e / Telephone No Mailing Address Building Location $ Cb ry.# c4 6e itL4 C re It I hereby request a specitl inspection of the following building: t 1. Dwelling (if only a portion, specify) 0 2. Apartment House (if only a portion, specify) Q3. Commercial (specify present occupancy) 0 4. Other (specify) I am requesting a special inspection for'the purpose of: `=7,1. Moving the building. 2. Financing (specify agency) Case No. 3. Change of occupancy to Pr i U -e� 6v 0 4 © 4. Other (specify) . To r e 'e" e -j ete Iger-," + e.l�ct, I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required by the County of Butte, as a result of.this inspec- tion, to comply with building and housing code requirements. I also certify that prior to the use or occupancy of Phis building, I will complete the above required corrections, alterations, or repairs, or, if the building is .presently occupied, I will complete the above required corrections, alterations, or repairs within -30 days. I certify that I have read this application and state the above information is .correct and hereby authorize representatives of the County of Butte to enter upon the above- mentioned property for inspection purposes. Date - Signature ofAOwner Fee Paid $ •.. 1st-DPW/2nd-Inspector/3rd-Applicant Receipt No. V 01 t/, l D 't.11'+T'�` � .`rt'=„-�•�. _ r' ...w ^++� �c ti .q .-.s + npP.. ..r .,� .,, T� wr'i°fiT`YttlttiT'�%" ""'A' . ,.� .�:�^ y����,�,,j�j.�{.:: nrR �jlw..�)r,: r COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, California 95965 Telephone'::538-7541 Sl_ r APPLICATION FOR SPECIAL INSPECTION P0 .� Owner ICvI -a�r.Q F OA 6th. A. P. No. l— alto `vel Mailing Address ern /'J u� c ti Nwu Guru Cree h Telephone No Applicant p W -V -e / / Telephone No. Mailing Address' Building Location # $ (� b iy d,A ; w. c u Hui Lk e r u C re �e rc I hereby request a special inspection of the following building: 1. Dwelling (if only.a portion, specify) 0 2. Apartment House (if only a portion, specify) Q3. Commercial (specify present occupancy) rr 0 4. Other (specify) �•-�-�,,.�-„_. , , I am requesting a special inspection for -the purpose of: 0 1� Moving the building.. +; j Q2., Financing (specify agency) I Case No. 3. Change of occupancy to Pr; a 4- -e 5 (n D &2 r © '4 . Other (specify) To r e- e- ey e e l c c4- �ox 3 D ti o n elrc I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required by the County of Butte, as a result of this inspec- tion, to comply with building and housing,code .requirements. I -'also certify that prior to the use or occupancy of this building, I.will complete the above required corrections, alterations, or repairs, or, if -the building is presently oc.eupied, I will com ]rete the above required correctioyg, alterf •tionsR or re airs withLA.=30 da ,s. -� 1r✓Bd: ..� f -�c�i days. I certify that I have read- this application and state the above information is correct and hereby authorize representatives of the County of Butte to enter upon the above- mentioned property for inspection purposes. "I Date 13 z A - Signature of- Owner Fee Paid $ Receipt No. i 1st-DPW/2nd-Inspector/3rd-Applicant F-4 ods ,P IINt I 1 I I � r ' i • To P V/ z5w CA . otl/ -6 )4 LA) Roll v 80 17009- I V 11 �afl��� a� ss cfl� pliqlA I - L CA . otl/ -6 )4 LA) Roll v 80 17009- -ro P Vr 4:- w or Shlap �2/ wiDE)CIo'MP&-/1 : Roll u 00 TABLE OF CONTENTS TOC Project Title........... MC BEE RESIDENCE Date........ 0-8/:07/96 Project Address........ 9861 ORO.QUINCY HWY ******* q OROVILLE *-V4''50* Documentation.Author.... ROBERT A. MANGRUM ******* Building Permit# Paradise Mechanical ToNr Almond Street Plan Check Date Paradise, CA 95969 916-877-8882 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-3SOUDAN Wth-CTZ11S92 Program -TOC User#-MP1.342 User -Paradise Mechanical Run-SOUDAN COMPLY 24 TABLE OF CONTENTS Report Page FORM CF -1R ................ 1 FORM MF -1R ................ 4 FORM C -2R ................. 6 - FORM C -3R ................. 9 HVAC SIZING ............... 14 BU17E COQ BUILDiNG Appi-iOlviEu OIL" CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... MC BEE RESIDENCE Date........ 08/07/96 Project Address 9861 ORO QUINCY HWY ******* OROVILLE *v4.50* Documentation Author... ROBERT A. MANGRUM ******* Building Permit # Paradise Mechanical 5655 Almond Street Plan Check / Date Paradise, CA 95969 916-877-8882 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-3SOUDAN Wth-CTZ11S92 Program -FORM CF -1R User#-MP1342 User -Paradise Mechanical Run-SOUDAN COMPLY 24 GENERAL INFORMATION Conditioned Floor Area..... 1934 sf Building Type.............. Single Family Detached Construction Type New Building Front Orientation. Front Facing 83 deg (E) Number of Dwelling Units... 1 Number of Stories.......... 1 Floor Construction Type.... Raised Floor Glazing Percentage......... 12.9 % of floor area Average Glazing U -value.... 0.99.Btu/hr-sf-F BUILDING SHELL INSULATION Component Frame Cavity Sheathing Insul Assembly Type Type R -value R -value R -value U -value Location/Comments Wall Wood R-7 R-0 R-7 0.119 FRONT WALLL LEFT WALL, BACK WALL RIGHT ATTIC Wall Wood' R-11 R-0 R-11 0.094 LEFT WALL, -RIGHT -WALL Roof Wood R-19 R-0 R-19 0.049 Attic Roof Wood R-11.8- R-27 R--38.8 0.025 Attic Door Wood- R-3 R-n/a R-3 0.330 Solid-Wood- SlabEdge n/a R-0 R-n/a R-0 0.720 SLAB EDGE Floor Wood R-19 R-0 R-19 0.037 CRAWLSPACE FENESTRATION # of Interior Over - Area U- Pan- Shading/ Exterior hang/ Framing Orientation (sf) Value es Description Shading Fins Type -Window Front (E) 75.0 1.040- 1 None None, None Wood +Window Front (E) 22.5 0.920 1 -None None None Wood .Window Left (S) 4.0 0.920 1 None None None Wood •Window Left (S) 17.0 0.920 1 None None None Wood .Window Left (S) 12.5 0.920 1 None None None -Wood - .Door Left (S) 33.0 0.990 1 None None Yes Wood .Window Back (W) 7.5 0.920 1 None None None Wood •Window Right (N) 12.0 0.920 1 None None None Wood °•Window. Right (N) 16.0 0-.920 1 None None None Wood *Window Right (N) 50.0 1.040 1 None None None Wood 1 � � t" CERTIFICATE OF COMPLIANCE: RESIDENTIAL ~` Page 2 CF -1R Project Title.......... MC BEE RESIDENCE Date........ 08/07./96 MICROPAS4" x4.50 File-3-SOUDAN Wth-CTZ11S92 " Program--FORM-CF-1R User-#--MP1342 User -Paradise -Mechanical Run-SOUDAN COMPLY 24 THERMAL MASS SPECIAL FEATURES/REMARKS i area rnicxness H � Type- Exposed. (sf) (in) Location/Comments 1 SlabOnGrade No 804 3.5 SLAB FLOOR HVAC SYSTEMS Minimum Duct Duct Thermostat Equipment Type Efficiency .Location R -value Type Gas 0-.780 AFUE- None R-0 NoSetback NoCooling 10.00 SEER None R-0 NoSetback. WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value Storage Gas Standard 1, 0.60 EF 40 R-12 SPECIAL FEATURES/REMARKS i I 1 H � 1 I 1 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project Title........... MC BEE RESIDENCE Date........ 08/07/.9.6 MICROPAS4 v4.50 File-3SOUDAN Wth-CTZ11S92 Program -FORM CF -1R User#-MP1342 User -Paradise Mechanical Run-SOUDAN COMPLY 24 COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative re!ulations to implement them. This.certificate has been signed by the individual with overall design 'responsibility.When this certificate -of compliance is submitted for a single building plan to be built in multiple orientations, any shading-feature.that is varied is -indicated -in -the Speci.al'Features/ Remarks section. DESIGNER or OWNER Name.... ROGER SOUDAN Company. SOUDAN CONST. Address. 50.HASSLER CT OROVILLE, CA 95965 Phone... (916)-589-0799 License. Signed.. AIR (date) `ENFORCEMENT AGENCY Name..:. Title.. Agency.. Phone... Signed.. (date) DOCUMENTATION AUTHOR Name......ROBERT A. MANGRUM Company. Paradise Mechanical Address. 5655 Almond Street Paradise, CA 95969 Phone.... 916-877-8882 Signed., -,- (date) MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 4 MF -1R Project Title.......... MC BEE RESIDENCE Date......... 08/07/96 Project Address........ 9861 ORO QUINCY HWY ******* Documentation Author... Climate Zone........... Compliance Method...... OROVILLE ROBERT A. MANGRUM Paradise Mechanical 5655 Almond Street Paradise, CA 95969 916-877-8882 11 MICROPAS4 v4.50 for *v4.50* ******* 1995 Standards Building Permit # Plan Check / Date Field Check/ Date by Enercomp, Inc. MICROPAS4 v4.50 File-3SOUDAN Wth-CTZ11S.92 Program -FORM MF -1R User#-MP1.342- User -Paradise -Mechanical Run=SOUDAN COMPLY 24 Lowrise residential buildings. subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate .of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all. parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES Design.- Enforce.- er ment *150(a)_: Minimum R-19 ceiling insulation. ✓ 150(b): Loose fill insulation manufacturers labeled R -Value. b5 *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). t/ *150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. 150(i)-: Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.9 perm/inch. 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. L_ 116-1T: Fenestration Products, Exterior Doors -and Infiltration/ exfiltration controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. U/ 150(8): Vapor barriers mandatory in Climate Zone's 14 and 16 only. 150-(f): Special infiltration barrier installed to comply with Sec. 151 meets CEC quality standards. ✓ 150(eY: Installation of Fireplaces, Decorative Gas Appliances and gas logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. 1/ MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 5 MF -IR, Project Title.......... MC BEE RESIDENCE Date........ 08/07/96 MICROPAS4 v4.50 File-3SOUDAN Wth-CTZ11S92 Program -FORM MF --1R User.#-MP1342 User -Paradise Mechanical Run-SOUDAN COMPLY 24 SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Design- Enforce- er ment 11.0-13:. HVAC equipment,water heaters, showerheads and faucets certified by the.CEC.. 150(1): Setback thermostat on all applicable heating systems. .150'.(j),: Pipe and Tank insulation 1. Indirect hot water tanks (e.g.,�unfired storage tanks or .backup solar hot water tank -s) have insulation blanket (R-12 or greater) or combined interior/exterior insulation -(R-16 or greater) . 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (.R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55 degrees insulated. 5. Piping insulated between heating source and indirect hot. water tank. *150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot.light (Exception: Non -electrical cooking appliance with. pilot < 150 Btu/hr,,.). LIGHTING MEASURES 150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover) approved. Design- Enforce- er merit PAV COMPUTER METHOD SUMMARY � Page 6. C -2R Project Title........... MC BEE RESIDENCE Date........ 08/07/96 Pr t Add ** * o�ec cess.... ... .. 9861 ORO QUINCY HWY * *** OROVILLE *v4.50* Documentation Author... ROBERT A. MANGRUM ******* Building Permit # Paradise Mechanical 5655 Almond Street P1an.Check / Date Paradise, CA 95969 916.-8.77-8.882 Field. Check/ Date Climate Zone............... 1.1 Compliance. -Method....... MICROPAS.4 v4.50 for -1995 Standards. by Enercomp, Inc. MICROPAS4 x4.50 File-3SOUDAN W.th-CTZ11S92 Program -FORM C -2R. User#-MP1342 User -Paradise Mechanical Run-SOUDAN COMPLY 24 MICROPAS4 ENERGY USE SUMMARY Energy Use (kBtu/sf-yr) Space Heating.......... Space Cooling.......... Water Heating.......... Total Standard Proposed Compliance- omplianceDesign Design Design Margin 15.75 19.35 -3.60 14.29 11.59 2.70 12.09 10.67 1.42 42.13 41.61 0.52 ***Building complies with Computer Performance *** GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units Number of Building Stories_ Weather Data Type...... .. Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area... ......... Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -value.... Average Ceiling Height..... 1934 sf Single Family Detached New Front Facing 83 deg (E) 1. 1 ReducedYear Raised Floor 1 17672 -cf 1934 sf 1934 sf 804 sf 12.9 a of floor area 0.99 Btu/hr-sf-F 9.1 ft COMPUTER''METHOD SUMMARY Page 7 C -2R Project.Title.......... MC BEE RESIDENCE Date........ 08/07/96 MICROPAS4 v4.50 File-3SOUDAN Wth-CTZ11S92 Program -FORM C -2R User#-MP1342 User -Paradise Mechanical Run-SOUDAN COMPLY 24 BUILDING ZONE INFORMATION HOUSE 13 S1abEdge Surface HOUSE 1 Window 2 Window 3 Window 4 Window 5 Window 6 Door 7 Window 8 Window 9 Window 10 Window 126 0.720 R-0 No SLAB EDGE FENESTRATION SURFACES # of Floor Vent # of Vent Special SC Interior Area Volume Dwell Cond- Thermostat Height Vent Area Zone Type (sf) Int (cf) Units itioned Type (ft) (sf) 'HOUSE Azm Tlt Only Shade Description 75.0 1 Wood Residence 1934 83 17672 1.00 Yes NoSetback 2.0 n/a 1 Wood Slider 0.920 OPAQUE SURFACES 90 0.88 0.78 None Area U- Insul Act Solar Form 3 Location/ Surface (sf) value R-val Azm Tilt Gains Reference Comments HOUSE 90 0.88 0.78 None 12.5 1 Wood 1 Wall 413 0.119 7 83 90 Yes W.11.2X4.16S FRONT WALLL 2 Wall 22 0.1197 90 173 90 Yes W.11.2X4.16S LEFT WALL 3 Wall 280 0.094 11 173 90 Yes W.11.2X4.16 LEFT WALL 4 Wall 523 0.119 7 263 90 Yes W.11.2X4.16S BACK WALL 5 Wall 110 0.094 11 353 90 Yes W.11.2X4.16 RIGHT WALL 6 Wall 160 0.119-7.. Wood 353 90 -Yes W.11.2X4.16S RIGHT ATTIC 7 Roof 624 0.049 19 n/a 0 Yes R.19.2X8.24 Attic 8 Roof 1310 0.025 38.8 n/a 0 Yes R.38.2X4.24 Attic 9 Door 20 0.330 3 83 90 Yes None Solid Wood 10 Door 20 0.330 3 83 90 Yes None Solid Wood 11 Door 20 0.330 3 263 90 Yes None Solid Wood 12 Door 20 0.330 3 353 90 Yes None Solid Wood 14 Floor 1130 0.037 19 n/a 0 No FC.19.2X8.16 CRAWLSPACE PERIMETER LOSSES Length F2 Insul Solar Surface (ft) Factor R-val Gains Location/Comments HOUSE 13 S1abEdge Surface HOUSE 1 Window 2 Window 3 Window 4 Window 5 Window 6 Door 7 Window 8 Window 9 Window 10 Window 126 0.720 R-0 No SLAB EDGE FENESTRATION SURFACES # of Vent SC SC Interior Area Pan- Frame Open U- Act Glass Int Shading/ (sf) es Type Type value Azm Tlt Only Shade Description 75.0 1 Wood Fixed 1.040 83 90 0.88 0.78 None 22.5 1 Wood Slider 0.920 83 90 0.88 0.78 None 4.0 1 Wood Slider 0.920 173 90 0.88 0.78 None 17.0 1 Wood Slider 0.920 173 90 0.88 0.78 None 12.5 1 Wood Slider 0.920 173 90 0.88 0.78 None 33.0 1 Wood Hinged 0.990 173 90 0.88 0.78 None 7.5 1 Wood Slider 0.920 263 90 0.88 0.78 None 12.0 1 Wood Slider 0.920 353 90 0•:88 0.78 None 16.0 1 Wood Slider 0.920 353 90 0.88 0.78 None 50.0 1 Wood Fixed 1.040 353 90 0.88 0.78 None COMPUTER METHOD SUMMARY Page 8 C -2R Prn�iPr tt Tit -Ion MO 1:1V ' VVQTnVM0V MICROPAS4 x4.50 File-3SOUDAN Wth-CTZ11S92 Program -FORM C -2R User##7MP1342 User -Paradise Mechanical Run-SOUDAN COMPLY 24 OVERHANGS AND SIDE FINS Window— —overhang Left Fin Right Fin— Area Left Rght Surface, (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght HOUSE 6 Door 33.0 6.6 5.0 12.0 0.0 n/a n/a n/a n/a n/a n/a n/a n/a THERMAL MASS Mass Type HOUSE 1 SlabOnGrade Area Thick Heat Conduct- Surface (sf) (in) Cap ivity R -value Location/Comments 804 3.5 28-.0 0.98 R-2.0 SLAB FLOOR HVAC SYSTEMS 'System Type HOUSE Gas NoCooling Tank Type 1.Storage, Minimum Duct Duct Duct Efficiency Location R -value Efficiency 0.780 AFUE None R-0 1.000 10.00 SEER None R-0 1.000 WATER HEATING SYSTEMS Number Tank External in Energy Size . Insulation Heater Type Distribution Type System Factor (gal) R -value Gas Standard 1 0.60 40 R-12 SPECIAL FEATURES/REMARKS CONSTRUCTION ASSEMBLY Page 9 3R Project Title........... MC BEE RESIDENCE Date........ 08/07/96 MICROPAS4 v4.50 File-3SOUDAN Wth-CTZ11S92 Program -FORM 3R User#-MP1342 User -Paradise Mechanical Run-SOUDAN COMPLY 24 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Parallel Path Method Reference Name W.11.2X4.16S Description .... Wall R-11 2x4 16oc Type ........... Wall R -Value ........ 7 Hr-sf-F/Btu Framing Material ..... FIR.2X4 Type ........ Wood Description .. 2x4 fir Spacing ...... 16 inches on center. Framing Frac.. 0.15 s 2 Frame Name a O5 ,r 0. FILM.EX Exterior air film: winter value 0.17 0.17 1. STUCCO.0.88 0.875 in stucco 0.17 0.17 2. BLDG.PAPER Building paper (felt) 0.06 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Parallel Path Method Reference Name W.11.2X4.16S Description .... Wall R-11 2x4 16oc Type ........... Wall R -Value ........ 7 Hr-sf-F/Btu Framing Material ..... FIR.2X4 Type ........ Wood Description .. 2x4 fir Spacing ...... 16 inches on center. Framing Frac.. 0.15 Material Cavity Frame Name Description R -Value R -Value 0. FILM.EX Exterior air film: winter value 0.17 0.17 1. STUCCO.0.88 0.875 in stucco 0.17 0.17 2. BLDG.PAPER Building paper (felt) 0.06 0.06 3. REDWOOD.0.75 0.75 in redwood. 0.92 0.92 4c. BATT.R7 R-7 batt insul (cavity = 3.5 in) 7.00 -- 4f. FIR.2X4 2x4 fir -- 3.46 5. STUCCO.0.88 0.875 in stucco 0.17 0.17 I. FILM.IN.WLL Inside air film: heat sideways 0.68 0.68 Total Unadjusted R -Values 9.18 5.64 FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value: (1 / 9.18 x 0.85) + (1 / 5.64 x 0.15) = 0.119 Btu/hr-sf-F Total R -Value: 1 /. 0.'119 = 8.39 hr-sf-F/Btu HVAC SIZING Page 14 HVAC Project Title.......... MC BEE RESIDENCE Date........ 08/07/96 Project Address 9861 ORO nTTTATOV HWY ******* OROVILLE *v4.50* Documentation Author... ROBERT A. MANGRUM ******* Building Permit # Paradise Mechanical 5655 Almond Street Plan Check / Date Paradise, CA 95969 916-877-8882 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-3SOUDAN Wth-CTZ11S92 Program -HVAC SIZING User#=MP1342 User -Paradise Mechanical Run-SOUDAN COMPLY 24 GENERAL INFORMATION Floor Area ................. Volume ..................... Front Orientation.......... Sizing Location............ Latitude... ....... Winter Outside Design...... Winter Inside -Design ....... Summer Outside Design...... Summer Inside Design....... Summer Range ............... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... 1934 sf 17672 cf Front Facing 83 deg OROVILLE RS 39.5 degrees 30 F 70 F 104 F 78 F 37 F Yes Yes Yes 0.20 HEATING AND COOLING LOAD SUMMARY (E) Sensible Load .................... 39147 27442 Latent Load ...................... n/a 5488 Minimum Total Load 39147 32930 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. Heating Cooling Description (Btuh) (Btuh) Opaque Conduction and Solar...... 15659 7654 Glazing Conduction ............... 9874 6418 Glazing Solar .................... n/a 5787 Infiltration. .................. 13615 5483 Internal Gain. ................... n/a 2100 Ducts............................ 0 0 Sensible Load .................... 39147 27442 Latent Load ...................... n/a 5488 Minimum Total Load 39147 32930 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. Oporablo Windows �F_ixeddo- tl'otio .Door>i Skylights Greonitouse Windows Default Table Manuf aitured Fenestration Product Default U -Values Framing Materials Non-Melal'- 3 Single 9.70-41 ; 0.91 1.94 Double 0.60 0.51 0.55 0.55 1.06 For all dual-Qlorod lonemation products: • Suhlract 0.05 for spacers of'/„" or wider. • Sublract 0.05 lot Lowe glazing. • Add 0.05 for products wills between the pones dividers, if the spacer is loss Ilton'/,d".wide. • Add 0.05 to the U-vuluo of any product with huo divided liter (through Ilio pono(s) dividers). I the minimgm design characteristics to qualify as lhermol-8rook Product are- a. The motedril used as the Ilrermall Teak musrhavo o thermal conductivity of not more than 3.6 BTU In/hr/fI'/F end; b. Thermal hreak must produce o gap of not loss Ilion 0.21.0', and; c. All moral momhaii of the product exposed to Interior and exterior at must Incorporate o rhermal-breok meeting the criteria in (a) and (h) shove. In addtrion , the produce must be clearly laboled by the manufacturer that It qualifies as a thermally broken product In accordance with (E( requirements. ' Non molal products can Include metal fasteners, 401dsvme and door duesholds. ' Add 9.04 to Ilio listed holue for any products Ilial have molal clodding In ony_tonfigurolion. Note: Factors oilier than Thermal (onduolAy Rvalue), such as air infilliallon, solar gain, and visual hansminarim, affect thermal perlormnrrce. These inctois can chnngo over time due to product detoiloiallon, but this fact Is not reflected in currant rating procedures. The (ommission will examine product durability and these factors to determine whoiher 10 adjust porlarmonco calculations to account for 111erm01 performant@.over a proilucl's life. Such odjuslinonls would be used until Iho results of NIRC or 011101 studios on durability become ovoihrirlo. 91 GuamLeed fa- Laic 4 Thermal' _ Any metal Break Singlo Double Double 1.28 0.81 0.11 . 1.19 0..ry12 0.60 1.25 ;.;. �:.o 0.68 1.26 . .. '0.80 0.10 2.26 .... 1.40.. :: 1.12 Non-Melal'- 3 Single 9.70-41 ; 0.91 1.94 Double 0.60 0.51 0.55 0.55 1.06 For all dual-Qlorod lonemation products: • Suhlract 0.05 for spacers of'/„" or wider. • Sublract 0.05 lot Lowe glazing. • Add 0.05 for products wills between the pones dividers, if the spacer is loss Ilton'/,d".wide. • Add 0.05 to the U-vuluo of any product with huo divided liter (through Ilio pono(s) dividers). I the minimgm design characteristics to qualify as lhermol-8rook Product are- a. The motedril used as the Ilrermall Teak musrhavo o thermal conductivity of not more than 3.6 BTU In/hr/fI'/F end; b. Thermal hreak must produce o gap of not loss Ilion 0.21.0', and; c. All moral momhaii of the product exposed to Interior and exterior at must Incorporate o rhermal-breok meeting the criteria in (a) and (h) shove. In addtrion , the produce must be clearly laboled by the manufacturer that It qualifies as a thermally broken product In accordance with (E( requirements. ' Non molal products can Include metal fasteners, 401dsvme and door duesholds. ' Add 9.04 to Ilio listed holue for any products Ilial have molal clodding In ony_tonfigurolion. Note: Factors oilier than Thermal (onduolAy Rvalue), such as air infilliallon, solar gain, and visual hansminarim, affect thermal perlormnrrce. These inctois can chnngo over time due to product detoiloiallon, but this fact Is not reflected in currant rating procedures. The (ommission will examine product durability and these factors to determine whoiher 10 adjust porlarmonco calculations to account for 111erm01 performant@.over a proilucl's life. Such odjuslinonls would be used until Iho results of NIRC or 011101 studios on durability become ovoihrirlo. 91 GuamLeed fa- Laic 4 Roland McBee 9361 Oro Quincy Hwy Berry Creek, CA.. 121/11/96 RE: Three phase power reconnection 'ho.Whom It May Concern; I am trying to set up a small machine shop on my property at the above mentioned address. The equipment that I have.requires the necessity for three phase power which i am trying to get reconnected, as it had been disconnected just prior to my purchase of the property in 1991. My shop will be used for my own personal use and hobbies. if I can promote some outside customers at a later time, I would consult thern at their locations to verify their requirements, doe the necessary work or repairs, and deliver the completed work to them. This business would not require outside e�nploy�es or customer participation at my shop. I now approval from .your department so that P.G. &E. will come out and re -install the three phase service. Thankyou; zz�`�— Roland F. McBee Complaint -Dace Other -Date Owner: Address: Tenant: BUTTE COUNTY DEPARTME14T OF PUBLIC WORKS SPECIAL INSPEC.`ION REPORT Building Location: ZONING A. P. /� Date of Inspection Inspector 1!5/ Type of Inspection requested: 1 1. uo::s i^g % L. ? . Financing '/ 3. Change of Occupancy to 4. Work W/0 Permit / / 5. Other (s pec if�y') Present use of building: s//a /Od`cc A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink:. 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room'and space requirements: r 9. Bedroom window or door for secood.exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities 14. Stairs:(Rise, Run, `Headroom, 1HR, Tolerances,Handrails) 15. Comments: B. Structural 1. Piers and footings: 2. Floor construction: _--glaX 3. Wall construction: YZ - 4. Ceiling and roof construction: �o 5., Fireplaces: - 6. ' 'comments: C: Electrical 1. ' Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. C. Write letter. T D. oAIV—� � �� -ALYA �, �. \ o . .; .—__�r_ _�.�_.,_._.____._. ._._.�_.�.._� _ _ �__._��. ___—.--s.—T_.__ �_._.__._.._—_..____�._ �, ... .. . _ �. ,. �. o „. .� �� — .- � -� . , � __ a°� �, ,. �� .: t a ��_. _ �_. \'\,v 1 { I s S T R U C T U R A L C A L C U L A T I O N S ---------------------------------- FOR M c BE E R E S I D E N C E 9 8 6 1 0 R 0 Q U I N C Y H W Y B E R R Y C R E E K, C A R 0 G E R'. S 0 U D A N C O N S T R U C T 10 N 5 0 H A S S L ER C 0 U R T 0R0VIL•LE, _ CA -5966 .L T E N G I N E E R I N G 5 7 9 0 C L A R K R 0 A D P A R A D i S E, C A 9'5 9 6 9 ( 9 1 6 1 8 7 2- 0 ?..5 4 CML • STRLIC1l1RAL/ p (916) 872-0254 FAX (916) 872-9331 BY., �y/ DATE: -24J-1SHEET No. OF 6 5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 CHECKED W. DATE: JOB No, C19? SUBJECT: / / /S'G , �%je i�/Tj� L /FTE' h L -.CID MECT: / !G t�> 11J.7 O,co ao//vc y ., 3 ,e y C,� �, G,4., .��iy'N brae y��ir�ov ro �xisTy S� ��- orf/may �w��iv� DF G�Orr�v��%T7o,v�f-G G�%OD.D ��-IIE' �o�v-sT. az>e" v,8 c 30x LDX 7, j' ' 2014X96 IPx v. SSm, /Xs' S 14, fir/ /. �DLTS — 14S%7�' ,307j F LT EMMMEERN CML • STRUCTURAL (916) 872-0254 FAX (916) 872-9331 5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 MECT: STRUCTURAL C ALC ULAMONS BY: fL% DATE: /Z/ 96 SHEET No. Z OF CHECKED BY: DATE: JOB No. 6� i ABJECT: - & ¢ ?. qp3 ' J 09'F< /6. cA;> 9� e 33. ?7 ' _ DOZZZ IGO�x /77, �V 4 zoo J s 06 7 J F LST ENWHEERM3 CML • STRUCTURAL (916) 872.0254 FAX (916) 872-9331 5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 .MJECT: C,,-- V/6jSTS STRUCTURAL C ALC UL AMONS BY. DATE: .�Z (6 SHEET No. 3 OF o� CHECKED BY: DATE: JOB No. SUBJECT: rco A) 7 -, ) Ar I'S z o Der -'e �n ..6z7/ 2 /� `� z /��� i� — 3.f x /// 7 f9 6100 /� ��Zo�o a 3�'Z.. 7 9 i vy C ,-�"ld'3 iv ¢ A _ 3��, Ova = 7 P? -- 6z� x /, d' _ /7 �cT , qp2c! x /. / �3 F7-4-, P-� — F _ , 6z x (/-/z t / -t .6%z ) = 6:zo k3 S'� T J Zx /Z /E /�LoO,e ✓dlsTS etc /Z ���s. !'rte .�o� — ✓�/ �h�. w` G as /6' 6� l2 yo.�, To Ve /,Wr ew To -- !is E .1O�s7- 7�5 e.+/ -t act ¢c ¢;Pa-CrS D,e-,P DE Z6 !Z .7 � 231 rP 6x6 ;Dsr Cv�2- �SC7 3 - 7" F LT EMMMEERM3 STRUCTURAL CQLCULAMONS CML • STRUCTURALp (916) 872-0254 FAX (916) 872-9331 BY: DATE: �Z / 6 MEET No. f- OF 5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 CHECKED BY: DATE: JOB No. 6/99 SUBJECT: PMECT: F LT ENOWEC RNM CML • SRiUcTulk (916) 872-0254 FAX (916) 872-9331 5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 �IECf: STRUCTURAL C ALC ULQMNS DATE:. IZAiC SHEET No. OF 19 CHECKED BY. DATE: JOB No. SUBJECT: Sib x l2�, 07/' = Z,3 (, Imo. 0 71 F2 /G...r 4 _ . G©�T, ,t, -S TfiGL- %7597-,77 ow .3x - 7 3 x !�4-- �6 e e- /e7-. e 6 T ,rvr F LST EM(MMEERNM CML • SIRL1CTLIRAL (916) 872-0254 FAX (916( 872-9331 5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 4JECT: STRUCTURAL CALCULAMONS BY. DATE: SHEET No. .6 OF - CHECKED BY: DATE: JOB W. SUBJECT: all;�x Aor 511 /3 el,9 X3,7 f, D/d'-'e 9x'? f, 9/Dx/03'%/ t , /Os�x 1Z = ��'e 1, P7 t , V rx /7'-, re r._ N �G EGT. M r .lay. 1pfgC — C,&Py Gv dST..vDT J•�OM Bf m 0.ICBG Evaluation Service, Inc. A subsidiary corporation of the International Conference of Building Officials EVALUATION REPORT Report No. 4945 Copyright © 1994 ICBO Evaluation Service, Inc. June, 1994 Filing Category: FASTENERS—Concrete and Masonry Anchors (066) POLY -ALL EPDXY ANCHORING SYSTEMS ACKERMAN JOHNSON FASTENING SYSTEMS, INC. 136 OFFICIAL ROAD ADDISON, ILLINOIS 60101 DAYTON SUPERIOR CORPORATION 721 RICHARD STREET MIAMISBURG, OHIO 45342 GUNNEBO FASTENING CORPORATION 180 SOUTH HARTMAN STREET YORK, PENNSYLVANIA 17403 SIMPSON STRONG -TIE COMPANY, INC. 4637 CHABOT DRIVE, SUITE 200 PLEASANTON, CALIFORNIA 94588 I. Subject: Poly -All Epoxy Anchoring Systems. II. Description: A. General: Ackerman Johnson Fastening Systems, Inc., Poly -All anchoring systems described in this report are stud -type adhesive anchors for use in concrete and unreinforced brick walls. The an- chor systems consist of two-part epoxy adhesives and a threaded steel rod or deformed steel reinforcement bars. For installation in unreinforced brick walls, a screen tube, steel sleeve and steel plate are also, used. The adhesives are packaged in dual side-by-side cartridges with a 1:1 volume ratio. The cartridges are used with a manual or pneumatically activated tool. The adhesive is mixed by a static mixing nozzle as it is dispensed from the dual cartridge. B. Poly -All PAC -24: 1. General: Ackerman Johnson Fastening Sys- tems, Inc., Poly -All PAC -24 has a shelf life of one year when stored in a dry environment at temperatures ranging from 45°F. to 90°F. The recom- mended hardening time is noted in Table No. I. 2. Concrete: a. General: Anchors are for use in normal -weight stone -aggregate concrete having various compressive strengths. Allow- able tension and shear values are tabulated for the various threaded rod sizes indicated in Tables Nos. II and III. Allowable tension values for de- formed steel reinforcing bars are noted in Table No. IV. The allowable val- ues in Tables Nos. II through IV must be adjusted in accordance with Fig- ure No. 1 when the anchors are installed in locations where the concrete temperature exceeds 72°F. b. Installation: The anchor is installed in a predrilled hole in concrete that has been cleaned with compressed air and a nylon brush. The hole diameter, anchor embedment, spacing and edge distances must comply with Tables Nos. 11 through IV. The mixed adhesive is injected into the hole to fill it approximately one-half full. Threaded rods or steel reinforcing bars, free of oil, scale and rust, are pushed to the bottom of the hole and twisted clockwise to ensure coverage of the threads or bar surface with adhesive. The adhesive must be level with the concrete surface after inser- tion of the rod or bar. 3. Unreinforced Brick Walls: a. General: Anchors installed in existing unreinforced brickwalls with Poly -All PAC -24 adhesive are designed to re- sist seismic loads only. The existing unreinforced brick walls must have a minimum thickness of 13 inches. The anchor is installed in three config- urations as shown in Figure No. 2. The adhesive, threaded rod and screen tube are used in all anchor installations. Configuration A has a straight threaded rod embedded 8 inches into the wall. Configuration B consists of the threaded rod bent and installed 13 inches into the wall at a 22.5 -de- gree angle. Configuration C uses a through -bolt, steel sleeve and a steel plate. The threaded rod for Configurations A and B is a 3/4 -inch -diameter ASTM A 307 rod. A 5/6 -inch -diameter ASTM A 307 threaded rod is used in Configuration C. The screen tube is a steel screen formed into a tube with a 31/32 -inch diameter and a length of 8 inches, except for Configuration B where the tube length is 13 inches. An 8-inctr--long sleeve formed from C 1010 steel used in the through - bolted condition of Configuration C has an outside and inside diameter of 13/16 inch and 11/16 inch, respectively. The steel sleeve has a plastic plug in one end. A 6 -inch by 6 -inch by 3/8 -inch -thick ASTM A 36 steel plate is located on the back face of the wall at the end of the threaded rod of the through -bolted connection. Allowable shear value for Configurations A and C is 1,000 pounds. The allowable tension value for Configuration B is 1,200 pounds. Allowable values are for short duration seismic loads and cannot be increased for short-term loads. The adhesive for the installed anchors must be pro- tected from direct weather exposure. b. Installation: The anchors are installed in 1 -inch -diameter holes drilled with standard rotary drill bits for use in concrete or masonry, and a rotary drill or rotary hammer drill used in the "rotation only" mode. The hole is drilled perpendicular to the wall face with a depth of 8 inches for Configurations A and C. The hole for the Configuration B anchor is at the angle and embedment described in Section II B 3-a using a guide which is hand held or attached to the drill. The holes are cleaned with oil -free compressed air and a nylon brush. The mixed adhesive is injected into the screen tube until the tube is completely full. The tube is then placed into the drilled hole. The threaded rod of Configurations A and B or the steel sleeve of Configuration C is slowly pushed into the screen tube forcing the adhesive through the screen into the hole. The adhesive must be cured at the temperature and time periods noted in Table No. I before load application to Configurations A and B or before continuing installation of the Configuration C anchor. Afterthe adhesive is cured in the Configuration C anchors, 5/8 -inch -diam- eter holes are drilled with standard rotary drill bits through the plastic plug in the end of the steel sleeve and completely through the wall. The 5/8 -inch threaded rod is inserted through the hole and attached to the other side of the wall with the metal plate and a nut. c. Miscellaneous: Anchor installations require the following items: (1) Use of the anchors must be approved by the design engineer. (2) The anchors must be installed under special inspection in accor- dance with Section 306 of the code. (3) Configurations A and C for shear loads due to seismic forces: (a) Allowable load is applicable only where in-place shear tests indicate a minimum mortar quality of 50 psi net. (b) One-fourth (25 percent) of the anchors must be tested by a special inspector using a calibrated torque wrench set at a minimum torque of Evaluation reports of ICBO Evaluation Service, Inc., are issued solely to provide information to Class A members of ICBG, utilizing the code upon which the report is based. Evaluation reports are not to be construed as representing aesthetics or any other attributes not specifically addressed nor as an endorsement or recommen- dation for use of the subject report. This report is based upon independent tests or other technical data submitted by the applicant. The ICBO Evaluation Service, Inc., technical staff has reviewed the test results and/or other data, but does not possess test facilities to make an independent ver{ftcation. There is no warranty by ICBO Evaluation Service, Inc., express or implied, as to any "Finding" or other matter in the report or as to any product covered by the report. This disclaimer includes, but is not limited to, merchantability. Page 1 of 6 Page 2 of 6 60 -foot pounds. Steel sleeves for anchors in Configuration C are tested prior to installation of threaded rod with an expansion bolt inserted into the sleeve. (c) Only seismic loads are imposed on the anchors. (d) Anchors shall have a minimum edge distance and spacing as noted in Table No. VI. (4) Configuration B used for tension loads: (a) Allowable load is applicable only where in-place mortar shear tests indicate a minimum ultimate strength of 50 psi net. (b) Five percent of the anchors must be tested with a minimum of two tests required. Where the wall thickness varies, at least one test must be performed on an anchor which has the least embedment. Tests must indi- cate that bolts can sustain a tensile load of 3,000 pounds for a five minute period (10 percent deviation). The tests must be conducted underthe su- pervision of the project engineer or an approved independent testing labo- ratory. As a minimum, the test report must include: (i) Test location(s). (ii) Brick/mortar condition. (iii) Bolt movement/elongation. (iv) Embedment depth. (v) Applied load. The project engineer and contractormust submit the test report to the local building department. (c) One-fifth (20 percent) of the installed anchors must be tested by a special inspector using a torque -calibrated wrench to a minimum torque of 60 -foot pounds. (d) Configuration B anchors shall have minimum edge distance and spacing as noted in Table No. VI. C. Poly -All RA -12 Renovation Formula: Ackerman Johnson Fastening Systems, Inc., Poly -All RA -12 Renovation Formula anchoring systems are stud anchors for use in unreinforced brick walls only. The anchor configu- rations, installation methods, allowable loads, and spacings are the same as described in Section II B 3 for the Poly -All PAC -24 anchor installed in unreinforced brick walls. The adhesives have a shelf life of one year when stored in a dry environment at temperatures ranging from 45°F. to 90°F. D. Poly -All PAC -12: 1. General: Ackerman Johnson Fastening Sys- tems, Inc., Poly -All PAC -12 anchoring system is a stud anchor for use in concrete substrates only. Allowable tension .and shear values are tabu- lated for various threaded rod sizes in Tables Nos. VIII and IX. The allow- able values must be adjusted in accordance with Figure No. 3 when the anchors are installed in locations where the concrete temperature ex- ceeds 77°F. The adhesives have a shelf life of one year when stored in a dry environment at temperatures ranging from 45°F. to 900F. The recom- mended hardening time is noted in Table No. VII. 2. Installation: The anchors are installed in concrete as described for the Poly -All PAC -24 anchors in Section II B 2-b. E. Miscellaneaus:'l. Anchor Limitations: Adhesive anchors installed in concrete substrates cannot be used to resist pullout forces in overhead and wall installations since the adhesive used with the anchor is tempera- ture sensitive. Anchors can be satisfactorily installed in walls and ceilings, provided proper consideration is given to fire. 2. Special Inspection: Adhesive anchor installations require special inspection in accordance with Section 306 of the code. The special inspec- ReportNo. 