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91 . RESIDENTIAL 02034 PERMIT#97-0509 OBERSCHLAKE, Donald 46 Tealbrook Dr., Oroville Cont: Quality Communities Inc. MH on Perm Fnd - �9y� .. r T -74z HEiHCD=FORM 433A'FOR THIS MH'CANNOT' , t^ -BE RECORDED;UNTIL ONE OF THEiFOLLOWING _ 1 'HAVE 'BEEN.. TURNED ' IN TO . THE BL ' %DI.V 'LICENSE PLATE(S) or:'DECAL(THEi< INSPECTOR MUST RETRIEVE)- ' STATEMENT OF FACTS(ONLY ON .'.NEW MH' S) - p INSPECTOR TO VERIFY.SERIAL & LABEL,4'S' 5 5 ag�4� eg ,vo r '19t U: T�1L G�,u Carr e c�toNS �,v�5�, Address GAS Meter By� ELECTRIC Meter By-/, OFFICE COPY JOB`FINALED (Date)- fi :.; Signature r• V=OK O = Not OK Not t Applicable NoReadyMOBILE HOMES Date MOBIJeHOME UTILITIES Plans OK except #'s Zo .g Requirements - Setbacks - Easements Soils; Special MH Support Sketch A6-6€Wer, Locabon-Test-Fall-C/O-Concrete a , Location -Test -Easement Needed(Sketch) lectricity; Location-Clearances•Gm p -Concrete 6. Gas; Location-Test-Wra • ft. /�CNat. orXtt"ft./. G . Well Clearance & Di6connect 8. Utility Clearance Card B-1 Date L ->-g)- 9 -/ Card B-1 X Date Card B-1 b/Loning Requirements- Setbacks Easements 2. Footings; SizeSpacing-Marriage Line 0. Gas; MH Test -Demand -Valve -Connector Electricity; MH Test -Crossovers -Breakers -Clearances MH Test -Fall -Flex Connector ater; 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 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors - Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool L,ghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Date Card B-1 Date Card B-1 I 9. Health Department Approval Date Card B-1 Date Card B-1 I 10. Plumb.; Cir. Test -Water Supply Test ak Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ Vz747 M11( OK O t OK _ RESIDENTIAL (Single & Duplex) = No No Not Applicable = Not Ready Date NDERFLOOR (Plans) OK except #'s er � . Zpmng-Setbacks-Easmenelood-Slope V Ftg., Main; Soils-Ele . mcl.1 Z/' Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P Ftg. Depth 4. Ft rches & Decks; Soils -Steel-/ P' Ftg. Depth temwalls, Main; Steel-Blockouts-Wrapped Date 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors ' 7. SI t -Wrapped 49. Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer 10. OF Gas Pipe; Size Anchors - Yard iping; T 11. W r Pipe; Test -Anchors -Regulator -Service Test 53. Electric Underground 13. P' Hums &Ducts; Clearance -Material -Support -Ins. _Q" 55. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples L- - �] 15. Access & Ventilation 16. Insulation 58. 's a � o-dsa 7 v Ssd-c Date Date Card B-1 Date Card B-1 Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s Brace Wall Panels 17. Water Htr.; Vent -Access -Combustion Air Baffle Insulation -Walls -Ceilings 18. Water Pipe; Test & Anchor -Nail Protection Infiltration -Walls -Windows 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access Card B-1 Date Card B-1 21. Test Tub & Shower, Second Floor -Tub Access Card B-1 Date Card B-1 22. Gas Pipe; Sixe & Anchors FINAL (Plans) OK except #'s 63. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Bedroom Exiting 23. Fixture & Transformer Clearance -Ins. Protection G.F.I. & Bath Fixtures & Tub Access -Spa 24. Elec. Receptacles Spacing -Lights & Switches at Doors Elec. Trim & Subpanel, Breaker Sizes & Labels 25. Size Boxes & No. of Conductors Stapled Stairs & Rails 26. Romex Installed Close to Edge of Studs & C.J. Fireplace or Stove, Clearance -Hearth 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Elec. Outlets at Wood Panel, Int. & Ext. 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al Elec. Outlets & Recepticales at Kit. Counter 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No Garage Fire Door; Swing -Landing -Closure 31. Service -Riser Conductors & Ground -Main Disconect A.C. Duct in Garage -Damper 32. Equip. Clearances Panels-Motors-Mech. Epuip. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 33. Clothes Closet Light -Shower Light -Spa Light Plb., Elec. & Mech. Equip. Listed for Location 34. Smoke Detector Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 35. A.C. Ducts Insulation & Support Stucco Brown -Finish 36. Vent Fan, Exhaust above insulation A.C. Unit Disconnect, Electrical -Plumbing 37. Condensate Drain & Overflow, Size & Grade Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet Water Well, Disconnect, Electrical, Plumbing 39. Attic Access & Platform if Furnace in Attic Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Water & Sewer Connected -C/O to Grade -HD Approval 40. Sits Proper Materials & Anchors Energy Compliance Certificate -Other Certificates 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat prool) Card B-1 Date Card B-1 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Card B-1 Date Card B-1 45. Headers & Beams -Size & Bearing Date 46. FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Fifng. 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 Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace 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-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-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 p Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OV�DEVE60PMENT SERVICES - BUILDING DIVISION C 7 County Center Drive - Oroville, alifornia 95965 - Telephone (916) 538-7541L??—O ERM NO. (Rev. 12/96) APPLICATION AND PERMIT ``�� 11� ,— ASSESSOR PARCEL NUMBER 027-120-034 zONINO A5 BUILDING PERMIT - OWNER DONALD OBERSCHLAKE TELEPHONE SO, FT, OCC. BUILDING VALUATION 1314 R 70,956. OWNER'S MAILING ADDRESS PO BOX 172, PALERMO, CA 95968 CONTRACTOR'S NAME QUALITY COMMUNITIES INC. (209 TELEPHONE ' 745-4986 CONTRACTOR'S MAIUNG ADDRESS 14091 S. LINCOLN. CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 509/2 $ 254. 50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 46 TEALBROOK DR., OROVILLE Energy Plan Checking Fee $ PERMIT FEE S 297.50 LOT NO. SUBDNISION'S NAME PARCEL MAP / PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome XX Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: MH ON PERM FND Gas piping s stem 1 - 5 outlets 15.00'15 00 Building sewer 15.00 is nn Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT I Filing Feel 20.00 000Y OR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busss and Professions Code, and my license is in full force and effect. License Class 65YIO I �/ Lic. No. C. 4Z in OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00NEW CONST. DWELLING OCCUR OR ADDNs. ( & ACC. BLDS. SO 3.50FT, NEW CONST. MULTI.OUTLET NON-RESID. ANC CI cu 97.50 POWER APPARATUS 8 SINGLE OUTLET CIA. EX. OCCU OUTLET OR FIXTURES zL p@ .SO I.00 BA Ex. Occup. °Lei�r�Elt°rs REws1o.°FR.w 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE _43.00 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the 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' c�gens+at`Ion insujance Barrier and policy number are: Carrier X4-0%- l-yr,rdf MECHANICAL PERMIT Filing Fee " 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 106.1 (. 4(f (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 ly with those provisions. forthw/Aplicant X- Date 3 �� Signature o - ❑ wn ❑Contractor ❑Agent AnOSHApeuired for excavations over 60" deep and demolition or construction�j of structures over 3 stories in height. �/ D3� Mobile Home Installation Fee $ Energy Inspection Fee $ Gcc CONST. TYPE TOTAL FEE $05.50 HAZ. D. FE IMP �LVOOD A11 COF PARC PD HD sue This permit is hereby issued under thq applicable provlslons:y of the Butte County Code and/or Resolutions to dog work indicated above for which fees have been paid. By D to / PERMIT EXPIRES ON mate) eceipt No. 210274 83.00// 9a, -SO 351. •d rI HITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPE OR GOLDENROD -APPLICANT % L ...�,,,•.M,f�-ni`• i�.-'l:r��:w.•..X•.rKy�J".'w`^*.•ryr.n.[�.F'Fr:.r�'•.r�9-�.P��^'TSSv�l..-,"►J6.wKt•er"71hk`rw�"i,'ro-,�-`(+71YL-.�f.�V`�'^+`b`4•�.-7M�.^iir*1�. 1q�.'�a.:tr'1.S-,.. .�S4r.... .s �... 4,;v,'°°" COUNTYOF BUTTE - DEPARTMENTOF DEVEL-OPMENTSERVICES -BUILDING DIVISION ¢ 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 Y` PERMIT APPLICATION DATA SHEET owr R I cls i cu" '1, b (I rse like- Oa 7-1a0 P. No. Proposed Building Use �r�'1 %- Building Inspector Date c3 /�% 9' At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: VL r f y t �' DATE RECENED BY All items hpo11e been submitted. . —Plot plans W4 sets, signed by preparer of plans . .......................... f Complete plans, 3/4 sets, sips d by preparer of plans . ...................... 'Engineered plans and calcs, M sets, with wet signature on plans. . 5. Hazardous Material Form........ ............................. . 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings. ....•................. . Engineered truss details and layout in duplicate.(required prior to plan check). .... Mobilehome A a d,,anufacturer's installation instructions, 2 sets. .. Fees of $ y ..... ......... ........ pact fees as shown on attached schedule. . . alifornia Department of Forestry plan approval fees.!r-.��� ......... 