HomeMy WebLinkAbout064-630-009NOTES RESIDENTIAL
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JOB FINALED (Date)
f
Signature
PERMIT NO. _('o'&4-630-_6_09_--64--083§- -
CONRY, BRIAN '
14819 HUMBUG RD MAGALIA
i CONT: OWNER
I NSF
PERMIT RENEWAL
DATE: 7-7--^57
BP# &L'Z -c,��3y
EXPIRES:
OFFICE COPY
Address
GAS
Meter By Date
ELECTRIC
Meter By Date
PERMIT RENEWAL ;KED
DATE: -7-13-06
sP#�—o $ 39 -13-67 13-o Y
SF EXPIRES:
FLUuu t_,cn i rrrur i r
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER"
"y OFA �I►�sifFw
J=OK
0 = Not OK
. = NotReadyable
Card B-1 Date Card B-1
MOBILE HOMES
Date t
MOBILE HOME UTILITIES (Plans) OK except #'s
2.
1.
Zoning Requirements -Setbacks -Easements
Gas; MH Test -Demand -Valve -Connector
2.
Soils; Special MH Support Sketch
5.
3.
Sewer; Location -Test -Fall -C/O -Concrete
Water; MH Test -Regulator -Connector
4.
Water; Location -Test -Easement Needed (Sketch)
B.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Tie Downs -Type -Installation Cert.
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /" L "ft./ P LPG
_11.
7.
Well Clearance & Disconnect
8.
Utility Clearance
Electricity; MH Test
10.
Roof; Shthg-Roofing
6.
Water; MH Test
Ext.; Steps -Doors -Landings
Date
7.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
B.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
_11.
Cert. of Occupancy
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
Card B-1 Date
Card B-1
Date
Card B-1 Date
Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
1.
Zoning Requirements -Setbacks -Easements
5.
2.
Footings; Size -Spacing -Marriage Line
6.
Carports; Windows -Doors
3.
Blocking
Electric
4.
Gas; MH Test -Demand -Valve
9.
5.
Electricity; MH Test
10.
Roof; Shthg-Roofing
6.
Water; MH Test
Ext.; Steps -Doors -Landings
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
Card B-1 Date Card B-1
9. Exits
Card B-1 Date Card B-1
10.
License Decals
1.
11.
Verify #'s with Office
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
Date
4.
Card B-1 Date
Card B-1
Date
Elec.; Pool Lighting; 15 Volts-GFI
Card B-1 Date
Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures'
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
0= Not OK RESIDENTIAL (.
Not Applicable
. = Not Ready
Date UN LOOR (Plans) OK except #'s
oning-Setbacks-Easeme 'ts-Flood-Slope
ti Ftg., Main; Soils-Elec. G M d.-/ P, Ftq. Depth
3. F ., Garage; Soils-Steel-Elec. .-/ /" Ftg. Depth
Porch6s & Decks; Soils -Sol-/ Ftg. Depth M C
walls, Main; Steel-Blockouts-Wrapped 6
6. emwalls, Garage; Steel- Blockouts-Wra ed
64/Hold Downs and Special Anchors
Steel-Wrapped
Piers -Fireplace Ftg.-Steel
D.W.V.; Fall -Fitting -Test -2 Way C/O -Se er Test
1,V UF, Gas Pipe; Size Anchors -Yard Piping; Size Test
11 ater Pipe; Test -Anchors -Regulator -Service Test
rpt 1 Electric Underground
134lenums & Ducts; Clearance -Material -Support -Ins.
1 irders-Sills-Anchor Bolts-Joists-Vents-Crippies
1.. Access & Ventilation
16. Insulation /
Date U Card B-1 04 Z j Date b Card B-1 U---
Date
W✓Date Card B-1 Date Card B-1
Date 7 'PLUMPING (Permit) OK except #'s
V10ater Htr.; Vent -Access -Combustion Air Baffle
D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. T t Tub & Shower, Second Floor -Tub Access
Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
i
Dat , Q Card B-1 Date Card B-1
Dat Card B -1Z Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Fquip. Ground made up w/Mech Fasteners -Bond Gas & Water l
2 Appliance Circuits in Kitchen & Conductor Size GFI i
bleed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral Cl Yes O No
32. Service -Riser Conductors & Ground Main Disconnect
RIguip. Clearances Panels-Motors-Mech. Equip. I
thes Closet Light -Shower Light -Spa Light
Smoke Detector
On
Date s( ,OhCard Ba f t Date Card B-1
Date Card B-1 Date Card B-1
Date MEC ANICAL (Permit) OK except #'s
Ducts Insulation & Support
. �t Fan, Exhaust above insulation
Condensate Drain & Overflow, Size & Grade
Furnace -Vent Access -Cobb. Ait-Return Air Vent 115 Outlet
40. Attic Access & P tform if Furnace in Attic
Dat` Card B-1 , . Date Card B-1
Date Card B-1 Date Card B-1
Date FRA ING (Permit) OK except #'s
A48!p Proper Materials & Anchors
42 -`Walls Studs -Nailing Spacing & Braces -Plates -Sound
4 earing Walls over Girders & Floor Nailing
4,K9(aft Stop in Walls (rat proof)
Fi e'Stops, Furred Ceilings -Stairs -Chasers -Tubs
**Headers & Beams -Size & Bearing
jingW& Duplex) �£ Alar -o s l
/ '
Date FRA
N (Continued)
ers-Post Ca s -Anchors -Connectors
Cling. Joist-Rftr. Ties-Purlin-Roll Brac r Shting.-Rtng.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
/ pic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
.4400'RHrm
Windows or Exiting Doors -Sill Ht. & Dimensions
M-62.
Garage Fire Protection Framing -RC Channel
3
roperty Line Firewall & Openings
41/1:xt.
Doors -One 3' -Check Garage 3rd Story, 2 Exits
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
4&57.
Siding -Nailing Veneer
58.
stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
52!Gl2zino Area -Glass Protection-Skvliahts-Plastic
Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls Windows
Date '0( Card B-1 Dat Card BV IT
Dat (o Card B-1 -.Date Card B-1
Date FIML (PI s) OK except #'s
E . Steps -Door & Sidelight Protection -Landings
SyQke Detector
66-1furnace Vents -clearance -Comb, Air -Connector -
In GaFade: Above Floor-Ducts-Mech. Protection
-@8!G_Fl,.1& Bath Fixtures & Tub Access -Spa
le rim & Subpanel, Breaker Sizes & Labels
7`0/5tair Rails -
71. F ace or Stove, Clearance -Hearth
7 e utlets at Wood Panel, Int. & Ext. ,
it. Fixt. & Appliance: Ground-Air-GaD-Cookina Clearance
74:,AIec.AMets & Receptacles at Kit. Counter
7 aragp-Fire Door; Swinq-Landinq-Closure
Duct in
in GaFa4e; Above Floor-Mech. Protection
78 b • ec. &_ Mech. Equip. Listed for Location
le eceptacles in Garage (F.FI.)-Romex Protection
to-Insu -Foam-Looked in Attic
81. a ails & Deck Construction -Post Caps
BZ, -Fan. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under.-Wor O Yes-
83!Followina Instld./Drive W?es O No/WalkSQlres O No/Planters Befes O No
84. S!e6o Brown -Finish
A. nit Disconnect, Electrical -Plumbing
8 Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Vater Well, Disconnect, Electrical, Plumbing
8 . Ex!,%iyf�lee-Trim, G.F.I. Receptacle -Underground
ilation Throughout House
orrections from Previous Inspections
Q^92. G st-Meters Tagged, Gas -Electric
If
9 at ewer Connected -C/O to Grade -HD Approval
9 nerav-r-emoliance Certificate -Other Certificates
91,!. ddress Posted
96. Fire Sprinkler
Date' Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.netldds
PERMIT NO.
BP040839
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date' 07/12/2004 APN• 064-630-009-000
'
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 14819 HUMBUG RD MAG
Date: Contractor.
Map Index:
Description: NSF(3231) GAR(650) OPEN DECK(130)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: CONRY BRIAN P
to its issuance, also requires the applicant for such permit to file a
PO BOX 804
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
MAGALIA, CA
7000) of Division 3 of the Business and Professions Code) or that he or
95954-0804
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
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 (Sec. 7044, Business and Professions
Applicant: CONRY BRIAN P
Code: The Contractors' State License Law does not apply to an
pp
owner of property who builds or improves thereon, and who does
PO BOX 804
such work himself or herself or through his or her own employees,
MAGALIA CA
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
95954-0804
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
..
sale.-).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
'Contractor:
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
0 1 am Exempt under Article 3 o Business d rofessions Code
p
Dale: - Owner:
License #:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following de larations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as. provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect:
is issued.
❑ I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 4011 S.F. .
Policy #:
Valuation: $227,695.00
Census Code:
lA 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 the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: -
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
4,n,- 715 -4194-7-75 7/'q/04—
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor.
code, interest, and attorney's fees.
„ kt
CONSTRUCTION LENDING AGENCY
This pertni is hereby issued under the applicable provisions of the Butte County Coda and/or
I hereby affirm that there is a construction lending agency for the
Resolution to do work indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
By: Date: 7 1 O 4'
Name:
PER EXPIRES ON: 7-
Address:
Date
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
O Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the du thorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of an ici orm or docu Bu County. I hereby
authorize representatives ofButte enter upon the aboveq mentioned property for inspection purposes. 1
\
C
iCouptto
b � PV Si
Print Name: Signature:
f� / \ iV _
'
Date: V
ner LI Contractor El Agent for Owner ❑Agent for Contractor
L
r
COUNTY OF BUTTE
BUILDING DIVISION
r DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION Nk
Date Inspector
REV 4/05 Phone # O ��
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
h
IN -0 Y3 17
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 call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or' need additional
'
explanation, please contact the Building Inspector as indicated below._;
Date Inspector
REV 4/05 Phone # O ��
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
h
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES 1
7 County Center Drive • Oroville, CA • (530) 538-7541 #
CORRECTION NOTICE
OWNER ' PERMIT NO.
