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017-050-026
11-3 oZ� 1326-91B,.P,E " �00-- a DEAN, Otis 10 13065 Bean Flat d, Chico h, remodel/sf (�/ / 011-36=0-1- 91-4282. 0/7-05D'/�''+{Lv'�/ DEAN, OTIS B07-0039-- CONTR: ACTION HEAT I N MISCELLANEOUS Electric Panel 13065 BEAN FLAT RD, 0 UP GRADE ELECTRICAL SERVICE HEATING UNIT/SF 13065 BEAN FLAT RD 11-3/Beanlat -92-1413B DEAN,,/ OTIS E & DIANA L FA DEAN 1306Chico1st w 11-36-0-026 #98-2130 �" = PEOTIS 065 BEAN FLAT RD. CHICO ON SCRMNER 1' ETACBED GARAGE 011-36-0-026 99-0093 E DEAN, Otis 13065 Bean Flat Rd, Chico (elec/garage)F�'V 011-360-026 99-2437 OTIS, DEAN 13065 BEAN FLAT ROAD, CHICO CONTR: OWNER ALL W TER CLOSET / q Af-D O 017-050-026 05-1378 DEAN, OTIS & DIANA BEAN FLAT RD, CHICO /1 Cont: MESSENGER CONSTv NEW SF -2ND DWELLING DEAN, OTIS �,- ", � 13065 BEAN FLAT RD, CHI`✓�"V Cont: WM F. SQYRES FIRE SPRINKLERS -)� , 16 .61 0 c NOTES 514 L6 tL y r r�o ✓J e1 Cr Y r - LI RESIDENTIAL ERMIT NO. 017-050-026: 05-137 j�E .4 DEAN, OTIS & DIANA 3 v--9 BEAN FLAT RD, CHICO Cont: MESSENGER CONST' 3C�3J—NEW SF -2ND DWELLING ,ST)0 i SPECIAL CONDITIONS r, CHECKED BY � SRA FOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. _ �ECIAL INSPECTION ITEMS VERIFY rc USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER' m a i- `f 5 OFF CZk-leR V c c G OFFICE COPY F Permit: ess: GAS By: 07 Electric BY , tate:-S IL✓EmP (FCS AT POOL IJOB FINALED (Date) •� t7 - 5 Signature A �,yyy S, - l • �pT 'I+ n� Y r - LI RESIDENTIAL ERMIT NO. 017-050-026: 05-137 j�E .4 DEAN, OTIS & DIANA 3 v--9 BEAN FLAT RD, CHICO Cont: MESSENGER CONST' 3C�3J—NEW SF -2ND DWELLING ,ST)0 i SPECIAL CONDITIONS r, CHECKED BY � SRA FOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. _ �ECIAL INSPECTION ITEMS VERIFY rc USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER' m a i- `f 5 OFF CZk-leR V c c G OFFICE COPY F Permit: ess: GAS By: 07 Electric BY , tate:-S IL✓EmP (FCS AT POOL IJOB FINALED (Date) •� t7 - 5 Signature J=OK 0= Not OX - = NotRe34 hte . =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water. Location -Test -Easement Needed (Sketch) 5. Electricity-, Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectoe 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 Cana 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 T. 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 K • . r = OK i = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Sate UNDERFLOOR (Plans) OK except Vs E. Ft ain; Soils-Elec. Gmd.-/ r Ftg. Depth tg.,,G;rage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth I Jbk119,v orches & Decks: Soils -Steel-/ r Fta. Deoth a—Hold Downs and Special Anchors Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-Frtting-Test-2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B- Date Card B-1 Date PLUM (P it) OK except Ws 1 ater .; Vent -Access -Combustion Air Baffle _'\W�r➢tbe: Test &Anchor -Nail Protection ; Test -Fittings & Anchor -Nail Protection * fb r an; Test, First Floor -Tub Access 2 . s ub &Shower, Second Floor -Tub Access Xs Pipe; Sixe & Anchors . Fire SDrinkler. Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELEC CAL (Permit) OK except Ws & Switches at Doors 2W -S' xes & No. of Conductors Stapled ex Installed Close to Edge of Studs & C.J. Equ' . Ground made up w/Mech Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or Ai -Oven Circ_ / /ga Cu or Al Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. learances Panels -Motors -Meth. Equip. CI es 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 MECH ICAL (Permit) OK except Vs 3 cts Insulation & Support 37'-Vw4'Fap, Exhaust above insulation 3 . C ! ate Drain & Overflow, Size & Grade 3 . F ace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 49,�Aftic Access & Platform 'rf Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMI (P fmit) OK except Vs 4it er Materials & Anchors 42 Studs -Nailing Spacing & Braces -Plates -Sound 43 earing Walls over Girders & Floor Nailing r p in Walls (rat proof) 4 i Stops, Furred Ceilings -Stairs -Chasers -Tubs 46 Headers & Beams -Size & Bearing Date FRA (Continued) 4 ers-Post Caps -Anchors -Connectors 4 . Cli ist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng. 4 i ce Ties or Type AFlue-Fireplace Throat Clearance 5 is Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5 . Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. PrWerty Line Firewall & Openings 54,oSt. Doors -One X -Check Garage 3rd Story, 2 Exits 55. rs; Width -Headroom -Rise -Run -Landing -Fire Protection 5 . Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Sidi ailing Veneer 5 o Mesh -Drip Screed -Fd. Vents-Underflr. Access lazing Area -Glass Protection -Skylights -Plastic -19 . Shear Walls; ailing -Bolts `j Brace I or all Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls- Indows Date 0 ji , Ob Cana B-1 Date - Card 5-1 Date -( JPQG Card B-1 Date Card B-1 Date FINAL (Plans) OK a cept ft's 66 mace Vents -clearance -Comb, Air -Connector - In Gamee; Above Floor -Ducts -Meeh. Protection OW-G.F.I. & Bath Fixtures & Tub Access -Spa 9 ec. Trim & Subpanel, Breaker Sizes & Labels 70. airs & R oJace or Stove. Clearance -Hearth Kit. Ekr& & Appliance; Ground -Air -Gap -Cooking Clearance Outlets & Receptacles at Kit. Counter Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meeh. Protection (78. ec. & Mech. Equip. Listed for Location lec. eceptacles in Garage (F.FI.)-Romex Protection f80 ulation-Foam-Looked in Attic 81. Guard !Is & Deck Construction -Post Caps Win. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following Instld/Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters O Yes O No 84. Stucco Brown -Finish 135;-A.e."Unit Disconnect, Electrical -Plumbing ! Verve Roof, Plbg-Appliance-Fireplace-Clearance to Openings Water Well, Disconnect, Electrical, Plumbing q&'5'5for Elec. Trim, G.F.1. Receptacle -Underground enti ion Throughout House las Protection 1-drrections from Previous Inspections Gas Test -Meters Tagged, Gas -Electric LWIVater & Sewer Connected -C/O to Gra HD Approval 4 Compliance Certificate -Other Certi Cates Ad ss Posted ire Sprinkler Date (o -MCard B-1 b C-, Date Card B-1 DateZ,Z�,_,fjard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH SEPTIC SYSTEM INSPECTION CERTIFICATE P 0. BOX 5364 CHICO, CALIFORNIA 95927 TEL: (530) 891-2727 The Sewage Disposal System was inspected at FOR 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 TEL: (530) 538-7281 SEPTIC TANK Size— /C20-() Gallons Material 6n ��v LEACHING FIELD Length feet Width inches No. of lines Rock Under Pipe The above dimensions meet the minimum requirements of Butte County Code, Chapter 19. Additional leaching area will be required if experience shows it to be necessary. Remarks: Date Inspector REV 4/05 Phone # 5 _3e FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 ',A _tj z,COUNTY OF BUTTE BUILDING DIVISION' Pi� DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE 0__� - 3 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 correctior�-of work is completed. If you have any q6estions pertaining to this matter, or need additi54al explanation, please contact the Building Inspector as indicated below. 'Imp C_(r_AI?AK'1C(z _AA(Q PA\'l f t' I ,, Pr r -T j /-) Al FC- e- 76� (06(j /71/ WIC Al- F L-) PRr U( --Al -7 / 0A1 L tq-L(- 14 nc, e-� R AP7(GtAT1=&1 rP1?P(,E FIR&OCY'r- RIAK'C.- Date Inspector REV 4/05 Phone # 5 _3e FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 ',A ..!.COUNTYOFBUTTE, BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive Oroville, CA (530) 538-7541 CORRECTION NOTICE CE - /3 -7 9 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 V�hen 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. ni PFRM17 F/76M COIJA/T 1:70 ef/p/u/W.6 um, 0 tf cx/ST/411; bWELLIAjr) 130 3.5 8r,9AJ FZAT /Z10 J, t1v LAIRE�__ ALL CMCU/7- S/7 CALL f-09- 1AISPe-c-CZ-1661 Or - 7n zlial 0 7- t0j41tC- /,k/ U.S,6 6,x7C_12101?_ C000ES D Inspector ate SM -6 J0 2 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 9 Oroville, CA *'(530) 538-7541 CORRECTION NOTICE 6WNER 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. Z X7M 17 6e'� Ile Date / k" C (-11'b'1 ') A z -�? ?- 0 �_ Inspector 4 REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES k' 7 County Center Drive o Oroville, CA o (530) 538-7541 CORRECTION NOTICE ER NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address ancj,4hould be corrected. Please call for re -inspection when correction of work is completed./f you have any questions pertaining to this matter, or need additional explanation, plea.0 contact the Building Inspector as indicated below. /77, Date 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 .1 the above address and should be corrected. Please call for re -inspection when correction of 411 work is completed. If you have any questions pertaining to this' matter, or need additional explanation, please contact the Building Inspector as indicated below. Date 41 Inspector REV 4/05 Phone # 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. BPO51378 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 05/09/2006 APN: 017-050-026-000 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. Site Address: 13079 BEAN FLAT RD CHI License Class : License Number: Date: Contractor: Map Index: OWNER -BUILDER DECLARATION Description: NSF(2108)GAR(567)COV(103) I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: DEAN, OTIS & DIANA REV TRUST permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 13065 BEAN FLAT RD. the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA. 7000) of Division 3 of the Business and Professions Code) or that he or r she is exempt therefrom and the basis for the alleged exemption. Any 95928 violation of Section 7031.5 by any applicant for a permit subjects the 530-893-2950 applicant to a civil penalty of not more than five hundred dollars ($500).): Cl 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 Applicant: DEAN, OTIS & DIANA REV TRUST owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 13065 BEAN FLAT RD. sale. If however, the building or improvements are sold within one CHICO, CA. 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 95928 s le.). 530-893-2950 ias owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: LUCAS G MESSENGER ❑ lam Exempt under Article 3 of the Business and Prof Ions Code 13280 EGGLESTON LANE Dat — ''47(4 Owner: 6 ' CHICO CA 95973 WORKERS' COMPENSATION DECLARATION (530) 345-6731 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 License #: 575152 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 Architect: PIETZ, GREGORY A. required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy#: Total Square Ft: 2778 S.F. �� I certify that in the performance of the work for which this permit is Valuation: $152,276.00 C ` issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: J -� � � � (• Applicant: �� ' . I WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This pelsWis here Iss ed Oder the plicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Reso ions to d ork i ed abo o which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY Date: 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 representatives of Butte County to enter upon the above mentioned property for inspection purposes. 7 Print NameC1esnl.T S �• ✓ Peel! Signature: 2L L Date:�1 �lv caner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 V6 C, &A 4 'Voce r -4d 1'f0 An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). HVAC SYSTEMS: Heating Equipment Equip Type (pkg. heat um CEC Certified Mfr. Name and Model Number # of Identical S stems Efficiencyt (AFUE, etc.) >_CF -1R value) Duct Location (attic, etc.) Duct or Piping R -value Heating Load Btu/hr Heating Capacity Btu/hr P-' Cooling Equipment Equip Type (pkg. heat um CEC Certified Mfr. Name and Model Number # of Identical S stems>_CF-1 Efficiency t (SEER or EER) R value) Duct Location (attic, etc.) Duct R -value Cooling Load Btu/hr) Cooling Capacity Btu/hr) P-' >symbol reads greater than or equal to what is indicated on the CF -IR value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. ✓ ❑I I, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efciency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Installing Subcontractor ( . ame) OR General Contractor (Co. wn r Copies to: BUILDING VEIWRI'Nt P �RS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 INSULATION CERTIFICATE Job Number: F 8221 .n Luke 1Vessinger 113065 Bean Flat Rd., Butte Creek Canyon CA Contractor/Owper Name Job Address (street, city, state) Butte Counh° Subdivision Name Lot Number DESCRIPTION OF INSTALLATION 1. ROOF Material: Thickness (inches): I 2. CEILING Batt or Blanket Type:j Fiberglass Thickness (inches): { 12 & 10 1/4 1 Loose It'll Type: 1 Fiberglass Minimum Installed Weight/ft 1 .569 1 l Manufacturer's installed weight per square 3. EXTERIOR WALL Frame Type: I 1 A. Cavitv Insulation -Material: Fiberglass Thickness (inches):1 61/4 1 B. Exterior Foam Sheathing Material: Ii Thickness (inches): I I 4. - RAISED FLOOR Material:I Fiberglass .Thickness (inches): 1 61/4 1 5. SLAB FLOOR/PERIMETER Material:I i i Thickness (inches): I I Perimeter Insulation Depth Inches: I 1 6. FOUNDATION WALL Material: I Thickness (inches): I 1 Brand Name: Thermal Resistance (R -Value): I I Brand Name: I Knauf Thermal Resistance (R-Value):1 38 & 38hd I Brand Name: I Knauf I Minimum Thickness:1 13 I inches foot to achieve Thermal Resistance (R- :Value): 38 1 Brand Name: Knauf Thermal Resistance (R-Value):1 19 Brand Name: Thermal Resistance (R -Value): I 1 Brand Name: Knauf Thermal Resistance (R -Value): 1 19 1 Brand Name: Thermal Resistance (R-Value):1 I Brand Name: Thermal Resistance (R-Value):1 I DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code ofgtegulations) as indicated on the Certificate of Compliance, where applicable. % /, /n 2 3 & 4 �U Il/ Item Number's Signature and Date Item Number's Signature and Date Chico Insulation & Fireplaces Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner Installing Subcontractor (Co..Name) or General Contractor (Co. Name) or Owner Nov.15. 2006 6:34PM BUILDERS SUPPLY CHICO No -6188 P. 1/1 Mar 30 O5 02:53p Western Woods Ewp Rick 5303431124,G�i p.1 AN ArA� Af'Ac`rr3 401� Certificate of Conformance Certificate 054093 THIS IS TO CERTIFY that the glued laminateflImber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood. products — Structural Glued Laminated Timber NER-466 Glued Laminated Timber Combinations And "GAP' Computer Program For Determining Design Stresses AITC 117-93 — Manufacturing — Standard Specifications For Structural Glued Laminated Timber Of Softwood Species ! IT IS HEREBY CERTIFIED that the AA4 EWS trademarked structural glued laminated timber members were.produced In a manufacturing facility subject to regular audits in accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant CIA program with adequate sampling to verity conformance to industry standards for lumber grade and glueline bond quality. :4��F�0;4IP"V / .gt SFAL �m b y y !„ q Z Thomas G. Williamson • Executive Vice President taratris ENGINEERED WOOD SYSTEMS 6 a routed ooryomriori of GPA — rNE ENOlNEERED WOOD ASSOCr4T10N 7011 Scum I t S"Nl - P.O. Sol 11700 - Tacoma WA 08111.0700 Tetepnom (253) 9811.6800 - Few Number (285) 5557265 F t Butte County Department of Development Services. ourre aR� NOTES y 7, County Center Drive, Oroville, CA 95965 *i530) 538-7601 -.WttEcountynetidds RESIDENTIAL AP N: Permit No. Owner. 017-050-026 06-0844 1 ` [ DEAN, OTIS Site Address: 13065 BEAN FLAT RD yy, d. CHICO ` Contractor. Cont: WM F. SQYRES`� (_FIRE SPRINKLERS Type of Permit: FIl WI ry S )'176 } i S 1 i4 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: _ SIGNATURE: a _ 1(0 -0 1 ck'k •Q ala- A i R y'a 7. 1 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: _ SIGNATURE: a _ 1(0 -0 1 ck'k •Q ala- A = OK MANUFACTURED HOMES MISCELLANEOUS DATE j Lj PERMANENT FOUNDATION'Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FalUC/0-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat Q or LPQ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-DIrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation 0 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C K S'C O V E R S`C A R P O R T S 'GARAGE S 1 Zoning -Setbacks -Easements r 2 Ftgs; Soils -Sz-DpthSpacing-CnnctrsSteeI 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs -Stu ds-Rftrs-Truss es 9 Siding; Nailing -Veneer -Stucco -lath 10 Roof, Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-DFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Endsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide o'er m` lie a °�� •1 Pool Drawing i e OK Not OK RESIDENTIAL (Single & Duplexj 1 DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec. Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Opth. 4 Ftg Porches/Decks; SoilsSteel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test i1 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Cirnc-MaterialSupport-Insultn 14 GirdersSills-Anchr Bolts Joists-Vnts-Crippies 15 Acc & Vntltn 16lnsulation mac` �c DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flue-Frpic Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 1 n s u ltn-Walls-Ceilings 39 Infiltration -Walls -W ndws c DATE JELECTRICAL 40 Fxtr & Tmsfrmr Cimcans Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz gx ❑ CU or DAL AC Wire Sz ga ❑ CU or D AL 48 Range Circ ga DCU or DAL Oven Circ ga D CU or D AL Insulated Neutral DYes DNo 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clmrs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector DATE IPLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First flr-Tub Acc 57 Test Tub & Shwr, 2nd fir - Tub-Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 rd Gas Piping DATE IMECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic c` e \c d� o` o' 0 DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sis & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-ClmcCom Air Cnnctr-PRV• abv fir Mech Prtctn; IPG Appince Undr House 3- drain 81 Plmb; Elec & Mech Eqp Listed for Loon 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters DYes DNo 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Pimb-Appinc-Frpic-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-G/O to grade -HD Apprvl 97 Ener Cmpinc Cert -Other Certs J8 ress Posted Fire Sprinkler moi' \C BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecciunty.netldds PERMIT NO. BP060844 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: 04/28/2006 APN• 017-050-026-000 the Business and Professions Code, and my license is in full force and effect._ License Class : License Number: S 206 Site Address: 136 l rGr (a V Contractor: ii Q WM_� Date: Z - Map Index: Description: FIRE SPRINKLERS FOR BP051378 p OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: DEAN, OTIS &DIANA FAMILY REVOCABLE permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance,., also requires the applicant for such permit to file a TRUST signed statement that he or she is licensed pursuant to the provisions of 13065 BEAN FLAT RD the Contractor's State License Law (Chapter 9 commencing with Section 7000). of Division 3 of .the Business and Professions Code) or that he or CHICO CA she is exempt therefrom and the basis for the alleged exemption. Any 95928 violation .of;Section'7031.5 by any applicanf'for a permit subjects the applicant to; a civil. penalty of not more than five hundred dollars ($500).): ❑ [,'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: SQUYRES JR, WILLIAM such work himself or herself or through. his or her own employees, provided that such improvements are not intended or offered for within P O BOX 3176 sale. If however, the building or improvements are sold one year of completion, the owner -builder will have the burden of CHICO, CA 95927 -proving -that he or.she.did not build or improve for the purpose of sale.). as, owner,. of ,the, property, „am.;gxclusively.;coptracting ,with. licensed contractors: to. construct the. project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts.for such projects, with a contractor(s) licensed Contractor: SQUYRES JR, WILLIAM pursuant to the. Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business.and Professions Code P O BOX 3176 , CHICO, CA 95927 Date: Owner. :..WORKERS' COMPENSATION DECLARATION, .. I hereby:affirm under penalty.of perjury one of the following declarations: License #: 275206 ❑ 1 -have and will maintain a certificate of consent to self -insure for workers'.compensation,,as provided for by, Section. 3700. of the Labor Code, for the performance of the work for which this permit is,issued. 'maintain:.:,workers' "compensation: AICI11teCt: ❑'" I. heye" and:`vi!ill insurance; as required by Section 3700,the Labor:Code, for the performance of Engineer: the work:for which this permit is issued. My workers' compensation insurance carrier and policy, number.are: Carrier: Policy#: Total Square Ft: 0 S. F. Valuation: $0.00 I certify that in- the,perfom%ance of the work for which this permit is issued,.l,shall not,employ any person. in any manner so as to Census Code: become subject -to the workers' compensation laws of California, and agree.: that .. if I should become subject to the workers' compensation provisions of Section 3700 of the.Labor.Code, I shall forthwith comply with those provisions. Date: Applicant:..:.,.. \.: :..:.......:...::... .... WARNING: 'Failure to secure workers' compensation coverage is unlawful, and shaII%subject an employer to criminal penalties and one hundred thqusand:-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. l n _�►�' 06a CONSTRUCTIOfV LENDING AGENCY This permit is hereby issu d under the applicable provisions of the eyrie County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to do ork ' dicated a ove for which fees have been paid. perforrriance'of the work for which this permit is issued (Sec 3097 Civ.)�. �, " r By: Date: Name: C PERMIT EXPIRES ON: ' ' (—I Address: Date 0 l hereby certify.that the use. of.this facility.shall boniply•with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and, use of hazardous niaterials. ❑ 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 ERA.' 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 duty 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 f or docu ent of Butte County. I hereby authorize representatives of Bu1tte County to en upon the above mentioned property for inspectionp oses. Print Name: YV t 1' fS Signature: Date: L]Owner' 0 Agent for Owner ❑ Agent for Contractor Xontractor OFr CcRV�ct� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0039 Issued: 01/08/2007 Address: 13065 BEAN FLAT RD CHICO APN: 017-050-026 Permit Subtype: Electric Panel Owner: DEAN, OTIS E & DIANA L FA Applicant: DEAN, OTIS E & DIANA L FA Description: UP GRADE ELECTRICAL SERVICE MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Ir-- r"Rough Fri _ Rough Rough Ph Rough M� Address Rough Eli Gas Pipinj Roof Nai I GAS . Meter By Shower P. ELECTRIC Fire Spriri Meter By I _ Wall Insui __ OFFICE -COPY M M Date Date 'Ii b -O i M M Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404. Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 . Mechanical Final 809 Plumbing Final 813 Project Final 801 C PERMITS BECOME NULL AND VOID 1 YEAR FRO lu IlTIT�f.XYil_�041 M 1 AIATI) 9 ;i `. M. i COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 13065 BEAN FLAT RD Owner: Permit No: B07-0039 APN: 017-050-026 DEAN, OTIS E & DIANA L FA Issued Date: 01/08/2007 By TMP Permit type: MISCELLANEOUS 13065 BEAN FLAT RD Subtype: Electric Panel CHICO, CA 95928 Expiration Date: 01/08/2008 Description: UP GRADE ELECTRICAL SERVIC] (530) 893-2950 Occupancy: Zoning: Contractor Applicant: Square Footage: KNADLER LARRY PATRICK DEAN, OTIS E & DIANA L FA Building Garage Remdl/Addn 3217 GRAPE WAY 13065 BEAN FLAT RD CHICO, CA 95973 CHICO, CA 95928 Other Porch/Patio Total (530) 893-2950 FEE INFORMATION Single Phase Service - Res $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1431 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License KNADLER LARRY PATRICK C535446 / C-10 / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 01/08/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ,�, I 4 Ha OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED IJ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Cartier. Policy Number. Exp. Date: (This section need not be completed if the permit—is—For ona hundred dollars ($100) or less. ❑ 1 AM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 01/08/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 01/08/2007 I hereby certify that I have read this application and state that the above information is cored. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property o er or am authorized to a he property owner's behalf. CONSTRUCTION LENDING AGENCY 01/08/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) caner ❑ Contractor OR. DAgent for Owner ❑Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY RECEIPT 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Receipt Number: B1431 Permit Number: B07-0039 Job Address: 13065 BEAN FLAT RD Contractor: KNADLER LARRY PATRICK 3217 GRAPE WAY CHICO, CA 95973 Printed: 01/08/2007 2:15 pm Fee Description Account Number Fee Amount Single Phase Service - Res 0010-440001-4210500-1010 $55.00 Total Fees Paid: Date Paid: 01/08/2007 Paid By: DEAN, OTIS E & DIANA L. Pay Method: Check 1660 Received By: TMP $55.00 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.nettdds "PLEASE PRINT CLEARLY* OWNER INFORMATION Last Nam i S MT Adres l i o State _ Zi _ Lot # Fax E-mail --- --- APPLICANT INFORMATION CONTRACTOR Name CiL'//�� Address Zip 2 City Lot # State Zip Phone Name Fax E-mail l.ic. # Class --- --- APPLICANT INFORMATION ARCHITECT/ENGINEER Name CiL'//�� Address Zip 2 City Lot # State Zip Phone Name Fax E-mail State License Number --- --- APPLICANT INFORMATION Name _ Address CiL'//�� Zip 2 Ph9ne Z -_ a:E Lot # E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERNHT NO. BIN # PROJECT LOCATION AP# n -a_ Z r erty Ad�Ess o�S City 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 Scope of Work: ,Q Sq FT- Living Garage Open Cov ❑ 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. Received by: Amount: Bldg SRA Receipt M Sheriff SMTP Date: Other Total 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. BP051378 ts. L,. tsuuomg rermn u i- io-w py i LICENSED CONTRACTORS DECLARATION 1 hereby ffirm under penalty of perjury that 1licensed under provisionssionsoof Chapter 9 (commencing with Section 700000 ) of Division 3 of Issued Date: 05/09/2006 APN: 017-050-026-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 13079 BEAN FLAT RD CHI License Class : License Number: Map Index: Date: Contractor: Description: NSF(2108)GAR(567)COV(103) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: DEAN, OTIS & DIANA REV TRUST permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 13065 BEAN FLAT RD. the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA• 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 95928 violation of Section 7031.5 by any applicant for a permit subjects the 530-893-2950 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: DEAN, OTIS & DIANA REV TRUST owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 13065 BEAN FLAT RD. sale. If however, the building or improvements are sold within one CHICO, CA. 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 95928 s le.). 530-893-2950 as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: LUCAS G MESSENGER ❑ 1 am Exempt under Article 3 of the Business and Prof ions Code 13280 EGGLESTON LANE Dat �-4714 Owner: GeG` — CHICO, CA 95973 (530) 345-6731 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 575152 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 Architect: PIETZ, GREGORY A. required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 2778 S.F. Policy#: I certify that in the performance of the work for which this permit is Valuation: $152,276.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith' comply with those provisions. �� Date: 7 q_ 0&a a o-7 Applicant: ' � !/ �%- (/ WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This per is here,ri,ss6ied 46der thefioplicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the the for this is issued (Sec 3097 Civ.) Resoydtions to d otk i ed abo o which fees have been paid. - 9 performance of work which permit BY� Date: -5 Name: PERMIT EXPIRES ON: � --9!-07Address: 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 8 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 repr0��senttatives of Butte Countyto enter upon the above mentioned property for inspection purposes. 77ntyy Print NamlyloiT S �• ✓few L Signature:z e: Date:/ caner 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor ts. L,. tsuuomg rermn u i- io-w py i l� � gelgel'. -3 14D"` OWNER BU TE COUNTY Last Name __--�, DEPARTMENT OF DEVELOPMENT SERVICES irst Name BUILDING PERMIT APPLICATION City C�f I co AND SUBMITTAL REQUIREMENTS City C 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Fax t=z� Website: www.buttecounty.net/dds Ph end ,-g 3SZ� **PLEASE PRINT CLEARLY** Fax 0 ARCHITECT/ENGINEER OWNER Address� /V /O //t/.�rJ' Last Name __--�, State6zip irst Name Address City C�f I co Stat City C Phone d State Fax t=z� Zip9�, Ph end ,-g 3SZ� Date Approved: Fax ` E-mail 3 ,57-( l 0 ARCHITECT/ENGINEER CONTRACTOR Address� /V /O //t/.�rJ' Name State6zip Address f— City C�f I co Stat 9t5,7 7.3 Phone d , Fax t=z� 2C E-mail Date Approved: Lic. # Class 0 ARCHITECT/ENGINEER Name � S 4 T Address� /V /O //t/.�rJ' City State6zip SRA City �D No Stat2,,,,, Phones �p �7�y 7� Fax o ../ E-mail Stto License Number 2C 0 For office use only: APPLICANT NAME Name / Address SRA City �D No Stat2,,,,, Zip Phon�,y 93 �� 571 Fax _ �a� E-mail a7�" a o 1, ca o For office use only: Zoning I �Z- Flood Zone I SRA Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN #i�" LOCATION AP ®/ 7 O —0 � Propert Address J jL=A-fJ FCA City -I'm Co 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 Scope of Work: Sq. Footage Ge�-e 56% O ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): SpIa, flo Q,- �A3K`I 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. Received by: Amount: 1 3183 1Bldg %� LI9- SRA Receipt #: °��� Sheriff SMIP Date: Other // !i Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 2-24-05 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 Intent 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 du 'licate. ❑ 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other Butte County Department of Development Services SVT tF YVONNE CHRISTOPHER, DIRECTOR 0 ��O0 7 CountyCenter Drive 0 0 0 = 0 0 . Oroville, CA 95965 (530) 538-7601 Telephone OUR (530) 538-7785 Facsimile TO: WILLDAN FROM:. Scott Rutherford (530) 538-7160 ■ A srutherford@buttecounty.net SUBJECT: Plans Transmittal /1 ` For Review Per Contract O Z DATE: 6/3/2005 Applicant: Dean, Otis & Diana Permit No: 05-1378 " Project Type: NSF/Gar APN: 017-050-026 100% 70% Plan Check Fees $ 1,193.83 $ 835.68 $ 1,193.83 $ 835.68 WILLDAN Fee $ 835.68 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 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 A_jAJ OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: / �� Permit Technician: �C Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. t AJ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. \fig �7 1%v n/ 2. Complete plans, 3 or 4 sets, signed by th6preparer 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. AI 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) Installation manual, including 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. 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 �p I /�1 13. Acknowledgement of building permit application without required clearances. O 14. Other All of these Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable 16. Fire Sprinklers ....... -A#3.-��................................................................ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ , 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 9. Erosion Control Plan Required........................................................................ 20. )Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 1. City of Chico Plumbing permit........................................................................ \ O 22. Site plan and business license approval from the City of -Biggs .............................. R �0-L� 23. California Department of Forestry Ian approval l�d. Sent by: .. 3A) 7-1-nK Rib. �0 24. Planning approval for (A) Use: �(B)Parking: (C) Parcel Check:...... 'Y1 ❑ Contact Land Development about _ Improvements, _ Drainage 1 PJ 26. NPDES Form ......................................................... ....................... \ ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... /yJ 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.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 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: UT7 5 a�2 %DiA�i4 8�3 Z9 ;= When issued Telephone nd hold for pickup. �� ZL � '2 / - 7 � I have been informed of the above items and requirements for obtaining a building permit. �am" ZS - �Applicant:Li� Date: 1. Index permit application for the above items num r Plan Check Letter 2. Additional items rej,,,,,, 6 Contractor, design owne was advised of the a ove data by 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, b Date: Plans reviewed by: Date: Plans approved by: 1. 1 1 Date: Structural reviewed Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division TO: Building Departmerit FROM: Environmental Health SUBJECT: Sanitation Clearance 306S Owner Location E.N. USE ONLY -01 Mn Attac Roar FOAn An&cftad--'—' Sent to B.D. I 10 / 7- 0 5-0 - 0 0Z (0 AP# Plan Approved for: Sewage Disposal X Water Supply: Public Private Well A, - Clearance for dwelling. Other 6-a—rance O.K. for: NOTE: Environmental ealth Specialist�� Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE "(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER A.P. # o17- 05n-026 PRO D B ING USE 1. BUILDING PERMIT FEES --- Balance Due ..................... --- FEMA Flood elevation review ... $ 1 ego", ditional plan checking Fee.... $ SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Co rcial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. P4.RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) #5. RESIDENTIAL DEVELOPMENT IMP ACT FEE�SS COUNTY WIDE (per dwelling) $ �Q CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ TH CHICO SPECIFIC PLAN (per. dwelling) Zoning a�'6' SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $20 (paid at Building Division) _q�r SMIP 4GS �s• �� 9. OTHER 10. OTHER 11. OTHER DATE s D� RECEIPT # DATE RREC�. GI� At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE{ Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) GREGORY A. PEITZ ARCHITECT 383 RIO LINDO AVE. CHICO CA 95926 (530) 894-5719 PROJECT: I have reviewed the truss submittal for the above project and all loading design criteria have been met. %J1Gg ft. rCILL Architect A oftkoo— g '44?Uc WO¢� Department J. Michael Crump, Director Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program '7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase ll Construction Storm Water Permit and Storm Water Pollution. Prevention Plan (SWPPP) Acknowledgement rLESS THAN 9 ACRE] Project Description: N 5F- 2ND P L,-r�/ 6 Project Location and/or Parcel Number: 0/7-05-0-02-65 By signing below, I, the project owner/owner'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 for a 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:. Q L Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 p�P PgTIAZN7. Cc �vTTF 1° J c °/ mss® 5 �L1C WCv� Department ..0 o u n t y Public f 6 u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 s National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution. Prevention Plan (SWPPP) Acknowledgement [LESS THAN 9 ACRE1 Project Description: Project Location and/or Parcel Number: By signing below, I, the project owner/owner'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 for a 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: Less than i Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Butte County Department ol'Develop pent services°�03T r�° 7 County Center Drive .