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069-580-045
NOTES ' RESIDENTIAL t PERMIT NO. _ I • 0645 i 03-3733 . CHILSON, D & KLO Imll-Q- CONT: OWNER O NEW SINGLE FAMILY j t � i a L SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY j USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER + OFFICE COPY Address 4,Pa GAS Meter By Date ,x 3r W. + ' 4 E C 'Met e M Y + ELECTRIC f Meter By ��— Date #JOB FINALED (Date) _F,410e_1 17 t w Signature I a ' RESIDENTIAL t PERMIT NO. _ I • 0645 i 03-3733 . CHILSON, D & KLO Imll-Q- CONT: OWNER O NEW SINGLE FAMILY j t � i a L SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY j USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER + OFFICE COPY Address 4,Pa GAS Meter By Date ,x 3r W. + ' 4 E C 'Met e M Y + ELECTRIC f Meter By ��— Date #JOB FINALED (Date) _F,410e_1 17 t w Signature I J=OK 0 = Not OK . = Not Ready, MOBILE HOMES Date, MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Req birements-Setbacks-Easements 2. Soils; Special MH Support Sketch POOLS (Plans) OK except #'s 3. Sewer; Location -Test -Fall -C/O -Concrete Setbacks -Easements 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 4. 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 5. 7. Well Clearance & Disconnect r 8. Utility Clearance 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elect; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit Date 9. Card B-1 Date Card B-1 Date 10. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Light Niche 1. Zoning Requirements -Setbacks -Easements Enclosure; Fencing -Alarms 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector Card B-1 Date Card B-1 4. Electricity; MH Test -Crossovers -Breakers -Clearances Card B-1 Date Card B-1 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 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 r 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elect; 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 Z ing-Setbacks-Easements-Flood-Slope Main; Soils-Elec. Grnd.-/ /" Ftg. Depth F ., arage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47 F ., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 1 Stemwalls, Main; Steel-Blockouts-Wrapped emwalls, Garage; Steel-Blockouts-Wrapped a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Pie s -Fire lace Ftg.-Steel Fall -Fitting -Test -2 Way C/O -Sewer Test 7 y� ny y UF,,Qas Pipe; Size Anchors -Yard Gas Piping; Size Test 1&oWater 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 . Water Htr.; Vent -Access -Combustion Air Baffle ater Pipe; Test & Anchor -Nail Protection '11. Q.W.V; Test Fittings & Anchor -Nail Protection JPO'Shower Pan; Test, First Floor -Tub Access Tui -&-Shower; Second Floor -Tub Access 42.2 -Gas Pipe; Sixe & Anchors 23-E"c Spcirakaer;Test- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date EL TRICAL (Permit) OK except #'s 4._Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors aize-Boxes & No. of Conductors Stapled A?'R192ex Installed Close to Edge of Studs & C.J. E uip. Ground made up w/Mech Fasteners -Bond Gas & Water Appliance Circuits in Kitchen & Conductor Size GFI 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 ❑ Yes ❑ No ervice-Riser Conductors & Ground Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. 4147 Clothes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ducts Insulation & Support ent Fan, Exhaust above insulation 8 ndensate Drain & Overflow, Size & Grade urnace-Vent A omb. Ait-Return Air Vent 115 Outlet ttic Access or Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMI ermit) OK exc (200tills Proper Materials n rs /jp4aIIs Studs -Nailing Spacing & Braces -Plates -Sound wring Walls over Girders & Floor Nailing V4717—Draft Stop in Walls (rat proof) FirefSta�, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRAMI (Continued) H ers-Post Caps -Anchors -Connectors Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 4 ies or e A Flue -Fireplace Throat Clearance L56!Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles prr--B . Windows or Exiting Doors -Sill Ht. & Dimensions Zl p C/ . Garage Fire Protection Framin _RC Chann - ( I ' :53�obrtv Line Firewall & Ooeninas L5,k,Ekt. Doors -One 3' -Check Garage 3rd Story, 2 Exits Fire Protection /§5, -Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 0A--Sfucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ Wall 63. InfiltrationWalls-Windows / / - ' Dates Card B-1 Date Card B-1 Date ' Card B-1 - Date Card B-1 Date FINA lans) OK except #'s _E�4. Steps -Door & Sidelight Protection -Landings Smoke Detector 6. urnace Vents -clearance -Comb, Air -Connector - In Garaae: Above Floor-Ducts-Mech. Protection 4 JG.F.I. & Bath Fixtures & Tub Access -Spa z' ec. Trim & Subpanel, Breaker Sizes & Labels emirs & Rails 1 lace or Stove, Clearance -Hearth &2-'Elec. Outlets at Wood Panel, Int. & Ext. i . Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Outlets & Receptacles at Kit. Counter CS -'Garage Fire Door; Swing -Landing -Closure C. Duct in Garaae-Damoer i e; Above Floor-Mech. Protection P .; Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage (F.F.I.)-Romex Protection lation-Foam-Looked in Attic Guard Rails & Deck Construction -Post Caps dn. VBents & Crawl Hole Door Drainage & Wood -Earth _ CI arance Looked under Floor ❑ Yes J6. -Following Instldftve O Yes O No/Walks O Yes O No/Planters O Yes O No tay 4. ,Stucco B n -Finish A.C. Unit Disconnect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings A? -Water Well, Disconnect, Electrical, Plumbing Eg,.Egierior Elec. Trim, G.F.I. Receptacle -Underground $4!VeDOation Throughout House Ae'bLap& Protection Co tions from Previous Inspections G est -Meter gged, Gas -Electric Water er onnected-C/O to Grade -HD Approval ergy Compliance Certificate -Other Certificates Address Posted 96--FirC-9prITTRIBr DatCard B-1 Z_ Date Card B-1 Date Card B-1 � V Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 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 a A a CORRECTION NOTICE 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 completedxc.6 If you have any questions pertaining to this matter, or need additional explanation, pleasect,this office immediately. � i A f CD Date / !S Inspector �Sf REV 10/92 \� 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 a O NER PERMIT NO. 10 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. t7�J +0 EeG C Ar✓' © �Li�v�� Date 114—It' I Inspector_ REV 10/92 r t , V COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES �K 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 34, ! ^ - 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 conta his office immediately. 414- e- n- �c. 'ter=• . i' ray ti ♦ r A X. j�iSTLATION CERTIFICATE Job Number 4087 Quality Constrution Flemming Ct., Oroville Contractor/Owner Name Job Address (street, city, state) Butte County Subdivision Name Lot Number DESCRIPTION 1. ROOF Material: Brand Name: Thickness (inches): Thermal Resistance (R -Value): 2• CEILING Batt or Blanket Type: Fiberglass Brand Name: Johns Manville/Knauf Thickness (inches): 12 Thermal Resistance (R -Value): 38 Loose I ll Type:' Fiberglass Minimum. Installed Weightift lb -Brand Name: Johns Manville/Knauf Minimum .569 Thickness: 13 inches Installed'weig6t per square foot to achieve Thermal Resistance (R -Value) of: 38 3• EXTERIOR WALL Frame Type: A. Cavity Insulation Material: Fiberglass Brand Name: Johns Manville/Knauf Thickness (inches): . 3 % Thermal Resistance (R -Value): '13 B. Exterior Foam Sheathing Material: Brand Name: Thickness (inches): Thermal Resistance (R -Value): 4. RAISED FLOOR Material: Fiberglass Brand Name: JohnsManvilleJKnauf Thickness (inches): 6 V4 Thermal Resistance (R -Value): 19 5. SLAB FLOOR/PERIMETER Mate: Brand Name: Thickness (inches): Thermal Resistance (R -Value): Perimeter Insulation Depth: 6. FOUNDATION WALL Material: Brand Name: Thicltness (inches): ThermalResistance (R -Value): DECLARATION I hereby certify that the above insulation was installed in thebuilding at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of R tions) as ind' t he Certificate of Compliance, where applicable. Chico Insulation Item Number's giinaiure and DateC'_ 6-m Installing Subcontractor (Co. Name) or cJ mvv General Contractor (Co. Name) or Owner . Item Number's . Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner JIM PURSELL,' P.E. CALIFORNIA Llc. 60924 WASHINGTON Llc. 381 21 JPURSELLC@_S8CGLOBAL.NET April 29, 2004 I , 5 MADRONE AVE. STE. B OROVILLE, CA 95966 PH. (530) 533-2131 FAX (530) 534-0902 Butte County Building Dept. 7 County Center Drive Oroville, CA 95965 RE: APN 069-580-045, Permit No. 03-3733, Dave Chilson, Contractor Dear Sirs: Attached please find detail requested by the inspector, showing shear transfer for cripple wall application at above referenced project. I have reviewed and recalculated the lateral forces of the structure with a stucco exterior. The minor increase in panel unit shear will not'affect the engineering `as -is' provided the structure is sheathed with 3/8" O.S.B. or plywood at standard nailing (8d's @ 6"o.c. edge, 12"o.c. field). Therefore, please let this letter serve as verification that a stucco exterior is acceptable in the opinion of the engineer. Thank you for your consideration. S' cerely Jim Pursell, P.E. ' . ; SIDING PER ELEVATIONS E.N. NO C 60924 3/4" T&G PLYWOOD r— MANUF. I—JOIST —A35's @ 48" O.C. U.N.O. 2x6 DBL. TOP PLATE — 2x6 STUDS ® 16" O.C. 2x6 P.T. MUDSILL —1/2"0 A.B. SPACING PER FOUNDATION PLAN DAVE CHILSON SPEC. HOUSE A.P.N. 069-580-035-049 DRAWN BY: DATE: F.J.P. 4/7/04 i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION :�- 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 ERM No. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOijQUUrr g G45 ZONING BUILDING PERMIT OWNER CHILSON D & K 534-6489 TELEPHONE SO, FT, OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 559 OAKVALE AVE OROVILLE CONTRACTOR SS 7NNAApME OWNER TELEPHONE 6 98 11 11,104-00 CONTRACTORS MAILING ADDRESS 0 819.00 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total valuation $ 1237840.00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 723.50 ARCHITECT OR ENGINEERS MAULING ADDRESS Plan Checking Fee $470-28 BUILDING ADDRESS Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT ,78 Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.0056.00 Solar or heat pump water heater 23.00 Water piping 15.00 5,00 Each as water heater or vent 15.00 5,00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW SINGLE FAMILY Gas piping stem 1 - 5 outlets 1 15.045.00 Building sewer 15-00M. 00 Mobile Home I S I G I W @20.00 PERMIT FEE $136.00 ELECTRICAL PERMIT I Fling Fee 20.00 Main Service eo.A OR LESS ZOOA OR LESS 23.00 3.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 5 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this Main Service 200A TO 1000A 1 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. a Acc. BLDS. SO 3.50FT. 2.86 rNONN•REES. ID. MULTI -OUTLET 97.50 POWPPARATUS a SINGERLE A0UTI-ET C"L EX. Occup. OUTLET OR FIXTURES 20 O 1.50 BAL o .so Ex. Occup. OimEiAPPLNS ESIo°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin EE n PERMIT FEE $135.86 135.86 WORKERS' COMPENSATION DECLARATION 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 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 insur ice cpier and policy number are: Carrier 5 / ATE Def f PERMIT Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fortwith comply with those provisions. X Date %a' U — Sighafurb o Ap icant - PQOwner ❑ Contractor ❑ Agent An OSHA permit is required for excava ions over 60" deep and d olition or construction of structures over 3 stories in height. .D. CAN -AS ES bR PIN-INSPECTO GO MECHANICAL PERMIT Fling Fee 20.00 Heating 20.00 Cooling 25,00 Hood 6.50 Ventilation FEE s 80.50 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 occ CONST. TvPE TOT L F E $,1635,14 HAZ. I D. FV I FLo PVr HD This permit is hereby issued un er the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By % ® /at PERMIT EXPIRES ONrwReceiptNoSS?zi,HITE-D.D.S.- ete A I (Rev.1'2/9E ASSESSOR cobNtY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION -- 7 County Center Drive - Oroville, California 9596:5 - Telephone (530) 538-7541 APPLICATION AND PERMIT ZWONNG - ' BUILDINGPERMIT iCE�NU616E� /A � =--1M MrANSTRUCTIONLENDER � LENDERS FdA1LM6 ADDRESS E EE IRS E gUp,DD1O ADDRESS A L'-ra SUEormoN5 NAME rI USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other srr TYPE OF WORK New If–Addition 13 Remodel O USMles 13 Installetion E3 Other ❑ Describe Work. MITFEE PAID $ PER, _ -- -- - SRA SHERIFF $ OTKR � i16/oy K5,. a�►�u AMOUNT RECEIVED $ `� DATE RECEIVE � D o �5 PERMIT N0. Fireplace I Ir - S Total Valuation $' / $ Energy Inspection Fee $ Erin Fee $ _ 20.00 Permit Fee $ t NAZ. p, F'E55 Plan Checking Fee _ $ CDF PARCEL Energy Plan Checking Fee $ - PERMIT FEE //mo:, t 73v PLUMBING PERMIT Frmg Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Is,— ch gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS i G I W 1 @20.00 PERMIT FEE j $ Feel 20.00 Main Service iiii otii Ems ca_uv Main Service (- =vA To io=A 46.00 Ex. Occup. ounzr oR -L @ - Llernporary Service 1 1 23.00 Mobile Home Facilities 20.00 PERMIT FEE $ ,MECHANICAL PERMIT Feng Fee 20.00 Heating Cooling Hood 6.50 y - PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ CD CONST. TYPE TOTAL FEE $ NAZ. p, F'E55 imp FLOOD CDF PARCEL PD IMUE 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 OCD at1IT =YoloCIQ nnr I A 6 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS 7 County Center Drive I, Oroville, California 95965 • Telephone (530) 538-7541 E t (Rev.12/96) APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER ZONING ' -•' _ BUILDINGPERMIT OWNER TELEPHONE O UI DI LJ VALU 0 N . OWNERS MAIUNG ADDRESS 1.' CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER I Ci LENDER'S MAILING ADDRESS • Fireplace71•e Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 2 c Permit Fee ,Z 7 7 0 $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee 0.28 $ BUILDING ADDRESS ' Energy Plan Checking Fee $ $ �� 3� •7JPERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fe 11 el 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap S 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 195— Each gas water heater or vent 15.00 145— • TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Describe Work: Other ❑ Gas piping system 1 - 5 outlets 15. 0 0 Building sewer 15.00 s Mobile Home ISI GI W1 1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600VOR LES Main Service 2o.A OR LESS 23.00 !/ 1} - SIR )k ' Stty. as �i t O now ' l T=4�Vled �.... Li �aAj�� e,�,/� 1A ' X Date Signature of Applicant - ❑ Owner ❑ Contractor' ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO j 900 46.00 NEW CONST. DWELLNG occUP. 3.5Q so. OR ADDNS. ( 8 ACC. BLOS. FT. NEW CONS . MULTI -OUTLET NON-RESID. 97.50 POWER APPARATUS 8 SINGLE OUTLET CIS. EX. OCCU OLmET OR FIXTUREs 20@ 1.00 BAL @ .SO Ex. Occup. oFlxLITL Aa of 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 5• L PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Z Cooling I ZS Hood L 6.50 Ventilation PERMIT FES 1 $ Mobile Home Installation Fee $ Energy Inspection Fee $ CONST. TYPE TO ALFEE$ E e. D CDF Fy H ISSUE IF This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON paid. ate provisions to do work Receipt No. c WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DV O ME0'SERVICES-BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET 50-1 OWNER: ASSESSOR PARCEL NUMB IR roposed Building Use: Counter Technician: (/l Date: / I e s required in -order to apply for a permit. All boxes MUST be checked OR marked NA i order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! 5. 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 ❑ A. Hazardous Material Form LU . 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 Sprinklersffer ......... site ........pr from ....................... ssio ............................ I 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by 19. Soils Report and/or Engineered Foundation required ........................................... 20. Erosion Control Plan Required........................................................................ ........ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. / 22. City of Chico Plumbing permit............................ee......................................... 23. California Department of Forestry plan approval paid. Sent by: .........1Z- ❑ 24. Planning approval (A) UseP C(B)Parking: (C) Parcel Check' h2- 1 - All] 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. [ice 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 ................................. U� 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. 13Grant 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 / 6/D y ,Q , Aieej eN •� a� I have been informed of the above items and requirements for obtaining a building permit. / �ef l-4er-.l Applicant: 6{,f' L,9-`1 1. Index permit application for the 2. Additional items re uire la Date: Plan Check Letter Contractor, desi n owne , was advised �f the above data � Wphone, ❑ mail, ❑ counter, by �c Date: Contract e ' e wn as advised of the abov dat by lone, t�� ❑ count r, b� Date: Plans reviewe y: Date: Plans approved by: Date Structural reviewed by: Date: a Structural approved by: Date: Note transfer by: Date: QQ Aa 6 tW N IF t fJjy(��I (ding D' '!ion ` COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER A.P. #10(4 PR 7 LEDBUILDING USE DATE EIPT # DATE REC. ILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) V / V 3. SHERIFF FEES aid at Building Division (P g ) Residential............ X $360.00 =$ v Units Commercial (sq. ftg.)..... 4. URBAN AREA FEES Residential (per unit)..... X $0.03 = $ Sq.Ftg. (paid at Building Division) X =$ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES 510.00 (paid at Building Division) 7. RA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees maybe changed durin,g the plan checking process. APPLICANT DATE %�R- J U - v 3 Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Title: 1-710 By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provided by law. a d: G A- A PERMIT NO.: 94-03 Lake Oroville Area Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95966 533-2000 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: December 10, 2003 Applicant: Dave. Chilson Applicant Address: 559 Oakvale Ave. Oroville Ca 95966 534=6489 Applicant Phone No.: Property Locations(s): 11 Fleming Ct. Oroville CA 95966 Lakeridge Village Lot 106 A.P. NO.