4945 tor records the drill bit compliance with ANSI 894.12-1977; hole depth and cleanliness; product description, including product name, rod diame- ter and length; adhesive expiration date; and verification of anchor instal- lation with the manufacturer's published instructions and this report. F. Dayton Superior Corporation, Gunnebo Fastening Corporation and Simpson Strong -Tie Co., Inc. Adhesive Systems: The Dayton Superior Corporation, Gunnebo Fastening Corporation and Simpson Strong -Tie Co., Inc. adhesives cross referenced with the Ackerman Johnson Fasten- ing Systems, Inc. adhesives in Table No. X are identical and installed as described in this report forthe corresponding Ackerman Johnson Fasten- ing Systems, Inc, products. G. Identification: Adhesives for anchors are identified in the field by la- bels on cartridges indicating the expiration date, product name and corre- sponding company name noted in Table No. X. Steel specification for threaded rods are identified on attached labels. Screen tubes and steel sleeves are identified by a label on containers bearing the corresponding adhesive company's name and address, size and quantity. III. Evidence Submitted: Descriptive data, results of tension and shear tests elevated temperature tests and short-term creep tests. Findings IV. Findings: That anchors described in this report comply with the 1991 Uniform Building Code-, subject to the following conditions: 1.. Maximum allowable shear and tension loads for anchors in- stalled in concrete substrates comply with Tables Nos. ll, III, IV, VIII and IX. Allowable loads must be adjusted for temperature in accordance with Figures Nos.1 and 3. 2. Anchor sizes, minimum embedment depths, minimum spacing, edge and end distances for anchors installed in concrete sub- strates comply with Tables Nos. II, III, IV, V, VIII and IX. 3. Anchors must be installed in holes predrilled with a car- bide -tipped masonry drill manufactured within the range of the maximum and minimum drill tip dimensions of ANSI Standard B94.12-1977 for the allowable values set forth in this report. 4. Allowable loads for anchors in concrete substrates subjected to combined shear and tension forces are determined by the ratio of the actual shear to the allowable shear plus the ratio of the ac- tual tension to the allowable tension not exceeding 1.00. 5. Special inspection in accordance with Section II E 2 and Section 306 (a)14 offhe code is provided for all anchor installations. 6. Calculations and details showing that anchors comply with this report are submitted to the local building official for approval. 7. Anchors are not used to support fire -resistive construction. 8. Anchors installed in concrete substrates cannot be used to resist pullout forces in ceiling or wall installations except as noted in this report. 9. Anchors cannot be subjected to vibratory or shock loads, such as supports for reciprocating engines or crane rails. 10. Allowable loads for anchors installed in unreinforced brick walls to resist seismic forces are noted in Section II B 3 of this report. 1993 Accumulative Supplement to the U.B.C.: This report is unaffected by the supplement. This report is subject to re-examination in two years. TABLE NO. I—RECOMMENDED HARDENING TIME FOR POLY -ALL PAC -24 ANCHORS TEMPERATURE (°F.) INITIAL SET (Hours) INITIAL CURE (Hours) l00 4 12 90 4 16 80 4 24 70 5 24 60 6 24 50 12 48 40 118 72 I Anchors are to be undisturbed during the initial set time. '-Application of allowable (design) tensile or shear loads shall occur after the initial cure time. Page 3 of 6 Report No. 4945 TABLE NO. II -ALLOWABLE TENSILE LOADS FOR THREADED ROD INSTALLED IN STONE -AGGREGATE CONCRETE USING POLY -ALL PAC -24 EPDXY (Pounds)1.2,3,4,5,6,7 STUD DIAMETER (Inch) DRILL BR DIAMETER (Inch) MINIMUM EMBEDMENT DEPTH E (Inches) SPACING S (Inches) EDGE DISTANCE m (Inches) BASED ON BOND STRENGTH r'C = 2,5011 VC = 4,5110 BASED ON STEEL STRENGTH A 307 A 193 Gr. 8 (SAE 1018) (SAE 4140) SS 304 /g /16 31/2 4-7/1-2 2 /g 2,220 2,895 2,080 4,580 1,670 I/2 /16 41/4 6 31/4 2,595 4,310 3,730 8,210 2,990 /8 /4 5 71/2 3 74 4,375 6,170 5,870 12,910 4,700 /4 /8 163/4 9 5 6,970 7,325 8,490 18,680 6,790 /8 1 71/2 101/2 57/8 8,005 10,640 12,000 26,400 9,500 1 11/9 8 /4 12 61/4 10,450 12,400 15,700 34,500 12,500 rnttowaote toad must De me lesser of bond or steel strength. The steel strength values in the table are in accordance with Table No. 27-A of the Uniform Building Code and Table No. 27-10-D of the U.B.C. Standards. 2The allowable tension capacities based on bond strength reflect the higher shun -term test values obtained. Allowable loads based on bond strength may not be increased for duration of load. 3The tabulated values are for anchors installed at the specified spacing (S) and edge (m) distances. Spacing and edge distances maybe reduced in accordance with Table No. V. Linear interpolation may be used for intermediate spacings. 4The tabulated values are for anchors installed in concrete having the designated compressive strength at the time of installation. 5The anchors experience a reduction in tensile and shear capacity with increased ambient temperatures. The load factors noted in Figure No. 1 must be applied to the values noted in the table above when the anchors are installed in locations where the ambient temperatures may exceed 720F. 6Special inspection in accordance with Section 306 (a) 2 and 14 of the code must be provided for all anchor installations. 7The anchors cannot be used to resist pullout forces in overhead and wall installations, unless proper consideration is given to fire conditions. TABLE NO. III -ALLOWABLE SHEAR LOADS FOR THREADED ROD INSTALLED IN STONE -AGGREGATE CONCRETE USING POLY -ALL PAC -24 EPDXY (Pounds)1,2,3,4,5 STUD DIAMETER (Inch) DRILL BIT DIAMETER (Ineh) MINIMUM EMBEDMENT DEPTH E(Inches) SPACING S (Inches) EDGE DISTANCE m (Inches) ----'2T/-8 BASED ON BOND STRENGTH V, = 2,500 r', = 4,500 BASED ON STEEL STRENGTH A 307 A 193 Gr. 8 (SAE 1018) (SAE 4140) SS 304 ' /8 716 31/2 4 !2 STRENGTH 1,020 1,020 1,040 2,290 1,040 t/2 /16 4 /a 6 31/4 2,415. 2,415 1,870 4,110 1,870 /8 /4 5 71/2 33/4 3,485 3,485 2,940 6,460 2,940 /4 /8 63/4 9 5 6,480 6,480 4,250 9,340 4,250 !g 1 71/2 10 /2 5 /g 6,240 6,720 6,000 12,800 6,000 1 1 /8 8'/4 12 61/4 7,185 7,200 7,820 17,200 7,820 Aiiowaote toad must oe me lesser of concrete or steel strength. The steel strength values in the table are In accordance with Table No. 27-A of the Uniform Building Code and Tables Nos. 27-10-D and 27-10 of the U.B.C. Standards. '--The tabulated values are for anchors installed at the specified spacing (S) and edge (m) distances. Spacing and edge distances may be reduced in accordance with Table No. V. Linear interpolation may be used for intermediate spacings. 37be tabulated values are for anchors installed in concrete having the designated compressive strength at the time of installation. 4Special inspection in accordance with Section 306 (a) 2 and 14 of the code must be provided for all anchor installations. 5The anchors experience a reduction in tensile and shear capacity with increased ambient temperatures. The load factors noted in Figure No. I must be applied to the values noted in the table above when the anchors are installed in locations where the ambient temperatures may exceed. 720F. TABLE NO. IV -ALLOWABLE TENSILE LOADS FOR ASTM A 615 GRADE 60 REINFORCING BAR INSTALLED IN STONE -AGGREGATE CONCRETE USING POLY -ALL PAC -24 EPDXY (Pounds)1,2,3,4,5,6,7 'The tabulated values are for rebar installed in concrete having the designated compressive strength or higher at the time of installation. -The allowable tension capacities based on bond strength reflect the higher short-term test values obtained. Allowable loads based on bond strength may not be increased for duration of load. 3The tabulated values are for anchors installed at the specified spacing (S) and edge (m) distances. Spacing and edge dis- tances may be reduced in accordance with Table No. V. Linear interpolation may be used for intermediate spacings. 4The tabulated values are for anchors installed in concrete having the designated compressive strength at the time of instal- lation. 5The anchors experience a reduction in tensile and shear capacity with increased ambient temperatures. The load factors noted in Figure No. I must be applied to the values noted in the table above when the anchors are installed in locations where the ambient temperatures may exceed 720F. (,Special inspection in accordance with Section 306 (a) 2 and 14 of the code must be provided for all anchor installations. 7The anchors cannot be used to resist pullout forces in overhead and wall installations. unless proper consideration is given to fire conditions. CONCRETE COMPRESSION STRENGTH MINIMUM REBAR DRILL BIT DIAMETER EMBEDMENT DEPTH E SPACING S EDGE DISTANCE m DIAMETER (Inch) (Inches) (Inches) (Inches) r'= = 2,500 r'e = 41500 No.4 /16 474 6 31/4 3,055 3,565 No. 6 /g 63/4 9 5 7,850 9,070 No. 8 11/g 8V4 1 12 61/4 9.065 10,240::j 'The tabulated values are for rebar installed in concrete having the designated compressive strength or higher at the time of installation. -The allowable tension capacities based on bond strength reflect the higher short-term test values obtained. Allowable loads based on bond strength may not be increased for duration of load. 3The tabulated values are for anchors installed at the specified spacing (S) and edge (m) distances. Spacing and edge dis- tances may be reduced in accordance with Table No. V. Linear interpolation may be used for intermediate spacings. 4The tabulated values are for anchors installed in concrete having the designated compressive strength at the time of instal- lation. 5The anchors experience a reduction in tensile and shear capacity with increased ambient temperatures. The load factors noted in Figure No. I must be applied to the values noted in the table above when the anchors are installed in locations where the ambient temperatures may exceed 720F. (,Special inspection in accordance with Section 306 (a) 2 and 14 of the code must be provided for all anchor installations. 7The anchors cannot be used to resist pullout forces in overhead and wall installations. unless proper consideration is given to fire conditions. Page 4 of 6 Report No. 4945 TABLE NO. V—REDUCATION FACTORSt-2 TENSION CAPACITY SHEAR CAPACITY Linear interpolation is allowed for edge distances which fall between 0.5m and 1.0m, and anchor spacing which falls be- tween 0.5S and LOS. '-The application of load .factors is cummulative. Spacing (S) and Edge MINIMUM EDGE CONFIGURATION SPACING (Inches) SPACING (Inches) distance (Hd Factor (FL) Edge distance (m) Direction of load Factor (Fs) S min = 0.5S 0.5 m min = 0.5m toward edge 0.5 m min = 0.5m 0.5 iOS m mn = . m not toward edge 0.5 PERCENT OF ALLOWABLE LOAD 100100 PERCENT AT 720F. 90 85 PERCENT AT 980F. 80 70 63 PERCENT AT 127°F. 60 50 40 30 26 PERCENT AT 1580F. 20 10 0 70 80 90 100 110 120 130 140 150 160 TEMPERATURE (OF.) FIGURE NO.1—TEMPERATURE OF CONCRETE VERSUS LOAD SENSITIVITY GRAPH FOR POLY -ALL PAC -24 EXPDXY TABLE NO. VI—MINIMUM SPACING AND EDGE DISTANCES FOR ANCHORS INSTALLED IN UNREINFORCED MASONRY ANCHOR MINIMUM VERTICAL MINIMUM HORIZONTAL MINIMUM EDGE CONFIGURATION SPACING (Inches) SPACING (Inches) DISTANCE (Inches) A 18 18 24 B 18 24 16 C 18 18 24 Page 5 of -6 Report No. 4945 L CONFIGURATION A CONFIGURATION C FIGURE NO.2 TABLE NO. VII -RECOMMENDED HARDENING TIME FOR POLY -ALL PAC -12 ANCHORS TEMPERATURE (°F.) INITIAL SETI INITIAL CUR (Hours) 100 20 minutes 1 90 20 minutes 1 80 30 minutes 1 70 30 minutes 1 60 1 hour 2 50 3 hours 6 40 6 hours 12 'Anchors are to be undisturbed during the initial set time. 2Application of allowable (design) tensile or shear loads shall occur after the initial cure time. TABLE NO. VIII -ALLOWABLE TENSILE LOADS FOR THREADED ROD INSTALLED 5 IN STONE -AGGREGATE CONCRETE USING POLY -ALL PAC -12 EPDXY (Pounds} BOLT SIZE (Inch) NOMINAL OFT DIAMETER (Inch) MINIMUM ANCHOR EMBEDMENT E (Inches) ANCHOR SPACINGS S (Inches) EDGE DISTANCES m (Inches) BASED ON BOND STRENGTH f = 2,500 /'c a 3,500 PC a 5,500 BASED ON STEEL STRENGTH A 307 A 325 (SAE 1018) (SAE 4140) SS 304 _ !8 x/16 31/2 41/2 21/4 1,550 1,575 1,575 2,080 4,580 1.670 /2 9/16 4114 6 3 2,700 2,715 2,875 .3,730 8,210 2.990 /8 '/4 5 71/2 33/4 4,010 4,867 4,923 5,870 12,910 4,700 !4 /s 6 /4 9 41/2 7,040 7,040 7,045 8,490 18,680 6,790 �/8 1 71/2 1072 57/4 8.290 9,265 9,950 12,000 26,400 9,500 1 i 11/8 81/4 12 6 9.8757 9,480 11,935 15,700 34,500 12,500 Allowable load must be the lesser of bond or steel strength. The steel strength values in the table are in accordance with Table No. 27-A of the Uniform Building Code and Table No. 27-10-D of the U.B.C. Standards. 2The allowable tension capacities based on bond strength reflect the higher shoe -term test values obtained. The allowable values based on bond strength noted above must be reduced by 25 percent for long-term loading conditions. Allowable loads based on bond strength may not be increased for duration of load. 3The tabulated values are for anchors installed at the specified spacing (S) and edge (m) distances. Spacing and edge distances may be reduced in accordance with Table No. V Linear interpolation may be used for intermediate spacings. Page 6 of 6 Report No. 4945 4The tabulated values are for anchors installed in concrete having the designated compressive strength as the time of installation. SThe anchors experience a reduction in tensile and shear capacity with increased ambient temperatures.. The load factors noted in Figure No. 3 must be applied to the values noted in the table above when the anchors are installed in locations where the ambient temperatures may exceed'770F. 6Special inspection in accordance with Section 306 (a) 2 and 14 of the code must be provided for all anchor installations. 7The anchors cannot be used to resist pullout forces in overhead and wall installations, unless proper, consideration is given to fire conditions. TABLE NO. IX—ALLOWABLE SHEAR LOADS FOR THREADED ROD INSTALLED IN STONE -AGGREGATE CONCRETE USING POLY -ALL PAC -12 EPDXY (Pounds)1,2,3,4,5 Allowable load must be the lesser of bond or steel strength. The steel strength values in the table are in accordance with Table No. 27-A of the Uniform Building Code and Tables Nps. 27-10-D and 27-10-P of the U.B.C. Standards. '--The tabulated values are for anchors installed at the specified spacing (S) and edge (m) distances. Spacing and edge distances may be reduced in accordance with Table No. V. Linear interpolation may be used for intermediate spacings. ;The tabulated values are for anchors installed in concrete having the designated compressive strength at the time of installation. 4Special inspection in accordance with Section 306 (a) 2 and 14. of the code must be provided for all anchor installations. 