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069-200-030
NOTES RESIDENTIAL 069-200-030 —03-3776 PERMIT NO. –. RACZYNSKY, JOHN 86 KOKANEE DR, OROVILLE Cont: BETTER BUILDERS UNDERFLOOR STORAGE SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) /a Signature �-- - J=OK ' 0 = Not OK . = Not Readyable, ' MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location-Test-Fall-C/O-Concrete 4. Water; Location-Test-Easement Needed (Sketch) 5. Electricity; Location -Clearances-Grnd-/ /Amp-Concrete 6. Gas; Location-Test-Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements-Setbacks-Easements Card B-1 Date Card B-1 2. Footings; Size-Spacing-Marriage Line 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances 5. Drain; MH Test-Fall-Flex Connector 6. Water; MH Test-Regulator-Connector 7. Water and Sewer Connected-C/O to Grade-HD Approval 8. Gas and Electricity Tagged 9. Tie Downs-Type-Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements-Setbacks-Easements 2. Footings; Size-Spacing-Marriage Line 3. Blocking 4. Gas; MH Test-Demand-Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected B. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7.Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes Cl No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing _ 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY'OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541gUIT NO. (Rev. 12/96)' APPLICATION AND PERMIT - ;Q 3774; ASSESSOR PARCEL NUMBER 069-200-030 ° i� BUILDING PERMIT OWNER RACZYNSKY JOHN TELEPHONE SO, FT, OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 86 KOKANEE DR OROVILLE CA 95966 56 R-3 4096.002 CONTRACTOR'S NAME BETTER BUILDERS 582574 9 - TELEPHONE CONTRACTORS MAILING ADDRESS 5263 ROYAL OAKS DR OROVTT.TE CA 99966 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 4096.00 ARCHITECT OR ENGINEER LICENSE NO. I Filing Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 46.80 BUILDINGADDRESS 86 KOKANEE DR OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 13$.80 L.OT6N0. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: UNDER FLOOR STORAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G1 W 920.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Feel 20.00 Main Service wOv oR LESS 2o0A OR LESS 1 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in full force and effect. License Class (- s« an o I Lic. No. 3.0 s,0 SO OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLD,. 3•50FSTO : 8.95 NEW CONST. MULTI.OUTLET NON REBID. 97.50 POWER APPARATUS a SINGLE OUT. CI R. ® 1 EX. OCCU OUTLET OR FDRURES -00 BAL 50 Ex. Occup. oF1'I. XED REs o �EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 2$.95 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. �I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insure ce carrier and policy number are: Carrier el.At 9401 Policy Number ,4 sLg 7 V5 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date ia_/L - Qom_ Signature ol A Ilcant - ❑ Owner Q Contractor ❑ Agent An OSHA permit is required for e a 3 ' ns o r " deep and dem 't' n or constr n of structures in Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR P -INSPECTOR GOLDENROD•APPLICANT MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 167.75 HA2. ✓ D. FEES IMP FLOOD CDF PARCEL ✓ pp HD I,SU . This permit is hereby issued under the applicable provisions of ta h tte County Code and/or Resolutions to do work indi te v for hich fees have been paid. y /` DAfZ_b B �"�y / ✓ PERMIT EXPIRES ON / /o v— 0, t,-) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev.12/96) APPLICATION AND PERMIT 6 (p INNERSORPA/R/ /C�EiLf N1/UnM•BEZRD& ' O _ _20NING BUILDING PERMIT TELEPHONE I UATION /// S S MAILING ADDRESS r OR ENGINEER r OR ENGINEER'S MAILING ADDRESS LOT NO. I SUBOMSION'S NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK I New ❑ Addition ❑ Remodel ❑ UtiG6es nstallation ❑ Other ❑ / d Describ6 Work: L f .PERMIT FEE PAID SRA SHERIFF OTHER AMOUNT RECEIVED $_ I Z�75 DATE RECEIVED AO�VlIK,!- DCrCIPT it Fireplace PERMIT FEE S Total Valuation $ Fling Feel 20.00 Main Service Filing Fee $ 20.00 Permit Fee $ Z Plan Checking Fee $ OR ADDNS. \ Energy Pian Checking Fee $ ._.. COrIs . f MULT4oUTLET 1 $ PERMIT FEE $ PLUMBING PERMIT Fling Feel 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer- 15.00 Mobile Home I JIG I W @20.00 EX. Occup. oVrLET OR FDCTURES PERMIT FEE S ELECTRICAL PERMIT Fling Feel 20.00 Main Service .oVA oA LE=sS 23.00 Main Service tow TO 1000A 46.00 NEW CONST. / DwE]lING OCCUP. 3.5� OR ADDNS. \ a ACC. BLDS. ._.. COrIs . f MULT4oUTLET 1 (x7.50 EX. Occup. oVrLET OR FDCTURES anL 5 .50 FIXED ((ESI oER.A Ex. Occup. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Wisc. Wirinq 23.00 PERMIT FEE $ G /-� MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE: 1 $ Mobile Home Installation Fee $ Energy inspection Fee $ =C CONST. TYPE TOTAL FEE $ KA?_ I D. FEES IMP I FLOOD I COf I PARCEL I PD I ND I SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON �- 37 7 (14�9 COUNTY OF BUTTE -DEPARTMENT OFQ/ VELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: /`� ASSESSOR PARCEL NUMB,, Proposed Building Us X, �)ounter Technician: Date: t s r quired in order to pply fo permit. All boxes MUST be checked OR marked NA ir�rder to apply. 1. Site plans, 3 or 4 sets, igned by the preparer of the plans. e 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ......... ................:.......... ...... 20. Erosion Control Plan Required .......................................... .. ........... ........ 21. Fees as shown on the attached Schedule of Fees Due Sheet .......... ....... ... 1 a®/ate ►�✓� = ❑ 22. City of Chico Plumbing permit....................................................................... 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. O 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: �� �_ Date: 1. Index permit application f¢� the Qpove items numbered: Plan Check Letter 2. Additional items required U . Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division /I School District A.P. Number a, O Property Owner Property BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM I�; Jurisdiction: form pe_[ Building) Building Department No. Q city County ®3 37 ?( Subdivision lot No. Residential Development Q Q ............ _.... _._..._...._.................. ..................... ..................... .... Q '•: Sq. Footage No of Living Units Mobile Home Installation Addition/ Supplemental to (Group R) Conversion Permit # *(No foundation inspection) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility docume t) mmercial/Industrial Q Q Sq. Footage ew ition (Including Exterior Areas) ub a& Roofed / lie!/ & Building Department Representative Date 11 f District Identification No., School District certifies that li! fnt) (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. 0�- by payment of $ /} representing square feet. JAB 2926 i FULL MMGATION = Schoof District Representative Date Paid by Check # Remarks: O /Notice: You may protest the Imposition of the fess Idenntl above by submitting a written protest to the District. In compliance with Gamninent Code Seetlon 66020(a), within 90 days from the date fees we paid. Failure to submit a timely written protest will'prohblt you from c aliernp1rrp the Inposlfion of the fess In any court setbn K, subsequent to the School District Representative signing this Bulb County Schools Impact Fee CeMflutlon Form, the School District Is notified by tit applicable Local Planning Agency that this proisct Is being rwlowsd under the California Envinmmenfal Quality Act (CEQA) this p Q A may be *~to additional school two to fully mkgs- Aolmpact on the school districts schools. White (applicant), Yellow (building department), Pink (school district) feetorm.36 (10/03)dmm PLAN REVISION Please complete the following information in order to process your submittal. If this form is not complete, cone and legible. it may cause a delay in processing. Owner's Name: Received By: ] Bate: �- Permit #: Time: ContactPhoneNurnber. Purpose of submittal: 0 Permit Application Data Item 17 Engineering O Plan Revision ®' Requested by Building lnsl=pr or CorrectionNotice - Inspecto 's Name: �? r Z rj� ❑ Requested ByPlaa'sExaminer- ExamineesName: -- - - - O Other if you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisions for pla review. If engineering is involved in this revision, the engineer must put his requirements on these drawings an( stamp and sign the drawings. Include two (2) sets of wet signed engineering. Revised drawings must clearly sly When Approved, Process as Follows: 0 Mail to Owner at this address: E3 Mail to Contractor at this address 0 Call 13 Deliver with nest inspection. and hold for pickup at the' 17 Chico Office O OrovWe Office: Revised Plan Check Fee:6.00 PayAdditional fees due Additional Fees: Receipt r: 17 Additional Fees Not Requinc based upon ca le ' $nd me ' o ed to process this submittal Receipt #: NOTES RESIDENTIAL 069=200-030 PERMIT NO.. RACZYNSKY, JOHN 86 KOKANEE DR, OROVILLE Cont: BETTER BUILDERS NEW SINGLE FAMILY 03-1063 ) 11.1 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY ' Address I G i ELECTRIC Meter By Date J�tv i JOB FINALED (Date) Signature CHECKED BY ,° 71-716> 1 RESIDENTIAL 069=200-030 PERMIT NO.. RACZYNSKY, JOHN 86 KOKANEE DR, OROVILLE Cont: BETTER BUILDERS NEW SINGLE FAMILY 03-1063 ) 11.1 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY ' Address I G i ELECTRIC Meter By Date J�tv i JOB FINALED (Date) Signature CHECKED BY J=OK 0 = Not'OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3.. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Date POOLS (Plans) OK except #'s Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Soils; Compaction -Structure Stability 1. Zoning Requirements -Setbacks -Easements 4. 2. Footings; Size -Spacing -Marriage Line Elec.; Pool Lighting; 15 Volts-GFI 3. Gas; MH Test -Demand -Valve -Connector 7. 4. Electricity; MH Test -Crossovers -Breakers -Clearances Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 5. Drain; MH Test -Fall -Flex Connector 10. 6. Water; MH Test -Regulator -Connector Light Niche 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; -MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh . 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ----...i • �; . -�.r" ���.=tea .r ... rwr• ,��._�., .�. 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 01r/VNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Date ` Inspector- i REV 10/92 5 i r, COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES _ 411 Main Street • Chico, CA • (530) 891-2751 =:) 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER r / ..� PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ele ;r t Date ? Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES /411 Mairi Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is �• Date /U Inspector REV t /92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work Is completed. If you have any questions pertaining to this matter, or need additional explanation, I Date /� 1 Inspector REV 10192 C LVr-MII,r- H-44ULA I eVN W., lira.:. . NSULATIUN GERTIHGA i t_ 1�OrGlat� es, D2 L -"-C- -Couniv Lot Number DESCRIPTION OF INSTALLATION 1. ROOF Material Thickness (Inches) 2. CEIUNG Batt or Blanket Type FM@rgka&D Thickness (inches) 13 Losse Fl11 Type Fib� Brand Name Johns Manville Contrac Cods min. installed welght/ft sq.