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065-190-018
AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 20104-0029773 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 11:27AN 19 -May -2004 REC FEE 7.00 COPIES 2.00 Barbara Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT I Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County.of Butte,, State of California, described as follows: LOT 462, AS SHOWN ON THAT CERTAIN MAP ENTITLED, -FIR HAVEN SUBDIVISION-, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 19, 1955, IN BOOK 21 OF MAPS, AT PAGES) 31, 32, 33, 34 AND 35. EXCEPTING THEREFROM ALL THE VALUABLE MINERALS BENEATH THE SURFACE OF SAID LAND, WITH THE RIGHT TO MINE AND EXTRACTSAID MINERALS, IT BUNG AGREED AND UNDERSTOOD THAT IN ALL MINING OPERATIONS THE SURFACEOF SAID LAND WILL BE PROTECTED AGAINST DAMAGE, AND THAT ALL SUCH MINING SHALL BE CARRIED ON FROM TUNNELS, SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF TILE ABOVE DESCRIBED REALTY, ALL AS BXCEPTIM AND RESERVED IN THE DEED FROM THE MAGALIA MINING COMPANY, A CORPORATION, TO E. D. STOATS, ET UX, RECORDED SIP'I'F.MBER 4, 1947, IN BOOK 423, PAGE 385, OFFICIAL RECORDS. AM 065-190-018-000 Date �� - PROPERTY OWNERS: �HtJGS PPtL State of California County of -Uy before me, personally appeared Sc, -y-,os \ personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hppd and official seal Signature Seal: `, HEIDI GOMEZ r o Qrn Comm. #1397691 I) frt NOTARY PUBLIC CALIFORNIA Q �� O D ( V �` BUTTE COUNTY —1 A.P. ( My Commission Expires Feb. 2, 2007 NOTES 5 S i i RESIDENTIAL 065-190-018 04-0485 , j , PERMIT NO. PAL G q JANOS Q.Z '"HOLLYWOOD, MAGALIA- I Cont: UNKNOWN NEW SF <f___D SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i 'OFFICE OtPY M Address `* `� G �1�I GAS Date Meter By \,ELECT C Date Meter By JOB FINALED (Date) i Signature CHECKED BY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) CSFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP040485 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Qf Division 3 of Issued Date-- 06/04/20.04 APN: 065-190-018-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 6492 HOLLYWOOD RD MAG Date: Contractor: I Map Index: Description: NSF (2000 sq. ft.) garage (576 sq. ft.) 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 the for structure, prior Permit to file Owner: JANOS PAL to its issuance, also requires applicant such a 6808 PENTZ RD signed statement that he or she is licensed pursuant to the 9 provisions of Section PARADISE, CA the Contractor's State License Law (Chapter commencing 7000) of Division 3 of the Business and Professions Code) with or that he or 95969 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permitm subjects the applicant to a civil penalty of not more than five hundred c ollars ($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 Code: The Contractors' State License Law does and Professions not apply to an Applicant: JANOS PAL PP owner of property who builds or improves thereon and who does such work himself or herself or through his or her own employees, provided that such improvements are not intendeb 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 fo ,the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting licensed contractors to construct the project (Sec. with 17044, 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 contr licensed Ictor(s) pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the followir)g declarations: 131 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: RUSSELL GALLAWY ASSOCIATES 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: 2000 S.F. Policy #: Valuation: $130,000.00 I certify that in the performance of the work for which this permit is issued. •1 shall not employ any person in any manner become subject to the workers' compensation laws so as to of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the La forthwith com Iy with ose provisions. c0 or Code, I shall ��) �) Cil I �/ ' � _ 1010 / r � Date: j.�,�`? c1.�l� Applicant: ,�)Y/c(,6ii E ��E) Ucc WARNING: F ' re to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal pehalties and one hundred thousand dollars ($100,000), in addition to compensation, damages as provided for in Section 3766 the cost of of the Labor code, interest, and attorney's fees.. , CONSTRUCTION LENDING AGENCYI This permit is hereby issued r the applicable provisions of the Bntte County oda anNor ' I hereby affirm that there is a construction lending. agency for the Resolutions to o wo i ted bov hich fees have been paid. performance of the work for which this permit is issued ($ec 3097 Civ.) By: Date: O Name: Address: I PERMIT EXPIRES ON. ate ❑ 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 alifornia Health & Safety Code is not applicable to the scheduled construction of this project. F ;❑ Attached are copies of the required E.P.A. notification I hereby certify that I have read this application, that the above forms. information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction I acknowledge it is unlawful to alter the substance of any official form or document of utte County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. A Print Name: A> f3 Signature: Date: v i Contractor ' ❑ Agent for Owner 13 Agent for Contractor Owner 13 r Manufacturer Insulation Fact Sheet CertainTeedC This is CertainTeed Corporation I nsu Safe 4 .. _ Fiber Glass Blowing Insulation Ce.rtainTeed Corporation P.O. Box 860 Valley Forge, PA 19482 THERMAL PERFORMANCE—HORIZONTAL OPEN BLOW The following thermal performances are achieved at weights and coverages specified when insulation is installed with pneumatic equipment in a horizontal open blow application: R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS" To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft.. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (Ibs.) Should not be less than: (in.) 60 36.5 27 0.986 22 49 29.6 34 0.800 1872 44 26.4 38 0.712 163/4 38 22.8 44 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 102 22 13.1 76 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129 0.209 52 11 6.6 151 0.179 R -values are determined in accordance with ASTM C 687 and C 518. Complies with ASTM C 764 as Type 1 insulation. - r THERMAL PERFORMANCE—SIDEWALL RETROFIT APPLICATION When installed with pneumatic equipment in sidewalls, the following thermal performances are achieved at the thicknesses, weights and coverages specified. R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: s Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (lbs.) Should not be less than: (in.) 29 35.8 28 0.967 774 22 27.2 37 0.733 572 16 19:8 51 0.533 4 15 17.9 56 0.484 3% 14 17.3 58 0.467 32 READ THIS BEFORE YOU BUY What you should know about R -Values. The chart shows the R -Value of this insulation. R means resistance to heat flow. The higher the R - Value, the greater the insulating power. Compare insulation R -Values before you buy. There are other factors to consider. The amount of insulation you need depends mainly on the. climate you. live in. Also, your fuel savings from insulation will depend upon the climate, the type and size of your house, the amount of insulation already in your house, and your fuel use patterns and family.size. If"you buy too much insulation, it will cost you more than what you'll save on fuel. To get the marked R -Value, it is essential that this insulation be installed properly • CertainTeed Col � Builders Statement • InsulSafe 4 Fiber Glass Blowing Insulation Homeowner Name / Jobsite Nae y 9 YY�a 4 �; C Home Address Installer/Contractor (sign) Company Name Date Builder (sign) Company Name Date Inspected By (sign if required) Date R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft of net area: Contents of bag should not cover more than: (sq. ft) Weight per sq. ft of installed insulation should not be less than: (lbs.) Should not be less than: Cin.) 60 36.5 27 0.986 22 49 29.6 34 0.800 18Y2 44 26.4 38 0.712 163/4 38 22.8 44 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 101h 22 13.1 76 0.353 9 19 1 11.1 90 0.301 73/4 13 7.7 129 0.209 5'/2 11 6.6 151 0.179 43/4 THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2002 CertainTeed Corporation 11/02 R -VALUE THICKNESS AREA (SQ. FT.) INSULSAFE 4 (✓) BAGS USED BATTS/RO (✓) CEILINGS 3) WALLS FLOORS THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2002 CertainTeed Corporation 11/02 J=OK 0 = Not OK . = NotReadyable Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements f 2. Footings; Size -Spacing -Marriage Line 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 5. Electricity; MH Test 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 8. Gas and Electricity Tagged 6. Gas; Location -Test -Wrap;-/ /" L -ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect L 11. Verify #'s with Office 8. Utility Clearance Card B-1 Date Card B-1 Card B-1 Date Card B-1 Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. it 10. Exits; Insp.