5The anchors experience a reduction in tensile and shear capacity with increased ambient temperatures. The load factors noted in Figure -No. 3 must be applied to the values noted in the table above when the anchors are installed in locations where the ambient temperatures may exceed 770F. 100 90 80 70 60 50' 40 30 20 10 0 70 PERCENT OF ALLOWABLE LOAD 80 90 100 110 120 130 140 150 160 TEMPERATURE (°F.) FIGURE NO. 3—TEMPERATURE OF CONCRETE VERSUS LOAD SENSITIVITY GRAPH FOR POLY -ALL PAC -12 EXPDXY TABLE NO. X --COMPANY AND PRODUCT CROSS REFERENCES 'PERCENT AT 1580F. COMPANY NAME ACKERMAN JOHNSON FASTENING SYSTEMS, INC. DAYTON SUPERIOR CORPORATION GUNNESO FASTENING CORPORATION SIMPSON STRONG -TIE COMPANY, INC. BASED OW -B -0 -ND STRENGTH BASED ON STEEL STRENGTH BOLT SIZE NOMINAL BIT MINIMUM ANCHOR EMBEDMENT E ANCHOR SPACINGS S EDGE DISTANCES m Polv-All PAC -12 Sure Anchor 0-51-A) Liquid Roc 500 (Fast Set Twin Tube) None (Inch) DIAMETER (Inch) (Inches) (Inches) (Inches) r'C =:3,000 A 307 (SAE 1018) A 325 (SAE 4140) SS 304 /s /16 31/2 41/2 21/4 1,750 1,040 2,290 1.040 1/- /16- 4114 6 3 3,375. 1,870 4,110 1,870 '!F /4 5 71/, 3-3/4 2.965 2,940 6,460 2,940 '�= �/ 6 /4 9 41/2 4,380 4,250 9.340 4,250 I 11/>; 8 /4 12 6 7,275 7,820 17,200 7,820 Allowable load must be the lesser of bond or steel strength. The steel strength values in the table are in accordance with Table No. 27-A of the Uniform Building Code and Tables Nps. 27-10-D and 27-10-P of the U.B.C. Standards. '--The tabulated values are for anchors installed at the specified spacing (S) and edge (m) distances. Spacing and edge distances may be reduced in accordance with Table No. V. Linear interpolation may be used for intermediate spacings. ;The tabulated values are for anchors installed in concrete having the designated compressive strength at the time of installation. 4Special inspection in accordance with Section 306 (a) 2 and 14. of the code must be provided for all anchor installations. 5The anchors experience a reduction in tensile and shear capacity with increased ambient temperatures. The load factors noted in Figure -No. 3 must be applied to the values noted in the table above when the anchors are installed in locations where the ambient temperatures may exceed 770F. 100 90 80 70 60 50' 40 30 20 10 0 70 PERCENT OF ALLOWABLE LOAD 80 90 100 110 120 130 140 150 160 TEMPERATURE (°F.) FIGURE NO. 3—TEMPERATURE OF CONCRETE VERSUS LOAD SENSITIVITY GRAPH FOR POLY -ALL PAC -12 EXPDXY TABLE NO. X --COMPANY AND PRODUCT CROSS REFERENCES 'PERCENT AT 1580F. COMPANY NAME ACKERMAN JOHNSON FASTENING SYSTEMS, INC. DAYTON SUPERIOR CORPORATION GUNNESO FASTENING CORPORATION SIMPSON STRONG -TIE COMPANY, INC. Designation Poly -All PAC -24 Sure Anchor (J-51) Liquid Roc 500 (Low Odor Twin Tube) Simpson Epoxy -Tie ET-222Product Poly -All RA -12 None None None Polv-All PAC -12 Sure Anchor 0-51-A) Liquid Roc 500 (Fast Set Twin Tube) None S T R U C T U R A L C A L C U L A T I O N S ----------------------- F 0 R M c BEE R E S I D E N C E 9 8 6 1 ORO Q U II -N C Y HWY BERRY CREEK, CA ROGER SOUDAN C 0 N'S T R U C T I O N 50 HASSL•ER COURT 0R0VILLE, CA 95'966 F L T E N G I N E E R I N G 5 7.9 0 C LAR K ROAD PARADISE, CA 95.969 (916)872-0254 F LT ENWH EU'1lNG CML • STRUCTURAL (916) 872-0254 FAX (916) 872.9331 5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 PIECT: STRUCTURAL C ALC ULAMOO CJS, BY: f Z-7 DATE: �Z 96 SHEET No. / OF 6 CHECKED 81t. DATE: /JOB No. SUBJECT: / /IS'G. aje4 ✓'17-Y L t7ie? AZ- .¢ S-11,,,71 .�rde y 4oAP17;V,4-) Ta oQ�pf ESS116 P�j L. TyG� Fyc w 0. 434 m CIVIL L L ¢O /VS/,M' F OF CALVE GLS - ,DG 6 /q? )Tip- 47 A0 Zzwv- 30x LOX,& 7,r 1)16 = , l3�o /Z) 5'14�-ooD (4c EQU/f L-) 49771 -,4 �O 7, l%r/f/,visnrE,a F LST ENGNCERM3 CML • STRUCTURAL (916) 812-0254 FAX (916) 812-9331 5190 CLARK ROAD, PARADISE, CALIFORNIA 95969 SJECT: STRUCTURAL C ALCULAMONS BY: DATE: 1?— 96 MEET No. Z OF �p CHECKED BY: DATE: JOB No, 1,5' SUBJECT: O/esr -Z Dll-r- _ , 91/ /r34"'xlrZ-r 4?r.-c 33 dDong E �60,a, G� s,DJ?>X/.33 — ,OG7 J Z _ /2.F f1.f: vp l /r 14 1ID/' le9l DAX 3l• 11r I" lz � , 00 x I�DBx /77, a z¢o �' , DE 7 F LT. EMMMEERM3 CML • STRUCTURAL (916) 872-0254 FAX (916) 872-9331 5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 0WECT: STRUCTURAL C ALC ULAMOO SIS BY: 'A�r DATE: �Z /6 SHEET W. 3 OF 6 CHECKED BY: DATE: JOB No. 6 / i 9 SUBJECT: CCOA)7-) '4 - 'e vld LSTs' 6 D / _ , D� i,r /. 3 3 = , 443 A?� z x%r1,3 C ! 13 < p9 le Fri, f — p _ 16z Ile z t /- %- = A - 6: Z// r- /3 2�: �t c- la- 7Z? 6717 To D,—P- vsEs� ¢,< ��orrs ��pr�roE- Z6 /z ,t» �on,�� f�Z:7 Dos7- ¢x /Z Tv 6x G all ,r 3 - f� f dsTS O,A-- AlaC 410 e=;;f, , 45i-7,0 F LT C NGWEEMNO CML • STRUCTURAL (916) 872-0254 FAX (916) 872-9331 5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 WECT: STRUCTURAL C ALC ULAMONS DATE: �Z 9� SHEET No. '�' OF 6 CHECKED BY: DATE: JOB No. E /Y9 SUBJECT: �.V,AGys1 S - eoo g GJL Df395;X �z7-,D//x IV 7x 4rF,2 = 01,90 i e. 7 rx 3. Y/ 7' f- - 7 7- - 9,, U)l x ( //3 -t 7z f- 7ZX, Z ¢/3 3)/014 7/3-3 < e 2p /0 2c/3 34 ¢z < 31c /e F LT ENOO(E RNM _ CML • STRUCTURAL (916) 872-0254 FAX (916) 872-9331 5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 ?WECT: STRUC TURAL C ALC ULQMNS BY: lf�li7 DATE: IZAC' SHEET No. %r- OF 6 CHECKED W. DATE: JOB No. 45./ Q9 SUBJECT: /2 D 7/ Z3 7 0 71 F7 iZ .3x ry 4�/ l6cL /2 yo_c..—.�Gy, �t% 7V D)a7= of �Zz�P,,O le F LST EN00HEC'RNM CML • STRUCTURAL (916) 812-0254 FAX (916) 812-9331 5190 CLARK ROAD, PARADISE, CALIFORNIA 95969 4JECT: STRUCTURAL C ALC ULLAMOO NS SHEET No. 6' OOF ro CHECKED BY: DATE: JOB No. 6/ F9 SUBJECT: zoo, 1�i•��, , L�irsr ��sr �i�us — G, �, ,s y mor ` /9�'x /,6 /2. r12 OD 7'x U� 7, la -,C. �y) '�it%� L S -1 a !� v,V4 . /� � Z -� � ,�, ,GTS � C-.4 • i�t��'v� XeT'�T� — �O,vd�'T�T70If Jowlulmm ff 9� 0 cm ICBG Evaluation Service, Inc. ry A subsidiary corporation of the International Conference of Building Officials EVALUATION REPORT Report No. 4945 Copyright C 1994 ICBO Evaluation Service, Inc. June, 1994 Filing Category: FASTENERS—Concrete and Masonry Anchors (066) POLY -ALL EPDXY ANCHORING SYSTEMS ACKERMAN JOHNSON FASTENING SYSTEMS, INC. 136 OFFICIAL ROAD ADDISON, ILLINOIS 60101 DAYTON SUPERIOR CORPORATION 721 RICHARD STREET MIAMISBURG, OHIO 45342 GUNNEBO FASTENING CORPORATION 180 SOUTH HARTMAN STREET YORK, PENNSYLVANIA 17403 SIMPSON STRONG -TIE COMPANY, INC. 4637 CHABOT DRIVE, SUITE 200 PLEASANTON, CALIFORNIA 94588 I. Subject: Poly -All Epoxy Anchoring Systems. II. Description: A. General: Ackerman Johnson Fastening Systems, Inc., Poly -All anchoring systems described in this report are stud -type adhesive anchors for use in concrete and unreinforced brick walls. The an- chor systems consist of two-part epoxy adhesives and a threaded steel rod or deformed steel reinforcement bars. For installation in unreinforced brick walls, a screen tube, steel sleeve and steel plate are also- used. The adhesives are packaged in dual side-by-side cartridges with a 1:1 volume ratio. The cartridges are used with a manual or pneumatically activated tool. The adhesive is mixed by a static mixing nozzle as it is dispensed from the dual cartridge. B. Poly -All PAC -24: 1. General: Ackerman Johnson Fastening Sys- tems, Inc., Poly -All PAC -24 has a shelf life of one year when stored in a dry environment at temperatures ranging from 45°F. to 90°F. The recom- mended hardening time is noted in Table No. I. 2. Concrete: a. General: Anchors are for use in normal -weight stone -aggregate concrete having various compressive strengths. Allow- able tension and shear values are tabulated for the various threaded rod sizes indicated in Tables Nos. II and III. Allowable tension values for de- formed steel reinforcing bars are noted in Table No. IV. The allowable val- ues in Tables Nos. II through IV must be adjusted in accordance with Fig- ure No. 1 when the anchors are installed in locations where the concrete temperature exceeds 720F. b. Installation: The anchor is installed in a predrilled hole in concrete that has been cleaned with compressed air and a nylon brush. The hole diameter, anchor embedment, spacing and edge distances must comply with Tables Nos. II through IV. The mixed adhesive is injected into the hole to fill it approximately one-half full. Threaded rods or steel reinforcing bars, free of oil, scale and rust, are pushed to the bottom of the hole and twisted clockwise to ensure coverage of the threads or bar surface with adhesive. The adhesive must be level with the concrete surface after inser- tion of the rod or bar. 3. Unreinforced Brick Walls: a. General: Anchors installed in existing unreintorced brick walls with Poly -All PAC -24 adhesive are designed to re- sist seismic loads only. The existing unreinforced brick walls must have a minimum thickness of 13 inches. The anchor is installed in three config- urations as shown in Figure No. 2. The adhesive, threaded rod and screen tube are used in all anchor installations. Configuration A has a straight threaded rad embedded 8 inches into the wall. Configuration B consists of the threaded rod bent and installed 13 inches into the wall at a 22.5 -de- gree angle. Configuration C uses a through -bolt, steel sleeve and a steel plate. The threaded rod for Configurations A and B is a 3/4 -inch -diameter ASTM A 307 rod. A 5/8 -inch -diameter ASTM A 307 threaded rod is used in Configuration C. The screen tube is a steel screen formed into a tube with a 31/32 -inch diameter and a length of 8 inches, except for Configuration B where the tube length is 13 inches. An 8-inch=long sleeve formed from C 1010 steel used in the through - bolted condition of Configuration C has an outside and inside diameter of 13/16 inch and 11/16 inch, respectively. The steel sleeve has a plastic plug in one end. A 6 -inch by 6 -inch by 3/8 -inch -thick ASTM A 36 steel plate is located on the back face of the wall at the end of the threaded rod of the through -bolted connection. Allowable shear value for Configurations A and C is 1,000 pounds. The allowable tension value for Configuration B is 1,200 pounds. Allowable values are for short duration seismic loads and cannot be increased for short-term loads. The adhesive for the installed anchors must be pro- tected from direct weather exposure. b. Installation: The anchors are installed in 1 -inch -diameter holes drilled with standard rotary drill bits for use in concrete or masonry, and a rotary drill or rotary hammer drill used in the "rotation only" mode. The hole is drilled perpendicular to the wall face with a depth of 8 inches for Configurations A and C. The hole for the Configuration B anchor is at the angle and empedment described in Section II B 3-a using a guide which is hand held or attached to the drill. The holes are cleaned with oil -free compressed air and a nylon brush. The mixed adhesive is injected into the screen tube until the tube is completely full. The tube is then placed into the drilled hole. The threaded rod of Configurations A and B or the steel sleeve of Configuration C is slowly pushed into the screen tube forcing the adhesive through the screen into the hole. The adhesive must be cured at the temperature and time periods noted in Table No. I before load application to Configurations A and B or before continuing installation of the Configuration C anchor. Afterthe adhesive is cured in the Configuration C anchors, 5/8 -inch -diam- eter holes are drilled with standard rotary drill bits through the plastic plug in the end of the steel sleeve and completely through the wall. The 5/8 -inch threaded rod is inserted through the hole and attached to the other side of the wall with the metal plate and a nut. c. Miscellaneous: Anchor installations require the following items: (1) Use of the anchors must be approved by the design engineer. (2) The anchors must be installed under special inspection in accor- dance with Section 306 of the code. (3) Configurations A and C for shear loads due to seismic forces: (a) Allowable load is applicable only where in-place shear tests indicate a minimum mortar quality of 50 psi net. (b) One-fourth (25 percent) of the anchors must be tested by a special inspector using a calibrated torque wrench set at a minimum torque of Evaluation reports of ICBG Evaluation Service, Inc., are issued solely to provide information to Class A members of ICBG, utilizing the code upon which the report is based. Evaluation reports are not to be construed as representing aesthetics or any other attributes not specifically addressed nor as an endorsement or recommen- dation for use of the subject report. This report is based upon independent tests or other technical data submitted by the applicant. The ICBG Evaluation Service, Inc., technical staff has reviewed the test results and/or other data, but does not possess test facilities to make an independent verification. There is no warranty by ICBO Evaluation Service, Inc., express or implied, as to ane "Finding" or other matter in the report oras to any product covered by the report. This disclaimer includes, but is not limited to, merchantability. Pagel of 6 i .i Page 2 of 6 60 -foot pounds. Steel sleeves for anchors in Configuration C are tested prior to installation of threaded rod with an expansion bolt inserted into the sleeve. (c) Only seismic loads are imposed on the anchors. (d) Anchors shall have a minimum edge distance and spacing as noted in Table No. VI. (4) Configuration B used for tension loads: (a) Allowable load is applicable only where in-place mortar shear tests indicate a minimum ultimate strength of 50 psi net. (b) Five percent of the anchors must be tested with a minimum of two tests required. Where the wall thickness varies, at least one test must be performed on an anchor which has the least embedment. Tests must indi- cate that bolts can sustain a tensile load of 3,000 pounds for a five minute period (10 percent deviation). The tests must be conducted under the su- pervision of the project engineer or an approved independent testing labo- ratory. As a minimum, the test report must include: (i) Test location(s). (ii) Bricklmortar condition. (iii) Bolt movement/elongation. (iv) Embedment depth. (v) Applied load. The project engineer and contractor must submit the test report to the local building department. (c) One-fifth (20 percent) of the installed anchors must be tested by a special inspector using a torque -calibrated wrench to a minimum torque of 60 -foot Hounds. (d) Configuration B anchors shall have minimum edge distance and spacing as noted in Table No. VI. C. Poly -All RA -12 Renovation Formula: Ackerman Johnson Fastening Systems, Inc., Poly -All RA -12 Renovation Formula anchoring systems are stud anchors for use in unreinforced brick walls only. The anchor configu- rations, installation methods, allowable loads, and spacings are the same as described in Section II B 3 for the Poly -All PAC -24 anchor installed in unreinforced brick walls. The adhesives have a shelf life of one year when stored in a dry environment at temperatures ranging from 45°F. to 90OF. D. Poly -All PAC -12: 1. General: Ackerman Johnson Fastening Sys- tems, Inc., Poly -All PAC -12 anchoring system is a stud anchor for use in concrete substrates only. Allowable tension.and shear values are tabu- lated for various threaded rod sizes in Tables Nos. VIII and IX. The allow- able values must be adjusted in accordance with Figure No. 3 when the anchors are installed in locations where the concrete temperature ex- ceeds 770F. The adhesives have a shelf life of one year when stored in a dry environment at temperatures ranging from 450F. to 900F. The recom- mended hardening time is noted in Table No. VII. 2. Installation: The anchors are installed in concrete as described for the Poly -All PAC -24 anchors in Section 11 B 2-b. E. Miscellaneous: 1. Anchor Limitations: Adhesive anchors installed in concrete substrates cannot be used to resist pullout forces in overhead and wall installations since the adhesive used with the anchor is tempera- ture sensitive. Anchors can be satisfactorily installed in walls and ceilings, provided proper consideration is given to fire. 2. Special Inspection: Adhesive anchor installations require special inspection in accordance with Section 306 of the code. The special inspec- Report No. 4945 for records the drill bit compliance with ANSI 894.12-1977; hole depth and cleanliness; product description, including product name, rod diame- ter and length; adhesive expiration date; and verification of anchor instal- lation with the manufacturer's published instructions and this report. F. Dayton Superior Corporation, Gunnebo Fastening Corporation and Simpson Strong -Tie Co., Inc. Adhesive Systems: The Dayton Superior Corporation, Gunnebo Fastening Corporation and Simpson Strong -Tie Co., Inc. adhesives cross referenced with the Ackerman Johnson Fasten- ing Systems, Inc. adhesives in Table No. X are identical and installed as described in this report for the corresponding Ackerman Johnson Fasten- ing Systems, Inc. products. G. Identification: Adhesives for anchors are identified in the field by la- bels on cartridges indicating the expiration date, product name and corre- sponding company: name noted in Table No. X. Steel specification for threaded rods are identified on attached labels. Screen tubes and steel sleeves are identified by a label on containers bearing the corresponding adhesive company's name and address, size and quantity. III. Evidence Submitted: Descriptive data, results of tension and shear tests elevated temperature tests and short-term creep tests. Findings IV. Findings: That anchors described in this report comply with the 1991 Uniform Building Code-, subject to the following conditions: 1.. Maximum allowable shear and tension loads for anchors in- stalled in concrete substrates comply with Tables Nos. II, III, IV, VIII and IX. Allowable loads must be adjusted for temperature in accordance with Figures Nos.1 and 3. 