(S): 069-580-045 Fees due: $3,238.00 LOAPUD Connection Fee $650 SC -OR RFC $1,000, LOAPUD Capacity Chg $1,588 ,J Application for service approved: PP PP O AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: Date: By: Lake Oroville Area Public Utility District release to close permit: Date: By: ° JIM PURSELL, P.E. 5 MADRONE AVE. STE. B CALIFORNIA LIC. 60924 OROVILLE, CA 95966 WASHINGTON LIC. 36121 PH. (530) 533-2131 JPURSELLC@SBCGLOBAL.NET FAX (530) 534-0902 February 3, 2004 Butte County Development Services Dept. Building Division '7 County Center Dr. Oroville, CA 95965 RE: Truss Design, Dave Chilson (contractor), APN 069-280-045 I have reviewed the truss designs for this project. My review includes identifying and locating loads in excess of 3000 pounds. Where inadequate, foundation elements have been revised to reflect a maximum design bearing load of 1500 pounds per square foot. Thank you for your consideration. Sincer ly, r Jun Pursell, P.E. ©3 -3 733 BUTTE COUNTY. BUILDING DIVISION PPROVED .z z61*4- pff. BUVLDI6:G C.P T. CO.. Date: 1/29/04 Job Number: 104-01-17 Job Name: Dave Chilson Assessor Parcel No. 069-280-045 Analysis: 2001 CBC Dead Loads Roof Comp 1/2" O.S.B. Framing Insulation 1/2" Gyp Wall Siding 3/8" O.S.B.. Framing 1/2 gyp Insulation JIM PURSELL CIVIL ENGINEER RCE 60924 6.0 1.5 5.0 1.0 2_5 . 16 psf. 2.0 1.5 3.0 2.5 1_0 10.0 psf. Live loads 16 psf. Page 1 �PMES. �9C NO 60924 a � Floor Flooring 4.5 3/4" plywood ' 4.0 Insulation 1.0 I -joists 2.5 40 psf. 12.0 Lateral loads - Wind P = Ce Cq q`I .where - Exposure B ' . Ce 0.62 @ 15 feet Cq = 0.3 in/ 0.9 out windward roof q = 14.5 psf @ 75 mph 0.67 @ 20 feet 0.7. out leeward roof I =,1 0.72 @ 25 feet 0.8 in windward wall. 0.76 @ 30 feet 0.5 out leeward wall. Seismic: V = 2.5 Ca I W / 1.4 R Ca = 0:36, I = 1, R =. 5.5 / 4.5 Soil Bearing Lateral Sliding Lateral bearing 1500 psf Coeff.=0.25 200 psf/ft. _ l _o T �~� W o 0 ` CAlL sc," �?. 3 i M � +-- I.q Zr, A2. -� WIAm W II O a . Dave Chilson Page 3 Lateral Analysis Wind Roof: Improtance Factor 1 = 1 q Wall OA . (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) Wind 0.76 0.3 0 Seismic Roof: Windward Leeward q 1 P Roof Weight: 14.5 (Coef.) (Coef.x A + Coef..x A) (@75) (lbs) 0.7 63 P(30)= 0.76 0.3 0 . 0.7 0 14.5 1 = 0 Pitch = Rise: Run Pitch Factor P(25)= 0.72 0.3 0 0.7 0 14.5 1 = 0 6 : 12 = 1.12 P(20)= 0.67 0.3 63 0.7 63 14.5 1 612 Coef. x A) P(15)= 0.62 0.3 154 0.7 154 14'5 1 = 1384 (Pitch factor)x(Area)x.(Wt.(psf)) = Wt.(Ib) 14.5 1 = 0 P(25)= 0.72 0.8 0 1.12 * x 1940 x 16 = 34704 Wall: Windward Leeward q I P Wall Weight: 14.5 (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) (Area)x(Wt.(psf)) = Wt.(Ib) P(30)= 0.76 0.8 0 0.5 0 14.5 1 = 0 592 x 10 = 5920 P(25)= 0.72 0.8 0 0.5 0 14.5 1 = 0 P(20)= 0.67 0.8 0 0.5 0 14.5 1 = 0 i Ca = 0.36 Total Wt.(Ib) P(15)= 0.62 .0.8 108 0.5 108 , 14.5 1 = 1262 R = 5.5 W = 40624 P (Total) = 3259 Base Shear Seismic GOVERNS V = (2.5 x Ca x I x W)/(1.4 x R) =4748 W II O a . Wind Roof: Windward Leeward q 1 P (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) P(30)= 0.76 0.3 0 0.7 0 -14.5 1 = 0 P(25)= 0.72 0.3 0 0.7 0 14.5 1 = 0 P(20)= 0.67 0.3 63 0.7 63 14.5 1 = 612: P(15)= 0.62-0.3 154 0.7 154 14.5 1 = 1384 Wall: Windward Leeward q .I P (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) P(30)= 0.76 0.8 0 0.5 0 14.5 1 = 0 P(25)= 0.72 0.8 0 0.5 0 14.5 1 = 0 P(20)= 0.67 0.8 0 0.5 0 14.5 1 = 0 P(15)= 0.62 0.8 108 0.5 108 14.5 1 = 1262 P (Total) = 3259 Seismic GOVERNS Seismic Roof Weight: Pitch = Rise:Run Pitch Factor 6 : 12 = 1.12 (Pitch factor)x(Area)x(Wt.(psf)) = Wt.(Ib) 1.12 x 1535 x 16 = 27459 Wall Weight: (Area)x(Wt.(psf)) = Wt.(Ib) 530 x 10 = 5300 . Ca = 0.36 Total Wt.(Ib) R = 5.5 W = 32759 Base Shear (lb) V= (2.5 x Ca x l x W)/(1.4 x R) = 3829 Lateral Analvsis P (Total) = 2709 Seismic -GOVERNS Wall O2 Wind Roof: Improtance Factor 1 = 1 Wall O .I P (Coef.) (Coef.x A + Wind (@75) Roof: Windward Leeward q : I P 14.5 (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) P(30)= 0.76 0.3 0 0.7 0' 14.5 1 = 0 P(25)= 0.72 0.3 0 0.7 0 14:5 1 = 0 P(20)= 0.67 0.3 29 0.7 29, 14.5 1 = 282 P(15)= 0.62 0.3 140 0.7 140 .14.5 1 = 1259 Wall: Windward Leeward q I P , P (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) P(30)= 0.76 0.8 0 0.5 0 14:5 1 = 0 P(25)= 0.72 0.8 0 0.5 0 14.5 1 = 0 P(20)= 0.67 0.8 0 0.5 0 14.5 1 = 0 P(15)= 0.62 0.8 100 0.5 100, 14.5 1 = 1169 P (Total) = 2709 Seismic -GOVERNS Wall O2 Wind Roof: Windward Leeward q .I P (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) P(30)= 0.76 0.3 0 0.7 0 14.5 1 = 0 P(25)= 0.72 0.3 0 0.7 0 14.5 1 = 0 P(20)= 0.67-0.3 25 0.7 25 14.5 1 = 243 P(15)= 0.62 0.3 231 0.7 231. 