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069-530-003
C. NOTES RESIDENTIAL •� s PERMIT NO. 069-530-003 05-1779 HENSLEY,RON KELLY RIDGE ESTATES, OROVILLE Cont: LOWELL HAGBERG NSF 2565, GAR 735 SQ Z! low SPECIAL CONDITIONS CHECKED BY ZSRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. . SPECIAL INSPECTION ITEMS , VERIFY USE PERMIT CONDITIONS t X .SUB -STANDARD HOUSING.LETTER r _ i r q l j—_; -- --� _ i� OFFICE COPY f r Address 1 GAS { Meter By Corxx-t Date—lp--23 1 ELECTRIC i Meter By I Date-�� Q� JOB FINALED (Date) y Signature�w`a��(1�vQJI J =OK 0 = Not OK - = NotApplicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDEXIFLOOR (Plans) OK except #'s 2' Fig., Main; Soils-ElecA�wid.-/J' Ftg. Depth tg., Garage; Soils-Steel-Elec. Grnd.-/ ' Ftg. Depth 4. F ., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 6a: Hold Downs and Special Anchors T. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel ,W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 140"Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. enums & Ducts; Clearance -Material -Support -Ins. irders-Sills-Anchor Bolts-Joists-Vents-Crippies V<' Access & Ventilation 16. Insulation Date rI t (0 Card B-1 TZ_ i t, Date Card B-1 Oaten I CgCard 1 Date Card B-1 Date PLU NG (Permit) OK except #'s 1jQffater Htr.; Vent -Access -Combustion Air Baffle Water Pioe: Test & Anchor -Nail Protection D. .V.; Test Fittings & Anchor -Nail Protection 1 0. ho r Pan; Test, First Floor -Tub Access 21. Teft Tub & Shower, Second Floor -Tub Access Q2!Gas Pipe; Sixe & Anchors UK (()—q -Ob Uli 23. Fire S rinkler, Test ywr c-5 csle, d o . ro . �� a.. 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 Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors Stapled \ mex Installed Close to Edge of Studs & C.J. uip. Ground made up w/Meth Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size GFI 0 , Weed Wire Size/ -%/ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 340'Range Circle/a /ga Cu or Al -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. Serv'ce-Riser Conductors & Ground Main Disconnect 33. uip. Clearances Panels-Motors-Mech. Equip. C thes Closet Light -Shower Light -Spa Light Ti t o ,9 Q � (, Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ' MEC NICAL (Permit) OK except #'s Ducts Insulation & Support V_ VjFd _ Fan, Exhaust above insulation ,Gndensate Drain & Overflow, Size & Grade F mace -Vent Access -Comb. Ait-Refurn Air Vent 115 Outlet 4V Attic Access & Platform if Furnace in Attic`: Date Card B-1 Date Card B-1 Date Card B -1.:r Date Card B-1 Date F ING (Permit) OK except #'s - STs Proper Materials & Anchors s Studs -Nailing Spacing & Braces -Plates -Sound ;* . aring Walls over:Girders & Floor Nailing - - 4 -Draft Stop in Walls (rat proof) ^F a Stops, Furred Ceilings -Stairs- -Chasers -Tubs r;,i- " `Yx>v-=• , Headers & Beams -Size & Bearing, Date FRAMI4G (Continued) U_T Iiqq,Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 4 • 1 place Ties or Type AFlue-Fireplace Throat Clearance 50'Att"c Access; Size & Romex Protection -Draft Stop -Ins. Baffles Windows or Exiting Doors -Sill Ht. & Dimensions r, / 0 O 12,7, Garage Fire Protection Framing -RC Channel q Doors -One 3' -Check Garage 3rd Story, 2 Exits 7, y0, ©(o /Z 1-67 Lairs; Wi - ead Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. ding -Nailing Veneer F W. Ecco Mesh -Drip Screed -Fd. Vents-Underflr. Access dazing Area -Glass Protection -Skylights -Plastic LN Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Wal Is -Windows Date ' •2 —C� Card B-1 k_,.7j Date Card B-1 Date*!%rC, O Gard B-1 2' (49 Date Card B-1 Date FINAL (Plans) 6K except #'s 64. EE t. Steps -Door & Sidelight Protection -Landings Sm Detector W-IFUrnace Vents -clearance -Comb, Air-Connector- In"Garaae: Above Floor-Ducts-Mech. Protection. LJ613eIG.F.I. & Bath Fixtures & Tub Access -Spa - ,69 1 rim & Subpanel, Breaker Sizes & labels 41§tairs,& Rails dace or Stove, Clearance -Hearth Elec. Outlets at Wood Panel, Int. & Ext. 3 Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance f EI . utlets & Receptacles at Kit. Counter Garage Fire Door, Swing -Landing -Closure 76. A Duct in Garage -Damper 7 tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. inge; Above Floor -Meth. Protection Elec. & Mech. Equip. Listed for Location 7 . Receptacles in Garage (F.F.1.)-Romex Protection I ation-Foam-Looked in Attic G Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes ., / /t /83. /Followina InAdA)Ave O Yes 0 No/Walks 0 Yes O No/Planters O Yes O No SNPco Brown-Finisti' A.C,Unit Disconnect, Electrical -Plumbing 6 ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. ater Well, Disconnect, Electrical, Plumbing Exterior Elec. Trim, G.F.I. Receptacle -Underground T8g/Velttilation Throughout House 91 orrections from Previous Inspections Gas Test -Meters Tagged, Gas -Electric er & Sewer Connected -C/O to Grade -HD Approval E rgy Compliance Certificate -Other Certificates f 95 Address Posted 96. Fire Sprinkler 1,q-0Card B-1 Date %f. ZZ - 6(o Card B-1 (z -- Date) t - 70.0t'p Card B-1 Date Card B-1 Date Card B-1 Date Card B -1•7 - Comments at Final: . Z. + . J=OK 0 =Not OK = Not Applicable . =Not Ready MOBILE HOMES . Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date 2. Soils; Special MH Support Sketch Date 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 1. Zoning Requirements -Setbacks -Easements 5. Electricity, Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L W P LPG 7. Well Clearance & Disconnect 3. Blocking 8. Utility Clearance 4. Gas; MH Test -Demand -Valve Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 7. Water and Sewer Connected 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 9. Exits 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectoe 11. Verify #'s with Office 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. Card B-1 Date 10. Exits; Insp.-Sketch Date 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 ti'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 �COUNTY OF BUTTE. • . • ' ` ' ' u. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 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 call for re -inspection when correction of AQ - work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Y� Date I- Inspector \lam n2��f-F GA g PC -/4-1 E 2 REV 4/05 Phone # (r' 82-Z FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 E COUNTY OF BUTTE. BUILDING DIVISION rNn DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE I E� sLE`/ 0,5 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of 3 work is completed. If you have any questions pertaining to this matter, or need additional e)fplanation, please contact the Building Inspector as indicated below. _< E Pmo n -n4R N CR( i F- A +l ' FtRniOR-R1 P�oU lf)E o�! A U- as' LIA .0 i/'I A --f 1� n W M S TE ,D2- Is S& I F- C coS/4/6 ..x:s Ul l-�T �N m�sTE,2 s�ra� c�OS�7x )lel G, Fne- 0WIV -rg 9 Z) /J/A( �-- 'ice t�N oERt=I�K- Rl2FA Date nspector \5-3 9-6,P t REV 4/05 P-IN7SP-Z4 Phone# �1 `L/538-7636 OR 891-28340610?HVAC \ 2 k - D Ce. o COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Ciroville, CA • (530) 538-7541 CORRECTION NOTICE --D OWNER PERMIT NO. A routine inspection indicates that the following'violations of Butte County Ordinances exist at thea b e address and should be corrected. Please call for re -inspection when correction of Work '7completed. if you have any questions pertaining to this matter, or need additional expAation, please contact the Building* I.nspect.br as indicated below. P_ f Date Insp6ctor REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive * Oroville, CA e (530) 538-7541 CORRECTION NOTICE OWNER PERMIT 0, violations of A routine inspection indicates that the followingButte County Ordinances exist at the above address and should be corrected. Please call for re inspection when correction of work is completed. If you have any'quesiions pertaining to this matter, or need additional e x lanaon, please contact the Building Inspector as.indicated below. p)i C CC- I A 1- 7 , 2' Dafe- Inspector , REV 4/05 Phone # FOR. RE-INSPECTIONCALL: 538-7636 OR 891-2834 A COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE /kD . I pq f!�l 7 aWN` I PERMIT NO... _ A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction .of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contactf the Building Inspector as indicated below. Date If ' ©f Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 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 call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. —, tc'r ►. LD c- n (A v u 2.1 eA AA 0 r!�• 0 SeI 12-, OG (C -'y �et.Pa r i C n" Z Inspector 1 �� U w n ti Date _ _ — ..- REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE y4 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional aynianatinn. ❑lease contact the Building Inspector as indicated below. Date f f ` A Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636.011 891-2834 BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BP051779 OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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 'ons Issued Date: 03/13/2006 APN: 069-530-003-000 the Business and Profes Code, and my license is in full force and effect. License Class :-16MLicense Nu er: 33 L Site Address: 27 OMAN DR ORO Date:3-L-)(Xontractor:d A Map Index: OWNER-BUILDE ECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: NSF(2551)GAR(811)COV(540)OPEN(540) Contractors' Slate 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: HENSLEY RONALD J & LORENDA L to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 2473 MELTON CIRCLE 7000) of Division 3 of the Business and Professions Code) or that he or LIVE OAK CA 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 95953 applicant to a civil penalty of not more than five hundred dollars ($500).): (530) 695-0593 ❑ I, as owner of the property, or my employees with wages as their - sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who doesHENSLEY Applicant: RONALD J & LORENDA L 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 2473 MELTON CIRCLE 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 LIVE OAK CA sale.). 95953 ❑ I, as owner of the property, am exclusively contracting with (530) 695-0593 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: HAGBERG, J. LOWELL ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: 1151 FRENCH AVENUE GRIDLEY, CA 95948 WORKERS' COMPENSATION DECLARATION 530-682-1533 Cell I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 381195 Labor Code, for the performance of the work for which this permit` /.issued. 2 I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation ` insurance carrier and policy number are: Engineer: C � Carrier: CS� 'iT�,�1e l/ D /f'LAS Policy #:�Q (� — W �Z ❑ 1 certify that in the performance of the work for which this per mit.is Total Square Ft: 4442 S.F. issued, I shall not employ any person in any manner so as to Valuation: $199,319.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: ( -7- D CD Applicant:. WARNING: ailure to secure workers' com nsation 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 —' I hereby affirm that there is a construction lending agency for the "7his p rmdi er gs under"'ie ajipi' 'iC"I-iruvi-un s Gi=Gee-fa;tta Ccu'fyCcde.an<, r Resolutio to d ork' dicate •a ove f hich fees have been paid. performance of the work for which this permit is Issued (Sec 3097 Civ.) � b BY ' Date: 3 —/ —6)6 Name: c� PERMIT EXPIRES ON: — 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 rep�esentaltives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: - \ �� e IGS �+'�l/ Signature: Date: ❑ Owner ,tom Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16=04 pg 1 CERTIFICATION OF INSULATION square feet) TYPE OF INSULATION MATERIAL FIBERGLASS FORM BATTS MANUFACTURER'S PRODUCT I.D. MANUFACTURER CT OCF R -VALUE INSTALLED MATERIAL FIBERGLASS Kk 1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC#202026 ❑ 8924 AIRPORT ROAD, REDDING, CA 96002 LIC #202026 ❑ 500 SEQUOIA PACIFIC BLVD., SACRAMENTO, CA 95814 LIC#202026 /o - II -(f)( DATE INSULATION COMPLETED sauare feet) TYPE OF INSULATION MATERIAL FIBERGLASS FORM BATTS & BLOW MANUFACTURER'S PRODUCT I.D. MANUFACTURER CT OCF KN KN CT BAGS Sl APPLIED R -VALUE APPLIED MIN. INSTALLED R -VALUE THICKNESS INSTALLED THICKNESS WEIGHT PER INSTALLED SQUAREFOOT 'l-2DS KNEE WALLS IF R -VALUE IS OTHER THAN WALLS ABOVE .FORM R -VALUE M BATTS square feet) TYPE OF INSULATION MATERIAL FIBERGLASS FORM BATTS MANUFACTURER'S PRODUCT I.D. MANUFACTURER OCF ` KN APPLIED THICKNES: ANUFACTURER CT I OCF AIR INFILTRATION SEALANT MATERIAL MANUFACTURER FOAM HILTI HANDY FOAM THIS IS TO CERTIFY THAT INSULATION AND/OR SEALANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES, MATERIAL STANDARDS AND REGULATIONS REMARKS 0 WHITE - Builder Copy, GREEN - Builder Copy, YELLOW - Customer Copy, PINK - Attic Copy, GOLD - File Copy AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Recorded I REC FEE Official Records I County of I COWORKD COPY t Bute I CMM J. SUBS 1 County Clerk-Recorderl I I KL 03:20 27 -Feb -M I Page I of 2 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: st e LS A C.oe-6k gx�1i h� f A" f Y Leg ASWPh'i� Date _ 3 - S� PROPERTY OWNERS: State of California County of 6 I,tt ft On 3W l j2 c N kt-�-7. i�&sVp-q Ldre n dQ L . I before kB i C FC known-hrrl>i=(¢r proved to me on a satisfactory evi ence o be the person(s) whose name(syis/are subscribed to the within instrument an ac nowledged 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 hand and official seal. Signature Seal: LYNETTE GARTON Comm. # 1351379 � 6� NOTARY PUBLIC -C L /"p� /� A I OR 1 0 A.P. ��C7-/ '�� �Oy;, B County of Butte W Comm. Expires April 17, 2006 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 3, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 7", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY'OF BUTTE, STATE OF CALIFORNIA, ON JUNE 16, 1981, IN BOOK 80 OF MAPS AT PAGES 80,81' AND. 82, AP NO. 069-530-003 SITE PLAN REVIEW APPLICATION Date: AP# ©(��- Jac)- cg©3 Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: Telephone No.: Site Address:Oi✓yb'�� jam- 4>12<) Proposed Use: Zone: Residential GP: New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ 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/Issue: ❑ Commercial Remodel ❑ Industrial Remodel' ❑ Well ❑ Agricultural Buffer Form DEVELOPMENT SERVICES INFORMATION (For Staff Use) ap Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Resolved By Date 'Z --90d)5 1 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: • Flood Zone: • Flood Panel No.: 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 ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: (e -I Applicable Building Setbacks: General Plan: 6, N2 ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 2� Side t Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 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 ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements . 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OAKS FrT /ACGe95 37R/P TdWEA la;E /90fo? _ ., ., PF!l x23nQ. aql 'f 3 JM 2 BASIS OFBEAR/NG ALL BEAR/N65 SA/OWN NEA:BON ARE REFERENCED TO THE WEST L/NE OF ROKAL OAKESDR/VE AS 54/0 OR/VE /S SHOWN ON •KELLV R106E E5FATE5 UNITNO. 2B.•'F/LED At MAP OWX 43 AT PAGE 27, RECORDS CF OUTTE C77UA1TY GENERAL NOTES: I ALL DISTANCES SHOWN W/TN/N DARE 70 THE g/IV L /NE 2 ALL AREAS SNOWA.1ARE 6RO55 ACRES *AAOTE: TN/SD/STANCE WAS CALC. qr S41arRACriA1G THE DIST SHOWN 0" 49 Al 27 FROW ME 0/3T SHOWN 0A193 RS 72 LEGEND O L/0TN/N6 FOUNO OR SET, D/MENS/ON RO/NT tt SET Vs'Rea4e TAGGED RCE /4240 SET 1Y2'IRgNP/Fe FAOGEO PcE /4200 S FOUND MONUMENT AS AbTED EASEMENT L/NE PU.E. PUBLIC UTILITY EASEMENT O.E. DPA/NAOE E45EMENT S.SE. SANITARY $EWER EASEMENT ( % RECORD /NFORMAT/ON PER MAP6C1OK43P40E 27 1 p - /FL UO ACCF5,5 SMIPALOA10 ROYAL OAKS G SET STANOARO BUTTE COUNTY STREET E MONUMENTS + W ® SET RAIL ROAD SP/KE (AT BC. f EC OF Le CURVE SJ BS -L. BU/LOWS SETBACK CINE + ^ ( AIECORO INFORMAT/ON PER 33R5 72 n"o KELLY RIDGE ES rA TES UNIT 7 l A PORT/ON OF THE SOUTH HALF SOF SECT/ON J , T. /9 Al., R. 4 E., M. D. M., to ! BUTTE COUNTY CALIFORNIA .g SCALE- OWNER CALEOWNER E SUBDIVIDER 0 SOUTHERN CAI/FORN/A FINANCIAL CORPORATION .^ 9/00 WILSHIRE BLVD., SU/TE /003 $n' BEVERLY HILLS , CALIFORNIA 'Jv� ENG/NEER 7' COOPER, RODOLF 0 ASSOCIATES F O. 1'LR SACRAMENTO, CAL/FORN/A TAGGED RCE 0002 JANUARY, 498/ ACREAGE ARP_AOF LOTS /-30 /NCL1101AId WGRESS, EOR _ s 4 SUPPORT EASEMENT /0.372 A C. AREA OPLOTA O 289 AC TOTAL /B.CaG/ AC SHEET 2 OF 3 SHEETS SEP -29-2006 04:38 PM LOAPUD 5305331750 P.03 1_.., 104 -OS Labe fro iIle Area Public Ut 1960 Shin Street OROVILLE, C,AUFORMA 95900 (690) 639-2000 DISTRICT APPROVAL AND 1iE9IFIQ OF BUILDING SEWERS INS.PECTI This Verificatlon form must be submitted to the Butte County Dopa Department prior to Issuance of a building or occupancy permit, whit Prlor to final approval of a Building:or an Occupancy Permit by Butte form,. signed off. by Lake Oroville Area Publlc.Utillty District•, must be si DBte' November 15, 2005 T N.U. ty.DiStrict int of Public Works Building 3r is applicable. nty, a.copyof this verlflcation Ked to Butte County Ronald: ii'en'sley (J. Lowell Aagbarg Oonstruction) Applicant: Applicant Address: 2473 Melton Cr. Live Oak CA 95963 695--0593 301-8456 cell (846-3076) :Applicant Phone No.: 27 Oman Dr: oroville CA 95966 Property Locatl6hs(s): KIE . Unit -7 4t 3 069-530=003. A. P. No'.(s): -I Fees due: It&/ CIL 1i G1�.C� c..V r 1 ` S @.S UI structures, ®ncing, spoil mat rials, engineered Fill' and r®tiuing- wa11s -.shall - ve Placed on the property so their •,....,gravity loading is outside of ;the ' anitary sewer. easemnt: .Application for service approved: ' LA`IO OVI PUBLIC L DISTRICT Inspection(sj made and successful test(s) observed: Locatio ate: 9 " ;•- O 6. By: 0 Lake.Orovllle Area. Public Utility District re eq to 619se permit; Date: By: JM = In Service ❑ -Looked Out Mlkfto . rrreMTe. nroon - Moes AIno/. VAllnw FinA/. PInk - FKAV F11W1 Gold - FOS BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO51779 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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: 03/13/2006 APN: 069-530-003-000 the Business an�Profes'ons de, and my license is in full force andeffect. License Class :License Number: Site Address: 27 OMAN DR ORO Date:-'O((Contractor: Map Index: OWNER-BUILDE ECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: NSF(2551)GAR(811)COV(540)OPEN(540) 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: HENSLEY RONALD J & LORENDA L to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 2473 MELTON CIRCLE 7000) of Division 3 of the Business and Professions Code) or that he or LIVE OAK CA 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 95953 applicant to a civil penalty of not more than five hundred dollars ($500).): (530) 695-0593 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who doesHENSLEY Applicant: RONALD J & LORENDA L 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 2473 MELTON CIRCLE 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 LIVE OAK CA sale.). 