2. Anchor sizes, minimum embedment depths, minimum spacing, edge and end distances for anchors installed in concrete sub- strates comply with Tables Nos. 11, III, IV, V, VIII and IX. 3. Anchors must be installed in holes predrilled with a car- bide -tipped masonry drill manufactured within the range of the maximum and minimum drill tip dimensions of ANSI Standard 894.12-1977 for the allowable values set forth in this report. 4. Allowable loads for anchors in concrete substrates subjected to combined shear and tension forces are determined by the ratio of the actual shearto the allowable shear plus the ratio of the ac- tual tension to the allowable tension not.exceeding 1.00. 5. Special inspection in accordance with Section II E 2 and Section 306 (a)14 of the code is provided for all anchor installations. 6. Calculations and details showing that anchors comply with this report are submitted to the local building official for approval. 7. Anchors are not used to support fire -resistive construction. 8. Anchors installed in concrete substrates cannot be used to resist pullout forces in ceiling or wall installations except as noted in this report. 9. Anchors cannot be subjected to vibratory or shock loads, such as supports for reciprocating engines or crane rails. 10. Allowable loads for anchors installed in unreinforced brick walls to resist seismic forces are noted in Section II B 3 of this report. 1993 Accumulative Supplement to the U.B.C.: This report is unaffected by the supplement. This report is subject to re-examination in two years. TABLE NO. I—RECOMMENDED HARDENING TIME FOR POLY -ALL PAC -24 ANCHORS TEMPERATURE (°F.) INMAL SET (Hours) INITIAL CURE (Hours) 100 4 12 90 4 16 80 4 24 70 5 24 60 6 24 50 12 48 40 18 72 IAnchors are to be undisturbed during the initial set time. '-Application of allowable (design) tensile or shear loads shall occur after the initial cure time. Page 3 of 6 Report No. 4945 TABLE NO. II -ALLOWABLE TENSILE LOADS FOR THREADED ROD INSTALLED IN STONE -AGGREGATE CONCRETE USING POLY -ALL PAC -24 EPDXY (Pounds)1,2,3,4,5,6,7 STUD DIAMETER (Inch) DRILL BIT DIAMETER (Inch) MINIMUM EMBEDMENT DEPTH E (Inches) SPACING S (Inches) EDGE DISTANCE m (Inches) BASED ON BOND STRENGTH Vc = 2,500 f'c = 4,500 BASED ON STEEL STRENGTH A 307 A 193 Gr. B (SAE 1018) (SAE 4140) SS 304 3/8 716 31/2 41/, 27/g 2.220 2,895 2,080 4,580 1.670 1/2 !16 41/4 6 31/4 2,595 4,310 3,730 8,210 2,990 !8 3/4 5 71/2 3314 4,375 6,170 5,870 12,910 1 4,700 /4 /8 1 6'/4 9 5 6,970 7.325 8,490 18,680 6.790 /8 1 1 71/2 10 /2 5 /g 8,005 10.640 12,000 26.400 9,500 1 11/8 1 81/4 12 67/4 10,450 12.400 15.700 34,500 12,500 1 Allowable load must be the lesser of bond or steel strength. The steel strength values in the table are in accordance with Table No. 27-A of the Uniform Building Code and Table No. 27-10-D of the U.B.C. Standards. -'The allowable tension capacities based on bond strength reflect the higher shun -term test values obtained. Allowable loads based on bond strength may not be increased for duration of load. 3The tabulated values are for anchors installed at the specified spacing (S) and edge (m) distances. Spacing and edge distances may be reduced in accordance with Table No. V. Linear interpolation may be used for intermediate spacings. 4The tabulated values are for anchors installed in concrete having the designated compressive strength at the time of installation. 5The anchors experience a reduction in tensile and shear capacity with increased ambient temperatures. The load factors noted in Figure No. 1 must be applied to the values noted in the table above when the anchors are installed in locations where the ambient temperatures may exceed 720F. 6Special inspection in accordance with Section 306 (a) 2 and 14 of the code must be provided for all anchor installations. 7The anchors cannot be used to resist pullout forces in overhead and wall installations, unless proper consideration is given to fire conditions. TABLE NO. 111 --ALLOWABLE SHEAR LOADS FOR THREADED ROD INSTALLED IN STONE -AGGREGATE CONCRETE USING POLY -ALL PAC -24 EPDXY (Pounds)1,2,3,4,5 STUD DIAMETER (Inch) DRILL BIT DIAMETER (Inch) MINIMUM EMBEDMENT DEPTH E(Inches) SPACING S (Inches) EDGE DISTANCE in (Inches) BASED ON BOND STRENGTH Ve = 2,500 f'C = 4,500 BASED ON STEEL STRENGTH A 307 A 193 Gr. B (SAE 1018) (SAE 4140) SS 304 /8 /16 31/2 4 /2 2 /8 1,020 1,020 1,040 2,290 1,040 1/2 /16 41/4 6 31/4 2,415. 2,415 1,870 4,110 1,870 3/8 /4 5 71/2 33/4 3,485 3,485 2,940 6,460 2,940 /4 /8 63/4 .9 5 6,480 6,480 4,250 9,340 4,250 /g 1 71/2 10-7/ 5T/. 6,240 6,720 6,000 12,800 6,000 1 11/8 81/4 12 61/4 7,185 7,200 7,820 17,200 7,820 1 Allowable load must be the lesser of concrete or steel strength. The steel strength values in the table are In accordance with Table No. 27-A of the Uniform Building Code and Tables Nos. 27-10-D and 27-10 of the U.B.C. Standards. '--The tabulated values are for anchors installed at the specified spacing (S) and edge (m) distances. Spacing and edge distances may be reduced in accordance with Table No. V. Linear interpolation may be used for intermediate spacings. 3The tabulated values are for anchors installed in concrete having the designated compressive strength at the time of installation. 4Special inspection in accordance with Section 306 (a) 2 and 14 of the code must be provided for all anchor installations. 5The anchors experience a reduction in tensile and shear capacity with increased ambient temperatures. The load factors noted in Figure No. 1 must be applied to the values noted in the table above when the anchors are installed in locations where the ambient temperatures may exceed 720F. TABLE NO. IV -ALLOWABLE TENSILE LOADS FOR ASTM A 615 GRADE 60 REINFORCING BAR INSTALLED IN STONE -AGGREGATE CONCRETE USING POLY -ALL PAC -24 EPDXY (Pounds)1,2,3,4,5,6,7 IThe tabulated values are for rebar installed in concrete having the designated compressive strength or higher at the time of installation. '--The allowable tension capacities based on bond strength reflect the higher short-term test values obtained. Allowable loads based on bond strength may not be increased for duration of load. 3The tabulated values are for anchors installed at the specified spacing (S) and edge (m) distances. Spacing and edge dis- tances may be reduced in accordance with Table No. V. Linear interpolation may be used for intermediate spacings. 4The tabulated values are for anchors installed in concrete having the designated compressive strength at the time of instal- lation. 5The anchors experience a reduction in tensile and shear capacity with increased ambient temperatures. The load factors noted in Figure No. I must be applied to the values noted in the table above when the anchors are installed in locations where the ambient temperatures may exceed 720F. 6Special inspection in accordance with Section 306 (a) 2 and 14 of the code must be provided for all anchor installations. 7The anchors cannot be used to resist pullout forces in overhead and wall installations. unless proper consideration is given to fire conditions. CONCRETE COMPRESSION STRENGTH MINIMUM REBAR DIAMETER DRILL BIT DIAMETER (Inch) EMBEDMENT DEPTH E (Inches) SPACING S (Inches) EDGE DISTANCE in (Inches) f'C = 2,500 f', = 4,500 No.4 /16 41/4 6 31/4 3,055 3,565 No.6 /g 6}/a 9 5 7,850 9,070 No. 8 1 11/s 1 81/4 1 12 61/4 9.065 10,240 IThe tabulated values are for rebar installed in concrete having the designated compressive strength or higher at the time of installation. '--The allowable tension capacities based on bond strength reflect the higher short-term test values obtained. Allowable loads based on bond strength may not be increased for duration of load. 3The tabulated values are for anchors installed at the specified spacing (S) and edge (m) distances. Spacing and edge dis- tances may be reduced in accordance with Table No. V. Linear interpolation may be used for intermediate spacings. 4The tabulated values are for anchors installed in concrete having the designated compressive strength at the time of instal- lation. 5The anchors experience a reduction in tensile and shear capacity with increased ambient temperatures. The load factors noted in Figure No. I must be applied to the values noted in the table above when the anchors are installed in locations where the ambient temperatures may exceed 720F. 6Special inspection in accordance with Section 306 (a) 2 and 14 of the code must be provided for all anchor installations. 7The anchors cannot be used to resist pullout forces in overhead and wall installations. unless proper consideration is given to fire conditions. Page 4 of 6 ReportNo. 4945 TABLE NO. V—REDUCATION FACTORSi, 9 TENSION CAPACITY SHEAR CAPACITY Spacing (S) and Edge MINIMUM HORIZONTAL MINIMUM EDGE CONFIGURATION distance (m) Factor (FL) Edge distance (m) Direction of load Factor (Fs) S min = 0.5S 0.5 m min = 0.5m toward edge 0.5 m min ,= 0.5m 0.5 m min = 0.5m not toward edge 0.5 i Linear interpolation is allowed for edge distances which fall between 0.5m and 1.0m, and anchor spacing which falls be- tween 0.5S and LOS. '-The application of load .factors is cummulative. PERCENT OF ALLOWABLE LOAD 100 100 PERCENT AT 72°F. 90 85 PERCENT AT 98°F. 80 TO 63 PERCENT AT 1270F. 60 50 40 . 30 26 PERCENT.AT 1580F. 20 10 0 TO 80 90 100 110 120- 130 140 160 160 TEMPERATURE (°F.) FIGURE NO. 1—TEMPERATURE OF CONCRETE VERSUS LOAD SENSITIVITY GRAPH FOR POLY -ALL PAC -24 EXPDXY TABLE NO. VI—MINIMUM SPACING AND EDGE DISTANCES FOR ANCHORS INSTALLED IN UNREINFORCED MASONRY ANCHORMINIMUM VERTICAL MINIMUM HORIZONTAL MINIMUM EDGE CONFIGURATION SPACING (Inches) SPACING (Inches) DISTANCE (Inches) A 18 18 24 B 18 24 16 C 18 18 24 Page.5 of, 6 ReportNo.'4945- FIGURE NO.2 TABLE N0. VII—RECOMMENDED HARDENING TIME FOR POLY -ALL PAC -12 ANCHORS TEMPERATURE (°F.) INMAL SETI INITIAL CUR (Hours) 100 20 minutes 1 90 20 minutes I 80 30 minutes 1 70 30 minutes 1 60 1 hour 2 50 3 hours 6 40 6 hours 12 ' Anchors are to be undisturbed during the initial set time. '-Application of allowable (design) tensile or shear loads shall occur after the initial cure time. TABLE NO. VIII—ALLOWABLE TENSILE LOADS FOR THREADED ROD INSTALLED IN STONE -AGGREGATE CONCRETE USING POLY -ALL PAC -12 EPDXY (PoundsP,2,3,4,5,6,7 p BOLT SIZE (Inch) 1 NOMINAL Brr DIAMETER (Inch) MINIMUM ANCHOR EMBEDMENT E (Inches) ANCHOR SPACINGS S (Inches) EDGE DISTANCES m (Inches) BASED ON BOND STRENGTH !'� = 2,500 00 P !', = 3,5c = 5,500 BASED ON STEEL STRENGTH A 3b7A 325 (SAE 101 8)(SAE 4140) SS 304 , 3/8 /16 =1/2 4 /, 21/4 1,550 1,575 1.575 2,080 4,580 1.670 1/2 /16 ..1/4 6 3 2,700 2,715 2.875 3,730 8,210 2.990 /8 -/4 5 71/2 3 /4 4,010 4.867 1 4,923 5,870 12,910 4,700 3/4 /8 6'/4 9 41/2 7,040 7,040 7,045 8,490 18,680 6.790 ,/8 1 j1/2 101/2 51/4. 8,290 9,265 9.950 1 12,000 26,400 9.500 1 11/8 9V4 12 6 8,875 9.480 11,935 15,700 34.500 12.500 'Allowable load must be the lesser o` bond orsteel strength. The steel strength values in the table are in accordance with Table No. 27-A of the Uniform Building Code and Table No. 27-10-D of the U.B.C. Standards. '-The allowable tension capacities based on bond strength reflect the higher short-term test values obtained. The allowable values based on bond strength noted above must be reduced by 25 percent for long-term loading conditions. Allowable loads based on bond strength may not be increased for duration of load. ;The tabulated values are for anchors installed at the specified spacing (S) and edge (m) distances. Spacing and edge distances may be reduced in accordance with Table No. V. Linear interpolation may be used for intermediate spacings. Page 6 of 6 Report No. 4945 °The tabulated values are for anchors installed in concrete having the designated compressive strength at the time of installation. 5The anchors experience a reduction in tensile and shear capacity with increased ambient temperatures. The load factors noted in Figure No. 3 must be applied to the values noted in the table above when the anchors are installed in locations where the ambient temperatures may exceed 770F. 6Special inspection in accordance with Section 306 (a) 2 and 14 of the code must be provided for all anchor installations. IThe anchors cannot be used to resist pullout forces in overhead and wall installations, unless proper consideration is given to fire conditions. TABLE NO. IX—ALLOWABLE SHEAR LOADS FOR THREADED ROD INSTALLED IN STONE -AGGREGATE CONCRETE USING POLY -ALL PAC -12 EPDXY (Pounds)1,2,3,4,5 BOLT SIZE (Inch) NOMINAL BIT DIAMETER (Inch) MINIMUM ANCHOR EMBEDMENT E (Inches) ANCHOR SPACINGS S (Inches) EDGE DISTANCES m (Inches) BASED ON BOND STRENGTH P'C , 3,000 BASED ON STEEL STRENGTH A 307 A 325 (SAE 1018) (SAE 4140) SS 304 COMPANY, INC. Poly -.411 PAC -24 3112 41/2 21/4 1,750 1.040 2.290 1.040 1/2 r b/16-.. 41J4 6 3 3,375. 1.870 4,110 1,870 5 71/2 33/4 2,965 2,940 6,460 2,940 '14 is 6 /4 9 41/2 4,380 .4.250 9.340 4.^_50 I 1'is .81/4 12 6 7.275 7,820 17.200 7,820 1 Allowable load must be the lesser of bond or steel strength. The steel strength values in the table are in accordance with Table No. 27-A of the Uniform Building Code and Tables Nos. 27-]0-D and 27-10-P of the U.B.C. Standards. - '--The tabulated values are for anchors installed at the specified spacing (S) and edge (m) distances. Spacing and edge distances may be reduced in accordance with Table No. V. Linear interpoiation may be used for intermediate spacings. 3The tabulated values are for anchors installed in concrete having the designated compressive strength at the time of installation. 'Special inspection in accordance with Section 306 (a) 2 and 14.of the code must be provided for all anchor installations. 5The anchors experience a reduction in tensile and shear capacity with increased ambient temperatures. The load factors noted in Figure.No. 3 must be applied to the values noted in the table above when the anchors are installed in locations where the ambient temperatures may exceed 770F. 100 90 80 70 60 50 40 30 20 10 PERCENT OF ALLOWABLE LOAD 36 PERCENT AT 1580F. 0' i 1 1 1 t 70 80 90 100 110 120 130 140 .150 160 TEMPERATURE (OF.) FIGURE NO. 3 --TEMPERATURE OF CONCRETE VERSUS LOAD SENSITIVITY GRAPH FOR POLY -ALL PAC -12 EXPDXY TABLE NO. X—COMPANY AND PRODUCT CROSS REFERENCES ACKERMAN JOHNSON DAYTON SUPERIOR SIMPSON STRONG -TIE COMPANY NAME FASTENING SYSTEMS. INC. CORPORATION GUNNESO FASTENING CORPORATION COMPANY, INC. Poly -.411 PAC -24 Sure Anchor (1-51) Liquid Roc 500 (Low Odor Twin Tube) Simpson Epoxy -Tie ET22 Product Designation Poly -All RA -12 None None None - PolY-AlI PAC -12 Sure Anchor U -51-A) Liquid Roc 500 (Fast Set Twin Tube) None. �1 RESIDENTIAL PLAN CHECKING GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY OWNER: Koalp.& ►'Kr-ex6 BUI DINGPERMnWUMBER:_��i'vZS� PLAN CHECKER: I vl i W A P. NUMBER: GENERAL: Zoning requirements: (side yards and number of permitted living units). 2 Valuation. Plans signed by designer. 4. Proper description of work on application. 5. Existing violations on property. Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.). ,7! Recorded notice of violation. PLOT PLAN: Complete parcel size and dimensions. / Setbacks, side yards, easements, etc. Other buildings or structures. Grading, fills and/or drainage. Flood hazard Special conditions on creation map (Noise, S.R.A., Fire Sprinklers, Water Tender, Trees, etc.). F.A.U. & F.A.S. road setback Building or utilities across lot lines (Record form). FLOOR PLAN: ,J Complete to scale plan with dimensions. Required windows for light and ventilation (Section 1203). moi! Required windows for second exit (Section 310.4). Skylights (Section 2409 & 2603.7). Glazing in Hazardous Locations (Section 2406). Required room sizes, ceiling heights (Section 310.6). G.F.C.1. in baths, garage, kitchen, wet -'oar and-exterior-oudets-(IV.E.C. 210). . Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Location of water heaters, heating and cooling equipment, --cher elect.^cal or gas equipment. Garage firewall, door size and closer (Section 302.4). Ap e Minimum of one 3'0" exterior door (Section 1004.6). Fireplace and wood stove location, alcoves and clearance. Smoke detectors (Section 310.9.1). Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS: 1. Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4). 2. Standard bracing or engineered design (Section 2326.11.3). A10 r -A Wa I/ pn /j�— 3. 4. Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. u Nk Cd ff Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations details and wall construction complete enough to construct building. '� Roof construction details complete enough to construct building. after ties or bearing ridge beam. .� ••� Fireplace construction details and calc. if necessary. v Garage door and/or porch header sizes. Stud heights. Adobe soils - special foundation design. Retaining walls requiring design. Spccinl Inspection requirements. JANUARY 1996 3.2 MISCELLANEOUS ITEMS TO LOOK OUT FOR: Stairway details: landings, rise and rim, head clearance, handrails (Section 1006). Guardrail details (Section 509). Brick or stone veneer (Section 1403). Exterior plaster - weep screeds (Section 2506). . Propec roof pitch for roof covering (Section 1501). Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts. J•0� Two exits on three - story dwellings (Section 1003). t 1, Underfloor access and ventilation (Section 2317.7). yi. Attic access and ventilation (Section 1505). Confaustion air for fuel burning appliances - L:P. G. requirements. Noise requirements on duplexes. Energy design. / Flashing at all exterior openings. C.D.F. responsible area requirements.' . JANUARY 1996 3.3 4 JANUARY 1996 3.3 _RESIDENTIAL c 061-460-043 PERMIT#96-1582 McBEE, Roland 9861 Oro -Quincy Hwy, Berry Creek i Cont: Roger Soudan Const. Conv Schoolroom to SF �✓ a i gab r z fl j 'I F �qq S k inn 7 r } JOB F I N A L E D ( ate) C--� — cr — p f Signature V=OK 0 = Not OK =NotApplicaLle Not Ready MOBILE HOMES = Date MC BILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location-Test-Fall-Cl"oncrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 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-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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 X Dead Men -Lining ; 4. Elec.; Receptacles and Lighting, Distance-GFI ✓ 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card 3-1 6. Gas; Location -Test -Wrap; / tVlt. / /Nat. or/ NL°ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1 Zoning Requirements -Setbacks Easements 2 Footings; Size-Spacing-Maniage Line 3 Gas; MH Test -Demand -Valve -Connector 4 Electricity; MH Test -Crossovers -Breakers -Clearances S. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged S. Tie Downs -Type -Installation Cert. 1C Exits; Insp.-Sketch 1 t Cert of Occupancy 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-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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 X Dead Men -Lining ; 4. Elec.; Receptacles and Lighting, Distance-GFI ✓ 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card 3-1 V OK O = Not OK =Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except ff's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; 'Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date �ftMBING (Permit) OK except 1r's ater Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection ---------.------- ---------------------------------------------- 18. D.W.V.; Test -fittings & Anchor -Nail Protection --------------------------------------------------- --- --- 19. Shower Pan: Test. First Floor -Tub Access ----- -- ------------------------------------------------------- 20. Test Tub -&-Shower.- Second Floor -Tub Access ----------------- 21. Gas Pipe: Size & Anchors --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ------------------------------------------------ --------------- --- ------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture -& & Transformer Clearance -Ins. - - --Protection- ----- - ----------------------------------- ----- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ----------------------------------------------------------------- ---------- 24. Size Boxes & No. of Conductors -Stapled --------------------------------------------------------------- ------- 25. Romex Installed Close to Edge of Studs & C.J. ------ -- -------------------------------------- --- - -- -- 26. _.26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water ----------- -------------- ----------------------- - ----- - ----- - --- -- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ----------------------------------------------- ........ ... ... .. 22. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size , ga. Cu or AI 29. Range Circ r , ga. Cu or AI -Oven Circ. I r ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------- -- - --------------------------- --------------- -- 30. Service -Riser Conductors & Ground -Main Disconnect - --------------------------------------------------- ---.. ....... . 31. Equip Clearances Panels-Motors-Mech. Equip. -------------- ...... . ....... ....... .. 32. Clothes Closet Light -Shower Light -Spa Light --- - - - ----------------------------- 33. Smoke Detector ------------------------------- ---- I.---- - --- ....... ... ... ....... . _ .... .. Date Card B-1 Date Card B-1 - -- - - ........... . -----------_..... .. ... ... ... ... .. Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except P's 34. A.C. Ducts Insulation & Support -----------------...----- -- ----------- ........... ....- 35. Vent Fan: Exhaust above insulation --------- ------ -------... .. ....... ..... .. 36. Condensate Drain & Overflow. Size & Grade ------ ---. ....... ........ ....... _.. ... _... .. .. 37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -------- 38 Attic Access & Platform if Furnance in Attic ------ -- ---- -- ...... -.. .. Date Card B_1 Date Card B-1 - ... . ... . Date Card -B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's 39 S Is. Proper Material & Anchors 40. Walls Studs NBracing- ailing, Spacing & 41. Bearing Walls over Girders & Floor Nailing ....... ... 42 Draft Stop in Walls (rat proof) ...... --' ....... ... ... ._ ..-. ... . . _. 43 Fire Stops: Furred Ceilings -Stairs -Chases -Tub ............... ....... .. . ... .. - 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Ring. ---------- 47. --Fireplace Ties or Type A Flue -Fireplace Throat clearance ------ --- -- 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing --- ----------- -------------- 51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3 -Check Garage -3rd Story, 2 Exits _ 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------------- 55. Siding -Nailing Veneer -------- ------------------------------ ---------- 56. -.Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ----------------------- -- 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts -------------- - ------------ 59. -Insulation -Walls -Ceilings 59. Insulation-Walls-C_eiling_s_ - --------- - 60. Infiltration -Walls -Windows ------------------ ----------- --•--..-------- Date_ Card B-1 Date Card B-1 Date Card B-1 Date - Card B-1 Date FINAL (Plans) OK except a's 61. Ext. Steps -Door & Sidelight Protection -Landings Detector 63. urnace Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor_Ducts-Mech_Protection-- _sedroom Exiting F.I &Bath Fixtures &Tub Access Spa - --- - --- p---& Tu I c. Trim &Sub anel; Breaker Sizes &Labels --fr7-Stat�s &Rails --- ------ - replace or Stove: Clearances -Hearth .. ... ....... ..------------------------- t -- - ------------- ----- - c EI utlets at Wood Panel: Int. & Ext. -- --- --------------------------- xt. & Appliance; Grnd.-Air Gap -Cooking Clearance -------------------- P--if - ---------------' Elec. Outlets & Receptacles at Kit. Counter ... ... ... .. - - - ---------------------- --- Ga ai ire Door: Swing -Landing -Closer ... ... ... - - ------------------- - - 3- .C. Duct in Garage -Damper 74. W r. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. n Gara e: Above Floor -Meth. Protection 17 Ib.. Elec. & Mech. Equip. Listed for Location -Elec. Receptacles in Garage: (G.F.I.)-Romex Protection .. .---------------------------------------------------- 7-i--tnsulat ion -Foam -Looked in Attic ❑ Yes -- ---- -- ----------------------------------- �----------------- o -Guard Rails & Deck Construction -Post Caps ..-------------------------------------------- -- �79-F�n-Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ----------------- X80'-F?5IIowing instld.Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No .----------------------------------------------- u o. Brown -Finish a�� ------------------------ 9 ----------------- Disconnect. Electrical, Plumbing .. ----------------------ol: Plbg.-Appliance-Fireplace.-Clearance to Openings -�CL�r Well: Disconnect. Electrical. Plumbing Exterior Elec Trim. G.F.I. 'Receptacle -Underground . .. . .... ..... - ------------------ -- -- ----------- ___86' -'Vi nidation Throughout House -- ---------- - -----•------------------- -�i Glass Protection .. ....... ------------- -- ----------- c-dd-C'orrecI ions from Previous Inspections - - - -- - ----------------- --813 -Gas Test -Meters Tagged. Gas -Electric ---90-Water & Sewer Connected-CrO to Grade -HD Approval --- ---- �Energy Compliance Cert hcate _Other Certificates - - - -- -- - ------------------- -- Date and B Date Card B-1 /0.1 - ------------------------------------ - Date� J_f 'Card B-1 Date Card B_1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541SE IT No. APPLICATION AND PERMIT `� ASSESSOR PARCEL NUMBER 061-460-043 ZONING BUILDING PERMIT OWNER ROLAND MC EEE TELEPHONE SO. FT. OCC. BUILDING VALUATION CQNTR 95,00000 OWNERS "AILING ADDRESS ROGER SOUDAN CONSTRUCTION CONTRACTOR'S NAME 50 HASSLER CT OROVILLE, 959 b PHONE CONTRACTORS MAILING ADDRESS (PAGER#953-1944) Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAIUNC ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 163.80 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 01861 ORO OUINCY HWY PERMITFEE $ 458.80 BERRY CREEK PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.o0 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 15.00 USEOFSTRUCTURE SF XJ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: CONV. SCHOOLROOM TO SINGLE FAMILY (COdV. IN APPROX. 1984) Mobile Home S G Ew7 @20.00 PERMITFEE $ 57.00 Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service e00V OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license i 'n full force and effect. License Class I Lic. No. OWNER -BUILDER DECLARATION I hereby @ffirm 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. a ACC. BUDS. ) SDF62.06 �7 • 00 3.50 FT. L NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER SINGLE APOPARATUS ) a UTLET CIR. Ex. Occup. (ouTLEroR FIXTURES zo @ I.00 ar,L EX. Occup. ( OUTLETS (RES . OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 82.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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' cc p ns ti insurance carrier and policy number are: Carrier A ARN MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation 1 4.501 4.50 PERMITFEE $ 39.50 Contractor Policy Number �_ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall hwith cc ly with those provisions. C' X `�,/ Date =� �7� Signature f Applicant - ❑ Owner I$, Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" de p and de ol'tion or construction of structures over 3 stories in height. lye �/✓ ( Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 OCC CONST. TYPE I TOTAL FEE $ 69111 HA2. I D. FEE IMP - FLOOD COF __.. PARCEL -' PD HD SUE This permit is hereby issued under of the utte County Code and/or indicatWQo hic4 fees have / B y PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date LCI 0/f/%� (Date) p Receipt No. 202111 - rOo WHITE-D.D.S.-B.D. CANARY -ASSESSOR P -INSPECTOR- GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF I .V LPMENT SERVICES - 7 County Center Drive - Oroville, a ifo 95965 - Telephone APPLICAT N ND PERMIT BUILDINGON� �r (916) 538-7541-7( _ 1 Ba- ASSESSOR NO. PARCEL NUMBER0 (9 — L — 0 — 3 1"G 1 1BUILDING .Aires' PERMIT OWNER o e " - SO. FT. OCC. . BUILDING VALUATION �• �j f1 `� VOO OWNMNO/ADDRESS® / 1 COM DR'S NAME©nS ( o (9r „- O/ coMSlICT MIUU DRESS�� �® Fireplace CONSSTRu O LENDER -3 '/- UNKNOWN Total Vto aluatio $ Fling Fee $ 20.00 LENDER'S Ma UNG ADDRESS - - Permit Fee - $ 106�) A109 ARCHV612NGINEER _ LICENSE NO. Plan Checking Fee. - $-161 8-0 Energy Plan Checking Fee $ • 0 v ARCHITECT OR EN'GIINEER'S MAILING ADDRESS Penalty $ BUILDINGADORESS Q PERMITFEE S I __ PLUMBING PERMIT Fling Fee 20.00 Each Trap -f - 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 ,S 00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other Describe Work: !-.- I bl/1 I -t-0 V Mobile Home I S I GI W 1 920.00 PERMITFEE $ � Contractor ELECTRICAL PERMIT Filino Fee 1 20.00 �} �O YCl T fC 1 n %d �, D Main Service000V OR LESS ( 200A OR LESS 23.00 Main Service ( 200A TO 1000A 46.00 t 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: ❑ 1, as owner of the property,,or my employees with wages as their sole compensation,. will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in'any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUR SD. q OR ( a ACC. )% 3.5¢ �. d CNSS. UTLEBUDS NEW CONST. MULTI -OUTLET NON•RESID. ( BRANCH CIRCUITS ) @7.50 ( EWER APPARATUS ) d SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL r& .50 Ex. Occup.(o�F,IIXEEDAPP sE Io.CFR.A. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT FilingFee 20.00 Heating jC, Q Cooling Hood oo6.50 Ventilation LS 0 PERMITFEE $ , Contractor Mobile Home Installation Fee Is Energy Inspection Fee $ Q occ CONST. TYPE TOTAL QEE $ u HAZ. I D. FEES IMP FL000 bDF- ` -PARCEL_ HD ISSUE .� _ - _ This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. ' Date (Date) Receipt No. WHITE-D.D.S.-B.D. CA R4SSS0R PINK -INSPECTOR GOLDENROD -APPLICANT F80 - 219 a// too t .y 4 ua.'. COUNTY OF BUTTE BUILDING DIVISION, 53"� DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIT NO. A routine inspectio ndicates that the following violations of Butte County Ordinances exist at ^'- the above addre and should be corrected. Please notify this office when correction of work ' is completed. you have any questions pertaining to this matter, or need additional explanation, plea con ct this office immediately. Kt\. lU/y[ COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA- (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307; CORRECTION NOTICE )Ac OWNER A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is comple d. If you have any questions pertaining to this matter, or need additional explanation, please -,tact this office immediately. r e. L g -ofd -& Date REV 1 COUNTYOF BUTTE - DEPARTMENTOF DE5/ELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 OWNER O Proposed Building Use PERMIT APPLICATION DATASHEET A 1& 0. ,Oki V 00 00 uildi �.p Inspector Date - - - . At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ..................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... q 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 9-Z,(e- 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. # 5. Hazardous Material Form. i 6. Energy Design Compliance and supporting documentation . ................ 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... , 8. Engineered truss details and layout in duplicate (required prior to plan check). .... `� Mobilehome data and manufacturer's installation instructions, 2 sets. . Fees of $ :3q .� .......................................... ld 1 Impact fees wn on attached schedule. .............................. 1 California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year floodCal' #pI rnia Engineer . ............:::.. --,� 14. Sanitation and plot plan approval C//e Health Department. .. / U 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Developmental bout (A) Improvements (B) Drainage:.......... . 19. Driveway permit (construction approval required prior to occupancy). .. 20. Pre -inspection Pre -inspection for Prey"ape Inspecor required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style C s ificatio ....... -Eeftifieatef Workmans Compensation Insurance o�r'� ...... . 23. Owner -Builder Verification (Given to owner , Mail to owner _ )............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. , Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....................................... 32. Plan check list . ..................................................... 33. 34. t�W } en you issue the-F)'�e�rmit po ess as follows: Ma owner. owner. Mail to contractor. Telephone5 ZS?'��� and hold,f foor pi( p C J � V/ ce. Deliver with inspector. Other Parcel Creation Acreage Applicant Date G Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date i Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to r t issuance: (Circle new item not checked above). 1. Index permit for above items No. �!i( r 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone V mail Counter by _ Date Y'lll"` ,, '- Contractor, designer owner acl: ed of above required data by _ phone _ mai Co er by _ Date Plans checked by Date l' 19 -9 e Plans approved by Date 10-7 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 'i1 �V ;. 4 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance H.H. USE ONLY Plot Plan Anschod 0 k4 le Floor Plan AftcW Scotto B.D.—j— t'i Owner Location APAP Plan Approvedieroom age Disposal Water Supply: Public vate � Clearance for home. Other SPIz inrG_ lin ,a - Sl- 6(f- 196e -ell --t Hold final for: t-7-wAe— A—P PR oU i4 `— Final clearance O.K. for: o inl ..�.. �rllY nr-�s`'�••. rr�.^•'�.f:l..-��.N,,;..,{'r.���j �...;.. �-.-•�..�.-r✓7,,;.•�:'�,�1 �t� .'w,I'\.... i ..ri,!• . ..ti � � 6 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District tJ Building Department No. A. P. Number CZ . ~ Z160-6 (3 . Jurisdiction: 0 City County Property Owner C le Property Location/Address CP QZJ Al aV - Subdivison Lot No. y, ✓ V Residential Development � � � Sq. Footage No. of Living MHI Addition (Group R) Units Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Buildin apartment Representative ate (Floor Plans reviewed by School Distric onnel) rict Identification No. 9 0 0 4 5 0 (Street Adprqss)� N —1 n 171 (Phone Numbe l ` (City) (State) (Zip Code) has complied 1 the requirements of Resolution No. �" by payment of $ representing square feet. As 2926 FULL MITIGATION $ .� /�T-- 0-056115istri6t Repr entative _ Date n Paid by Check # Remae N % 92 Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (f f/94)dmm 14. __ .. f Permit Applicant: ROLAND MC BEE Assessor Parcel Number: 061-460-043 9 11-5 3419 4� Permit Number: 96-1582 Date: 9/19/96 The ' above referenced building plans were reviewed by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: ' PROVIDE ENGINEERING FOR ROOF -FRAMING SYSTEM. PLAN PROVIDED DOES NOT MEET CONVENTIONAL CONSTRUCTION. /2PROVIDE ENGINEERING FOR STEMWALLS OVER 4 FOOT. 2)r2Lt0ri incorra' { on tolans .,3"- PROVIDE A HEATING SYSTEM FOR THIS STRUCTURE THAT WILL .