� '= ° Oroville, CA 95965.�Y_ o (530) 538-7601 Telephone (530) 538-7785 Facsimile cOU14 BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence.to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: dot--' u._ APN: el -7-0-S D—OZ 4 Building site address: / s& a'_ Permit No.: C'/<'&CD ec� . 12s 9z8-IIF0 I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: • . SIGNATURE OF APPLICANT DATE Copy to Applicant/EH/File K:Forms/BidePermitwithoutClearances 020705 WILLDAN Serving Public Agencies August 25, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Jurisdiction Job No: 05-1378 Assessor's Parcel No: 017-050-026 Description: Dean NSF/Gar Willdan Project No: 14353-1683 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: `.j * Plans: Two (2) copies, Sheets 1 through 5 dated 4/19/05, by Gregory Peitz. Two (2) copies Site Plan dated 4/19/05 by Gregory Peitz. * Structural Calculations: Two (2) copies dated 4//18/05 by Gregory Peitz. * Truss Calculations; Two (2) copies dated 4/08/05 by Longfellow lumber Co. Inc. * Energy Calculations: Two (2) copies dated 04/19/0, revisions dated 07/19/05 by Gregory Peitz. 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. C4 On the pages to follow is the identification of the codes and standards applicable to the project, anode analysis, conditions -of -approval and identification of any deferred submittals. 4 W I LLDAN Serving Public Agencies APPLICABLE CODES Our review was based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code (CBC) • Part 6, known as the 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 consistent with that shown on the plans. Specific Use Type of Occupancy Type of Construction Stories 1" Floor Sq Ft 2 "d Floor Sq Ft Total Sq Ft Dwelling R-3 V -N 1 2108 NA 2108 Garage R-3 V -N 1 1 567 1 NA 567 Cov'd Porch R-3 V -N 1 103 NA 103 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and notes as redlined on the plans. 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, Ricardo Guzman S.E. Structural Plans Examiner Cc: Alice Mefford, amefford@buttecounty.net Greg Peitz 383 Rio Lindo Ave. Chico, 95926 Fax: (530) 894-1523 gregpeitz@sbcglobal.net Page 2 oft Butte County 05-1378 Willdan 14353-1683TCH --BUTTE COUNTY (DEVELOPMENT FEE CERTIFICATION FORM O FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ,PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) C7 1-1 • ()50 ` Gap Building Permit Numberyl�,-)- l7 V Property Owner (s; Project Location lE Subdivision Name Assessable Sq. Ftge, 04 10 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 ) verified by Building Department Comments: `� i YL Building Departineq R presentative Date 0 FRRPD ❑ CARD RPRPD 0 DRPD certifies that: 01T( S 0-er--v, Applicant Name Phone Number 130x5 (?�x_". C J�&-CD (' r7-��7Z Q' Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. `� 1 by Payment of: Dwelling Units @ $ CJ Square Feet @ $ Remarks: a / / Paid by Check No: / � I Paid by Cash: Recreation and ri .�rr�n uc�m nr r Mf _ rnn�-e........4. 4 F...... ro 1 1 lint. per unit for a total of $ per sq foot for a total of $ 9a 7. s 2 Receipt No: l ,�2 76 ..5-- 9 04 Date BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District %' C�Y;=" Building Department No. f ~'A.P. Number U ,.�, / S Jurisdiction: � City County Property Owner �„ n Property Location/Address Subdivision ! A Residential Development EQ No of iving Mobile Home Units Installation Commercial/Industrial 0 New Addition Building Department Lot No. (->-5, -3�S ..................................................................................... Q�� i:Sq. Footage Addition/ 'Supplemental to ""( roup ), Conversion Permit # .. , *(No foundation inspection) (� -- -i► Deed Restricted Sq. (I' a.signed copy_of. Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) r 1 Date District Identification No. j 1, n School Distnct certifies that r, / Ppicanty has complied with the requirements of Resolution No. representing 2 14) square feet. MORMT7 Paid by Check # f i1 Remarks: I (Zip by payment of $ I rr v c B 2926 $ ULL MITIGATION $ Dare I " v 10 Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from tfie date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fan to fully mitigate Its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xis (3/05W= AZ Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ ,Industrial Addition ❑ Industrial Remodel Other ❑• Septic ❑ Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A ❑ Other: Brief 'Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) jj Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Sit Plan Sta ed Approved By Date Page 1 of 5 SITE PLAN REVIEW APPLICATION Date: AP# O -Z %- 0,_ lJ Permit Number (if applicable) k 7S Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: Telephone No.: Email: . Situs Address: �Cd Proposed Use: Residential , ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ft Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ ,Industrial Addition ❑ Industrial Remodel Other ❑• Septic ❑ Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A ❑ Other: Brief 'Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) jj Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Sit Plan Sta ed Approved By Date Page 1 of 5 1► ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) 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 (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) ❑ Oroville Enterprise Zone Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ---------------------------------------------------- ------------------------------------------------------------- ❑ Detached Building Use Form F] Encroachment Permit F-1AgriculturalWorker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 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 Side Side Street Rear 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 ❑ 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) Formula, * 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/Notice of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision ME/Parcel Map: Map Date of Recording Lot: ❑n Use Permit/Minor Use Permit Permit Number: Z- Book: 13Y Page: 2 2 Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless 'a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control 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. ■❑ Page 4 of 5 Butte County Department of Development Services PAUL MCINTOSH, INTERIM DIIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING August 31, 2005 Otis and Diana Dean 13065 Bean Flat Road Chico, CA 95928' Subject: Building Permit 05-1378 (APN: 017-050-026), Fire Sprinklers Dear Mrs. Weston: The Department of Development Services, Planning Division, has reviewed your application for a new single family dwelling. This parcel was created by a parcel or subdivision map, and it required the following to be met: Automatic fire suppression sprinkler systems shall be installed in all new residential structures in accordance with the National Fire Protection Associations Standards for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D. You must place fire suppression sprinklers in the residence; unless a pressurized community water system serves the community. The sprinklers shall be prepared by a C-16 licensed contractor. Please contact the Building Division if you have any questions regarding fire sprinklers at (530) 538-7541. Should you have any other questions please feel free to call Chris Tolley, Assistant Planner, between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7603. Sinc e , s Tolley Assistant Planner Cc. Messenger Construction OWNER'S S TA T We, 01i, E. Dee. and Diane L. Dean -_ as mmare of the land as shown on the ame..d mop, and Mid Vul a Title and E,,,a; Com op.. Callfa ;. corporation, as Iru,lee under Deed 0 Tiu,l rerordso August 6, 1992, under Bull, County Recorder's $erial Number 92-JS232 .do hereby slats that ea ere /he only persons eho...... e l is necessary to pass clear title to aid land and ee consent 1, the prepamllon and '. ard.Non of aid map .s shoe. wIthf. /he border l/nes. The 60'road easemenls as shown on ,old map or. her. by Of ..d for ded/calioh 1. the Count, of Bull.. 42-1—' Lh.h 2 � � Olh E Doran '01.h. L. Dean MidValley Till. and Escrow Company, by -. a California care ... lion WJ. king, VICE PR651DENT A.P. I1-36-03 STATE OF CALIFORNIA COUNTY OF BUTTE On y - a? , 199,}- Dme personally app....d oils E Deanean and Diana L. Dean p .... holly known I. me !or proved to ms on the bash of .010ocfory evldencel to be the pars -10 whoa mars! or subacr/bed to In. +ilhln Instrument and ack...ledged to m. that they . cul.d In. s me In their authorized cepocftyfiaal and that by their signoturelsl on the instrument the personfsl 0, the entity up an behalf of rhlch the Pasant.) acted, executed the /nalrumml. , �(, . ) I f i I 'In /3I/-aA SURVEYOR'S STAT rhe annexed mop was prepared by me or under my direclim and is based upon o field surrey in calf—once with the requirements o/ the Subdiri Ibn Map Aef and /—I ordinance al the r.9-1 of Offs E. DoanMarch J. 1993 1 hereby state Mal MIs parcel map substantially conforms to In. Apra— or candirionally opprored renrative map if cry. I hereby state MOI the .array is rru9 and ..Plot. a9 .novo, he —m-1. shmem is, and are of the ch.1-1, and occupy In. positions indicated and .1. sufficient m moble Me sur✓.y robe --.d. VXD•y0 ! ;` ,Er� N L 8tiprr2 f O LS. 3348 y y Gordon L. Snielbs LS 3346 ReghlroNon £rplres 6/30196 OF CAUt� COUNTY SURVEYOR'S STATEM€N I have examined Ml, map and It 1, substantially the same as it appeared on the lenlalive map and any approved allera lion thereof. All of the provhlons of the Subdielsian Map Act and local ordM,,c,, applicable at the time oI approval o/ /be lenlalive map have been compiled eith and I em satisfied that In/, map is technically rotted. Th, 60'road easements oftdred far dedlc.tl.n ore nal accepted .l this time. Dal.d sdt�9s/ !%U..� " Willidm Chef/ R.C.E. 14223 Ball. County Sor✓ey.r Raglalrallon Expires 3/31/97 RECORDER'S CERTIFICATE Filed 'hie TN day of A P Q I L ,199¢, el R.•Ol A -M. in Book I of P.—I Map,, at Puges22 2 3"on the reaveal of Sierra West Surveying. Fee a I/. O Serial No, 94-150Y4 Burl. County Recorder -,2�./_ Dowry PARCEL MAP FOR OTIS AND DIANA DEAN A PORTION OF THE N.E. I/4 OF SECTION B, T. 22'N., R. 3 E., M. D. M., BUTTE COUNTY, CALIFORNIA SIERRA WEST SURVEYING 5437 BLACK OLIVE OR (916)877 6253 PARADISE, CALIFORNIA 95969 Sheet I of 3 AP N= II -310-03 OAVI HALKOL County _ My Comm/„/on Expires 3 -a STATE OF CALIFORNIA COUNTY OF BUTTE On �' ar LF' daI 199. , before m/ 12 e e �a �IAer . persanaRy appeared _LTJ • 3. 07 81 I Ing P:knom to me (or p, .d 1. me on the ba,/, of satisfactory evidence! la be the p arson fel .1LI ,, 5 ,.b.c,lb.d to the wilhin Instrument and a.knoeteeped la me Mel -22f . ..... led Me same fn AIL& oulhorlred copacllyllesl end that by _ sl9nolure/sl on Me Instrument Me person(s) or the ..lily upon behalf of rhkh the p—ants) .,led, .,..sled the /nslru 0. WITNESS my hand and offi,10 aL PALMER eX�b-95/— Cowiry DF (3✓rrE STATE OF CALIFORNIA COUNTY OF BUTTE On 199_, before me personally appeared pen.n.//y 1— to me for proved to me an the bash of sal/sloclory er/d.... I to be the p...on(,1 whose name(s1 subscribed to the eithl, in,lrvmenl and acknowledged to me that .—Wed the, a M .0h.11ed capacllyffe,l and that by aignatarehl on /he Instrument the per .anis/ or the -Illy upon behalf of which the p ..... ta1 acted, e+s cu led the intra 0. WITNESS my hand and offlelol —1. /3I/-aA SURVEYOR'S STAT rhe annexed mop was prepared by me or under my direclim and is based upon o field surrey in calf—once with the requirements o/ the Subdiri Ibn Map Aef and /—I ordinance al the r.9-1 of Offs E. DoanMarch J. 1993 1 hereby state Mal MIs parcel map substantially conforms to In. Apra— or candirionally opprored renrative map if cry. I hereby state MOI the .array is rru9 and ..Plot. a9 .novo, he —m-1. shmem is, and are of the ch.1-1, and occupy In. positions indicated and .1. sufficient m moble Me sur✓.y robe --.d. VXD•y0 ! ;` ,Er� N L 8tiprr2 f O LS. 3348 y y Gordon L. Snielbs LS 3346 ReghlroNon £rplres 6/30196 OF CAUt� COUNTY SURVEYOR'S STATEM€N I have examined Ml, map and It 1, substantially the same as it appeared on the lenlalive map and any approved allera lion thereof. All of the provhlons of the Subdielsian Map Act and local ordM,,c,, applicable at the time oI approval o/ /be lenlalive map have been compiled eith and I em satisfied that In/, map is technically rotted. Th, 60'road easements oftdred far dedlc.tl.n ore nal accepted .l this time. Dal.d sdt�9s/ !%U..� " Willidm Chef/ R.C.E. 14223 Ball. County Sor✓ey.r Raglalrallon Expires 3/31/97 RECORDER'S CERTIFICATE Filed 'hie TN day of A P Q I L ,199¢, el R.•Ol A -M. in Book I of P.—I Map,, at Puges22 2 3"on the reaveal of Sierra West Surveying. Fee a I/. O Serial No, 94-150Y4 Burl. County Recorder -,2�./_ Dowry PARCEL MAP FOR OTIS AND DIANA DEAN A PORTION OF THE N.E. I/4 OF SECTION B, T. 22'N., R. 3 E., M. D. M., BUTTE COUNTY, CALIFORNIA SIERRA WEST SURVEYING 5437 BLACK OLIVE OR (916)877 6253 PARADISE, CALIFORNIA 95969 Sheet I of 3 AP N= II -310-03 +e v� BASIS OF BEARING NDTE NOTE F+une l/P'B.rr The North Lino or /A. N.W. I/4 of c•n,r N B9' 36' 99" W 1p,pLD.MI 1274.79 lR,N! hep In peN Mevn9p•r IRI / F+une J/a-Mn P/p• SITE / l.J. Pd •! p•r R— /he N.E. //9 0/ Ss.lion B, �' �' `— 79°.66 lR,R4Ml __�_ ,•r )horn Rt N 89. 56'44" W par - o ( — M... Mo.. / !yam 165.39 : PJIzr /R,"1 • '—_- 84 R.S. 71. S•.II+n D n•r I �� Q � IR.MI e� � S .11+6 C+ n `3 `j Roa� /�ti° j �n`0 9 a •° LEGEND /?o tip rp O+Sot //2"Rebar L. S. 7346 '41 , p �° 0 + F.und Corner as Nolad 1 7j/O o' 0 • Favnd 3/4"Iron Pip, L.S. 3346 pfRU �ar LOCATION MAP N.T.S. 0• Found 3/4-lron Pip, L.S. 2843 per (R) / /rti y 0 • Sol 1/2"Rehar L.5. 3346 M H.. al a\ 3/4"11on P/p. L.S. 2843 per (R) R W !R)+Ratord d./. per 84 R.S. 7/ (RI) + Ratord dot. per 123 P.M. 96 \ �tFre?,9° �\•,'° \ \ 0 » ? (R2) • Ratord dol. par 65 P.M. 74 N \ Qp t', \SD . \ N w / (D) • R.tord dol° par Rat. So, No. 90-24786 90 �9 `pin?' �PO\ O SEE NOTES x.rE PARCEL 2 \ BEAN FLAT ROAD S \ J.Du•. �• DETAIL 'A' F.une J/•-Ir+ll Pip. `\\ \ NN ' \ / !/1 An R.I.Solfn9 rood and pubin vl39 e.R. 35 !par L.S. lJ96p•r 1p,RU � .'p o0"' / . S.r. No. 91-/9633 and 2792 O.R. 3�0 %a 1p 4 to ba r--od /n d°°ds and off—d for dad/to Non to !h. Lno, Boll.. of Bva. \ Jc•.Jt (ptl \\ �\\ / / i2I An SCALE /'+ /00' .sWM9 R.N.A, per 2393 O.R. 9164 ona 363.29 Rat. Sar. No. 91-2486,. • �� ', ' N 89 54'18 E In.Rr.N•n\\\\ EASEMENTS OF RECORD not shorn on this mop. E-1 local/ant Nh N Q and off.cl, 1t on,, indolar.M.4. 90 DEEDS 24 1 / 95 DEEDS 69 97 DEEDS 47/ DEEDS 209 LOL 332,4/ H �'te Qp' 32 O.R. 7I8 h2457 O.R. 124 PARCEL Io ? /1\1v / PARCEL MAP FOR OTIS AND DIANA DEAN 9 A PORTION OF THE N.E. 114 OF SECTION 8, A, T. 22 N., R. 3 E., M. D. M., 34' 27' 20" E - r fftpt.Nl i /Op N>3.2B Oq �� \ ` e+9� 9LPJ,ftMI BUTTE COUNTY, CALIFORNIA 4�92B j Ari -87.37— +;� �1 SIERRA WEST SURVEYING xorE E.Udnp � 5437 BLACK OLIVE,DR. (916)877-625J y0�o no. Bi-P.aEJ e 9o'raae.ne p.en• Eps �� °� no.Nl••,•"•nr p.r p••. s.r. xorE PARADISE. CALIFORNIA 95969 Fa•n4,/P OR•ao// / L.S. PBIJ •r fR�� DETAIL Sha.l 7 of 3 I , /a r '•� n.�eEa 0 \a\ h 9\, i O 4`e\ \�\ ) Exrs nuc / 1 \'4 \ EXl.T1NG1 \\ N PARCEL 2 Zy l b � � �__ 367.24 l / / e 0 PARCEL / 4423� �yr / B 7. e' / /// 1 NOTES 7W. addill—1 mop ahe.I 1s to, Ie/ormalianal parpare, only. doarr/bin0 condition, w of the dale o/ filing and Is not Inlend.d to aff.0..... 4 HIM Isle.11. A d.arlopmenl Impocl to. for She//P. F -11M., ,hall be paid parsuonl to Me p ... We- of Chapter 3, Article 11 of M. Belle Counly Cod.. After to 1... n of bu/IdlnO perm/1, or u -WWI In the —. of a mobil. home park. Sold lee a.:, mounl will b. dsl..min.d one .a/au/alsd a, of the dale of app,/cellon lar the 6.1141.0 permit or we p --all. AW -01, lire ..pp ... I., ,prmkl- ry,lem, ,hall b. Installed in all nee residential , I ... la.., /n accordance rlth In, Notional Fire Prole Of— A„octal/on Standard lo, fire Installation of ,prinkl,r system, In one and loo family dw,/O g, and m,bit, homes, NFPA Standard 13D. The purpose of the Installation of ,prM*I,, systems 1, far additional safley and properly prolerllon 1. the .coal of a./d-fl.1 fire,. This Installation dll r.d— In. demand far ,Iraclur.I If/,. prolerllon s. -/a., In Mose Wish ,s .here they are Installed. . Any nee dwelling, marl ,at Fire Sat, R,q,Wions of P.R.C. 4290. Deer Milig.H.. Fo as ore to be paid al the time of obi.loieg bur/ding perm//, if such tee, have been adopted by the Ball, C—ly Board of Sap -1-- A no dlatarbanc, a, development strip .hall be placed along rock wall. . Erislleg rack roll Dervlopmanl of Parcel t may -W— paym,nl of a Water Tender Fee ADDITIONAL MAP SHEET PARCEL MAP FOR OTIS AND DIANA DEAN A PORTION OF THE N. E. 114 OF SECTION B, T. 22 N., R. 3 E., _ M. D. BUTTE COUNTY, CALIFORNIA SIERRA WEST SURVEYING 5437 BLACK OLIVE DR. !9161 877-6253 PARADISE, CALIFORNIA 95969 Shaul 3 of 3 SCALE 1'.100' r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP060844 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: 04/28/2006 APN: 017-050-026-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: S �Z0 (— Site Address: 93D" -I q �j�qr -F lA-�' � N,i Date: -z-Az . Contractor: W 1 c t& m r• s CA) I Map Index: Description: FIRE SPRINKLERS FOR BP051378 p OWNER-BUILDERDECLARATION I hereby affirm under penaltyenaltyoffperjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: DEAN, OTIS &DIANA FAMILY REVOCABLE to its issuarice,.:also requires the applicant for such permit to file a TRUST signed statement that he or she is licensed pursuant to the provisions of, the Contractor's State License Law (Chapter's commencing with Section 13065 BEAN FLAT RD 7000), of Division 3 of the'Business and Professions Code) or that he or CHICO CA she is"'xempt therefrom'and the basis for the alleged exemption. Any 95928 violation..of;Section,7031.5 by any applicanfJor a permit subjects the applicant,tg•'a ciV4'p6nalty of not more than five hundred dollars ($500).): ` ❑ I;'as.