95953 ❑ I, as owner of the property, am exclusively contracting with (530) 695-0593 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: HAGBERG, J. LOWELL ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: 1151 FRENCH AVENUE GRIDLEY, CA 95948 WORKERS' COMPENSATION DECLARATION 530-682-1533 Cell 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 381195 Labor Code, for the performance of the work for which this permit /.issued. I!d' 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: 7 Carrier: Co Linp 111.,As- Policy #: l (Q 6 I -A 13 (p — U ❑ 1 certify that in the performance of the work for which this per mit.is Total Square Ft: 4442 S.F. issued, I shall not employ any person in any manner so as to Valuation: $199,319.00 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 Census Code: forthwith comply with those provisions. I Date: ( D LD �{ / Applicant:, WARNING: allure to secure workers' com nsation coverage 'is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit' ereby 'ss under Ve appl' ble provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutio to d ork' dicale a ove f hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 3 —� BY ' Date: 3 Name: PERMIT EXPIRES ON: 7 Address: (Date) f ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: \ �� ) I 1"!L �/ 1 " 1 Signature: 3— i — Date: ❑ Owner contractor Cl Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 32- q5_t, -� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS. 4 UR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 1$, A FEE WILL BE REOUIRED AT TIME OF APPLICATION VV Website: www.buttecounty.net/dds *PLEASE PRINT CLEARLY** ,� If OWNER Last Name L First Na D Address ?V3 City / State C- Zip '9S9 Phon�o �.� fc5�05�J Fax E-mail ARCHITECT/ENGINEER CONTRACTOR Name &D .467iL6-- Address /C/Zf_.1 Ch Ave-, City ie �L Zip StateLIT Zip Phones,')' Fax E-mail Lic. 11S Class ARCHITECT/ENGINEER Name A4+!j— 04 c- S� Address Statb*- City (�,� r Staten,, Zip Phon 3L yy6 6S 7 Fax E I40 I�,y,/5P &V Gw State Li n e u APPLICANT NAME Name /`�/� p✓s (.r Address City 6 l' d e J Statb*- Zip s, Phone, -3, , g I 3 L6 -D Fax E-mail A PLICANT SIGNATURE .i X For office use only: Zoning _ Flood Zone. SRA Yes No Occ. Type Const. Vu Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT 6S- /7r7i? BIN # LOCATION Pro erty Add s ^ O PkA s-) D R - V E- _ Cit Cross Stree 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 -n Address I \ Page 1 of 2 ption or Scope of Work: 0 Sq. Footage U 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 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. Received by� , (00R,:� O, -?q Bldg SRA Receipt #:' 1 Sheriff C�SMIP Other Date: qq �7-P s >�V �•'� h Total REV 2-24-05 Q�N w 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 faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Int6fit for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) 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). 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. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit 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. 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 UFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 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 �OTTF YVONNE CHRISTOPHER, DIRECTOR 0o I o0 7 County Center Drive 0 0 00o - •;�,'_ ®,.� o Oroville, CA 95965 cOUN'�y (530) 538.7601 Telephone (530) 538.7785 Facsimile TO: WILLDAN ' FROM: Scott Rutherford (530) 538-7160 LO srutherford a(�buttecounty.net SUBJECT: Plans Transmittal For Review Per Contract . O DATE: 71111200 5 Applicant: Hensley, Ron Permit No: 05-1779 Project Type: NSF/Gar 069-530-003 100% 70% Plan Check Fees $ 1,298.30 $ 908.81 $ 1,298.30 $ 908.81 WILLDAN Fee $ 908.81 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 .. «j ...: vi.v"+Y{, �JY�tTt){✓l�j'1+� w,v.�� ^3-� r --• 4'. t .. � .. _ ,a._� _ ►... 4-179q 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: G lL D� ASSESSOR PARCEL NUMBER Proposed Building Use: S Permit Technician: 7P, - Date: 7- Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. g- 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. f 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 faxesl ❑ 5. Letter from Engineer or Architect for truss design review. p 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bidgs: (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. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearance �14. Other 1.-�4�11-��.� ll moi/ le1i�1 /Z�Os, iO Re ai ing items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. ❑ Chico ❑ Oroville, as applicable_. ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ .18. Soils Report and/or Engineered Foundation required ........................................... ❑ 19. Erosion Control Plan Required........................................................................ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 21. City of Chico Plumbing permit........................................................................ 0 22. Site plan and business license approval from the City of Biggs .............................. 23. California Department of Forestr plan approval eid. Sent by: ?� �� 24. Planning approval for (A) Use (B)Parking: (C) Parcel Check:...:{ PD1, c; ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form.............................................................................r ... . Crff 27. Encroachment Permit for driveway from the Public Works Dept ....... PV.: rr .:.... ; 1 i 1/1Cv `d' 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... Ofo 32. Recorded copy of Agricultural Acknowledgment Statement..................................7 D ❑ 33. Existing violations and/or expired permits....................:.................................... ❑ 34. Deed Restriction.......................................................... ::................ ........ ...... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone and hold for pickup. I have bekrHrrformed of the abJ'je items and requirements for obtaining a building permit. Applicant: \�_�-%Nig❑rid-�`-"�/� Date: 1 05 1. Index permit app ation for the abovelitems numbered: V - Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data y ❑ phone, ❑ mail, ❑ counter, by Date: 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: 1. 