14.5 1 = 2077 Wall: Windward Leeward q I P (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) P(30)= 0.76 0.8 0 0.5 0 14.5 1 = 0 P(25)= 0.72 0.8 0 0.5 0 14.5 1 = 0 P(20)= 0.67 0.8 0 0.5 0 14.5 1 = 0 P(15)= 0.62 0.8 132 0.5 132 14.5 1 = 1543 P (Total) = 3862 Seismic G O VERNS Page 4 Seismic Roof Weight: Pitch = Rise:Run Pitch Factor 6 : 12 = 1.12 (Pitch factor)x(Area)x(Wt.(psf)) = Wt.(Ib) 1.12 x 1390 x 16 = 24865 Wall Weight: (Area)x(Wt.(psf)) = Wt.(Ib) 478 x 10 = 4780 Ca = 0.361 Total Wt.(Ib) R = 5.5 W = 29645 Base Shear (lb) V= (2.5 x Ca x I x W)/(1.4 x R) = 3465 Seismic Roof Weight: Pitch = Rise: Run Pitch Factor 6 : 12 = 1.12 (Pitch factor)x(Area)x(Wt.(psf)) = Wt.(Ib) 1.12 x 1704 x 16 = 30482 Wall Weight: (Area)x(Wt.(psf)) = Wt.(Ib) 450 x 10 = 4500 Ca = 0.36 Total .Wt.(lb) R = 5.5 W = 34982 Base Shear (lb) V= (2.5 x Ca x I x W)/(1.4 x R) = 4089 Note: Wall O meets minimum bracing requirements, no lateral analysis needed. Cu�Lso� SSR WAS 5����Ry WA a� kv,A,L� , G) s + Ll = 27i L_!x r KAAL- q'7g8 I1L 38�� �b 3LICS /b -7 3S.s V 1.�<,S M o-Ti4-RPJ AZ L-A L3oT►"v M (te t rL /t'P I L 11�7G = /0 30.33 I PC-A"iF,- tvl Ys� A3 qa Mme.. C bl) / ►1 l F'- I , S_ ?� 3 ? —( PA2-2- 2 �✓ /llia � ' r�.Y�� Sr�l,I.9G �c�.�r�� A) t�v�' c:� G�1--I/�y! �� �nj� ��--� G,� � �'!G. c._ ..... 2c��ib M �1�rt� ivy lunfG /�.8_s �c� �rJ 38 -2 b Mix s. ^u 6 ,� ,�. r C4z .div WA � o Z 119;11p. PLATA- o l0 1v 30 90 IZa -1216 31-4 s�w� - • -Ry r"S Ai IIoUZ-,-, sin J -P-- /l %fy 1 I ✓�G •.SRS c_r �v G = � �- = �_ � ( bei , �I L 410 a5 SAS-►�'� _ -L2z- y - Ass: s ��''�.�% cL-r-z� S`Td MAJay ,.. `� ,-T. . ,... ti. A-. ,:Y. ;�+ .. •,... ^7- ,. a'M^.t..ry;.. u... i.....n,vr��n•"_ ,.:r+•�--... .,i, ..-�... «. ,a BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District )► L � E(P y ; t Building Department No. i3 — S 3 A.P. Number " r �tJ O" o t3 Jurisdiction: City County Property Owner Property Locatlon/Address t i/V ) V Subdivision Lot No. ...................._....................................... ..................... Residential Development Q ............. ...................... Q s Sq. Footage No of ving Mobile Home Addition/ Supplemental to (Group R) Units Installation Conversion Permit # ............................................................................................... *(No foundation inspection) _... i Commercial/Industrial n Building Department Re re. District Identification No. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use'Facility document) Q Sq. Footage New Addition (Including Exterior Roofed Areas) 15- O Gve Date dr rJ J ; L r` C'Q d, School District certifies that N "'r- 1L CL, l S (Applicant) ' (Street Address) jJ (Phone Number) ra J . 1 �e _ Chi— Q 5ol� GL (City) (State) (Zip Code) syy has complied with the requirements of Resolution No. representing square feet. School District ---(–o by payment of $ 3 3 3 IAB 2926 $ FULL MRIGATION $ Paid by Check # Remarks: le C�' A S C Date Nobles: You may protest the Imposition of the fess klenfl8ed above by subs tting a written protest to the DWblct. In compliance with Government Cods Section 66020(a), wMhdn 90 days from the date fees are paid. Failure to submit a timely written protest will'prohlbit you from challenging the Imposition of the fees In any court action. if, subsequent to the School DWMd Representative signing thio Butte County Schools Impact Fee Certification Form, the School District Is rrstlfNd by the applicable Local Planning Agency that this project Is being m clewed under the Callforrds Environmental Quality Act (CE04 this project may be subject to additional school fees to fully mrltlpate. No Impact on the school distrldls schools. White (applicant), Yellow (building department), Pink (school district) feeform.>ds (10/03)dmm AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ,5 2004-001 2445 Recorded Official Records CoBUTyyTE f CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:08AM 05 -Mar -2004 REC FEE 7.00 CONFORM 1.00 Kathy Page 1 of 1 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: Z<D%/0G/ AS -TA 0w A, o/- 7-AA7-C--l2Tl3;,• /{A j" F_/LTiT2Fi-3 �/ Ci4KFcTF e4—.4 1 C 11 p4/4P 01Pq6 XZECo+4DE1> 7-�ir /2 T F of/i CE 0-- ThE j2EGo.e1>ITle 0r L 7y 13o°K yrs o F. of I� ,1Ti=/ 5 7-A 77F ,97- /1 GES Date k -T10 (.