-owner, of•the property, or my employees with wages as their . -,.... M .._ sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions . ._ .. fri . `:Si ._ ,,...... :'e -s—_ Code The ContracTors'-State LicenseL'aw does not apply'fo an owner of property who builds or improves thereon, and who does Applicant: SQUYRES JR, WILLIAM 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 P O BOX 3176 year of completion, the owner -builder will have the burden of CHICO, CA 95927 provino1hat. he or.she.did not build orirrprove for the purpose of sale.). as,owner_of„the,,property„am- pxciusively,,,,cQr)tracting,_,with licensed contractors,to:construot 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 Contractor: SQUYRES JR, WILLIAM pursuant to the Contractors' State License Law.): ❑ , I am Exempt under Article 3 of the Business and Professions Code P O BOX 3176 CHICO, CA 95927 Dater ' Owner: :;,.WORKERS' COMPENSATION DECLARATION I hereby.affiim under,penalty of perjury one of the following declarations: License #: 275206 ❑ 1 -have -and will maintain a certificate of consent to self -insure for workers'compensation„ as provided. for by Section 3700. of the Labor. Code, for the performance of the work for which this permit is,issued. Q-1: have -and will 'maintain .workers' compensation insurance,'as Architect:.. - - -...• . required by Section 3700:the Labor -Code, for the performance of Engineer: the work for Vv IhJch this permit is issued. 'My workers' compensation insurance carrier and policy numberare: Carrier: arrier:Policy#: Total Square Ft: 0 S. F. - Policy #: I certify that in- the, performance of the,work for which this permit is Valuation: $0.00 Census Code: issued;, -,shall' not,employ•any personon any manner so as to become subject -to the workers' .compensation laws of California, and agree.. that ; if I should become subject to, the workers' compensation provisions of Section 3700 of the.Labor, Code, I shall ` forthwith comply with those pr'ovisions.. . Date: Applicant:."rY� WARNING: 'Failure - to secure workers' compensation coverage is unlawful,, and•shail'iubject'an employer to criminal penalties and one hundred thousand ::'dollars ($100,000y,. --in addition to , the cost of compensation,- damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. "G o6a � CONSTRUCTION LENDING AGENCY This permit is hereby issu d under the applicable provisions of tha Butta County Code andfor I hereby'affirm that there is a construction tending agency for the performance'of the work for Which, this perm is issued (Sec 3097 Civ.) Resolutions to do ork ' dicated above for which fees have been paid. / a� • Name: By: Date: V f/_ PERMIT EXPIRES ON: U Address: Date O " ,1 hereby certify thif the useof this facility. comply'with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and,use of haiardous materials. ❑ Notification in'accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached ire'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 ?elating to building construction. I acknowledge it is unlawful to alter the substance of any official f or docu ent of Butte County. I hereby authorize representatives of Bu1tte County to. en upon the above mentioned property for inspection p oses. Print Name: V V 1 1 SY S Signature: (2A V �JN Date: - , ❑ Owner ' r . , . }l� Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONN: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.netldds "PLEASE PRINT CLEARLY" Last Name OWNER INFORMATION IFirst Name G Address • R City O State Zi Phone Zip Fax E-mail I� APPLICANT INFORMATION CONTRACTOR Name City Name YYK City Fax Address Zip Phone CityState I� E-mail 1� N Zi Phone d O �T- 3 E-mail ' O h t lie. # '� S ZOb eul I APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address YYK City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address C, City State Zip Phone Fax E-mail APPLICANT SIGN TUBE X For office use only: Zoning ro el Addres 13 c .11 Flood Zone Cross Street Cz rate-' I.1 )1,C Q3 SRA I es No Occ. e-,-)� Type Const. v o Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT 1P BIN il PROJECT LOCATION AP# O\� ,— ©�O r O2b 1 i ro el Addres 13 c .11 C' t�'l t co Cross Street Cz rate-' I.1 )1,C Q3 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must6e shown at the time of permit issuance. LENDING AGENCY Name Address ` S 1 3 (35— Description or Scope of Work: I e *t S c,ti�c,1�r S JV*," Sq FT- Living Garage Open Cov ❑ 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. Received by Amount: -I Cq-_�l�51Idg �j �` SRA Receipt #: "�,5 v 00? Sheriff C' r'- 44 7s SMTP Date: — -- Other Dat Cl ' Total 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 Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual', (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. Lefler of intent for non-residehtial buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 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. -❑ .Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 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 K WORMS\BUILDING FORMS\BIdaADolSubRamts.doc Paae 2 of 2 REV 8-12-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILD/NG'D/VfSION^ " 4,11 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNirR: ASSESSOR PARCEL NUMBER % �- ne3n Proposed Building Use: 1 (nsalnfdprPermit Technician: Date: Items required in order to apply fof a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 0 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 faxesl ❑ 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) Installation manual, including 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. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit: (May require additional plan review upon receipt of the following items.) 0 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable 15. Fire Sprinklers............................................................................................ _ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ 18. 'Ero§ion'Control Plan Required........................................................................ ❑ 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit.....`.................................................................. ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............ ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... ❑ 26. NPDES Form..............................................................""'................... ....... ❑ 27. Encroachment Permit�for driveway from the Public Works Dept ........................... ❑ 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.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 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 13 `5 - 10 1 Z-. and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: r_,/o :�Q=G nDate: %) - / .3 /S h 1. Index permit application for the above items numbered: )t i.} /,Plan Check Letter I items required -j ,� • . _ ontracto designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, i Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counte0by r Date: Contractor, designer, owner,yas a vised of the abo dat y ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: L " Plans approved by: Date: Structural reviewed by: ,,-7i✓ Date: mf Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 �:�...: y:s:_ cT.v'k+:r... ,.r: r.�,—e..+s.,...c�•,y�,z..,..:. .,.. :._. ..-wsr ....�j.. .e n•• ; -a r ... �{`--.., v w-.., .,.--. wy::sa.G.. ,�. „ V s .... 011-360-026 99-2437 OTIS, DEAN 1: 13065 BEAN FLAT ROAD, CHICO CONTR: OWNER" ADDWATER CLOSET T�� ;Z Ix COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-75414w" P ERM (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER / `� — i( ZONING BUILDING PERMIT OWNER TE�HON�Z S SO. FT. OCC. BUILDING VALUATION OWNER UNG ADDRESS 7 V C C,'��-- CONTRACTOR'S NA'MEt C- - TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS r... J 1A 1 Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE ! /r SF ❑ Duplex ❑ Mobilehome ❑ Other �:} 40 1 'j, c �a , '� O� SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water Water piping + 15-00/6,00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 0 Installation ❑ Other ❑ Describe Work: �.3t:.. SUJaf P Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 0 ' ELECTRICAL PERMIT Fling Fee 20.00 a00OR LE Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCC P. OR ADDNS. ( & ACC. BLDS. so 3.50FT. nNi Co-EESIMULTI-11 OUTLET CUITS QG 7,50 OWER APPARATUS 8 PSINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL O 1. 0 Ex. Occup. OFIx�EED�A A oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed 4 the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those, provisions. X _ �..-- Date21 4r Signature of Applicant - ner ❑ Contractor ❑ Age An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ Coes. TYPE TOTAL FEE $ HAZ. D � IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicat above for which fees have n By C2 �(. L' ' _tC_CtA,# PERMIT EXPIRES ON /0 - 4,4Z the applicable provisions Resolutions to do work been paid. Date %G -;l4 4 P 0d C-) Data Receipt No. 13 U q,/) G WHITE-D.D.S.-B.D. CANARY -ASSESSOR / PINK -INSPECTOR GOLDENROD -APPLICANT A X COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION C - 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541w �PPEMI (Rev. 12/96) APPLICATION AND PERMIT .�C, 77 ASSESSORPARCELNUMBER .-. .. O /� / ZONING BUILDING PERMIT OWNER r—xg TEL yE' o" SO. FT. OCC. BUILDING VALUATION OWNER IUNG ADDRES& CONTRACTOR'S NAME ,n� 0l�nn --• e. __ TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS c,1� Energy Plan Checking Fee $ .G/JCII $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE � SF ❑ Duplex ❑ Mobilehome ❑ Other y.q P 7 /�G�{ �d C �/'Q6J L� sPECIFY Each Trap 7.00 (j Solar or heat pump water heater 23.00 Water piping ( 15.00 16, 0 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: w Q Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G JwF 920.00 PERMIT FEE $ k4q,o ELECTRICAL PERMIT Filing Fee 20.00 LESS Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: AI, 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 13 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 10DDA 46.00 NEW CONST. D11E11NG OCCUP. WE ( N o" 3.5QFT.. T MUACC. NON RESID. @7.50 POW 8 WSINGLE OUTLET CIR. ER APPARATUS Ex. Occup. OUTLET OR FDMRES 2 Q I .00 SAL Q .50 Ex. Occu . ourIEEDTSS RESILI.ALNS OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with thos provisions. X _� 4p_ Date Signature of Applicant - ner ❑Contractor 0 A9 An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OccTYPE TOTAL FEE $ ,OC) HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indica t above for which fees have By PERMIT EXPIRES ON /D -02,40LZ_ I the applicable provisions Resolutions to do work been paid. Date SCS' qY A000 pate) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR f PIKK-INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER ,VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until ' this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES ... NO 2. I HAVER, HAVE NOT 13 signed an application fora building permit for the proposed work. 3. I have contracted with the following person. (firm) to.prQvice: the, proposed constuctton: NAME: ADDRESS: CITY:. PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired -the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS' PHONE TYPE OF WORK SIGNED: "ROPERTYOWNER: _ � SOCIAL SECURITY NUMBER: DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER 1. pAr—L. OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and. to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. ., If yod plad to cvyour own'work with the exception of various trades that you plan to subcontract you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire.project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security. taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, enoneoirsly implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER r t 011-36-0-026 •DEAN, Otis 13065 Bean Flat Rd, Chico (elec/ garage) VQa A% I Y V X A -mow- r. �.� .� . , .. .. ^ '.� Y• COUNTY OF BUTTE:- DEPARTMENT OF EVELORMENT SERVICES'-,BUIL"DING DIVISION 7 County Center Drive • Oroville, Ijfornla95965k eTelephone (530) 538-7541. PE�iMIT No. (Rev. 12/96) . APPLICA ON AND HERMIT ASSESSOR PARCEL NUMBER ZONING " BUILDING PERMIT OWNER TELEPHONE SO. FT.: OCC.1 J BUILDING VALUATION t .OWNER'S MAILING ADDRESS c�(0 CONTRACTOR/''!S^+NAME ^ w/ 4P6 A TELEPHONE f O- uFZ o5R Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ' ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee ,� $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fe $ BUILDINGADDRESS o CLAN •� --( t Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE ,...j ���-•�� j� � �/ SF ❑ Duplex ❑ Mobilehome . Other (_ 1.i'1J.�--Y�kJ, r1 Z�iG(_,Q SPECIFY -77777TT Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or/vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ` 1 Describe Work: i (t i (R`'� P 0 4r t hi, Jr 1 C4 ` 0'"0J1.ift.CO Gas piping system 1 - 5�outiets 15.00 Building sewer % 15.00 Mobile Home I S JG I W 1 @20.00 PERMIT FEE $ U ELECTRICAL PERMIT Fling Fee 20.00 600V OR UE Main Service .0A OR LESS 23.00 ? f1 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 Lic. No. OWNER -BUILDER DECLARATION a 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, OOK will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason "r WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performancelof the work for which this permit is issued. ❑ A have and will maintain. workers' compensation insurance, as required by Section -• 3700 of the Labor Code, for the performance of work for which this permit is issued. ,My workers' compensation insurance carrier and policy number are: Carrier - Main Service 200A To 1000A 46.00 NEW CONST. DW .NG OCCUP. OR ( ACC. BLDS F0. 3.5{t NEW CONST. M NON•RESID. 97.50 POWER APPARATUS b SINGLE OUTLET CIR. OUTLET OR F0(TURES Ex. Occup.SAL 20 @ +.00 @ .50 FIXED APPLNS. OR Ex. Occu . ouTL�s RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ - (� MECHANICAL PERMIT t Filing Fee 20.00 Heating Cooling% Hood / 6.50 Ventilation / PERMIT FEiE $ 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 shallva not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X /% . • ,�Q/- 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. Mobile Home Installation Fee $ Energy Inspection Fee $ o c CONST^TYPE TOTAL FEE $ C `• (l HAZ. D., FE IMP FI 000 CDF PARCELPD HD ISSUE. v 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 r F ' } ; ! Cl C C Cela , Date �' PERMIT EXPIRES ON ate Receipt No. 7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 'A 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 P RMIT N (Rev. 12/96) APPLICATION AND PERMIT �g'- l�D ASSESSOR PARCEL NUMB ZONING BU I LDI NG P ERM IT OWNER( /(1�% , •- gg3 NE SO. FT. OCC. BUILDING VALUATION . ///��� OWNER'S MAIUI� OfIE S5�-{PL J;k � 9 sq ag /�Y'J•Q� 1�-` CONTRACTOR'S NAME VW •.r TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee z $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fe $ BUILDINGADDRESS 1 O� is /1 _ _al/h n .JL i�xX. Energy Plan Checking Fee $ $ PERMIT FEE $ IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome (( Other sPECIFv Each Trap Z 7.00 Solar or heat pump water h0iter 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel 0 Utilities � ❑ Installation 1:1Other Describe Work: a&8 AIWI ,�l Gas piping system 1 - 5 utiets 15.00 Buildin sewer 15.00 Mobile Home S W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800V 0R LESS Main Service 20OAORLESS 23.00 Q LICENSED CONTRACTOR'S DECLARATION 1 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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. y X'C%G�- 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 1000A 46.00 NEW CONST. ( DWELLING ffUP. 3.5Q ST. 120 NEW CONS MULACC. TLET NON-RESID. c @7.50 OWEPUS 8 PSINGLER AOUTLETPARATCIR. EX. OCCu . OUTLET OR FD=RES SAL@'.550 Ex. Occu , ouTIEEDTB RE�SID°Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ D c TOTAL FEE $ HAZ. I D FE IMP I FLOOD I CDF I PARCEL PD HD 5 U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate bove for which fees have been paid. By Date PERMIT EXPIRES ON 1 13 626 I Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your s1&=vx , Please complete and return this information at your earliest opportunity to avoidunnecessary delve in processing and issuing your building permit. No building permit will be issued until dds verification is received 1. I personally plan to provide` the major labor and materials for construction of the proposed property im rovement : y7 NO 2. I HAW HAVE NOT O sigacd an application for a building permit for tie proposed veodt. 3. I have contracted with the followingpersm (firm) to provide tic proposed eo®sttvedow NAME '�a•-•';v .' .. �r''7tCC� ♦ . , ,.. .�•. ,+,. ra•" . 1"7i _ N.. �.' :.�. ` - ..`! !: r . `eb.�.r-i��:ai. ADDRESSi nY .,., ..b..t.t 'sa•, ru'.. �i�i"i:•Cl.:�i" :� �l•ti cY� {��►3' ' •PHONE '. � 't .i .``.�" ?' .'.£ .. .., �. . .: y�, ..:.� -.. �n s��l.'. �1:_ "M •'•�� ... '.i!, .1 �f..• � :'�.��C'-.. :- CONTRAGTOR'S;I.iCENSEN0. 641 4. I olid to. provide portions of this work, but I have hired the following PUS= .to. su _ f the mayor arork .;:>t.,t NAME: CONTRACTOR'S LICENSE NO. ; L PHONE. ' . 