1 11 Date: Structural reviewed by: Date: Structural approved by: 11 Date: Note transfer by, Date: 0 Yellow: Building Division COUNTY OF BUTTE RP4 Vis- 1V7.3 DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION IL 7 COUNTY CENTER DRIVE - OROVLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER v � c PR //JSED BUILDING USE / -F lr . 1. BUILDING PERMIT FEES - Balance Due ....................... Additional Fees Due ................. $ �� Additional Fees Due ................. $ A.P. # DATE RECEIPT.# DATE RE' v Revised Plan Checking Fee ..... .....$ i SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) .......... .. ... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... x = $ �< off —— # Units Amt. Commercial (sq. ft.) ............ —x—=$ Sq. ft. Amt. .� W5. 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) 9- 7 -os -e- 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) V_ 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 ch during the plan checki g process. APPLICANT DATE --7 ®� Pursuant to Government Code Section 66020, you are y notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have bee imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned I'D 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. 6/00) exit of Public Works Y: eparfir �II% �Q C o u n t y o f B u t t e LAND DEVELOPMENT DIVISION '•t ,k',� ® }, Michael Crump, Director Storm Water Management Program ®/ 7 County Center Drive Oroville, CA 95965 Ai\ ( 530) A�266 LIC VWq (FAX) 538? 171 National Pollutant Discharge Elimination System (NPDES) Phase Il Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement BLESS THAN 1 ACRE Project Description: n and/or Parcel Number: Project Location By signing below, I, the project ownerlowner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction. Storm Water Permit from the State of California Regional Water Quality Control Board fora project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: - -7 © Sr i C��lC WCV�6p. Department of Public Works D C o u n t y o f B u t t e 7 County Center Drive We, CA 95965 J. Michael Crump, Director Orov(530)538-7681 (FAX) 538-7171 Shawn H. O'Brien, Assistant Director Assessors Parcel Number: Owners Name: Owners Mailing Address: Property Address: ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: ENCROACHMENT PERMIT EXEMPTION: Reason for exemption: Not a County maintained road ❑ Existing driveway conforms to County S-31 standard ❑ Other Approved by Printed Name Title Date �1"e,� CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT 1. An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage. 2. An .existing home with only minor remodeling or repairs. N 2 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 27 -Feb -2006 2006-0009921 Has not been compared with original BUTTE COUNTY COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Sectior( 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: cI�E6�k)�r'I�i Date State of California County of �3 bo t On ; S W t -f 1 j r d o oS personally appeared PROPERTY OWNERS: _ before F- , Il cLbh'C known-tumu (r proved to me on Ie Gases of satisfactory eve ence to be the person(s) whose name(s)'is/are subscribed to the within instrument and.—acnowledged 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 hand and official seal. Signature _ � Seal: ....M,h LYt1FTTf_ GARTON y� Comm. # 1351379 I�, � A NOTARY PIJl1lt(.-CALIFOR��11A � A.P. #�(� G'CJ _ (r7 �lGl Q s 7 Count..}1 of l3Utte Comm. Expi:es April 17, 2006 EXHIBIT A THE LAND RE, FERRE TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 3, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 757 , WHICH MAI' WAS FILED 1N THE OFFICE OF THE RECORDER OF 'I HE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 16, 1981, IN BOOK 80 OF MAPS AT PAGES 80,81 AND. 82, AP NO. 069-530-.003 PERMIT NO.: 104-05 Lake Oroville Area Public Utility District 1960 Elgin Street OROVILLE, CALIFORNU 95966 (530) 533-2000 DISTRICT APPROVAL AND VERIFICATION OF BUILDING SEWERS INSPECTION 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 of a Building or an Occupancy Permit by Butte County, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: November 15, 2005 Ronald Hensley (J. Lowell Hagberg Construction) Applicant: Applicant Address: 2473 Melton Cr. Live Oak CA 95963 n Applicant Phone No.: 695-0593 301-8456 cell (846-3076) Property Locations(s): 27 Oman Dr. Oroville CA 95966 KRE Unit 7 Lot 3 069-530-003 A.P. No.(s): Fees due:J:!:�A: a>c of cL4 L \ ('11 C,- ✓ I a1 3S e"_-tL- (0QS1 All structures, fencing, spoil materials, engineered fill and retaining walls shall be placed on the property so their -_,gravity load' is outside o he sanitar sewer easement. Application for service approved: . tTILv,EIVPUBLICITY DISTRICT Inspection(s) made and successful test(s) observed: Location: Date: By: Lake Oroville Area Public Utility District release to close permit: Date: By: ❑ - In Service ❑ - Locked Out White - Customer Green - Office Final Yellow - Customer Fina/ Pink - FOS Fina/ Gold -FOS 7 W I LLDAN Serving Public Agencies March 9, 2006 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX 938 14th Street, Suite E-100 Marysville, CA 95901 530/749-2373 fax 530/749-2199 www.willdan.com BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Jurisdiction Job No: 05-1779 Assessor's Parcel No: 069-530-003 Description: Hensley NSF/Gar, Oman Drive/Royal Oak Willdan Project No: 14353-1767 Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2nd page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: ✓ Plans: Two (2) copies, sheets A1, A1.1, A2.1, A2.2, A3, A4.1, A4.2, dated 6/26/05, A4.2, A7.1, A8.1, A8.2, dated 6/27/05, A9.1, A9.2 dated 6/26/05, all revisions dated 2/9/06 and 2/26/06, by Matthew McKisson, Architect. ✓ Structural Calculations: Two (2) copies, not dated, by McKisson & Associates; and two (2) copies Beam Calculations dated 7/05/05 by Roseburg Forest Products. ✓ Truss Calculations: Two (2) copies dated 8/16/04, revisions dated 1/10/06, by Erickson Building Components. ✓ Energy Calculations: Two (2) copies dated 7/27/05, revisions dated 3/9/06, by Matthew McKisson, Architect. The plans have been stamped with the Willdan approval stamp and dated. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. WILLDAN Serving Public Agencies APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the 2001 California Building Code (CBC). • Part 6, known as the 2005 California Energy Code, and Energy Commission Standards (CECS). CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is not consistent with that shown on the permit documentation. Specific Type of Type of Stories Use Occupancy Construction V Floor Sq Ft 2°d Floor Sq Total Sq Ft Ft Dwelling R-3 V -N 2 1671 880 2551 Garage U-1 V -N 1 811 NA 811 Cov'd Patio R-3 V -N 1 540 NA 540 Open Deck R-3 V -N 1 NA 540 540 CONDITIONS OF APPROVAL Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. *Permit application building areas specified in the scope -of -work shall be reconciled with plans to Butte County's satisfaction. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals. Sincerely, Gabriela Scott Plans Examiner Cc: Alice Mefford: amefford@buttecounty.net Ron Hensley, P.O. Box 943, Gridley, CA 95948 Matt McKisson, 1490 State Highway 99, Gridley, CA 95948 .Page 2 of 2 Gustavo Franco, S.E. Structural Plan Check Engineer Butte County 05-1779 . Willdan 14353-1767.PC3.F COUNTY OF BUTTE gVis.. 177' DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 IWNER PR", - WED BUILDING 1. BUILDING PERMIT FEES 0`1 SCHEDULE OF FEES DUE Balance Due ....................... Additional Fees Due ................. $ Additional Fees Due ................. $ A.P. # "! ' DATE �' S RECEIPT #/q DATE REC. Revised Plan Checking Fee ..... .. . ..$ SCHOOL DISTRICT FEES /1LZ (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03=$-- Sq. 0.03=$-- Sq. ft. J 4. URBAN AREA FEES (paid at Building Division)j/ 7 Residential ................... I__ x — $ # Units Amt. Commercial (sq. ft.) ............ —x_=$ Sq. ft. Amt. W5. RECREATIONAL DISTRICT FEES /1 (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) y 3i35D% 7- 7--OS-e- 8. ash 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) CSA 87 TRAFFIC FEE Qz, $2500.00 (paid at Building Division) t 10. OTHER / v At time of permit application, I was advised the above fees are required to be paidrior to issuance of the building permit. These fees P g may be cha during the plan checki g process. APPLICANT DATE Pursuant to Government Code Section 66020, you are here y 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. 6/00) 0 BUTTE COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM (One form per Building) S-/ -7? School District Building Department A.P. Number .3risdiction: -city County Property Owner 1-f C -/-v S L, z f Property Location/Address Subdivision Lot No. J: Residential Development Sq. Footage S Mobile Home No Living 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 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date District Identification No. of k,.e- School District certifies that e -r\ e_h, I (Applicant) street dAess"" (Phone Number) 54 6(a 21 (City) (State) (Zip Code) has complied with. the requirements of Resolution No. 0 3 _0, <_k1i by payment of $ representing .x 5 s 'square feet.- J�AB 2926. $ �FULL MITIGATION $ School District Repr9entative Date Paid by Check # Remarks: !2, > 2-4 ftdco: You may protest the Imposition of the few 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 thli 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 Cal. M foonla Environmental Quaft Act (CEQA). this project may be subject to additional school few to fully mitigate Iti Impact an the school district's schools. White (school district), Yellow (building department), Pink (applicant). fteform.xIs (305W= BUTTg COUNTY DEVELOPMENT FEE CERTIFICATION FORM FEATHER.RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Q 6 % r Building Permit Number Property Owner (s) Project Location /Address Q'Y A -AJ 4� Subdivision Name Assessable Sq. Ftge 25�% Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling _ Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued )ed by Building Department Comments: Building Department Representative Date ❑ FRRPD ❑ CARD 0 PRPD ❑ DRPD certifies that: 8-z Ps3� ant Name Q fPhone NumberPAKPF 6 V 1CI � <fC5,C , Mailing Address State Zip Has complied with requirements of the Butte County Board of'Supervisors Resolution No. by Payment of: Dwelling Units @ $ per unit for a total of C70 Square Feet @"$ per sq foot for a total of $ Remarks: Paid by Check No: ; Paid by Cash: Receipt No: q)A-,an Recreation and Park District Representative y v Matthew Robert McKisson, Architect 1490 Highway 99, Suite 13, Gridley, CA 95948 Fax 530-846-6358 Tel 530-846-6376 RESPONSE TO CORRECTION NOTICE OWNER: HENSLEY PERMIT No. 05-1779 INSPECTOR: WOODY TOWI�PND PNO No. 538-5369 ITEM NUMBER PER NOTICE DATED 6-21-06 5. Verify Straps/Hold-downs and Nailing The Owner has eliminated the 3068 door into the garage at front entry, this has created an 8'-0" long shear wall panel, which is more than adequate for the lateral loads. See attached revised calc. sheet. 6. Provide approved framing plan for Dormer. The Dormer appears to match the approved plans except the following: The notched 4x12 HDR, the notch has reduced the beam to a 4x10. Attached Beam calculation for.4x10, the beam is adequate. The addition of the 2x 6 ceiling joists- the loads of the ceiling and of an attic load are in the original truss design, attic live load is 5 pounds per square foot, the joist framing is 2 pounds per square foot, thejoists and truss are adequate for the actual loads. 10. Provide 4X ledger and attach per plan. 1/;? If The installation of the 2x ledger with,�/19" dia. lag bolts @ 16" O.C. is acceptable. See attached calc sheet. If you require any additional '�fy ocumentation or have any other concerns please feel free to call. My cell phone Thank you- Matthew ouMatthew McKiss( / o ri rr 1V0. C 19423 z � OF0 'Pe -Vs , qb 0s-11°? C? .BUTTE COUNTY BUILDING DIVISION APPROVE® n m 2 O B STEP UP 3 RISERS _ Ac (D l 1/2" �< F3 RE !s I HANDRAIL DN FB -1-31 p Ln BL (D cu ,M T m T >< - F N O' 2868 SOLID CORE WOOD j (p 2 CC)O .o o o x ► . ' W m �, In N 20 M/N. RATING C Bc p BI1 X66 NOSS� �v r� 3—CAR GARAGE O 00 e IDA �� F/ - GYP SRO ON BOTTOM CHORD OF TRUSSES B e -------i i LAUND Y 16010 P 8010 F A6 i � Ul i H 9' 0 9030 A AU2 ANDRAIL 4. i A5 7/0 , B 8' Al I B Ac n m STEP UP 3 RISERS _ (D l 1/2" �< 2 HANDRAIL I N to (D cu o N O' 2868 SOLID CORE WOOD j (p 0 o o x DOOR wl SELF -CLOSER In N 20 M/N. RATING C X66 (D r� 3—CAR GARAGE 00 e 2 LA YERS 5/8 TYPE 'X' GYP SRO ON BOTTOM CHORD OF TRUSSES B e LAUND Y A6 9' 0 9030 q 9 AU2 ANDRAIL A 17 GUARDRAIL n m (D �< 2 to (D cu o �- o j (p 0 o o x In N C (D r� 00 co n m R I Matthew�MC Kisson PROJECT SHEET NO. Architect 5'�° of 1490 Highway 99, Suite B Gridley, California 95948 DATE kN �,PVI�V 12-7/0& QhCFESS10Al, A RCBERT�I n NO. C 19423 �, EXP: S�% Matthew M' Kisson PROJECT SHEET NO. Architect •a of 1490 Highway 99, Suite B Gridley, California 95948 Frssi�� � �p `OBER) LUti cr NO. C1�3 Lou X 4-3ala, dZro t .