1
A routine inspection indicates that the followingviotations of Butte County Ordinances exist at
the a five address and should be corrected. Please:call for re-inspection when correction of
wor is completed. If you have any .questions pertaining to this matter, or need additional
e lanation, please contact the Building Inspector as indricated below.
r ,�O o+G f G�c v r-• .-• J
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Date vInspector
REV 4/05 Phone #
> C��
7
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
INSULATION CERTIFICATE Job Number: 7691
BRIAN CONRY 14819 HUMBUG RD., MAGALIA CA
Contractor/Owner Name Job Address (street, cih,, state)
BUTTE
County Subdivision Name Lot Number
DESCRIPTION OF INSTALLATION
1. ROOF
Material:
Thickness (inches):
2. CEILING
Brand Name:
Thermal Resistance (R -Value):
Batt or Blanket Type: Fiberglass Brand Name: Knauf
Thickness (inches): 12 Thermal Resistance (R -Value): 39
Loose Fill Type: Brand Name:
Minimum Installed Weight/ft lb Minimum Thickness: inches
Manufacturer's installed weight per square foot to'achieve Thermal Resistance (R -Value):
3. EXTERIOR WALL
Frame Type:
A. Cavity Insulation
Material: Fiberglass
Thickness (inches): 61/4
B. Exterior Foam Sheathing
Material:
Thickness (inches):
4. RAISED FLOOR
Material: Fiberglass
Thickness (inches): 61/4
5. SLAB FLOOR/PERIMETER .
Material:
Thickness (inches):
Perimeter Insulation Depth. Inches ---
6. FOUNDATION WALL
Material:
Thickness (inches):
Brand Name: Knauf
Thermal Resistance (R -Value): 19
Brand Name:
Thermal Resistance (R -Value):
Brand Name: Knauf
Thermal Resistance (R -Value): 19
Brand Name:
Thermal Resistance (R -Value):
Brand Name:
Thermal Resistance (R -Value):
DECLARATION
I hereby certify that the above insulation was installed in the building at the above location in conformance with the current
Energy Effikiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the
Certificate of Compliance, h re applica e.
2,3 & 4 Chico Insulation & Fireplaces
Item Number's Signa re and Date Installing Subcontractor (Co. Name) or
Item Number's
Signature and Date
General Contractor (Co. Name) or Owner
Installing Subcontractor (Co. Name) or
General Contractor (Co. Name) or Owner
6/23/2010 COUNTY OF BUTTE
9:11:34AM DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965
PHONE: (530)538-7601 FAX: (530)538-2140
ww w. b u ttec o u n ty. n et/d d s
CORRECTION NOTICE
A routine inspection indicates that the following violations of Butte County Ordinance(s) exist at the above address and should be
corrected. Please call for a re -inspection when correction of work is completed. If you have any questions pertaining to this matter,
or need additional explanation, please contact the Building Inspector as indicated below.
Owner: BRIAN CONRY Permit Number: 04-0839
_j el
Site Address: 14819 HUMBUG RD, MAGALIA I I Site APN: 064-630-009
WHEN CORRECTION(S) ARE COMPLETED, CALL TO RE -SCHEDULE THIS INSPECTION. YOU MAY
NOT BE ABLE TO SCHEDULE UNTIL AFTER 5:OOPM ON THE DAY OF THIS INSPECTION DUE TO
APPLICATION RESTRICTIONS
(530)538-4365
INSPECTION TYMPERMIT FINAL
(6/23/2010 09:07 RJN)
1 Provide a GFCI protected outlet within 25' of A/C unit.
2 Provide GFCI protection at kitchen and bar sink.
3 Provide step at garage door.
,j
Date: 6/23/2010 "
DDS -COR -RECTION -NOTICE
Inspector: RJN
Phone #:
Page 1 of 1
LONGFELLow LUMBER CO. INC.
Quality Truss Design • Roof & Floor Systems
- - --- - -- - ,�N Loren Avenue • Chico, CA 95928-7434
refer to APPROVED PLANS for 4 Phone (530) 893-0112 • (800) 678-0112
dditional notes and information Fax (530) 893-0140
Ur this project
----./E-Mail: trusses@longfellowlumber.com
Owner•
REVISION: BP# 01 0 39
PAPN: (OWV 630 -0011
p Date %1 o6 !
LFILE COPY Jr
Custornen F214AJ Lr✓,U�
Address: HUMBUG RD.
MAGALIA
AP#:
rpt �l 11�: 1, D11i1����
? 0i1
06
Job
G•1
Job No: CONRY RESIDENCE
ENGINEER
.Mitek Industries, Inc.
Redong (Ray) Yu
7777 Greenback Lane, Suite 109
Citrus Heights, CA 95610
(916) 676-1900
APPROVED INSPECTION AGENCY
Timber Products Inspection. Inc.
P.O. Box 20455
Portland, OR 97220
(503) 254-0204
Job
Truss
Truss Type
pry
Ply
CONRY RESIDENCE
CONR0311
Al
MOD.OUEEN
15
1
R158188 54
. - 1-11
Job Reference (optional)
b.Doo s Jun 17 2004 MiTek Industries, Inc. Fri MabUd 5:41:09 2005 Page 1
-2.0.0 6.7-8 124" 18.9-0 24.9-12 30.108 37-8-0 39-6-0
2-0.0 6-7-8 6-012 6-012 6-012 6-012 6.7-8 2.00
6.00 F12
5x6 =
6
a 14 IJ 12 —
3x4 = 3x10 MT20H= 3x4 =
0.0.0 3x8 =
0.0.0
Scale = 1:75.3
1I�
9-7-14 18-9-0 27-10.2 3780
9-7-14 9.1.2 9-1.2 - 9.7-14
Plate Offsets (X,Y). [2.1-0-0,0-0-8), [3:0-1-9,0-0-10], [4:0-4-0,0-0-121, [5:0-1-15,0-2-2], [6:0-3-0,0-2-10), [7:0-1-15,0-2-2], [8:0-4-0,0-0-12], [9:0-1-9,0-0-10], [10:1-0-0,0-0-8), [12:0-1-14
,0-1-81 [15:0-1-14,0-1-81
LOADING(psf) SPACING 2-0-0 CSI DEFL in (loc) I/deft Ud PLATES GRIP
TCLL 49.5 Plates Increase 1.15 TC 0.34 Vert(LL) -0.23 14 >999 240 MT20 220/195
TCDL 10.0 Lumber Increase 1.15 BC 0.77 Vert(TL) -0.41 12-14 >999 180 MT20H 165/146
BCLL 0.0 Rep Stress Incr YES WB 0.75 Horz(TL) 0.17 10 n/a n/a
BCDL 7.0 Code UBC97/ANSI95 (Simplified) Weight 218 Ib
LUMBER BRACING ,
TOP CHORD 2 X 6 DF SS G TOP CHORD Sheathed or 3-10-10 Gc purlins.
BOT CHORD 2 X 4 DF No.18BtrG BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing.
WEBS 2 X 4 DF Std G WEBS 1 Row at midpt 5-14.7-14
t REACTIONS (Ib/size) 2=2730/0-3-8, 10=2730/0-3-8
Max Horz2=57(load case 5)
Max Uplift2=-25(load case 7), 10=-25(load case 7)
Max Grav2=2827(load case 2), 10=2827(load case 3) AUNTY
FORCES(Ib)- Maximum Compression/Maximum Tension I N�J�LIDING DIVISI
TOP CHORD 1-2=0/88, 2-3=4331/0, 3-4=3823/49, 4-5=3823/49, 5-6=2709/66, 6-7=2709/66, 7-8=3823/49, 8-9=3823/49, APPROVED 1�E^y
9-10=-4331/0,10-11=0/88
BOT CHORD 2-15=0/3825, 14-15=0/3160, 13-14=0/3160, 12-13=0/3160, 10.12=0/3825
WEBS 3-15=742/15, 5-15=37!736, 5-14=1301/36, 6-14=73/1701, 7-14=1301/36, 7-12=371736, 9-12=742/15
NOTES
1) This truss has been designed for the wind loads generated by 75 mph winds at 25 It above ground level, using 10.0 psf top chord dead
load and 7.0 psf bottom chord dead load, 100 mi from hurricane oceanline, on an occupancy category I, condition I enclosed building, of
dimensions 45 ft by 24 ft with exposure B ASCE 7-93 per UBC97/ANSI95 If end verticals or cantilevers exist, they are exposed to wind. If
porches exist, they are exposed to wind. The lumber DOL increase is 1.33, and the plate grip increase is 1.33
2) Unbalanced snow loads have been considered for this design.
3) Overhang has been design for 2.00 times live load + dead load. FES\
4) All plates are MT20 plates unless otherwise indicated. Q�0/n
5) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads.
6) A plate rating reduction of 20% has been applied for the green lumber members.
LOAD CASE(S) Standard
C 17180 z
*
EXP. 063/301105 yt
sT CIVIC ��P
�TFCF CAUI
March 29,2005
A WARNING - Der{/y design yammerers and READ NOTES ON THIS AND INCLUDED WD REFERENCE PAGE AID 7473 BEFORE USE. 7777 Greenback Lane
Design volid for use only with rv4Tek connectors. This design is based only upon parameters shown, and is for on individual building component. Suite 109
Applicability of design paromenters and proper incorporation of component is responsibility of building designer -not truss designer. Brocing shown Citrus Heights, CA, 95610
is for lateral support of individual web members only. Additional temporary bracing to insure stability during construction is the responsibillily of the
1j erecta. Additional permanent bracing of the overall structure is the responsibility of the building designer. For general guidance regarding
fabrication• quality control storage, delivery, ereclion and brocing, consult ANSI/TPll Quality Crfferlo, DSB-89 and BCSII Building Component - dD
rm
?t Safety Intoation available from Truss Plate Institute. 583 D'Onobio Drive. Modison, WI 53719.
Job
TrusS
nlSs ype
ty
5-1-1
CONRY RESIDENCE
CONR0311
D3
AL HIP
T
1
1
R15B78862
I nn,.ren,..., I „m�.e, r•.. �..,. �..,...
�,, axa,e ,.,.
(loc) I/deft L/d
PLATES GRIP
TCLL 49.5
Job Reference (optional)
a.uuu s jun it iou4 Mil ek Inaustnes, Inc. Tue Mar 29 09:09:06 2005 Page 1 .