�c PR 3 FEET OFF FLOOR. WALL FURNACE IN PRESENT PROVIDE HEAT TO 70° LOCATION WILL NOT SUFFICE.. AMM. �anA-i wa.. t ( krpxac e, i n h cL!1 W " MINIMUM WIDTH OF HALLWAY IS 36" INCHES. SHOW COMPLIANCE ON PLANS. PROVIDE SETBACK DIMENSIONS FROM PROPERTY LINES. SHOW LOCATION OF ROADWAY. PROVIDE INFORMATION ON HOW WINDOWS IN'LIVING ROOM OPEN. PROVIDE SQUARE X. FOOTAGE OF OPENABLE AREA. CLEARANCE FOR WOODSTOVE SHALL BE PER MECHANICAL CODE OR STOVE LISTING. PROVIDE. PROVIDE MECHANICAL -VENTILATION FOR HALLWAY WHERE WASHER/DRYER IS LOCATED. VENT DRYER TO OUTSIDE. BEAM IS SHOWN ON PLAN AT OPEN PATIO. PROVIDE SIZE AND CONNECTION TO WALL. 11 0. WHAT IS FULL SCOPE OF WORK BEING DONE NOW. PLUMBING? ELECTRICALS (/O REQUIREMENTS FROM ENERGY CALCS ARE NOT ON PLAN. ARE THESE REQUIREMENTS EXISTING OR BEING PROVIDED AS A RESULT OF THIS PERMIT. I HAVE INCORRECT PHONE NUMBER FOR OWNER AND NO ANSWER AT CONTRACTOR'S NUMBER. PLEASE CALL ME AT 538-7541. L[0 Roler- lO:ap X10 &-swer- If you wish to discuss any requirements, you may contact me at (916) 538-7541 between 1: 00 P.M. and 4:00 P.M., Monday through Thursday. MARTHA WHITNEY - PLAN CHECKER ,' _ LA ^i ^ _ ^.i U RA L `A' EA L 7 A N D ? .A . BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965.3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 7/31/96 ROLAND MC BEE - 9861 ORO QUINCY-HWY Re: BO,#96=1582 A.P.# 061-46-0-043 With reference to the above subject, -attached is: [ X] Plan Check List [ ] Red Marked Calculations [ ] Red Marked Plans [ ] Other 'Action Required: [ Comply With Plan Check List [ ] Resubmit Plans with Revisions As Required [ :] Return All Original Materials and Revised Plans to the Building Department [ ] Other Should you have any questions, please contact this office at the address or phone number listed above. Sincerely, LINDA SEXTON Permit Applicant: MC BEE Permit Number: 96-1582 Assessor Parcel Number: 61-46-043 Date: 7/31/96 The above referenced building plans were reviewed by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1.._PROVIDE. A__COMPLETE ROOF -FRAMING PLAN. _ 2., PROVIDE A. -.COMPLETE CEILING FRAMING PLAN. - 3. -PROVIDE A COMPLETE SECTION THROUGH THE ENTIRE HOUSE IN EACH DIRECTION. - {. PROVIDE ENGINEERING FOR RETAINING WALLS OR STEM WALLS OVER 4" HIGH. 5. WHERE YOU DO NOT HAVE RAFTER TIES AT THE PLATE LINE OR CEILING JOISTS; YOU NEED A BEARING RIDGE BEAM OR ENGINEERING CALCS. 5. IF YOU HAVE ANY BEARING 2X4 STUDS OVER 10'TALL, PROVIDE ENGINEERING FOR THEM. (1OVIDE CERTIFICATION OF ENERGY COMPLIANCE FROM 1984. A PLAN CHECK HAS NOT BEEN DONE PENDING THE ABOVE ITEMS. f you wish to discuss any requirements, you may contact me at (916) 538-7541 between 1:00 P.M.`;and 4:00 P.M., Monday through Thursday. LINDA SEXTON RESIDENTIAL PIAN CHECKING GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY OWNER. (� O lQ rl d V �•O F-ee- BUILDINGP ER: %-/s FZ PLATT CHECKER: Wj VAI A P. NUMBER QW- Ll( - D- h V3� GENERAL: 1. Zoning requirements: (side yards and number of permitted living units). 2. Valuation. 3. Plans signed by designer. ,,Y Proper description of work on application. 5. Existing violations on property. Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.). 7. Recorded notice of violation. PLOT PLAN: 1. Complete parcel size and dimensions. 2. Setbacks, side yards, easements, etc. 3. Other buildings or structures. 4. Grading, fills and/or drainage. 5. Flood hazard. 6. Special conditions on creation map (Noise, S.R-A., Fire Sprinklers, Water Tender, Trees, etc.). 7. F.A.U. & F.A.S. road setback. X. Building or utilities across lot lines (Record form). FLOOR PLAN: I! Complete to scale plan with dimensions. Required windows for light and ventilation (Section 1203). Required windows for second exit (Section 310.4). 4. Skylights (Section 2409 & 2603.7). 5. Glazing in Hazardous Locations (Section 2406). 6. Required room sizes, ceiling heights (Section 310.6). 7. G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210). 8. Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Location of water heaters, heating and cooling equipment, other electrical or gas equipment. Garage firewall, door size and closer (Section 302.4). Minimum of one 3'0" exterior door (Section 1004.6). Fireplace and wood stove location, alcoves and clearance. 13. Smoke detectors (Section 310.9.1). 14. Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS: 1. Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4). 2. Standard bracing or engineered design (Section 2326.11.3). 3. Clerestory requiring balloon framing and/or engineering. 4i Three story building requiring engineered calculations and plans. l5. Foundation plan complete enough to construct building. 6. Floor construction details complete enough to construct building. 7. Elevations and wall construction details complete enough to construct building. 8. Roof construction details complete enough to construct building. 9. Rafter ties or bearing ridge beam. 10. Fireplace construction details and talc. if necessary. H. Garage door and/or porch header sizes. e 12. Stud heights. 13. Adobe soils - special foundation design. 14. Retaining walls requiring design. 15. Special Inspection requirements. 16. Header size. 17. Shectrock nailing inspection required? July 19911-1 3.2 WSCELLAMEOUS ITEMS TO LOOKOUT FOR: X Stairway details: landings, rise and run, head clearance, handrails (Section 1006). X Guardrail details (Section 509). !3' Brick or stone veneer (Section 1403). Exterior plaster - weep screeds (Section 2506). ,5.", Proper roof pitch for roof covering (Section 1501). fi' Roof covering type - (fire hazard). Foam insulation - protection. ,i! 36" halls and stairways. A� Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts. Two exits on three - story dwellings (Section 1003). Underfloor access and ventilation (Section 2317.7). Attic access and ventilation (Section 1505). Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. 15: Energy design. 1��Flashing at all exterior openings. C.D.F. responsible area requirements. l TrOuide pan n2errnq Dov row - �ra m �on ySfe dlbe� ►'�-� rneek, ` DDn u © nom( � r ded . 5f�m�a�l � eve �- � �e� ��•. a heat 5t/461''' � 1 a r P Nor' Wall4�xnaCe, Wi tj V)ot 5U 4 Ice. foca�-o1 v� �pr m ► o� O►'`ho W ir,c1 Ov.�S i ►-, U yo OVY-) Prop 16-P- u� �r OP0-b 1� `1. biro - rneckcL'7"Za� W,4�n \,va_t:;,keY- jdr, ye/r. 1, ' l0_% -,On -rer �(wol �. GeEv�a�vLcc -PoV- vox -EZAOV(!� °• _�vr move, �s h.®�� b�►-� reed G.i" `�" U4 .rely 1996 1(7 . ?x -am Plan w1 f 6� wka+ 5 rs W-) pj4i pn — r'dU lde SZe3.3 PROJECT PROCESSING RECORD APPLICANT: OWNER: PERMIT #: A. P. #: a ► (o — O 3 WORK DESCRIPTION: DATE DESCRIPTION OF STEP 1 F 0 R Mc BEE R E S I D E N C E 9 8 6 1 0 R 0 Q U I N C Y H W Y BERRY 5 9 6 6 C R E E K, CA S --------------------------- ------------------7-------C T R U C T U R A L C ------------------------ A L Q U L A T 1 --------- 0 N S F 0 R Mc BEE R E S I D E N C E 9 8 6 1 0 R 0 Q U I N C Y H W Y BERRY 5 9 6 6 C R E E K, CA R 0 G E R S 0 U D A N C 0 N S T R U C IP 1 0 N 5 0 H A S S L E R C 0 U R T 0 R 0 V I L L E, C A 9 5 9 6 6 F L, T E N I N E E R I N 5 7 9.0 C L A R K DA 0 A D PARADISE, CA 9 5 9 6 9 (. 9 1 6 ) 8 7 2 - 0 2 .5 4 C� BUTTE COUNT**Y pe Aa VP D t z- F LST ENGMEERNM CML STRUCTURAL (916) 872-0254 FAX (916) 872-9331 5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 fpJECT: ' / C STRUCTURAL CALCULATPONS BY: DATE: /0 9.6' SHEET No. OF 3 CHECKED BY: DATE: JOB No. 6/g� SUBJECT: ���T��L C,2A V1 rX O,E-o QviDcy Lllry /;i!4/7,ff=;0 lg l'&'mss 2 3 V�T�'7� /Z�/�3� — �GrtODL_ • GE ��,'� — 3 O'er Z>< 6 SLG , ✓o� yrs /. D APL - /O O'er oQ�pf ESS/pNgl W o.32 rr W- r z B -)U I L D'3�- f` Y'i APPROVED F LST CNGMEERENG STRUCTURAL CALC ULAMOONS CML • STRUCTURAL (916) 8720254 FAX (916) 872-9331 BY: 11=&r- DME: (� SHEET No. Z OF 3 5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 CHECKED W. DATE: JOB No. SUBJECT: $WJECT: zev v /Z x /Z - '7. . 4/6>X Z, 67 = , D6o X� X 6 P,4-7-1,0 rG ry , /1F'zs wz = , OZZsTx Z•�'7x ZC�,/7�Z = , 09; , 70'C 300 TTS COUN`71.r E - APPROVED F LST ENGWEEG3NM CML • STRUCTURAL (916) 672-0254 FAX (916) 872.9331 5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 MUECT: x STRUCTURAL CALCULAMONS BY: SGT DATE: l0 /6 SHEET No. 3 OF .3 CHECKED W. DATE: JOB No. SUBJECT: R*- D � TY 173 Ccr Z IFZ , 6L ,, 70 o! �itT70 <�od 1= 1jv67Y,sc-:2--4 BUTTE COUN ► Y APPROVED Insulation Certificate G BUILDING OWNER: BUILDING LOCATION: Description of Installation ROOF Material Thickness (inches) BUILDING PERMIT V Brand Name Thermal Resistance (R -Value) CEILING Baa or Blanket Type Brand Name Thickness Cutches) _� 9 Thermal Resistance.(R-value) Loose Fill Type Brand Name Contractor's minimum installed weight/h 113F Minimum thic mess inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL Material Brand Name ThiclGiess (inches) Thermal Resistance (R -Value) j RAISED, FLOOR Material Thickness (inches) Brand Name Thermal Resistance (R -Value) SLAB FLOOR Material Brand Name 'Thermal Resistance (R -Value) Thickness (inches) Width (inches) FOUNDATION WALL Material Brand Name Thickness (inches) Thermal RacigtanceCB -V�) - Vl Declaration I hereby certify that the above.insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the iforrua Administrative Code. General Contractor (Builder) License Number 10 Signature and Title Date SulrContractor (Insulation Installer) Signature and Title License Number Date THIS CERTIFICATE MUST.BE PROVIDED WITHIN THE DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL JANUARY 1993 s counf L A N D O F NATURAL WEALTH A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538.2140 8/21/97 ROGER SOUDAN CONSTRUCITON 50 HASSLER CT OROVILLE, CA 95966 RE: Building Permit # 96-1582 RE: ROLAND MC BEE Expiration Date: 10/9/97 A. P. # 061-460-043 With -reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [XX] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE of f ice. Thank you for your prompt attention concerning this matter. Yours very truly, j Michfael C. Vieira, C.B.O. MCV•ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 =Oro 99-024 2 B y, Oroville 62) 77 4 , I I ! y 11 . ' Y ' f3 I ` e• J ' } y , I 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 • r ASSESSOR PARCEL NUMBER 061--660-043 ZONING T BUILDINGPERMIT ly OWNERRONALD _ TE 5F9 E2964 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9861 ORO QUINCY HIGM AY, BERRY CREEK CONTRACTOR'S NAME R01,ER SOUDAN CONSTRUCTION TE ONE 5fi9-0799 CONTRACTOR'S MAILING ADOR: s6 HASSLER COURT, OROVILLE U CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee ' ORIGINAL $ 178.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9861 QtRO QUINCY HIGHWAY, OROV ILLE r ergy Plan Fee En �}1 , *-} _... ,.. n,•�a-•..:.Y�,',+.. v..Y.^-�c�+.t'-`-`?�'ni'4�+:m._.7. ..f;•., � -� :, �.+«-z �v ;r ,Y1. t.+...}�,y. ,:..y. - +• _ � PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPSIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK It New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ' •�` Describe Work': " p__TW :tdAL OF PTTTTDTNr. PFRMTT ADD REPRO01 A PAITT A fli?rr- Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 11 @20.00 PERMIT FEE ELECTRICAL PERMIT Fling Fee 20.00 Main Service p A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. - 7 I I ' License Class / � �%7i Lic. No. � ::+'-� �. �'- OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors j to construct the project. 1. f _ .: - , i. J- r `-❑. 1 am'exempt'undei Sec. '�'� r- ,�Business'and Professions�Code for'"this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) a ❑ 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 those provisions. / X X91.` i�'��`'` Date I h? SigndiMh of Applicant - ❑ Owner ❑ Contractor E66ent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. Fo 3.5¢ A CONST. ( NEW MUAI°TI°-ouLDEr NON-RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES SALI'oo Ex. Occup. D= pESI50 p°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ;,_,e . _ - i _ J k t PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ .198.,m 2.A. D. FEES IMP I FLOOD CDF PARCEL I PD I HD I ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated dicated above for which fees have been paid. By c �, r %. r.;.rT Date 2 PERMIT EXPIRES ON J-2— I Date ' Receipt No. 2 -S WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ., COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 y _ Q�7` NO. (Rev.12/96) APPLICATION AND PERMIT �- ASSESSOR PARCEL NUMBER 061--460--043 ZONING IT BUILDING PERMIT OWNER - RONALD ]'^.CBE;' TELEPHONE 589-2964 SO, FT, OCC. BUILDING VALUATION •OWNERS MAILING ADDRESS 9861 OPO QUINCY TjIGT�'IAY . " ERRY CREEK CONTRACTOR'S NAME ROGER SOi1nA!'J CONSTRTICTI0Pi TE589E0799 CONTRACTORS MAILING ADDR FASS.LER COTTRT, OROVILLE CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 2 ORIGINAL $ 178.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS T TJLTr 9861 ORO �TJI'�CY ...IG...dAY, OROVILL F Ener Plan Checking Fee Energy s $ $ PERMIT FEE $ 8.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑, Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ::EA1EI'1AL (1F pITTT,DTPJG PER4 A7 '! A —� Sh7 ADD T3Epgoo,,i & PATH (°• T)grT( Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service 200A 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 isinin II She and effect. License Class !o < 7y Lic. No. C ICL'�i S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' com ensation provisions of section 3700 of the Labor Code, I shall with c pl with those provisions. X _ Date [! r Signatu of Applicant - ❑ Owner ❑ Contractor ffAgent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DW s E%NG OCCUP. 3.5Qo ORR.,,ADDNS.CONS( na+uCoLnLS. =R.,.. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FD(TURES 20 Q 1.00 Ex. Occu eAL o ,50 AA 5.00 Ex. Occup. ourlEEis a D.DE Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 1 HAZ. I D. FEES IMP I FLOOD I COF 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. By Date PERMIT PERMIT EXP RES ONT.D.S.-B.D. Date rReceiptNo.1,5?(&1J CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD RESIDENTIAL 061-46-0-043 97-2562 BPEM McBEE, Ronald. 9861 Oro Quincy Hwy; Oroville (add bedroom, bath & deck) Soudan 4PERMIT NO. a. :PERMIT EXPIRES . OWNER Y CONTR. ".ASSESSOR PARCEL LOCATION V=OK 0 = Not OK Not = Applicable MOBILE HOMES NotReady Date MOBILE HOME UTILITIES (Plans) OK except #'s 1: Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location-Testfall-C/O-Concrete 4. Water, Location4est-Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location-TesWrap; / /LYt / /Nat or/ /°L'ft/ /LPG - 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK =t #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; SizeBpacng•Marriage Line 3. Gas; MH Test-DernarKlVahe-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Testfall-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 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERSi CARPO wGARAGES (Plans).OK except•#'s . 1. Zoning RequlrementaSetbecks£asernents 2. Footings; SoilsSize-0eplti Spacing-ConnectorsSteal 3. Decks; Girders and/or Joist&Cocking-Bracir gStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.•Connectors- Shthg.-Rfg.-Bracing ` 5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing-VeneerStucco•Mesh 10. Roof; Shthg-Roofing 11. Ext; Steps-Doored.andinge 12. Braced Wall.Panels Date Card 0-1 . Date Card B-1 Date Card B-1 Date Card 13-.1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel-C_onriections-Thickness Dead Men -Lining 4. Eke:.; Receptectes and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFl 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal wffl-Orculating Equip.+ieater 8. Elec., Grounding; Equip. w/B'Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cirr, Test•Water Supply Test' 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 IDate Card B-1 = OK 0 = Not OK No RESIDENTIAL - = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #s 1. ZoningSetbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd. / i Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ i Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped #a!FroTd Downs and Special Anchors 7. Sl , SteelAVrapped iers-Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance-MaterialSupport-Ins. irders-Sills-Anchor Bolts-JoistsVents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 (2,8 Date Card B-1 Date Card B-1 Date Card B-1 Date LUMB (Perm!OK except #s ater HK'aZ-Ac&aSQQmbuWj@a0 Bliffle r Pipe• st & hor-Nail Protecti D.W.� Fi ' s & An or-Nai rotection 20.Shower Pan; Test, First Floor -Tub Access Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors Date ^of g Card B-1 90, Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23 fixture & Transformer CI nce Ins. Protection Elec.Receptacle ci gLigtks' -SM Doors 5 ize Boxes & No. of Conductor to I ex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 2 . & Conductor Size GFI Subfeed Wire Size / &/ g . Cu AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu o0a-0ven Circ. / / ga Cu or AI Insulated Neutral n Yes n No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip,Clearances Panels-Motors-Mech. Epuip. owes Closet Light -Shower Light -Spa Light 34/Srmoke Detector Date Card B-1 Z.O. Date Card B-1 Date Card B-1 Date Card B-1 Date /MECHANICAL (Permit) OK except #'s A.C. Ducts Insulation & Support 36,-14rSW.FeiT,' Exhaust above insulation 39onden to Drai `verflow, Size & Grade uman a ccess-Comb. Air-Retum Air Vent 115 outlet * 39. Attic Access & Platform if Furnace in Attic Datej�-_5Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date AMING (Plans) OK except #s Sits Proper Materials & Anchors WallS.