14- Flood elevation letter (100. year floos� by Californi ngineer. ................:: Sanitation and -plot plan approval ✓ O Health Department. ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. .............. 17: Planning approval for (A) Use: (B) Parking: ......... ,,,c�ontact Land Development about (A) Improvements (B) Drainage. Ke-96P permit construction a ? Driveway p ( approval required prior to occupancy). Pre4nspect'on requ�- 20. Pre -inspection for required. .. to Bu td��g Inspector (Date) Contractor's license information. (No., Name Style, Classification). ......... . ,• Certificate of Workmans Compensation Insurance. tp S%i. Owner -Builder Verification (Given to owner. , Mail to owner Recorded copy of Agricultural Acknowledgement Statement . .................. � Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road.,.. . . . . 27. Letter of intent on building use. ....... 28. Mobilehome utility clearance . .................................. ......... 29. Documentation of legal access . ........ .... ........•..:.................. 30. Documentation of 50% subdivision developed or (A.) Road improvements completed .. and (B) Parcel meets zoning area and frontage requirements . .............. . .31. &isting violations/expired"permits. „ ; ................... ........ When you issue the� pe mit . process as follows: Mail owner., // Mail to contractor. YTelephoned' �%3lS ' and hold for pickup at C. M U t ( office. Deliver with inspector. Other Parcel Creation ` , Acreage Applicant Date 3 9? Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By _;C_ The following data must be submitted prior to permit issuance: (Circle new item not checked above). �� V 1. Index permit for above items No. ' 2. Additional items required: Contractor, designer, -was advised of above required data b hone _ mail Counter b . � owner 9 . q by by Date ,.- Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works y E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B. . I i T0: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance VL /tzT-x&L&,<De. 0.;27-/te0-C � Owner /LocationP4-,- AP# Plan Approved forghSewage Disposal C/ Water Supply: Public Private Well AA0 I c r Clearance for dwelling: Other NOTE: Environmental Health Spe 8/96 ist j� P�t/L Date COUNTY OF BUTTE' DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916).538-7541 SCHEDULE OF FEES DUE OWNER DOYIQld. obarschla� 00 -No -61� PROPOSED BUILDING USE r w\ DATE 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 = $ SO, 00 Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division)' Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) . x =$ Sq.Ft. Amt.. REC # DATE REC -31-3 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) —lork. SRA FIRE INSPECTION AND PLAN 'CHECK $89.00 (paid at Building Division) X09 N1 �z 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above . fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE 3LA,7 Original -Owner Copy -wilding Div. (Rev. 12/96) And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca.'95965 S 97-0094541 Rec Fee 1 Cash 9.00 Recorded Official Records I County of Butte I ' Candace J. Grubbs I Recorder I. 11:16am 17—Mar-97 I PUBL XX 2. a� ty • AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT - Section 26-8 of the Butte County Code -requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land -or included within an area zoned for agricultural purposes, and residents of,this property may be subject to inconveniences or discomfort'from the use of agricultural chemicals, including, but not limited to herbicides. pesticides, and fertilizers: and from the pursuit of agricultural. operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents Nvithin said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte. State of California, described as follows: ti a ` . • t Date: 9!9 % PROPERTY OWNERS: , � o State of California ) Countv of�R,yGr�o ) , On before me,' personally appeared Ja V. personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/sh@4h" executed the same. in.his/her/their authorized.capacity(ios), and that by his/hsrAke�irr signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) 'acted, executed the instrument. WITNESS my h nd and official seal. ANTHONY LAZARUS DIAS ,. Commission#1065098 z Z c `®' ' Notary Public — California Signaturc Seal: z ' ' SACRAMENTO COUNTY MY Comm. Expires JUL 16, 1999 :*,.P.# 02-7• I2-0- 0341 i r 1 NOTE TO RECORDER: DO NOT RECORD THIS SIDE Instructions for recording Agricultural Statement. of Acknowledgement: A.A.- I 1. Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed. the Recorders Officc can provide this information.-( The description may be handwritten or typed in the space provided or attached on a separate sheet if more space is required). 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $6.00 - 1st. Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00a.m. - 3:00p.m. (Monday - Thursday). x;- :T OVER 9 4- f4 3 9 7 0 ORDER NO. BU -1441340-:3 DESCRIPTION ALL THAT CERTAIN.REAL D AS FSITUATE OLLOWS IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBE PARCEL I• PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL. MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF 'BUTTE, STATE 3OF CALIFORNIA, ON JUNE 6, 1991, IN BOOK 123 OF MAPS, AT 4. A CERTIFICATE OF CORRECTION RECORDED C, ORDEDJULY 27, 1994, UNDER BUTTE COUNTY RECORDER'S SERIAL NO 31850. D AND PUBLIC PURPOSESGTHEREFROM EASEMENT AIES AS SHOWNON THAT CERTAIN PARCEL MAP, DESCRIBED HEREIN PARCEL II• AN EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES AS SHOWN ON THAT CERTAINN PARCEL MAP, COUNTY OF BUTTE,, ST'.%TE RECORDED OF CALIFORNIA, OFFICE H RECORDER N JUNE 6, 1 91, INBOOK 123 OF MAPS, AT PAGE(S; 34. A CERTIFICATE OF CORRECTION RECORDED JULY 27, 1994, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 94-31850. " EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE .BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III:. A NON-EXCLUSIVE EASEMENT FOR INGRESS, EGRESS AND PUBLIC UTILITY EASEMENT OVER PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 3, 1989, IN BOOK 117 OF MAPS, AT PAGE(S) 22 AND 23. PARCEL IV' A NON-EXCLUSIVE EASEMENT FOR INGRESS, EGRESS AND PUBLIC UTILITY PURPOSES OVER PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, F BUTTE, RECORDED IN THE OFFICEOOF THE N JULY 2, RCORDER OF IN HE COUNTY OF OMAPS, AT STATE OF CALIFORNIA, PAGE(S) 34 AND 35. m END OF DOCUMENT • �,,r 7 .. i .�..��:� ' 'Y `�'r�".r�.�-..t1'��"� r�; ..�-rtr-r,,,.`,�.,,•:_,-:�-Yy h; .�....+-y-.�M.-.�.n-.'r^H�s 7 rl.,J`.. �ir...,J;� 'ti.i'�'�,...t1..:..-e..�+.i:. U i;?- 0 0 7 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM +, (One form per Building) School District . Oro � n 1' 0 Y\ ��� Building Department No. A.P. Number Od './�fJ -0�3 Jurisdiction: City, County Property Owner Property Location/Address / e-0 J 0 roo k U rg U7 U L/ f / (V—. Subdivision Lot No. Residential Development ® Sq. Footage No of Living Mobile Home Addition (Group R) Units Installation Commercial/Industrial Sq. Footage , New Addition (Including Exterior Building Department Representative ict Identification No lw C (Street A dress (City) has complied reptesentingn rcho6listrict (Floor Plans reviewed by School District Personnel) hool District certifies that requirements of Resolution No. C- square feet. Roofed Areas) Date (Applicant) (Phone Number) (State)) (Zip Code) - �,/y by payment of $ � /,Q / / 4 IJAB 2926.4\ IGATION $ \ II \:5 - �l Date. ,. Paid by Check # Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm Qua.��� WvNrv�tlN,�c� ,Lv+c,~` l�.,�.��. l'4Ul,'q/,� . (a�V 7t/1= �/9v°✓(o i 1 �= 0 c 5'• 91u16' 4' 6 314' C. I 5'•3 '`3'/f6• I 13 -Jr. '!4• I I 9'-6 416' I a•.II VI" I w I ]=E55 3D4pV In 42 k 60 L-_J�© 01-, a y 7119 ! 25118 �' 9 16 i KITC: e/O 0 --- -r---- l V I e U I X171 a� 1.4 1®" 5,R i 0 U) 1 I■) 1 47- � :�•:I�•� o v .� -4 :'-a lent• 7'•4 e' (3:E ZS'•a 3fl6� r� a 1 iAeTER ISpT nrrcp BEDROOM 2 Da sTRIL':. DRUG. AREA: 119)7 R1IR RcQD VENT. b. B RIa81 787' RECD LRE. U. 6 WOW/ 1 4640VE 4(.a2v: Gb. 4 H'•5'nb' 1 4'•D 31�' 15' 1, ]C-4 314' • I I I I I I I I I I I I -• 'w..t 5a'•E' -�' C�l O O IIl 1 7 7 ■ y ■ !0 11 o i I r ri t1 )1 le ]! Y L J1 N y 33 36 11 !! y„ 40 O Z O i .. S FLOOR PLAN M SI.FE] FP 04M rDALL �G4 1'•d' TOr.6,. nfc�ICR U AL0 YV TMCK (' (PYJUJ 4A • TNIOC 1CPi 1 GPI 41A! rulZtY7: 6= Id.DOW SIL• 51 =T FP @10 D. •51"44 GLAZD& EY•FERI:R UW115 3'y' T1 =jrFNr.AL151,- i4LC (C -F 116. Z 52 FT. -S141 JLM RGff SUR•DARD TFS� N7[� C S:.IiFD COI IRLb::GN 1Y.g +EATER CPIIQI UWTE� I FF�Ovd$:E MEiIOR OR 57516.5 ' SE n•Ud DRna� P•4636' LSfER 5ce n.C6D9 11M :'LESS PA7g{ -.i --A4WALL5. SE- ATAC4rD Q'ITMOR `SPEAFMALL RCE(ZIIMEi`iTS SNEAR.14' L PtAVlE U11) ?CAF I -a5 S:Y9N I11D ZL1E 1•YA tlI+D ZOly- 341A WWD ZONE ONE ONL7 r V U 6vuI1,L�UUIIV (� n �2 0 U��(�'� [� {^( = LSRS 00. Ou" er D. WOLFE SPECIAL ONE UNIT z JId 6N1VE3mrTr DBVE SURE W, WE\rB74LLi5.MI. 4)716 0°-91-636-%CXkX. nc fro ¢ . r. 0- Nea`th C� n -2a 6 Sts 3.8EDra00•- 1=� FLOOR PLAN '� m LAND DEVELOPMENT BUILDING PERMIT CLEARANCE Building Permit No. 49S OWNERS e►�S C� Q ^�b /^ NAME: Db A.P. i I NUMBER:�— PRINT LAST NAME FIRST COUNTY ZONING DESIGNATION: A- FLOOD ZONE: X FLOOD MAP: APPROVED: DATE OF CREATION: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL:, PARCEL CREATION BY DEEDS DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: PARCEL CREATION BY MAP YES NO DATE OF RECORDING LOT BOOK PAGE 39 A041sVY-1 eZI-t COMPLIANCE WITH OLD SUBDIVISION LOT'ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES )0 NO . IF YES, MARK APPROPRIATE ITEMS) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED. X1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a building setback from right-of-way/centerline of X 3. Pay water tender fees in the amount of $ 240 to Battalion Number 7 of the Butte County Fire Department. 4. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance With the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 5. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 6. Maintain a 100 ft. leachfield setback from all existing wells. 7. Maintain a ft. leachfield setback from 8. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. 9. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. 10. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 11. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. 12. CHECK APPROPRIATE REQUIREMENTS YES OR NO OR CONDITION NUMBER. j LO 12/94 • C:\WP51\P0RMS.K\8LDGPERM.CLR ''*S, aUeudoAeneo swen 5661 -i - bdG min® Ao Amnuo S 916 .533 .:18.25 .. I 04iO3i97 06:37 P.82...-- ' A1.9 7Z;42 sd/s,ra Z .S,6® gvA4 . <e � a,w ss7a4 • �i�6"ie4L • �siAiW 6AI�i� ✓{[1.�� 7A�1/IiL m RTC. L vo�Ji fbm P AkGaiar R1O�✓14' fi�(a JYAM'A, Ica �/ - waalr Lip " TS VALV dr / /~/AC d /&S 7D7Ci�L �.r�AWGE 4Mr.OW . 7a!) .aa i4,C 42.4-P e'!FF Abe ��2Ar�oN ; /, fi« �kG.l�s/+di7C� 7tdB•U1' d.yease dot/ IUEZL 7�Fi�G TJY.�/i� .2 ..Cd 4.., edl: S"V-IC s/*cr7V..4/Sl .OLwP4•io AAAW *.OV'A €' /S Zba4 / 70 --r'70 44U"AW. _ /.f/ �5"/.!/.f'L1X Sr,/�sT s ,o¢T A40w6, x4ewf A/AACe Yzq BUTIE ()OU BUILDING DEPARTME A,pPRC)V� L -S FIRE SPRINKLER NOTES: 1. FIRE SPRINKLER INSTALLATION AND SUPPLY SYSTEM SHALL COMPLY WITH NFPA-13D. 2. TANK FLOAT SWITCH MUST BE SET TO MAINTAIN 010 GALLONS MINIMUM USEABLE WATER STORAGE IN TANK. 3. PR�O,(V�IYE AN ALARM TO SOUND WHEN USEABLE WATER STORAGE IN TANK FALLS BELOW GALLONS. 4. THE FIRE SPRINKLER SUPPLY PUMP PRESSURE SWITCH SHALL BESET TO ACTIVATE THE PUMP AT _� PSI. 5. PROVIDE ADEQUATE PROTECTION AGAINST FREEZING FOR SYSTEM COMPONENTS OUTSIDE OR IN UNCONDITIONED SPACE. 6. THE FIRE SPRINKLER SYSTEM SHALL BE TESTED FOR LEAKEAGE AT NORMAL OPERATING PRESSURE. 7. THE C-16 CONTRACTOR IS REQUIRED TO PERFORM AN OPERATIONAL TEST OF THE SYSTEM AND CERTIFY IN WRITING TO BUTTE COUNTY BUILDING DIVISION THAT THE SUPPLY SYSTEM OPERATED PROPERLY. 8. SEE PLANS AND SPECIFICATIONS FOR OTHER REQUIREMENTS. -RESIDENTIAL FIRE SPRINKLER SYSTEM DESIGN BY FOX COMPANY C-16 LIG. # 305365 PER REQUIREMENTS OF NEPA 13D, 1994 EDITION DON OBERSCHLAKE 5420 GREAT SMOKEY ST. SACRAMENTO CA. 95923 F/S WATER SUPPLY LOT 34 TEALBROOK DR. OROVILLE 0 PLAN 1 HEAD 3/27/97 WATER SOURCE IS WELL & HOLDING TANK WATER PRESSURE IN HOLDING TANK DEDUCT PRESSURE LOSS FROM SOURCE TO SPF.'INKLER CONTROL VALVE MAIN SEC_.TION EQUIV.FT. 1-1/2"' PIPE = 165 FT. 1 GATE VALVE = 2 FT. 1 CHECK; VALVE = 6 FT. 4 ELBOWS = 36 FT. 0 COUPLINGS = 0 FT. 1 TEES (RUN) = 1 FT. 0 TEES(BRANCH) = 0 FT. TOTALS = 210 FT. X .0057 DEDUCT HEAD LOSS FOR ELEVATION ( 0 FT. X 0.434 ) DEDUCT PRESSURE LOSS FOR PIPING FROM CONTROL VALVE TO FARTHEST SPRINKLER - 1.20 - 0.00 45 43.80 43.80 BRAND OF HEADS = OMEGA #R -IM G.P.M. - P.S.I. CONVERSION FORMULA: K FACTOR OF HEADS USED = 3.9 EQUIVALENT FEET CALCULATED C-1 HEAD 1 HEAD ='14 G.P.M. FLOW C 14 G.P.M. EA.) FRICTION LOSS 'Cl FACTOR = 150 MINIMUM PRESSUREREQ'D. FOR SPRINKLER HEAD(S) DOMESTIC LOAD OF 10 FIXT. UNITS = 5 G. P.M. 1.5 IN. PIPE = 165 FT. C 19 G.P.M. 1 5 + 14 1 TOTAL PRESSURE REQ'D. PRESSURE AVAILABLE IN SYSTEM (G.P.M./ K FACTOR)' = P.S.I. = 25.4 P.S. yk 1.65 P . S I_ = 27.05 43.8 o0l.w9 7 C46 CALF RESIDENTIAL FIRE SPRINKLER. SYSTEM DESIGN BY FOX COMPANY C-16 LIC. # 305365 PER REQUIREMENTS OF NEPA 13D, 1994 EDITION DON OBERSCHLAKE 5420 GREAT SMOKEY ST. SACRAMENTO CA. 95923 F/S WATER SUPPLY LOT 34 TEALBROOK DR.. OROVILLE b PLAN 2 HEADS 3/27/97 WATER, SOURCE IS WELL & HOLDING TANK WATER PRESSURE IN HOLDING TANK 45 DEDUCT PRESSURE LOSS FROM SOURCE TO SPRINKLER CONTROL VALVE MAIN SECTION EQUIV.FT. 1-1/211 PIPE = 165 FT. 1 GATE VALVE — 2 FT. 1 CHECK VALVE = 6 FT. 4 ELBOWS = 36 FT. 0 COUPLINGS = 0 FT. 1 TEES (RUN) 1 FT. 0 TEES (BRANCH) = 0 FT. TOTALS = 210 FT. X .0153 — 3.21 41.79 DEDUCT HEAD LOSS FOR ELEVATION 0 FT. X 0.434 ) — 0.00 41.79 DEDUCT PRESSURE LOSS FOR PIPING FROM CONTROL VALVE TO FARTHEST SPRINKLER BRAND OF HEADS = OMEGA #R-10 G.P.M.—,P.S.I. CONVERSION FORMULA: K FACTOR OF HEADS USED = 2.9 (G.P.M./ K FACTOR)2 = P.S.I. EQUIVALENT FEET CALCULATED C 2 HEAD 2 HEAD = 24 G.P.M. FLOW ( 12 G.P.M. EA.) FRICTION LOSS 'Cl FACTOR = 150 MINIMUM PRESSURE. REL?' D. FOR SPRINKLER HEAD(S) DOMESTIC LOAD OF 10 FIXT. UNITS = 5 G.P.M. 1.5 IN. PIPE = 165 FT. @ 9 ' G. F'. M. 1 5 + 24 ] TOTAL PRESSURE REQ'D. PRESSURE AVAILABLE IN SYSTEM = 28.6 P.S.I. = 3.597 P. S. I. = 32.2 P.S.I. = 41.79 P.S.I. HYDRO FIR -2 SYSTEMS, INC. , P.O. BOX 161 SAN JUAN CAPISTRANO, CA 92693 RESIDENTIAL SPRINKLED. SYSTEM .fYDRAVLICS CALCULATION REPORT FOR CHAMPION HOME BLDRS. MODEL#636 M.H.S./OBERSCHLAKE Date: 02/27/1997 File No: CRE010 Data File Name: CHB010.RDF spAINKLER SPACING 256.0 sq. 2t./spklr.(max) Max. Dist. Bet. Spklrs: 16.0 ft. Min. Dist. Bet. Spklrs: 9.0 Max- Dist. Spklr. to wall: 9.0 ft. SPRINKLER SPECIFICATIONS Mfr: Central Descr: R -1M Pend.(16x16) K=3.90 Calculated K Factor for Arm -Overs & Drops: 1.0 ft. x 1.109 in. Drop: Ks3.87 (Incl. 1 Tee) 0.0 ft. x 1.109 in. Arm -Over: X=3.86 (Incl. 1 'dee & 1 Ell) PIPE SPECIFICATIONS Type: BlazeMastier HWC: 1.50 WATER SUPPLY Source: TANK Test Date: By: DATA BY OTHERS Statics 0.0 psi Residt 0.0 psi Flow: 0.0 gpm Public Main Site: 0 in Domestic Demands 5.0 gpm at node number 1 SPRINKLER DEMAND No.Spklrs. Min Spklr. Pxese. Node Total Avail. Req'd Flowing Plow (psi) No. Flow Press. Press. 14.0 12.9 6 19.0 0.0 t 2"l 11.0 8.0 6 27.6 0.0 28 6 REVIEWING AUTHORITY C.D.F. MAR. -24' 97(MON) 12:U8 61101N I ON SUUU9 CHAMPION NOME SLDRS. Date: 02/27/1997 File NO: CF -3010 11L:209 -3'b2 --146S RESULTS OF ANALYSIS Paae 2 N. OU9 PIPE & NODE DATA * FLOW ANALYSIS + 1 sprinkler flowing *2 sprinklers flowing* FIXD p # LEN ALBRFSU LOSA END FL 9P *DISCH FLOW PF PT *DISCH FLOW PF PT HWC DIA EQV.LN PUMP NOD (FT) (K) *(GPM) VEL PE (PST) * (GPM) VEL PE (PSI) _- �=p-aCGSttgRP- -...�a�waC' '9 so -a G• ' Iva -am` _*a--===---��*---qu` �Ra a-aC7CCpsw-t tLT= 1 0.0 -11---- -- 1 0.0 -5 5' -5.0 0.06 25.4 5 •-5.0 0.06 28.5 150 1.109 12.0 ---- 2 0.0 SRCE ---- 1.7 0.00 25.4 ---- .1.7 0.00 28.6 2 8.0 -1-311- ---- 2 0.0 9RCE ---- 14.0 1.09 25.4 22.S 2.62 2.8.6 150 1.109 24.0 -- 3 12.0 ---- ---- 4.6 5.20 19.1 -- 7.5 5.20 20.8 3 12.0 -3-1--- ---- 3 12.0 ---- ---- 14.0 1.15 19.1 ---- 22.6 2.79 20.4 150 1.109 22.0 ---- 4 12.0 ---- ---- 4.7 0.00 18.0 7.5 0.00 18.0 4 50.0 -633--2 ---- 150. 1 -709 62.0 -•-- 5 14.0 -22---- ---- 150 1.109 24.0 - 4 12.0 ---- ---- 14.0 3.80 18.0 ---- 22.6 9.19 18.0 5 12.0 3.90 ---- 4.7 0,00 14.2 11.6 7.5 0.00 8.8 5 12.0 3.90 ---- 14.0 1..29 14.2 11.6 11.0 0.83 8.8 6 12.0 3.90 14.0 4.7 0.00 12.9 11.0 3.7 0.00 9.0 Fitting Code Letters! A=AngVly, L=90 Ell, R=TeeBch, R=TaeRun, F=FSwth , S=SwgChk, U=Union Sprinkler system has been hydraulicaily.calculated with the HASS HOUSE 1.8.0 computer program (License No. 807449991 ) to provide an average imbalance of 0.017 gptn (ane sprinkler flowing), and 0.018 9-om (2 sprinklers flowing) in accordance with NFPA 13, 13D, Or 13R. HRS Systems, Inc. 2192 Ranchwoad Dr., F.E. Atlanta, GA 30345 (770) 934-8423 CIjAMpior; HOME RLDRS . nate: 02/27/1997 File No: CHS010 WATER SUP PLY CURVE Page 3 30+ D 2By B 2 5 � 22+ P 20+ R E S S 16+ U R I E I �. 5+ P S I 12+ 10+ I 7.5+ LRGEN✓ vavnact!lbvn--4.7 r.. enns7�vm rw.tv�= Static = 0.0 psi (fixed pressure) 5.0+sprinkler flowing) p (2 s rinklexs -'lowing) (1 ?..51 = Re B � Required Water Supply b 28.6 psi water Supp1Y 25.4 psi a 19.0 gpm Psi @ 27.6 Fpm 8 12 16 20 24 28 32 -16 FLOW (GPM) r Rgr9l"ECH lmdustriss 200 CA11LISLE a COOS BAY, OREGON 97420 0 (503) 267-4804 (800) 835-0052 FAX (503) 267.4848 Part. #10350- 2500 PREMIUM Part. #10500- 2500 HEAVY DUTY SPECIFICATIONS: • DIAMETER = 94 INCHES • HEIGHT = 96 INCHES • CAPACITY — 2500 GALLONS FEATURES: • THE RTI 2500 IS LIGHTWEIGHT - EASY TO INSTALL • THE RTI 2500 IS STRONG - DURABLE • THE RTI 2500 IS A ONE-PIECE LEAKPROOF TANK • THE RTI 2500 IS EXTREMELY RESISTANT TO NORMAL ENVIRONMENTAL CONDITIONS • PREMIUM UNITS MAY BE PLACED UP TO 18 INCHES UNDERGROUND • HEAVY DUTY UNITS MAY BE BURIED TO THE RIM • THE RTI 2500 IS FREESTANDING • THE RTI 2500 IS F.D.A. APPROVED MATERIAL FOR POTABLE WATER & FOOD STORAGE SEE PRODUCT GUIDE FOR CHEMICAL AND FERTILIZER USE • THE RTI 2500 CAN BE TRANSPORTED IN ANY FULL SIZE PICKUP • MANHOLE DIAMETER = 20 INCHES • PLUMBED WITH THREE - 2 INCH PIPE TITTINGS OTHER FITTINGS AVAILABLE For all your plastic tank nccd6 use ROTO TECH INDUSTRIES. Close -Coupled Self -Priming APPLICATIONS Specifically designed for the following uses:. • Lawn Sprinkling -71� • Irrigation • Air Conditioning Systems • Heat Pumps • NVater-Transfer SPECIFICATIONS IIM Qc- cibes:.. 