• b I tb. Minimum Thlckr s I S ._4S inches. Manufacturers Installed weight per square foot to achieve Thermal R (R Value) r2'3g Brand Name Thermal R (R -Value) Brand Name Johns Manville Thermal Resistance (R -Value) "Z3$ 3. EXTERIOR WALL --- -Material _ ibarglass Batts Thickness (inched 6,5 4. RAISED FLOOR Material Flb=lass $M Thickness (inches) 3. S 5. SLAB FLOOR / PERIMETERS • Material Thickness Perimeter Insulah)xf Depth (Inched_ S. FOUNDA Mawrial Brand Nacre Johna Man le Thermal Resistance (R -Value) Brand Name Johns Manville Thermal Resistance (R Value) Brand Name Thermal Resistance (inches) . Theg rial Resistance (R Value) DECLARATION I thes insu l to bu �e l in c formanoe � �� ?,Part M God® of Regulations) as in on the tate of c�mpNance, where applicable. C.L*499150 �b,C_C J S14 t� - kk. crs gn tmeLOErtRKE INSULATION CO., INC. , . Genera Contractor (Co. r ane ron on e, DW iterSignature,_ General Contractor ( x4 ane) Or Oer GeneralCl�c or Oe trr(doame) rOr CERiIFICATCOF l \�T[ OF TI 11114 ?y � O A ITo C 7 CONFORMANCE /HE UNDERSIGNED MA NUFA C TURER HEREB Y CER TIF/ES that the products identified below and on attached sheets Nos. are marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC) and were manufactured in conformance with applicable provisions of American National Standard ANSI/AITC A190.1-1983, ,$ttucturaI Nd Laminated Timber, and that such manufacture has been at our plant in Jwlss ome, , which plant has a quality control system approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION and inspected periodically by such Bureau. The manufacture of these members complies with the manufacturing and fabricating provisions of Chapter 25 of the Uniform Building Code. ,OB NAME: Keller Lumber Sales for Stock 108 LOCATION: Redding, CA CUSTOMER'S ORDER NO. PO#16748 DATE 12-14-87 MFGR'S ORDER NO. 3264-A 24F -V4. WP Glue. Ind. ADD.. Load SIGNATURE gr COMPANY American Laminators, Inc. TITLE Quality Control ADDRESS POB 99, Swisshome, OR DATE 12-22-87 A/TIC HEREB Y CERTIFIES that the said company at its said plant is licensed by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of products which comply with applicable previsions of said Standard, that the adequacy of the quality control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC, said company is capable of complying with applicable manufacturing and testing provisions of said Standard in respect of products manufactured at said plant. Conformance with the Standard in respect of any specific or particular product is the sole responsibility of the manufacturer; AITC's guarantee hereunder being that the said company is qualified to produce a product meeting the said Standard and that its plant is periodically inspected and verified by the AITC Inspection Bureau. AITC FORM IBCA ,AITC Certificate No. A AMERICAN INSTITUTE OF TIMBER. CONSTRUCTION RECEJV SQ �r..� t Fp I BR• SA�`F` Q 1983 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION CERiIFICATE�OF 1\,%)1E OF TIM%, 4 A iT -c iC*W CONFORMANCE /HE UNDERSIGNED MANUFA C TUBER HEREB Y CER TIFIES that the products identified below and on attached sheets Nos, are marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC) and were manufactured in conformance with applicable provisions of American National Standard ANSI/AITC A190.1-1983, S$�Ssmll Glgd Laminated Timber, and that such manufacture has been at our plant in h , which plant has a quality control system approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION and inspected periodically by such Bureau. The manufacture of these members complies with the manufacturing and fabricating provisions of Chapter 25 of the Uniform Building Code. JOB NAME: Keller Lumber Sales for Stock JOB LOCATION: __._ Redding, CA CUSTOMER'S ORDER NO. PO*16748 DATE 12-14-87 MFGR'SORDERNO 24F -V4. WP Glue. Ind. Atm.. Load 3264-A SIGNATUR /E �LB,� ji( j4L 6,�GcLt� COMPANY -_-American Laminators, T InC . TITLE Quality Control ADDRESS POB 99, Swisshome, OR DATE 12-22-87 AITC HEREBY CERTIFIES that the said company at its said plant is licensed by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of products which comply with applicable provisions of said Standard, that the adequacy of the quality control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC, said company is capable of complying with applicable manufacturing and testing provisions of said Standard in respect of products manufactured at said plant. Conformance with the Standard in respect of any specific or particular product is the sole responsibility of the manufacturer; AITC's guarantee hereunder being that the said company is qualified to produce a product meeting the said Standard and that its plant is periodically inspected and verified by the AITC Inspection Bureau. AITC FORM IBCA AITC Certificate No. .,-i 1 s A AMERICAN INSTITUTE OF TIMBER CONSTRUCTION RECE'�V GD Q 1983 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER' 069-200-030 RT -1 ZONING BUILDING PERMIT OWNER Raczynsky, John TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 1920 R 82,080.00 484 U 2 00 CONTRACTOR'S NAME Better Ruildprs 589-2574 TELEPHONE 2600.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 93 392. 0 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 612.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ 665.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap JQ 7.00 70.00 Solar or heat pump water heater 23.00 Water piping 15.00 15,00 -Each gas water heater or vent 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NSF Master #01-01 same as BP # 02-2227 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home IS I GI WF-' 920.00 PERMIT FEE s 150.00 ELECTRICAL PERMIT Fling Feel 20.00 600V 0LESS Main Service 20.AORLESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in f force and effect. 