-2-0-0 i 74-15 _ 7-�0-15 12.6.0 I 17-1-1 11-711' 25.0.0 27' 0
2-0-0 74-15 0-0-0 4-7-1 4-7-1 0-6-0 74-15 2-0-0
wale: v4•=r
US 9
3.8 =
5x8
-^V -1.5x411
74-15 12-&0
17-7-1
25-0-0
74-15 5-1-1
5-1-1
7-4-15
Plate Offsets (X,Y): [2:1-0-3,0-0-111, [6:1-0-3.0-0-111, [10:0-4-0 Edge]
exposed to wind. If porches exist, they are exposed to wind. The lumber DOL increase is 1.33, and the plate grip increase is 1.33
LOADING (psf)
SPACING 2-0-0
CSI
3) Overhang has been design for 2.00 times live load + dead load.
DEFL in
(loc) I/deft L/d
PLATES GRIP
TCLL 49.5
Plates Increase 1.15
TC 0.37
Vert(LL) -0.23
9 >999 240
MT20 220/195
TCDL 10.0
Lumber Increase 1.15
BC 0.74
6.31b up at 17-0-0, and 357.01b down and 6.31b up at B-0-0 on top chord. The design/selection of such special connection '
Vert(TL) -0.29
9 >999 180
yt EXP. 06/30/05
BCLL 0.0
Rep Stress Incr NO
WB 0.83
rSJ CIVI16- �P
�TFCCAI.%F���
Horz(TL) 0.14
6 n/a n/a
BCDL 7.0
Code UBC97/ANSI95
(Matrix)
Weight 1341b 'r
LUMBER
BRACING
TOP CHORD 2 X 6 OF SS G
TOP CHORD
Sheathed or 3-8-11 oc purlins, except
BOT CHORD 2 X 4 OF No.18Btr G
2-0-0 oc purlins (4-1-10 max.): 3-5.
WEBS 2 X 4 OF Std G
BOT CHORD
Rigid ceiling directly applied or 10-0-0 oc bracing.
REACTIONS (Ib/size) 2=267210-3-8, 6=2672/0-3-8
Max Harz 2=25(load case 5)
Max Uplift 2=38(load case 7), 6=38(load case 7)
Max Grav 2=2949(load case 2), 6=2949(load case 3)
6 r J .
FORCES (Ib) - Maximum Compression/Maximum-2= Tension
TOP CHORD 1-2=0/177, 2-3=4650/59, 3-12=3989/54, 12-13=3989154, 4-113=3989/54, 4-14=3989/54,
�t N a r+ , JVJ v
14-15=3989/54, 7 �`et G; tG
5-15=3989/54, 5-6=-4650/59, 6-7=0/177
BOT CHORD 2-11=0/4015, 10-11=0/4739, 9-10=0/4739, 8-9=0/4739, 6-8=0/4015
d�1� - �,/�
WEBS 3-11=31/830, 4-11=1273/30,4-9=11/138,4-8=1273/29,5-8=31/830
,
R W�
NOTES
1) This truss has been designed for the wind loads generated by 75 mph winds at 25 ftabove ground level, using 10.0 psf top chord
dead load and 7.0 psf bottom chord dead load, 100 mi from hurricane oceanline, on an occupancy category I, condition I enclosed
building, of dimensions 45 ft by 24 ft with exposure B ASCE 7-93 per UBC97/ANSI95 If end verticals or cantilevers exist, they are
exposed to wind. If porches exist, they are exposed to wind. The lumber DOL increase is 1.33, and the plate grip increase is 1.33
2) Unbalanced snow loads have been considered for this design.
3) Overhang has been design for 2.00 times live load + dead load.
ESS/0
4) Provide adequate drainage to prevent water ponding.
5) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads.
a�F
Q
6) A plate rating reduction of 20% has been applied for the green lumber members.
7) Girder carries tie-in spans of 4-0-0 from front girder and 4-0-0 from back girder.
C
8) Design assumes 4x2 (flat orientation) purlins at oc spacing indicated, fastened to truss TC w/ 2-10d nails.
9) Special hanger(s) or other connection device(s) shall be provided sufficient to support concentrated load(s) 357.01b down and
C 17180 Z
6.31b up at 17-0-0, and 357.01b down and 6.31b up at B-0-0 on top chord. The design/selection of such special connection '
device(s) is the responsibility of others.
yt EXP. 06/30/05
10) In the LOAD CASE(S) section, loads applied to the face of the truss are noted as front (F) or back (B).
,
LOADCASE(S) Standard
Continued on page 2
rSJ CIVI16- �P
�TFCCAI.%F���
March 29,2005
®WARNING - D design 7777 Greenback Lane
eri, j� srg pammerers and READ NOTES ON Tffi5 AND tNCWDED ffi7E8 REFERENCE PACE MU -7473 BEFORE GSE.
^ Design valid for use only with Mnek connectors. This design is based only upon parameters shown, and is for an individual building component. Suite 109
Applicability of deign paramenters and proper incorporation of component is responsibility of building designer - not truss designer. Bracing shown Citrus Heights, CA, 95610
is far lateral support of individual web members only. Additional temporary bracing to insure stability during construction is the responsibillity of the
erector. Additional permanent bracing of the overall structure is the responsibility of the building designer. For general guidance regarding _
"I fabrication, quality control. storage, derrvery, erection and bracing, consult ANSI/T%1 Quality Criteria, DSB-89 and BCS11 Building Component M Tekm
Safety Information available fromlruss Plate Institute. 583 YOnofrio Drive. Madison, WI 53719. '
O
n15S
LS type
Qty
Ply
I
03 ]TCALSHIP
R75818862
Job Reference (optional)
Longfellow Lumber Co., Inc., Chico, Ca..95928.7434
6.000 s Jun 17 2004 MTek Industries, Inc. Tue Mar 29 09:09:06 2005 Page 2
LOAD CASE(S) Standard
1) Snow. Lumber Increase=1.15, Plate Increase=1.15
Uniform Loads (plf)
Vert: 1-3=119, 3-12=119, 13-14=-238(B=119), 5-15=119, 5-7=119, 2-6=14 '
Concentrated Loads (lb)
Vert: 12=357 15=357
Trapezoidal Loads (plf)
Vert 12=179 -to -13-238, 14=238 -to -15=179
O
n15S
LS type
CONRY RESIDENCE -
CONR0311
03 ]TCALSHIP
R75818862
Job Reference (optional)
BUTTE. COUr .
® WARNING - Vert/tr design parameters and READ NOTES ON TBS AND D9CLDDED AumK REFERENCE PAGE dDh7473 BEFORE USE. - 7777 Greenback Lane �®
Design valid for use on with MiTek connectors. This design is based on v Suite 109
5 only g only upon parameters shown, and is for on individual building component. Citrus Hei his, CA, 95610M[
Applicability of deign paramenters and proper incorporation of component isresponvbiGy of building designer -not buss designer. Bracing shown 9
is for lateral support of individual Web members only. Additional temporary bracing to insure stability during construction is the responsbilliy of the
erector. Additional permanent bracing of the overall structure is the responsibility of the building designer. Fa general guidance regarding
fabrication, quality control. storage, delivery, erection and bracing, consult ANSI/TPII Oualfly Criteria, DSB-89 and BCSII Bunding Component M ■ ,ek®
Safety Information available from Truss Plate Institute, 583 D'Onohio Drive. Madison, WI 53719.
BBAL NCE OF SEES SHEET
DATE: 1 ` bb
PERMIT
ASSESSOR PARCEL #: V '1 �d ' U 3
.OWNER'S NAME: co� �
FEES (Amount and Purpose):
BALANCE OF FEES: $
ADDITIONAL FEES: $
REVISED PLAN CHECK: $
SHERIFF FEE (commercial only): $
SRA: $
COPY FEES ($1 or more) $
DRAINAGE $ BASIN
BC RESIDENTIAL IMPACT
County Wide Chico Urban
EI Medio North Chico Specific _ $
WATER TENDER FEES $ BATTALION #
.FEMA $
SMIP $ n n
-
OTHE
RECEIPT NUMBER(S)
- - . - _ _ "� � IIIIIIIIIIIIIIIIhiiIIIIIIIIIIIIII
AND WHEN RECORDED MAIL TO: 2 io io 4— 10 10.e+ 1 6 5 8
BUTTE COUNTY BUILDING DIVISION Recorded I REC FEE 10.00
7 COUNTY CENTER DRIVE Official Records I COPIES 2.50
County OROVILLE, CA 95965 COuntOf i
BUTTE I
CANDACE J. GRUBBS I
Recorder I
ROSEMARY DICKSON I
Assistant I Mark
12:39PN 09 -Jul -2004 I Page 1 of 2
WA) .' 0(oy-Wb-Oo9
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, ^^State of California, described as follows:
Date r�
State of California B V`
County of
On bef
PROP OWN
6
personally appeared b(i&N P, i IffA C�� personally
known to me (or proved to me on the basis of satisfactory evi nce) to be the person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me.that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, a uted the i�tl 7ff7
WITNESS my han an 1 seal.