( PROPER State of California County of -8 ) //) ia/ 13/ /y i4 A, P /:� OWNERS: 6L i�fllf"04 On 'J ,QUO/ before me, A. W,O L01fd cy�7rzsL personally appeared 9/9 V1 J9 C, 14-1 t re N c )41 Gf,,y personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my d a d official seal. RUDY A. RINDLISBACHER Signature Seal: E ' ' COMM. # 1311041 IC CALIFORNIA0 A.P.# G�%-S �'- �5 Q .o NOTARY PUBL - BUTTE COUNTY 0 K w COMM. EXP. JULY 26. 2005 AND WHEN RE49ORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 45965 COPY of Document Recorded 05 -Mar -2004 • 2004-0012445 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 a the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The p operty 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, bim 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.: D oT /OG A-5 SAoex- A- o..- 7A..,4 7- rJe7/*,/!(41 7T.T2F /A,4 C o st DE tl> / ti Til E p TiCi c E D F Th,E �2Ec o .p �� t ►2 o t= T`iF ,,,L7y o f IS o lTr_/ ST,a TF of mss►, o 7-c> 13oo1< 5 D F /SAPS AT /ap6-E i/� ►a. �3 /yA XP /.6 State of C; County of Cir 9/3 PROPERTY OWNERS: If 00Y before me, A ' 21/40 L/J6A' c, personally appeared P4 y1 J9 C l4-/ c ,r& Nd— q � �y c } / LJ� y Personally known to me or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) istare subscribed to the withii instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity0es), and that by his/her/thein signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS milv hated and official seal. Signature6Seal: U , RU CO M. # 1311041 6t9 C9NOTARY PUBLIC-CAUFORNIAQ g BUTTE COUNTY 0 COMM. EXP: JULY 26, 2005 A.P. # February 13, 2004 D. Chilson 559 Oakvale Ave. Oroville, Ca. Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 069-580-045 Building Permit Number: 03-3733 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: 1. The enclosed school fee form is to be completed by the Oroville Elementary School District and the completed form returned to this office. .Please provide a second set of truss calculation. STRUCTURAL COMMENTS: 9/Please specify how truss C 1 A will be supported. !Ip�rrovide dicate location of truss J11 on the truss layout. Piggyback detail for attachment to trusses from truss company. ��TjXzsis ovide a listing for the Simpson MUS26 hanger indicating it is an approved hanger. company to specify type of hanger supporting jack trusses. ,ase provide a sectional drawing at front porch thru back covered patio. 9. fey detail 2/2 to foundation and floor plan. Specify tongue and grooved OSB floor sheathing or blocking at all edges. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Russell. Philo will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Russell Bloomfield Plans Examiner Philo Hunt, P.E. Plan Check Engineer 1 of 1 4 PLAN REVIEW RESPONSE FORM j-,16order to expedite the review of your -plans, please complete the following information and return this form %pith your re=submitta this form is not complete, as to all correction items, we will not be able to. accept your re -submittal for review. There must be a � response to every item requested in our plan correction letter. "By others" is not considered a valid response. Please indicate ' response to each item and the location where the information can be found on the plans/calcs. ATTACH THIS FORM TO A COPY OF YOUR PLAN REVIEW LEITER AND RETURN WITH REVISED AND ORIGINAL PLAN; OWNERS NAME DATE: ASSESSORS PARCEL NUMBER PERMIT NUMBER -r-)1-lC RESPONSE FOR PLAN CHECK LETTER DATED: PLAN CHECK -ITEM # RESPONSE BY: LOCATION ON PLANS=At CS: NnAJ—Srr�vC JAMFssio a COMMENTS: An �0 609 PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS%LCS: F Ale COMMENTS: -, A-0 b PLAN CHECK ITEM # ' RESPONSE BY: LOCATION ON PLANS/CALCS: J 1IK COMMENTS' Oo PLAN CHECK ITEM # RESPONSE) BY: LOCATION ON PLANS/CALCS: ' S'fl'Y�-C:.. �1 1 �`i �t��' SS�Z.�- � ' ' `Z • �7til � y • COMMENTS: X Rim t= `n /,A !'SU.RR nA PLAN CHECK ITEM # 2. RESPONSE BY: LOCATION ON PLANS/CALCS: -11 COMMENTS: RESPONSE FOR PMN CHECK LETTER DATED: 26 O PMN CHECK ITEM M RESPONSE BY: ICOMUMENTS: PLAN CHECK fTEM N LI COMMENTS.- J!