5. I will provide some of the work but I have contracted (hired) the following persons to provide. the work indicated: NAME ADDRESS PHONE TYPE., OF WOkk- = SIGNED: A PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: This Owner -Builder Verykatlon is required by Section 19831 and 198.32 of* California Health and Safety Code: This verification must be -completed and . returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION I Dear Property Owner: M application for a building permit has been submitted in your name listing yourself as the builder otpr+openy improvements specified. Foryour protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their* own work. if your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be swan of the following information for your benefit and protection: ♦ Ifyou employ or otherwise engage any persons other than your Immediate family. and the work (hwhxlfgg nn rb& and other costs) is 5300 or more for the entire project, and such persons are not licensed as contta�oes or subcontractors, then you may be an employer. .. ,N ♦' If you are an employer, you must register with the State and Federal Governments as an employer and yew are subject to several obligations including state and federal income tax withholding; federal social security ti ces, . workers compensation insurance, disability insurance costs, and unemployment e;ompensation contributions. Then may be finanieml risks for you if you do not carry out these obligations, and these risks are especisllyr serious with respect w worker's compensation. insurance. ' ♦ . For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small. Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. - y" ' `_ If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their wormpersonally or through their own employees, without a licensed contractor or subcofitractor, only under limited 'cooditlotm - xxA► frequent practice of unlicensed persons professing to be conoractorsJs to secure an "owner builder" building 'permit, erroneously implying that the property owner is providing his or ber oft labor and material personally. Building ape emits are sot required to be signed by property owners unless they are perfadi iitg their owe work peiianally. . 1&6" about licensed contracpa may be obtained by contracting the Contractors State.License Board in your -- community or at 1020 N Stme4 Sacramento, CA. 95814. r_�_.. _. PA4:e cortuplete••dte-"Owner Builder Verification" on the reverse side of this form so that we can confirm that you ;are aware of these matters. The building permit will not be issued -until the verification is returned.. , t ely, Mi el C. Vi ira. C.B.O. " M er. Building Inspection NOTE: This Owner-Builder.Injormation is required by Section 19830 of the Cal#'brnla Health and Safety Code: OVER 011-36-0-026 #98-2130 RESIDENTIAL I DEAN, OTIS i 13065 BEAN FLAT RD. CHICO j DON SCRIBNER DETACHED GARAGE PERMIT NO. PERMIT EXPIRES OWNER CONTR. s- ASSESSOR PARCEL LOCATION OCA e�Pp�y71�e /�� f CHECKED SRA BY : FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature V 6 O = Not OK '=Nott ReadApply MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /L'tt. / /Nat or/ /I -'ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card 0-1 Date Card B-1 M I S C E L L ANEOU U�-�� ./ VIM 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-RailsEr �r 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-Connections-Splice-DecakEnclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rttrs-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 #'a . Setbacks -Easements Pod Structure; Steel -Connections -Thickness 4.1 Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed T lec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. lec.; Grounding; Equip. w/8 Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. ealth Depa nt Approval 10. lumb.; Cir. Te sten Supply Test 11. Llqht NW* Date ly W Cird B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = NotOK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / /` Ftg. Depth Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purtin-roff Brac: TrussShting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ PFtg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrap ped 6. Stemwalls, Garage; Steel-BlockoutsAfrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground 59. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 60. Brace Interior / Exterior Wall Panels 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 61.1 nsulation-Wa II s-Oed Ings 15. Access & Ventilation 62. 16. Insulation Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s PLUMBING (Permit) OK except #'s 63. 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance ELECTRICAL (Permit) OK except #'s 73. 23. Fixture & Transformer Clearance -Ins. Protection 74. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 75. 25. Size Bo es & No. of Conductors Stapled 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 26. Romex Nstalled Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Elec. Receptacles in Garage (G.FI.)-Ramex Protection 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al Guard rails & Deck Construction -Post Caps 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 31. Service -Riser Conductors & Ground -Main Disconect Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 32. Equip. Clearances Panels -Motors -Meth. Epuip. Stucco Brown -Finish 33. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 34. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #s Glass Protection 35. A.C. Ducts Insulation & Support Corrections from Previous Inspections 36. Vent Fan, Exhaust above insulation Gas Test -Meters Tagged, Gas -Electric 37. Condensate Drain & Overflow, Size & Grade 92. 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 93. 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Comments at Final: 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purtin-roff Brac: TrussShting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop4ns. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61.1 nsulation-Wa II s-Oed Ings 62. Infiltration -Walls -Windows, Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Ramex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: SA* - (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. APPLICATION AND PERMIT ^Zk ASSESSOR PARCEL NUMBER 011-36-0-026 ZONING BUILDING PERMIT TM , OTIS TEUEPW*E-5 SO. FT. OCC. BUILDING VALUATIO 1160 1160 U 20,160 Gly V651uBEAN SS ROAD CMICRINER B TELEPHONE 695 3038 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Ellin Fee $ 20.00 Permit Fee $ 21 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDINGADDRESS 13065 BEAN FLAT ROAD 9R6�-B 0-bI G� Energy Plan Checking Fee $ $ 376-4( PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE GARAGE SF ❑ Duplex ❑ Mobilehome ❑ Other SPT Each Trap 7.00 Solar or heat pump water heater 23.00 4-00 Water piping 15.00 Each as water heater or vent 15.00 yyy TYPE OF WORK NeOv ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DETACHED GARAGE Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 4.00 ELECTRICAL PERMIT Filing Fee 20.00 OOOVMain Service zo.A OR LEOR SS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in II force and effect. `d� / +� License Class Lic. No. ) a"/ `� O OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier - EONP Policy Number 1 , 0 q (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �I '�-�-� Date Signature of Applicant - ❑ Owner V Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service To 46.00 CCU000A NEW CONST. DWELLING OCCUP. W: OR ADDNS. ( a ACC. S. SO 3.5¢FT: IIO" q�ID ' MULTI.OUTLET @7.50 PowER APPARATUS a aR.20 OUTLET OR FDRURES @ I'50 OUTLET R FD(TU Ex. Occup.BAL @ .so Ex. Occup. DUTELEDTS M.) E 5.00 R Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 440.40 HAZ. D. FEES ` I P FLOOD CDF PARC PD V, HD SU This permit is hereby issued under of the Butte County Code and/or indic above fo which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. O 3 / Date 1® Q TB / 0 r P—) Receipt No. 250582 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT S� (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • 'Telephone (530) 538-7541 PERMIT NO. APPLICATION AND P RMIT ASSESSORPARCEL NUMBERQ 2 ✓TELEPHONE 2ONIN� �c� BUILDINGPERMIT OWNER SQ OCC Bq[DI G VALUATION OWNERS MXUNO ADDRESS - /lD� � CONTRACTOR'S % S C HONE X�_3 v3 ooNTQ&oRv MAILING ADDRESS CONSTRUCTIONLENDER LENDER'S MAILING ADDRESS Fre lace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee S Lot— ARCHITECT OR ENGWEERS MAILING ADDRESS Plan CheckingFee S III LID eunOwG ADOREss Energy Plan Checking Fee S S PERMIT FEE _ LOT NO. SUBDN6pNS NAME PARCEL MAP PLUMBING PERMIT Fling Feil 20.0 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other gPECFY Each Tr 7.00 Solar or heat pump water heater 23.00 Water piping 1 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 0 Other ❑ Describe Work: Gas piping system 1 - 5 ou 15.00 Building sewer 15.00 Mobile Honj S I G1 W 1 020.00 PERMIT FEE _ ELECTRICAL PERMIT Flln4Fee 20.00 Main Service .wo Fss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect License Class Lic. No. 3 5.4 23 Q OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier f -4i47-1" Policy Number (rhe 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 tf I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories in height Main Service 200A TO I000A 46.00 NEw CONST. OWEL.wG oCCUP. 3.5 so OR ADONIS. a ACC. BLDS. NEW TpµR°SID. MULT40LmFT @7,50 PO APPARATUS a sGJGLE oLmET Ex. Occup. IES 200 1 00 B .50 Ex. Occup. L.I6.°� 5.00 Tempora ervice 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 .. Heating Cooling Hood 6.50 Ventilation PERMIT FEP S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA I D FEES IMP FLOOD COF PARC PD HD IZUE 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 EXPIRES ON provisions to do work paid. fo rRec7eiptNo._�2PERMIT WHITE-D.D. .- .D. CA RY•A S SOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERPICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL ER:��/Tv� CJO� Proposed Building se: Building Inspector: Date: At time of permit application, I was ad sed the following data must be su mitted prior to permit processing an or issuance: Date Received By ❑ 1. All items have been submitted --------------------------------------------------------------------------------------- 112. Plot plans, 3/4 sets, signed by the preparer of plans. 03.. Complete plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- ngineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -64-T- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes!------------------ E16. ----------------- ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 1. Impact fees as shown on the attached schedule. ------------- - - --- - --------- - - ---------- --------- -- -- - - California Department of Forestry plan approvallfees. �--- ---_-- �!=----��-- -- R -z -- �- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- 1 ° w. -Sanitation and plot plan approval A ealth Department.------------------------------------------- 1115. ------------------------------------------❑15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑ 20. Pre -inspection for required Request to Building Inspector on - (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- tter of intent on building use. --- £-T��°- ---- A�31 ��F-d& ------------------------------- 127. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 1143 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $--------------- ❑30.Other:------- Wh u issue the permit, process as 9�and 'ows 11 Mail to owner, ❑Mail to ntr tor. elephone ���— hold for pickup at office. ❑ Deliver with inspector. Applicant: �-JDate:. Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:. Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:. 9- / 7- -f ' 1. Index permit application for the above items numbered: } ❑ Plan Check List 2. Additional items required: ontracto gner, owner, was advised of the above required data byuephone, ❑ mail, ❑ Building Division counter, b -Date:911 ontractor, :gner, owner, was advised of the above required data byOQhone, 13mail, ❑ Building Division counter, by Date: 10 Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was ised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: f_ , Plans approved by:- . Sets of plans on hol m ❑ Plan CabineteAVA.P. folder. Note transfer by: 67rk Date: Yellow Copy - Department of Development Services, Building Division. E.H. USE ONLY Plot Plan Attached Floor Plan Attached —Y—nr__ Sent to TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal 5e Water Supply: Public Private Well X' Cle�rance for -dwe4". Other .5�0 / x zs; " x4,0 e-,/ A, �e 0 Hold final for: Final clearance O.K. for: NOTE: .,-- - /,/ J-,- - -/ Environmental Health Specialist 8/96 14 -.6 -11F Date /I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING PN: ONE: BUILDING PMT..# OWNER: MAI SITE ADDRESS: PRI PHONE: all PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE PRECEDE EACH COMMENT WITH RELATED QUESTION N) GENERAL INFORMATION: 1. Is there a primary dwelling on the property? Yes: No: 2. Is the structure already built, under construction, or under notice of code violation? Yes: No: 3. Will items produced in this building be offered for sale? Yes: No: _ 4X 4. Will the public have access to this building? Yes: No: 5. Will any advertising, on or off site, be associated with the use of this building? Yes: No: 6. Will this building be occupied at any time as a sleeping quarters? Yes: No: 7. Will this building be occupied at any time as an eating area? Yes: No: 8. Will this building be occupied at any time as a cooking area? Yes: No: GY 9. Will this building be occupied at any time as a living area? Yes: No: SITE CONDITIONS: 10. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes: No: 11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No: 12. Do you plan to add a driveway or modify existing access to a county maintained road? Yes: No: 13. Will the proposed structure encroach within any recorded easement? Yes: No: CONSTRUCTION FEATURES: 14. Will this building have insulated floor, walls, or ceiling? 15. Will this building be heated or cooled? 16. Will this building have a water closeUtoilet? 17. Will this building have a sink? 18. Will this building have a water heater? 19. What type of floor covering will the building have? 20. What type of wall covering will the building have? Yes: No: Yes: No: Yes: No: Yes: No: V..... At..• / X 9r �— ADDITIONAL INFORMATION: I hearby affirm under penalty of perjury the above infromation is true and correct. 1 understand that any changes to the use, or character of use, of this building will require permits from the pe in _ a* -l-underReal Estate Disclosure laws require disclosure of this Information If or when offered for sale. OWNER'S SIONA ATE OWNER'S SIGNATURE DATE FOR DEPARTMENTAL USE REVIEWED BY: COMMENTS: [7cj114 =-« «ACES -32 Ver. 1.J>>>>==========[ 782253 ]==========« «TROJAN» >>========= Customer : TROJANTRUSS Mon Feb 16 12:06:29 1998 Project #: 216TRO Truss ID : 28COM Family # : 104 Span 28-0 Quantity : 1 Top Pitch : 4/12 =eld(2/12/1998),v1.1___ ------------=-------- _______________________________________________________ TOP CHORD BOTTOM CHORD WEBS REACTIONS - SIZE APPROVED FO P� ES INC. 1-2=-2179 5-6= 2061 2-7=-359 1=-1142 3.50 e- Q(IOFESS/O^� 2-3=-1908 6-7= 1439 3-7= 572 5=-1142 3.50 `F CL�(,1pIVG ( �FZ• 4-5=-2909 7-1= 2061 4-6=-359 4i Re 17 ATE OFFSETS (X=LEFTY=TOP):[j7=3,2), 0 7-6-5 14-0 20-5-11 28-0 .2-0 ; �2 7-6-5 6-5-11 6-5-11 7-6-5 4X4 3 �- 1X4 1X4 2 4x ��.�Iq..i, t < 3X5 CL 3X5 /J 7 5X6 3X4 10-0 18-0 28-0 .� ' 10-0 8-0 10-0 00 �. HL TO PK:14-9-1 R. HL TO PK :14-9-1 .iEFT HEIGHT:0-3-14 SPAN:28-0 ` RISE:4-11-14 RIGHT HEIGHT:0-3-14 ,OARING (PSF) MAX STRESSES MINIMUM-GRADE..OF LUMBER L. D TOP 1-2=0.441 ,TOP-CHORD:2X4 No.l&Btr,91 DF -L COP 16 -10 BOTT 7-1=0.579 BOT CHORD:2X4. No.l&Btr'91 DF -L 3OTT' 0 10 LL.DEFL.@7=0.10 < L/240 WEBS :2X4 STANDARD GR DF -L 3TR . INC .: LUMB = 1.25 PLATE = 1.25 SPACING 24.0 ZEPETITIVE STRESSES USED NO. OF MEMBERS = 1 EFLECTION(IN.) L.L= 0.10,D.L=0.12,T.L=0.22 'LATES ARE MITEK M20-165,142 MANUFACTURED FROM ASTM A 446 GRD A GALVANIZED STEEL(EXCEPT AS SHOWN) 'LATE MUST BE INSTALLED ON EA. FACE OF JOINT,SYMMETRICALLY(EXCEPT AS SHOWN)DESIGN CONFORMS W/NDS DESIGN SPECS. UBC-ICBO.TPI-91 TOP CHORD BRACING Q 24'! O.C. UNLESS RIGIDLY SHEATHED, BOTTOM CHORD.? CONTINUOUSLY BRACED Q-19 Cr'. O.C. UNLESS RIGIDLY SHEATHED. LATERAL BRACING OF WEB MEMBERS, WHERE REQUIRED, ARE AS SHOWN ABOVE. FOR ADDITIONAL PERMANENT AND TEMPORARY BRACING (WHICH IS ALWAYS REO -D) REFER TO TPI PUBLICATION HIB -91 BRACING WOOD TRUSSES COMMENTARY AND RECOMMENDATION. I I III f1� kLpys1 rrgQom. m� I III M. it M. Max. S limp Ca CD 02 rjo .11\ I Illilull111 _I 0 r 1 •4 1'. b d � 9 CDF FIRE SAFE REQUIREMENTS 2 -Jo 2t 3 6 �.�nJ its AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [� 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [�] 1273.02 Surface. All driveway surfaces and structures (bridges, '1 1273.07 culverts and other app-rte:zant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [�] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [�] 1. No roadway shall have a horizontal inside radius of I curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [�(] 2. The length of, vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 27-0 10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of - 3- , Jk7 fr" _ 1 C '3 - JJ [ ] 3. Where a one-way road with a single traffic lane provides entrance, a SO foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. b(] 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [(Z 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi:ial inspection of a building permit. Page 2 of 3 2-1. 3,D AP # PERMIT # NAME ( 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [7y 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates �.] 