A.M. MORROW D
Signature Seal'Fetmy
COMM. # 1270896
NOTARY PUBLIC -CALIFORNIA �y1
(rte �j(�J$7l- Li U 7 ICOUNTY OF BUTTE W
/_ ,ry.� Comm. Expires July 18, 2004
A.P.# O� -4 �3O _ W9
Preliminary Report
Description
Order No. BU -200046-2 CH
The land referred to herein is situated in the State of California, County of Butte, and is described as
follows:
BEING A PORTION OF THE SOUTHEAST QUARTER OF SECTION 15, TOWNSHIP 23 NORTH,
RANGE 3 EAST, M.D.B. & M., AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE EAST QUARTER CORNER OF SAID SECTION 15 AND THENCE
FOLLOWING ALONG THE EASTERLY BOUNDARY LINE OF SAID SOUTHEAST QUARTER,
SOUTH 0 DEG. 17' WEST FOR A DISTANCE OF 231.06 FEET TO A POINT LOCATED IN THE
CENTERLINE OF HUMBUG ROAD; THENCE FOLLOWING ALONG SAID CENTERLINE, SOUTH
18 DEG. 42' 30" WEST FOR A DISTANCE OF 166.04 FEET; THENCE SOUTH 22 DEG. 26' WEST
FOR A DISTANCE OF 277.49 FEET; THENCE SOUTH 30 DEG. 56'30" WEST FOR A DISTANCE
OF 11.31 FEET TO THE SOUTHEASTERLY CORNER OF THAT CERTAIN PARCEL OF LAND AS
CONVEYED BY DEED TO PERRY PATTERSON AND CLEO PATTERSON, HIS WIFE AS
COQ PROPERTY, RECORDED JANUARY 3, 1966, IN BOOK 1407; PAGE 243, OFFICIAL
RECORDS, SAID POINT BEING ALSO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF
LAND HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, CONTINUING
ALONG SAID CENTERLINE OF HUMBUG ROAD, SOUTH 30 EG. 56' 30" WEST FOR A
DISTANCE OF 188.82 FEET; THENCE SOUTH 25 DEG. 09' WEST FOR A DISTANCE OF 151.95
FEET TO THE NORTHEASTERLY CORNER OF THAT CERTAIN PARCEL OF LAND AS
CONVEYED BY DEED TO HAROLD T. GEILER AND BLANCHE M. GEILER, HIS WIFE,
RECORDED OCTOBER 4, 1961, IN BOOK 1142, PAGE 115, OFFICIAL RECORDS; THENCE
FOLLOWING ALONG THE NORTHERLY BOUNDARY LINE OF SAID PARCEL AND LEAVING
SAID ROAD CENTERLINE, NORTH 89 DEG. 50' WEST FOR A DISTANCE OF 524.00 FEET;
THENCE LEAVING SAID NORTHERLY BOUNDARY LINE, NORTH 0 DEG. 10' EAST FOR A
DISTANCE OF 414.96 FEET; THENCE SOUTH 89 DEG. 50' EAST FOR A DISTANCE OF 331.28
FEET. TO THE NORTHWESTERLY CORNER OF THE AFORESAID PATTERSON PARCEL;
.THENCE FOLLOWING ALONG THE WESTERLY BOUNDARY LINE OF SAID PATTERSON
PARCEL, SOUTH 0 DEG. 10' WEST FOR A DISTANCE OF 115.00 FEET TO THE
SOUTHWESTERLY CORNER OF SAID PATTERSON PARCEL; THENCE FOLLOWING ALONG
THE SOUTHERLY BOUNDARY LINE OF SAID PATTERSON PARCEL, SOUTH 89 DEG. 50' EAST
FOR A DISTANCE OF 353.50 FEET TO THE TRUE POINT OF BEGINNING.
EXCEPTING THEREFROM THAT PORTION LYING WITHIN THE BOUNDARIES OF HUMBUG
ROAD.
APN 064-630-009-000
i
+ i
. BALANCE OF FEES SHEHEET
DATE:
PERMIT:
ASSESSOR PARCEL #: O.LQ�3b U O
I
OWNER'S NAME: C��Y
FEES- (Ahount and Purpose):
BALANCE OF FEES_ • $
ADDITIONAL FEES $
• 1 1�+� T _ 4''
REVISED PLAN CHE$
NF•
coPIF,S $
r
URBAN AREA FEES $
CSA 87 (North Chic Spec.) $ "
.r
WATER TEND FEE $ BATTALION #
THERM D AGE FEE $
OTHER $
O
4 $
VALUATIO - IF BALANCE OF FEES OR ADDITIONAL FEES:
T AL VALUATION: $
1
DITIONAL VAL: $
(Check one) COUNTY
CITY OF BIGGS
(Check one) RESIDENTIAL
COMMERCIAL
RECEIPT NUMBERS:
ENCROACHMENT PERMIT
County of Butte Department of Public Works
7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356
Download Forms: www.buttecounty.net/publicworks/forms.html
NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Permit Number District &--
--
Phone (530) 538-7157.Ext. 2016 L J
APPLICATION
WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the t-ounty roaas
d highways, all in accordance with Countyordinances and general laws. All information exce t signature must be ed or legibly rinted
Applic la. Company Name:
M, jAJ
Address: �.4. stsoSs1rcel Number.�Phone: r
Location of Work to be Done ) A181
Applicant's Signaturexf
t w V 7. i
V
CONTRACT R' S INFORMATION
Contractor's Name
Addr_ss
0. Phone:
2. Contractor's License Ni
4. Contractor's Signature:
5. Authorized Agent:
e
11. Fax:
13. Certificate of Insurance: Yes ❑ No: ❑
14a. Date Signed:
TYPE OF WORK TO BE DONE
6. Please Ch :Curb:
If Driveway List Type:
Curb: El Gutter: ❑ Sidewalk: ❑
8. Other Work - Describe: 19. Plans Attached:
D Yes ❑ No
PERMIT GRANTED
n compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below,
- -
.0. Conditionsy ~ In
` Re r+-� ay e E x i s �' , n a T I I e �► a- C!✓1 P �'
C lel f / f a.V e �'p� r00.c N tnJ 1 2 • �1 �o rYl Q/ c h cl ra a G
N.
L
%e SK{-iace� �a 1—r6-perly ;
I
inderground Service Alert (USA.) must be notified two working days prior to any excavation. 800-227-2600
:1. KAll work shall conform to accompanying: Detail K Plans D Special Conditions
01
.L. \arc ibaucu g,/ 1 OV 1 --• --r-------- - ('
:5. Date Paid: 26. Amount Paid: y' / ��
VS
j 19L.>
27•BY 28. Rece Tjlp� l�
\like Crump, Director of Public Works
•
By
29. Final Inspection Date: 30. Inspected By:
❑ Completed - OK Completed - Not OK
❑ Additional Comments Attached
Zor County
Use only:
31: Comments:
l
4ote: It permits are taxed to any numocr ocsiucs kj.)V) »o 1•••-1 -.1--
i
1
Page 1 of 2
b
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.neAdds
PERMIT NO.
BP040839
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 07/12/2004 APN: 064-630-009-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 14819 HUMBUG RD MAG
Date: Contractor.
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: NSF(3231) GAR(650) OPEN DECK(130)
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: CONRY BRIAN P
to its issuance, also requires the applicant for such permit to file a
PO BOX 804
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
MAGALIA, CA
7000) of Division 3 of the Business and Professions Code) or that he or
95954-0804
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
i
I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: CONRY BRIAN P
Code: The Contractors' State License Law does not apply to an
pp
owner of property who builds or improves thereon, and who does
PO BOX 804
such work himself or herself or through his or her own employees,
MAGALIA, CA
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
95954-0804
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor:
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
O I am Exempt under Article 3 ojAqBusiness d rofessions Code
Date: Owner:
License #•
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following de larations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect:
is issued.
❑ 1 have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carver:
Total Square Ft: 4011 S.F.
Policy #:
Valuation: $227,695.00
Census Code:
lA 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 the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: -
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one4�78st-
. ' 847 75 7/,q
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This perm is hereby issued under the applicable provisions of the Butte County Code andlor
I hereby affirm that there is a construction lending agency for the
Resolution)to do work indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
7 17 - O
Name:
By Date:
PER EXPIRES ON: 7- I c5
Address:
Date
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the du thorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of an ici orm or docu Bu County. I hereby
authorize representatives ofButttettCouptto,
enter upontheabovementioned property for inspection purposes.Print
\
(! ��' " -/
Name: \ IV t" Signature:
Date: 12i -
Owner 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor
o�`'TFBUTTE COUNTY PERMIT NO.
o
DEPARTMENT OF DEVELOPMENT SERVICES
0 BUILDING PERMIT APPLICATION
0 0 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO x
.o OFFICE M (530) 538-7541
c001 N'�y
A�
DATE:�
3_ ^ ` O
APN:
_ �� ^
Z 0 N G:
NEAREST CROSS STREET: ` /
J ci
TRACT/LOTM
SITE ADDRESS: [`tv 1
l 4
` j"OA`p uC F
CITY, ZIP:
OWNER NAME:
(A'v a�J R-
PHONE:
630 (3? 3ggss
STREET ADDRESS: O r�)O SQL-�
FAX
CITY, ZIP: PA N5 A ` d CA I 15-1 IS -L(
E-MAIL:
APPLICANT NAME:
PHONE
STREET ADDRESS:
FAX
CITY, ZIP:
E -MAIL -
CONTRACTOR NAME: O
�-J n 4 � >✓�(Z-
PHONE:
STREET ADDRESS:
FAX:
CITY, ZIP:
EMAIL:
LICENSE NUMBER
LICENSE TYPE:
ARCHITECT/ENGINEER NAME:
PHONE:
STREET ADDRESS:
FAX.
CITY, ZIP:
LICENSE NUMBER:
E-MAIL:
DESCRIPTION OR SCOPE OF WORK:
S�
❑ Structure Built without permits
❑ Proposed Change of Occupancy (note previous use)
SN DFW Low t5 : 2Seyz> -•r-a
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after the date of application. In order to renew
action on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who paid th fee.The
request must be made prior to
the expiration of the permit and no construction work has been done. Filing ees, plan check fees for work plan
checked and other d2partment costs are not refundable.
For office use only: UPICRes 26
Notes:
•�
(���
15�--7 S
'
Application Received by: Date: -2- (o
Receipt number: -_?p Amount Received: ZQz-5. r
B. C. Building Permit 01-23-04 pg 2
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.H. USE
Plot Plea Attached
Floor Plan Attached
r *Sant to B.D.
A 3 30 K
( !-
Owner Location
Plan Approv,nf—.Sewage Disposal Wa Sup (y:
Chearance fwelling. Other \ ,.l ��� In G Tr"r� /
Hold final for:
Final clearance O.K. for:
NOTE:
r--V--)U
AP#
Public Private We
:,
h.iif..w �1.�u�'}>Fy�YY�>;�r:�v>�Jr#'wMs�''rami:+.'YO:.��wL3�-fsrr��`Y7"e`;N�?,Y�.i.-.f �.:t•'r�`"i scl..L-�,"'�
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: ASSESSOR PARCEL NUMB 0(o y O� I
(.�
Propo"sed-Building Use: / ` G r� Counter Technician: i ate:
�tert�s required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to Wpply
( ..s....1.: Site plans, 3 or 4 sets, signed by the"preparer of the plans.