-Sketch Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main Conduit 11. Cert. of Occupancy to Card B-1 Date Card B-1 .e Card B-1 Date Card B-1 :e PERMANENT END SYSTEM (ONLY) 1 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel f 2. Footings; Size -Spacing -Marriage Line 3. 3. Blocking Y 4. Gas; MH Test -Demand -Valve Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Electricity; MH Test 5. 6. Water; MH Test 7. Water and Sewer Connected Carports; Windows -Doors 8. Gas and Electricity Tagged 7. ( 9. Exits 10. License Decals Frmg.; Sills-Anchors-Studs-Rftrs-Trusses L 11. Verify #'s with Office 9. Siding; Nailing -Veneer -Stucco -Mesh Card B-1 Date Card B-1 Card B-1 Date Card B-1 Ext.; Steps -Doors -Landings 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 -Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 EIIIIIIIE z std J=OK o = Not - p =NotAApplicable . = Not Ready RESIDENTIAL Date UNDE OOR (Plans) OK except #'s on ing-Setbacks-Easements-Flood-Slope 't21--Ftg., Main; Soils-Elec Grn .- r Ftg. Depth flfT Garage; Soils-Steel-Elec. rnd.-/J /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel -F/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Ssernwalls, Garage; Steel- Blockouts-Wra ed 0 owns and Special Anchors40,o, Date lab, Steel -Wrapped Date ,1.> 8. rs-Fireplace Ft .-Steel Date D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date .0 / Card B-1 Date Card B-1 Dates Card B-1 Date Card B-1 (Single & Duplex)' Date P M ING (Permit) OK except #'s 1-J ater Htr.; Vent -Access -Combustion Air Baffle oil!. ter Pipe; Test & Anchor -Nail Protection - 1 D.W.V.; Test Fittings & Anchor -Nail Protection ice• Shower Pan; Test, First Floor -Tub Access -e•1- Test Tub*& Shower, Second Floor -Tub Access 22"as Pipe; Sixe & Anchors .22- Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date ,1.> Card B-1 Date Card B-1 :. Date ELEC RICAL (Permit) OK except #'s Fixture & Transformer Clearance -Ins. Protection Pec. Receptacles Spacing -Lights & Switches at Doors Size Bo.yes & No. of Conductors Stapled ?!2. or}�x Installed Close to Edge of Studs & C.J. 72 auiD. Ground made tie w/Mech Fasteners and Gases& WatgC 23!2 Appliance Circuits in Kitchen & Conductor Size GFI 3A, bfeed Wire Size/ Cu or AI-A.C. Wire Size/ /ga Cu or Al Range Circ — /g C or AI -Oven Circ. / /ga Cu or Al Insulated NWAI ❑ Yes O No .32- Service -Riser Conductors & Ground Main Disconnect A&.—Equip. Clearances Panels-Motors-Mech. Equip. 94—Clothes Closet Light -Shower Light -Spa Light 3 Smoke Detector Date/ U.11-3 . JY Card B-1 hC- -! U J Date Card B-1 Date Card B-1 Date Card B-1 Date M -FC NICA (Permit) OK except #'s C. Ducts Insulation & Vent Fan, Exhaust above insulation Drain & Overflow, Size & Grade I Access -Comb. Ait-Return Air Vent 115 Outlet DatA40 Attic'Acces & PI m if Furn ce in Attic , Card B-1 / , D Card B-1 Date (, , Card B-1 Date Card B-1 Date 1 ' FRAMING (Permit) OK except #'s ells Proper Materials & Anchors 4 alls Studs -Nailing Spacing & Braces -Plates -Sound NQe"Bearing Walls over Girders & Floor Nailing 44.- ! Stop in Walls (rat proof) 491"Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRA!4G (Continued) - 47. fingers -Post Caps -Anchors -Connectors 4 ling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 1. rni: Windows or Exiting Doors -Sill Ht. & Dimensions arage Fire Protection Framing -RC Channel , a!_- 3. o arty Line Firewall & Openings 54 • xt. Doors -One 3' -Check Garaoe 3rd Storv. 2 Exits tairs; Width-Headroo -Run-Landing-Fire Protection �ywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer 6&B- S-ttl6co Mesh -Drip Screed -Fd. Vents-Underflr. Access Wall Panels 63. Infiltratio Wall - dows Dat . Card B a Card B-1 Date 'J / Card B-1 to Card, B-1 Date FINAL (Plans) IUK except #'s o. ixt. steps-uuur a Siuengnm t Protection- 6 . Smoke Detector 6fi Furnace Vents -clearance -Comb,, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 619. G.F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel, Breaker Sizes & Labels Stairs & Rails 7 ' Fireplace or Stove, Clearance -Hearth 72, Elec. Outlets at Wood Panel, Int. & Ext. 71 Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter 7 . Garage Fire Door; Swing -Landing -Closure A.C. Duct in Garage -Damper 7 . Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 7)8. Plb.; Elec. & Mech. Equip. Listed for Location 70. Elec. Receptacles in Garage (F.F.I.)-Romex Protection . Insulation -Foam -Looked in Attic uard Rails & Deck Construction -Post Caps 82 Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 8 . Followin Instld./Drive Yes D No/Walks Yes O No/Planters O Yes N _44—Stucco Brown -Finish A.C. Unit Disconnect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance Fireplace Clearance to Opening .-B�VGftter Well, Disconnect, Electrical, Plumbing 88 xterior Elec. Trim, G.F.I. Receptacle -Underground 8 . entilation Throughout House Qe Glass Protection erections from Previous Inspections Gas Test -Meters Tagged, Gas -Electric 9 W e Sewer Connected -C/O to Grade -HD Approval ergy Compliance Certificate -Other Certificates 9K Address Posted prinkler Date (i 01/V Card B-1 (,/f& -*"--Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: p. p O.B.- l OWNER -BUILDER VEMFICATION Attention Property Owner•. An "owner buildee' building pem it has been applied for in your name and bearing your signature. Please complete and retam this information at your earliest opportunity to avoid unnecessary delay in processing -and issuing your building permit No building permit will be .issued until this verification is received. *1. I personally plan to provide the major labor and materials far construction of the proposed property improvement: YES ❑ NO ❑ Y 2. I HAVE ❑ HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the foll winlie erson (firm) to provide the proposed construction: ( NA M: OWWe-Y ,Q,r ADDRESS: My.. PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have bired the following person to coordinate; supervise, and provide the major work NAMM ADDRESS: MY; PHONE: CONTRACTOR'S LICENSE NO. ffie work indicated: NAMM ADDRESS • , r • r OF WORK SIGNED: ED: , x PROPERTYOWNER: DATE: q_)J_0 NOTE: This Owner-B;d1der Verilcadon is required by Section 19831 and 19832 of the California Health curd Safety Code, TTzia verykadon must be completed and OWNER BUILDER INFO TION Dear Property Owner. An application far a bmldmg p=ak has: been mbmirted in your name listing yourself as the builder of ProPmtY iuzproveazenfs specified. F0rYm]TPr0tCCdM You should be aware >hat as "Owner-bmIdee "Owner-byou are the resp=;Ile party ofrecord on such a Pik BuIft P are nbt required to be signed by PropmW owners unless they are personally Pertonaiag heir own work- Ff your work is being pied by someone other than y�ey You may Pmt yourself from possible liability if that person applies for ibe proper permit is his or her name. He=--e � are wed by law to be licensed and bonded by the State of California. and tv have a business He=-- �Y or wmfy, They are also d by law to put thea license number on all pcum for which trey applybe aware of OU Plan do YoUr oWA work wi z ffie =cepfion of various trades that you plan to sobcanira� YOU should mon for Your bmeeft and protection: a Ifyan employ or otherwisee any persons ad= S= Yom inmmediate may, and the work (nchzdnng a]s and other costs) is $30D or more for the entire project; and arch persons matarior are not licensed as contz-actors confl thea you may be an employer; ♦ If You are an eMP]byer, YOU M'Mt register WA tine State and Federal Goveanments as an eanployer and subject to several obi bc,�g shy and Mad You am income t� wiihh,oldiag; fe�aal socialSecurity taxn, worbe;s coa�easabaa mstu ice, disabiiiiy costs, and loynuut compeasadM co 'a ♦ T%e may be financial rWM for You ifyou do not carry aur these eb vim. respect to worker's comps , lzgafiaas, and these risks ate especially serious ♦ Fcrmore specific mon about3vor obligations under Fedezal Law, c"ou"nt the k"ra"al REvenIIe Smv= State Law coact the DD s Adrr.. For mare sP'c moa about your obligations it epariment ofBeaefit Paym� and the Division ofkdusbial Aaideats. If the strnct[n is i tn&d for sale, XOPextY owners who are not licensed contract ms; are allowed to perinzm their work condhi.oas. nalfy their own �PkY�s. without a licensed cor&actor or subcontractor, only under limited `4 frequent pica of >mH=sed p== MISse mg to be caait-acbars is to P ply �� that The property owner is providing his or her own labor � an a� boder_ bui7fg peimiis are cat reslau ed to be signed by pvpwty owns Mien they are pig ��'. Emidmg �aalion about licensed �aotors nY be obtained by the C.oafra�rs Stale Li asePyourcama�y or at I D20 N Str A Sa�� CA. 95814. Board in Pleas: WmPleia fire ` Buaki" Venfimbon" on Sze revers✓ side of this ft= so that we can co35rm brat you are aware of hese mathm The building p=& will not be issued until the vedficem is retroed. DTA• T Fre O�vRer-Bur7d�rlx�crrrs oa is required bp,Sec�oa 15830 of &,! CW=k Seal& mrd Safety Code 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. BP043101 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: 10/25/2004 APN• 065_190-018-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 6492 HOLMWOOD DR MAG Date: Contractor: Map Index: Description: ADDITION (382) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: JANOS PAL permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 6808 PENTZ RD signed statement that he or she is licensed pursuant to the provisions of PARADISE, CA 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 95969 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).): I9 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: JANOS PAL Code: The Contractors' State License Law does not apply to an 6808 PENTZ RD owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, PARADISE, CA provided that such improvements are not intended or offered for 95969 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.). O 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.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code _ r O Owner: oq Date: •5 License #: 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 Architect: is issued. Engineer: O 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carver: Total Square Ft: 382 S. F. Policy #: Valuation: $24,830.00 W' I certify that in the -the for this is Census Code: performance of which permit issued, 1 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: l Applica 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. 4-1305 5 CONSTRUCTION LENDING AGENCY This peit 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 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.) . By "� Date: /O.9S -e3," Name: PEMIT XPIRES ON: 1 O �5 • U Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose Print Name: J �V ��? L� Signature - Date: O Owner ❑ Contractor O Agent for Owner O Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name irst9 Name Address l_ �O� City jtjVr111 G StateA I Zip95 l Phone. (9-7 -7 G , q Z � Fax E-mail APPLICANT NAME CONTRACTOR Name City Address 51 City C�pState State Zip Phone Fax Fax E-mail State License Number Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address 51 City C�pState E-mail Zip�Sp Z I Phone �r (a _ D 30 Z `[ Fax E-mail Lot # State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Addre s II __ 02 ��L1(� G9 0-0 A Zone Cross Street q S 9 SY SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP.643 /D 1 LOCATION AP# R0--0� Property Addre s II __ 02 ��L1(� G9 0-0 A Ci 0.1 Cross Street q S 9 SY WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: i 0-7t&e Z- Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. II Received by: Amount: g5a' 3$-' Bldg I I SRA Receipt #: x-(34 cs" Sheriff OVER FOR SUBMITTAL REQUIREMENTS L K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 -1-46 SMTP Date:, Other ►0 • �S •UCS 654.83 Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan,,(D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. t,REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit, issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 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: 1j.1k*4 ASSESSOR PARCEL NUMBER d�5 • r ® I Proposed Building Use: ��>,2� Counter Technician: Date:a�- Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order t6 apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Site plan and business license approval from the City of'Biggs. ❑ 12. Letter of intent for non-residential buildings. ❑ 13. Detached Accessory Building Form filled out by the owner. 14. Hazardous Material Form. 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers ❑ 18. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office ❑ 19. Soils Report and/or Engineered Foundation required. ❑ / 20. Erosion Control Plan Required. 21. Fees as shown on the attached Schedule of Fees Due Sheet. ❑ 22. City of Chico Plumbing permit. ❑ 23. California Department of Forestry plan approval ❑ paid. ❑ 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about Improvements, _Drainage. ❑ 26. NPDES Form ❑ 27. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 28. Pre -Inspection for required. ❑ 29. Contractor's license information. (Number, Name Style, Classification). ❑ 30. Worker's Compensation Carrier and Policy Number. ❑ 31. Owner -Builder Verification ( _ Given to owner, _ Mailed to owner). ❑ 32. Letter of Signature authorization. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement. ❑ 34. Manufactured home utility clearance. ❑ 35. Existing violations and/or expired permits. ❑ 36. Deed Restriction. ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: EXPIRATION OF APPLICATION Date: Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Original -Applicant COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 __ ll PERMIT APPLICATION DATA SHEET OWNER: ®'4� d>5 ASSESSOR PARCEL NUMBER C6 S • 1 Q 0 • C t S � Proposed Building Use: LOQ C_se21) Counter Technician: LZ v Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. 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. Lefler from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval ,from .the,City,of.Biggs ' ''" •..h., �`' ❑ 12. Letter of intent for non-residential buildings o 13. Detached Accessory Building Form filled out by the owner 14. Hazardous Material Form ,0 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 ........................................... ........ O / 20. Erosion, Control Plan Required........................................................................ ........ 21. Fees "as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A).Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form.......................................:.:.................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required........ ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization........................................................... ......... . ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant D ed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ - ` 38. Other: c eQ/� Fo rjc-c l� lo g s t,,,a1 Yrlr? e i� �e�' ,rev% at cd f SS U"L V. ❑ 39. Other: When issued Telephone j0-51 E_' and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: 1. Index permit application for the above items numbered: 2. Additional items required @19 Date: Plan Check Letter Contractor, designe ,owner, as advised of the above data by Fphone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the bov data by ❑ phone, ❑ mail, ❑ count , by Date: Plans reviewed by: i� '� Date: • V • O Plans approved by: C� Date : . Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division C%�C�y,,,Qaoca� w 7 4-h E.H. USE ONLY Plot Plan AttecMd D Flow Plan Attached B San to 1 8.0 11 0 c�--�_ TO: Building Department WO FROM: Environmental Health SUBJECT: Sanitation Clearance �A 624 cj I Le woo Owner Loc tion AP# Plan Approved for: Sewage Disposal Water Supply: Public S< Private Well Clearance for—dvveifing. Other A0764 Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 is z z: --�� Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION `� r •7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER �JLk/V�J /� , A.P. # PROP SED BUILDING USE i1 I� O T1.1 L S F C'—S g?� DATE RECENT # DATE REC. � • 1. BUILDING PERMIT FEES /�� --- Balance Due. $ �-I'1.3 ,9Z --- Additional Fees Due........... $ ' --- Revised Plan Checking Fee.... $ ' 2. SCHOOL DISTRICT FEES/�� (paid at School District Office (form ava�able after. Plan Check)______ 3. SHERIFF FEES (paid Building Division) - Residential............ X $360.00 =$ ' Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..:.. X = $ t # Units Amt. Commercial (Sq. Ftg.).... X _ $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) " 7. SRA FIRE INSPECTION AND PLAN CHECK FEE, ' $8 aid at Building Division) , 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) •• t Residential Zone X = $ Zone # Units Amt. ` Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. ' • s e k- 10. OTHER f� • `I'i'i36I Zb At time of permit application, I was advised the above fees are required'to be paid prior to issuance of the permit.. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the projector from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). e Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) �,.. ..-, . .. - .t...-• - ,. ,. ,fit'' y. t 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 p OWNER �Q/y�-OS ��I A.P. # PROPROSED BUILDING USE DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES ��� ►� Z�61 --- Balance Due ..................... $ Y%. 't d 13055 --- Additional Fees Due........... ---4Revised Plan Checking Fee....$ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form ava able after Plan Check) 3. SHERIFF FEES (paid Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.). 4. URBAN AREA FEES Residential (per unit).. X $0.03 = $ bq.rtg. 1 a• X # Units Amt. Commercial (Sq. Ftg.).... X Sq. Ftg. Amt. (paid at Building Division) 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89°0'0 aid at Building Division) 'a04 iS 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ........ Sq. Ftg. Amt. 10. OTHER Jul--/ i P a - 48 30 S5 I D ll 25 a ¢ At time. of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These .fees may be changed during the plan checking process. APPLICANT DATE ..,frac •. `. �. w. Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8 9'a d-4 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) "'"S"f!r""_,'y"j-ri^^-.'.�,-ri,{'�:.'r"'�'*'>z'sn.x�.l,-^4^�vr•r1 "-r""...^..-•t:"ri-�r.ti�.�.-^-�.�„l�--•-''"vR-.C-i `-;rr.��.� o.r ., ...�.. J...,. 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 __J; } 1_ C� PG's. t A.P. # I 0 C a " I C io PROPROSED BUILDING USE A 0 Li T 0 t- Z; C- % 5 �� DATE RECEIPT# 1. BUILDING PERMIT FEES C` ---Balance Due ..................... $ t�, ,_+) �� KV --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES" �A�-` (paid at School District Office) (form available after Plan Check) " '¢�J w,/ ,%`� try\ -�' ! !% I"• f� t;::.q7. [� r �i,'� ^, t' �. t 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... :sq.rtg. 4. URBAN AREA FEES X $0.03 = $ (paid at Building Division) Residential (per unit)..... r, X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $99200 (paid at Building Division) 'Aa4. is 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER 1.4 6 T DATErREC. r ,r At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit..,These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8,'9, and`10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One forth per Building) School District -Pi�0 i S G Building Department No. A.P. Number Property Owner !O&>5. 1470 - CIS Jurisdiction: City County ,jAt4 c Property Location/Address 64x-- '1 Subdivision Lot No. Residential Development Q Q Sq. Footage No of Living Mobile Home Addition( 'Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection) ...................................................................................................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition (Including Exterior Roofed Areas) UZ4L.-, 16- z,S . 04 Rediefi n riPnnrtrnPnt RPnrPqAnf6tivA - Date Identification No. ,4a ff 2 (Street Address) (City) r School District certifies that GCS (Applicant) 9-404z31 has complied with the requirements of Resolution No. representing square feet. School District Representative Paid by Check #� Remarks: Number) (State) (Zip Code) by payment of $ 2926 $ FULL MRIGATION $ Date 0 No**: You may protest the Imposition of the fess Idantifled above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees ars paid. Failure to submit a timely written protest will'prohlblt you from challenging the Imposition of On fees In any court action. If, subsequent to the School Distrld Representative signing thisSutie County Schools Impact Fes Certification Form, the School District Is notill by the applicable Local Planning Agency that this project Is being reviewed under the Callfomia Environmental Quality Act (CEQA] tills project may be subject to additional school fees to fully mlti a.Us Impact on the school dbMd's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xle 410/031dmm l (,3sg sF� r HVAC SIZING Page 11 HVAC ----------------------- Project Title.......... JAKE RICHTER Date..01/10/04 20:01:05 Project Address........ DORAX DRIVE ******* --------------------- OROVILLE, CA. *x6.01* Documentation Author... Barry Rubanoff ******* Building Permit # Barry Rubanoff P.O..Box 1123 Plan Check-/ Date Berry Creek, CA 95916 530-589-4102 Field Check/ Date Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. ------- -------------------------------------- MICROPAS6 v6.01 File -RICHTER Wth-CTZ11S92 Program -HVAC SIZING User#-MP2246 User -Barry Rubanoff Run -RICHTER -= --------------------------------------------------=------------------------- GENERAL INFORMATION Floor Area ................. 2410 sf Velume..:.................. 23608 cf front Orientation.......... Front Facing 135 deg (SE) Sizing Location............ OROVILLE RS Latitude.... .............. 39.5 degrees Winter Outside Design...... 30 F Winter Inside D,esign....... 70 F' Summer Outside Design...... 104 F Summer Inside Design....... 78 F Summer Range ............... 37 F Interior Shading Used...... Yes Exterior Shading Used...... No Overhang Shading Used...... Yes Latent Load Fraction....... 0.20 HEATING AND COOLING LOAD SUMMARY -------------------------------- Heating Cooling Description (Btuh) (Btuh) --------------------------------- Opaque Conduction and Solar...... Glazing Conduction ............... Glazing Solar .................... Infiltration ..................... Internal Gain .................... Ducts.......... I. ................. Sensible Load .................... Latent Load.. ..................... Minimum Total Load 12174 7357 n/a 13428 n/a 3296 36255 n/a 36255 6320 4782 8392 5513 2100 2711 29818 5964 35782 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. 'It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. COUNTY OF BUTTE - BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES _ 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE G� PERMIT NO. OWNER ances exist h ving violations butte Ainspection indicates that the folloy Pleasenotice this when correction of work is above adand should corrected. or need additional explanation, completed. If you have any questions pertaining to this matter, please contact this office immediately. Z �0J; ' G MV1 t tm BUTTE COUNTY DEPARTMENT OF DEVEL PME BUILDING PER L 24 HOUR INSPECTION #: (530) 538-7 LL OFFICE #: 3 1 S (CHICO) PERMIT NO. b FES 2 4 20p4 DATE: /) - + .,n _ �Jf� 4 aSTREET: APN: o� ,\ V ZONIN NEAREGTCROSS ` TRACT/LOT SITE ADDRESS: (,(�I vV 00� 64 cITY. ZIP: C r cl OWNER NAME: S A -L -PHONE: .���o S76 -q23 q p_jA-No STREET 190 O � vY ` 1 � � FAX CITY. ZIP: q ol Ir ol Ct S Ch- , T E-MAIL• APPLICANT NAME: PHONE: STREET ADDRESS: FAX CITY. ZIP: E-MAIL CONTRAC R N E•�- %f-�1 e E�- PHONE: STREET RE FAX `) E-MAIL LICENSE NUMBER LICENSE TYPE: CHITECT/ENGINEER NAME• STREET ADDRES PHONE: �- CITY, ZIP:) CENSE NUMBER E-MAIL: DESCRIPTION OR SCOPE OF WORK: ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: 1� 7 Application Received by: Date: Receipt number: 3�o(IV�Amount Received: ����• Loft STRUCTURAL CALCULATIONS Ecotek #1 .___Magalia, Butte County; CA , - - - ---- - Job Number: 04-002 August 25, 2004 -QRpF ESS/0' G.O o � z w No. 58201 r m r-EX1�0§-30-06 F f. -.CAL \F.��- BUTTE COUNTY BUILDING DIVISION APPROVE® Q/2 7/0 -� �� • Russell Gallaway Associates 7 ,Sierra Nevada Court Chico, California 95928 (530) 342-0302 fax 342-1882 www.r¢a-chico.com ILII DEPT C OWY FLO el< 0 L4 - O O L 1�1s (Y o m I � s I I r a M yy' _1 FLO el< 0 L4 - O O L 1�1s (Y o'Z sm JM 1*4Q o m I � s I I r a o'Z sm JM 1*4Q COMPANY PROJECT Wood'W'04 rks® SOFTWARE FOR WOOD DESIGNk • L - Design Check Calculation Sheet Sizer 2002a , LOADS: ( lbs, psf, or plf) Load Type Distribution Magnitude Location [ft] Pattern " `; 320 Total Start End Start End Load? Loadl Dead Full Area 10.00 (16.0)* Length No Load2 Live Full Area 40.00 (16.0)* L/360 No *Tributary Width (in)- MAXIMUM in) MAXIMUM REACTIONS (lbs) and BEARING LENGTHS (in) : -� iynl:+^'4:c� #:���� � 4� � • i '�. ., s% • Yy�. ['�... � , .��`i+h't � s�[`t$,:.