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027-100-057
W I 027-100-017 0 63 MYERS, MARIE PAR"[I RS TIZAIL, P LERMO CONTR: ER MOBILE HOME UTILITIES�i IaI O 112E S P121 N K L EIeS 027-100-0 01-0706 MEYERS, MARIE 12 PARTNERS TRAIL-OROVILL`E & 4 CONTR: D NST 1 MH PERM-FND INSTALLATION bl 027-100-05y MYERS, MARIE 01-1088 12 PARTNERS TRA► ROVILLCONTR: WILLIAM Q �IIpl O1 WATER SPRIRYRES 027-100-OS7 LES(Bp#01-07W 61 GOMEZ, JOHN 05-2467 12 Coif O NERS TRAIL+'OROVILLE GARAGE(DET) :3.)lb/Lp a � 027-100-057 01-034 AG i MYERS, RAND & MARIE 12 PARTNERS TRAIL PALERMO LIVESTOCK SHELTER/ HAY STORAGE A6- G--xEmP 06 mir- 1 I� 1 I l_ I a Butte County Department of Development Services: gN ® T E S 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 www.buttecounty net/dds I Q H RESIDENTIAL APN: 02-7 100- 05--) Permit No. 057 Z41 - Owner: G O ME Site Address: I Z / AR i/✓FrPs •� Contractor. Type of Permit: GAAA6 P t� 44 SPECIAL CONDITIONS CH ED BY ❑SRA h � ❑ FLOOD CERTIFICATE EQUIRED Q•FIRE SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION ITEMS ❑ VERIFY ❑ USE PERMIT CONDITIONS Q SUB -STANDARD HOUSING LETTER ❑ ENCROACHMENT PERMIT ❑ REINSPECTION FEE PAID ❑ ENV HLTH CLEARANCE v ❑ - -- Cn if u.b6s &M DATE JOB FINA SIGNATURE: +=OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat L_j or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs 0 Foundation 0 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E CK S`C O V E R S'C A R P O R T S6 A R A G E S ------------f o • t7. os oning-setbacks -Easements l 0. 1'7 - O i 2, Figs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs-Cnnctrs-Shth9 Frmg-Br ng 5 Alum n; Columns-CnnctnsSplice-Decal-Encisrs 6 C orfs; Wndws-Doors Electric 8 Fr g; Sills -A cb ..s=Studs-Rftrs-Trusses . TL iding; m Veneer-Stucco=Lath 1 Ro , Sht g Roofing y' 11t: eps-Doors-Landings 1 raced Wall pnls a" 1 o . 2 7 , os— CAwL— ° S ej Q P /dAk___~O ° DATE IPOOLS i 1 Setbacks -Easements f 2 Soils; Compaction -Structure Stability 1 3 Pool Structure; Steel -Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI ? 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed l 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng r-gp-Pool Ightg " Bokes-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl i 10 Plmb; Cir Test-Wtr Supply Test f 11 Lt Niche I 12 Enclsr; Fencing -Alarms o I 13 Bonding, Diving board or Slide I , I Oa' 0�4 c Pool Drawing I 1 I . = OK 0 = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR UAlt IPLUMBING 1 ZoningSetbacks-Easements -FI ood-Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub-Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test O.p 0\\C O1 �\\C 11 Wtr Pipe; Test-Anchrs-RgltrService Test DATE IMECHANICAL 12 Elec Undrgrnd 61 AC Ducts Insultn & Support 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 14 Girders Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air RtrnNent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic c O9 0 O9 0\ _FF DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE I N A L 66 Ext Steps -Door & SideLt Prtctn-Landings 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frpic Throat Clrnc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clmc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnis 83 Ins ultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws - 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes ON. 87 Stucco Brown -Finish o' es o'er d� 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE JELECTRICAL 40 Fxtr & Trnsfrmr Cirnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑ CU or ❑AL 98 Address Posted AC Wire Sz ga ❑ CU or ❑ AL 99 Fire Sprinkler 48 Range Circ p ❑ CU or ❑AL Oven Circ ga QCU or ❑AL Insulated Neutral ❑Yes ❑No 01 0\\c 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector s SPECIAL CONDITIONS. CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER - SPECIAL CONDITIONS. CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 4=OK 0= Not OK _ = NotReady Ready hle . =Not MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except ti's 1. Zoning Requirements -Setbacks -Easements 2. Sols; 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; 7 ; : / L'ft.:: / P Nat or / .. /"L "ftJ .: P LPG 7. WeliVearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing : i. : 11. Ext; Steps -Doors -landings . Date Card B-1 Date Card B-1 Date Card B-1 -Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except 9's Date 1. Zoning Requiremerits-Setbacks=Easements ' Date 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 -Flet 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 10.._ Plumb.; Cir. Test -Water Supply Test. 11.._Ught Niche ... Date Card B-1 Date Cana B-1 _ Date Card B-.1 ": Date :.:. :..-... Card B-1 Date PERMANENT END SYSTEM (ONLY) Date 1. Zoning Requ'treMents-Setbacks-Easements 2. Footings; S¢Spaang=Marriage Line 3. Bkrci�ig 4." Gas; MH TesVDernand_ Va" `'." . 5. •Electricity; MH Test 'r: ,:..:`:>. E rr,• e :: `. 6. Water, MH Test 7.. Water. and SeweFCgnnected .. ..>. 8. Gas and ElectricityTagged '. 9. Exits 11. Verify.A's with Office : Date Card B-1 Date'-' Card 6-.1. Date. Card B-1 . DateCard B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Vs 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�Enclosur•es 6. Carports; Windows -Doors 7. Electric 8. Frrng.; Sib-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing : i. : 11. Ext; Steps -Doors -landings . 12 Braced Wall Panels.: ' Date Card B-1 Date Cana B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except ti's 1. Setbacks -Easements 2.. Sols; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness . Dead Men -Lining . 4. Elec.; Receptacles and Lighting. Distance -GA 5. Sec.; Pool Ughting; 15 Volts -GF! 6. Sec.; Enclosures, Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5'-CiTOating Equip. -Heater 8. Elec.:;Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes=Enclosures-Panelboards-Ins. to Main Conduit 9. Health Departmeirt Approval .. 10.._ Plumb.; Cir. Test -Water Supply Test. 11.._Ught Niche ... .12. Enclosure; Fenck g-Alarns Date..... Card B-1 Date Card B-1 Date Card B-1 Date Card 13-1 OK Not OK ' rmtRrady hie NutReady RESIDENTIAL (Single & Duplex) rte UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Sols-Elec. Gmd. / . /" Ftg. Depth 3. Ftg., Garage-, Sols-Steel-Elec. Gmd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Sols -Steel-/ P Ftg. Depth S. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg: Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation rate Card B-1 Date Card B-1 late Card B-1 Date Card B-1 late PLUMBING (Permit) OK -except #'s 17. Water Mr.; Vent -Access -Combustion Air Baffle 18. Water Pipe. Test & Anchor -Nail Frotection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date Card B-1 Date Card B-1 Date Card B-1 Date Card BA Date ELECTRICAL (Permit) .OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -tights & Switches at Doors 26. Sire Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 30. Subfeed Wire Size/ /ga. Cu or Al -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes.Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Retum Air Vent 115 Outlet 40. Attic Access & Platform ft Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearina Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rfir. Ties-Purlin-Roff Brac_ Truss-Shting= Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill HL & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. ExL Doors -One T -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fre Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; NarTing-Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation-Walls-Celings 63. Infiltration -Walls -Windows Date Card B-1 Date . Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight.Protection-landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-ivlech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int & Ext- xt73. 73.KiL Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Bec. Outlets & Receptacles at KiL Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper - 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip'. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following 1nstkimrive D Yes O Nawa1ks 0 Yes D lq( PI% iters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings. 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval ' 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION 4: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO52467 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/03/2005 APN: 027-100-057-000 the Business and Professions Code, and my license is in full force and effect License Class License Number: : Site Address: 12 PARTNERS TR PAL Map Index: Date: Contractor: Description: GARAGE, DETACHED 672 SQ.FT. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: GOMEZ JOHN & GLORIA E permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a P O BOX 858 signed statement that he or she is licensed pursuant to the provisions of PALERMO, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95968-0858 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: GOMEZ JOHN & GLORIA E Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 othe Business and Professions Code �,f Date` _3--..0�wner: `TO14-K) (&-VI E0- License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 672 S. F. Policy#: Valuation: $16,128.00 Census Code: 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 3 — Date: — 05 Applicant: "J0 f es.) C (9 UA % Z WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject aemployer 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 interest, fees. code, and attorney's 7Valq CONSTRUCTION LENDING AGENCY This permit is hereby issued unde applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Re lution do work in4ateVaboviJI for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)/ A Name: By: Date: / /CJ Address: PERMIT EXPIRES ON: (2 (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 purpo Print Name: V O %f (J 1�r9 W\C Signature: i ' Av�_ Date: Oct 1 20GtiS 0 Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 � c'1✓ 9 9�� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES 13UILDING PERA4IT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE [VILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.neUdds *-- PLEASE PRINT CLEARLY** OWNER CONTRACTOR Last Nameirst F Oe Address l yARTN Aix City O(ZO%f I L_ tate C_ QS96&' Zip c75 Phone O 3 SZ/ Fax Flood Zone E-mail & A4EZ SASE APPLICANT NAME CONTRACTOR Name ,4—F b %alb Address Phone,3 _ Z Fax _ City Flood Zone State Zip Phone No Fax E-mail Subdivision Name Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City v %G� Stat Address Phone,3 _ Z Fax _ City Flood Zone State Zip Phone No Fax E-mail Subdivision Name State License Number APPLICANT NAME Name � ��� Z • Address s City v %G� Stat Zip Phone,3 _ Z Fax _ E-mail _ , B i APPLICANT SIGNATURE X,17 AP# 02? -- 10 6 —657— or office use only: Zoning City 1,Q,2c)j)1'Le_c Flood Zone Vo (R SRA a No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT 0,5- 2/-16'7 BIN # Description or Scope of Work: Sq. Footage r7 _ ❑ Structure Built Mthout Pe s ❑ 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 75%.Q. 