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
4. Engineered truss details and layouts in duplicate. No faxes!
5. Letter from Engineer or Architect for truss design review.
6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or frld plans, all in ,f
duplicate
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential%buildings
❑ 13. Detached Accessory Building Form filled out by the owner
14. Hazardous Material Form
15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑•Oroville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
❑ .18. Agricultural Buffer clr'and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........
0. Erosion Control Plan Required........................................................................ ........
46\wl-�2
1. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 22. City of Chico Plumbing permit............................................................
23. California Department of Forestry plan approval aid. Sent by:
24. Planning approval (A) Use: (B)Parking: (C) Parcel Check:
57
❑ 25. Contact Land Development about _ Improvements, _ Drainage .........................
26. NP%ES Form.............................................................................................
27. Encroachment Permit for driveway from the Public Works Dept ........................... k'Gz -Qt(�.
❑ 28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... `
0 _ 30. Worker's Compensation Carrier and Policy Number ........................................... Mfr
31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑. 32. Letter of Signature authorization....................................................................
33. Recorded copy of Agricultural Acknowledgment Statement ................................. IC►.� *►• t 1.04
❑. 34. Manufactured home utility clearance...............................................................
35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
❑ 37. El Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 38. Other:'"
❑ 39. Other:
When issued Telephone and hold for pickup.
I have been informed of thMbove items fid, requirements for obtaining a building permit.
Applicant: Date:
1. Index perm t application for the above items numbered: Plan Che6k Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: Date
Structural reviewed by: Date: Structural approved by: Date:
Nota transfer by: Date:
Yellow: Building Division
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER 1 8
PROPRO D BUILDING USE Iy S c / 6a✓a
UILDING PERMIT FEES I
--- Balance Due ..................... $ l `
--- Additional Fees Due........... $
A.P. # 1 ` 3 0— 00 /
DATE "'ZD)v
RECEIPT # DATE REC.
--- Revised Plan Checking Fee.... $ 4
2. SCHOOL DISTRICT FEES Pa Y -6-U I �'e V1 t
id at School District Office) (form available after Plan Check) —v T 1-2-0+
WResidential
SHERIFF FEES (paid at Building Division)
... X $360.00 =$ 0
. Units
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
4. URBAN AREA FEES
(paid at Building Division)
Residential (per unit)...:. X = $
# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Fig. Amt.
005. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
0.00 (paid at Building Division)
�/. SRA FIRE INSPECTION AND PLAN CHECK FEE
$(paid at Building Division)
Li
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone
Zone
Commercial (sq. ftg.) .........
10. OTHER
X =$
# Units Amt.
X =$
Sq. Ftg. Amt.
390Ks 3 -SOY
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed d ' g the pla ecking pro ss. z
APPLICANT DAT$4-----? r -O
� y
Pursuant to Government Code Section 66020, you are hereby notified at items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imp sition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
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.
6ersonall l.an to rovide the
I P Y P P major labor and materials for construction of the proposed
z
rty; rovement : YESA NO ❑VE HAVE NOT ❑ signed an application for a building permit for thePo
ro sed work -
3. 3. I have contracted with the following person (firm) to provide the proposed construction:
NAME:.
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. 'I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAND:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. 1 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:
PROPERTYOWNEIL• 1/�D
NOT L': This Owner -Builder Yer*alion is required by Section 19831 and 19832 of the
California Health and Safety Coda This yes 1cation must be completed and
returned to our oj)ke before we are permhted to Issue the permit,
OWNER BUILDER INFORMATION
Dear Property Owner.
An application for a budding permit has been submitted in your name listing yourself as the budder of property
improveanents specified.
For yourprotection, you should be aware that as "owner4mflder" you are the responsible party of record on such
a permiL Building permits are not required to 6e signed by property owners unless they are personally perii>mming 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
Jim= 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 woe; 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 conhactors or
subcontractors; Bien 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 inckft nate and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be fimncW risks for you if you do not cavy out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific inkrmation about your obligations under Federal Law, contract the Internal Ream Service (and,
if you wish. the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Depmiment of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed coniract:ors 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 budder" building
Pew enu=usly implying that the property owner is providing his or her own labor and material personally. Budding
permits are not required to be signed by propm-ty owners unless they are peafozming their own work personally.
Inion about licensed cmArdatm may be obtained by contracting the Contactors State License Board in your
commumity or at 1020 N Street; Sacramento, C.A. 95914.
Please complete the "Owner Builder Verifica ti=7 on the reverse side of this form so that we can confirm that you
are aware of these matters. The budding permit will not be issued until the verification is retarn .
I
,C. VAT, C.E.O.
Budding Inspection
NOTM• Thu 0wner-Bur7daLaforrmfion is requked by Secdon 19830 of the Caiprnia Health and Safety Codes
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.netldds
PERMIT NO.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of Business Pr fessions Code
Date:3^Z�Owner: -
WORKERS' COMPENSATION DECLARATION Jl
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 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carries
Policy #:
1Pcertify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should , become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as .provided for in Section 3706 of the. Labor
code, interest, and attorney's fees. -
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolutions to do work indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
By: Date:
PERMIT EXPIRES ON:
Date
Address:
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized'agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of a official form o ument of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos
Print Name: (A r J Ca N �L-f
Signature:
Date: 3 ' 2 ` c) `k
-96wner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor
National Pollutant Discharge Elimination System (NPDES) Phase II
Construction Storm Water Permit and Storm Water Pollution
Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1
Project Title: CO �,! 0L16-0 -13 3
By signing below, I, the project owner/owner's agent, certify that I am aware that a construction
project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the
State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent
(N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made
payable to the State Water Resources Control Board to obtain such a permit if my project
disturbs I acre or more of land. I, further, certify that this project will not disturb 1 acre or
more of land. I am aware that submitting false and/or inaccurate information may result in
revocation of grading and/or other permits or other sanctions provided by law.
Signed:
Title:
Date:
-2 -
NPDES & SWPPP Non -Compliance Certification
Butte County Storm Water Management Program
Revised 7/02/03
�- -=�'
1111111111111PIIIIIIIIIIIPIIIlPIII
AND WHEN RECORDED MAIL TO:
24��4—v 1 658
-
BUTTE COUNTY BUILDING DIVISION
I REC
Recorded EE IQ.Flb�
Official Records I RECCOPFS 00
7 COUNTY CENTER DRIVE
S.
County Of j
OROVILLE, CA 95965
BUTTE I
CANDACE J. GRUBBS I
Recorder f
ROSEMARY DICKSON I
Assistant I Bark
2:35PM 09 -Jul -2604 I Page 1 of 2
�PA); Dloy-�_�Z-ooq
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and ori
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
• Date � ` q —()
State of California (�
County of(� r0
On . �' _ J V"� het
PROP OWN
personally appeared_ 6 K.1 AW P, (VA t-14, personally
known to me (or proved to me on the basis of satisfactory evi nce) to be the person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, a uted the in$rurrrtrn
WITNESS my han an 1 seal.
• A.M. MORROW
Signature Seal: COMM. # 1270896 D
® NOTARY PUBUC-CALIFORNIA
(6';6 X71- LJ Ll'_7 % COUNTY OF BUTTE W
A.P. #
-- My Comm. Ex 16, 2001
� V � Y � � ®�_ N � Expires July
Preliminary Report
Description
Order No. BU -200046-2 CH
The land referred to herein is situated. in the State of California, County of Butte, and is described as
follows:
BEING A PORTION OF THE SOUTHEAST QUARTER OF SECTION 15, TOWNSHIP 23 NORTH,
RANGE 3 EAST, M.D.B. & M., AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE EAST QUARTER CORNER OF SAID SECTION 15 AND THENCE
FOLLOWING ALONG THE EASTERLY BOUNDARY LINE OF SAID SOUTHEAST QUARTER,
SOUTH 0 DEG. 17' WEST FOR A DISTANCE OF 231.06 FEET TO A POINT LOCATED IN THE
CENTERLINE OF HUMBUG ROAD; THENCE FOLLOWING ALONG SAID CENTERLINE, SOUTH
18 DEG. 42' 30" WEST FOR A DISTANCE OF 166.04 FEET; THENCE SOUTH 22 DEG. 26' WEST
FOR A DISTANCE OF 277.49 FEET; THENCE SOUTH 30 DEG. 56'30" WEST FOR A DISTANCE
OF 11.31 FEET TO THE SOUTHEASTERLY CORNER OF THAT CERTAIN PARCEL OF LAND AS
CONVEYED BY DEED TO PERRY PATTERSON AND CLEO PATTERSON, HIS WIFE AS
COMMUNITY PROPERTY, RECORDED JANUARY 3, 1966, IN BOOK 1407; PAGE 243, OFFICIAL
RECORDS, SAID POINT BEING ALSO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF
LAND HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, CONTINUING
ALONG SAID CENTERLINE OF HUMBUG ROAD, SOUTH 30 EG. 56' 30" WEST FOR A
DISTANCE OF 188.82 FEET; THENCE SOUTH 25 DEG. 09' WEST FOR A DISTANCE OF 151.95
FEET TO THE NORTHEASTERLY CORNER OF THAT CERTAIN PARCEL OF LAND AS
CONVEYED BY DEED TO HAROLD T. GEILER AND BLANCHE M. GEILER, HIS WIFE,
RECORDED OCTOBER 4, 1961, IN BOOK 1142, PAGE 115, OFFICIAL RECORDS; THENCE
FOLLOWING ALONG THE NORTHERLY BOUNDARY LINE OF SAID PARCEL AND LEAVING
SAID ROAD CENTERLINE, .NORTH 89 DEG. 50' WEST FOR A DISTANCE OF 524.00 FEET;
THENCE LEAVING SAID NORTHERLY BOUNDARY LINE, NORTH 0 DEG. 10' EAST FOR A
DISTANCE OF 414.96 FEET; THENCE SOUTH 89 DEG. 50' EAST FOR A DISTANCE OF 331.28
FEET, TO THE NORTHWESTERLY CORNER OF THE AFORESAID PATTERSON PARCEL;
THENCE FOLLOWING ALONG THE WESTERLY BOUNDARY LINE OF SAID PATTERSON
PARCEL, SOUTH 0 DEG. 10' WEST FOR A DISTANCE OF 115.00 FEET TO THE
SOUTHWESTERLY CORNER OF SAID PATTERSON PARCEL; THENCE FOLLOWING ALONG
THE SOUTHERLY BOUNDARY LINE OF SAID PATTERSON PARCEL, SOUTH 89 DEG. 50' EAST
FOR A.DISTANCE OF 353.50 FEET TO THE TRUE POINT OF BEGINNING.