7 License Class Lic. No. 3 ZjZZ Lj OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. SO 3.50T. Q. 15 N0WRE-glp MULTI -OUTLET I CIRCUITS 97,50 POWER APPARATUS 8 SINGLE OUfIET CIR. Ex. OCCU OUTLET OR FDCTURES B20 @ 1.00 Ex. Occup. o EEDTSa.ID°Ep 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $113.15 MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling15.00 Hood 6.50 6.50 Ventilation PERMIT FEE $ 00 Policy Number(2 5 -7� (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith co wit ose provisions. X Date " 3 Signature plicant - ❑Owner ❑ Contractor Date An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 OCC CONST. TYPE TOTAL FEE $ 025 q D.I F FLS C pp HD ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. D ? By_ D e J PERMIT EXPIRES ON et ReceiptNo. I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 41 SITE PLAN REVIEW APPLICATION Date: �-� — J ,b — D AN 6 9— 2 Permit Number (if applicable) 0 �D APPLICANT INFORMATION Parcel Size: Owners Name: A La=Y �1 SKY J O H& Owners Address: Telephone No.: d3G irtza;�,d3U L�e� s 99 — 2S q Situs Address: L3 6 9K O K q WjN C, DQ, Proposed Use: Residential IN New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By ` Date •Page 1 of 5 1 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation' Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) 11 SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: C>(3zs L Index Date: ❑ 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: 2 T — Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front S YL Side S 3 p Side Street Rear 3 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 iw } Appticable 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:❑.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 w Subdivision Map/Parcel Map: KGL-L—I 21 Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: L� `5 Page: LI 3 I )H g Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval• ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel , ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. 0 Page 4 of 5 r x 0 x x 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. CAMy DocumenM3uilding Permit Site Plan Reviewl.doc Page 5 of 5 �l'fU o,A rJ 5TA0, ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 5384356 Download Forms: www.buttecounty.net/publicworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone 530 538-7157 Ext. 2016 Permit Number C) 3 O SO 8 6- District k— 6 APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted. 1. Applicant's Name: 1 a. Company Name: 2. Address: 3. Phone: 0 FAx'. 5 — Z°14-- 4. Assessor's Parcel Number. 5. Location of Work to be Done j J/ � /� /� � � Pr, 6. Applicant's Signature 7. Date: A) I (o O 3 CONTRACTOR'S INFORMATION 8. Contractor's Name _w 9. Address 10. Phone: 11. Fax: 12. Contractor's License Number: 13. Certificate of Insurance: Yes ❑ No: ❑ 14. Contractor's Signature: 14a. Date Signed: 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check: Curb: ❑ Gutter: ❑ Sidewalk: ❑ 17. Driveway (List Type): A C �Qp2oAcl� 18.Other PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this pemtit form) and special conditions written below, emission is hereby ted. 19. Conditions :.. Underground Service Alert .S.A. must be notified two working days prior.to any excavation. 800-227-2600 20. ® All work shall conform to accompanying: Detail S. Plans ❑ Special Conditions ❑ 21. Date Issued/ ` 03 22. Expiration Date: / G O 23 Surety: yCS Mike Crump, Director of Public Works By: ** Note: If permits are faxed to any number besides (530) 5384356, they can be delayed up to &nie week. Page 1 of 2 General Conditions — See Page 2 L- CATION: V, KoKpnJE15DR. 0 u.� 6S DATE 0/ /& /22' FOREMAN: MIN. DISTANCE: DISTRICT: _ PERMIT#: SPEED LVAIT OF ROADWAY o DRIVEWAY LOCATION: Z5 MP4 DISTANCE TO NEAREST INTERSECTION: lftt_ SIGHT DISTANCE ❑ GOOD POOR IF POOR — RECOMMENDATION TO IMPROVE: aa,4 im 5 k Sce.L� o t'—y- -- - V . ❑ CUT BANK F( REMOVE VEGETATION (TEMPORARY) ❑ OTHER (EXPLAIN) ADJACENT TOPO ❑ FLAT ❑ CUT SLOPE FT. ❑ FILL SLOPE FT. . ❑ CURB AND GUTTER 0 AC DIKE ❑ EXIST. DIST. I TO EP FT. EDGE OF EXISTING PAVEMENT (EP) f-- z Lu -' 12' MIN. 20' MAX. J. .NOTE: IF GREATER THAN 109 UP- OR DOWN AREA TO BE PAVED r . R/W 10' MIN. DRAINAGE RECOMMENDATIONS REFER. TO ENGINEERING. ❑ NONE ❑ SWALE O CULVERT MAX. 1 FOOT VERT.. RISE OR DROP MIN. DIST. FT. PER 10 FEET HORIZ. DISTANCE ' MIN. DEPTH TO FT. EP DIAMETER IN. LENGTH FT. EXIST. DIST. MIN_ I MAX, 10% OTHER (EXPLAIN)La2.J,__ I 2% DIST. I I NOTE: MIN. DEPTH MAX. 109' PAVEMENT TO EXTEND AT 27. CROSS SLOPE OR MATCH EXISTING ROADWAY CROSS SLOPE. N.T.& PRIVATE DRIVEWAY FIELD REVIEW'' aN D 4v}i EN, RECORDED MAIL TO: BUTTE COUNTY BUaZINC DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 COPY of Document Recorded 16 -Apr -2003 2003-0023846 Has not been compared with original BUTTE COUNTY RECORDER w AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. _ All that real property situate in the County of Butte, State of California, described as follows: Date Stat( County of Lot 68, as shown on that certain Map entitled, KELLY RIDGE ESTATES UNIT NO. 3, filed in the Office of the County Recorder of Butte County, California, on July 26, 1974, In Book 43, of Maps, at Page(s) 44, 45, 46, 47 and 48. A 003 before me, personally appeared acz nSIG ersonally known to me (or proved to me on the basis of satisfacto evidence) to be the person(s) whose nameres) ubscribed to the within instrument and acknowledged to me that Ve/s)i¢R executed the same in hVivr/authorized capacity(ies), and that by h /hr signature(s). on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument WITNESS my hand and official seal. Signature L261JAk6wAA Seal: A. P. 1` 0!p 9- 01.00- 030 AMIE WHOWARD d COMM. # 1351390 NOTARY PUBUC-CALIFORNIA I BUTTE COUNTY -• My Commission Expires APR. 15, 2006 26-03 Lake Oroville Area Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95966 533-2000 ` f . DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a. copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: April 2, 2003 Applicant: John & Carol Raczynsky (Better Builders Const) 5263 Royal Oaks Dr) Applicant Address: (Oroville CA 9 5 9 6 6) (589-2574) Applicant Phone No.: Property Locations(s): 86 Kokanee Dr. Oroville CA 95966 KRE Unit 3 Lot 68 069-200-030 A. P. No.