4`GPM . Heads: to 127 eet • Reprime capabilities: to 25' suction lift • Pipe connections: MODEL SUCTION DISCHARGE XSH07 XSH10 XSH15 1 XSH2O 2' XSH30 • Temperature: 160° F, (71 p C) maximum. • Rotation: right band ie; clockwise when viewed from motor end. Motor. • NEMA Standard, Open Drip Proof • 60Hz,3500 RPM • Stainless Steel Shaft Single Phase: %-2 HP, 115/230 V; 3 HP, 230 V only. Built-in overload with Automatic Reset. • Capacitor Type • Three Phase: 2 and 3 HP, 230/460 V. Overload protection must be provided in starter unit. Starter and Heaters (3) must be ordered separately. FEATURES Self -Priming Design: Water is retained in the casing while the pump dispels air. Once primed, this pump stays primed. Impeller: 20% glass filled thermo- plastic (Noryl') on'/< -2 HP Models. Bronze impeller on 3 HP Models. Enclosed design for high efficiencies. Threaded directly on motor shaft. Casings: Cast iron construction. 4 bolt, back pull out design. Tapped openings provided for vacuum gauge and casing drain. Pumps XSH Mechanical Seal: Carbon/ ceramic faces, BUNA elastomers, 300 Series stainless steel metal parts. Exclusive casing design prevents the seal from running dry. Motor: Designed for continuous operation. All ratings are within the working limits of the motor. Corrosion -resistant Coating: Electro -coat paint process applied inside and out, and baked on. SELF -PRIMING water recncutates Out ourtno re -priming operation only. 'Air is eanausted from suCuon tine tnru ptscnarge pipe 0 1991 Goulds Pumps. Inc. Effective A: 100 348 101 314 123 146 386 347 383 13' 3s= PARTS Item Part Name No. 30 100 Casing 101 Impeller 123 Deflector 131 Pump Foot 146 Diaphragm (Except 3 HP) 304 Impeller Nut —Three Phase 58 Only (Not Shoan) 314 Motor Adapter 338 Motor 347 Guide Vane 348 Guide Vane Seal Ring 383 Shaft Seal 386 Guide Vane Flange DIMENSIONS AND,WEIGHTS Close -Coupled Self -Priming PERFORMANCE RATINGS (in gallons per minute) Pumps XSH Item XSH07 XSH10 XSH15 XSH2O XSH30 No. HP '/. 1 1% 2 3 Discharge Pressure, _20 30 40 20 30 40 20 30 40 20 30 40 20 30 40 PSI NOTE: All pipe connections are Threaded -NPT (All dimensions in inches and weights in lbs.) (Do not use for construction purposes.) (q GOULDS PUMPS. INC. SE ECA FALLS PEW Ypac 13145 '/4" NPT DISCHARGE PLUG SEE CHART SUCTION L.- APPROX. SEE CHART , 2��„ i 3" 8" 39/*" —I 1/e" NPT(2) 3/e" FOOT USED ON DRAIN PLUG 29/ie" DIA. 3 HP MODEL ONLY HOLES SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. PRINTED IN U.F 10 39 30 11 47 39 27 57 54 34 73 71' 57 89 75 58 = 1'A 53 XSH10 1 17'/a 1'% 56 XSH15 1% 19 2 1'A 65 XSH2O 2 19'4 2 77 15 34 27 0 45 37 23 52 49 27 66 65 50 85 71 50 5 20 28 ;, 23 0 41 34 18 48 45 20 56 55 43 82 68 0 25 22 19 0 33 31 0 41 40 0 44 44 33 72 64 0 NOTE: All pipe connections are Threaded -NPT (All dimensions in inches and weights in lbs.) (Do not use for construction purposes.) (q GOULDS PUMPS. INC. SE ECA FALLS PEW Ypac 13145 '/4" NPT DISCHARGE PLUG SEE CHART SUCTION L.- APPROX. SEE CHART , 2��„ i 3" 8" 39/*" —I 1/e" NPT(2) 3/e" FOOT USED ON DRAIN PLUG 29/ie" DIA. 3 HP MODEL ONLY HOLES SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. PRINTED IN U.F Pipe Stte Model HP L Weight Suction Discharge XSH07 • % 16% 1'A 53 XSH10 1 17'/a 1'% 56 XSH15 1% 19 2 1'A 65 XSH2O 2 19'4 2 77 XSH30 3 21% 2 88 NOTE: All pipe connections are Threaded -NPT (All dimensions in inches and weights in lbs.) (Do not use for construction purposes.) (q GOULDS PUMPS. INC. SE ECA FALLS PEW Ypac 13145 '/4" NPT DISCHARGE PLUG SEE CHART SUCTION L.- APPROX. SEE CHART , 2��„ i 3" 8" 39/*" —I 1/e" NPT(2) 3/e" FOOT USED ON DRAIN PLUG 29/ie" DIA. 3 HP MODEL ONLY HOLES SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. PRINTED IN U.F gGOULDS PUMPS, INC. SENECA FALLS NEW YOPR :3it_ .�5<as. .._. ��� MODEL XSH10 METERS FEET SIZE 11/2 X 1112 12 35 11 30 10 9 25 8 O LU 7 J 20- 61 O F— 5 15 i 41 10E 5 U 4 is 12 16 2U 24 28 32 36 40 44 48 52 56 60 GPM 0 2 4 6 8 10 12 m'/h 01985 Goulds Pumps, Inc. CAPACITY 31 Effective January 15. 1985 it cosy imp stand. Adiusloble olrcharge. Clean, air tight welrl� are nchleved using the most modern welding equipment Avallable. Twu part kircthanc finish uvci epoxy primer coal combines durability and high lustre. ulaphragn) of FDA apprnved, high Rrade Butyl, 5pecial "CRR" formula. , True. air flow design means fewer problems n•ith condcnsalinn. P(rsitive lock, internal clen(Ii ring, Cannot slip r1ot:5 not rely on wnk %Vrlll. "":,,tion itlel(Ik.d POO ditlusv, clircO5 watcr flow upward & outward whilr, locking Inwer diaphragm in place. Elbow connection. Q.. y U7�?%�'_7wlet-Rite J )R44HS Jel•RUP. madelN T 1R6 1K1 S -- — )R25 _ • )R441 is Prec Challenger Series M Working Pressure Dimensions Shipp Modelq Welg pl tneter Height _ P&M 16' 21,7' S PC.66_ 16" 28.8'. Pil Il PC88 1E; 16.0" 4�'i i 'PC111 21 _ I 27.75" 54.5 P(:122 lig" j4�.9 52.5 PC:144 [ 21" 661 PC211 21' 921PC244 21" 101 10 PC26G zb' J131PC366 264 159,E Models PC44 thru PW1. 2A psi precharge • 1' NPT: Wxleh PC144 thn, PC366. 38 psi pred,arge-1 1/0 NP 'Use Tank T ITIM13 or 13' ni.L Bels, Maximum Working Pressure 100 psi •enslons System Shipping Pieces Total I _ ttclghl Conneclinns Weight ` per Pallet Volume 11.3" 3/4" 7lbs. 100 2 1 gal. 15,7° .1/4" 1011.11. 60 4 5 sal. 19,3•• 3/4" 1:3 lbs. 24 8 5 gal. 19,311 t/n" ! 15 lbs. 24 (1 : gal. t 18' 1 ° 29 lbs. - 14 Sal. Uv -j 8ssur[: JRG & Al • 18 psi, JR25 • 28 psi, JR44 • 28 psi. JR15 ium Si 4umv pal: 4 g,L I gal. gal. I gal. gal. 9 Fal. tlaGcal�k ri trl,+4ty,lrti. 0 `tev+ry N Quick Sizing Chart Total Tank AM1odidM volume Drawdown 020/40 . Gallons 030/50 ®40/60 IR6 2.1 gal. .78 .65 .57 II:IF, j 4.5 gal. 1.7 t.4 1.2 2.:5 1124:1 Hti 1•t t;al. 5.2 4.3 3.8 PC44 I 14 gal. PCGG 20 gill. 5.2 4.1 G.2 -- :t.8 - 5.4 -- 7.4 eco 26 gal. 71-C -111 32 gal. r_. ... ....... PC.122 33.4 gal. PC144 44 gal. 9.6 11.8 12.3 1 16.3 0.1 L__. I 9.9 10.3 13.6 7.0 8.6 9.0 11.9 16.7 PC.211 bZ gal. 22.7 19.2 i c z44 81 gal_ 30.0 .25.1 __.. 21.9 31.5 43.6 .._........ PC266 ._ 8.5 gal. PC366 11d bat. 1 26.4 1 30.8 23.0 32.1 Standard 30/50 Psi System Thmir. illustrations show the operation of the Challenger tank in I typical 30/50 pressure range. Pumv is rtff. heady tv provide drawdown water urlder pressure. Pump still off. Providing drawdown water through pressure r;mge. System reaches cut -In pressure (30 psi in this case). Pump starts and runs until cui•out pressure Is reached. JUNE, 1980 Supersedes page P3 PUMPTROLO PRESSURE SWITCHES Dated 3/76 TYPE FSG MORE ABOUT THE PUMPTROL PRESSURE SWITCH WITH FORM M4 LOW PRESSURE CUT-OFF. „> The Class 9013 type FSG Form M4 switch includes all the features of the standard type FSG Pumptrol pressure switch. In addition, the Form M4 low pressure cut-off feature aids in preserving the life of the pump. When pressure in the system drops to approximately 10 P.S.I. below the set cut -in point for any reason, such as a low water condition, the switch will open to tum off .the pump.* When the condition has been relieved, the manual lever is turned to the start position and, if pressure ;: ,_ a ` a. is restored while holding there, the switch resumes normal operation.. p• i.- The Form M4 manual lever also has an off position for com- plete pump shutdown., ;. 4•t.' • - /-�Ff . IMPORTANT: The cut -in point must not be set lower than 19 P.S.L. consequently, the cut-out point on rising pressure must not be lower than 30 P.S.I. Electrical Ratings — See preceding page. -- NOTE: Form M4 is not available on FYG types. *Example: Switch set 20-40, low water cut-out = 10 approx. Type FSG. Form G5 Ma (Snowrn ing cootnation o1 Pilot Light aM Switch set 30-50. low water cut-out = 2(1 approx , Low Pressure Cut -o” MWiWAtXMB). Switch set 40-60. low grater cut -cwt = If; appio,\ FOR PRICES AND ORDERING INFORMATION SEE PRECEDING PAGES —1N 0 LL r, Z z 0' w z a o 0 U Ot 3.93 t 2.78 100 o m i 71 i i + NIS I ---- 1.1971-. a 30 —_..