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 b Receipt #:48S( }� s 7 Date: 1 q / Bldg ���' U SRA Sheriff SMIP Other G,12 1 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 inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION V 5P465-1-1)&17 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax'(530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: C -7r/ m, G ASSESSOR PARCEL NUMBER Q 2 17-1 VV "'t;JS . Proposed Buildine Use:4%% we?a--5"�b..i%oho Permit Technician r'l ' mate- q_/,S 0S Items required in order to apply ftdr a permit. All boxes MUST be checked OR marked NA in order to apply. f) 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. �5 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. 0 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. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form 412r 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Romaining items needed to issue the permit. (May require additional plan rEview upon receipt of the following items.) t2ro 15. Sanitation and site plan approval from the Environmental Health Department in I1C �� as applicable 16. Fire Sprinklers........................................................................................� 0 17. - Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑Erosion Control Plan Required........................................................................ 20 ees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs ......... ................. �� 23. California Department of Forestry plan approval 19 -gid. Sent 24. Planning approval for (A) Use: 0K B)Parking: (C) Parcel eck:............ 0 25. Contact Land Development about _ Improvements, _ Drainage ........................ 12r26. 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 .......................................... 1 fD 30. Owner -Builder Verification ( ✓Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ --52. Recorded copy of Agricultural Acknowledgment Statement ................................. . '-0 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: 1(5-30) $�f6 ifObO tao�tK When issued Telephone: a and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. _ Applicant: _ Date: �4.L�f /3 2W,5 1. Index permit application fo e a ov I e s n m red: Plan Check tetter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: /Plans approved by: Date: o Structural reviewed by: Date: Structural approvedby: _-j Date: Note transfer by: Date: Yellow: Building Division E.H. USE ONLY Piot Plan Attached Floor Plan Attached Sent to B.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance � f\, " " 11 .-.- r'l- a -L40 &, --,, , - Owner Location AP# \ Plan Approved for: Sewage Disposal Water Supply: Public Private Well , Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date 8P -7"C 6_-2-4 7 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER (—S /13vY1.0 PROPROSED BUILDING USE 1. BUILDING PERMIT FEES !� --- Balance Due ..................... --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. 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 Commercial (sq. ftg.)..... X $0.03 = $_ Sq. Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per. dwelling) Zoning Pd 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 8. SMIP (!� 9. OTHER 10. OTHER 11. OTHER A.P. # DATE 9'/3 RECEIPT # DATE REC. h.- 9 &S-as-rp, 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 /3 ZOOS Pursuant to Govnment Code Section 66020, you are ereby 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) Butte CountyDep�-�inel�t ofDeveloprner���'ezviCCS o�`'Tr . p F O 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone c00141 (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES 1 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 acknowledgd: ® I need to submit applications for septic and/or well to Butte County Environmental Health immediately. v 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 a 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 r itigations 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: J—o4+IQ r03mez_ APN: 007 —/00 — o.5- 7-6 U Building site address: (2 PS S IRAQ L PermitNo..: ,DU *5_R&r% 0120V i Lt_ E CA- 9s9 6� 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: -TeP% Z0D-5— _62 //"-, 5 NATURE OAAPPLI DATE ff `. �'• ����� p r 4:+'�'j 4�;:,'!.t° i4 �.r` x:. '•K'_.(>' r.it•,r:. ;`�`� �i•-. oa�� 3T Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this infonnation 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 material for construction of this proposed property improvement: YES [ X ] NO [ ]. 2. I HAVE [`� ] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person.(firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: 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 C(i 22�5-A r`TL I/ e) U7- 7'-0 B i' -Q SIGNED: PROPERTY OWNER: 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. Rev'd .11/4/2004 Butte County Department of Development Services ADMINISTRATION' BUILDING' GIS ` PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile on, Ell WIN W = �� ,�.::�'•�,� Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the 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 you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government 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. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice- of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. C. Vieir4 C.B.O. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. •s Department of Public ork. �' It o o f g i1 t t e ,.�., b . C o u n t y LAND DEVELOPMENT DIVISION I'% J. -Michael Crump, Director Storm Water Management Program 7 County Center Drive �`� / Oroville, CA 95965 U p �g (530) 538-7266 �Uc WaF (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement BLESS THA1�d 1 ACRE ProjectDescription: Project Location and/or Parcel Number: DRa U Ltd C� 9S 9�, 6 By signing below, 1, the project ownerlowner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit fron 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: "U A) Date: 3 ooS r a 6t T NOTES RESIDENTIAL- •�, 027-100-05.S'7 01-0706 t} MEYERS, MARIE 'i 12 PARTNERS TRAIL OROVILLE CONTR: D & A CONST R MH PERM FND INSTALLATION - 1THE HCD FORM 433A FOR THIS MH CANNOT I. BE RECORDED UNTIL ONE OF THE FOLLOWING „ HAVE BEEN TURNED INTO THE BLDG DIV: } ' (1). "LICENSE PLATE(S) or DECAL(THE. ' . - INSPECTOR MUST RETRIEVE)' (2) STATEMENT OF FACTS(ONLY ON ; 'INEW MH' S) t, •L "'''INSPECTOR TO .VERIFY SERIAL & LABEL #'S SPECIALESNTIONS CHECKED k BY � SRA FLOOD CERTIFICATE REQ..' FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS 41 SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS Meter 13,43=_ ELECTRIC Date Meter JOB FINALED (Date) / _ I ',} Signature .a, OFFICE COPY Address GAS Meter 13,43=_ ELECTRIC Date Meter JOB FINALED (Date) / _ I ',} Signature ✓ = OK 0 = Not OK = Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /" L'ft. / P Nat. or / /"L"ft./ PLPG 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 IJOME INSTALLATION (Plans) OK except #'s Z g Requirements -Setbacks -Easements F ings; Size -Spacing -Marriage Line ,31"Gas; MH Test -Demand -Valve -Connector 4,,,6ec1ricity; MH Test -Crossovers -Breakers -Clearances 5. Dain; MH Test -Fall -Flex Connector �1Nater; MH Test -Regulator -Connector 7 , ater and Sewer Connected -C/O to Grade -HD Approval as and Electricity Tagged 9: T' Downs -Type -Installation Cert. j gq�LExits; Insp.-Sketch c (A . Ort. of Occupancy Foundation Only: License Decal Date I V 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- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings' 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable =Not Ready ' RESIDENTIAL (: Date Card B-1 Date Card B-1 Underfloor (Plans) OK except #'s FRAMING (Permit) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 41. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Bearing Walls over Girders & Floor Nailing 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 44. 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth Headers & Beams -Size & Bearing 5. Stemwalls, Main; Steel- Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 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 Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Meth Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subteed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes O No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor ❑ Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform it Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sills 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 jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Rolf Brac.