� PLAN CHECK REM N COMMENTS: RESPONSE BY:/� r, - RESPONSE BY: PLAN CHECK ITEM rx /' RESPONSE BY: COMMENTS: 1 LOCATION ON PIANS/C S LOCATION ON PIANSJCALCS: I iv;y viv I- ANSICALCS: LOCATION ON PLANS/CALCS: 5 PLAN CHECK fTEM # / RESPOONNS-E BY: LOCATION ON PLANS/CALCS: RZ COMMENTS: /t'42571F-s > t-ntcK (TEM R RESPONSE BY: LOCATION ON PLANS/CALCS: JI VV ,_CMMENTS: PLAN CHECK MEM 9 ]RESPONSE BY: LOCATION OV PLANS.CALCS: V C U G O V T l lIN • J J G ./ February 26, 2004 D. Chilson 559 Oakvale Ave. Oroville, Ca. Departmetit of Development Services Building Division 'I County Center Dme Oroville, CA 95965 (530) '38-7541 (530) 5--8.2140 FAX Assessor Parcel Number: 009-580-045 Building Permit Narrber: 03-3733 Th:,ink wu for sub:nittin,g the plans for your building project. The plans have been reviev.ed, and the plan examiner °s comments arc listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response, will expedi#eche re -c ;eek and apl,roval of this protect. Nols-S'TRUCTUFLU C OMM.EN S: I, The enclosed school fee forrri is to be completed by the Oroville Elementary School District and the completed form relin:hed io this office. =. P(z.ase provide a second set of truss calculation. 3. F.n,),ineer to sininp, thy: hl,ins STRUCTURAL C01\12N1EN" S:' 1. Please specify how -ntss CIA will be supported. 2. Indicate location of truss J1]!on the truss layout. 3. Provide piggyback detail for attachment to trusses front tntss company. 4. Provide, a listing for the Simpson MUS26 hanger indicating it is an approved hanger. 5. Truss con;pany to specify type of hanger Supporting jack trusses. L. '!ease provide a sectional drawing at f -it porch thru bac; co,.ered.patio. '7. Key detail 2i2 to foundation and floor p!an. 5. Provide tongue and grooved OSB floor sheathing or specify b!c):;king at all er,'ges If you wisin to discuss any of these :eq;zir,ment:, please call (530) 538-7541 bet.yeeu the hl -urs of 1:00 p..ni, and 4:00 p.m., Monday thrcueh Friday. To discuss non-strucrural items, ask for Russeil. Philo will arR%ver your structural questions. Please refer o your Data Sheet for re:nailing nor -plan check items. (You received this form when you applied for your perrlit.) The counter starTwill answer any questions concerning tl?e Data Sheet. Russell Bloc rn ield Philo Hunt, ?.E. Plans Ex mister Plan Che -:,k F.ngir.eer Cc: Jim Pursell, P.E. 1 of 1 r PLAN REVISIONS P0 Owner's Name �� V BP#: 03-3-10,3 - Date: �_Jo 'O Contact Person & Phone Number: AP#: O 6�e� Received /By: Time: SbD�I�15 64 - PURPOSE OF RE -SUBMITTAL OR REVISION ❑ Permit Application Data Sheet Item ❑ *Engineering ❑ *Plan Revision ❑ *Requested by Building Inspector's Correction Noticensp tor'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. ❑ Deliver with next inspection. Minimum revised plan check fee to be collected at time of submission of revision, plans examiner will determine if additional plan checking fees are needed: ❑ Minimum $54.99 Receipt #: ❑ Fee not required for revisions requested by plans examiner prior to issuance of permit. ❑ Additional Fee Arnbunt: Receipt #: • Revised 2/04 SITE PLAN REVIEW APPLICATION Date: ) 2-1 O- o l AP# 6 Ci- Permit Number (if applicable) 03 — 3 i 3�j Bin Number APPLICANTINFORMATION Parcel Size: Owners Name: C N 1 L. S C) h) - 1D A V 11> Owners Address: _559 P A I C Y A LE OQ 0 y I LL, e 159 b S Telephone No.: 53 4— 60H 89 Situs Address: Proposed Use: Residential ® 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: C_ Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ® Agricultural Buffer Form ❑ Applicable -a N/A 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 2-' 0 - Page 1 of 5 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) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: O8 Z5 C.. Index Date: 6— g ❑ 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: P 0-1:-z — 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 p C t_ Side D 3 Side Street Rear �j 3 O 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 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ 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 31 Subdivision Map/Parcel Map: LA 1<(5 e) D &a Vi LL -A&6 Map Date of Recording: 1 a — ti SJ $-( Lot: 10 1 e ❑ Use Permit/Minor Use Permit Permit Number: Book: 85 - Page S Date of Approval: Page: ! :� Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control 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. u 01 Page 4 of 5 a ` //O of ✓�\ � 40, SSa oma.. o �, � t H 0 / /C9 fi 73 , R` 60 k2,9 � Op AO /08 \ i..o- :a ' 00 s a 0 /9tJc. oVry AA o-. 0 t,°y �ti• mos oQ � _ AO lU. /07 y ,vim- •+1�y� Ary epi /0� CQ�d oi. ,00 h010 0 4.3GGc. �a�d\y a ?�for ��''�` 90..��8• � '� �y ?68' �?sem a Z�Z9��E sit p„ o o. a2ac. Q��.” � p�07j� aoc• x'60' y9�h co* /v3 11 yaa 0.25del /04 T4C) T I 0.43 GG 85.00' 75,C/' s 3 3 ao SEE SMOR 7 2 88 o N5O W?/'E0.91 av v 30, z No's?'S✓"E V �p O v Y T O v ti 9/ 4i N53'00'/J"E O h N � N53'00 %T"E �1 o 93 ao �p Q� V A/53'00 E H Q