(s): All fees paid. Fees due: New service connection. Application for service approved: PUBLIC UT1=1 Y DISTRICT Inspection(s) made and successful test(s) observed: Location: In Lake Oroville Area Public Utility District release to close permit: Date: By: Date GOUN iY OF BUTTE - DEPARTMENT OF DEVELOPRQENT SSFt=ES - BUILD G DIVISION 7 County Center Drnra Orovi[l., Caftfornia 95965 b- Telephone (530) 538-1541 PERtru7 lJO. APPLICATIONAND PERMIT � 3~ 3 arm+o BUILDIP m P;=:ZmiT peeee latftJtAt41 F••� � � ©� !' V ` _ � . 5U LDwG VAL UMON L�'R � U S-0 araacsass GIVE BPRES A to 73 ams mum /am= oaf =a=cmeams=% MQM PLS'� kL'l�~ 1`ZiaPr LS i XT, (� usp-OFS TRUMURE �F t Dup4= D WbBehmma D Mar ►1'P= OF WORK Adm 0 Asn%:del ��0 Lwm 0 bdanmft 0 Other 0 Dia Watt Uy S (� uj�rv—j:> X J o 0 `L S L S rZtl *?-iii' FEE ?Alb SR�4 � • swan« , 4MCWT !'AMM 3 7 o TO 111.2 rvr XNTO COMM ' 2s DD aY Marion is PEr?UUT FM s 3 Fee s 2D.Do a Fey $ /a , Chemo Rea s • D U ry Pian Cba-..Ed!; Fey s Pnesrr «H:; M�b6e Horne fnst�oe Fee s PMmMmIT FE $ O O PWMBMG 'PERMT Tl3T,4L ��E $ Fffng Fae 20. DO Trap r.DD O.00 or had pump war hC MOD ' pig 15.DD - — yymW heekv w yard 15.DD .bwQ31om 1 - 5 oct8a4s - -- 15 -DD 15- I �g 15.01> - ^ e llbma S G W �2t1.OD PERT Fm s /SO O o 'iii 1MU PEFMiT Frmg Few 2D.DD Satyr 29.w . 0 G &Mim zsm► » F45.DD � " f mom'@ .1 9.5� 47(1. (S w•O ouiL�T os Fit An w� ;; ' eat � Er. FZ�D AePNRt OA O�S1d �• ren Ra �eeete � rn•� sool j M Mm14*air, 2s DD PEr?UUT FM s / 3 i s XECiz, M=l PERW Fffmg Fey ZD.DD HesSmg C�fm Hai 5.50 veat�n J y,,sZ� 4•s� Pnesrr «H:; M�b6e Horne fnst�oe Fee s • argy bzspe.@on Fee 5 O O Tl3T,4L ��E $ / /3/ A ,�� ibis parma is herebr y ueer d undthe appii•.._b1e prvOgbrs cif 1fia BUIL- wunty 07de andiar rPle=tufins b dD wnrk h+o�d sbuve fir wHr=h %es have beer pail ►=?O.A'T C� �t�=n e1Lt 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: Q tAC Z L ASSESSOR PARCEL NUMBER V (0 / - OLOO —03 6 Proposed Building Use:) (k P -1 Counter Technician: V Date: q,// (p 13 Items required in order to apply for a permit. All boxes MIDST be checked OR marked NA in order to apply. b 1.. Plot plans, 3 or 4 sets, signedty the preparer of the plans. R,,2. Complete plans, 3 or 4 sets, signed by the l reparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in dualicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 1P 14. Fees as shown on the attached Schedule of Fees Due Sheet... S.ChDO. ........................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings...........................................� 16. Sanitation and plot plan approval from the Environmental Health D4.eprtm nt in 17. City of Chico Plumbing permit...........................................California Department of Forestry plan approval paid. Sent.by7................. OIJ119 Planning approval for (A) Use: (5;> K (B)Parking: (C) Parc I Check: 0. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 1. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ,U:27. Recorded copy of Agricultural Acknowledgment Statement ........q./ , /,3. ............... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone oZ '% !/ and hold for pickup. I have been informed of t dabove items and requirements for obtaining a building permit Applicant: , Date: 1. Index perm' application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellrnv Rnilriina rhvi6 D 3-/0 1�3 COUNTY OF BUTTE DEPARTMENT OF. DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVELLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER U 2(! A.P. # PROPOSED BUILDING USE S DATE L RECEIPT # DATE REC. 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES 02 0-) (f � ' 65 (paid at District Office) (Available after Plan Check) -1 3. SHERIFF FEES (paid at Building Division) C / Residential ...................... x $360.00 = $ 3 , 3 74(02,e Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 3� 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the p� ch34'ng process. APPLICANT / DATE 4 147 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6100) BUT?rE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One (form per Building) School District O(OV I `e e ��"Y ` % Building Department No. A.P. Number f�l(J I ^ �D JJuDnsdiction: City County Property Owner Ul C Z —! 5 VC `'/-- Property Location/Addressy(O , I CD W ems.. DIy(o Y "Nc Subdivision ►�.C. I I �( �/�6C C5 ,3 Lot No. j (0 3 L20�3 Residential Development Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to Units Installation Conversion Permit # ' '(No foundation inspection): i................................................................................................................... Commercial/Industrial n Building Department vans revieweo ov acnooi uisinci ISZD aell*,- (Group R) r Sq. Footage (Including Exterior Roofed Areas) �-03- D3 Date District Identification No. School District certifies that L� (Applicant) tY (Street Address) (Phone Number) a6-2��915-i6 to (City) (State) (Zip Code) has complied with the requirements of Resolution No. —O Ix by payment of $ representing square feet. AB 2926 $ FULL MITIGATION $ School District Representative Date Paid by Check # 2 A0/ y Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent-to._the_School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm ENCROACHMENT PERMIT 0 7r -J % ::� O t4 tJ 51-A iz k County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download Forms: www.buttecounty.net/publicworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone 530) 538-7157 Ext. 2016 Permit Number 030506 District k— 6 APPLICATION I / WE, the undersigned, hereby Apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted. 1. Applicant's Name: o I a. Company Name: 2. Address: ��G ` `✓�t� ��' 1L� �l'Z. c- 2 Yfi 5 k 3. Phone: Fax'. s8I- Z94Z 4. Assessor' Parcel Number. C? - pain 5. Location of Work to be Done 6. Applicant's Signature. / 7. Date: A �- CONTRACTOR'S INFORMATION 8. Contractor's Name 9. Address 10. Phone: 11. Fax: 12. Contractor's License Number: 13. Certificate of Insurance: Yes ❑ No: ❑ 14. Contractor's Signature: 14a. Date Signed: 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check: Curb: ❑ Gutter: ❑ Sidewalk: ❑ 17. Driveway (List Type): C �pp2oacl� 18. Other: PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, permission is hereby ted. 19. Conditions Underground Service Alert .S.A. must be notified two working days prior to any excavation. 