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a SO foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. b(] 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [(Z 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi:ial inspection of a building permit. Page 2 of 3 AP # PERMIT # other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves NAME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Page 3 of 3 f KSIbG R ENTIAL '�'l 73 -6 B �, 1-�6 03 DEAN, Otis 13065 Bean Flat Rd Chico (remodel/sf) OFFICE COPY Address )-106 5��7 —?e PT "lil GAS Meter By I'AA Date Mey 52 JOB FINALED Patel I Signature q=OX O =.Not OK ' = Applic Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location-Test-Fall-C/6 Concrete 4. Water; Location-Test-Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp-Concrete 6. Gas; Location-Test-Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks Easements 2. Footings; Size-Spacing-Marriage Line 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances 5. Drain; MH Test-Fall-Flex Connector 6. Water; MH Test-Regulator-Connector 7. Water and Sewer Connected-C/O to Grade-HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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, Distances-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- Pane Iboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=ox O =.Not OK ->Not Applicable Read Not Ready RESIDENTIAL (Single Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth v. rry., rorcnes a vecx5; owns-oreer-i irry. uepm 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped & Duplex) Date FRAMING (Continued) 4S'F�ang�rs-Post Caps-Anchors=Connectors 4 . g. ist-Rftr. ties -Purl in -roof Brac-Truss-Shthng.-Rfng. rreplac Ties or Type A Flue -Fireplace Throat clearance 4977Mfr'g-ccess; Size & Romex Protection -Draft Stop -Ins. Baffles 49.4BAnrrWindows or Exitinq Doors -Sill Hot. & Dimensions 6. 0. 11 Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING Permit OK except #'s 6 Water Htr an cces ombustion Air -Baffle Water Pipe Anchor -Nail Protection . D.W.V t- ittings & Anchor -Nail Protection 14- 606wer Pan; Test, First Floor -Tub Access 20.-Xac1-jTub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date 0- Card B-1 Date Card B-1 Date W-7 Card B-1 (rX, Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 2.alrixture & Transformer Clearance -Ins. Protection 2311ec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled 26!Romex Installed Close to Edge of Studs & C.J. 383 i . Ground m2a up w/Meth. Fastners-Bond Gas & Water 09 A fiance is in Kitchen & Conducl ize/GFI 2E"SUDfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 2S7 -RV ge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30'gervice-Riser Conductors & Ground -Main Disconnect 31.'t3To1p. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. moke Detector Date6 -11�ard B-1 GG Date Card B-1 Date �,oa.Card B-1 COY Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Pucts Insulation & Support 35. Vent Fa , Exhaust insulation 36. Condensat ain & Overflow; Size & Grade 37. Furn a -Vent; A ss -Comb. Air -Return Air Vent -115 outlet 38. is AGCess & Pl.ffnNif Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 30.-Sils, Proper Material & Anchors _Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 4R -Draft Stop in Walls (rat proof) Ke Stops; Furred Ceilings -Stairs -Chases -Tub Headers & Beam -Size & Bearing 59-63f'Je Fire Protection Framing Property Line Firewall & Openings 52. -E -At -Doors -One T -Check Garage -3rd Story, 2 Exits airs; Width -Headroom -Rise -Run -Landing -Fire Protection 54 -pfyWo6d on Roof Overhang -Attic Vents -Rafter Outriggers 55-fAding-Nailing Veneer 56r-Stocc*,Mesh-Drip Screed -Fd. Vents-Underflr. Access 5ik-61eein9.Area-Glass Protection -Skylights -Plastic 5&.%Sbeac-Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date (-10-0j-Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FIA1141. Plans OK except #'s 1 Ext. Steps -Door & Sidelightrotection-Landings. 1pu Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - in Garage; Above Floor -Ducts -Meth. Protection Bedroom Exiting 6jl G.F.I. & Bath Fixtures & Tub Access -Spa fAti. Elec. Trim & Subpanel; Breaker Sizes & Labels 6J- S irs & Rails @8--Rreplace or Stove; Clearances -Hearth 62-89c. Outlets at Wood Panel; Int. & Ext. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Y- Elec. Outlets & Receptacles at Kit. Counter rage Fire Door; Swing -Landing -Closer f3. -A -C^ Duct in Garage -Damper Wtr. Htr.; Vents -Clearance-, mb. AiAi Connector -P .V In Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location 7'6��c. Receptacles in Garage; (G.F.I.)-Romex Protection 7J!rinsulation- Foam- Looked in Attic ❑ Yes ?&.-@card Rails & Deck Construction -Post Caps AD.-Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ,k9:-STucco; Brown -Finish c- ,B'A.C. Unit; Disconnect, Electrical, Plumbing '- 8 ; Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings ati!2Watef Well; Disconnect, Electrical, Plumbing #,K�terior Elec. Trim; G.F.I. Receptacle -Underground SC Ventilation Throughout House Glass Protection Corrections from Previous Inspections Gas T t -Meters Tagged; Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval . Energy Compliance Certificate -Other Certificates Date 2,�/,�.� 'jam Card B-1 ((T Date Card B-1 Date -%J Card B-1 r Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) Building Owner Building Location ENERGY I`fSTALLATION CERTIF ICATZ Building Permit m DESCRIPTION OF INSJIATMN uuur 'Ma t ari a This:cess (inches) E"^ER IOR WAIL P*ater:al Thictness (inc es) Batt or Blanket Type This:cess (iach es + Loose Fill Tppe R —Z < �S Thickmess(Inc iies) Area covered(ft.2) FLOOR, Z"- Z7AT= iat er:a l Thiccess (inches) FLOOR, sziq Material ` Thic?cess(inc-es) Width(inches) Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name'. -- Number of Brags Wt. per bag _Ib. Thermal R4s4-stance(R Value) I Brand Name Thermal Resistauce(R Value) Brand Name Thermal Resistauce(R Value)__ F CU�IDATION WALL Material Brand Name M.;ckness(inches) ' Thermal Resistance(R Value) I he_ebp cartify that the above insula Pion was installed in the above building --••-is consistent with approved building department plans -and attachments -and con- forms with requirements of Chapter 2-53 of State of California Energy Requirement: F=M :W42/OT14__UER STAT CONTR,, TCR'S LICZME NO, i SIGNATURE OF !NST-VI-ATION 3t2LICATOR1- DATE .I hereby certify the required features, devices, and equipment,.a� shown on the approved Building Department plans and attachments Have been installed and conform to the a'p'pli- ance -standards and Chapter 2-53 of the State of California Energy requirements. e a I r BUILDING CONTRACTOR/OW' R (Please Print) STATE CONTRACTOR'S LICENSE NO. (FIM1 YALME) < STOATURE OF BUILDING CONTRACTO �,014-NNFa.R DATE r HVAC F111M NARE/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF HVAC CONTRACTOR/OW-NER ► DATE THIS CERTIFICATE NST BE ON FILE 4vITIi THE BUILDING DE?ARTZMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE PCSicD WITHIN TSE BUILDING. Sc?TEMBER 1983 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 3 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 7) G -,r P\ \KZ- W/B 4- 9=, C WILA Vq- L (� ej; Date � ?— —1(, -Cf ?— Inspector Z -�' I j COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 3,2.c-, - c) I 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 notify 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. - M \fj, -\ Vio \�-) \ -v e �-\ ". P\ r (7 Li r\14C i�- (' � q LIA� 0,14r- -\- '�P r2 - J k C-0 '7- %0)'c to t L- C)Pnoy-q . \/\) it \,\ 'r, N TV/ (2— -�-( ') T �\ ) AJ rt Date —L4 0 —12! — Inspector REV 11/91 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE " a V%. --- .4 OWNER Q. PERMIT NO - A routine inspection indicates that the following violations of nte County Ordinances exist at the above address and should be corrected. Please notify 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. 0-0 1 -0 0 C. L2 -t"s n,4 r,d-e: 60 Lin. 4n-&,( a., 44 A &oLC- Date 17 - 912- Inspector REV 11/91 COUNTY OF BUTTE, DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE bon r'. -3 2 6 -?l OWNER 96 5 PERMIT NO - A routine inspection indicates thafthe fiAwing vio . gions of Butte unty Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleas (contact this office immediately. 0 SW14C � Date Inspector I Y�l 0 1 REV 11/91 I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. C/ 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT A35ESSOR PARCEL NUMBER 011-360-003 ZONING FR -5 BUILDING PERMIT OWNER Otis Dean TELEPHONE i'� S0, FT. OCG^. BUILDING VA ATIO OWNER'S MAILING ADDRESS ���� DR 0 «7s� Minnvill,c OR 97128 1ST RENEWAL CONTRACTOR'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee @ 1 Fee $ 19.25 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy g Fee $ Ener Plan Checking Penalty $ BUILDING ADDRESS Permit fee $ 34.25 PLUMBING PERMIT Filing Fee 15.00 13065 Bean Flat Rd.. Cil' Co Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex F] Mobilehome❑ Other Remodel SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W 115.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other® Describe work: I. -,t Renewal of B.P. #1326-91 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 18.50 200A OR LESS _ Main service 20CATO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare undern Ity of perjury icheck one);— El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification ElI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I� I, as the owner, am exclusively contracting with licensed contract- / ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for T is reason NEW CONST. ( DWELLINGOCCUP.E\ 3.64 sq.ft. OR ADDNS. ACC. BLDGS. II NEW C0N5TR* ULTI.OUTLET ^ 5 00 NON-RESID BRANCH CIRC ITS POWER APPARATUS 8 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. Ex. OCCup. OUTLETS ((RESID,)REAJ I 3.00 Temporary service 15.00 Mobile Home me Facilities 15.00 Misc. H g 15.00 Permit Fee $ — ORKMEN'S COMPENSATION INSURANCE I declare un enalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Not;ce to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sal County in cons uence of the granting of this permit. X "6� � OCc��-,r� Date Q Z Signature of Applicant — Owner )Al Contractor El Agent An OSHA permit is required or vations excaover 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz 0FEES IMP FLOOD CDF PARCEL PD HD ISSUE I This permit is hereby issued under the applicable provi- sions of the Butte CountyCo a and/or resolutions to do work infor dicate ov Ich fees have been paid. UBLIC WORKS By Date's 'y 7?�, PER IT XPIRES Date 5/7/93 Receipt No. J Jr —I WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLI CANT COUNTY OF BUTTE - DEPARTMENT 1JF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Olroviller.Palifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 011-360-003 ZONING FR -5 BUILDING PERMIT ` OWNER + Otis Dean_476-8719 TELEPHONE SO. FT. OCC. BUILDING VALUATION est. 3,000.00 OWNER'S MAILING ADDRESS F.O. Box 21 5MC- MinnvillpOP 97128 CONTRACTOR'S NAME Owne- TELEPHONE CONTRACTOR'S MAILING ADDRESS _71UNKNOWN Fireplace CONSTRUCTION LENDER None Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 19.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 7 PLUMBING PERMIT Filing Fee 10.00 130 B EAK) LAT .D. CH I 9 �a� Each Trap 2.00 17 • 07 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 /} Each qas water heater or vent 5.00 r USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Ax SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel q Utilities ❑ Installation❑ Other ❑ Describe work: re0g-'elbed--(oo-PA int -o.— and extend closet in new bathroom Permit Fee $ 47 00 Contractor ELECTRICAL PERMIT Filing Fee 1 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession$ Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. (DWELLING OCCUP.e,) OR ADDNS. ACC. BLDGS. , /20sgft CONST NON•RES D R BRANCH CIRCTITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURES Ex. Occu 2ALO3 C eL030 FIXED ALNS. Ex. Occup. OUTLETS P(RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IlYirin g 15.00 500 Permit Fee $ 500 Contractor ' WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. �f' LJ shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in sequence of the granting of this permit. �! // X_[���,1ilG Date 7r.���� Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for ex ovations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE $ E HAz. cuA PARK SCHL FLD PAR Po I This permit is hereby issued under the sions of the Butte County.Code and/or work indicated above for which fees D R. O OF' UBLIC B P MIT EXPIR Date applicable provi- resolutions to do have been aid. p WORKS Date Receipt No. 88434/129.75 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ... ,.. —r vt'r., . .. .. .. _- .r -..t ,e• RFK , �:Y��. , ;,,,•-�. 1 . rr-4.�-..+�nna^• +yc;yY•fh,I.:rthvil`il:f�..�'(� t f ' , = COUNTY OF BUTTE - DEPAiRt-ME-NT OF PUBLIC,W ORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -,TELEPHONE: 916/538-7541�4 PERMILOPLICATION °DATA SHEET r'. Permit No. % 1 6p —03 OWNERA. P. No. _ Proposed Building Use W 04�4_ Bui'Iding Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. DATE RECEIVED APPROVED All items have been submitted . .................................... 2: Plot plans in duplicate/triplicate, signed by preparer of plans........ ,13. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............ . . . 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ....................... `+ 10. Fees of $ ... 11. Chico Urban Area fees paid ....................................... 12. Park fees paid r/ 13. School District fees paid ......... 0 .... �'• '� 14. Sanitation approval from Health Department z.. 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization `26. ' 27. 1 When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for p ckup at office. Deliver w. /inspector. Other Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—naiI—counter by ..date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked Copy—DPW Date PlAns approved by Sets of plans on hold in File cabinet ' AP folder Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oravllle, Callfornla 95985 - Telephone: 918/538.7541 APPLICATION AND PERMIT A331133OR PARCELNUMBUR �.. by -00 2 NIN _ BUILDING PERMIT WN¢R T!S•N 503` T e NONE - . S0. FT. OCC. BUILDING VALUATION E OWNR�ZZ�AI�fJ© DDH ESS B'-!rMC-MiAmV 1 6 AlMe CONTRACTOR'S NAME OUJA e T L PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON$T.ROUC ION LENDER tj UNKNOWN Total Valuation $ Filing Fee $ 10.00 LEN////D�`�`//E�/R'S MAILING ADDRESS Permit Fee $ O ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ' 30 / !Ww PTA A.) AT Permit fee $ L PLUMBING PERMIT FllingFee 10.00 Each Trap 2.00 2,© Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping * 5.00 Each qas water heater or vent 5.00 Q USE OF STRUCTURE SF"0 DuplexMobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 (� Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New Addition [I Remodel9 Utilities[] Installation[]Other Describe work: ReModle-Be-14,1GA 1 NTJ,�) •« I&om Allot LX l eAhl (Ia►se�- It,�/ Permit Fee _L::16, (� Contractor ELECTRICAL PERMIT Filing Fee 10.00 8001 ORLESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLINGoCCUP..) ?/:¢sgft OR ADDNS, t ACC. BLDGS. / NEW CONSTR. ULTI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS (POWER APPARATUS Q1 SINGLE OUTLET CIR. I zoesoe Ex. Occup(OUTLETS OR FIXTURES SALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ,65 Permit Fee $ 00 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �0'f-have-placed on file with the County of--Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self-Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. ---- - - -- Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must.forthwith comply with such provisions or this permit shall be deemed revoked. --- MECHANICAL PERMIT Filing Fee 10.00 Heating - -- W _' Cooling Hood 3.00 Ventilation- Permit Fee $ Contractor 77— 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County Butte to enter upon the above-mentioned propertyfor inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for xcovations over 5'0" deep and demolition or construct- ion of structures over 3 stories i height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE '2'29, TOTAL FEE $ HAZ. I CUA I PARK SCHL I FLD I DDF I PAR I PD I HD. ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date �11Receipt No. 12 WHITE-O.P.W., YELLOW-ASSESSOR. PINK-INSPECTOR. GOLDENROD-APPLICANT f Return to DPW AGRICULTURAL STATEMI M OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT 'Section 26-8.1 of. the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 9 I -- 1 3570 ,s The property described herein is adjacent` Personally known to me. Proved to me on the basis to land or included within an area zoned .91-01:3570 Rec Fee 13.00 for agricultural purposes, and residents Check 13.00 of this property may be subject to incon- Recorded veniences or discomfort arising from the Official Records - 0 r use of agricultural chemicals, including, County of i purposes therein contained. IN WITNES but not limited to herbicides, pesticides, ,. Butte WHEREOF, I hereunto set my and fertilizers; and from the pursuit Candace J. Grubbs of agricultural operations including, Recorder but not limited to cultivation, plowing, 8:02am 9 -Apr -91.1: CD 5 spraying, pruning, and harvesting which - - - occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive 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: Attached description 90-24386 Date: ----1' S PROPERTY OWNERS- [ UkL. S&44 State of AWA -•m- ) On this the l day of 19_�7L, before me, the �) SS. undersigned Notary Public, pefsonally appeared County of .-a Present A.P. No-��"��� G Personally known to me. Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) 0A_P__ subscribed to the within instrument and acknowledged that XAtAll - 0 r executed the same for the purposes therein contained. IN WITNES .'i .r_. WHEREOF, I hereunto set my hand and official seal. .