EXCEPTING THEREFROM THAT PORTION LYING WITHIN THE BOUNDARIES OF HUMBUG
ROAD.
APN 064-630-009-0.00
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
G (One form per Building)
School District Building Department No.
A.P. Number t!Q�" lD/� o0 / Jurisdiction: City lCounty
ft
Property Owner I C/yt— Conr l-1.
Property Location/Address
Subdivision
Lot No.
Residential Development
:................................
Q
..............................
Q
:......................................
Q
Sq. Footage
No of Living
Mobile Home
Addition/
'Supplemental to
(Group R)
Units
Installation
Conversion
Permit #
.....................................................................................................
*(No foundation Inspection)
i
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Commercial/Industrial
0
New Addition
Building Department Representative
�� v
Distric Identification .N0. /
School -District -certifies that
Sq. Footage
(Including Exterior
/ Roofed Areas)
0
Date
(Applicant)
(Street Address) (Phone Number)
(City)
has complied with the requirements of Resolution No.
representing
School District Representative
Paid by Check # _ Remarks:
y
(State)
(Zip Code)
by payment of $
f
2926 S
LL MMGATION $
Date
Notice: You may protest the Imposttion of the fess klentitied above by subndtting a wrlttin protest to the District, In compliance with
Govemnant Code section 66020(x), within 90 days from the date fees ars pail. Failure to submit a timely written protest will'prohibk
you from ctullerong the Imposition of the fess In any court action.
M, admqusnt to the School District Representative signing thio Butte County Schools Impact Fee Certlflcation Form, tit School District is
rmotiflsd by the applkwbM Local Planning Agency that this project Is being reviewed under the California Environmental Quailly Act (CEQA),
this project may be sweet to additional school fees to hilly ~*.its Impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.>ds 00/03Mrun
1, 2004
Mr. Michael Vieira
County of Butte
7 County Center Drive
Oroville, CA 95965-3397
Phone: (530) 538-7541
Fax: (530) 538-2140
Re: Plan Review:
Address:
Dear Mr. Vieira:
Conry SFD
14819 Humbus
County of Butte- FINAL REVIEW
Jurisdiction Application No.: 04-0839
LP2A Job No. 2040015-035
Az:f)
GAF -630 -
Linhart Petersen Powers Associates (LP2A) has completed a final review of the following documents:
Plans: Two (2) copies of revised Sheets SP1 Al through A5 (6 total sheets) Title/Cover Sheet
dated June 4, 2004 by Nick Trover.
2. Structural Calculations: Two (2) copies of added Structural Calculations dated June 9, 2004
by Brian Conry.
3. Title 24 Energy Compliance Documentation: Two (2) copies of T-24 Documents dated March 10,
2004 by Energy Calculation Serivices.
4. Prefabricated Roof Truss Calculations: Two (2) copies of Roof Truss Calculations dated March
27, 2004 by Longfellow Lumber CO.
The 2001 California Building, Mechanical, Electrical, Plumbing and Energy Codes (i.e., 1997 UBC, 2000
UMC, 2000 UPC, and 1999 NEC as amended by the State of California) were used as the basis of our
review. We do not have any comments regarding this submittal package. This plan review is
recommended for approval as submitted.
Enclosed for your use are the above noted documents that were reviewed, bearing the LP2A plan
approval stamps. If you have any questions, please do not hesitate to contact us directly.
Sincerely,
HART P ERSEN POWERS ASSOCIATE
o ete son, S.E. ss
Structural Engineer Plans ' er
PK:ag
Bin 123
Enclosures:
. Cc: Alice Mefford: amefford@buttecounty.net
isLINHART PETERSEN POWERS ASSOCIATES
7610 Auburn Boulevard • Citrus Heights, CA 95610
(916) 725-4200 • FAX (916) 725-8242 • Toll Free (877) 235-0653
k
Q FROM: Scott Rutherford (530) 538-7160
'' srutherford cDbuttecounty.net
SUBJECT: Plans Transmittal For Review Per Contract
O DATE: 4/�23120�04 i
Applicant: Conr4 �;�Brtan
' 4
Project Type: NSF.:. _�
Butte County Department ofDevdopment Services
100%
70%
.
$ 1,034.74
YVONNE CHRISTOPHER, DIRECTOR
$ ;1,478.20
$ 11034.74
LP2A Fee
i
7 County Center Drive
Oroville, CA 95965
M
(530) 538.7601 Telephone
(530) 538.7785 Facsimile
co
O
TO: LP2A
Q FROM: Scott Rutherford (530) 538-7160
'' srutherford cDbuttecounty.net
SUBJECT: Plans Transmittal For Review Per Contract
O DATE: 4/�23120�04 i
Applicant: Conr4 �;�Brtan
Permit040.8*39
Project Type: NSF.:. _�
APN:OY6~4630
100%
70%
Plan Check Fees $1,420
$ 1,034.74
$ ;1,478.20
$ 11034.74
LP2A Fee
$ 1,034.74
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
ti
rid
SITE PLAN REVIEW APPLICATION
Date: Al# O - C� 3o -00,
Permit Number (if aa[ilicable) LA 0 A -' 2.®
APPLICANT INFORMATION
Parcel Size: 7• % i�
r APIAL) 0ON/e
Owners Name: • •
Owners Address:
Telephone No.:
Situs Address:
Proposed Use:
7-3
Re 'dential
New Single Family Residential
❑ Single Family Addition
❑ Mobile Home
❑ Residential Accessory,
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Other
Septic r
❑ Agricultural Exempt Building
❑ Other:
Brief Explanation (if necessary):_
❑ Single Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
i
❑ Well
IT7F C01wy +
MING DIVISION
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
f
❑ Approved - J Conditionally Approved ❑ Resolve Problems Prior to Approval
❑ Site Plan Stamped Approved
• By Date 9 - `3 o- o 1Z -
Page
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY It.
Parcel Is In: (�
® Snow Load Area: 2G CM-
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract •
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required)
JR SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attach d�
• Flood Zone:
• Flood Panel No.: D Li OrD Index Date: 8-9 S
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
------------------------------------------------------------------------------------------------------------------
❑ Detached Building Use Form ❑ Encroachment Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning: A n 2 I
Applicable Building Setbacks:
C7
❑ Setbacks drawn on site Plan. ❑ CDF approval n ed for encroachmen s into SRA setbacks.
•
Page 2 of 5
Zoning Code
Streets & High ys
Fire Pidvenh
Subdivision Map
Front
—
Side
Side Street
Rear
Height
Waterway
N/A
r --N/A `
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval n ed for encroachmen s into SRA setbacks.
•
Page 2 of 5
j' Applicable Development Fees:
' * Standard Fees Amount Formula
❑ Fire
• ❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87 -
❑ Chico Urban Area - Road
❑ Thermalito Impact
Other
------------------------ ---------=---------------------------------------------------------------------------------------
Subdivision Map Special Fees
❑ Water Tendei L
❑ Road Improvement-
❑ North Oroville Area
❑ Other (per map)
* Check with school district to verify actual fee if pre-application review. A final determination will be made at the time of
the building permit. ;
Parcel Created By
•` Deeds:
Date of Creation: Legal Access Provided: ❑ No 5 Yes
Deed of Reference: 1 C)1) -170 5'3 H 8 Legal Access Required ❑ No Yes
Parcel Frontage on Publicly Maintained Road: ❑ No -H Yes, Road Name: Whlf: W& r?-c
Complies with County Standards for Deed Creation:❑ No ❑ Yes_
Comments:
Parcel Deemed to be legal '
❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23)...
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
r
-----------a -----------------------------------------------------------------------------------------------------------------
' Page 3 of 5
Q Subdivision Map/Parcel Map:
Map Date of Recording:
Lot: Book:
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
Page:
•
Parcel Map/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of Approval:
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan
must be prepared by a registered civil engineer or other qualified professional and b•
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for roa
C
F] 0
Page 4 of 5
❑
Summary of Specific Requirements:
x
' This information provided in this summary is based on the application information and on the best available data at the time
of review.
rC:U arrys\Building Permit Site Plan Reviewl.doc
Page 5 of 5
r.
/ ENCROACHMENT PERMIT
County of Butte Department of Public Works
7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356
Download Forms: www.buttecounty.net/publicworks/forms.htmi
NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE
Phone (530) 538-7157 Ext. 2016
Permit Number
1 d y 0 a C
District
APPLICATION
' WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads
id highways, all in accordance with County ordinances and general laws. (All information except signature must be typed or legibly rinted.
Applic
Ia. Company Name:
Address:
Phone:5 30 - �}
4. Ass sor's Parcel Number. O
Location of Work to be Done
Applicant's Signature k1
7. Date: '
CONTRACT WS INFORMATION
Contractor's Name
Address
). Phone:
11. Fax:
>.. Contractor's License Number:
13. Certificate of Insurance: Yes ❑ NO: ❑
1. Contractor's Signature:
14a. Date Signed:
i. Authorized Agent:
TYPE OF WORK TO BE DONE
i. Please Check: Curb: El Gutter: El Sidewalk: El
List If Driveway List Type:
B. Other Work - Describe:
19. Plans Attached:
❑ Yes ❑ No
PERMIT GRANTED
i compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below,
ermission is hereby ranted.