800-227-2600 20. ® All work shall conform to accompanying: Detail ® Plans O Special Conditions 0 21. Date Issued 22. Expiration Date: 23 Surety: yrs Mike Crump, Director of Public Works By: *" Note: If permits are faxed to any number besides (530) 5384356, they can be delayed up to to e week. Page 1 of 2 General Conditions — See Page 2 BETTER BUILDi -ac) O Q .r�. r.� ,vo � LAKE OROVILL -REA PUBLIC UTILITY DISTRICT • ,567 60 ELGIN STREET (ttc�lt Wil .r OROVILLE, CALIFORNIA 95966 (530) 533-2000. ct. DATELA �o r i.r 4 tA� :un VJ�I�► r 1k fSik,b �r$ 1)�r�:)C RECEIVED FROM t� �,) : '03-=t�_ynrl `Jir�4f�lQS�t►DOLLAI FOR Q, AMOUNT OF ACCOUM C 860 •.+w rUi ❑ ASH A !a )t '.� THISPAYMEM wr e',j CHECK B� • "ryn (((((oi"������i�� r .pALANCE DUE ❑#+ M.O. r?r l �l J%jJ/Jr I I ft • S 51N322(10/02)184156 Date: April 2, 2003 Applicant: John & Carol Raczynsky (Better Builders Const) Applicant Address:63 Royal' Oaks Dr) (Oroville CA 95966) Applicant Phone No.: (589-2574) i 86 Kokanee Dr. Oroville CA 95966 Property Locations(s): KRE Unit 3 Lot 68 A.P. No. (s): 069-200-030 Fees due: All fees paid. New service connection. Application for service approved: PUBLIC UTIMl Y DISTRICT U( I,* • Rm, , Inspection(s) made and successful test(s) observed: Location: Date: By: Lake Oroville Area Public Utility District release to close permit: Date: By. 4 , Cil GLTZ( LthtNLns6 tashll.S&s2c€O CA� 4,�R- I'l b.t `SK, l2nL 2lvi5nt 1'2 I -NK OL+- lb 441 Y- 6C/ --oz 0-�D -0 s /O63 BUTTE COUNTY BUILDING DIVISION APPROV 1 MICHAEL MOONEY CIVIL ENC 'ER RCE 20647 EXPIRES 9-30-05 5A MADRONE AVE OROVILLE, CA. 95966 , 530-533-2131 Date: 05/12/03 Page: CANTILEVERED RETAINING WALL DESIGN Q- � WAv_ WALL & FOOTING DATA Retained Height = Wall Ht. above Soil = Toe Width = Heel Width = Total Footing Width = Footing Thickness = Key Depth = Key Width = Toe to Key Dist. _ SLIDING CHECK - Fta/Soil Friction = Soil to Neglect Lateral Pressure Passive Pressure = Friction Add'1 Force Required SUMMARY Pressure @ Toe = Pressure @ Heel Allowable. Press. _ Ecc. of resultant Max. Shear @ Toe = Max. Shear @ Heel = Allow. Ftg Shear = Factors of Safety: Overturning = Sliding = Origin of Force... Active Soil Press. _ Soil over Heel Soil over Toe = Sloped Soil @ Heel = Adjacent Ftg. Load = Surcharge Over Heel = Surcharge over Toe Axial Load on Wall Load @ Proj . Wall Averaged Stem Wts. _ Added Lateral Load = Footing Weight = Key Weight _ Vertical Component of Active Pressure = 541 # VERTICAL LOADS = 0.0 LATERAL LOADS - 4.00 ft Axial DL on Stem = 178 plf Lateral Load Acting on 0.33 ft Axial DL on Stem = 104 PH Stem Above Soil = 1.00 ft ....Eccentricity = 0.00 in Add'1 Lateral Load = 2.00 ft Surcharge over Toe = 0.0 psf Dist to Load Start = 3.00 ft Surcharge over Heel = 100.0 psf Dist to Load End _ 14.00 in Heel 1.25 PC 254.0 0.00 in Note: Heel Surcharge Resists Overturning 360 ppsf 0.00 in SOIL DATA Mu -Upward = 675 ADJACENT FOOTING 0.00 ft Allowable Bearing = 1500 psf Vertical Load = 1126 ft-# Active Lateral - 30.0 pcf Load Eccentricity = 0.35 -513 .....Max Press. = 0.0 pcf Footing Width = 0.00 in .....Slope Press. = 0.0 pcf Ftg. CL to Wall = 541 # Backfill Slope = 0.0 :1 Vert. Position of Ftg. 170 # Passive Press. = 250.0 pcf ...Above/Below: [+/-] 643 # Soil Density = 110.0 pcf Spread Footing 0.0 # Soil Ht over Toe = 0.00 in 0.00 0 0 178.0 1.25 0.00 FOOTING DESIGN 1040.5 psf Soil Press. Mult. Toe Heel 1.25 PC 254.0 psf By ACI Eq 9-1 1473 360 ppsf 1.50 1500 psf Mu -Upward = 675 613 ft-# Min. As Percent 3.65 in Mu -Downward = 123 1126 ft-# Omit SP Under Heel 1.20 psi Mu -Design = 552 -513 ft-# Toe -2.12 psi One -Way Shear: # 4 @ 13.61 85.00 psi Actual = 1.2 2.1 psi # 5 @ 21.09 Allowable = 85.0 85.0 -psi # 6 @ 29.93 3.10 :1 Cover over Rebar = 3.50 2.50 in # 7 @ 40.82 1.50 :1 'd' = 10.50 11.50 in # 8 @ 48.00 Ru = Mu/bd"2 = 5.6 4.3 psi # 9 @ 48.00 SUMMARY OF FORCES & MOMENTS Overturning Moments Resisting Moments - # ft ft-# # ft 541. -20., 1 O.i 0.1 I 0.1 I 0A 0 Totals = 520.9 # Resisting Totals Used For Soil Pressure (Vert. Component of Active Pressure Removed) V4.4C1 (c) 1983-96 ENERCALC 1.95 1053.6 0 0 0 0 660.0' 2.25 0.39 -7.9 0.0 0.00 0 0 0.0 0.00 0.00 0.0 0.0 0.00 0 0 150.0 2.25 0.00 0.0 0.0 0.00 0 0 178.0 1.25 0.00 0.0 0 0 0 0 324.8 1.25 0.00 0.0 0 0 0 0 525.0 1.50 0 0 0.0 0.00 0 0 0.0. 0.00 1045.7 ft-# 1837.7 # 1837.7.# Heel - 12.42 in o/c 19.25 in o/c 27.33 in o/c 37.27 in o/c 48.00 in o/c 48.00 in o/c ft-# 0 1485.0 0.0 0.0 0.0 337.5 0.0 222.5 0 405.9 0 787.5 0.0 0.0 0.00 psf 0.00 pplf 0.00 ft 0.00 ft 0.0 # 0.00 in 0.00 ft 0.00 ft 0.0 ft No 2500 psi 40000 psi 0.0014 No 3238.4 ft -1 3238.4 ft-# (continued on next page.... ) MICHAEL MOONEY, KW -0601576 MICHAEL MOONEY CIVIL ENC =ER RCE 20647 EXPIRES 9-30-05 - 5A MADRONE AVE OROVILLE, CA. 95966• . 530-533-2131 CANTILEVERED RETAINING WALL DESIGN ( ..... continued) STEM SDhQ y Top Stem: From 4.00 ft to Top of Wall 6.00in Concrete w/ # 4 @ 18.00in, d= 3.00in f' c= 2500.Opsi, Fy= 40000.Opsi Wall Wt.= 75.00psii, Bar Embed= 12.Oin Mu = 0.0 <= Mn = 1158.Oft-# Vu = 0.00 <= Vn = 85.00psi Interaction Value = 0.000 a Second Stem From 3.00ft to 4.00ft F 6.00in Concrete w/ # 4 @ 18.00in, d= 3.00in f'c= 2500.Opsi, Fy= 40000.0psi Wall Wt.= 75.00psf, Bar fted= 12.Oin Mu = 29.6 <= Mn = 1158.Oft-# Vu = 1.28 <= Vn = 85.00psi Interaction Value = 0.026 Third Stem From 2.00ft to 3.00ft 6.00in Concrete w/ # 4 @ 18.00in, d= 3.00in f'c= 2500.Opsi, Py= 40000.Opsi Wall Wt.= 75.00ps , Bar Embed= 12.Oin Mu = 152.5 <= Mn = 1158.Oft-# Vu = 4.22 <= Vn = 85.00psi Interaction Value = 0.132 Fourth Stem From 1.00ft to 2.00ft 6.00in Concrete w/ # 4 @ 18.00in, d= 3.00in f'c= 2500.Opsi, FFyy= 40000.Opsi Wall Wt.