-a Present A.P. No-��"��� G •pproer Npp�� Escrov� No. 11311866 I Loan No. RECORDING REQUESTED 6Y; MID VALLEY TITLE WHEN RECORDED MAIL TO: -OTIS DEAN and DIANA DEAN 13065 Bean.rlat Road Chico, CA 95928 MAIL TAX STATEMENTS TO: SAME AS ABOVE 0111-36-0-003-0 3570 24386� 90-024386 R e c Fee 11.00 DOC 97.35 Recorded ;iT to a1 108.35 offici4f Records ; C�unty of Butte Candace J. Grubbs 1 Recorde>; , 8:OOam 12 -Jun -90 ; 4 DOCUMENTARY TRANSFER TAX $WM Computed on the.consideration or value of property conveyed; OR Computed on'the consideration or. value less Gens or encumbrances remaining at time of sale. 11 GRANT DEED of Declarant or Agent determining tax - Firm Name TRANSFI R TAX PAD FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, MICHAEL CLIFFORD and JAZELLE CLIFFORD, husband and wife,and DENNIS O. KELLY, a single man hereby GRANTS) to /E. L. OTIS DEAN and DIANA( DEAD husband and wife the real property in the City of unincorporated County of Butte as SEE ATTACHED LEGAL DESCRIPTION , Dated Tuna 11.E } '._,STATE OF CALIFORNIA )ss. COUNTY OF Marin } on.. 6/8/90 N before me, the undo rsigncedh�aelo Crylipford�a dr said State, personally appeared r1� a7el le Clifford********************* personaly 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 with Instrument_ and acknowledged to me that he/she/they :xecuted the same. /ITNESS my hand and official seal: Signature Laura Anderson , State of California, described OFFICIAL SEAL LAURA ANDERSON • NOTARY PUBLII:-CALIFORNIA Principal Office in h1ARIN County tdy Commission Expires lune 19, 1992 DESCRIPTION ALL THAT CALIFORNIA, ' 9 1 , i 35 70 CERTAIN REAL PROPERTY SITUATE IN THE STATE OF COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: LOT 1, OF THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER` OF' SECTION 8, TOWNSHIP 22 NORTH, RANGE 3 EAST, M.D.B. & M. EXCEPTING. THEREFROM THE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF.SAID SECTION 8. ALSO EXCEPTING THEREFROM A PARCEL OF LAND PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTHWEST CORNER. OF THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 8, EXTENDING THENCE NORTH ON THE QUARTER SECTION LINE, 8 RODS AND 2 FEET;. THENCE SOUTHEASTERLY 28 RODS AND 14 FEET TO A POINT 27 RODS AND 9 FEET EAST FROM THE PLACE OF BEGINNING; THENCE WEST ON SAID LINE TO SAID PLACE OF BEGINNING. ALSO EXCEPTING THEREFROM THAT PARCEL OF .LAND- DESCRIBED �AS FOLLOWS: A PORTION OF THAT PARCEL OF LAND COMPRISING OF 26.21 ACRES, MORE OR LESS, WHICH PARCEL OF. LAND IS DESCRIBED.AS BEING A PORTION OF SECTIONS 5 AND 8, TOWNSHIP 22 NORTH, RANGE 3 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE ONE QUARTER CORNER COMMON TO SAID SECTIONS 5 AND 8; THENCE ALONG THE NORTH LINE OF SAID SECTION 8, SOUTH 89 DEG. 56' 44" EAST, 878.08 FEET TO THE CENTERLINE OF THAT CERTAIN 60.00 FOOT EASEMENT DESCRIBED IN THE GRANT DEED FROM CARL E. ANDERSEN AND HAZEL F. ANDERSEN; TO EUGENE SARSFIELD CLIFFORD AND BARBARA ANNE CLIFFORD, AND RECORDED APRIL 24, 1979, IN BOOK 2392 OF OFFICIAL RECORDS OF BUTTE COUNTY, AT PAGE 350; THENCE ALONG SAID CENTERLINE, SOUTH 32 DEG. 00' 00" WEST,.138.54 FEET; THENCE.SOUTH 26 DEG. 00" 00" WEST, 175.00 FEET; THENCE LEAVING SAID CENTERLINE, SOUTH 45 DEG. 58' 39" WEST, 412.99 FEET; THENCE SOUTH 33 DEG. 25' 32" WEST, 738.95 FEET TO. THE MOST EASTERLY POINT AS SHOWN IN DETAIL "A" OF LOT 5 -ON THE MAP OF ENVIRONMENTAL DEVELOPMENT, INC., SUBDIVISION, RECORDED IN BOOK 80 OF MAPS, AT PAGES 43. THROUGH 48, OF OFFICIAL RECORDS OF BUTTE COUNTY; -'THENCE ALONG THE EAST LINE OF SAID LOT 5, NORTH 1 DEG. 09' 45" WEST, 546.55.FEET TO THE NORTHEAST CORNER OF SAID LOT 5; THENCE NORTH 42 DEG. 43' 08" WEST, 812.79 FEET; -THENCE NORTH 739.19 FEET; THENCE NORTH 25 DEG. 55' 39" WEST, 571.99 FEET; THENCE NORTH 84 DEG. 42' 21" EAST, 542.06 FEET TO THE MOST WESTERLY CORNER OF THAT CERTAIN PARCEL OF LAND AS SHOWN ON THE RECORD OF SURVEY FOR CONTINUED DESCRIPTION - CONTINUED 91-13510 ✓V �' SARS CLIFFORD, RECORDED IN BOOK 69 OF MAPS, AT PAGE 57 OF OFFICIAL RECORDS OF BUTTE COUNTY; THENCE ALONG THE WEST LINE: OF SAID PARCEL, -SOUTH 0 DEG. 42' '16" EAST, 1190.43 FEET; THENCE SOUTH 71 DEG. 41' 14" EAST, 246.76 FEET :TO THE POINT OF BEGINNING. ALSO EXCEPTING THEREFROM THOSE PARCELS OF LAND DESCRIBED AS FOLLOWS: A) A .PORTION OF THAT PARCEL OF LAND COMPRISING OF 5.10 ACRES, MORE OR LESS, KNOWN AS THE McINTYRE PLACER MINING CLAIM; AS DEPICTED IN MINERAL SURVEY NO. 4443 OF THE OFFICIAL RECORDS OF THE U. S. BUREAU OF LAND MANAGEMENT, WHICH PARCEL OF LAND IS SITUATED IN THE NORTHEAST QUARTER OF SECTION 8, TOWNSHIP 22 NORTH, RANGE 3 EAST, M.D.B. & M., BUTTE COUNTY, CALIFORNIA, DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEAST CORNER OF SAID SECTION 8; THENCE ALONG THE NORTH LINE THEREOF, SOUTH 89 DEG. 50' 04" WEST, 1497.28 FEET TO CORNER NO. 1 OF SAID MINERAL SURVEY NO.. 4443,; THENCE SOUTH 34 DEG. 00' 04" WEST, 217.57 FEET TO CORNER NO. 6 OF SAID MINERAL SURVEY; THENCE SOUTH 9 DEG. 38' 04" WEST, 143.39 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING AND CONTINUING SOUTH 9 DEG. 38' 04" WEST, 141.73 FEET TO CORNER NO. 5 OF SAID MINERAL SURVEY; THENCE SOUTH 40 DEG. 02' 56". EAST, 226.71 FEET TO THE NORTHWESTERLY RIGHT OF WAY LINE OF HUMBUG ROAD; THENCE ALONG SAID RIGHT OF WAY LINE, NORTH 33 DEG. 29' 32" EAST, 112.68 FEET; THENCE LEAVING SAID RIGHT OF WAY LINE, NORTH 40 DEG. 02' 56'1' WEST, 349.05 FEET TO THE TRUE POINT OF BEGINNING.. B) A PORTION OF THAT PARCEL OF LAND COMPRISING OF 5.10 ACRES, MORE OR LESS, KNOWN AS THE McINTYRE PLACER MINING CLAIM, AS DEPICTED IN MINERAL SURVEY NO. 4443 OF THE OFFICIAL RECORDS OF THE U. S. BUREAU OF LAND MANAGEMENT, WHICH PARCEL OF LAND IS SITUATED IN THE NORTHEAST QUARTER OF SECTION 8, TOWNSHIP 22 NORTH,' RANGE 3 EAST, M.D.B. & M.,. BUTTE COUNTY, ' CALIFORNIA, DESCRIBED AS FOLLOWS: COMMENCING ATTHENORTHEAST CORNER OF SAID SECTION 8; THENCE ALONG THE NORTH"LINE THEREOF, SOUTH 89 DEG. 50' 04" WEST, 1497.28 FEET TO CORNER NO. 1 OF SAID MINERAL SURVEY NO. 4443; THENCE SOUTH 34 DEG. 00' 64" WEST, 217.57 FEET TO CORNER NO. 6 OF SAID MINERAL SURVEY, AND THE TRUE POINT OF BEGINNING FOR THE PARCEL HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING', SOUTH 9 DEG. 38' 04" WEST, 143.39 FEET; THENCE SOUTH 40 DEG. 02' 56" EAST, 286.50 FEET TO THE NORTHWESTERLY RIGHT OF WAY LINE OF CONTINUED • VKUAK iV V : DU 1'1.1 11 O DV 9 1357 DESCRIPTION - CONTINUED HUMBUG ROAD; THENCE ALONG SAID RIGHT OF WAY LINE, NORTH 33 DEG. 29' 32" EAST, 27.78 'FEET; THENCE NORTH. 27 DEG. 18' 35" EAST, 102.42 FEET; .THENCE LEAVING SAID RIGHT OF WAY LINE NORTH 42 DEG. 05' 20" WEST, 332.18 FEET TO THE TRUE POINT OF BEGINNING. ALSO EXCEPTING THEREFROM AN UNDIVIDED 1/2 INTEREST -IN AND TO ALL GOLD AND OTHER PRECIOUS MINERALS. (General) ISTATE OF CALIFORNIA . . COUNTY OF I l?�"e� .' SS. On State, personally appeared before me, the undersigned, a No � g tart' Public in and for said � W C W p W � W m to be the person Personally known to me a whose name (5 (Or Prosed to me on the basis of satisfactory evidence) r to the within instrument and acknowledged thai subscribed U) C executed the same. Gz WITNESS m hand and official seal. r4 E I i, OFFWAAL SEAL `o! DOUG SUM" �' . !. Signatu NOTARY p1 iC—CALFFOPMA F lKIM CQIfNTY j fly cw"Ssm I V..lULY 13.19'4'2 OFC -2056 Name (Typed or printed) Crhi, u , official _,6r seal) END OF DOCUMENT END OF DOCUMENT Otis Dean k3a65c x cx8A. C*jZQQ0kA7k COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 DATE April 5, 1991 PO Box 2195' Minnville OR 97128 RE: building permit a A.P. # 11-36-03 With reference to the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER /xX/ We need the following information: Permit application signed and completed where indicated with -all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor.'s License Law information or check exemption statement. __XX— Complete plans in diipl;rntp including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott -Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. 1X)/ OTHER When you made your application on 4/3/91you.neglected to sign your check. We cannot Drocess the application until the check is signed. Also, your building plans are missing. Did you possibly take them along with you when you left? Please contact us as soon as possible. Thank you. Should you have any questions concerning the above, please contact Anne or Russ of this office. Yours very truly, William Cheff Director of Public Works J.F. Glander JFG/aj Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE A_Dril 5, 1991 Otis Dean 13065 Bean Flat Rd. RE: Chico, CA 95926 building permit application A.P. # 11-36-03 With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER �/ We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. _X_ Contractor's License Law information or check exemption statement. Complete plans in i including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. /XY/ OTHER When you made your application on 4/3/91 you neglected to sinn your check. We cannot Drocess the aDDlication until the check is sinned. Also. your huildino Should you have any questions concerning the above, please contact Anne or Russ of this office. JFG/aj Yours very truly, William Cheff Director of Public Works _... j i .J.F. Glander Chief Building Inspector f Ow 5 u _ .•t1-36-0-003 91-4282 �.; DEAN, OT I S CONTR: ACTION HEATING ,�- 13065 BEAN FLAT RD, CHICO r HEATING UNIT/SF '' "_.,,g.-,t,•r .dry-,.., .�p,.,p.-yR?ly,..A '„"��.; 4 r? o'y�'a.',!�7F'° COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT RMIT NO. �L 2 ASSESSOR PARCEL NUMBER 11-•36O—G03 ZONING Fit 5 0 BUILDING PERMIT OWNER _ OTIS DEAN TELEPHONE 893-2954 i SO. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS FL 13065 BEAN AT ROAD allM 95926 CONTRACTOR'S NAME ACTION HEATING TELEPHONE 343--4197 CONTRACTOR'S MAILING ADDRESS 431 W. 9th STREET (MOO 95928 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1V65 BEM AT ROAD CMCA 95926 FL Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7 USE OF STRUCTURE SF © Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets .00 JE.00 Building sewer .00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationO Other ❑ Describe work: INSTALL NEW HEATING UNIT IN ATIC _ RE—B.P. #1326--91 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In full force and effect.SINGLE License .Jo. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ©-"1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP.&\ 3.64 sq.ft. OR ADDN5. ACC. BLDGS. II NEW CONSTR ULTI-OUTLET NON-RESID BRANCH CIRC ITS I @ 5.00 POWER APPARATUS & OUTLET CIR. Ex, Occup( OUTLETS OR FIXTURES20 @ 76 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )KEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. IVirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating H4 Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in c risequence of the granting of thisprimit. X / ,�JQ`(�-... % Date �� Signature of Applicant - Owner g pp Lti,{/” Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 24 OO HAz 1 0FEES I IMP I FLOOD I CDF PARCEL I PO I HD ISSU This permit is hereby issued under the applicable provi sions of the Butte County Code and/or resolutions to do ,t work indicated above fbr -'h* ch fees have been paid. f 9 1 r f DIRECTOR VPUBLICpWORKS By ,W)t� }//�%r�`�� Date fes/ PERMIT EXPIRES Date Receipt No. 143574 WHITE-D.P.W.. YELLOW-ASSE95011. PINK -INSPECTOR, GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drlve - Orovlller Callfornla 95965 - Telephone: 916.'538-7541 APPLICATION AND PERKIT P�RMIT NO. Z ASSESSOR PARCEL NUMBER 11-360-003 ZONING s N{R 5 BUILDING PERMIT OWNER y- OTIS DEAN TELEPHONE 893-2950 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 13065 BEAN FLAT ROAD CHICO 95926 CONTRACTOR'S NAME ACTION HEATING TELEPHONE 343-4197 ' CONTRACTOR'S MAILING ADDRESS 431 W. 9th STREET CHICO 95928 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 13065 BEAN FLAT ROAD CHICO 95926 Permit tee PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF © Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: _ INSTALL NEW HEATING UNIT IN ATIC RE-B.P. #1326-91 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON-RESID I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS and Professions Code and my license is in full force and effect. License No. Classification ElI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) [moi, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.&) OR ACDNS. 1 ACC. BLDGS. 3.6Qsq.ft. NEW CONSTR ULT' -OUTLET BRANCH CIRC ITS @ 5,00 POWER APPARATUS e (SINGLE OUTLET C'R. ) Ex. OCCUp(OUTLETS OR FIXTURES20 @ 76 FIXED APLN Ex. Occup. OUTLETS P(RESID.)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating HORIZONTAL 9.00 Cooling g Hood 6.50 Ventilation Permit Fee $ 24.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue againstsaidCounty in c sequence of the granting of this rmit. X �. b' XIV — Date / Signature of Applicant - owner (� � g pp LLQ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 24.00 HAz I DFEES I IMP I FLOOD I CDF PARCEL I PD I HD 'SSU This permit is hereby issued under the sions of the Butte County Code and/or hich f work i Ic ted abgF%J DIRBL B P EXPIRES Date 5-'�-9Z applicable provi resolutions to do � s ave been paid. ORKS Dat Receipt No. loi571� WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF. BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviile, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ! _360_ 03 ZO*4]NG — BUILDING PERMIT OWNER r O+Q TELEPHONE 6X�3 ,2gso SO. FT. OCC. BUILDING VALUATION OWNER'S AILING ADDRESS —W–Am -flAT FD &L- ij yJ/1 CONTR AC TO S ME TELEPHONE 3 43 - t g? CONTRACTOR'S MAILING AD KESS c� c 3 j w, 9+fit 3-r �L e� [ 2g Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /3 /5 OW `r��� /f0 ^� tC0 g�c Permit fee PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFJZ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK Newt/ AdditionRemodel ,❑ Utilities❑ installation❑ Other Describe work: _�A/ST/al1 �/E(.v Ile;gt-i!%lV lit T Al Arc G ife L3iP 1322 — Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CATO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ars. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.tk\ OR ADDNS. 1 ACC. BLDGS. 3.66 sq.ft. NEW CONSTR MULTI -OUTLET NON.RESID BRANCH CIRCUITS) /POWER APPARATUS e (SINGLE OUTLET CIR. #L(@ Ex. OCcup(OUTLETS OR FIXTURESd FIXED PR Ex. Occup. OUTLETS (RESID )EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating d��Zo+Vf 7,00— _ --- - i Hood 1 6.50 I Ventilation Permit Fee $ .Q L2ontractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature OI Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE ' HAz OFEES I IMP I FL7 CDF I PARCEL I P8 I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. I03576 'NNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ENGINEERS : William F. Squyres, Jr. (530) 345-1012. ADDRESS : P.O. Box 3176, Chico, CA 95927. Date: 04-12-2006 File: C:\RESDEN44\DEAN.RES JOB : Residential 2 Heads Flowing SOURCE I STATIC : 50.0 Psi RESIDUAL 40.0 Psi FLOW 30 Gpm DESIGN I SPRINKLER MANUF : RELIABLE MODEL F1 Res 49/ccp I SPRINKLER Q . 14.0 Gpm VALVE .0 Psi I SPRINKLER P 8.2 Psi METER .0 Psi NODE ELEVATION K- PRESSURE DISCHARGE NO. Feet FACTOR Psi Gpm ------------------- 1 10.0 4.9 8.6---------14.4--- 2 10.0 4.9 8.1 14.0 3 10.0 9.9 4 10.0 12.5 5 10.0 19.9 6 10.0 23.0 7 10.0 24.0 8 3.0 28.2 5.0 DOME 9 1.0 SOURCE 30.0 33.4 SPRINKLERS FLOWING 2 AREA PER SPRINKLER 256 TOTAL DESIGN AREA 512 MIN SPRINKLER FLOW 14 REQUIRED DENSITY .055 COMPUTED DENSITY .055 TOTAL SPRINKLER FLOW 28,4 TOTAL DOMESTIC FLOW 5 TOTAL WATER REQUIRED 33.4 TOTAL SPRINKLER PRESS 30.0 WATER METER LOSS ,0 VALVE FIXED LOSS ,0 SUPPLY PRESS AVAILABLE 37.8 DEMAND PRESS REQUIRED 30.0 PRESSURE CUSHION 7,8 MAXIMUM VELOCITY 9,4 Sq Ft Sq Ft Gpm m 2 W SQ E\S Gpm/Sq O t2 e Pre' .'Fti Ft r Gpm/Sq Ft *. C. o. 5206 �► � 7 6 Gpm Gpm ��•! a� T� OF Cgl.1F�P Gpm Psi Psi Psi Copyright(2004) Psi by Psi Hydronics Engineering Psi 34119 Fremont Bl, Suite 609 Fremont, Ca., 94555 F/S (800) 845-9819 BUTT` r �� ••- - - - �•��..+L.LJL�l i.aai, � 1a�a� �„!L L�11.L�L1..11• L11LLULVLl�.,..J '1 '1 ✓V1J1.1111C11J. L uy�, L ENGINEERS : William F. Squyres, Jr. (530) 345-1012. ADDRESS : P.O. Box 3176, Chico, CA 95927. Date: 04-12-2006 File: C:\RESDEN44\DEAN.RES JOB : Residential 2 Heads Flowing PIPE BEG FLOW K -FACTOR LENGTH C -FACTOR PRESSURE NO. Gpm FITTING TYPE FTG FR- LOSS Psi END ---------------------------------------------------------------------- DIAMETER TOTAL (Psi/Ft) 1 q= 14.4 K= 4.9 L= 4.5 Pt 8.6 Pt 8.6 1 Q= 14.4 F= LR F= 8.0 C= 150 Pe .0 Pv -.4 Vel= 7.5 D= .884 TL= 12.5 .1075 Pf 1.3 Pn 8.2 3 ---------------------------------------------------------------------- Pt 9.9 2 q= 14.0 K= 4.9 L= 3.5 Pt 8.1 Pt 8.1 2 Q= 14.0 F= LL F= 14.0 C= 150 Pe .0 Pv -.4 Vel= 7.3 D= .884 TL= .. 17.5 .1023 Pf 1.8 Pn 7.8 3 -------------------------------------------------------------------- Pt 9.9 3 q= .0 K= .0 L= 12.0 Pt 9.9 Pt 9.9 3 Q= 28.4 F= RL F= 8.0 C= 150 Pe .0 Pv -.6 Vel= 9.4 D= 1.109 TL= 20.0 .1254 Pf 2.5 Pn 9.3 4 ------------------------------------------------------------------------- Pt 12.5 4 q= .0 K= .0 L= 47.0 Pt 12.5 Pt 12.5 4 Q= 28.4 F= 7RB F= 12.0 C= 150 Pe .0 Pv -.6 Vel= 9.4 D= 1.109 TL= 59.0 .1254 Pf 7.4 Pn 11.9 -------------------------------------------------------------------------- 5 Pt 19.9 5 q= .0 K= .0 L= 15.5 Pt 19.9 Pt 19.9 5 Q= 28.4 F= RRL F= 9.0 C= 150 Pe .0 Pv -.6 Vel= 9.4 D= 1.109 TL= 24.5 .1254 Pf 3.1 Pn 19.3 6 ------------------------------------------------------------------------- Pt 23.0 6 q= .0 K= .0 L= 16.5 Pt 23.0 Pt 23.0 6 Q= 28.4 F= L F= 8.0 C= 150 Pe .0 Pv -.2 Vel= 5.9 D= 1.4 TL= 24.5 .0403 Pf 1.0 Pn 22.8 -------------------------------------------------------------------------- 7 Pt 24.0 7 q= .0 K= .0 L= 7.0 Pt 24.0 Pt 24.0 7 Q= 28.4 F= 4RSL F= 22.0 C= 150 Pe 3.0 Pv -.2 Vel= 5.9 D= 1.4 TL= 29.0 .0403 Pf 1.2 Pn 23.8 -------------------------------------------------------------------------- 8 Pt 28.2 8 q= 5.0 DOME L= 100.0 Pt 28.2 Pt 28.2 8 Q= 33.4 F= F= .0 C= 150 Pe .9 Pv -.1 Vel= 3.4 D= 2.003 TL= 100.0 .0095 Pf 1.0 Pn 28.1 -------------------------------------------------------------------------- 9 Pt 30.0 ------------------------------------------------------------------------- Meter = .0 9 -------------------------------------------------------------------------- Q= 33.4 <<< SOURCE >>> Pt 30.0 E=>45-Elb L=>90-Elb B=>TeeBch R=>TeeRun C=>CouPlg S=>SwgChk G=>GatVly ..�✓.v ♦`11 vA/• Lir-11./1 ✓1..11\1111- A. -LI - VL 1-L411111L1♦ 111 U LCL 1V U -L 1.10 `3 •[.. 0UL1"1111L1L. ENGINEERS : William F. Squyres, Jr. (530) 345-1012. ADDRESS : P.O. Box 3176, Chico, CA 95927. DATE : 04-12-2006 FILE : C:\RESDEN44\DEAN.RES JOB : Residential 2 Heads Flowing PSI FIRE SPRINKLER HYDRAULIC GRAPH 10( 9( 81 71 61 5 4 3 2 1 10 15 20 25 o ------o Supply Curve Static : 50.0 Resid : 40.0 Flow : 30.0 30 35 40 45 50 FLOW - Gpm 0= Demand Curve Avl Pr : 37.8 @ 33 Req Pr : 30.0 @ 33 Pr Cush: 7.8 Copyright: Hydronics Engineering, 2004. 