-Truss-Shting. -Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One T -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. Insulation -Walls -Ceilings 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 -Connector - In Garage; Above Floor -Ducts -Meth. 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 & Receptacles 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-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex 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 ❑ Yes 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J 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 Throughout 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 94. Address Posted 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: • � 4 ��#�',,`�', �r.�3 Ger 7�",';;k �°��,�'" '�'�i �'k`�-� `�"'" 7� rs Y�3�� 7 "�� ""�"� ���r�d5 ���� a�'"���,.� ��1.� '.,„s�Y x� Y',3-��t+iti l'min`'•i dti !"#r,°� '.�9�.�,, ,. . � BUILDING PERMIT NUMBER: '01-0706 Address or, location of unit: "12 PARTNERS TRAIL, OROVILLE; CA 95966 Legal-Description of Real Property:` A.P.#027-100-057 ' SEE ATTACHED J, (x) Mobilehome/Manufactured Home ' �) Commercial Coach ' Has been affixed, to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name:- MARIE MYERS Owner's address: P.O. BOX 682, PALERMO, CA 95968 INSIGNIA OR HUD NUMBER: RAD,1320062/3� - SERIAL NUMBER OR V.I.N:: - `0901`-255-12783*IN255-3 MANUFACTURER'S NAME: FLEETWOOD. YEAR: 2001 OFFICIAL. APPROVING INSTALLATION: . DATE: 6/19/01 PHONE: (530) 538-7541 M.C.D. 513C RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document. Recorded 20 -Jun -2001 2001-0026460 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. RAND A. MYERS & MARIE J. MYERS BUTTE COUNTY BUILDING DIVISION ' REAL PROPERTY OWNER/LESSOR P.O. BOX 682 LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS PALERMO, BUTTE, CA 95968 ' OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE 12 PARTNERS TRAIL ZIP CITY COUNTY STATE ZIP 01-0706 (530)538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, CA 95966 BUIL N ERMIT NO. TELEPHONE NUMBER &dQ 6/19/01 CITY COUNTY STATE SAME ZIP SIGNA RL• OF LOCAL AGENCY F DATE ONE UNIT OWNER (if also property owner, write'SAME") DEALER NAME (if not a dealer sale, write'NONE") NONE MAILING ADDRESS DEALER LICENSE NO. CITY COUNTY STATE ZIP UNIT DESCRIPTION CHAMPION 2001 UNKNOWN MANUFACTURER'S NAME 0901-255-12783 IN255-3 DATE OF MANUFACTURE MODEL NAME/NUMBER 268" X 58760' RAD1320062/3 SERIAL NlJP1BER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #027-100-057 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD -Building Dept. 04/10/2001 20:27 5305346806 C GARY OTT PAGE 03 SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT. CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL Z: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 17, 1999, IN BOOK 147 OF MAPS, AT PAGE(S) 56 AND 57. RESERVING THEREFROM A 60 FOOT WIDE ROAD AND PUBLIC UTILITY EASEMENT OVER PARTNERS TRAIL -FOR THE BENEFIT OF AND APPURTENANT TO PARCELS 2, 3, AND 4, AS SHOWN ON SAID MAP. A PORTION OF AP NO,.027-103-053 PARCEL II: A 60 FOOT WIDE ROAD AND PUBLIC UTILITY EASEMENT OVER THAT PORTION OF PARCEL 3 WITHIN PARTNERS TRAIL, AS SHOWN ON THAT CERTAIN PARCEL MAP RECORDED IN THE OFFICE OF THE RECORDER,OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 17, 1999, IN BOOK 147 OF MAPS, AT PAGE(S) 56 AND 57. 14 Exec Comp «I 04;10!2001 20:27 5305346806 RECORDING REQUESTED BY Bidwell Title S Escrow AND WHEN RECORDED MAIL TO "ame Rand a Maris Myers street 2745 Montgomery Street Address city.sut Oroville, CA 95960 ftp order No. THE UNDERSIGNED GRANTOR(s) DECLARE(s) ® unincorporated area CI City of C GARY OTT PAGE 102 199x3—ont046a32 1 s . ARUBBS FDSB RY DICKMN Assistant "to" I2lov-1999 REC FEE 10.00 TAIL 38.56 Vickie Page 1 of 2 RDER'S USE Documentary Transfer Tax Is i 38.50 County * computed on full value of Interest or property conveyed, or ❑ fun value Ives value of liens or anc_umbrances remaining at Parcel No. 027.100-053 the lime o} safe FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, Donald W, Thornsberry and Linda L. Thornsberry, husband and wife hereby GRANT(S) to Rand A. Myers and Marie J. Myers, husband and wife as Joint Tenants the following real property In the Unincorporated area county of Butte, state'of California: See Schedule C attached for Legal Description Dated: October 27 1999 - 'b Donald W. Thornsberry //.I��. // �•// // hells Linda L. Thomsberry STATE OF CALIFORNIA } SS: COUNTY Of Butte On n ckA�e t alta `�before me, Lynette GuAon – a Notary Public in aid for said County and State, personally appeared Donald W Tbomsbsrty and Lindda, L Thornsberry Personally known to me (or proved to me on the basis of satisfactory evidence) FOR NOTARY SEAL OR STAMP to be the porson(s) whose names) is/arc subscribed to the within instrument and aclatowledged to me that he/shc/they executed the same in his/her/their i LYNME GARMN authorized capacity(ies), and that by hia/hetitheit signaa,re(s) on the instrument COMM 111 7898+ the pmon(s), or the entity upon behalf of which the persons) acted, executed fA WYART the instrument. COUMY OF BUM [A WITNESS my hand and official seal, Cemnt. Exph*s rfl f 1, 20QZ Signature � � 4 MAIL TAX STATEMENTS TO PARTY SHOWN ON THE FOLLOWING LINE; IF NO PARTY'01OWN, MAIL AS DIRECTED ABOVE Name StreH AdAreee city & SStat• Onuuaee Lynetra Ganon 04/10/2001 20:27 5305346806 i C GARY OTT SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: PAGE 03 ALL THAT. CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP RECORDED IN THE OFF .CE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON -JUNE 17. 1999, IN BOOK 147 OF MAPS, AT PAGE(S) 56 AND 57. RESERVING THEREFROM A 60 FOOT WIDE ROAD AND PUBLIC UTILITY EASEMENT OVER PARTNERS TRAIL FOR THE BENEFIT OF AND APPURTENANT TO PARCELS 2, 3, AND 4, AS SHOWN ON SAID MAP. A PORTION OF AP NO. 027-103-053 PARCEL II: A 60 FOOT WIDE ROAD AND'PUBLIC UTILITY EASEMENT OVER THAT PORTION OF PARCEL 3 WITHIN PARTNERS TRAIL, AS SHOWN ON THAT CERTAIN PARCEL MAP RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE O�- CALIFORNIA, ON JUNE 17, 1999, IN BOOK 147 OF MAPS, AT_PAGE(S) 56 AND 57. '4 Exec Comp�L—1 a a°rm STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS This unit is a: Mobilehome Commerical Coach Floating Home Truck Camper Decal (License) No. (s) Trade Name Serial No. (s) I/ We, the undersigned, hereby state that the unit described above: Com. C`b \Am . Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development,, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above- described unit in California, of from issuance of a California certificate of title covering the same. I / We certify under penalty of perjury that the foregoing is true and correct. Executed on ,LA- of at: Oroville ,California (Date) (City) . (State) Signature of each affiant Printed name of each affiant Address 1740 Feather River Blvd. City Oroville HCD 476.6 (Rev 11/86) Michelle Freel, Office Manager State California COUIuTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION t County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT - -O !yJ(4 ASSESSORPARCEL NUMB 027-100-0 ZONING BUILDING PERMIT OWNER TELEPHONE — SO. FT. OCC. BUILDING VALUATION 1 5 3 R 84 942.00 OWNER'S MAID G ADDRESS PO BOX 682 PALERMO CA 95968 CONTRACTOR'S NAME D & A CONSTRUCTION I TELEPHONE 533-9643 CONTRACTORS MAIUNG ADDRESS 1740 FEA= RIVER BLVD, ORMLLE, CA 95969 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Flirt Fee $ 20.00 Permit Fee 572/2 $ 286.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 12 PARTNERS TRAIL OROVILLE CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 329.00 LOT NO. SUBDIVISIONS NAME — PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome MI Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation X0 Other ❑ Describe Work: MH FND FOR BP# 00-2634 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W (_a20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service O'Aoass 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.2y � License Class 4 Lic. No. —2)L �' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BinS. SO 3.52FT. T. I,oµpESID. MULTI.OUTLET CIRCUITS @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDRURES zBAL @''50 L Q .SO Ex. Occup. �tEFrs PRM.OEll 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE _ 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 insuran,c�t carrier and policy number are: Carrier �' � 1— �.4 d MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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. �� X Date p/ 1 Signature Applica t - 11Owner Contractor ❑ Agen �I '_ An OSHA permit is required for excava ions over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 329.00 -Y D. FE IMP I FLOOD X CDF X PARCEL X Po HD SUE This permit is hereby issued under the applicable of the Butte County C de and/or Resolutions indica v r w ch tfees have been B Date PERMIT EXPIRES ON Det provisions to do work paid. 7/&V Receipt No. ao WHITE-D.D.S.-B.D. CA S PINK -INSPECTOR GOLDENROD -APPLICANT ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 1 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541�� ,.n PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �� G ASSESSOR PARCEL NUMBER ` (' `CO v cJesa ZONING A— BUILDING PERMIT OWNERTELEPHONE frvvr c` S u-'14:12L SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2-b. P l CONTRACTOR'S NAME ELEPHONE CONTRACTORS MAILING ADDRESS 1740 Feather River Blvd. Oroville 95965 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 $ 123 OD BUILDINGADDRESS,-.� VK Energy Plan Checking Fee $ $ C1.1— PERMIT FEE $ 91 LAT SUBDIVISIONS NAMEP L AP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 1A Other SPECIFY 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 ❑ Describe Work: AZT-1-Y�C� �11't LOI g t t �J� (PC), / t+ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT I Fling Fee 20.00 Main Service s00A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencin with Section 7000 of Division 3 of the Business and Professions Code, g ) and my license is in full force and effect.POWER License Class � 7 Lic. No. 457364 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. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service z00A To 46.00so CCU000A NEW CONST. DWEWNO OCCUP. OR ADDNS. ( 8 ACC. BLAS. SO 3.52FT: NEW CONS . OUTLEr NON -R ESID. MULTI. @7.50 APPARATUS 8 SINGLE OUTLET CSR. Ex. OCCU OUTLET OR FIXTURES x'50 BAL. p .w Ex. Occup. ovnFrs AF�sID.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ 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. XI 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 permitis issued. My workers' compensation insurance carrier and policy numb r are: Carrier HZIM-� �� to _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number ? oasto IIna OI 1?,— ht (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 those provisions. X Date Signature of Applicant - ❑ Owner XX Contractor ❑ Agent. 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 Inspe0on Fee $ occ CONST, TYPE ^ ' _ TOTAL FE $ o� ' LH HAZ. D. FEES IMP I FLK I COF PARC PD ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Da te Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT l�hT--rl` /�L•�...rti'v'�.,�''�'/f;n"T�' ` �:''�f � � 7�•�'k'�'�l .. '1 - �„�,�,�`1�/;mnnwt'ir'i�`.-t^",.Fr. COUNTY �W BUTTE - DEPARTMENT OF DEV8LOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ' y1 42r5 ASSESSOR PARCEL ER: r) — 0 — ®S Proposed Building Use: M R Q-) Building Inspector: Date: At time of permit application, I wag advise# the following data must be submitted prior to pe ceasing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. 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 .------------------ �e:s of$ ------------------------------------------------------------------------------------- pact fees as shown on the attached schedule.----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------- =------------------ ❑ . Flood elevation certificate. ------- ---- --------------- - ------------------------------------------------------,-1----- Sanitation and plot plan approval 1(bU� Health Department.---------------------------------+�----- — ' G ( TP ❑ 15. City of Chico plumbing permit. Wplot plan and business license approv 1 om the City of Biggs. ---------------------- lanning approval for (A) Use: (B) Parking: O - ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑ 20. Pre -inspection for required Request to Building Inspector on ❑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 ❑). - 024. Letter of signature authorization. -------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. ------------- 026. Letter of intent on building use.---------------------------------------------- (Date) ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- 8. Existing viol ti' ean. and/or expired permits. - -------------------------------------------------------------------- 433 Gr t Deed, ❑ r Check to H.C.D $'� . --------------- 0. Other: �31�------- W11 S erir you issue the t, rro ess as follows ❑ Mail to owner, ❑Mail t c , ntractor. Telephone 53129 43 and hold for pickup at �� 1 office. ❑ Deliver with inspector. . 6 Applicant: ��^r�t^ eDate: 14, Copy of Haz-Mat form sent C5 Health Department, Fire artment, ❑ Air Pollution Date: P eP BY: Copy of plans sent ❑ Health Department, ❑ Fire Departm t Other: ate: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, b Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner i!vas advised of the abovereq ' da by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ AY76_1d_. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E.H. USE ONLY Plot Pian Attached Floor Plan Attached Sant to 8.0. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 11 (&1-.,, fh-"J,4, - - nA jf�- e��— /0 , s � Owner Location AP# Plan Approved for:. Sewage Disposa •' Water Supply: ublic Private Wel Clearance for dwelling. Other _3 h►/ u) //1�(' Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist D to 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE ) f� OWNER r� A.P. # n DL �`� S3 PROPOSED BUILDING USE DATE qkk /* RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ........................�...... $ 2. SCHOOL DISTRICT FEES (paid at District Office) SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. -X-=$ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK (�46$89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion #�_) c� $200.00 (paid at Building Division) / 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT �"v �1� ��'JI l D DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) Udr-A 'CQ � �r �;tlt0 r -,, { A Dupar & Angel Company ,Insured - Bonded - California State Contractors i License 457364 May 17, 2001 To Whom This May Concern J . s Butte County Building Department 7 County Center Drive, Oroville, California. 95965 G F On Parcel. number 53 of Book 27•Page 10 we will not be harming , removing or endangering any oak trees.on the property before, • during or after the proposed building project. There is a natural clearing for a building pad and this is where we have proposed the site for the mobile home to be:.. Also there is. -a , clearing for the septic system to be placed.,The well, which is in place, is tens of feet away from the,nearest.�grouping of oak tress. F . Please see the attached, Plot Plan as to see where the- main outcropping and grouping of trees are. From Partners. Trailto past the proposed septic,systemarea all_ trees are .accounted for. Trees beyond that line are pointed out to be in Dense and Semi Dense Groupings here and there. -All the,Other•trees,are laid out in almost exactly location.to where they are on .the property, give or: take a few feet. Respectfully Yours - Michelle Freel (on behalf of'Rand &, Marie Myers; `property owners) On -Site Director r 1740 Feather River Blvd. Oroville, CA 95965. (530) 533-9643 , Fax (530) 533-0125 (; �---- C jSpe-vFT2&-"S ,g � y �s� TD 5�mu• Rt s tQ vOi 2 Uki� " J AFi�RZOV ED Butte County Environmental Health lD—D- I --- t Signature EQvO% (L QokD Soo' — U -b -I I M-TtN L OQ.0.0'% LLLZ Rea APPROVED Butte County Environmental Health Date atc _ Signature ----- Model #255 26'-8"x58'/60' I cHampion RES EQ v01 I-L (LON� Soo' 145' VN ZN L RECEIVED MAY 1 1 2001 BUTTE COUNTY BUILDING DIVISION it 9 7Jr`cu. 37--3u.•r-:mow BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District �� t(_0 Building Department No. A.P. Number C,br�' I00— `' Jurisdiction: City County Property Owner Property Location/Ac Subdivision Lot No. r� X92--b�C� Residential Development Commercial/Industrial O No'of Living Mobile Home Units Installation New Addition . Representative ................................................................................................................... Sq. Footage ` Addition/ 'Supplemental to (Group R) Conversion Permit # € '(No foundation inspection); ......................................................................................................... Sq. Footage (Including Exterior 414)0( Roofed Areas) Date VV (Floor Plans reviewed by School District Personnel) District Identification No. 010111 ��vfl Ik, L+ 't U rl Xchool District certifies that 1 (Applicant) (I 53Y-�11 Z (S et Address) (Phone umber) (City) has complied with the requirements of Resolution No. .s• representing I I� / square feet. School District Representative Paid by Check It ( Remarks: 5u - (State) I O �V ABII 2926 (Zip Code) by payment of $ � S $ 64-a4�-->-b 1 Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are. paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be, subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/98)dmm i It M A - • � C` aSernvY�• r,4� loo RES tf• vol 2 20a0 OT Soo t0 143.' o i V y , ' d�1, /'' i• , j, IL J' 0 j r• *a'fp� . , Com- 7. i �I-�•1SS1S =A ! ` ' . 315 aB% is 58 Coo . - C i Ail -,- �-A gas f AND EQUIPMENT NO uDWO a� AU-A :=rC HALL BE CLEAR OF ALL. EASEMENTS + _ 1 A SET BF �OFT. FROM THE SIDE AND 3 O FT. FROM THE REAR PROPERTY L�IA� 31 ' ! " A v 4 FT. FROM THE ROAD CENTERLINE SHALL BE C�� � F� � � q COF 8^�RUC'I'URES AND E41UtPMENT EXCEPT _ `, Q,Q TOR A 2 FT. >EAVE•.OVERHANQ. • o l/e/"' " , t .J M1M0B'ILEH�MEINST°ALLi4TIONDATA`' T t 1) Owner's Name: M a r ( -2 MU erS 2) Assessor's Parcel Number: 02'1 , I Oo —G3 3) Installer's Name: INTEGRITY HOMES, INC. 4) Is the site currently under permit? Yes [,] No [ ] Permit No. c0 -,403V 5) Is the site an existing site? - Yes [ ] No [)q (If yes, fumish two plot plans). 6) What is the electrical rating of the mobilehome? /OU Amperes. 7) What is the mobilehome site circuit breaker rating? ;2 CO Amperes. 8) What is the electrical rating of -the mobilehome site? RV Amperes. 9) Is the main service remote from the mobilehome site? Yes [ ] No [j0] If it is, what is the rating? Amperes. 10) Is there any other electrical load to be served by the mobilehome site electric service (ie well, garage, etc.)? Yes [)o] No[ ] If yes, please identify the load and size: a) The mobilehome site: Load- U,}��( Amperes- ap b) The main service: Load- Amperes - 11) Type of gas service at mobilehome site: Natural [ ] Propane [X] None[ ] 12) Size of gas pipe at the mobilehome site from the meter or tank: 3/4". 13) What is the gas pipe length from the meter or tank to the mobilehome? 1-5-M.) 14) What is the mobilehome gas demand? B.T.U. * *(This information is not required if the pipe length is less than 6 feet on natural gas or less then 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION SUTTE 0"" t A M P R 0 V F MOBIL' EHOME SUPPORT'DATA it Mobile Manufacturer: C(1Q.1'Yl ()I.6'1 Manufacture Year. QY J ass If other then�single wide, fumishSet Model Number. Width: aU g'� (ft) Length: 5$ �p0 ft Tagalong or Expando Size X On all mobilehomes manufactured after October 7, 1973, fumish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade [ g(J Other: SUPPORTS: Concrete block [X] Other. Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE ?4ULT1-WIDE Line 1 1 Liao 2 Line 2 ........................................................................ Main Beams Line2................................................................................................ e 2 Line I Line 3 Line 2 ................................................................................................ Main Beams ............................................................................................. Line 2 Line 1 ............................................... d ineS Tag or Triple e 4 ine 1 Line 1 Piers: Size minimum: I 1x[ Spacing maximum: " From ends -max: " Line 2 Piers: Size minimum: x Spacing maximum: From ends -max: Line 3 Roof Loads: Size minimum Location (from rear): A Line 5 Roof Loads: Size minimum Location (from rear): Line 1 Openings Size minimum: x Each side of openings " with width over: ' Line 4 Piers: Size minimum: I 1x[ Spacing maximum: " From ends -max: " ISUTTE STN RUILDI Model #255 26'-8"x58'/60' gat cHampion HOME BUILDERS CO. W, 100'd 9££9bI 79S 698:931 5000# NOIdWVH? £S:S[ (31ll)10.,20-•'•9dH ----------------- I I I I I I Y. I u —.lrt 6S—�{ Z 1 6e -j- ( I I I 1 I 7N: 'XIH`_IJH-H I CN3 H311H\.3VI-8 c i- I --•-'-'-'-• —•-- t—• --•----•--•f i I i I I I I I I IgI I I-`_ :I• - � yl � N J � �� J I --- —• I I, I I I I I I I 1 IL W, 100'd 9££9bI 79S 698:931 5000# NOIdWVH? £S:S[ (31ll)10.,20-•'•9dH AR I I I I I I f �- -j- I I I 1 I 1 i- I --•-'-'-'-• —•-- t—• --•----•--•f i I ! ' }—'--------� FL O I I I IgI I I-`_ I I I I I I 1 1 I I IgI � i .J iJ I v'J ♦ iJ ! I I I I :a I I I ________ I T.7 _.� , I I I Id W, 100'd 9££9bI 79S 698:931 5000# NOIdWVH? £S:S[ (31ll)10.,20-•'•9dH BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. D16V� 0"5,9 AAq OWNER � fi � `r� PHONE NO.`�� OWNER' .DgHE LOCATION O.F UIL Gtr �Ir51&>�� USE OF BUILDING SIZE OF STRUCTURE 3SO. FT. TYPE OF CONSTRU N: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDIN Ra COVERING i)Dn1 n k)mlFLOOR T?'Phnr�cT-C ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT 7 5J /it!2✓SIDES r REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet.from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date �c > Signature of Owner �. Permit Fee - $60.00�I� The above described AG Building is exempt from a I Receipt No. 9147 FOOD PAR / Manager Building Division By White — DPW, Yellow —Assessor, Pink — B. I., Goldenrod —Applicant Date v it. AGRICULTURAL, STATEMWNT OF ACKNOWLEDGMENT FOR RESEDENA&L DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursui(of agricultural operations including, but not limited to cultivation, plowing, spraying, pnnmg, and harvesting winch occasionally &nwate dust, Smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on'yadjacent 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"Califor ia, described as follows: Date—� �� PROPERTY OWNERS: State of California County of B�LTfF vn " AymE�rL -e-L" 7)puy before me, 0}121arI L. FI w,, )Lio f pmy PUai t personally appeared_ 1�,1PrQ� 1rtUPOS Dersonally known to me (or proved to me on the basis of satisfactory evidence).to be the persons) whose name(s) is/are subscribed to the within instrument and acknowledged to me that betshe/they excimed the same in his/her/their authorized capacity(les), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS h d official seal Q/ Si atu •�• • CHRISTY L. HINKLE + HOTARMPMOBUC-CAUFORMUI A.P. # COUNTY OF t Comm. Expires MUCK 2 2004 �.. kji;, IIII"III)IIIIIIIII I I I IIl"III I 4ri t1vD WHEN RECORDED MAIL TO: ' � III) BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 .` Recorded I REG FEE 10.00 Official Records I COPIES 2.50 County Of CANDACEUJ.EGRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Maureen 12:07PM 04 -Jan -2001 I Page 1 of 2 AGRICULTURAL, STATEMWNT OF ACKNOWLEDGMENT FOR RESEDENA&L DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursui(of agricultural operations including, but not limited to cultivation, plowing, spraying, pnnmg, and harvesting winch occasionally &nwate dust, Smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on'yadjacent 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"Califor ia, described as follows: Date—� �� PROPERTY OWNERS: State of California County of B�LTfF vn " AymE�rL -e-L" 7)puy before me, 0}121arI L. FI w,, )Lio f pmy PUai t personally appeared_ 1�,1PrQ� 1rtUPOS Dersonally known to me (or proved to me on the basis of satisfactory evidence).to be the persons) whose name(s) is/are subscribed to the within instrument and acknowledged to me that betshe/they excimed the same in his/her/their authorized capacity(les), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS h d official seal Q/ Si atu •�• • CHRISTY L. HINKLE + HOTARMPMOBUC-CAUFORMUI A.P. # COUNTY OF t Comm. Expires MUCK 2 2004 SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 17, 1999, IN BOOK 147 OF MAPS, AT PAGE(S) 56 AND 57. RESERVING THEREFROM A 60 FOOT WIDE ROAD AND PUBLIC UTILITY EASEMENT OVER PARTNERS TRAIL FOR THE BENEFIT OF AND APPURTENANT TO PARCELS 2, 3, AND 4, AS SHOWN ON SAID MAP. A PORTION OF AP NO. 027-103-053 PARCEL II: A 60 FOOT WIDE ROAD AND PUBLIC UTILITY EASEMENT. -OVER THAT PORTION OF PARCEL 3 WITHIN PARTNERS TRAIL, AS SHOWN ON THAT CERTAIN PARCEL MAP RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 17, 1999, IN BOOK 147 OF MAPS, AT PAGES) 56 AND 57. Exec hL Comp C -L— 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 bor' and materials for construction of the proposed prope improvement :YES NO[ ]. 2. I HAVE[�HAVE NOT[ ] sign d an application for a building permit for the proposed work. 3. I have contracted . with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following - person • fo 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: PROPERTY � �!:�,� ►Nis •— -;...,.e • � �I 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 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 you plan to do yo own work, wit�the tion of various trades that you plan to subcontract, you should be aware of the foll ' g information foene{ and protection: 0 If you employ oro erwise en ge any persons other�ndre your immediate family, and the work (including materials and o!Yr costs) is 00 or more for the project, and such persons are not licensed as contractors or su ntractors, toen you may be an eT loyer. 0 If you are an emplo er, you t6register with State and Federal Governments as an employer and you are subject to several obli inc and federal income tax withholding, federal social security taxes, workers compensation insurance, insurance costs, and unemployment compensation contributions. 0 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. 0 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 "'ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License ,Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm :that you are aware of these matters. The building permit will not be issued until the verification is returned. iSin&rel , Michail C. Vie' C.B.O. Manager, Building Inspection I NOTE: This Owner -Builder Information, is required by Section 19830 of the California Health and Safety Code. I OVER NOTES ri , RESIDENTIAL 027-100-05A7 01-1088 MYERS, MARIE 12 PARTNERS TRAIL, OROVILLE CONTR: WILLIAM SQUYRES WATER SPRINKLERS (BP#01-0706) SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) 6-_ Signature Lyn�__ T V = OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rtirs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. 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 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rtirs-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 FINAL (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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light'Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable = Not Ready 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.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Sfeet- Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors RESIDENTIAL (Single & Duplex) Date 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date 56. Card B-1 Date Card B-1 Date 57. Card B-1 Date Card B-1 Date 58. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Date 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. Card B-1 Date Card B-1 Date 64. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes C) No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 77. Plb., Elec. & Mech. Equip. Listed for Location Date 78. Card B-1 Date Card B-1 Date 79. Card B-1 Date Card B-1 Date 80. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform it Furnace in Attic 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86, Water Well, Disconnect, Electrical, Plumbing Date 87. Card B-1 Date Card B-1 Date 88. Card B-1 Date Card B-1 Date 89. FRAMING (Permit) OK except #'s 40. Sills 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- Purlin-Roff Brac.