= 75.00psf, Bar Embed= 12.Oin Mu = 419.7 <= Mn = 1158.Oft-# Vu = 8.59 <= Vn = 85.00psi Interaction Value = 0.362 { Bottom Stem From O.00ft to 1.00ft 6.00in Concrete w/ # 4'@ 18.00in, d= 3.00in f'c= 2500.Opsi, = 40000.Opsi Wall Wt.= 75.00ps , Bar Embed= 6.3in Mu = 882.2 <= Mn = 1158.Oft-# Vu = 14.36 <= Vn = 85.00psi Interaction Value = 0.762 Date: 05/12/03 Page: HEEL (top) : 5e^ " o. c. it TOE (bot) : 5 4 " 0. C. f M a 4 HORIZ. AS SHOWN r 3,- o.. V4.4C1 (c) 1983-96 ENERCALC MICHAEL MOONEY, KW -0601576 .SLAB VERT STEEL COMPACT BACKFILL #4's A T 18" cc. #4 DOWELS AT 18 "cc. REBAR CENTERED REBAR CENTERED IN WALL . _\ HORIZ. STEEL °�° 21"L #4's A T 13" OC. MAX 9„ 12„ 2" CLR #4's A T 15 "cc.. • (3) #4's CONT 3" CLR. 36" 4 RET WALL MICHAEL MOONEY CIVIL ENC -ER RCE 20647 EXPIRES 9-30-05 5A MADRONE AVE OROVILLE, CA. 95966, 530-533-2131 Date: 05/12/03 Page-�* CANTILEVERED RETAINING WALL DESIGN WALL & FOOTING DATA Retained Height = Wall Ht. above Soil = Toe Width = Heel Width Total Footing Width = Footing Thickness = Key Depth = Key Width = Toe to Key Dist. _ SLIDING CHECK - Ftg/Soil Friction = Soil to Neglect = Lateral Pressure = Passive Pressure Friction = Add' 1 Force Required SUMMARY Pressure @ Toe = Pressure @ Heel = Allowable Press. Ecc. of resultant = Max. Shear @ Toe = Marc. Shear @ Heel = Allow. Ftg Shear = Factors of Safety: Overturning = Sliding Origin of Force... Active Soil Press. _ Soil over Heel = Soil over Toe = Sloped Soil @ Heel = Adjacent Ftg. Load = Surcharge Over Heel = Surcharge over Toe Axial Load on Wall = Load @ Proj . Wall = Averaged Stem Wts. _ Added Lateral Load Footing Weight = Key Weight Vertical Component of Active Pressure = Totals = 5 f (L'F wj� VERTICAL LOADS 5.00 ft Axial DL on Stem = 0.33 ft Axial DL on Stem = 1.33 ft ....Eccentricity = 2.00 ft Surcharge over Toe = 3.33 ft Surcharge over Heel 12.00 in LATERAL LOADS 178 plf Lateral Load Acting on 104 plf Stem Above Soil 0.00 in Add' 1 Lateral Load 0.0 psf Dist to Load Start 100.0 psf Dist to Load End 12.00 in Note: Heel Surcharge Resists Overturning 0 0 0 0 12.00 in SOIL DATA 2128.5 -15.0 ADJACENT FOOTING - 1.17 ft Allowable Bearing = 1500 psf Vertical Load 0.0 = 0.0 0.0 Active Lateral = 30.0 pcf Load Eccentricity 0 = 0.35 150.0 .....Max Press. = 0.0 pcf Footing Width 0.0 = 0.00 in .....Slope Press. = 0.0 pcf Ftg. CL to Wall 0.0 = 704 # Backfill Slope = 0.0 :1 Vert. Position of Ftg. 399.8 1.58 500 # Passive Press. = 250.0 pcf ...Above/Below: (+/-] 0 _ 771 # Soil Density = 110.0 pcf Spread Footing 150.0 ? 0.0 # Soil Ht over Toe = 0:00 in FOOTING DESIGN 1088.1 psf Soil Press. Mult. Toe Heel f'c = 291.0 psf By ACI Bq 9-1 = 1538 420 ppsf = 1500 psf Mu -Upward = 1229 661 ft-# Min. As Percent = 3.80 in Mu -Downward = 186 1260 ft-# Omit SP Under Heel ? 7.46 psi Mu -Design = 1043 -599 ft-# Toe Heel - -3.61 psi One -Way Shear: # 4 @ 16.81 15.04 in o/c 85.00 psi Actual = 7.5 3.6 psi # 5 @ 26.05 23.31 in o/c Allowable = 85.0 85.0 psi # 6 @ 36.97 33.08 in o/c 2.88 :1 Cover over Rebar = 3.50 2.50 in # 7 @ 48.00 45.11 in o/c 1.81 :1 'd' = 8.50 9.50 in # 8 @ 48.00 48.00 in o/c Ru = Mu/bd"2 = 16.0 7.4 psi # 9 @ 48.00 .48.00 in o/c SUMMARY OF FORCES & MOMENTS Overturning Moments ' Resisting Moments ft ft #. # ft ft-# 703.6 2.23 1570.9 0 0 0 0 0 0 825.0 2.58 2128.5 -15.0 0.33 -5.0 0.0 0.00 0.0 0 0 0 0.0 0.00 0.0 0.0 0.00 0.0 0.0 0.00 0.0 0 0 0 150.0 2.58 387.0 0.0 0.00 0.0 0.0 0.00 0.0 0 0 0 178.0 1.58 281.2 0.0 0.00 0.0 0 0 0 0 0 0 399.8 1.58 631.6 0.0 0.00 0.0 0 0 0 0 0 0 499.5 1.67 831.7 0 0 0 150.0 1.67 250.5 0 0 0 0.0 0.00 - 0.0 688.6 # Resisting Totals Used For Soil Pressure (Vert. Component of Active Pressure Removed) 1565.9 ft-# 2202.2 # 2202.2 # 4510.5 ft-# 4510.5 ft-# 0.00 psf 0.00 pplf 0.00 ft 0.00 ft 0.0 # 0.00 in 0.00 ft 0.00 ft 0.0 ft NO 2500 psi 40000 psi 0.0014 No (continued on next page.... ) VA -ACI (c) 1983-96 8NERCALC MICHAEL MOONEY, KW -0601576 MICHAEL MOONEY CIVIL ENC --ER RCE 20647 EXPIRES 9-30-05 5A MADRONE AVE OROVILLE, CA. 95966 , 530-533-2131 Date: 05/12/03 Page: CANTILEVERED RETAINING WALL DESIGN ( .....continued) STEM SUMMARY Top Stem: From 4.00 ft to Top of Wall 6.00in Concrete w/ # 4 @ 18.00in, d= 3.00in frc= 2500.0psi;Fy= 40000.Opsi Wall Wt.= 75.00psf, Bar Embed= 12.Oin Mu = 29.6 <= Mn = 1158.Oft-# Vu = 1.28 <= Vn = 85.00psi Interaction Value = 0.026 Second Stem From 3.00ft to 4.00ft 6.00in Concrete w/ # 4 @ 18.00in, d= 3.00in f'c= 2500.Opsi, Fy= 40000.Opsi Wall Wt.= 75.00psf, Bar Embed= 12.Oin Mu = 152.5 <= Mn = 1158.Oft-# Vu = 4.22 <= Vn = 85.00psi Interaction Value = 0.132 Third Stem From 2.00ft to 3.00ft 6.00in Concrete w/ # 4 @ 18.00in, d= 3.00in f'c= 2500.0psi, T�y 40000.Opsi Wall Wt.= 75.00ps�, Bar Embed= 12.Oin Mu = 419.7 <= Mn = 1158.Oft-# Vu = 8.59 <= Vn = 85.00psi Interaction Value = 0.362 Fourth Stem From 1.00ft to 2.00ft 6.00in Concrete w/ 14 @ 18.00in, d= 3.00in frc= 2500.Opsi, Fy= 40000.Opsi Wall Wt.= 75.00psf, Bar Embed= 12.Oin Mu = 882.2 <= Mn = 1158.Oft-# Vu = 14.36 <= Vn = 85.00psi Interaction Value = 0.762 Bottom Stem From O.00ft to 1.00ft 6.00in.Concrete w/ # 5 @ 18.00in, d= 3.00in f'c= 2500.Opsi, Fy= 40000.Opsi Wall Wt.