34119 Fremont B1, Suite 609, Fremont, CA. 94555. (800) 845-9819. OS --- �V/ \-I � v, I ) II. -V -- r,z it I 01.1 pljt 11"'I Oft) VA( -V[':. IVlulti-���gt. Centrif ugal Pump .1 HSC UIMENSIUNS AND WEIUllYS Mehl IIP yit WI (tbl 1 Hti1;111 1 IG IISGIb 1'17 II 0 9 ! •- _ IIS1;211 Y 10 U II 15 _.-.._- (All IIIIIIUIIAlf1I1A all III 11161115 slid welphl ill Ib5 III) IIUI Uhl' (111 lUlllll ill 11(11111111111l:,W, PERFORMANCE CURVE MEWHS FEET 240 71) NI' 'll„ ' MUUEI HSC SIZE'/, •- I I11, RPM 3501 -- 60100 7' � o 1= �1 140 IIS 10 4() 1?(1 10 CONVEIII REI D IIS( 117 I- (1(WA1rift WPM H 30 IUO -- — - I .1 DIVIDE FEET BY ::1 O 60 - - — —y— lU IiU - -- ....._. 40 10 -- 20 U U IU 10 ;1t1 •10 0O 60 /l1 GPM 2 4 fi A 10 1: 14 16 111'!hr CAPACII Y C% t WAIT.1111,131111111--"-1111(IIIM j(,1 �;t.11 (,Ni; t1EN/li/HK Uvly A Silt 1;11 ICAT10115 A111: S1g1.1c CT 7U GINNuI. WITIIOUr NUIIGi 1'HINILp IN Il :i 1) L• �\ t�>°�+. � ,.. .. 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'J" r, r �' Y y... �� 3'p 11� -- tt'� � � s�""'.•3...• N,a,.r .ie"" ff Wil. °i'"}•.a..�:: — � � �_�-w .=tom `•sft i ' :+`-"r' .^-. �.:-a 'a� bf •4,s-!''1.cJ:5it.Y.Y�'"'„St ` qn _ '`._ �"'� F`:'4Fs''. •T _!i' t . %��vVrr,. 7r -r •t :.` �a- ft�..L."Lr .7r.^'tr +i-:"��i fe l�"in.^JC-.a�_s --W};i='�S�. Fm @rEN•••'ti...nh 4..,+.rv+t hE Model F1 s �s `. +•m}Nlsi d +.Ac.+, d:WaLe rata: ?m arvk lr rR-ta • es Sprinklers Caution (UL 1626 •d• . 4 �. zW yr ,.rN.+�L lCfww+�°"jk.,s�r 7•a�f^"ww•v S.w,,wpy iww..+aN Read Carefully! Installation Instructions & Technical Data (Details in bulletins 035 & 135) . Model F1 Res 49 Pendent . Model F1 Res 49 Recessed Pendent / F1 (F1 escutcheon, adjustment) F 1 Res 49 Pendei it F 1 Res 49 Recessed Pei idem / F I . Model F1 Res 49 Recessed Pendent / FP (FP push-on/thread-off escutcheon) . Model F1 Res 49 CCP Pendent F1 Res 49 Recessed Pendent/FP F I Res 49 CCP. Pendent Technical Data K Sprinkler Factor LenInchgth (mm) A.9 2.2.5 (57) Max Sprinkler Spacing Sprinkler Pressure Max. Thread RAmbient atln • g Max. Tem. Temp. P' Size Temp. Max. TemP 12 x 12 (3.6x3.6) 13 (49) 7.0 (0,4£3) IF ^C 13 (49) IF •C 'W'11111 155 66 175 psi 1W 36 (R!/) 17579 2(lxA)((3.1x(;.1) (12 bar) 150 66 K Sprinkler Factor LenInchgth (mm) A.9 2.2.5 (57) Max Sprinkler Spacing Flow Pressure SprinklerIdentification Max. Ambient ppm (1 -pin) psi (bar) Number (SIN) ft (111) Temp. Max. TemP 12 x 12 (3.6x3.6) 13 (49) 7.0 (0,4£3) Rating 14 x 14 (4.3x4.3) 13 (49) 7.0 (0.46) Factor Ft 1G x 16 (4.9x4.9) 13 (49) 7.0 (0.46) R3516 I£3 x 16 (5.5x5.5) 17 (64.3) 12..0 (0.63) 2(lxA)((3.1x(;.1) 20(75.7) 16.7(1.15) IF Technical Data Max Sprinkler Spacing Sprinkler AsseCmbly Sprinkler Idenllticatlon Number (SIN) Max. Ambient Sprinkler Thread T emP• Temp. Max. TemP K Length Inc Size Rating Rating Pressure • Factor Ft 1 £3 x 18 (5.5x5 5)1 18 (66.1) 13.5 (0.93) (mm) IF ^C IF 'C IF ^C L+' NI; I175 (Iv, 15.) 6£3 13.E r 57 175 psi (12 bar) 100 150 36 66 4.9 2.25 (57) Max Sprinkler Spacing Flow gpm (Lpm) Pressure psi (bar) Sprinkler Idenllticatlon Number (SIN) it (m) 12 x 12 (3.6x3.6) 13 (49) 7.0 (0.413) 14 x 14 (4.3x4.3) 13 (49) _ 7.0 (0.48) 16 x 16 (4.9x4.9) 14 (53) 6.2 (0.56) _ _ . 83516 1 £3 x 18 (5.5x5 5)1 18 (66.1) 13.5 (0.93) 20x20(6.1x6.1)1 20(75.7) I 16.7(1.15) The Reliable Automatic Sprinkler Co., Inc., 525 North MacQuesten Parkway, Mount Vernon, New York 10552 CA -131 Rev.0 Basic Principles of Solvent Cementing The solvent cemented connection in thermoplastic pipe and fittings is the last vital lint: in a plastic pipe installation, It can mean the success or failure of the system as a whole. Accordingly, it requires the same professional care and attention that are given to other components of the system. There are many solvent cementing techniques published covering step by step procedures on just how to make solvent cemented joints. However we feel that if the basic principles involved are explained, known and understood, a better understanding would be gained, as to what techniques are necessary to suit particular applications, temperature conditions, and variations in size and fits of pipe and fittings. Be aware at all times of good safety practices. Solvent cements for pipe and fittings are flammable, so there should be no smoking nor other sources of heat or flame in working or storage areas. Be sure to work only in a well ventilated space and avoid unnecessary skin contact with all solvents. More detailed safety information is available from Harvel or IPS (Weld -On) Corporation. `To consistently make good Joints{ the following should crefully understood. T The joining surfaces must be softened E.K'Land made semifluid. , f 2 Sufficient cement must be applied to fill the"gap between pipe and fitting. 1',yti 3 `Assembly of pipe and fittin s must be phi>o g ►jt' made while the surfaces are still wet qct and fluid : 4.14 Jointstrength develops as the cement dries. In the tight part of the joint the •,&, surfaces will tend to fuse together, in ff the part art the cement will bond to '.{ h, ` botWsUffaces These areas must be softened and penetrated 7Livs.w�a.r� otaarn fSOR'Y' 47Q 9R�i��ai'a>L'•i When using the ONE s rEP cementing placess, penelralion and softening can be achieved by the cement itself (read ONE STEP cementing procedures carefully; refer to installation instructions). For certain sizes, under certain conditions, it may be desirable to use the TWO STEP process which utilizes a primer to ensure adequate softening. For example, when working in cold weather will t large diameter pipe, more [line and additional applications may be required. Cement coatings of sufficient thickness More than sufficient cement to fill the loose part of the joint must be applied. Besides filling the gap, adequate cement layers will penetrate the surfaces and also remain wet until the joint is assembled. Prove this yourself. Apply on ll ie top surface of a piece Of pipe two separate layers of cement. First flow on a heavy layer Of cement, then alongside it a tl tin brushed ocri layer. fest the layers every 15 seconds or so by a gentle tap with your finger. You will note that the thin layer becomes tacky and then dries quickly (probably within 15 seconds) the heavy layer will remain wet much longer. Now check for penetration a few minutes after applying these layers. Scrape them with a knife. The thin layer will have achieved little or no penetration. The heavy one, much more penetration. Surfaces must be assembled while they are wet and soft If the cement coatings on the pipe and fillings are wet and fluid when assembly lakes place, they will lend to flow together and become one layer. Also, if the cement Is wet the surfaces beneath them will still be soft, and these softened surfaces In the tight part of the joint will tend to fuse together. Surfaces M Fusec As the solvent dissipates, the cement layer and the softened surfaces will harden with a corresponding Increase in joint strength. A good joint will take the required working pressure long before the joint is fully dry and final strength is obtained. In the tight (fused) part of the jolnt, strength will develop more quickly than In the looser (bondecl) part of the joint. Information about the development of bond strength of solvent cemented joints is available. The QUALITYLine FOR SMALL PIPE E)POTTER VSR-SFG VANE TYPE WATERFLOW ALARM SWITCH • The Symbol of Protection WITH RETARD AND GLUE -IN UNION CUL, UL and CSFM Listed, CE Marked, NYMEA ACCEPTED US Patent No. 6,471,255 Stock No. 1113555 1113600 W/TSK Service Use: Automatic Sprinkler NFPA-13 One or two family dwelling NFPA-13D Residential occupancy tip to four stories NFPA-13R National Fire Alarm Code NFPA-72 The Model VSR-SFG is a vane type waterflow switch for use on wet sprinkler systems using CPVC plastic fittings manufactured by Central Sprinkler Corp., Grinnell Sprinkler Corp., Spears Manufacturing Co., and IPEX (Scepter) that use 1", 1-1/4", 1-1/2" or 2" pipe sizes. It is equipped with a union to accommodate installation in confined spaces. The unit contains two single pole double throw snap action switches and an adjustable, instantly recycling pneumatic retard. The switches are actuated when a flow of 8-10 gallons per minute (30-38 liters per minute) or more occurs downstream of the device. The flow condition must exist fora period of time necessary to overcome the selected retard period. INSTALLATION: These devices maybe mounted on horizontal or vertical pipe. On horizontal pipe they should be installed on the top side of the pipe where they will be accessible. The units should not be installed within 6t'(1 5 cm) of a valve, drain or fitting which changes the direction of the waterflow. The unit has a I" male fitting for gluing into a CPVC plastic TEE. Loosen the union nut and separate the V male fitting from the VSR-SFG. Glue the I" male fitting into the TEE following the TEE manufacturer's instructions for preparation and gluing of CPVC piping systems. (NOTE: The I" male fitting must bottom out on the stop of the TEE for proper Service Pressure: Up to 175 PSI (12,07 BAR) Minimum Flow Rate for Alarm: 8-10 GPM (30-38 LPM) Maximum Surge: 18 FPS (5,5 m/s) Enclosure: Die-cast, red powdercoat finish No. 1113555: Cover held in place with tamper resistant screws No. 1113600 - Tamper: Cover incorporates micro -switch. Cover Tamper: Activated by cover removal. Cover Tamper Switch Contacts: One set SPDT, Rated at 250VAC. Cover Tamper Switch Terminations: 8" 22AWG wire leads. Contact Ratings: Two sets of SPDT (Form C) 15.0 Amps at 125/250 VAC 2.0 Amps at 30 VDC Conduit Entrances: Two knockouts provided for 1/2" conduit. Usage: Listed CPVC plastic piping systems manufactured by Central Sprinkler Corp., Grinnell Sprinkler Corp., Spears Manufactur- ing Co., and IPEX (Scepter). Fits pipe sizes - 1", 1-1/4", 1-1/2" and 2" Environmental Specifications: • Suitable for indoor or outdoor use with factory installed gasket and die-cast housing. • For NEMA 4/11`55 rated enclosure - use with appropriate conduit fitting and/or plugs. • Temperature range: 40• F to 120• F (4,5• C to 49• C) Caution: This device is not intended for applications in explosive envi- ronments. operation of the VSR-SFG. See Fig. 1.) Wait 2 to 4 hours to allow the glue to dry before attaching the VSR-SFG to the V male fitting. Select the proper paddle for the pipe size and type of TEE used. See Fig. 3 and Fig. 5 for instructions on how to change paddle. Verify that the o -ring is properly positioned in its groove. I land tighten the nut on the union after orienting the device in the appropriate direction to detect waterflow as shown in Fig. 2. CAUTION: Do not over -tighten the union nut, hand tighten only! The vane must not rub the inside of the TEE or bind in any way. The stem should move freely when operated by hand. INSPECTIONAND TESTING: Check the operation ofthe unitbyopening the inspector's test valve at the end of the sprinkler line or the drain and test connection, if an inspector's test valve is not provided. If there are no provisions for testing the operation of the flow detection device on the system, application of the VSR-SFG is not recommended or advisable. The frequency of the inspection and testing and its associated protective monitoring system should be in accordance with the applicable NFPA Codes and Standards and/or authority having jurisdiction (manufacturer recommends quarterly or more frequently). Potter Electric Signal Company • 20Y1 Craig Road, St. Louis, MO, 63146-4161 • Phone: 800-325-3936/Canada 889-992-1333 • www.pottersignal.com PRINTED IN USA MKT. 88900009 - REV P PAGE 1 OF 2 MFG. #5401062 - 11/05 INSTALLATION AND MAINTENANCE INSTRUCTIONS SSM and SSV BELL Series Specifications SSM Series: Voltage: Regulated 24 VDC Operating Voltage Limit: 16 - 33 VDC Maximum Current: DC - 31.1mA/FWR - 53.SmA Operating Temperature: -31• to 150•F (-35' to +66•C) SSV Series: 120 VAC SSV Voltage: Regulated 120 VAC Operating Voltage Limit: 96 - 132 VAC Maximum Current: 53mA Operating Temperature: -31' to 150'F (-35' to +66•C) SSV120-10 UL Reverberant Room 82 Sound Output per UL 464 (dBA) 24 VDC SSM SSM24-6 (6", 24 VDC, P, S) 82 SSM24-8 (8", 24 VDC, P, S) 80 SSM24-10 (10", 24 VDC, P, S) 81 120 VAC SSV SSV120-6 (6", 120 VAC) 85 SSV120-8 (8", 120 VAC) 82 SSV120-10 (10", 120 VAC) 82 P = Polarized S = Suppressed Important Please Read Carefully. and Save This instruction manual contains important information about the installation and operation of bells. Purchasers who install bells for use by others must leave this manual or a copy of it with the user. - System Sensor supplies bells for nearly all sprinkler/fire alarm/burglar applications. These instructions apply to all System Sensor bells in the series. Read all instructions carefully before beginning. Follow only those instructions that apply to the model you are installing. ACAUTION Do not use in potentially explosive atmospheres. Do not leave any unused wires exposed. SYSTEM ��� SENSOR' 3825 Ohio Avenue, St. Charles, Illinois 60174 1-800-SENSOR2, FAX: 630-377-6495 www.systemsensor.com NOTE: All SSM Series DC bells were only tested at the 16-33 Volt-DC/FWR limits. All SSV Series AC bells were only tested at the 96-132 Volt AC limits. This does not include the 80% low-end or 110% high-end voltage limits. General Description The National Fire Protection Association has published codes, standards, and recommended practices for the installation and use of the above appliances. It is recom- mended that the installer be familiar with these require- ments, with local codes, and any special requirements of the authority having jurisdiction. These bells are intended to be connected to alarm indicat- ing circuits of UL listed fire alarm control panels. The SSM series is polarized to enable supervision of the installation wiring. The SSM bells require 24 VDC and the SSV bells require 120 VAC. D770-11-00 1 156-0674-0081t `�a�ca 36 INCOH7 ORA7E� CORONA, CA • (M) 737.6519 FIG. 23 HANGER FOR C.P.V.C. PLASTIC PIPE DOUBLE FASTENER STRAP TYPE I A Size Range - 3/4" thru 2" C.P.V.C. pipe. Material- Carbon Steel with galvanized finish G-90 govt. spec. Function - The Fig. 23 and Fig. 24 are intended to perform as a hanger/restrainer to support only C.P.V.C. piping used in automatic fire sprinkler systems. Fig. 23 and Fig. 24 can be installed on the top or on the bottom of a beam. The Fig. 23 can also be installed on the side of a beam. The Fig. 23 and Fig. 24 can also function as a restrainer to prevent the upward movement of the sprinkler head during activation. Approvals - Underwriters' Laboratories listed to support fire sprinkler piping. Meets and exceeds the requirements of N.F.P.A. 13, 13R, and 13D. Features - The Fig. 23 and Fig. 24 incorporate features which protect the pipe and ease installation. The flared edge design FIG. 24 HANGER FOR C. P. V. C. PLASTIC PIPE. DOUBLE FASTENER STRAP TYPE – SIDE MOUNT A ►I protects the C.P.V.C. pipe from any rough surface. The Fig. 23 design incorporates snap retainers allowing easier and faster installation. The Fig. 23 and Fig. 24 are easily attached to the building struc- ture using the two hex head self threading screws' furnished with the product. It is recommended that rechargeable electric drills fitted with a hex socket attachment be used as installation tools. No impact tools (such as a hammer) or impact fasteners (such as drive screws or nails) are allowed. Damage has been known to result from installations using impact type tools. No pre drilling of a pilot hole In wood is required. Order By - Figure number and C.P.V.C. pipe size. Patents Pending ' Hardened hex head self threading screw is furnished with the product and is the minimum fastener size acceptable. C.P.V.C. PIPE A FIG. 23 FIG. 24 Q FIG. 23 FIG. 24 _ C _FIG. 23 FIG. 24--- 1-3/16 1-3/16 113/1'�?� a +X'43%16 Y:„; MAX. IIANGER FASTENER APPROX. SPACING IIEX IIEAD WEIGHT (FT_ SIZE PER 100 3 4 /4 VIM, 3-1/8 2-5/16 9311* / "NUM 2:6/$ %i ` 1-91,16 1-5/32 11Y.1 6 X'5%1E 'i __ _ 5-1/2 5/16 9 1-1/4 MAORI* w� `�°',in__- 4-3/16 3 2-3 32 1-1�2 1-3/16 1-3/16 6-1/2 5/16 11 7 11 �",+�'i5�1������'��' 2 4-7 8 3-111 16 2-7116— 1-27/31 1-3/16 _..-__j____8____,__________— nu4 5/16_- 15 REVISED 3/94 �I 3� Ze'p2odM 1`7t 111 N L'1 I A2_ O 2 �I 3 i I o 0 I I I LA TA 110 I I -(� I ® I I 7-0 0'JEN I � 1,6vi � o wAt.4, iN uasE-T F T' O NOTES: i 1. System to be installed per N.F.P.A. 131), Manufacturers specifications, and local A.H.J. 2. System provides protection in selected areas only as per N.F.P.A. criteria 3. All piping to be "listed" CPVC or equiv. 4. Pipe hangers to be "Tolco" or equiv. 5. Freeze protection, carpentry and electrical by others. 6. Riser to be installed in "stud bay" within indicated wall. 7. Exact pipe run lengths and head location subject to field verification. E. Heads to be Reliable F1 Res 49 CCP Flows based on a 16'X16' grid pattern. (see attached calcs. And spec. sheets) 9. All pipes to be 1" diameter unless otherwise noted. 10. All ceilings are flat and 9'0" in height, unless otherwise noted 11. "Tolco" pipe hanger spacing per attached manufacturers spec. sheet. a) The maximum from hanger to the end of line on 1/4" CPVC pipe is 9" b) The maximum from hanger to the end of line on 1" CPUC pipe is 12" c) The maximum distance between hangers on 1" CPVC pipe is 6% 0" d) The maximum distance between hangers on %" CPVC pipe is 5% 6" 12. Total heads required =17 13. Future Additions of heat sources, like gas or wood burning stoves, should be installed according to N.F.P.A. 13D residential sprinkler installation guide. 1 1M ovownu 1• NO. 1NA-14X2401973 pqc "TEST -ro BELL R ME \I ' ` 7 I-! O ri Al APPROVED PLANS AND PERMIT SHALL BE ON SITE FOR ALL INPECTIONS p FA , BUILDING PERMIT #0G-0414 ASSESSOR'S PARCEL 0.7050-0 n1PI O 11/46/b,6 CJ 0 0 M W o140 M e ,A 0 �oN M U r3aU�a 0 U N Uo u C y DRAWN CHECKSO OATS li - a - 06 „ DECALS JOE NO. SHEET (�r-1 OF SHEETS JOEA1\1 BUILDING PERMIT # 06 -- © 941Y ASSESSOR'S PARCEL # ©/%- ©5 0 - D Z6 5mr. SPIE .SEE lqs` &Pp 05--1376