D. Conditions
- l�e►� av c x t; lle ct.1 /o C!✓1 P �� �4ce ; fti
'', C M `;E:�LVC A ,-oar ti z ''A c
o-r�c arnlcrct/e n CorJ / 1 0 (.Ja 5%
S. ac �aer L, rl; h'1 an,
ander round Service Alert .S.A. must be notified two working days prior to any excavation. 800-227-2600
1. kkAll work shall conform to accompanying: Detail I& Plans ❑ Special Conditions
2. Date Issued , 7 O
23. Expiration Date: J , O�
C'
24. Surety:
5. Date Paid:26.
Amount Paid: C 27.
Pai B
28. Recei t
/like Crump, Director of Public Works
By:
or County
29. Final Inspection Date:
30. Inspected By:
❑ Completed - OK Completed — Not OK
❑ Additional Comments Attached
J:e only:
31. Comments:
lote: If permits are faxed to any number besides (530) 538-4356, they can be delayed up to one week.
Page 1 of 2
GENERAL CONDITIONS
L
It is understood and. agreed that the County has prior right to the use of its rights of way. It is further understood and agreed by the Permittee that the
of any work under this permit shall constitute an acceptance of all the provisions contained herein and failure on the Permitfee's part to comply with any
;ion will be cause for revocation of this permit Except as otherwise provided for pubec'agencies and franchise holders, this permit is revocable at any time.
permit is to be on job at all times while the work is being done.
All work shag be done subject to the supervision of and to the satisfaction of the Public Works Department of the County of Butte. The Permittee shall,
times, during the progress .of the work, keep the County Highway in as neat and dean a condition as is possible and upon completion'of the work granted
i, shag leave the County Highway in a thoroughly neat,' dean, and usable condition.
The Permittee agrees by the acceptance of this permit to properly maintain any encroachment placed by the Permittee on any pad of the County
ray and to immediately repair any injury to any portion of the highway, which occurs as a result of the encroachment, until such time as the Permittee may
ieved of the responsibility of such encroachment by the County Department of Public Works.
It is further agreed by the Permittee fflat whenever construction, reconstruction, or maintenance work upon the highway may require the installation
'ed herein shag, upon request of the County Department of Public Works, be immediately moved by and at the sole expense of the Permittee.
No material used for fig or backfill in the construction of the encroachment shall be borrowed or taken from within the County right of way.
At least one lane of any pubfic road, under the jurisdiction of the Board of Supervisors of Butte County, and other public roads junctioning or
cling therewith, shag be kept open for travel by the general public at all times. No public road under the jurisdiction of the Board shag be dosed to travel by
neral public without special permission, in writing, from the Board of Supervisors.
The Permittee, by the acceptance of this perry t, shag assume fug responsibility for all liability for personal injury or damage to properly which may arise
the work herein permitted or which may arise out of the failure on the part of the Permittee to do the work provided for under this permit In the event any
3f such Oabifity is made against the County of Butte or any department, official, or employee thereof, the Permittee shag defend, indemnify, and hold them
ich of therm harmless for such claim.
Ag excavations shag be backfilled and compacted immedately'after work therein has been completed Trenches shag not be left open farther than 30D
advance of pipe laying operations or 2D0 feet to the rear thereof, unless otherwise permitted by the Engineer. Unless otherwise permitted under the
d Conditions, backfill shag be place and medhanic ally compacted in such a manner that the relative compaction throughout the entire fig within the County
ght of way shag conform to the percentage of compaction as stated below. Permittee shag notify foreman 24 hours before backfilling and/or paving.
a. The relative compaction from the bottom of excavation b a plane five feet (6) below finish surface grades shag be no less than ninety
percent (90%) as determined by Test Method No. Calif. 216-C of the Materials and Research department State of Cafifomia, Transportation
Department, Division of Highways, or other approved test method.
b. The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shall be no less than ninety-five
percent (95%) as determined by the above testing rrethod. Permittee shag bear all costs and responsibility for compaction tests.
¢ The relative compadon from a plane five feet (5) below the finish surface grade to said finish surface grad shag be no less than ninety-five
percent (95%) as detemhumed by the above testing method. Permittee shag bear all costs and responsibility for compaction tests.
Material for use as trench bad3rg in any existing or proposed roadway section shag be sand, shag be place in T lifts, and be compacted to a
relative compaction of not less than 95%.
Material for use as backfill in roadside gutter excavations shag be the 10, native material and be compacted to a relative compaction of not less than
Any pavement aAng shag be scored, or saw cut before trending
Minimum depth of cover over all underground ba7ties shag be 30 inches, except drainage culverts.
All installations, parallel with roadway, shag be placed as dose to the right -0f --way One as possible. No portion of time batdig(s) shag be compacted
by p��+g orje��
Ag pavements, mobs, gutters, sidewalks, borrow ditches, pipes, headwalls, road signs, treys, shrubbery, and/or other pemhaneri road facilities
unpaired by or as a result of construction operations at the construction stiffs), or at o9ner ground(s) occupied by materials and/or equipment,
shag be restored immediately upon bad3rlfng or the excavation to the original grades and cross sections, and to a condition as good as, or better
than, existed prior to the construction.
All surfacing materials of roadways and driveway approaches wt or damaged by or as a result of construction operations, shag be replaced
within ONE WEEK following the backfilling of excavation, weather pe...rmifting, with compacted layers of surfacing materials at least as thick as the
Speatigo' and o less ftn two Inches (2') of asphalt concrete over eight Inches (8' of aggregate base, according b current CaUbrrda State
Whenevar necessary to semure Permission from abutting properly owners. such authority must be seared by time Permittee prior to starting work.
The future safety and convenience of the traveling public shall be given every consideration in the location and type of construction Pennitbe shag
o be placed, erected, and maintained all waning signals, lights. barricades, signs, and other devices or measures essential to safeguard travel by the
public over and at the site of work authorized herein-
If
erein.
ftn
hesd lthis ion work covered by permit is b be done by a private contractor hired by the applicant, applicant shag notify contractor as to the
requirements contained herein.
Page 2 of 2'
_OCA f ON- DATE
J c/ 14 )cim 10 uT
FOREMAN: %�Q n key MIN. DISTANCE:
DISTRICT:
P ERM IT#: Ez
SPEED WAIT OF' ROADWAY �5
ID DRIVEWAY LOCATION:
DISTANCE TO NEAREST INTERSECTION:I�'O
EDGE OF EXISTING PAVEMENT
(EP)
----a-----------
c�
z
w
J
SIGHT (STANCE
_ GOOD
❑ POOR
IF POOR - RECOMMENDATION TO IMPROVE: -
r
❑ CUT BANK
❑ REMOVE VEGETATION (TEMPORARY)
❑ OTHER (EXPLAIN)
ADJACENT TOPO
AT
❑ CUT SLOPE FT.
❑ FILL SLOPE FT.
❑ CURB AND GUTTER
❑ AC DIKE
❑ EXIST. DIST. I TO EP FT.
DRAINAGE RECOMMENDATIONS
❑ NONE
❑ SWA�
D -CULVERT
MIN. DIST. FT. '
12' MIN. AREA
20' MAX. TO BE
PAVED
R/W
10' MIN.
If
.NOTE:
tF GREATER THAN
109 UP, OR DOWN
REFER TO ENGINEERING.
MAX. 1 FOOT VERT. RISE 'OR DROP
APER 10 FEET HOR1Z. DISTANCE—
MIN. DEPTH TO FT.
EP
DIAMETER ' IN.
LENGTH moo' �-1- FT. EXIST. DIST. MIN.
I • I DIST.
❑ 0 THER (EXPLAIN) 2%
NOTE: MIN. DEPTH_
PAVEMENT TO EXTEND
AT 29 CROSS PE
CH EXISTING
ROADWAY CROSS SCOP
PRIVATE DRIVEWAY FIELD REVIEW
r1
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMT NO.
(Rev:1:2/96) APPLICATION AND PERMIT a - 25
AS SESSORPARC0.NU — "') /Y1 �v� /ip �f
'V(V (`/,(`J] y1
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
s18-3395
SO. FT. OCC. BUILDING VALUATION
. OWN ESS ('� / • /7 �� T
'1 UX U �.lJ \iJ� 4-1
CONTRACTOR' ME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
(r
Energy Plan Checking Fee
$
$
Q
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTyRE
SF ❑ Duplex ❑ MobilehomeX Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Re el ❑ Ulilitie ❑ Installation ❑ OtherA
Describe Work: �
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
800V OR LESS
Main Service zoOA OR LESS
�l
( 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.PSIO
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law 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
he above sections need not be completed it the permit is for work of a valuation
one hundred dollars ($100) or less.)
ertify that in the performance of the work for which this permit is issued, I shall
�)n 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' compensatio provisions of section 3700 of the Labor Code, I shall
forthw' ply wit th se provisions.
-�
X Date
ner 10 Contractor ❑ Agen
Signature Applicant -rwcavations
An OSHA permit is requireexover 5'0"deep and demolition or constructionof structures over 3 storieeight.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( a Acc. BLDs. 3.5Q,;
NOON-REE,4ID. MULTI -OUTLET
@7,50
ATUS
EE PPARET CIR.
b NGLR AOUTL
20 @ 100
Ex. Occup. OUTLET OR FIXTURES BA .50
Ex. Occu . oFIx�E�oTSA Aa oR� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
M' c. Wiring 23.00
ffu__ a3 •ou a3• bU
PERMIT FEE $ r
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 $ (D(0,ot
HAZ D FEES IMP FLOOD CDF PARCEL PD HD ISSU
This permit is hereby issued under the
of the Butte Aunty Code and/or
indi?/�O/ ca d ab v for which fees have
By
PERMIT EXPIRES ON
applicable provisions
Resolutions to do work
been paid.
Date
v/f�
ate
Receipt No. ,00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOP ENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phon 5.3,0)538-7541 Fax (530)538-2140
PERMIT APPLICATION, ATA SHEET
OWNER: ASSESSOR PARCEL NUMBER (0�4
Proposed Building Use: Vim" Counter Technician: V Date: ^�U ^ 6. -
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
❑ 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. \
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
Plot plan and business license approval from the City of Biggs ....................................
Letter of intent for non-residential buildings.........................................................
Detached Accessory Building Form filled out by the owner .....................................
HazardousMaterial Form...............................................................................
ether
Remaining items needed to issue`the permit.olay require additional plan review upon receipt of the following items.)
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
❑ 15. Statement of Intent for Non -heated and A/C Buildings .............................................