= 75.00psi, Bar Embed= 9.4in Mu = 1590.9 <= Mn = 1759.2ft-# Vu = 21.56 <= Vn = 85.00psi Interaction Value z 0.904 o" CONC. " 4,3, 18" Vert -- ri -5 4b 18 - Horiz o" CONC. a 4 Ca 18" Ver 15 (P 18 " Horiz T- 3 i V4.4C (c) 1983-96 ENERCALC . MICHAEL MOONEY, KW -0601576 ME ' r 6"l SLAB \:v /� HORIZ. STEEL #4's AT 13 'OC MAX. VERT STEEL COMPACT #4's AT 18"cc. BACKFILL _ #5 DOWELS AT 18'oc.' REBAR CENTERED IN WALL a REBAR CENTERED 21" 16" PROVIDE DRAINAGE TO DAYLIGHT 16 2" CLR UNDISTURBED GROUND #4's AT 15 "cc. • . (4) #4's CONT. N " CLR. 14" 40" 5 FOOT RETAINING WALL ME ' + MICHAEL MOONEY CIVIL ENC RCE 20647 EXPIRES 9-30-05 5A MADRONE AVE OROVILLE, CA. 95966 530-533-2131 'ER Date: - 05/12/03 Page: CANTILEVERED RETAINING WALL DESIGN WALL & FOOTING DATA VERTICAL LOADS LATERAL LOADS Retained Height = 6.00 ft Axial DL on Stem = 178 plf Lateral Load Acting on Wall Ht. above Soil 0.33 ft Axial DL on Stem = 104 plf Stem Above Soil = 0.00 psf Toe Width = 1.33 ft ....Eccentricity = 0.00 in Add'1 Lateral Load = 0.00 pplf Heel Width = 2.00 ft Surcharge over Toe 0.0 psf Dist_ to Load Start = 0.00 ft Total Footing Width = 3.33 ft Surcharge over Heel = 0.0 psf Dist to Load End = 0.00 ft Footing Thickness = 12.00 in Key Depth = 12.00 in Key Width = 12.00 in SOIL DATA ADJACENT FOOTING Toe to Key Dist. = 1.17 ft Allowable Bearing = 1500 psf Vertical Load = 0.0 # SLIDING CHECK Active Lateral = 30.0 pcf Load Eccentricity = 0.00 in Ftg/Soil Friction = 0.35 .....Max Press. = 0.0 pcf Footing Width = 0.00 ft Soil to Neglect _ 0.00 in .....Slope Press. = 0.0 pcf Ftg. CL to Wall = 0.00 ft Lateral Pressure = 735 # Backfill Slope = 0.0 :1 Vert. Position of Ftg. Passive Pressure 500 # Passive Press. = 250.0 pcf ..,Above/Below: (+/-) = 0.0 ft Friction - 802 # Soil Density = 110.0 pcf Spread Footing ? No Add'1 Force Required = 0.0 # Soil Ht over Toe = 0.00 in SUMMARY FOOTING DESIGN Pressure @ Toe = 1189.1 psf Soil Press. Mult. Toe Heel f'c = 2500 psi Pressure @ Heel = 250.1 psf By ACI Eq 9-1 = 1680 353 ppsf FY = 40000 psi Allowable Press. = 1500 psf Mu -Upward = 1330 622 ft-# Min. As Percent = 0.0014 Ecc. of resultant 4.35 in Mu -Downward = 186 1276 ft-# Omit SP Under Heel ? No Max. Shear @ Toe 8.21 psi Mu -Design = 1144 -654 ft-# Toe Heel Max. Shear @ Heel = -3.97 psi One -Way Shear: # 4 @ 16.81 15.04 in o/c Allow. Ftg Shear = 85.00 psi Actual = 8.2 4.0 psi # 5 @ 26.05 23.31 in o/c Factors of Safety: Allowable = 85.0 85.0 psi # 6 @ 36.97 33.08 in o/c Overturning = 2.73 :1 Cover over Rebar = 3.50 2.50 in # 7 @ 48.00 45.11 in o/c Sliding 1.77 :1 'd' = 8.50 9.50 in # 8 @ 48.00 48.00 in o/c Ru = Mu/bd"2 = 17.6 8.1 psi # 9 @ 48.00 48.00 in o/c SUMMARY OF FORCES & MOMENTS Overturning Moments Resisting Moments Origin of Force... # ft ft-# # ft ft-# Active Soil Press. - 735.0 2.33 1715.0 0 0 0 Soil over Heel _ 0 0 0 990.0 2.58 2554.2 Soil over Toe = -15.0 0.33 -5.0 0.0 0.00 0.0 Sloped Soil @ Heel 0 0 0 0.0 0.00 0.0 Adjacent Ftg. Load = 0.0 0.00 0.0 0.0 0.00 0.0 Surcharge Over Heel = 0 0 0 0.0 0.00 0.0 Surcharge over Toe = 0.0 0.00 0.0 0.0 0.00 0.0 Axial Load on Wall = 0 0 0 178.0 1,58 281.2 Load @ Proj . Wall = 0.0 0.00 0.0 0 0 0 Averaged Stem Wts. 0 0 0 474.8 1.58 750.1 Added Lateral Load - 0.0 0.00 0.0 0 0 0 Footing Weight = 0 0 0 499.5 1.67 831.7 Key Weight = 0 0 0 150.0 1.67 250.5 Vertical Component of Active Pressure.= 0 0 0- 0.0 0,00 0.0 Totals = 720.0 # 1710.0 ft-# 2292.2 # 4667.7 ft-# Resisting Totals Used For Soil Pressure 2292.2 # 4667,7 ft-# (Vert. Component of Active Pressure Removed) (continued on next page.... ) V! .4C1 (c) 1983-96 ENERCALC . MICHAEL MOONEY, KW -0601576 MICHAEL MOONEY CIVIL ENG ER RCE 20647 EXPIRES 9-30-05 5A MADRONE AVE OROVILLE, CA. 95966 , 530-533-2131 CANTILEVERED RETAINING WALL DESIGN I ..... continued) STEM SUMMARY Top Stem: From 4.00 ft to Top of Wall eyrie. 6.00in Concrete w/ # 4 @ 18.00in, d= 3.00in a18' Vert a f'c= 2500.Opsi, Fy= 40000.Opsi ¢s (a 18 Horiz Wall Wt.= 75.00psf, Bar Embed= 12.0in Mu = 68.0 <= Mn = 1158.Oft-# Vu = 2.17.<= Vn = 85.00psi CONC. Interaction Value = 0.059 �4 18" Vert & CL a�18"Hori2 Second Stem From 3.00ft to CHU 6.00in Concrete w/ # 4 @ 18.00in, d= 3.00in f'c= 2500.Opsi, Fy= 40000.Opsi Wall Wt.=. 75.00psf, Bar Embed= 12.Oin Mu = 229.5 <= Mn = 1158.Oft-# Vu = 5.36 <= Vn = 85.00psi Interaction Value = 0.198 Third Stem From 2.00ft to 3.00ft 6.00in Concrete w/ # 4 @ 18.00in, d= 3.00in f'c= 2500.Opsi, F�y= 40000.Opsi Wall Wt.= 75.00psf, Bar Embed= 12.Oin Mu = 544.0 <= Mn = 1158.0ft-# Vu = 9.96 <= Vn = 85.00psi Interaction Value = 0.470 Fourth Stem From 1.00ft to 2.00ft 6.00in Concrete w/ # min, d= 3.00in f'c= 2500.Opsi, FFyy= 40000.Opsi N(3 �{ S6 l g jx- Wall Wt.= 75.OOpsBar Embed= 12.Oin Mu = 1062.5 <= Mn = 2563.2ft-4 Vu = 15.98 <= Vn = 85.00psi Interaction Value = 0.415 - Bottom Stem From O.00ft to 1.00ft 6.00in Concrete w/ # 5 @ 12.00in, d= 3.00in f' c= 2500.Opsi, = 40000.Opsi Wall Wt.= 75.00ps , Bar Embed= 7.3in Mu = 1836.0 <= Mn = 2563.2ft-9 Vu = 23.42 <= Vn = 85.00psi Interaction Value = 0.716 Date: 05/12/03 HEEL (top) : S " o. c. TUE (Dot) : A 5 o. c. a 4 HORIZ. AS SHOWN 0 Page: 61 C U 4 L i • 1ii• t v is•• 3 3! Is- V4.4C1 (c) 1983-96 ENERCALC MICHAEL MOONEY, KW -0601576 COMPACT BACKFILL X Q #5 DOWELS AT 12" O.C. CENTERED IN WALL' 21" 18" PROVIDE DRAINAGE TO DAYLIGHT 2" CLR #4's A T- 15 "cc. . (4) #4's CONT. VERT STEEL #4's A T 18 "cc. HORIZ. STEEL #5's AT 15 "OC MAX. Vc = 2500 PSI A T 28 DA YS GRADE 40 REBAR MINIMUM 12" MINIMUM REBAR LAP REBAR CENTERED IN WALL r 16" UNDISTURBED GROUND N k-12" J, 14" 40" 6 FOOT RETAINING WALL Mme 'ItIi fl c ,vim AP # PERMIT # NAME [273.10 Turnouts. Driveways exceeding 150 feet in length,but less than '800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds "800'feet, 'turnouts shall be provided no more than 400 feet apart. [1273.10' Turnaround. A turnaround shall be provided at all building sites on driveways` over 300 feet `in`length 'and shall be within 50 feet of the building. 1273.11 Gates [ 1. Gate entrances shall be at least two feet wider than the roadway it serves. [ 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway`. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. fi Fuel Modification , 1276.01 Setback for Structure`_ Defensible Space. [ ] 1. All parcels 1 acre azd larger shall provide a mini- mum 30 'foot `setback for buildings and accessory buildings from all property lines and/or the center of the road. ( 2. For parcels less than l acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below.` [ 1276.02 Disposal of Vegetation and Fuels. Disposal, includAg chipping, burying, burning or removal to a`landfill 'site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway `construction 'and fuel ". modification shall be completed prior to 'completion`of road construction -)r fi.ial inspection of a 'building permit. u Page ;2 of 3