`,'. '�'.. ..:?f u' 12' Dead 95 Value 95 Live 320 " `; 320 Total 415 ,-- 415 Bearing: 1.0 1137 1.0 Length Lumber -soft, D.Fir-L; No.2, 2x8" .,., Spaced at 16" c/c; Self Weight of 2.58 plf automatically included in loads; Lateral support: top= full, bottom= at supports; Repetitive factor: applied where permitted (refer to online help); Load combinations: ICC -IBC; SECTION vs. DESIGN CODE NDS -1997: (stress=psi, and in) ' Criterion -Analysis Value Design Value Analysis/Design Shear fv @d = 51 Fv' = 95 fv/Fv' = 0.54 Bending(+) fb = 1137 Fb',= 1242 fb/Fb' = 0.92, Live Defl'n 0.33 = L/441 0.40 = L/360 ,0.82 Total Defl'n 0.47 = L/304 0.80.= L/180 0.59 DESIGN NOTES: 1. Please verify that the default deflection limits are appropriate for your application. +. 2. Sawn lumber bending members shall be laterally supported according to the provisions of NDS Clause 4.4.1. , • a COMPANY PROJECT WoodWorks® . SOFTWARE FOR WOOD DESIGN Aug. 22, 2004 10:27:25 Beam 1 Design Check Calculation Sheet Sizer 2002a LOADS: ( lbs, psf, or plf ) Load Type Distribution Magnitude Location [ft] Pattern Shear 960 Total Start End Start End Load? Loadl Dead Full Area 10.00 (6.00)* Length No Load2 Live Full Area _ 40.00 (6.00)* _ _ - No .iia l—Y —1.. %—, MAXIMUM REACTIONS (Ibs) and BEARING LENGTHS (in) : 0' 8 Dead 279 Value 279 Live 960 Shear 960 Total 1239 85 1239 Bearing: 1.0 577 1.0 Length Timber -soft, D.Fir-L, No.2Aq6x8" , Self Weight of 9.8 plf automatically included in loads; Lateral support: top= full, bottom= at supports; Load combinations: ICC -IBC; SECTION vs. DESIGN CODE NDS -1997: (stress=osi. and in 1 Criterion Analysis Value Design Value Analysis/Design Shear fv @d = 38 Fv' = 85 fv/Fv' = 0.45 Bending(+) fb = 577 Fb' = 700 fb/Fb' = 0.82 Live Defl'n 0.09 = <L/999 0.27 = L/360 0.33 Total Defl'n 0.13 = L/759 0.53 = L/180 0.24 DESIGN NOTES: 1. Please verify that the default deflection limits are appropriate for your application. 2. Sawn lumber bending members shall be laterally supported according to the provisions of NDS Clause 4.4.1. COMPANY - PROJECT 'WoodWorks SOFTWARE FOR WOOD DESICAtAi 99 9nQ4 11 -n 7-.A71 Rpnm Design Check Calculation Sheet Sizer 2002a . LOADS: lbs, psf, or plf ) Load Type Distribution Magnitude Location [ft] Pattern s fv @d = Total Start End Start End Load? Loadl Dead Full.Area 10.00 (6.00)* Length No Load2 Live Full Area 40.00 (6.00)* L/360 No,, _ Load3 Dead Fu11_UDL 72.0 - L/180 No *Tributary Width (ft) MAXIMUM REACTIONS (lbs) and BEARING LENGTHS (in) : ' 0, 12' 882 1440 Dead 882 Value. Design Live � s fv @d = Total 2322 85 2322 Bearing: 1.0 690 1.0 Length fb/Fb' = 0.79' Live Defl'n 1 0, 12' 882 1440 Dead 882 Value. Design Live 1440 Shear fv @d = Total 2322 85 2322 Bearing: 1.0 690 1.0 Length Timber -soft, D.Fir-L, No.2, 6x12" Self Weight of 15.02 pif automatically includ0-71-n oads; Lateral support: top= full, bottom= at supports; Load combinations: ICC -IBC; SECTION vs. DESIGN CODE NDS -1997: (stress=psi, and in) Criterion Analysis Value. Design Value Anal sis/Desig n Shear fv @d = 46 Fv' = 85 fv/Fv' = 0.54 Bending(+) fb = 690 Fb' = 875 fb/Fb' = 0.79' Live Defl'n 0.12 = <L/999 0.40 = L/360 0.31 Total Defl'n 0.24 = L/607 0.80 = L/180 0.30 DESIGN NOTES: ' 1. Please verify that the default deflection limits are appropriate for your application.. 2. Sawn lumber bending members shall be laterally supported according to the provisions of NDS Clause 4.4:1. COMPANY PROJECT WoodWorks° SOFTWARE FOR WOOD DESIGN _ Design Check Calculation Sheet Sizer 2002a LOADS: ( lbs, psf, or plf ) Load Type Distribution Magnitude Location [ft] Pattern fv @d = 42 2789 Bearing: Start End Start End Load? Load2 Dead Full Area 10.00 (6.00)* 0.58 = L/360 No Load3 Live Full Area 40.00 (6.00)* 0.29 No Tributary Width (ft) MAXIMUM REACTIONS (Ibs) and BEARING LENGTHS (in) : -RAM u 17'-5" 699 2090 Dead Live 699 2090 / Analysis/Design Total 2789 fv @d = 42 2789 Bearing: 1.0 fb = 662 1.0 Length Timber -soft, D.Fir-L, No.2, 6x16" Self Weight of 20.25 plf automatically inc ul 10"Floads; Lateral support: top= full, bottom= at supports; Load combinations: ICC -IBC; SECTION vs. DESIGN CODE NDS -1997: (stress=psi, and in) Criterion -Analysis Value Design Value Analysis/Design Shear fv @d = 42 Fv' = 85 fv/Fv' = 0.49 Bending(+) fb = 662 Fb' = 849 fb/Fb' = 0.78 Live Defl'n 0.22 = L/933 0.58 = L/360 0.39 Total Defl'n 0.34 = L/621 1.16 = L/180 0.29 DESIGN NOTES: 1. Please verify that the default deflection limits are appropriate for your application. 2. Sawn lumber bending members shall be laterally supported according to the provisions of NDS Clause 4.4.1. 10 ti 3 . 1 • JOB�� JOBNO. DATE from the design desk of.... PAGE NO. ENGINEER _ COMPANY PROJECT Q)woodW, orks® SOFEWARf FOR WOOD DESIGN Design Check Calculation Sheet Sizer 2002a - LOADS: ( lbs, psf, or plf ) Load Type , Distribution MagnitudeLocation'[ft) Pattern Anal sis/Design Axial' Axial Bearing fc = fg = Start End Start .End Load? Loadl Dead Axial 1161 (Eccent icity = 0.00 in) Load2 Live Axial 2090 (Eccent icit = .0.00 in) a MAXIMUM REACTIONS (lbs): 01 91 Lumber n -ply, D.Fir-L, No.2, 2x6", 1 -ply Self Weight of 1.96 plf automatically included in loads; Pinned base; Loadface = width(b); Built-up fastener: nails; Ke x Lb: 1.00 x 0.00= 0.00 [ft]; Ke x Ld: 1.00 x 9.00= 9.00 [ft]; Load combinations: ICC -IBC; , SECTION vs. DESIGN CODE NDS -1997: (stress=psi, and in) DESIGN NOTES: 1. Please verify that the default deflection limits are appropriate for your application ' 2. BUILT-UP COLUMNS: nailed or bolted built-up columns shall conform to the provisions of NDS Clause 15.3. A, . y , Criterion Anal sis Value Design Value Anal sis/Design Axial' Axial Bearing fc = fg = 396 396 Fc' F = 932 = 2020 fc/Fc'0.42 '= fg/Fg' -. 0.20 Loft STRUCTURAL CALCULATIONS Ecotek #1 Magalia, Butte -County; CA-- Job A- Job Number: 04-002 August 25, 2004 Q0F E SS/oNq`. LJ No. 58201 * XP. -30-06 lF of CAL \ F �- BUTTE COUNTY BUILDING DIVISION APP OVE®_ from the design desk of.... 7/0 ` Russell Gallaway Associates • 7 ,Sierra Nevada Court / Chico, California 95928 (530) 342-0302 'fax 342-1882 www.rga-chico.com I �cotelc 0 �I 0 0 2 m o o J I � s U.. Q � a I I lC � o J l- _I 1 I �cotelc 0 �I 0 0 2 m o o J I � s U.. a I I d9+ °l`bSt'1"I /(I COMPANYPROJECT WoodWorks':: = SOFnvARE FOR WOOD DESIGN " 'r Design Check Calculation Sheet Sizer. 2002a LOADS: ( lbs, psf, or plf ) Load Type Distribution Magnitude Location [ft] Pattern Shear - 320 Total Start End' Start End Load? Loadl Dead Full Area, 10.00 (16.0)* Length No Load2 Live Full Area 40.00 (16.0)* L/360 No *Tributary Width (in) MAXIMUM REACTIONS (lbs) and BEARING LENGTHS fin): al C---� 5 ,+w 15 z, ' r7' • 0 xti r u• 12' Dead 95 Value 95 Live 320 Shear - 320 Total 415 95 415 Bearing: 1.0 " 1.0 Length Lumber -soft, D.Fir-L,•No.2, 2x8" s ' Spaced at 16" Gc; Self Weight of 2.58 plf automatically included in loads; Lateral support: top= full, bottom= at supports; Repetitive factor: applied where permitted (refer to online help); Load combinations: ICC -IBC; SECTION vs. DESIGN CODE NDS -1997: (stress=psi, and in) Criterion Analysis Value Design Value Anal sis/Design Shear - fv @d = 51 Fv' = 95 fv/Fv' = 0.54 Bending(+) fb = 1137 Fb' = 1242 fb/Fb' = 0.92 Live Defl'n 0.33 = L/441 0.40 = L/360 0.82 Total Defl'n 0.47x= L/304 0.80 = L/180 0.59 DESIGN NOTES: - 1. Please verify that the default deflection limits are appropriate for your application. 2. Sawn lumber bending members shall be laterally supported according to the provisions of NDS Clause 4.4.1. COMPANY PROJECT WoodWorks® SORWARf FOR WOOD DESIGN Aug. 22, 2004 10:27:25 Beam 1 Design Check Calculation Sheet Sizer 2002a LOADS: ( lbs, psf, or plf ) Load Type Distribution Magnitude Location [ft) Pattern Shear 960 Total 1239 Start End Start End . Load? 1.0 Loadl Dead Full Area 10.00 (6.00)*_ Live Defl'n No Load2 Live _ Full Area 40.00 (6.00)* _ ---'-- — __— No L/759 MAXIMUM REACTIONS (lbs) and BEARING LENGTHS (inl o' 8' Dead 279 Value 279 Live 960 Shear 960 Total 1239 85 1239 Bearing: 1.0 577 1.0 Length Timber -soft, D.Fir-L, No.2, 6x8" Self Weight of 9.8 plf automatically included in loads; Lateral support: top= full, bottom= at supports; Load combinations: ICC -IBC; SECTION vs. DESIGN CODE NDS -1997: ( stress=osi. and in 1 Criterion -Analysis Value Design Value Analysis/Design Shear fv @d = 38 Fv' = 85 fv/Fv' = 0.45 Bending(+) fb = 577 Fb' = 700 fb/Fb' = 0.82 Live Defl'n 0.09 = <L/999 0.27 = L/360 0.33 Total Defl'n 0.13 = L/759 0.53 = L/180 0.24 DESIGN NOTES: 1. Please verify that the default deflection limits are appropriate for your application. 