«a. V`=nibn: 2 0 Designed on: July 2, 2006 Roof 34 il , : - No Incised for PT ? No Ye§.; `J No How to ,... Order Pro <19% >>s°ia. ;� < 19% Developed by: Forum Forum Engineers Enter Data Home Print Version Member# A HENLEY Location: ROOF VAULT Nominal Size: ( 1) 4 x 10 Species = Douglas Fir -Larch ** Dimension Lumber ** Grade = No -2 Span (L) = 12 ft 0 in Tributary Width (B) = 8 ft - 0 in Unsupported Length (lu) _ . Oft - 12 in L Max. Span = 13 ft�8 in IIfI�r��Il�l�� R1 R2 1440 Ib 1440 Ib Stress and/or Deflection Check - OK A c t u a/ Allowable Ratio Max fv (psi) & V (lb) 58 1255 225 4856 26% Max fb (psi) & M (Ib -ft) 1039 4320 1347 5605 77% Total Load Max. Defl. (in) -0.30 U475 U180 0.80 38% Live Load Max. Defl. (in) -0.20 U712 U240 0.60 34% Setup .;r: Beam or Girder r- Joist or Rafter Uniform w (psf) = 10 Member at Roof Repetitive Use ? , : - No Incised for PT ? No Ye§.; `J No Flat Use : No YesJ? No Moisture Content: <19% >>s°ia. ;� < 19% Temperature (° F) : <100100 125:` '125150.: 'Set. Duration:Fac(iirs with Cantilever ei oeneclion Limits If_ Point Load(s) `'.Resef:Loads.tolero?:; r with Sloped Load(s) (pressed -down buttons are selected) LOADING Load Type Dead Load Uniform w (psf) = 10 Roof Live Uniform w (psf) = 20 CD = 1.25 36 n SPECIFICATIONS As a component of the Roseburg Framing System—, RIGIDRIM rimboard allows your customers to quickly frame the perimeter of their floor system and is one of the most cost effective methods to properly transfer vertical and horizontal loads around the 1 -joist and directly into the supporting walls. RIGIDRIM rimboard is currently supplied as solid OSB and is available in two thicknesses: IYs" RIGIDRIM RIMBOARD PLUS 11/4" RIGIDRIM RIMBOARD SEISMIC RIGICRIM RIMBOARD PLUS and RIGIDRIM RIMBOARD SEISMIC are available in lengths up to 24 -ft. They both are available in all of the standard [-Joist depths. Both products are manufactured in accordance with ICBO Evaluations Service, Inc. Acceptance Criteria For Wood -Based RimBoard Products (AC124) and PRR-401 Performance Standard for APA EWS RimBoards. Furthermore, the N" rimboard has an ICBO evaluation report (ER -5901) and can also be designed for edgewise bending applications to support loads over window and door openings. RIGIDRIM is dimensionally stable and resists shrinking and warping. It also provides a smooth nailing surface for the attachment of exterior sheathing, siding and ledgers. Refer to page 19 for additional framing information. RIGIDRIM RimBoord Design Properties(') (1) All design properties assume: • Maximum joist spacing of 24' on -center • Maximum joist depth of 18' • Rimboard nailing of 8d nails @ 6' on -center (2) Limited by buckling of 16" deep rimboard. Provide blocking at 24' on -center or double rimboard to increase load to 5700 plf (3) All design values are based on 100% load duration except for horizontal load which has already been adjusted for short term load duration (10 minutes) (4) Horizontal load may be increased to 330 PLF when rimboard nailing of 8d nails @ 4" on -center is used. 1'/a" RMADRIM RimBoard Seismic Edgewise Design Properties Compression Perpendicular to Grain(61 (5) Applicable for lengths up to 4 ft. For longer lengths, multiply by the (6) Compression Perpendicular to Grain value may not be increased for length factor CL=(4/L)'/B duration of load Vertical Load (PLF) Vertical Load (PLF) Log Screw Thickness Perpendicular to Joist Parallel to Joist Horizontal Load (PLF) Post Load (Pounds) (Pounds) Rimlloord Plus I %" 4850 4850 200 3500 350 RimBoord Seismic 1 Ya" 5700 4850M 240A 5900 500 (1) All design properties assume: • Maximum joist spacing of 24' on -center • Maximum joist depth of 18' • Rimboard nailing of 8d nails @ 6' on -center (2) Limited by buckling of 16" deep rimboard. Provide blocking at 24' on -center or double rimboard to increase load to 5700 plf (3) All design values are based on 100% load duration except for horizontal load which has already been adjusted for short term load duration (10 minutes) (4) Horizontal load may be increased to 330 PLF when rimboard nailing of 8d nails @ 4" on -center is used. 1'/a" RMADRIM RimBoard Seismic Edgewise Design Properties Compression Perpendicular to Grain(61 (5) Applicable for lengths up to 4 ft. For longer lengths, multiply by the (6) Compression Perpendicular to Grain value may not be increased for length factor CL=(4/L)'/B duration of load COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 8 7541 7 County Center Drive - Orovllle, CA - (530) 53 - I CORRECTION NOTICE PERMIT No. OWNER A routine inspection indicates that the following violations of Butte County Ordinances exist at pection when the above address and should you havee corsd. lease call for pertaining to this matter, or need correction work is completed. I y additional explanation, please contact the Building Inspector as indicated below. I l/rg I �— I 5 i• I i i I I i 1 i •I I I i at De r 2 Inspector U i REV 4105 Phone # 3 . FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060782 B. C. Building Permit 01-16-04 pg 1 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: 04/06/2006 APN: 069-530-003-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 27 OMAN DR ORO Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: PROPANE PIPING 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: RONALD HENSLEY & LORENDA L. to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 2473 MELTON CIRCLE 7000) of Division 3 of the Business and Professions Code) or that he or LIVE OAK CA 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 95953-0593 applicant to a civil penalty of not more than five hundred dollars ($500).): (530) 695-0593 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: RONALD HENSLEY & LORENDA L. 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 2473 MELTON CIRCLE year of completion, the owner -builder will have the burden of LIVE OAK CA proving that he or she did not build or improve for the purpose of sale.). 