-Truss -Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & 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. Insulation -Walls -Ceilings 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 -Connector - 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 & Receptacles 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-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex 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 C) Yes 82. Following Insild./Drive D Yes D NotWalks D Yes D No/Planters D Yes J 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 Throughout 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 94. Address Posted 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: W" COUNTY OF BUTTE - DEPARTMENT OPdEVELOPMENT SERVICES - BUILDING DIVISION *' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT n1-JORY ASSESSOR PARCEL NUMBER 027-100-05 ZONING BUILDING PERMIT OWNER MYERS, MARIE TELEPHONE SO, FT, OCC. BUILDING VALUATION CONT 3400-00 . OWNCR' ,-. IG ADDRESS CONTRACTOR'S NAME WILLIAM F. S UYRES TELEPHONE 345-1012 CONTRACTORS MAILING ADDRESS P.O. BOX 3176 CHICO CA 95927 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ iann no ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ /in 95 BUILDING ADDRESS T Energy Plan Checking Fee $ $ PERMIT FEE $ 123.95 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT' Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome )D Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK NewAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work:�t@.Y_ S__� FOR BP#' 01-0706 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service .OA ORtE.s 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 an Professions Code, and my license is in full force and effect. �, --p r �p License Class �'� 0 Lic. No. $ 2� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service WDLL TO t 46.00SO NEW coNsr. owELUNo Occup. U ( ACC-Ou�rLS. 3.52Fr°: NEW CONST. M ET NpµRESID, CIRCUITS @7.50 aPOW.E.R PIPARTT ICA. EX. Occup. OUTLET OR FIXTURES .00 SAL @ I. 0 LNS Ex. Occup. oLInFrs RESR).OEX 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 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 permitis issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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 rovisions of section 3700 of the Labor Code, I shall forthwith comply wit ose sions. ` X v ` Date — ©� Signature of Applicant - ❑ Owner Contractor 13 Agent 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 CONST. TYPE TOTAL FEE $ 323 HAZ. p. FEES IMP FLOOD COF pARC0. po HD SUE This permit is hereby issued under of the Butte County Code and/or indi a for w iab fees have B PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. 9 Date Date Receipt No. 02 1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT O'i=' DEVELOPIPAENT SERVICES - BUILDING DIVISION .4 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMITO. (Rev. 12/96) APPLICATION AND PERMIT n)' -/0R` y ASSESSOR PARCEL NUMBER — /I ZONING BUILDING PERMIT OWNER if a 1 1 1 TELEPHONE SO. FT. OCC. BUILDING VALUATION 8 3C{W � . 1 A"'J- OWNERS MAILING ADDRESS r CONTRACTOR'S NAME/ . •i/L a yin <F . u y res S TEL CONTRACTORMAIUNG ORE�SS ! _ f&7_ c 95 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ �Q ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1Q_ % Energy Plan Checking Fee $ $ o,-1,vi L� PERMIT FEE $ v AAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome R Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New X Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Ar Describe Work: l — Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Fee 20.00 "OOV OR LE Main Service 20.AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code, ( g ) and my license is in JVII force and effect. License Class Lic. NO. _ a _ _ "- OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service tow TO I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACc. sLDs. SO 3.5¢FT: NEW CONST. MULTI.OUTLEr NON-RESID. @7.SD SINGLE PO APPARATUS 8 Oun.Er CIR. Ex. Occup. OUTLET OR FDRUREs O 1.00 sr,L @ ,50 FIXED Ex. Occu . D galD ° A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' comoensation_insur_a_nce 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 those provisions. X Date Signature of Applicant - ❑ Owner XX Contractor ❑ Agent. 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 FEt $ Mobile Home Installation Fee $ Energy Inspeption Fee $ °C0 coNST.rrPE — TOTAL FEE $ ��r RAZ, 1 D. FEES IMP I FLOOD I COF PARCEL I PD I ADJISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. Te Receipt No. z02 WHITE-D.D.S.-B.O. CANARY -A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT NOTES E RESIDENTIAL = PERMIT NO. _ _027-100.-053. 00-2634 MYERS, MARIE a PARTNERS TRAIL, PALERMO j NTR: OWNER - _ r MOBILE HOME UTILITIES 6/ + �- r r . t SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS ' VERIFY - USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE -COPY fY Address G AS Meter By Date ELECTRIC _ Meter By Dat t JOB FINALED (Date) l y Signature r - V= OK 0 = Not OK = Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. 1. Zoning Requirements-Setbacks-Easements 2. Soil ecial MH Support Sketch Footings; Soils -Size -Depth -Spacing -Connectors -Steel Sewe A ocation-Test-Fall-C/O-Concrete 3. ater; Location-Test-Easement Needed (Sketch) 5. Electric' y; Location-Clearances-Grnd-/ /Amp-Concrete Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 6 as; Location-Test-Wrap;-/ /" L'ft. / /' at. or / /"L"f . PLPG Date Date ell ge4rance 8 Discorinect tility Clearance Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Carports; Windows -Doors 1. Zoning Requirements-Setbacks-Easements 7. 2. Footings; Size-Spacing-Marriage Line 3. Gas; MH Test-Demand-Valve-Connector Frmg.; Sills-Anchors- Studs- Rftrs-Trusses 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 B-1 Date Card B-1 --1 Z- 713 z� Tz-/-+o / 3 ze0saa,/3 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- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (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 Lghig. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (E Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or M-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) 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 dingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & 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 -Ratter 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. Insulation -Walls -Ceilings 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 -Connector - In Garage; Above Floor -Ducts -Mach. 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 & Receptacles 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-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex 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 ❑ Yes 82. Following Instld./Drive ] Yes 0 No/Walks J Yes J No/Planters J Yes ] 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 Throughout 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 94. Address Posted 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: '�vn-$q�_...Y-r\'^.fi�y+'>n.'iil�Y"_51 ^:: COUNTY OF BUTTE BUILDING DIVISION �Y DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ,N /V'Q, �= _ aF OWNER . .:PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction'of work is. ,_ completed. If you have any questions pertaining to this matter, or need additional explanation, please,eo ct this offic"immediately. r. 9 Date / �— / Inspector REV 10/92 ;lu COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES. 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive • Oroville, CA .-P (530)538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection dicates that the following violations of butte county Ordinances exist at the above address should be corrected. Please notice this office when correction.of work is :1 completed. 't ed. ou have any questions pertaining to this matter, or need additional explanation Please c act this office immediately. A� ` . ,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-75 1 PER IT NO. (Rev. 12/96) APPLICATION AND PERMIT �� - a ASSESSOR PARCEL NUMBER 027-100-053 ZONING A-5 BUILDING PERMIT OWNER MEY'E S MARIE TELEPHONE 534-7924 SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS P.O. Box 682 PALE1?140 95968 O�7R SS�NAAME CONTRACT�LVi 0 WR TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS la PARTNERS TRAIL T 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 23.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uili6esA Installation ❑ Other ❑ Describe Work: MOBILE HONK UTILITIES Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 020.00 . EKE PERMIT FEE $ 80.00 ELECTRICAL PERMIT Filing Fee 20.00 RUE Main Service 2p.vA R LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in 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: A-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 Mein Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. OR ADONS. a acc. stns. SO 3.50FT. NON-RESIIDD T. MULTI.OUTLEi 97.50 POWER APPARATUS 8 SINGLE OUTLET S IR OUTLET OR FDRUR Ex. Occup.BAS 200 1.00 o .50 Ex. Occup. MD IS AE�s,D,°ERn 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wirina 23.00 PERMIT FEE $ 63 , 00 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.) 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 Date Signature of Applicant - 0 Owne onGT tractor ❑ Agent An OSHA permit is required for excavations over 60" 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 FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 166.00 HAZ. D. FE IMP FLOOD CDF PARCEL PD HD IV This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By /ate PERMIT EXPIRES ON G provisions to do work paid. t/L l Q le Receipt No. 308879 166.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION. 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE MIT NO. APPLIC TON AND PERMIT 60 �3 " AsoEasoRPARca►u a� N.No -r BUILDING PERMIT OWW_A TELEPNONE SO. FT. OCC. BUILDING VALUATION CONT TMMC TELEPHONE CONTRACTORO &MING ADDRESS cONsTRuCTION LENDER kTjotal LENDER'S ILAIt110 ADDRESS atlon E ARCNfrECT OR ENGINEER LICENSE NO. Filing Fee S 20.00 AACWTECT OR E?IUNEEAS W JUNG ADDRESS )) � Permit Fee E Plan Checking Fee $ BULDMOADOREss Energy Plan Checking Fee E S PERMIT FEE _ LOT NO. sueDNsx)N's NAME PARCEL MAP PLUMBING PERMIT Fling F06T 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE Solar or hent um water heater SF ❑ Duplex ❑ Mobilehome O Other Water piping 15.00 sPECFY Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New O Addition ❑ Remodel O Utilities O Installation ❑ Other ❑ Building sewer 15.00 Mobile Home I S I G I W @20.00 Describe Work: T1 , PERMIT FEE f ELECTRICAL PERMIT Fling Fe 710.00 Main Service 0000 oA mss 23.00 3 Main Service 200A TO IOWA 46.00 NEW CONST. OWELLWO OCCUP. OR ADDNS. L ACC. BLDS. 3.5¢SO ON0.S . MULTFOLz NOKRE51 7,50 POWER APPAMTUS 6 SINO.OLRLET CIR. Ex. OCCU OLRLET OR FDnuREs 20 ® 1. BAL .w - Ex. Occup. 