=.r.. 2.34 1.59 59 40 SWING RADIUS IS 2.2S IN. Type FSG-2,rorm MO UNDERWRITERS LABORATORIES LISTED 2.05 ���1.3- 9 52 35 N(:Ii �:• Dual Dimynsu:•:; - 3 rrartrr.0SOUpqeDtOMPANY ' Meehanieallyactivated switch designed to directly central pumps and activate pump control panels, alarn}s, solenoids, and relays. US. r,N.. ssereet a e,tµta .a�M c..rt" r.serq � � Applications SJE PumpMaster• pump/control switch provides automatic control of pumps in water and sewage applications: Because this switch is not sensitive to rotation or turbulence, it can be useti in both calm and turbulent applications. The SJE PumpMastelJ° can also be used as a pilot duty control switch to reliably monitor liquid levels in sewage and water applications. Contact SJE regarding specific intrinsically safe applications. Cables flexible 16 gauge, 2 conductor SJOW A (UL), SJOW (CSA), water-resistant, neoprene (CPB) Floats 3.05 inch diameter x 3.56 inch long (7.75 cm x 9.07 cm), impact resistant, non -corrosive, PVC plastic for use in liquids up to 1400F (60" C). Pump Switch Illectricalt Voltage 60Rz, MmLlmum pomp Looted Rotor• Recommended Single Phue Running Current Amps Pump HP 120 VAC 13 Amps 85 amp, Ifl In, or less 230 VAC 13 Ry"Po 83 amps 1 twat less *IWLW Va Vt, $08 Industrial Cunuul Equipment Control switch llectrisalt Mtutlmttm Current!, 13 Am3M Lower Limit: 12 VAC / 30 milliamps Notes This twitch must be used with pumps th-st provide integral thermal overload protection. OS.TE 273/ Features • Heavy-duty contacts • UL Listed for use in water and sewage • CSA Certified • Two-year limited warranty Pump switch: Controls pumps up to 1/2 HP at 120 V and 1 HP at 230 V • Adjustable pumping range of 7 to 36 inches Central switch& is Provide.Q pilot duty action with on-off differential as low as 3.5 inches above or below horizontal Options This switch is available: • in standard cable lengths of 10, 15, 20, or 30 feet Pump :witch: • for pump down or pump up applications • with a'120 V or 230 V piggy -back plug . without a plug for direct wiring in I20 V or 230 V applications • with standard mounting strap Control switch: (order without plug option) • for normally open or normally closed applications • with two mounting options (mounting strap or cable weight) Pump Down / Normally Open / OFF position contacts open Tt C}i•*;,•i_ . 'l�i� �':.. g•,:. •:..�r.� �s µ;y1' •... �. w.. .L. r4^•e _,. steeI ball. Pump Vp / Normally Open / ON position contacts closed Series 31 T AC Horns and 7004T AC Strobe Horn Wheelock's 31T -115-R AC, 31T -12-R AC, and 31T -24 -Fl AC Horns and 7004T -115 -W -FR AC Strobe Horn are high pe formance horns with an optional flashing strobe_ They are ideal alarm signals for fife S8f*ty applications where high sour output, low'current draw and clependsble operation are of critical concem. All models offer ruggers. vandal resistant construction with die case motel housings for the horn mechanism and polyca bonate lenses to protect the strobe circuitry. The Strobe horn model draws' no more current than a horn alone. All models include screw terminal inputs for in -out fie) wiring. Features • Resonant grille d6sipn for high sound output with low current draw. • Both models are fury factory assembled to save installation time. • 5trob9 horn model has single input to AAve wiring tine for 2 -wire. F f tandem operation of horn and :tree$. • Serew terminal inputs for fast and secure in -out field wiling. • Indoor or outdoor mounting options for semi -flush, or surface mounting, • Attractive red textured finiEh enhances appearance and durability, • Strobes are UL 1638 Listed for outdoor and private mode installa- tions or where UL 1971 Listing is not required. ' • Horns are UL 464 Listed for Fire Alarm Service. 7'004 Series? Ordering Information Horns: All models incorporate a resonant;Hilo design for increased Sound output. model order 4 In ut RatedI d9A ® ' Rated moaminp • Number Code Vol a a Currant 1 Candela Myrayals -115-13 2605 115 YAC 0.160 95 -- A,B,C,D,t UL, MEA, CFM, FM BFP -115-R -24-7. _ 3041 29011 1 115 VA_C 0.160 24 VDC 0.750 96 9+t _ A.$.C.D.E e o r n . CSA .,, r:: -11 115 VAC 1 0.1 N • at f O fCnnsuh cu=er games for Av�ilafaltiry t. ypicel de'1 feet i< me�vrco :n en ondgtLh. u�nptr 06thitoinirtil�p >n YOttdaaQ. L Approval Cutler. UL r Untlenvriras tlboratorlC.: CfM _ Sute pt lallfattla fire i471MA Fu a Factory Mutual; MEA . New York City Mmeriale and Equipment Amm(gAnty: UP - City o Olaa". REcbRpING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 915 -197-033915 9 7-0339 15'1 Rec Fee I Total Recorded I offic.�aA Records I Co%jn of I i-.�tte I CandacerJ. Grubbs 1 Recorder 1 3:16pm 11 -Sep -97 I FRMS -033915 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY .00 .00 XX 2 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. DONALD V. OBERSCHLAKE P. O. BOX 172 MAILING ADDRESS PALERMO, BUTTE, CA 95968 STATECITY COUNTY 46 TEALBROOK DRIVE OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP SAME NER (it also property owner, writ BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF UCMPAIT7� 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP -0509 (916) 538-7541 I P ITN TELEPHONE NUMBER ,U-r�. 9/11/97 S N TURF OF L AL AGENCY OFFICIAL DATE SIN HOME SYSTEMS DE LER NAME (if rot a dealer sale, write 'NONE') 92587 DEALER LICENSE NO. UNIT DESCRIPTION CHAMPION HOMES 1997 INFINITY 11 636 8092 A/B 54'8" X 24. TRA 355953, 355954 - RIAL NUMBER(S) LENGTH X WIDTH —MR3141A[LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 027-120-034 SEE ATTACHED LEGAL DESCRIPTION. HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. a LEGAL DESCRIPTION A.P. #027-120-034 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, 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 6, 1991, IN BOOK 123 OF MAPS, AT PAGE(S) 34. A CERTIFICATE OF CORRECTION RECORDED JULY 276, 1994, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 94-31850. RESERVING THEREFROM AN EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES AS SHOWN ON THAT CERTAIN PARCEL MAP, DESCRIBED HEREIN. PARCEL II: AN EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 6, 1991, IN BOOK 123 OF MAPS, AT PAGE(S) 34. A CERTIFICATE OF CORRECTION RECORDED JULY 27, 1994, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 94-31850. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: A NON—EXCLUSIVE EASEMENT FOR INGRESS, EGRESS AND PUBLIC UTILITY EASEMENT OVER PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 3, 1989, IN BOOK 117 OF MAPS, AT PAGE(S) 22 AND 23. PARCEL IV: A NON—EXCLUSIVE EASEMENT FOR INGRESS, EGRESS AND PUBLIC UTILITY PURPOSES OVER PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 2, 1981, IN BOOK 83 OF MAPS, AT PAGE(S) 34 AND 35. - , - . •. 1. .1 b • � • - C{ ...................................................... r :::::':;::2��:;::;`:>:•':::'::.::•.:',..::..:''::::::2::%�;±±":; ���::::i::::: ����.`;r::'::::::::::::::��?353`:::::'::::::<:::::::::::: - 2:: ::';:'': .........................:.......................................:.. I+ :::0 ::: T P' 1 ::::::::::::::::::::::::::::::._::::::::::::::::. BUILDING PERMIT NUMBER: 97-0509 Address or location of unit: 46 TEALBROOK DRIVE, OROVILLE Legal Description of Real Property: A.P. #027-120-034 ' SEE ATTACHED LEGAL DESCRIPTION: (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property, above -by installation on a foundation sytem pursuant to Health and Safety Code Section 18551. - Owner's name: DONALD V. OBERSCHLAKE Owner's address: P. O. BOX 172, PALERMO, CA 95968 INSIGNIA OR HUD NUMBER: TRA 355953/355954 - SERIAL NUMBER OR V.I.N.' 8092 A/B b w ' MANUFACTURER'S NAME: CHAMPI07 ES, 1997 ' OFFICIAL APPROVING INSTALLATION: i. DATE: 9/ 11 /97• PHONE: (916) 538-7541-,• ' H.C.D. 513C. ; • �:� r SEP -11-97 THU 03:46 AM Mfg Home Systems FAX N0. 209 745 9251 P.01 Sep -11-97 01-42P BUTTE COUNTY 916 638-2140 P_01 STATF_ OF CALIFORNIA BUSWESS, TRANSPORTATION AND HOUSING AGENCY �Vol g DEPARTMIENT OF HOUSING AND COMMUNI'YY DZVE=pbUa T DIVISION OF CODES AND STANDARDS REG?STRATION AND TITLING PROGRAM 09 STATEMENT Or- FACM This unit is a_ I "'f Mobilehome Q Commercial Coach Q floating Home Q Truck Camper ARM (License) No.(s) FUD 'Trade Name Serial No.(s) TRA355953 Champion Homes 0997-636-9092 A&B TRA355954 Infinity II #636 I/We, the undersigned, hereby state: that this manufactured home is brand new and has never been set-up or registered under another name. a permenant foundation system. This home has been placed on This home was placed for customer Donald Oberschlake 26319 Tealbrook Drive Palermo, Ca. I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any Inas they may suffer resulting from registration of the above-described unit in California, or 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 9-11-97 at Galt Ca. (bate) (City) (State) Printed name(s) L.. -Blake Address 200 Crystal Way City Galt, State C a . KCD 476,6 (RFV 9/91) Record at the Request of Mid Valley Title & Escrow Company I Order No. Escrow No. 144840-3 Loan No. WHEN RECORDED MAIL TO: DONALD V. OBERSCHLAKE 5420 GREAT SMOKEY ST SACRAMENTO, CA 95823 MAIL TAX STATEMENTS TO: SAME AS ABOVE 94-43970 94-04;3970I Rec Fee 9.00 1 DOC 13.75 Recorded I Check 22.75 Official Records I County of I Butte I Candace J. Grubbs I Recorder I 8:00am 20 -Oct -94 I MVTC MIR 2 DOCUMENTARY TRANSFER TAX $=5 Computed on the owsldemoon or value of prorM dye: OR X Computed on the oonaideration or vdue tap lana or enaxnbranoes remaining d time of two. Tina undergjg�� r`rantnr rt�t•lar� Signature of f ftreM or Agent determining tax - Firm Name GRANT DEED 027-120-034 FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, HENRY T. RUNGE, JR. and CYNTHIA. A. RUNGE, husband and wife hereby GRANT(S) to DONALD V. OBERSCHLAKE, an unmarried man the real property in the UNINCORPORATED AREA County of BUTTE as SEE LEGAL DESCRIPTION ATTACHED Dated STATE OF CALIFORNIA )ss. COUNTY OF J fiiT%t } ')-e/ babe rrie /l//C/'l/„ Lc /l/�[ L•i iL personally appeared Nf-"QrtV T. ✓ v". "L,_L _ personalty known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Ware subscribed to the within Instrument and acknowledged to me that he/she/they executed the same In his/her/their authorized capacity(les), and that by his/her/their signatures) on the Instrument the person(s) or the entity upon behalf of which the persons) adud, executed thn instrument. WITNESS my hand /and official seal. Signature�rG( , Stene of California, described TV AERAYTAURr, � �� f CYNTHIA A. RLINGE- o ' OFFICIAL SEAL e MICHELLE A. MILLER NOTARY PUBU4CAL FDRNUI o q. 000000 "M-�. RESIDENTIAL r r027-120-034 PERMIT#97-1349 ,- OBERSCHLAKE, Donald s< r 46 Tealbrook Dr., Oroville4 1 Open Decks/MH - t PERMIT NL. 9-7-0 41, , J PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL R LOCATION 4 k. T Y kk7 E .i r -Temp. Power Pole ^ Called PG&E ,Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) t ) Signature V=OK O = Not OK Not `=Not Realdyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 4. Wood Awn.; Posts-BeamsRftrs.