95953-0593 ZI, as owner of the property, am exclusively contracting with (530) 695-0593 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: HAGBERG, J. LOWELL ❑ 1 am Exempt under Article 3 of the Business nd Professions Code Date: 5/" 6 F' owner: 1151 FRENCH AVENUE GRIDLEY, CA 95948 530-682-1533 cell WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 381195 Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy #: otal Square Ft: 0 S. F. ,a -'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 Valuation: $0.00 .li'ecome subject to the workers' compensation laws of California, Census Code: 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. '6 ^ D Date: ' Applicant: WARNING: Failure to secure workers' compenIQ 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. j CONSTRUCTION LENDING AGENCY This permit is'hereb issued under the app 1 able•provisions of the Butte County Code and/or I hereby affirm that there is a construction lending. agency for the performance of the work for which this permit is issued (Sec 3097 Civ.).%} Resolutions to do ork indicatedabove7for hich fees have been paid. /� D Name: BY Date: L� � f/� PERMIT EXPIRES ON: ��12 Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the 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 document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpoms. �\ Print Name_ g -A 2. ! Signature: Date: �— ti owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 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 OFAPPLICA TION "PLEASE PRINT CLEARLY" OWNER Last Nameirst L me 2O AJ Address 73 It9cl-TvAj u;e_ City ✓� dam, State Zp 959,5 Phoned BS93 Fax E-mail CONTRACTOR Name 40L Jf zL fji2G- Address Address City City State, State Phol.,` �6 -X01 Phone Fax E-mail E-mail Lic. # g I I Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name IZDN $ L Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X Q_0A_ " I/ / For office use only: Zoning Property Address 47 DMAN 5T10tup')r/ Flood Zone Cross Street SRA I Yes o Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. _07 P BIN # LOCATION AP# D 6 17--S -po Property Address 47 DMAN 5T10tup')r/ City E Cross Street 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 ope of Work: 11 S �- 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. I I Received by`P- Amount: S.51 el to Bldg I I Receipt � pt Date; , SRA Sheriff SMIP Other f l v6 l�L� � Total MMIC ,C ^A SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR . 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. o 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ ' 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed -by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 PLAN REVISION/RETURN Owner's Name: `4x/y BP#: 01:5' NG\ . Date: 14; 1 , 06 Contact Person & Phone Number: AP#: Received By: Time: 2— S�j3 co C69 cY .r rwn ♦ T !\T TTt rT[NT II IST r u r V 6h Ur Fcr�-0 tCu JWV111 1111-d %Jtc 1<L'. V 101vq q ❑ Permit Application Data Sheet Item ' 1 ❑ *Engineering ❑ *Plan Revision ❑ *Requested by Building Inspector's Correction Notice – Inspector's Name: ❑ Requested by Plan's Examiner – Plan Examiner's Name: ❑ Other: *If revising a plan which has already been issued, submit two (2) drawings reflecting the revision for plan review along with your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Revised drawings must clearly show changes proposed and locations involved. . WHEN APPROVED, PROCESS AS FOLLOWS: ❑ Mail to Owner/Contractor at this address: ❑ Call and hold for pick-up. o Deliver with next inspection. Minimum an check fee to be collected at time of submission revision, plans ex r will determine if additional plan checking fees are needed: 10 Minimum $54.99 Receipt #: 5�� ❑ Fee not required for revisions requested b er prior to issuance of permit. Receipt #: Revised 2/04 2,e_ _ I I 10' WIDE SEWER EASEMENT RETAINING WALL PLAN A2.1 FLOOR PLAN ' SECOND FLOOR PLAN AS l i I I I I I I I I I I I I I I AULR METER AT A4.2 2nd FLOOR FRAMING AS EXTERIOR ELEVATIONS At NOT USED A8.1 DETAILS A8.2 DETAILS A9 GENERAL NOTES E.1 ELECTRICAL PLAN, IST FLOOR E.2 ELECTRICAL PLAN. 2ND FLOOR =" --: AC CURB CUT PER '.rY.:. COUNTY STDS. PROPOSED IL' WIDE DRIVEWAY I I I I I I I I I I I I I I I I I I I I ,..; I I : I ,::.:,::; • I . L,.,::: ` .. L�.�,. '.:::I :�:::::':'..I',:IL - :.I : I:` �:::I::-:':::;::f: �:':�::,::':L.� :::•:I`.: ;`� �.�::.I, .:I :: L ..:I:..I ::I I: �'.,::-;.:.:: I I ! ::: :I.:...LL .:.:..:1' •.:. :" ':.::.. " ': :' '" :. : INSTALL DRAINAGE CULVERT IF REO'D -: .'.. ...... '. :.• ,I�...%,r.'`,':I.:'; I II :PROPOSED OIL I _ .: .. :. :':... PROPOSED OF •I I I I ' I I 'OH R DE:O SPLIT LEy�/EL :SINGLE FTMIL III D ILLING I (4i.1 '. ": ..:.:4 CON& PAVING:�'yl.:.... ": .... .:.. ....: r,,_; L: .`..',: :`..:'t .: W/ WI.4al.4/L.c EIyM .... . . LPG TANK VAULT OVER 40 AGGRECC�� BASE .'. EXISTING AC CURB III I I....:.I...:..'.':...:I...".....'.' I I 'I I OF L(1 2—STORY WOO FLOOR P I 1—STORY WOOD F OOR I�..:°.'::.;..•::.'.. I :.'...:•: I...' I..' I:: I I I I CENTERLINE OMAN DRIVE EDGE OF 60' ROAD I I I I I I I I I I .. ' .; ...:. • .:.::.i. '.:::I; ' ::. • I .::.......... RIGHT OF WAY I 1 I I :UPPER I I I I - - - Wi IiUECK I I I I I I I I �— ONE 9TORT?GE I 9L 6 ON GRADE .-..; I' BLDG WATER SERVICE 5.O.V. 'WOOD DECK LOWER (LEVEL I I b I I I I III I Qi i f I 206 AMP U.CJ ELEC. SERVICE I C4 _O„ III 5c#'_8,i I I I I II ISI LI 1 I I I I I I I I I I I I I I I I I I I PGd£ UTILITY VAULT f I KEYSTONE RETAINING WALL SYSTEM SEE SHEET AL1 CN -A• RI nr 4FTRAt`l� SITE PLAN 1/8' - 1-0' 1/6' = 1-0' PRINTED ON II X 11 n NEW SINGLE FAMILY DWELLING RON and LORENDA HENSLY APN 069-530-003 21 OMAN DRIVE KELLY RIDGE ESTATES OROVILLE. CA 95966 LOT AREA SUMMARY LOT AREA Area- 0.26 ACRES LIVING AREA Are.- 2.550 aq ft GARAGE Area- 135 aq ft TOTAL Area- 3285 sig it DRIVEWAY f WALKS Area- 1.000 sg ft SITE COVERAGE TOTAL Area- 9.285 sig ft LAND TO BUILDING RATIO 21.1 to I OCCUPANCY GROUP: R-3. U-1 TYPE V—N CONSTRUCTION. I STORY PROJECT NOTES: ZONING: ZONING: R-1 Residential Single Family GENERAL PLAN: LDR — Loa Density Residential FIRE: COF, Substantial Risk Area FLOOD ZONE: X BUILDING CODES: 2001 CALIFORNIA BUILDING CODE 2001 CALIFORNIA ELECTRICAL CODE 2001 CALFORNA PLUMBING CODE 2001 CALIFORNIA MECHANICAL CODE 2001 CALIFORNIA ENERGY STANARDS ALL FRAMING LUMBER SHALL BE DOUGLAS FIR No, 2 OR BETTER UNLESS NOTED OTHERWISE. SHEET INDEX TS TITLE/COVER SHEET. SITE PLAN ALITOPO RETAINING WALL PLAN A2.1 FLOOR PLAN A2.2 SECOND FLOOR PLAN AS FOUNDATION PLAN A3.1 DECK FOUNDATION. FRAMING PLAN A4.1 2nd FLOOR ROOF FRAMING PLAN A4.2 2nd FLOOR FRAMING AS EXTERIOR ELEVATIONS At NOT USED A8.1 DETAILS A8.2 DETAILS A9 GENERAL NOTES E.1 ELECTRICAL PLAN, IST FLOOR E.2 ELECTRICAL PLAN. 2ND FLOOR