011T1 ENSA C, O.0EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 -d Misc. Wiring 23.00 1 PERMIT FEE = 3 990 MECHANICAL PERMIT Filing Fee 20.00 *PERMIT FEE PAID $ C � �Q Heating SRA - - $ fir---- Cooling SHERIFF $ Hood 8.50 Ventilation OTHER $ $ PERMIT FEL $ Mobile Home Installation Fee S $ Energy Inspection Fee b OCC CONST. TYPE FEE $ AMOUNT RECEIVED KAZ• 0. FTES IM D CDF PARC Z�O *RECEIPT NUMBER �C? * TO BE PUT INTO COMPUTER 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 PERMIT EXPIRES ON Date r Ji eJ a COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: _�-S ASSESSOR PARCEL ER: `%®% 0 � 10-0 �� Proposed Buildmg se: Building Inspector: Date: e - 4 n Q At time of permit application, I was advised the following data must be'submitted prior to permit processing and/or issuance: Date Received By ❑ 1. 1 items have been submitted -------------------------------------------------------------------------------------- Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------ --------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ------------- '--------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------- E16. ----------------- ❑6. Energy Design Compliance and supporting documentation. ---------- ----------------------------------------- El 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- 118. --------------------------------------------------------❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ---------------------- 1110. =-----------------❑10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule.---------------------------------------------------,- - P'1 California Department of Forestry plan approval/fees.-1 -- �- -- - ---- --- --'-------- 413. Vlood elevation certificate. ---------------------------------------------------------------- tation and plot plan approval Q Health Department. ------------------- t1l5. City. of Chico plumbing permit.----------------------------------------------------------- ❑ 16 lot plan and business license approval from the City of Biggs. ---------------------- 7. Planning approval for (A) Use: (B) Parking: _. O,nr} 18. Contact Land Development about g Improvements, ❑ Drainage, El Legal Parcel. ❑ 19. Encroachment Permit for driveway'(construction approval prior to occupancy). ---. El 20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 1, 4. Letter of signature authorization. -------------------------------------------------------------------------------- 25. Recorded copy of Agricultural Acknowledgment Statement. ----------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- 027. Manufactured Home utility clearance. --------------------------------------------------------------------------- 028. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ --------------- 030. ______________❑30. Other: 1- t-ct M14 (Date) en you issue -thee p�t, process` follows ❑ Mail to owner, Ma" to contractor. `U Telephone � J `( "� I and hold for pickup a� office. ❑ Deliver with inspector. Date: By: By: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ our: n 1. Index pemut application for the above items numbered: 4 Date: ❑ Plan Check List 2. Additional items required: - ) / ' `Jj Contractor, designer, owner, was advised of the above required data by Erphone, Vmail, ❑ Building Division counter, by /�1t Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Contractor, designer, owner, was of the above required data by ❑ phone, ❑ mail, ❑ Buildin i counter, by Plans reviewed by: Date: � Plans approved by: Date: Sets of plans ,on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: ate: •01 Date: Date: Date: � •til E.H. USE ONLY _ Plot Plan Anaehad Sent to B.D / '- S TO: Building Department �l FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposl---, I Water Sup 11y: Public Private Well Clearance for dwelling. Other 1I 4A 1,L) n) C, Hold final for: Final clearance O.K. for: NOTE: �5i 12RI%,� 0 Cad- E> In zn hFh 1 (f )r �. fl n Environmental Health Specialist 8/96 Date January 9, 2001 Marie Myers P.O. Box 682 Palermo, CA 95968 Department of Development Services 7 County Center Drive Parcel Number: 027-100-053 Building Permit Number: 00-2634 Building Division Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX This office reviewed building plans for the permit application referenced above. The plans examiner's comments are listed in Part I below. Please respond in writing to each comment in Part -I by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Indicate which detail, specification or calculation shows the requested information. Additional response information is included on the response form. Your complete and clear response will expedite the recheck and approval of this project. If more than one party is responsible for plans, all party's must respond on the PLAN REVIEW RESPONSE FORM. PART -I Provide additional information and/or make revisions to plans, specifications and calculations as follow . Plot plan just received from the health department differs significantly from plot plan submitted for mobil home utility clearance with regards to the location of the home on the property. Plot plans approved by each department show house in the same location. In addition, there is a PG and E transmission easement running approximately through the middle of this parcel and it does affect placement of home. Please revise plot plan for correct location of the home, either plot plan for building department or plot plan for health department. Plan check will continue upon receipt of all of the above items. Additional comments may be generated from your response above where the plan documents were incomplete, inconsistent or not adequate to depict code compliance.. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between 1:00 P.M. and 4:00 P.M., Monday through Fridays. PART -II The items identified below must be submitted prior to permit issuance. These items were noted at the time of permit application on the PERMIT APPLICATION DATA SHEET. Sincerely, Martha Whitney Plans Examiner PRC. -,SCT PROCESSING RFr,0RD • APPLICANT: OWNER' PERMIT #: A. P. #: WORK DESCRIP'T'ION: DESCRIPTION OF STEP c�� APPROVED ❑ CONDITIONALLY APPROVED ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL PERMIT CLEARANCE Permit #: Date:o% �4 Geflera/.1nformadon AP.# Owners lame: � rl✓t� j � �L►^ S Parcel Acreage: 10� � Owners Address:UL Building Building Site Address: P.gel &rlyformadon Permit Tye ❑ Agriculture Building ❑ Commercial ❑ Industrial Mobile Home ❑ SFD ❑ Residential Accessory ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel ❑ Septic ❑ Well ❑ Other OL U Zone District: Date of Zoning Ordinance: _n AA ,, General Plan: ` m G Development Agreement: Use Permit: Variance: Parcel Is In: Land Conservation Agreement EA No ❑ Yes, check use Minimum Acreage: Nitrate Action Plan �] No ❑ Yes Violation Area No ❑ Yes . Specific Plan ] No ❑ Yes ❑ Chico ❑ D2N ❑ Cohasset Enterprise Zone (LZ��1 No ❑ Yes, check use Floodplain ' No ❑ Yes Zone: _ Panel Number: Watershed Protection Zone No ❑ Yes Pr000sed Use Complies With: r&General,Plan CLoning Proposed Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Accessory. Building Use Commercial/Industrial/Multi-Famil Parking: ❑ Parking Requirements are OK as Shown . Landscaping: ❑ Landscaping Requirements are OK as Shown Road and Drainage Improvements Required: ❑ No ❑ Yes Applicable Setbacks: ❑ Other ❑ Other Zoning Code Street & Highways Fre Prevention Subdivision Ma Front A` Side -j., Side, street Rear Sol Height Environmental Health Issues: I Septic Permit Review: Well Permit Review: I ' Land Development Review i 1 Parcel Created by: ❑ Deeds Agriculture Affidavit Required ❑ No ❑ Yes Designated Well Site ❑ No ❑ Yes Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes Date of Creation: Deed Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation: Comments: Legal Access Provided: Legal Access Required: ❑ No ❑ Yes, Road Name: ❑ No ❑ Yes ❑ No ❑ No �1 ❑ Yes ❑ Yes 1 Map Date of Recording: J � z, Pn 1 I I Lot: Block: Book:_ Page: n VM -& Conditions That Must be Met Prior to Issuance of Permit: ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Creation Deed ❑ Comply with condition no. of conditions of approval for the ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See Land Development for a Merger.Application/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 EHD requirements. ❑ Other General Co.. menu: WILLIAM F. SOUYRES, JR. Fire Protection Lic. No. 275206 ION C s V� n .s j Lic. No. 75 06 l -C-16 po' OFC c� Zp WC I • 4"p P.O. Box 3176 - Chico, California 95927 - (916) 345-101'2. C 's I ) c cl HYDRON I ICS: R1,;S7fDEN`1.`1'A-1*.- I.VIRE S1-:'R.*1"[\11�'.1J;:1 2.1 - SUBM . 1.1"I'AL Page CON'Y1Z . ACTOR: 1411-1J."I'AM 1.;'.345-1012 A1)1)R13SS: po 13OX 3"176, CA 9'x'..)"2.7-•-:11'!15, Date: U5-U6-2Uo1 File: CII.7\M,I-'--'l JOB : CHAMPION MOBILI!-,' MODI-311- 255, j. T-jj?.A1) 1--.1'..OW'1'.NG STA'1-1 C 60. 0 Psi. 40.0 PSi. P1 -()W, 40 G) ill MAN0J---' .1,1Y MIN SPR T/1.0 (pill M'I,N NODE ]-;2j1,--'VA'F1GN lk D'I'SCHARGE NO. FEET I.-IAC'FOR Psi Gpni ------------------------------------- 1 9.0 3.00 21-7 1.4.0 2 9.0 21.3 3 9.0 24. -7 4 9.0 26.3 5 1. 30.9 I . --f-0W-1-NG, AREA PER SPRINKLER 37..1 '.VO'YA1j DESIGN AIZI-A . 24 I S ct. REQUIRED DENS-1-TY .04 ("pill/ Sq. IY I.-.. COMPUTED DENSITY .04 Gpili/Sq TOTAL SPRINKLER FLOW 14.0 Gpill TOTAL DOMESTIC FLOW 0.0 Gplli TOTAL WATER REQUIRED 1-4.0 Gpill TOTAL SPRINKLER PRESS 30.9 Psi- WATER METER LOSS 0.0 P c; i. 0� SMj1Zcj3 VALVE FIXED LOSS 0.0 P s J. ((79 SOI)RCE Copyri-ghL (3.991) SUPPLY PRESS AVAILABLE 7 . I 30.9 Psi- Psi- by Hydronics. Engi-neering DEMAND PRESS REQUIRED 26.2 1) s i- 34-1.1.9 Fremont Bl, Sui-te 609 PRESSURE CUSHION Fremont, Ca., 94555 (415) 487-97-60 MAXIMUM VELOCITY 7.3 I-Y/S CO01rK8Clx}R: NII,CIxM r' n0UYun�;, ./x' P]nn pn�,rn'T/om (530) �115-1()12 /\DD|ZnS,q: P0 DOx 3176, /l{I(I/, CA ')5977-J176 Date: 05-06-2001 CKx^«P l JOB : CHAMPION M08II,Q M0DDU. 255, l UI;:AI-) P],0xW{NCI, PIPE BEG FLOW K-1-11AC110P [/Mwgl?I C-FACI0V PRESSURE 2o() �Pm P [[1'IW� ]'Ym� |'l1� PR- I�)SS Psi . DmD o|xvom'm( 'nnv\[. <Yei/P�) ----'-`- ''-' ''-------- --------'----------'�� l ' q= -.' .1-4.0 ' - 3 .0U .