2. Sawn lumber bending members shall be laterally supported according to the provisions of NDS Clause 4.4.1. COMPANY PROJECT Wood Wo r ks® SOFTWARE FOR WOOD DESIGN Design Check Calculation Sheet Sizer 2002a LOADS: ( lbs, psf, or plf ) Load Type Distribution Magnitude Location (ft] Pattern Shear 1440 Total Start End Start End Load? Loadl Dead Full Area 10.00 (6.00)* Length No Load2 Live Full Area 40.00 (6.00)* L/360 No_ L6ad3 Dead _ _ Full UDL _72-0— _ _ _ No MAXIMUM REACTIONS (Ibs) and BEARING LENGTHS (in) : U 12' 1 Dead 882 Value 882 Live 1440 Shear 1440 Total 2322 85 2322 Bearing: 1.0 690 1.0 Length Timber -soft, D.Fir-L, No.2, 6x12" Self Weight of 15.02 plf automatically included in loads; Lateral support: top= full, bottom= at supports; Load combinations: ICC -IBC;' SECTION vs. DESIGN CODE NDS -1997: t stress=osi_ and in I Criterion Analysis Value Design Value Analysis/Design Shear fv @d = 46 Fv' = 85 fv/Fv' = 0.54 Bending(+) fb = 690 Fb' = 875 fb/Fb' = 0.79 Live Defl'n 0.12 = <L/999 0.40 = L/360 0.31 Total Defl'n 0.24 = L/607 0.80 = L/180 0.30 DESIGN NOTES: 1. Please verify that the default deflection limits are appropriate for your application. 2. Sawn lumber bending members shall be laterally supported according to the provisions of NDS Clause 4.4.1. t COMPANY PROJECT WoodWorks SOFnVARE FOR WOOD DESIGN Design Check Calculation Sheet Sizer 2002a LOADS: ( lbs, psf, or plf ) - Load * Type Distribution Magnitude Location [ft] Pattern Shear 2090 Total Start End Start End Load? Load2 Dead Full Area 10.00 (6.00)* Length No Load3 Live Full Area 40.00 (6.00)* L/360 No Tributary Width (ft) MAXIMUM REACTIONS (lbs) and BEARING LENGTHS linl u Dead 699 Value .699 Live 2090 Shear 2090 Total 2789 - 2789 Bearing: 1.0 662 1.0 Length Timber -soft, D.Fir-L, No.2, 6x16" Self Weight of 20.25 plf automatically included in loads; Lateral support: top= full, bottom= at supports; Load combinations: ICC -IBC; SECTION vs. DESIGN CODE NDS -1997: (stress=nsi- and in I Criterion Analysis Value Design Value Analysis/Design Shear fv @d = 42 Fv' = 85 fv/Fv' = 0.49 Bending(+) fb = 662 Fb' = 849 fb/Fb' = 0.78 Live Defl'n 0.22 = L/933 0.58 = L/360 0.39 Total Defl'n 0.34 = L/621 1.16 = L/180 0.29 n DESIGN NOTES: 1. Please verify that the default deflection limits are appropriate for your application. 2. Sawn lumber bending members shall be laterally supported according to the provisions of NDS Clause 4.4.1. s .. t from the design desk of.... JOB _EuTck PAGE NO. JOB NO. (� - OOZ , ENGINEER CC' DATE CALCULATION OF • COMPANY PROJECT " Q)'WoodWorks® SOFMARE FOR WOOD DESIGN I ' Design Check Calculation Sheet Sizer 2002a LOADS: ( lbs, psf, or plf ) MAXIMUM REACTIONS (lbs): ry Load Type Distribution Magnitude Location'(ft]Pattern Axial Bearing fg = Start End Start End Load? Loadl Dead Axial 1161 (Eccent icity = 0.00 in) Load2 Live Axial 2090 (Eccentricity -• 0.00 in) i} `�y�'�.'.%A - ..i, �. k •_S'iSY r � � �$-•i �i c:a-,Jt ,6. i �` I+ }, 'G � Lumber n -ply, D.Fir-L, No.2, 2x6", 1 -ply x. Self Weight of 1.96 plf automatically included in loads; Pinned base; Loadface = width(b); Built-up fastener: nails; Ke x Lb: 1.00 x 0.00= 0.00 [ft]; Ke x Ld: 1.00 x 9.00= 9.00 [ft]; Load combinations: ICC -IBC; SECTION vs. DESIGN CODE NDS -1997: (stress=psi, and in) Criterion Analysis Value Design Value Anal sis/Design Axial fc = 396 Fc: = 932 fc/Fc' = 0.42 DESIGN NOTES: 1. Please verify that the default deflection limits are appropriate for your application. fi 2. BUILT-UP COLUMNS: nailed or bolted built-up columns shall conform to the provisions of NDS Clause 15.3. Axial Bearing fg = 396 Fg= 2020 fg/Fg' - 0:20 BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEV EL PME RVICES BUILDING PER N , r� Z 24 HOUR INSPECTION (530) 538-7 LL 91-2834 (CHICO) `-�CJ OFFICE #: 3 1 DATE n I R 0 4 APN: �. !\ ` `J V l ZONIN NEAREST CROSS STREET: ' :'�RAC'i `15� r ?j 1� S—laI_�ra SITE ADDR S� , o C L wood CITY, ZIP: OWNER NAME: S � 1� � � � �� � �o P4 -1O ,pJ �l��,-j�10 STREET r Q� CSV i r 1 F� a CITY, ZIP: of r L (l, l S ei /�' Q (�- J EMAIL APPLICANT NAME: PHONE STREET ADDRESS: FAX* CITY. ZIP: EMAIL CONTRAC R N E•PHONE -- " STREET RE FAX a ( c J E-MAIL LICENSE NUMBER: LICENSETYPE: -ARCHITECTIENtGglNEER NAME: ' PHON a.o� STREET ADD RES C/\ ca FAX -4549. O CITY. Z1P: y� � a CENSE NUMBER E-MAIL DESCRIPTION OR SCOPE OF WORK: ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) Sloe) Ak) Cosap = 20-M 5 2 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 the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Q - Notes: 1 i�( -, �SS ; �G iC 4070.r - 1 7 Application Received by: *4 Date: Receipt number: Amount Received: c ' 7 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: � � ASSESSOR PARCEL NUMBER b W S V Proposed Building Use: w Sq Counter Technician: Date: �' G Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in ordero ply. 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! Cl 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. 0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 1'0. !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............................................................................................ lye 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by .. 19. Soils Report and/or Engineered Foundation required ........................................... ......... 20. Erosion Control Plan Required........................................................................ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ / 22. City of Chico Plumbing permit ....................................... ......... ................... . p' 23. California Department of Forestry plan approval n paid. Sent 24. Planning approval (A) Use: ©&(B)Parking: (C) Parcel Check:�- ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................ Wr4. Encroachment Permit for driveway from the Public Works Det I �G� N �A' Y p ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... C1` ❑ 30. Worker's Compensation Carrier and Policy Number..........................................� ' 31. Owner -Builder Verification ( /Given to owner, _Mailed to owner) ..................... --�� 32. Letter of Signature authorization.................................................................... 33. Recorded copy of Agricultural Acknowledgment Statement ................................. 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits......................................................... `r0 ❑ 36. Deed�Restriction.....:...........................................................g ...................... ���-37. brant Deed, H. Tale/Statement of Facts, ❑ Letter from Le al Owner, ❑ Check to .C. : $ 38. Other: 0 ❑ 39. Other: _ When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant:- T Date: ZR- I) 1. Index perm' pplication for the above items numbered: Plan Check etter 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: - Dat eb Yellow: Building Division Wil '► E.N. USE O Y 'Piot Plan Attached Floor Plan Anachod Sent to G.D.�/ OC—I 0�e�� T0: Building Department - FROM: Environmentl' Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approve fo • Sewage Disposal er S pply: Public Private ell Clearance for ening. 0 her Hold final for: Final clearance O.K. for: NOTE: 8/96 I 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 r OWNER PROPROSED BUILDING USE DATE 1i RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ =- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES Sl- _ (paid at School District Office) (form available after Pan Check) 3. SHERIFF FEES (paid at Building Division) (� Residential............ X $360.00 =$ 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. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE �n $89.00 (paid at Building Division) J'1+9 L�q 8. WATER TENDER FEES BATTALION # ' $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT C�� �/gL.l� DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements fora protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) 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. I personally plan to provide the jor labor and materials for construction of the proposed property improvement :YES NO ❑ I HAVE ❑ HAVE NOT.dsigned an application for a building permit for the proposed work I have contractg� with the follow' person (firm) to provide the proposed construction: NAME: .J f 9 `�A-L ADDRESS:_ CITY: PHONE: CONTRACTOR'S LICENSE NO I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work NAME: ADDRESS:, PHONE: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: ADDRESS PHONE TYPE OF WORK DATE: 2 NOTE. This ®caner -Builder Veriffcation is required by Section 1983.1 and 19832 of the California Health and Safety Code- This verification must be completed . and returned 10 our office before we are permitted to issue the permit r I OWNER BUILDER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: d Ifyou employ or otherwise engage any persons other than your immediate famuly, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations Under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can conium that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic ICVi Ura, C.B.O. er, Building Inspection NOTE: 2111s Owner -Builder btformadon is required by Section 19830 of the California Health and Safety Code OVER Butte County DepartmentofDevelopmentSeririces YVONNE CHRISTOPHER, DIRECTOR LP2A Scott Rutherford (530) 538-7160 srutherford@buttecounty. net Plans Transmittal For Review Per Contract 1.4/1 /2004 Applicant: X I Pal, Janos Project Type: NSF 100% Plan Check Fees $ -1,141.60 Energy Calc Fees $ - $ 1,141.60 Permit I 04-0485 APN: 065-190-018 70% $ . 