-Connectors Shthg.-Rfg.-Bracing I. Zoning Requirements - Setbacks - Easements 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 2. Soils; Special MH Support Sketch 6. carports; Windows -Doors 3. Sewer, Locaborj-Test-Fall-C/OZorKxete 7. Electric 4. Water, Location -Test -Easement Needed (Sketch) 8. Fang.; Sils-AnchorsStuds-Rtfrs-Trusses 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 9. Siding; Nailing -Veneer -Stucco, -Mesh 6. Gas; Location -Test -Wrap; / /'L'ft / /Nat or/ /1-*tL/ /LPG 10. Roof Shthg•Roofing 7. Well Clearance & Disconnect 11. Ext; StepsDoo Landings 8. Utility Clearance 12. Braced Wall.Panals Date 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. Setbacks -Easements 1. Zoning Requirements- Setbacks Easements 2. Soils; Compaction -Structure Stability 2. Footings; SbsSpacing-Maniage Line 3.'PodStructure; Steel -Connections -Thickness Dead Men -Lining 3. Gas; MH Test Demand -Valve -Connector 4. Elec.; Receptacles and fighting, Distance -GH 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Elect; Pod Lighting; 15 Volts-GFI 5. Drain; MH Test -Fall -Flex Connector 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 6. Water, MH Test -Regulator -Connector 7. Elec.; Bonding; Metal w/S-Circulating Equip.+leater 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Endosures-Panelboards-Ins. to Main in Conduit 8. Gas and Electricity Tagged 9. Health Department Approval 9. Tie Downs -Type -Installation Cert 10. Plumb.; Cir. Test -Water Supply Test 10. Exits; Insp.-Sketch 11. Light Niche 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Date Card B-1 Date Card- B1 Date Card B-1 Date Cana B-1 MISCELLANEOUS C.- f_26ning Requirement"etbadks-Easements 3. Decks;. Girders and/or Joists-Deddng-BracingStairs-Rails 4. Wood Awn.; Posts-BeamsRftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. carports; Windows -Doors 7. Electric 8. Fang.; Sils-AnchorsStuds-Rtfrs-Trusses 9. Siding; Nailing -Veneer -Stucco, -Mesh 10. Roof Shthg•Roofing 11. Ext; StepsDoo Landings 12. Braced Wall.Panals Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3.'PodStructure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and fighting, Distance -GH 5. Elect; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 7. Elec.; Bonding; Metal w/S-Circulating Equip.+leater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Endosures-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 =No O = Not OK RESIDENTIAL (Single & Duplex) - = Not Applicable Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 47. Cling. Joist-Rftr. Ties-Purlin-roll Brac.-Truss-Shting: Rfng. 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /° Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ /Fig. Depth 5. Stemwalls, Main;'Steel-Blockouts- Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, SteeWVrepped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UP Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 58. 11. Water Pipe; Test Anchors-RegulatorSeNce Test 59. 12. Electric Underground 60. Brace Interior / Exterior Wall Panels 13. Plenums & Ducts; Clearance -Material -Support -ins. Insulation -Walls -Ceilings 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies Infiltration -Walls -Windows 15. Access & Ventilation 16. Insulation Card B-1 Date Card B-1 Date Date Date Cab B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Smoke Detector 17. Water Htr; Vent -Access -Combustion Air Baffle 65. 18. Water Pipe; Test & Anchor -Nail Protection 66. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 67. 20. Shower Pan; Test, First Floor -Tub Access 68. 21. Test Tub & Shower, Second Floor -Tub Access 69. 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fat. & Appliance; Ground. -Air Gap -Cooking Clearance Card B-1 Date Card B-1 Date Elec. Outlets & Recepticales at Kit. Counter ELECTRICAL (Permit) OK except #'s 74. 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 Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meeh. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 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. MECHANICAL (Permit) OK except #s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. -Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-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 HgL & 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-Conector- 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. Fat. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-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 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING D ISION 7 County Center Drive - Oroville, California 95965 -Telephone (916 8 54ER (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 27-12-034 ZONING A5 BU - INGPERMIT OWNER DONALD OBERSCHLAKE TELEPHONE 427-0396 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 172 PALERMO, 95968 T35__0TTfq_ 2,345.00 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 35 10 BUILDING ADDRESS 46 TEALBROOK DR Energy Plan Checking Fee $ OROVILLE $ PERMIT FEE $1nc) In LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IS Other OPEN DECKS 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 ❑ Other ❑ Describe Work: Gas i in system 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Feel 20.00 800V OR LESS Main Service AORLESS 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.P License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawler the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. so 3.5¢FT; NON-RESIDT MULTI -OUTLET @7,50 OWER APPARATUS 8 SINGLE OUTLET LIR. EX. OCCU OUTLET OR FUTURES Bn�O'.00 .s50 Ex. Occup. ove rs RES o.DE.- 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S 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.) 0/1 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. q 'Aae__ Date �i6 ^ /� Signature of A licant - Owner ❑ Co ractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 109.10 HAZ. 0. FEES IMP FLOOD — cDF PARCEL PD _. HD UE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By V PERMIT EXPIRES ON provisions to do work paid. 7 to Receipt No. 222484 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �.,'f 4�i w'T,`� Y "� .. `}'� i _./V' 'v`..' ^tN\.s. w._..Y7,Cf^'Y• r.(��y k�r•�� _� i ...iX�. z COUNTY OF BUTTE DEPARTMENT r COUNTY CENTER DRIVE - ORO PERMIT WMENT SERVICES - BUILD G DIVISION RNIA 95965,- TELEPHONE ,16 5 8-7541 I N DATA SHEET OWNER: r FL ASSESSOR PARCEL NUMBER: - J Z- 0 3 y Proposed Building Use: a Building Inspector: 12-a Date: b - 5 `2 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. All items have been submitted .---------------------------------=-------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans.---------------------=-------------------------------------- 03. Complete plans, 3/4 sets, signed by the preparer of plans. -------------=--------------------------------------- j E14. 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 documpntation.---------------------------------------------------- , -_ . , ❑ 7. Statement of Intent for Non -Heated and A/C Buildines.---------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardous Material Form. ----------------------------- - ? -------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications.------------------ _ ❑ 10. Fees of $------------------------------------- ❑ 11. Impact fees as shown on the attached schedule.----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.-------------- S31`6o elevation certificate . --------------------------------------------- anitation and plot plan approval Oro 0 14- Health Department. f� ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 0 20. Pre -inspection for required Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑22. Workers' Compensation carrier and policy number. ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). ❑24. Letter of signature authorization. ------------------------------------------ E125. ----------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ----------- ❑26. Letter of intent on building use. -------------------------------------------- 027. Manufactured Home utility clearance. ------------------------------------- C3 28. Existing violations and/or expired permits. ------------------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other: When you issue the permit, process as follows ❑ Mail to owner, []Mail to contractor. ❑Telephone and hold for pickup at office. /❑ Deliver with inspector. Applic t: r�A4�Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Departm Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ O Date: By: 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, by 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, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: i Date: Plans approved by: (-,5 Date: Sets of plans on hold ini❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building -permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property im p ement : YES Ga NO ❑ 2. I HAVE NOT ❑ signed an application fora 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 this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNE� 4 ,pp SOCIAL SECURITY NUMBER:& ,90 DATE: 7 NOTE: This Owner :Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification' er cation' must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORitiIATION 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 your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: Z If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and o.if^tir costs) is 5300 or more for the. entire project, and such persons are .ani.'.irensed as contractors or subcontractors, then you may be an employer. ♦ If you are an emplover, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, 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. rely, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Healtir and Safety Code. OVER TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Q pNA-(p V�).%._ e Owner `� Plan Approved for: Sewage Di Clearance for dwelling. lvl Hold fi al or: Final c ranc O. for: NOTE: Environmental Health Specialist 8/96 sal E.H. USE ONLY Plot Plan Attached Floor Plan Attached - Sent to BA, 0,;2 -3 0- 03� Location c3Xe4 AP# Water Supply: Public Private Well ��T 1) L'ZKS — SLS= PLOT Pt -Az)._ �pRcEZ Poor r O BARE SS Environmental Heath J U kq1 2 61997 7 County Center Drive Oroville, Ca ` oe d APPfOVEI) 400 Butte County ' Environmental alth Signature JI Q y� M(uwJ L .ne JO AlNnoo ")Pl MMq IVNOJdIQ aaln�)3av - QvoA Qjy ,l c .110�1 JI �,IF B: Y NY S2i3Clbl� +�-- ��1 ��� -�--.- .. __ fir.• wopo,y h� 0 ) � FRN N G. r• CL, P 11 40 Jl OBILEZIME OR PE'ITL. FgmCLIP (EA. 4"x4" POST -- 2"X IV "2f)F of u/•'u'� L �(Ilri UY' -ff1P VIEW zo m _ NGER. 48'o -c,- MAX. HRIUVAIL NOT SHDWhl FOK CLARITY. 3/gl BOLT M a • q"MI N. 4 X jzio-z� 2',<4" PRESSUPF 3�a' 7-VIA7LT OR �h'EDWOOD ri.n7F. "• / DECK TMENT OF PUBIC WORKS •oville, California 95965 8-7541 ,- • �����,�, �� �- � � ,fir MAY -30-97 FRI• I1 :35 PM t'. r Y•bc 4ID•'`�1FiSfi162'>' YAI: t t' I �% i:ON6ULT I NG t!NC: I NEERS P-01 � - 0 , ,40�-�- c> z -,pc- SrA RZ u,3 c z- s r Z SSs3 ��..�-v' p�-o►a-401a 3w?3>l '� u v IA -40:.4-o-0 a. ZiO I���/�( Zi�.4 `i' =s' /7- /� rr =??? us. SG !O " /r�CfC9.G A3 0 C4-5 P4CIFIO CONSULTING EN81\"cEi9 1• 2160 BELL SACRAMENTO. CA�6r8i3� BUTTE COUNTY BWLDING DEPARTMENT" APPROVED a M H Y J W � r r- t a s — o 8'$ •C3t�1 y / 61S 29 PAC I P I C CONSULTING LNU I NEERS I D=91 f,564Ge2g P - 92 w ArN a o Ut axto— U I D=91 f,564Ge2g P - 92 A -P o jr foA—f-t-f-. t3oc.rs ITuM" Je,S,Qu 'Coad Go iJ G J /rAJGVORr GAO /NST/` PACIFIC CONSULTING 2150 13ELL -AVZ , 5UITE 1;5 SI�CFSAAtLNTd. A� 13M COUNTY BQIL.--DING DEPARTME APPROVED w A -P o jr foA—f-t-f-. t3oc.rs ITuM" Je,S,Qu 'Coad Go iJ G J /rAJGVORr GAO /NST/` PACIFIC CONSULTING 2150 13ELL -AVZ , 5UITE 1;5 SI�CFSAAtLNTd. A� 13M COUNTY BQIL.--DING DEPARTME APPROVED VMAY -08-97 THU 12:42 AM P.02 A -< L✓ 4t5 -0'r tot U -r : i 5 I n- I Pacife Consulting ng n ' ' 21 SO N411 Ave. Svrte 145 � S�srnerKo. X95838 • (916) 564-b028 � fa�c (916) 564-E029 May 7, 1997 Mr. Harry Hi trris ` Quality Conuivunities, Inc. 14091 s. Lincoln way Galt, CA , RE: Msnufactured Hoine Foundation 46 Tealbroolc Dr. palerrro, CA Dcar Mr. H anis; per our telephone conversation regarding the framing for the wood pony wall at the foundation for the manufactured home at the above captioned location, the top plate of tlzc pony wall can be eliminated and the studs fastened directly to the rite joists of the home.'s floor, provided the sheathing placed on the pony %vall is extended onto and fastecied to the rim joist of the hone floor framing- See sketch below. sincerely, David A. Dahmen P, E. Jot5r X 14. 't (-ru lv �y 5lz: oIq`? BUTTE COUNTY BUILDING DEPARTMENT APPROVED "4-l9-7 05--19-97 Pacific Coh' iuftin` Engineers 2150 Bell Ave, Suits 145 0 Sacramento, CA 95838 • (916) 5646029 • Fax (916) 564-6029 15:41 Ulm P.01 May 7, 1997 Mr. Harry Harris Quality Communities, Inc. 140911 S. Lincoln Way Gait, CA RE: Manufactured Home Foundation 46 Tealbrook Dr. Palermo, CA Dear Mr. Harris; A Per our telephone conversation regarding. the framing for the wood pony wall at the foundation for the manufactured home at the above captioned location, the top plate of the pony wall can be eliminated and the studs fastened directly to the rim joists of the home's floor, provided the sheathing; placed on the pony wall is extended onto and fastened to the rim joist of the home floor framing. See sketch below. BUTTS COUNTY iRTMEN1 incerely, APPROVED David A. Dahmen R F - rir.�nhr ^AJ A 147-1 It /M Jill Sr ►3 O !T'Orv1 �� <�'T'� S HEA-rFq(W& 4-N "RI M ,vasr z.x 4 4 tu(d` RESIDENTIAL ' 027-120-034 _ PERMIT#97-0510 � OBERSCHLAKE, Donald 46 Tealbrook Dr., Oroville Cont: Water Supply for Fire Sprink/MH t i q"7 -®5©q n JOB FINALED (Date) Signature V=OK O = Not OK Not ' = NotRepady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel 3. Sewer, Location -Test Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water, Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg: Rfg.-Bracing 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap; / /'L'ft. / /Nat. or/ I'L"ft./ /LPG 6. Carports; Windows -Doors - 7. Well Clearance & Disconnect 7. Electric 8. Utility Clearance 8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 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 Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand Valve -Connector POOLS (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval 4. Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged 5. Elec.; Pool Lighting; 15 Volts -GA 9. Tie Downs -Type -Installation Cert. 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 11. Cert of Occupancy 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 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-DepthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors - 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts -GA 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -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 Date Card B-1 Date Card B-1 Date Card 8-1 Date Card B-1 ✓ = OK O = Not OK - = Not Applicable = Not Ready �ti ul ����S,IDENTIAL (Single & Duplex) - Date Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 48. DERFLOOR (Plans) OK except #'s Z o ' Setbacks-Easments-Flood-Slope 49. Main; tg., M 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ J' Ftg. Depth 4. Ftg. es & Decks; Soils -Steel-/ I' Ftg. Depth 52. temwalts, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. �jgte8l�/Vrapped . P s-Fwepfaee Ftg. Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Tes, 10. UF. Gas Pipe; Size Anchors - Yard aping; - 11. Wate Pipe; Test -Anchors -Regulator -Service Test 60. lectric Underground 13. Pi Hums & Ducts; Clearance-Mater:al-Support-Ins. 1 Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Date 16. Insulation Date Card B-1 Date Card B-1 Date - Card B-1 Date Card B-1 Date r�_e Date 63. Card B-1 �� Date Card E-1 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 Fastners-Bond Gas & Water 28, 7 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Ran;e Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 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. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 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 Soils -Flet. Gmd.-/2 P' Ftg. Depth 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Ring. 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 Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace 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-Conector- 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 & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.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 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J M (Rev.12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 eonpsi I�NO._ APPLICATION AND PERMIT . ASSESSOR PARCEL NUMBER 027-120-034 ZONING A 5 BUILDING PERMIT'S ` OWNER DONALD OBERSCHLAKE TELEPHONE SO. Fr. OCC: EST OWNERS MAILING ADDRESS P.O. BOX 172 PALERMO, 95968 CONTRACTOR'S NAME V1V.l\1VVYVN �'7 ,J `^,/ TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NONE Fireplace LENDER'S MAILING ADDRESS Total Valuation $ . 