$tuds-Nailing Spacing & Braces -Plates -Sound Baring Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) • ireS ps, Furred Ceilings -Stairs -Chasers -Tubs eaders & Beams -Size & Bearing (Single & Duplex) Date AMING (Continued) Han -Post Caps -Anchors -Connectors ing. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: ep ' place Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop4ns. Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions ar-iSITFS-galW Protectionaming 5 . rope 'ne Firewall & Openings 5&.—Ext Dp6rs-One 3 -Check Garage 3rd Story, 2 Exits firs; Width -Headroom -Rise -Run -Landing -Fire Protection CSYPIPYood on Root Overhan -Attic Ve ` after Outriggers Sidinq-Nailina Veneer Screed -Fd. Vents-Underflr. Access r. king Area -Glass Protection -Skylights -Plastic hear Walls; Nailing -Bolts 60. BraWnteoor7 Exterior Wall Panels Date Card B-1 Date Card B-1 Date rd B-1 ate Card B-1 Date AL (Plans) OK except #'s t Steps -Door & Sidelight Protection -Landings Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In)Carage; Above Floor-Ducts-Mech. Protection maedi m Exiting G.17.14 Bath Fixtures & Tub Access -Spa Gar-ETec. Trim & Subpanel, Breaker Sizes & Labels firs & Rails i eplace or Stove, Clearance -Hearth -.7.1--Elec Outlets at Wood Panel, Int. & Ext. at. & Appliance; Ground. -Air Gap -Cooking Clearance ec. Outlets & Recepticales at Kit. Counter ue �; Swing -Landing -Closure Duct in Garage-Damper -7£�tNtP'FI.;fir nts-6learance-Comb. Air Connector-P.R.V. In a e; Above Floor-Mech. Protection . Plb., Elec. & Mech. Equip. Listed for Location ec.Rece tacles in Garage G.F.I. -Romex Protection nsulation-Foam-Looked in Attic N�ard-rails & Deck Construction -Post Caps jl �.dn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor n Yes 82. Following Instld./Drive 0 Yes 0 NoAValks 0 Yes 0 No/Planters 0 Yes 0 No AX'Stucco Brown -Finish Um(Disconnect, Electrical -Plumbing 85 -'Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86-WaterWill,-Disconnect, Electrical, Plumbing �L 6et�et..-. eec. Trim, G.F.I. Receptacle -Underground en •lation Throught House Glass rotection 99 I ections from Previous Inspections est -Meters Tagged, Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval nliance Certificate -Other Certificates DateCard Date Card B-1 Date ------- Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75'41 PUMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSES so •C"�'• ug"3 , ZONING BUILDING PERMIT OWNER RONALD II MCBEE TELEPHONE 580-2964 SQ. FT, OCC. BUILDING VALUATION OWNERS MAIU ADDRESS 48 1 ORO QUINCY HIGHWAY, BERM CREEK 477 C 6,201,013 CONTRACTOR'S NAME ROGER SOUDAN CONSTRUCTION TTELEPHONE ' 53c-0799 CONTRACTORS MAILING ADDRESS 50 HASSL`Ri2 CT., OROVILLTE CONSTRUCTION LENDER LENDER'S MAILING ADDRESS .. Fireplace Total Valuation $ 40,545.00 ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ • 00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGA7�O8g1S A ORO QUINCY HIGHWAY Energy Plan Checking Fee $ OROVI $ PERMIT FEE $ 376.M LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 1� Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7:00 - Solar or heat.pum water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK i+. New ❑ Addition C] Remodel ❑ Utilities ❑ Installation ❑ Other ❑ 1 Describe work: ADD BEDROOM AND BATH AND DECK Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 15.00 M6bile Home S I G I W @20.00 PERMIT FEE $ 71.00 ELECTRICAL PERMIT Filing Fee 20.00 111 Main Service 200A OOR LLLESS, 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.POWER License Class (,cr_)-1 . Lic. No. C I a-,, _ OWNER -BUILDER DECLARATION � I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions .Code for this reason Main Service ( 200A TO Io00A 46.00 NEW CONST. DWELLING OCCUP. SO 22.26 OR AD DNS. ( a ACC. BUDS. 3.50 NON -R SLID. MULTI-OUTLETHCIRCUITS @7.50 APPARATUS b SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES 20 @ ''O. p• aAL so FIXED APPLNS. OR Ex. Occup. ouTLErs RESIo. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE = 42.2 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-insurelfor 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 `--,+ ,. � � C - .,,�, I MECHANICAL PERMIT Fling Fee 20.00 Heating - 15.0C' Cooling Hood 6.50 Ventilation CRI 4.5C PERMIT FEE $ 39.51' Policy Number (The above sections need not be completed if the permit is for work'of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is 'issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall ith comply with those provisions. Zvi,�Q X /� �, �i l� _ . Date 'LL� --- Signature of Applicant - ❑ Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46 OC ' occ CONST. TOTAL FEE $ 574.7E. "Az. O PEES IMP FLOOD CDF PARCEL PD HD ISSUE' v 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. �j - J% , By �� Ot�1�t/L�'r-� � `�Oate PERMIT EXPIRES ON-- 7-2 A?V Data ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ri DECEMBER 10, 1998 RONALD MCBEE 9861 ORO QUINCY IIIGM4AY BERRY CREEK, CA 95916 Or ,�iutte C LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 RE: Building Permit # 97-2562 Expiration Date: 12/4/98 .A.P.# 061-460-043 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the categories marked below: flX Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). 'The renewal permit will extend the building permit for an additional year from the original .expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. (] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. MCV:ahb Attachments Chico Office - 1469 Humboldt Rd/891-2751 Yours very truly, ---Micl el C. V ira, C.B.O. Manager, Building Inspection CC: ROGER SOUDAN CONSTRUCTION 50 HASSLER COURT OROVILLE. CA 95966 (CONTRACT) Paradise Office -'747 Elliott Rd/872-6307 .,-.. . ,.- .,u :'.::,� .:� � mac- � ., ;•.= ,; r COUNTY OF BUTTE BUILDING DIVISION ` DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (9 16) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE c 15f 97—o? -5-2 ,� OWNER PERMIT NO A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is complete 1. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. �Dy RE`/ 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 "> CORRECTION NOTICE ffe Apes OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. i r- Cei 4� IV /3 w vP� I Date Inspector (� , --��— REV 10/92 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75_ P I _Ng. (Rev. 12/96) APPLICATION AND PERMIT T ASSESSOaPCELNU1.1Bt-043 UURONA/L(D� ZONING BUILDING PERMIT OWNER R MCBEE 589 TELEPHONE964 SO. Fr. OCC. BUILDING VALUATION OWNERS MAIUVG ADDRESS 9861 ORO QUINCY HIGHWAY, BERRRY CREEK 477 C 6,201.00 CONTRACTOR'S NAME ROGER SOUDAN CONSTRUCTION TELEPHONE ' 589-0799 CDNTRAD505 HASSLERCCCT. , OROVILLTE CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 40,545.00 ARCHfTECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin6 Fee $ BUILDING ADDRES9861 S ORO QUINCY HIGHWAY Energy Plan Checking Fee $ OROVILLE $ PERMIT FEE $ 376.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF ❑Y Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition )p Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD BEDROOM AND BATH AND DECK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home IS I G1 W1 920.00 PERMIT FEE $ 71.00 ELECTRICAL PERMIT I Filing Feel 20.00 Main Service ( zoaAoaLEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. /� 1 A< Z License Class (r`i�%-t Lic. No. _� 1 1' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. CI 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 o Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( a ACD. BLOC. 3.50FT. 22.26 NEW -9 NON -RES DT B ANCHOUTLET 97.50 CIRCUITS POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FocruREs Bn0@Iao Ex. Occup. ouTEiFrs RES D.PPLNSOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ±: PERMIT FEE $ 42.26 26 MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation 4.50 PERMIT FEE S39.5 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shallOTAL 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 orthwith comply with those provisions. % X Date Idtq — Signature & Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.0 Occ CONST. TYPE FEE $ HAZ. D. F IMP I FLOODCOF PARCEL PD HD U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By ate PERMIT EXPIRES O ZVT Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT "COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVIC S - BUILDING DIVISION 7 COUNTY CENTER DRIVE- OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: 14 A I 06e=eASSESSOR PARCEL NUMBER: �� Proposed Bui ding se: Building Inspector: ate: �,n.a --!!v _ 5L7 At time of permit appli 'on, was a vised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 0 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 0 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------ ------ ❑ 10. sof $ ------------------------------------------------------------------------------------- Impact fees as shown on the attached schedule. ----------------------------------------------------------------- 12. California Department of Forestry plan approvaUfees- ------------------------------------ --------------------- 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑20. Pre -inspection for required. Request to Building Inspector on 1121. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------ ❑22. Workers' Compensation carrier and policy number. -----------------------------------------;---------- ❑23.Owner-Budder Verification (Given to owner ❑, Mailed to owner 0) - ------------------------------- ❑ 24. Letter of signature authorization.-------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------- 026. Letter of intent on building use. ---------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.--------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. -__, ----------------------------------------------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 1130. other: . (Date) When ou issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. elephone (0) (I Ca (� and hold for pickup at office. ❑ Deliver with inspector. Applicant: V^ �Q (�./�- Date: 2 Al /n Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date:. Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Lf D v; 41Q G Building Department No. 41— We —0`13 Jurisdiction: City ® County K n n .v ail im C 8 e- -e /o/ 0/)Z Property Location/Address 9 g (o. I D ra (% Le "604 - Subdivision .vCSubdivision Lot No. Residential Development r 1,71 Sq. Footage 3 No of Living Mobile Home Addition (Group R) Units Installation Commercial/Industrial Building U (Floor Plans reviewed entifi atio7. ?/PO063 Sq. Footage New Addition (Including Exterior Roofed Areas) Schoof"Di-s1fict certifies District /Vz - V- 9 7 Date e ( Feet Ad ,) %(Phone N er) J` i d& (City) (State) (Zip Code) �10 i has complied with the requirements of Resolution No. /�✓�j'� by payment of S / of representing square feet. 1�]B 2926 ULL MITIGATION $ School District Paid by Check # © A Remarks: I', Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEOA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformAs (2/97)dmm I 7' � r a c x Z. f 061-46-0$* 0'43 96-2819 MCBEE� ROLAND CONTR: SOUDAN CONST.,ROGER 9861 ORO QUINCY HWY, BERRY CREE ELE SER FOR GARAGE. lil- 'f i c I • i I d �r � I y f r � a Y Z. f 061-46-0$* 0'43 96-2819 MCBEE� ROLAND CONTR: SOUDAN CONST.,ROGER 9861 ORO QUINCY HWY, BERRY CREE ELE SER FOR GARAGE. lil- 'f i Z. f 061-46-0$* 0'43 96-2819 MCBEE� ROLAND CONTR: SOUDAN CONST.,ROGER 9861 ORO QUINCY HWY, BERRY CREE ELE SER FOR GARAGE. lil- f' �f COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. 'APPLICATION AND PERMIT ASSESSORPARCELNUMBER ZONING BUILDING PERMIT OWNER 801 AND %MEE TELEPHONE 7 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 9961t CONTRACTOR'S NAME RMER S=AN CONST TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCE14SE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 1 Penalty $ BUILDING ADDRESS •. 1. •� `' t PERMITFEE S PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PRIVATE SHOP SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK 9 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O - Describe Work: ELECTRIC SERVICE 3 MASE — Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 I Main Service ( 200A OR LEss ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION �. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. / , License Class Z Lic. No. b OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions lCode for this reason NEW CONST. DWELLING OCCUP. OR ADONS. ( d ACC. ) s0. 3.SQ FT. NEW CONST. MULTI-OUTLEUTLE T NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ( a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 O 1.00 BAL 0 .50 FIXED APPWS. OR EX. Occup' ( \ OUTLETS (RESID.) EA / 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 6A. 00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self-insure'for workers' compensation, as provided for by section 3700 of the Labor ode, 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 wo,k for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Cl-,] 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 mpiy with those provisions. Z 7� X 1 _ Date L Signatur of Applicant - ❑ Owner Q Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 6;& 00 HAZ. I D. FEES I IMP FLOOD CDF I PARCEL I PD HD ISSU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By ' PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. -7rpa6lrt WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 061-46-0-043 ZONING 11 BUILDING PERMIT 0 OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 9861 ORO QUINCY ME, BERRY CREEK CONTRACTOR'S NAME ROGER SOUDAN CONST TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PRIVATE SHOP SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilibes ❑ Installation ❑ Other IN Describe Work: ELECTRIC SERVICE 3 PHASE — Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full ce and effect. `/-�� License Class Lic. No. /„ P 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 NEW CONST. DWELLING OCCURS OR ACDNS. ( & ACC. BUDS. ) 0. 3.5¢ FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES ( ) 20 Q 1.00 BAL 0 .50Ex. Occup. OFIXED E APPLN . OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 bq nn PERMITFEE $ 64 no Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 rthwith mply with those provisions. X __ Date �Z /�� j(� Signatur of Applicant - ❑ Owner Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 66.00 HAL. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD Esu This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B "" ate y ?,01 (Date) Receipt No.PERMITEXPIRESON WHITE-D.D.S.-B. D. SESSOR PINK -INSPECTOR GOLDENROD • APPLICANT _.r•-.-r.ai+�ar�;.ti.-.w.r.+w}ww�-er�.a'►......:r.ii+..;..�W:..a•-"�r%:.:,�.1�'►'Y.'rr►�-•sKa:� ie;��S...,.rrr... '.-�...�.{iti^'hn'Y�. 4� COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION ' Ira 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER (2o (ct__t__j A. P. No. Proposed Building Use /'�I V -e 51A v ecl- Building Inspector Date `, A 3' S'G At time of ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 7 DATE RECEIVED BY 1. All items have been submitted . ................................. �! 2. Plot plans, 3/4 sets, signed by preparer of plans . ................ . 3. Complete plans, 3/4 sets, signed by preparer of plans . .............. �..... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ...... I....... 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. P,�qt/plan and business license approval from City of Biggs/Gridley. ............. 1V. tanning approval for (A) Use: (B) Parking: ......... 48. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . Pre Inspection req* est 20. Pre -inspection for required. . to Building inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 1 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _)............ 24. Recorded copy of Agricultural Acknowledgement Statement .............`..,... . 25. Letter of signature authorization . ....................................:.. . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed-� and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. ..... . ....... .. .......... 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation am Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works a v btL C 13 D Z z LA 0 z %C Q CA 0 jX R F I X i m C 03' 1v Z 1 � kA3rn W r 0 � 0 c ti Z .t•14 ,'� N �'zW rn 2'S � V1 C 13 D Z z 0 z %C Q CA 0 r CL i m C 03' 1v Z 1 � W r 0 � 0 'A., 1 �' a//riER til �oCFC (.✓RL.L ryiS -I jatJY_ I - wRTER TFrdr UFJPG R. Pa KC LEE hi �XIST'/A) 61 I r P/,JG jC&,A1C. �0 sa " W.A Qf.1A/G_4 AJAMg' 1i&L AJLS ���..�'IA.�I..LD.✓./1�cBE� _ ADD445S5 : `fgal o,en 4r/iiJCV c/�i!� BEiPrC'y C�EP� Environmental Health FEB 11 4 7904 % County GenCer Urlve Oroville, Ca �.; w�� ptP Prnlr' cE $F_C7'/DnJ 21 2g coAAIE/l 3z 33 30,. - P�dF s Pin1C _. SCQ YJ Ts wok r,-gdcr-7 . fi. / 1�� •�- PotF ' AA S�Tc PPF t�+✓� .3='' PiiJ� N � '. POLI ®fog= E� '�✓�TRP,'Rl$ foRAt�ff � 0,-a. VA,TER' F !/C ASPHRL7' r RKf�r �F� PA60U. WORK SXR. t� �EcEc.TF.tc — ._ C, J��✓cY- of2o ��y — — — — — a3A0Nc'V,-1 . Z`� `1 rilE /10ArI Q � o zo i yo So o P /G 0VA L. Sa949' aK Ly �ror,) toll - arm, PtnlE ryI5T-1,J& T6R c Exist/')G 4JAL111 PIM� LA) � Nt- s PA9Kld6,qRtA' 0 PZ>,jrk ILlLr— U//-rjt,& PRO POSED Q . WO % A _QLJ/A/�Ly:: ORO /eLljy WATEft o FI, eg f) v. '5-rp�:441) P,1�5 I . ............. t �. �56d- TS04Pc r 1,9 ;ATFO, F,40r LIT P/votm-� Sl Z-6 PLANNING DIVISION - BUILDING PLAN APPROVAL Use: Date: ? Parking: — Landscaping: Other. . I Signature: 96-671/21 20/J 21 (f DA6 AIVCIR 3z 33 (",or F.,Jdo) - • rl OR/ 6 WA L SC.4 410