799.12 $ 799.12 LP2A Fee $ 799.12 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 P,-4 L C`eo fceh 7 County Center Drive M Oroville, CA 95965 (530) 538.7601 Telephone w 1 (530) 538.7785 Facsimile O TO: ' FROM: SUBJECT: O DATE: LP2A Scott Rutherford (530) 538-7160 srutherford@buttecounty. net Plans Transmittal For Review Per Contract 1.4/1 /2004 Applicant: X I Pal, Janos Project Type: NSF 100% Plan Check Fees $ -1,141.60 Energy Calc Fees $ - $ 1,141.60 Permit I 04-0485 APN: 065-190-018 70% $ . 799.12 $ 799.12 LP2A Fee $ 799.12 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 P,-4 L C`eo fceh National Pollutant Discharge Elimination System (NPDES) Phase 11 C nstruction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE Project Title: .:3A -NOS 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 I 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: June 3, 2004 Mr. Michael Vieira County of Butte 7 County Center Drive Oroville, CA 95965-3397 Phone: (530) 538-7541 Fax: (530) 538-2140 807 Re: Plan Review: EcoTek Homes #1 Address: Hollywood Road & Wood Road Magalia, CA Dear Mr. Vieira: County of Butte- FINAL REVIEW Jurisdiction Application No.: 04-0485 LP2A Job No. 2040015-033 ;3- 3 _ Linhart Petersen Powers Associates (LP2A) has completed a final review of the following documents: 1:- Plans: Two (2) copies of revised Sheets 1 through 7, dated 5/29/04 by S.I. Feher. Two (2) copies of sheets S1, S2 and EC1 dated 5/19/04 by Russell Gallaway Associates. 2. Structural Calculations: Two (2) copies of revised Calculations dated 4/24/04 by Russell Gallaway Associates. Two (2) copies of revised calculations dated June Z 2004 by Russel Gallaway Associates. 3. Title 24 Energy Compliance Documentation: Two (2) copies dated 4/15/04 by Russell Gallaway Associates. These documents were reviewed for their conformance to the 2001 California Building (CBC), Plumbing (CPC), Mechanical (CMC), and Electrical (CEC) Codes (adopted by the State of California as of November 1, 2002). We do not have any further comments regarding this submittal package. This plan review is recommended for approval as submitted with the following red -marked revisions: 1. At the Foundation Plan on sheet 2 the 4x6 post and pad footing was re- located to correspond with the revised calculations and new beam as shown on the red -marked plan. 2. At the Roof Framing Plan on sheet 7 the carrying truss was omitted and replaced with a 5 1/8"x16 12" glu-lam beam as shown on the red -marked plan. 3. The Carrier Truss detail J/S2 was omitted as the carrier truss is no longer used for this project 0Q0 LINHART PETERSEN POWERS ASSOCIATES 7610 Auburn Boulevard • Citrus Heights, CA 95610 (916) 725-4200 • FAX (916) 725-8242 • Toll Free (877) 235-0653 f.-lbutte county 0151butte county 200412040015-033-pcf.doc . � a EcoTek Homes #1 County of Butte -Second Review Hollywood Road & Wood Road, Magalia, CA LP2A Job No.: 2040015-033 June 1, 2004 Page 2 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, L ART P SEN POWERS ASSOCIATES Roge t on, S.E. Struct ral Engineer JR/MB/ag: Enclosures: Cc: Alice Mefford: amefford@buttecounty.net . e - e B yle E Plans iner Bin 30 PAR/C RECORDING REQUESTED BY MID VALLEY TITLE CO. AND WHEN RECORDED MAIL TO: JANOS PAL 6808 PENTZ RD. PARADISE, CA 95969 A.P.N.: 065-190-018 Order No.: 2004 —00+0 1 762 Recorded Official Records CouBUTTEOf CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09;OMM 13 -Jan -2004 I REC FEE 10.00 I TAX 40:70 I I I Andrew I Page 1 of 2 Above This Line for Recorder's Use Only Escrow No.: 217695MV GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $40.70 X ] computed on full value Of property conveyed, or 1 computed on full valueless value of liens or encumbrances remaining at time of sale, X ] umncorporated area; [ ] Town of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, GARY GLOTF'ELTY and RHODA GLOTFELTY, Husband and Wife as Joint Tenants hereby GRANT(S) to JANOS PAL, A MARRIED MAN, AS HIS SOLE AND SEPARATE PROPERTY the following described property in the UNINCORPORATED ARE, County of Butte State of California; See Legal description attached hereto and made a part hereof. GARYW,LOTPELTY Document D e: January 7, 04 1 ; RMHO.A GLO-TFBLTY/ STAT£ OF CALIFORNIA COUNTY OF YAW&(V_ )SS On before me, r personally appeared p e (or proved to me on the bans of satisfactory evidence) to be the person(s) whost name(s) ie/are subscribed to the within instrument and acknowledged to me that hc4he/they executed the same in bU4twr/their authorized capacity(ies) and that by.4 dLcr/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and officia seal. Signature .IER1 J. KtJEN ; r E, Commisst^*t # 1251132 T Notary Public - Cotifornia Riverside County ,i*i, • My Comm.Fx0;resJan23 2004 Mail Tax Statements to: SAME AS ABOVE or Address Noted Below Preliminary Report Order No. BU -217695-2 MV Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: LOT 462, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "FIR HAVEN SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 19, 1955, IN BOOK 21 OF MAPS, AT PAGE(S) 31, 32, 33, 34 AND 35. EXCEPTING THEREFROM ALL THE VALUABLE MINERALS BENEATH THE SURFACE OF SAID LAND, WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS, IT BEING AGREED AND UNDERSTOOD THAT IN ALL MINING OPERATIONS THE SURFACE OF SAID LAND WILL BE PROTECTED AGAINST DAMAGE, AND THAT ALL SUCH MINING SHALL BE CARRIED ON FROM TUNNELS, SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND RESERVED IN THE DEED FROM THE MAGALIA MINING COMPANY, A CORPORATION, TO E. D. STORTS, ET UX, RECORDED SEPTEMBER 4, 1947, IN BOOK 423, PAGE 385, OFFICIAL RECORDS. APN 065-190-018-000 N t • • S E PLAN REVIEW Date: Permit Number (if applicable) APPLICANT INFORMATION Owners Name: Qvni6rs Address: Telephone No.: Situs Address: Proposed Use: AN APPLICATION Bin Number Parcel Size: bTAIf 1 C> S� (- - L-���,-�- > Residential 6E�_Xew Single Family Residential El 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 ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other Septic ❑ Well ❑ Agricultural Exempt Building ,agricultural Buffer Form ❑ Applicable Ja N/A ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) IR Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval .Site Plan Stamped Approved By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY R Parcel Is In: Snow Load Area: 2-DID�> —M 250-t,> _Wt ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract 40 ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: 6 }-j 0e;,0_ Index Date: 8-8—,)9 ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance _------------------------------- ------------------ ----------------- —--------------- ----- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement zoning:-') ZT --1 — A Applicable Building Setbacks: • ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. 0 - Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side 0 Side Street �Q Rear 7 8 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. 0 - Page 2 of 5 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire • ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. • Parcel Created By Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: F-1 No ❑ Yes Comments: • ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision Map/Parcel Man: i M CU L) IS Map Date of Recording: Lot: LA 1:92 ❑ Use Permit/Minor Use Permit Permit Number: Book: !Z- Page: 3 i • Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Pla� must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund maybe required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. Page 4of5 A( 1 ❑■ • ❑ • CJ Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C:V,ugs\Building Permit Site Plan Reviewl.doc Page 5 of 5 Sierra West Surveying • LICENSED LAND SURVEYING . 