�- 21.Y PC 31.7 l � O= 1-3.9 1 71,1 Z l5.0 C= ISU Pe O..0 Pv -0.4 Vel = 7.] D~ 0.8O4 I[= 16.0 0.10I6 P[ 2.6 Po 21.3 2 pC � 2� 3 2 q= 0.0 K= 0.00 i.= 9.0 PC 24.3 Pt 24.3 2 ()=� l3 9 ' = = P R P � l 0 = C l�O y� � 0 0 p� -0.1- Vel= 4�C D= l�]Jl9 I|.= � |V 0 .. 0 U337 �[ 0.3 �n 24 2 3 PL J4 7 � 3 4= 0. PV. 211.7 Pt 24.7 ] Q= l]�9 |'�1|(� C= 150 9e 0.0 PV -0.I Vcl� :�6 |+ |�l09 '[}.� 47.0 0.0337 D,r 1.6 Po 24.5 � PC � 26 3 -----------------------_-------__---------------------------------------- A q= 0.0 T{= 0.00 l,= l0.0 PC 26.3 Pt 36.3 A 0- I3�o |'��R�2[. P= ,15.0 C= 150 Pe .1.5 pv -O.l Ve1= �.� i�- 1�1V� I|.�' �5 0.O337 P[ l.2 9u 26.1. 5 ------------------------------- y� 30.9 ' ------------------------'----'------'---- Me17- er = 0.0 Valve = 0.0 -------------------------------'--------- 5 Q= ll. 1-3 SOVRC I i: >> 30.9 � E=>45-Elb *.=>90--j;:_ I,~�9O-Dlh 8-�TeeR�k {l=�l\e�|{u/' {�=`CnvYlg S=�SwgC}d« Q=,Qatvlv IIY.D.RO.N7:CS I::LRI Si?R1:N7C:f_�1=,1Z I:iXa:>I211ULIC GRAPH PST .1.0 0 1 : 70 + 60 X Sialic X X X 50 + X X X X 40 -h X Resid 30 +* SPr Sys 20 + 10 + * Elev Loss 0 +-h--+---+----+------ h---- -- 1----------1•---------+-----------h-------------h •0 200 300 400 500 600 70.0 800 900 1000 1. 85 FLOW- (GPM) JOB : CHAMPION MOBILE MODEL 255, 1. HEAD F.r-,OWING Pa g e -ZON[,[Cc,- J-.lYlDl - S - .I. -OR: W',,'l'AMI'R(1'I'1?L"1'1"ON CON-VIZAC*lJL (530) 345-10,12 Al)l)lZr..:ss: i:)o 130X 3176, (.*A 9 59>'/ 646 Date: 05-06-200.1, (`jj7\Ml:)-- 2 G.p .04 JOB : Cl-.tAMt:)*I'O.N M0.13T.I'di: MOV)BI'.. 2 2'1.0 Gp STATIC 60.0 Psi !10.0 P. -l. I, I.OW 40 ("'pin SJ?R'I''NICLJ;..IZ MANLIJ." M'I'N 1',F SP.R. I.-IRIKS PSi MIN SPR FLOW 13 . 0 c3plu I?S.i- @ sotjlzc ().o NODE ELEVAl"I"ON 1C I?TZJ!SSURP!. DISCHARGE NO. Gpill 9 .0 3:00 19.0 13.1 2 9.0 3.00 21 . 4 1-3 .9 3 9.() 22. 4 9.0 2'/.9 SPR'l'NKLJi'.RS FLOWl'NG A.RJ.;:A I -Ir TOTAL DESIGN AREA REQUIRED DENS ]. -TY COMPUTED DENS'l."J'Y TOTAL SPRINKLER FLOW TOTAL DOMESTIC FLOW TOTAL WATER Rl--:QU--LRJ--:I') TOTAL SPRINKLER PRESS WATER METER LOSS VALVE FIXED LOSS SUPPLY PRESS AVAILABJ'.J!' DEMAND PRESS REQUIRED PRESSURE CUSHION 2 646 .04 G.p .04 Gpiti/Scl PT 2'1.0 Gp 0.0 Gpill */ ..0 Gr)lll 35.4 PSi 0.0 I?S.i- @ sotjlzc ().o 1:"-3:i- op SOUR.Cf. copyr igtv u- (1991) 50.4 Ps'l by 35.4 Psi 1-lydronics Engineering 1.4.9 1- s 34- .9 Fremont Bl , Suite 609 Fremont, Ca., 94555 (41-5) 411'7--9*1.60 MAXIMUM VELOCITY 9 . o u / s l{YnA0NICS: R]7SIDDN7ini. PIoK SmUNV|.}V/ 7.1 - SUu�)'r[nJ.� Page ] CUm7RnC1r0l' wIu.Ixm ~' r' ADoUnSG: P0 U0x ]176, Cn1'x`, ' �'» ' � 9"vZ7 \|l 6 C>aLe: 05-06-200l Pile� C8n�Y-7 JOB C1-IDMPIO0 M0D8J, 25i' �I�� uxu P[�)W K PnC1lnl ' �nN�IU C-���'[0|� PR��SO88 00 ("Pill }!iIII�Q IY|`� |'U� yR- L03S Y i n ' ' Dm{} 0lxvo�'n�K 'nr:«/' (Ppi/�|�) -------------- J. q= l] ] K= ].00 }'= U�.0 �C � ]y 0 DC . l9 0 ;= 15.0 C= lSU ye 0.0 Pv -0.3 Vnl 6'^ D= 0.884 26.0 0.0904 Pf 2.4 no 18.7 D� 2 4 2 ---------- 2 g= 13 9 K. 3.00 l,= 9.0 PC � ]l 4 �� 2l � . 0=�� �7'0 P=D �= ]��0 C= lSO Po 0.0 Pn -0.5 % Vel~ ' 9.0 U= l.l09 = � 17, 10 0 0 1I�l ' P� l I ' �u 2U 9 ' 22-5 -------- 3 q~ � 0 0 K= 0 . 00 ],= 3�0 �L . 22 5 Pt . 22.5 } V.� 2,1.0 '-4|U, P'� ||�� 0 C= 1-50 Ye U. V Pr -0.5 V�]= 9�U V= l�lO9 �l 0 I|.� � 0 ll41 . y[ . 5 4 �u %J 0 ' �� 2l.9 4_________________________________ d:q= V.V K.=. 0.00 [.= 1.00 YL � �l � �t �7 . y 4 0� 27.0 75 O C= 150 Pe 2.S 9v -0.5 Vnl= 9�o |/� 1��'|.0!/ 'r|.= l'��O 0.1l4l V[ 4.0 �u ?7.4 |`C 3S.4 .' � ----- -------------------------- ------------------_--------------'_-^---' »4eLe/ = 0o Va]v'� = V 0 S -----------'---'''-_--- O= 2'/.0 ��� '' ' .---''-' S0U8(|� ''--'-------- >>' I'll- ]��4 E=>45-Elb L.=>90--,BJ_b I,=>9O-Dlb R=>IeeKuu C.=/CouPlg S=>SwgCLdk. Q=>GaL\/ln . ` HYDRONICS : FIRE SPRINKLER HYDRAULIC GRAPH 80 + 7 0 + • 60 X Static X X X 50 + X X X X 40 + X Resid * Spr Sys 10 + * Elev Loss 0++--+---+----+------+-------+--------+---------+----------+------------+ 0 200 300 400 500 600 700 800 900 1000 1.85 FLOW -(GPM) JOB : CHAMPION MOBILE MODEL 255, 2 HEADS FLOWING 1A V,I K' con D Series End Suction Centrifugal Pump Dimensions 56Z Frame Motors Pump Model HP Dlso. (NPT) Suet. (NPT) A B C D E F O H K 5DDD1-8 1/2 1' 1-1/4 14-11/18' 2.3/8^ 6-6/16' 4-7/18' 3.12" 4-6/8' 6-3/4" 63/8" 11.41 70DD1-8 3/4 1 1-1/4 14.11/16" 2.318" 5-6/16. 4-7/16" 3-1/2' 4.5/8' 8-3/4. 6.6/8' 12A1 12.41 1DOW -8 1 1 1-1/4 14-11/16' 23/ti 6-6/16• 4-7/18 3-1/2" 4-5/8' 8.3/4" 6 -BIB- - 15DD01-9 1-1/2 1 1-1/4 16-13/16' 2.3/8" 6.5/16' 4-7/18" 3.1/2' 4.5/8 8.314 ' 6.618' 12.16 2DDD1-1/4-9 2 1-1/4 1-1/2 16-11/18' 2-13110' 8.1/8" 6" 3.9116' 6' 0-1/0' 6.31 13.69 26ODD1-1/2-8 1 2-1/2 1 1 -V2 1 2 1811/16' 2-13118" 6.1/8" 6" 3.9118' 8- 9-1/8' 6.31 13.69 Pump Model Ditch. NPT) Suction (N A B C _ D E-66 Frame Motor Horsepower 3 6i1 - 16 1 20 DBI DA1A 1 1-1/4 7-1/4 3-3/4 _ 3.1/2 13/4 13-1/2 14-1/2 14-1/2 16 - - - OA1B 1 1-1/4 7-1/4 3-3/4 3-1/2 1-W4 - 14-1/2 14.1/2 16 16 18 - OB1 1 1-1/2 9 5 3.3/4 2-1/4 - - 16-1/4 15-314 16-314 18-1/2 17 D81 -1/2 1-1/2 2 9-1/2 6 4 2.1/2 -- •- 001-1/2 15-314 16-314 18-12 17 DB2 2 3 9-314 5 4-1/4 3314 - » - -• 17.1/4 /0 18.12 JM Frame Motors Pump Model 019th. Suction A B C D E -JM Frame Motor Horse r 3 6i1 20 1 40 1 10 16 1 20 DBI 1 1-1/2 9 5 3-3/4 2.1/4 - 18 •• -• -• - - DBt-1/2 1-1/2 2 D -W 6 4 2-1/2 -- 18-1/4 19-12 -- -- •- 0132 2 3 934 6 4-1/4 3.9/4 • -- 193/4 21 21 - -- 0133 3 4 1-"-133'8 4-V2-8114 4-110 3.1%2 - 20.1/4 21-1R 21-1/2 23 26-1/2 001-1/2 1-1/2 2 9-11 3.126114 5-314 2-1/2 17-1/4 18-1/4 19-112 19.1/2 21 - DC2 2 3 93/4-12-1/2 3.1/281144-3/4 3314 10'314 1044 21 21 22-1/2 26 Pump Mode! Ditch. NPT Suction NP A B C D E -JM Frame A9otor Hornepower 20 1 40 1 60 DC4 • FNPT DCA - flwVed 4 4 4 6 18-1/2 18.1/2 7-610 7-6/8 1 8-291Cf4 8.29/84 1 4-23/32.,1: 3 13/18 28-21132 20 21132 1 20.21132 28 21132 29-17/32 30 29-17132 30 30 30 136 U N 60 JACUZMO IDD Sei es Performance • 5 j r NQIYSEtf1e1!�S�aiTer -ralbom `:`'=i'.� _ __ • t � - - • �: .:... _.tea.. e ed ffiM has a e�'10 menVw' #,a sfiisage: - t riee�i�.C}u MLYVa'�s�5tcra�e an}saie ,_ - " = F D =:z a �iiiitundti' s,�c%iiaist�gi?u�ela>PSe3� sp,Y""""""" us Tii ca m -Piece pa?yethylene =-Sbw-tioa ie-vrimalae;tessto(mW= g'tra_n: tanks oa qm- .�_�.•.'-.'-,..�_: trihaftaQ- -_ - : _ ... donifacitts,. FAiartesoia Our tanks : re' -d' :tusig aYa tiiaf_rii FD1�: C iziica;ler: Otuo - slcitimts_t4,me sage The�Iatcoamsgbrpeaaficut:�i+ae�t+cs'-_, :. -. thz:g;rti _ ttiC lan5 h11it3i"�{lJk�s„aZ, {��dL•��Y(v,-i2s_..... NSyra yocff.dt�bufc f� hoar spe�+a�}nkzmatia3ieg3iea'-g.:• F`?L; _ - .. -dater Wei��fr IT�E�i=• � ...- � - - These tanks a s ra:ey zi~fi poiuuiS per ga�ltx4 x'1 .coram taut t:?cy ace for WATlT-STr)R'VE Teen scomd not !�:d tcx :hcaucals. frr'�ti_e'•� o Watrann NCkBE1� SC0 offers a three-year vimnty frvr. dat` of mm uacitue.or. A :Fater weight tanks. Should a defe t appear within the v wTanty pc'ricxl \,:oR:'; HSCO ,A l suer-iy a ncw, a quive-ent tank in rCF1aL?tnc:1t tb” :'i. iVORWES':0'S liability s limited to the :awe of the tank itself and specifically excludes the cost of iur.:tallat m freight, removal or consequential dameges. Taak dimensions and capacities may vary ski 4 and am sui ect to LhanSe %rithout notice. D 'SFdtio-Geatgii. :. J =.:Sfiaienee,:Oklahoma Im 3st�iioal; >.iFashington .. _ :�t.1_-Sheirs6nlov�a�-::•�;:�:. :.�:: - - -- . J. H— o!r:,- Ga1JornJa �II 1!®RWESCQ Noryresco, Inc. 4365 Steiner Street • P.O. Box 439 St. Bonifacius, MN 55375-0439 Tet: 612-446-1945 • Fax: 800-874-2371 www.acrwesco.com elrsrFR%GmMw - . . . 01099 Norresca .,c Polyethylene, :Wat6r--Tahk,s-- "AnUnWESCO k. C-3 QD YTV, ta r� � 'I •�[ ir. I '=/.i I ', It, I `.I i \• I ��B[]l:t,�'�t4C\� ,Y•��,, 7: ��� cj WTI Ul Q1 Iq In i; I i I I ro LJI jT) '17 _ I '-t1 I i 1�) I ILI w� r'��t ball .cectivated switch designed to directly control pumps and mechani Y bl panels, alarms, solenoids, and relays• tactivatm 0,wmp.,e (y�.Als P�1.M 81"� JOl7iY1 W, ■Ins uts+su Applications The SJL' PutttpMastet ,'`.tc PLYl' pump/col:lfol sN�h can be wired to work in either puttlp ti lurnta 'rlt ro� lplide.�) or pump up (nor sally closed) t'pPica automatic control of pumps illcaster'Atli sewage applications. ,rhis switch is not st:nsitive u, rotation or turbulence, so it c"rt be.' used in e-ither ext -m or turbulent applications. 11 can ..Iso be uWd a, a Pilot dugs• control switch to reliably monitor litluid ievels in scwz1ge and water applications, Cabala: flexible. 16 gauge, ;i cun�luctor SJOW •4 (UL), SJUW (CSA), water resistant, neoprene (CPE) Flout: 7.75 cnt diantetct' x cm long X3.05 inch >< 3.56 inch), mtpact resp;:uti, rlttn-corrosive. PVC plastic for use in Iiqui4uF PUMP switch electrical: �.., ••-------- Rtcommctletee Vderre SWN1Ht! Maxiluutn Pump ,N Irinlwn Pump { CurlYnt 541rete� Currn�t temp ItP Single Vllese , ttunnilyt _ E. p lest I20 V 1 Ht' Cr Irss 230 VAC 13 nitryl+ h5—amps— Nole: ,his switch roust w used with Nl lu that txali,! ittte�tal lhehnul ovulnad ptt,tW'On. control Switch iilectricoti: - Maximum Current: 1,3 nrtp. wer Limit: 12 VAC 10 mil_'an't:s Features down • (:,.alt be wired to work in either pump closed) (normally open) or pump up (normally npplicatiotts (Single Pole, pouble'1C'lttow) . Ilravy-duty contacts e UL Listed for use in water and sewage e CSA Certified e Two-year limited warranty pump Switch: *Controls pumps up to I/2 E►Pat 120 V and I tI.P at 230 v o Adjustable pumping; range of 18 to 91 cm (7 to 36 inches) Conlrel Switch: • Provides pilot duty action with on-off differential ;ts low as 9 em (3.5 inches) above or below horizontal Options This switch is available.: . ins tandard cable tutgths of 1, 2. 3, S. G. and 10 meters e with two mounting options (mounting strap or cable weight) pump Down / l0ormally open / ®ti position -- contacts contacts open closed pumpDown / Normally Opea / AN P4511101l conjacts clrwed contacts open Ily 2-j I y. I 106GS-299 (ICB) EOOS6 'd:) 'S01dV '3AIda S13A33WS 10C o� \ 8ulao}luoN uol}]nJ}suo3q9ulJaaul8u3 uol}opunojes}uawssassd a}IS Ma 00 :. 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