❑ 16. Sanitation and plot plan approval from the Environmental Health Department in
❑ 17. City of Chico Plumbing permit.........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage.... ...........................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 0!❑ Grant 1da 0 Nom. TitlaS.tatement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
31. Other: 4 V` f
When issued me epRe and hold for pickup.
I have been inform f the ab em and requirements for obtaining a building permit.
Applicant: Date:
1. Index permit application for the above items umbered: Plan Check Letter,
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
PRE -INSPECTION REPORT
_.4 VC, 47.....
0
LOCATION: Vr( rn `
CONTRACTOR: Gttn-L�
PRE-INSPETION
DATE TO INSPECTOR_'( –
Bonding D dour
BUUJMG WSPECIrOR'S REPORT
DATE:
A.P. #
ZONING.A 9 M 143
Cosnasa+cialKl�c .
Reaiden6W o[Umtw
Currently Occupied _
Abandoned�VaoW
, Elactric:
Yes No Electric currently On Off
Condition of Electric
Gas:
Natural Propane None ✓ CwTently On Off
Obvious Problems:
Sanitation:
Plumbing Working__T
Well Working Potaule Water
Obvious Sewaaer+obiems
Comments: _ tA Y I d,rv( -t vpif d
ACTION RECOMMENDS : L43UE: HOLD FOR
s
Inspector:
_ I)e
Date q- ( / —W .
Sketch buildings on reverse and indicate location on property.
B
y
N
=•�i
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
APPLICATION AND PERMIT d,
PERMIT NO.
ASSESSORPARCEL NU
_ �� _
ZONING
BUILDING PERMIT
OWNER
TELEPHONE 1
512 - 3395
SO. FT. OCC. BUILDING VALUATION
OWNAr SS 8 /�U
COMRACTO MEV
tyLOA
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHRECT OR ENGINEER
LICENSE NO.
Flin Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
$
Q
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTyAE
SF ❑ Duplex ❑ Mobilehome)< Other
• SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.001
TYPE OF WORK
New ❑ Addition ❑ Re del ❑ Udlitie ❑ Installation ❑ Other'
Describe Work: wen
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
t
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service xaA oa LEss
( 23.00 ,13, QU
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 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWEt1WG OCCUP.,
OR ADONs. ( a ACC. stns.
sG
3.5¢FT:
NON-R61U MULTI.OUTLET
@7,50
APPARATUS
SINGLE OUTLET CIR.
.11N..
EX. Occup. OUTLET OR FORUREs
.00
BAA_ @ 1.w
EDAPPLNS
Ex. Occu , ouT ESIo,°.R.,
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
M' c. Wiring
23.00
MA _z
t o23 •Du P3, ab
PERMIT FEE
t r
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed If the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that In the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply 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.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FES $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONsr. TYPE
TOTAL FEE $ (p(p, Q�
HAz.
D FEES IMP
0.00D
COF
PARCEL
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
Defe
Receipt No.
1
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verificationIs received.
1. I personally plan providethe dor labor and materials for construction of the proposed
property im ement : YES NO D
2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS: CITY..—
PHONE:
ITY:PHONE: CONTRACTOR'S LICENSE.NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE:
CONTRACTOR'S LICENSE NO.,
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:
SOCIAL SECURITY
DATE:��� b Z
NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
OWNER BUILDER INFORMATION
Dear Property Owner:
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 5300 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, contact the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under -limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
M
iA(6k,
Mic el C. Vi ira, C.B.O.
Manager, Building Inspection
NOM This Owner -Builder Information is required by Section 19830 of the CaWornla Health and Safety Code-
OVER
oda
OVER
E.H. USE ONLY
Piot Plan Anschod
Floor Plan Atu d
sans to 6.0 /
TO: - Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
I'-
16 C) f) -r us
Owner Loca i n AP#
Plan Approve f Sewage DisposaX Wfie, S ppt Publicx Private Well
Clearance for welling. Other tc4a4erA
CA r, nS
Hold final for:
Final clearance O.K. for:
NOTE:
6 4 11 - . - 2w;;),
Envir nmental Health Specialist Date
8/9'6
411 Main Street BUTTE COUNTY DEPARTMENT OF HEALTH 7 County Center Drive
P. O. Box 5364Orovl e, CA 95965
DIi/ISION OF ENVIRONMENTAL HEALTH
Chico, CA 95967 ' 530 538-7281
P530) 891-2727 FAX (530) 538-7785
AX (530) 895-6512
APPLICATION AND PERMIT TO CONSTRUCT A SMALL DIAMETER WELL
WITH A CASING DIAMETER OF EIGHT (8) INCHES OR LESS
OR A CHAPTER 2313- 5c EXEMPT WELL
Application for: Small Diameter Domestic Well ❑ Repair or Deepening With Same Pump Capacity [IWith Same Pump Capacity Within 100 ft. of Destroyed Well ❑ Frost Protection ❑
Monitoring Well ❑ Public Water Supply Well ❑ Other
Replacement Well
Fire Suppression ❑
Owner Name: Assessor Parcel No.
Applicant Name: Telephone No.
Applicant Mailing Address: Zip
Street Address of Site: Land Use Zone
Well Driller
1'[7a111 Mill 91
C-57 LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty ofpperjury 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.
WORKERS COMPENSATION DECLARATION
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 "
krare: '
Carrier ' J
❑ 1 certify that in the performance of the work for which this
am---Permi+-is-is9Md, I shall not employ any person in any
manner�sd as to become subject to workers' compensation
laws of California, and agree that if I should become subject
ompensation provisions of Section 3700 of
the Labor Code, I shall forthwith comply with those
provisions.
X
Signature of Applicant - []Owner ❑C-57 Licensed Well Driller ❑ Authorized Agent
Date:
WARNING: FAILURE TO SECURE WORKERS COMPENSATION
COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO
CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF
THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
WeN <8'2/00
WELL 1
Proposed Depth
Diameter Casing
PERMIT
(EXPIRES ONE (1) YEAR FROM DATE ISSUED)
Fee Received
Date Fee Received
Receipt No.
Date Issued
Approved By
Special Conditions:
.R.E.H.S.
'r z� � ✓��iririr i�iiiiciw rct�s srts .. a iz�ii e;�
***NOTES TO WELL DRILLER***
1. Provide a minimum twenty-four (24) hour
notice prior to installing or placing
sanitary seal or drilling a well expected to
be completed in less than twenty-four (24)
hours. (BCC 23139[b])
2. A satisfactory final inspection by the
Health Department and receipt by the
Health Department of a Driller's Report or
a satisfactory abandonment report and a
disinfection statement is required for final
approval of work. ,(BCC 231B9[a])
3. To facilitate issuance of your well permit,
please stake and flag the proposed well
location at the site.
pp3 COAT 5-rucco ON aruD5 I w O.C. J` 0515 OR U3 1� CDX PWD ONE 510L Of 51UD5
NAIL 5HEAR PLY 510D5 � PLAJE5W1 ba
@ 6712" O.C.
�"GYP. DDW/F),ACOOLER NAILFt,)`/"0.(-,.
E.A. 5TUD MIN 9G" WIDE UNLff55 Al"PLYED TO
1307I1 51DE5 Of 51UD5 MIN. WIDTH b 48".
PROVIDE BLOCKING UNDER BRACED WALL5
RUNNING PERPENDICULAR TO FLOOR J015 -f5
AND DOUBLE 10151_5 UNDER BRACED WALLS
RUNNING PARALELL TO f LOOK J01515.
......... .
17
1> ALI. BRACE WALL PANI-1_ MIN WIDTH I'J 32"
11 0511 OKi,` CDX FWD ONff `TIDE Of 51-Ul-
FOR 5INGLC 5 I-OKY L50 1-1-1 ;31L)ff,13 wl-["[I I
FLOOR ABOVE. NAIL _511fAR FLY IO`3TUD5
PLATES W1 Cid @) GY 12" O.C. PKOVI Dr 2 --
X 10" ANCHOR IJOLT`3 A] -1 I'OIN 1_5 Of- ALF.
4
PANEL, roK rtiE flk5l_ 5TORY Of A 2 �3TOKY
bUILDINGTHERE MU5'1'[3E 3 SUCH ANCHOR
BOLTS AT POINTS. A i-ioi,r)DOWN RXI-EF)
FOR A[ I_EA5 F 1800 FOUNDS UPLIFT MU5T
BE 11\15TAI-1rD AT EACH END Of Of THE ALT.
PANEL IN ACCORDANCE WIt-11 ]TIE
MANUIFAC'JUREK5 IN51'RUCTION5. FOKTHE,
FIR5T 5TOKY OF A 2 5-TOKY BUILDING THE
UPLIFT RATING MUST IN-- 3000 POUNDS.
'I Hr DO-I'l OM5 OF BRACED WALL FANEL5
SHALL DL XFIACHED IN THE FOLLOWING
MANNER:
WOOD FLOOR: DO r rom PLATE5 OF THF
FAN11.5 5HOU1_D bff NAII_ffD TO THE FLOOR
fRAMl NG wral 3 1 Gd NAII-5 EVERY 10.
-1-1 11,S) (X-AJALY RVQUIRE5 rurrm e)(I'RA
,10151`5 OR BLOCKING IN,rvit rLooK fRAmr
TO PROVIDE BACKING FOR rtv INTERIOR
PAN115,
51. AD f LOOK OR STEM WALL; DOTrom
FLATE5 Of FANfl_5 IN EXTfRIOIF WALLS MUFjT
I --3F-- ATTACHED WITH ANCHOR DOLT5 (a)
STANDARD 5rACING. INTERIOR PANFL5 MAY
BE ATTACHED WITH ANCHOR BiOLT5 OR WITH
3" 5HOT5 PLACED G" AND 10" If ROM THE
END, PLUG 18" O.C. THE 5HOT5 MUST BE
LF)TED FOR 5UTCF1 USE. If 5HOTF) ARE TO
BE USED THE 5LAB MUST DE TIHICKENED TO
AT LfA5T G" UNDER EACH FANffL.
doviyonmental Health
MAR 1 5 2004
Chico, CA
SCALE: 1/4" = 11
REVISION[$'
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