5437 Black Olive brive - Paradise, CA 95969 Phone: (530) 877-6253 Fax: (530) 877-6254 INTRODUCTION: BEST MANAGEMENT PLAN FOR APN 065-190-018 4V, This Erosion Control Plan has been prepared on behalf of Janos Pal at the request of the Butte County Building Department for Lot 462 as shown on that certain Map entitled "Fir Haven Subdivision", recorded on May 19, 1955, in the Office of the Recorder of the County of Butte, State of California, in Map Book 21, at -pages 31, 32, 33, 34 and 35. . This plan was developed to reduce or eliminate any substantial erosion and • sedimentation resulting from earth disturbances caused by project construction activities. This plan is intended to mitigate average rainfall events. Material from construction . work shall not be deposited DWI - where it could be eroded and carried into drainageways by surface runoff. Surface runoff shall be diverted or directed to protected areas. The following are typical measures to be followed to achieve the required results: A. Soil Stabilization: Erosion control during construction shall be achieved by applications of straw mulch to a uniform depth of 2 to 3 inches. The straw blanket shall be placed in such away that the soil will not be visible from the'ground surface. Mulch shall be anchored in place by using a tackifies, netting or • crimping into the soil mechanically. B. Sediment Control: • Install straw waddles and silt control fences along contour lines downstream of areas disturbed by construction. Fences shall be monitored, maintained and replaced if they become ineffective. Sedimentation shall be removed from behind -the.. fences when it has accumulated to 1/3 of the original height. Cut and fill slopes shall be seeded with native grasses and shrubs to prevent erosion. Said slopes shall be maintained to prevent erosion. These temporary measures will greatly reduce the possibility of erosion and sedimentation from the projects construction sites. When homes are completed and have landscaping features established, the erosion and sedimentation potential will not be of any major concern. QROFESS /6 'R:C G. A GeC F � �° ct No. 27647 70 EXP. 3/31/06 9TF OF RGA/kem C: BestManagementPlant\8472Pal.BMP 0 i ffmoRobert&. Agee, q 1 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per'Building), School District r) Building Department No. A.P. Number 0 /1019Jurisdiction: cityE=V 'County Property Owner J41V09 F141, Property Location/Address /* 00J )eb -/,14 Au, Subdivision Lot No. ............... . .................... ....... a ...................... Sq. Footage 44400 Residential Development V No of Living Mobile Home Addition/ *Supplemental to (Group R) Units installation Conversion Permit # *(Ko foundation Inspection) ....................................................................... t ....................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) comme i I/Industrial Q Q Sq. Footage New Addition (including Exterior ElRoofed Areas) l - 7/0 Building Department Representative Date District Identification No. ee School District certifies that (Street (City) (State) has complied with the requirements of Resolution No. representing Z-�— square feet. School District Representative Paid by Check # Remarks: (Applicant) (Phone Number) (Zip by payment of$ 2926 $ FULL MMGATION Date .0 No*@: You may protest the Imposition of the fan Identified above by submItting a written protest to the ;lab In compliance with Govenunwd Code Section 66020(a), within 90 days from the daft few we paid. Failure to submit a timely wrltten protest will'prohlbik you from challenging the Imposition of the fen In any court actloia. 11, subsequent to the SchoolPistrIct Representative signing this Butte County 6ehools Impact Fes Certification Form, the 8ehool 01@0111d Is nhottfled by the applicable Local Planning Agency that this project Is being revlewed under the Calffonda Environments! Qualfty Act (CEM this projaat may be subject to additional school fees to hdly mitignte.fts Impact on the school di &kft schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (t0/03)drnm AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2 110 104-1000297 73 Recorded Official Records County Of ., BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 11:27AM 19 -May -2004 REC FEE 7.00 COPIES 2.00 Barbara Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT I Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers, and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: LOT 462, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "FIR HAVEN SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 19, 1955, IN BOOK 21 OF MAPS, AT PAGE(S) 31, 32, 33, 34 AND 35. EXCEPTING THEREFROM ALL THE VALUABLE MINERALS BENEATH THE SURFACE OF SAID LAND, WITH THE RIGHT TO MINE AND EXTRACT SAID MINOL S, rr BEING AGREED AND UNDERSTOOD THAT IN ALL MINING OPERATIONS THE SURFACE OF SAID LAND WILL BE PROTECTED AGAINST DAMAGE, AND THAT ALL SUCH MINING SHALL BE CARRIED ON FROM TUNNELS, SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND RESERVED IN THE DEED FROM THE MAGALIA MINING COMPANY, A CORPORATION, TO E D. STORTS, Er UX, RECORDED SEPTEMBER 4, 1947, IN BOOK 423, PAGE 385, OFFICIAL RECORDS. l AFN 065-190-01&000 Date _ .� PROPERTY OWNERS: Ta,cJus �qt„ State of California County of LLQ -U\-\ before me, personally appeared 'Sc\-Y\os ' 6 personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my ha d and official seal ggPU OC T Signature �� < %l� Seal: r °` ` HEIDI GOMEZ Q'� . Comm. #1397691 17 fNOTARY PUBLIC CALIFORNIA C) v BUTTE COUNTY .1 A.P. # P iNy Commission Expires Feb. 2, 2007 Butte County Department ofDevelopment Services o w T tF o YVONNE CHRISTOPHER, DIRECTOR o 0 0 0 LO 7 County Center Drive o' Oroville, CA 95965 �'1r'� (530) 538-7601 Telephone OLIN y w (530) 538-7785 Facsimile O 00 TO: LP2A ' FROM: Scott Rutherford (530) 538-7160 srutherford @buttecountv.net SUBJECT: Plans Transmittal For Review Per Contract O L DATE: �4/21/2004j Applicant: jPal, Janos Permit 04-0485 Project Type: INSF APN: 065-190-018 _ 100%_ 70% Plan Check Fees M$ 1,141.60 � $ 799.12 $ 1,141.60 $ 799.12 LP2A Fee $ 799.12 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 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE All: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP040485 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/04/20.04 APN: 065-190-018-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address• 6492 HOLLYWOOD RD MAG Date: Contractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: NSF (2000 sq. ft.) garage (576 sq. ft.) 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: JANOS PAL to its issuance, also requires the applicant for such permit to file a 6808 PENTZ RD signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section PARADISE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95969 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 Applicant: JANOS PAL 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, Contractor: 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 the Business and Professions Code Date: Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: RUSSELL GALLAWY ASSOCIATES 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: 2000 S.F. Policy#: Valuation: $130,000.00 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 Census Code: 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 com)bly with oserovisions. p Alf / ( j 4J !^ /� ���( Date: t ! c� Applicant: tj Aff 4�;—V 06'e&o U c-(:' WARNING: F • re 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 yndQr the applicable provisions of the Butte County Fodp anrVor I hereby affirm that there is a construction lending agency for the Resolutions to do work ' is to bov hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) / Name: By: Date: Address: PERMIT EXPIRES ON: ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document ofButte County. I hereby authorize representativeIT 1s of Butte County to enter upon the above mentioned property for inspection purposes. --,P/ t e�L, A PrinlName: JA ig C Signature: Date: (/ 7 Owner 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor Assessors Parcel Number: Owner Name — Address / Phone No. Site Location _ 0' yj Contact: Name :: 57 R- 0®® — 000 0.©® Scale: 1"= 1A�J0 5 Ct 30)076--723/ 08 moi./%�. one FOR OFFICE USE ONLY PROVIDE FOR ALL ADJACENT PARCELS Zoning: SIZE (AC): General Plan Desig: ZONING: Size, Acres GEN PLAN: ' I a.00r USES: .•; .Y. "!-1 i.., ;.'x . .... , .. - - e '!i j- - ,.-;,. - " -* *�- I ". 4.. ,#. - I - I,)�.)--- A ' . - . I , , *11� I - , - - , . gy, 1.17; l.-. . .1 � . , , - . I . * . , �!, ... 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