00 ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ s' BUILDING ADDRESS TEALBROOK DR Energy Plan Checking Fee $ OROVILLE PERMIT FEE LOT NO. ' SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee '2 0 00'' USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 6 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 ❑ UBlities ❑ Installation ❑ Other IN Describe Work: WATER SUPPLY FOR FIRE SPRINKLER SYSTEM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT I Fling Feel 20.00 "00OR LESS Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 0—/6 Lic. No. 30330 g 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 I000A 46.00 NEW CONST. DWELLING .OLOS. SO OR ADDNS. ( 8 ACC. BLOS. 3.50FT. NEW CONS. NON-RESIDT Au,LCTI.OUTCET 97.50 POWER APPARATUS a SINGLE OIJTLET CS.. Ex. Occu OUTLET OR FucrURES Bql @ 1.50 Ex. Occup. OUTLEETS RES DGEA 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. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier t�znmzFr/,f/p MECHANICAL PERMIT Flirig f ee .. 20.00• Heating Coolinga Hood 6.50 Y~ 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'HAZ. 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 forth th com I w' those revisions. P y P 00 X Datecs ___ Signature of A lic t Owner Contractor ❑ Age4f An OSHA permit is require for excavations over 60" deep and demolition or construction of structures over 3 storie in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 78 ,,00 D. FEES IMP FLOOD CDF P C PD HD 5SU ' This permit is hereby issued under the applicable Provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By ' /Date —3— PERMIT EXPIRES ON Date ReceiptNo. 210274 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 7W -COUNTYOF &41`YTE -DEPARTMENT OlElDEVELOPMENT SERVICES -BUILDING DIVISION 7_t6CONTY CENTER DRIVE -0R0' IL4-E�AWFOR_NIA 95965 - TELEPHONE (916) 538-7541 .>. PERMIT APPLICATION DATA SHEET (/ OWNER e ese Qhs A. No. ©11 10�o L�Proposed Building Use - ` Q i F r Building Inspector Date r At time of permit application, I was advised the following data, must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY *-'All items Have been submitted . ....................... . . ............... 2. Plot plans, 3/4 sets, signed by preparer of plans . ........ ................. 3. Complete plans, 3/4 sets, signed by preparer of plans. . Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............� 5. Hazardous Materiat.Form. Co ............ .......... = ................... . 6. Energy Design mpliance and supporting documentation . ................. . -7. Statement of Intent for Non -Heated and A/C Buildings. a:` ..................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ......................................... . 11. Impact fees as shown o ' attached schedule . ............................... 12. California Department ofRorestry plan approval/fees. ....................... . " 13. Flood elevation letter (100 year flood) by California Engineer. ' 14. Sanitation and plot plan approval Health Department . ............ ' 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ... ..... . 18. Contact Land Development about (A) Improvements (B) Drainage. ........... °* 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for ! rePreanspection req. quired. .. to,Building Inspector (Date) a 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner 1. .......... . 24. Recorded copy of Agricultural Acknowledgement Statement. .................. . 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ................ :.............. ..,.-...... . 28. Mobilehome utility clearance. a......... 29. Documentation of legal access . .....................:...... ............ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... '11 . Existing violations/expired permits . ...................................... Plan check f�st. 4n LO k.y...©w.Tier...©r ....._ sU C � l� � � ; c���s When you issue the permit, process as follows: Mail to owner. Mail to contractor. ' Telephone and hold for pickup at office., Deliver with inspector. Other Parcel Creation it Acreage -Applicant ,Date T Copy of Haz-Mat form sent ks.. Health Dept. Fire Dept. Air Pollution Date E ,Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit iss ircle new item not checked above). 1'. Index permit for above items No. f.r' 2. Additional items required: - Contractor,, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date- 3-�J Sets of plans on hold in File cabinet AP folder LL�� Copy - Department of Public Works -. AA H 0 Rtri B�-191- god ao w�t� Nd 1 - 0090 - ELD9 INSP SPEC REU F 0090 71I0N - 2 - PUBLIC PROTECTION 71VITY - Z5 - PROTECTIUE INSPECTION CONT ----------TITLE---------- 1995 ACTU OTHER CHARGES 45,3 FIXED ASSETS -EQUIPMENT 3210 .,L . FIXED ASSETS -EQUIPMENT 3210 FIXED ASSETS 32,0 L DIRECT 1,151,6 DIRECT SERVICE TRANSFERS DIRECT SERUICE TRANSFERS OTHER FINANCING USES n� INDIRECT BUILDIM,G DIVt ISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 - TELEPHONE: (916) 538-75 AGRICULTURAL BUILDING -EXEMPTION PERMIT 7 PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed nd 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.:. Igo- ©3 ZONING S OWNER �Qn 1 PHONE NO. OWNER'S ADDRESS V 34- 4 LOCATION LOCATION OF BUILDING i I USE°OF BUILDING ayv. SIZE OF STRUCTURE �C_J ' X _ .J� v SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME X STEEL CONCRETE OTHER (Specdy) TYPE OF SIDING - i.A.)©od. ROOF COVERING FLOOR TYPE ESTIMATED COST OF CO STRUCTION $ _;�546-D(o° AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows:r 5 FRONT SIDES 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. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above 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. XDate- Signature of Ow Permit Fee - $60.00 . The above described AG Building is exempt from a-btKdina permit Receipt No. Manager Building Div'sion B_ Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant �,�GOUNTYOF BUTTE - DEPARTMENT OF DEQ/ LO `MENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE=-OROVILLE, CAL1FO NIA 95965 -TELEPHONE (916) 538-7541 ' PERMIT APPLICATION DATA SHEET w r� OWNER:`P. o.t7 ,/0-037` Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ................:.... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentatiori. .................... 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout,in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees......................... ^- 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ........... 17. Planning approval for (A) Use: (B) Parking: -. ,.. . 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . 20. Fre-Inspection requ-e-sT- Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. ' 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . ' 24. Recorded copy of Agricultural Acknowledgement Statement . .................. ' 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road.., ..:... ' 27. 28. Letter of intention building use. .........'1 ....................... �`.;,:.... . Mobilehome utility clearance ................ . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. t When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation >` - Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By e The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail -Counter by/ Dates Contractor, designer, owner, was advised of above required data by _ phone _ mail i ._Counter by _ Date Plans checked by Date ,PIans,.approved by - Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ti RESIDENTIAL S ++ 027-120-034 PERMIT#97-0996 OBERSCHLAKE, Donald PERMIT i.'i. 46_.Tealbrook,-Oroville - - - • __ Cont: Quality Communities I PERMIT I .-::New, Pri_Det-Garage-- -- —�/-Yh jv - OWNER -7 -2 OS/O CONTR. r ASSESSOR PARCEL A$ LOCATION lji�r/�C/ � 0 ct.✓G� � G�P � ¢ O r t s i :Temp. Power Pole I+ r. Called PG&E Temp. Elec. Service Called PG&E . Temp. Gas Service �x r. t Called PGI A JOB FINALED Signature V=OK O = Not OKNot ' Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'d 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location-Test-Fall-C)"oncrete i 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp4Conc eta 6. Gas; Location -Test -Wrap; / JUL / /Nat or/ /`L'9t./ /LPG 7. Well Clearance & Disconnect S. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test Demand Valve -Connector 4. Electricity; MH Test-Crossovers-Breakers•Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date PECKS;COVERS, CARPORTS, GARAGES lana K except #'s 1 .,Zmtng;RequirementsSetbad s -Easements• 2.'Footings;•Soils-Size-D_epthSpacing-Connector:-Ste II .. �- 3. Decks; Girders and/or Joists-Decking-BracingStah ils 4. Wood Awn.; Posts-Beams-Rths.-Connectors S. *um. Awn.; Windows -Doors C` ;Fagg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Sting; Nailinga/eneerStucco-Mesh 10. J(oof; Shthg-Roofing 12. Braced WAH. Panels Date Da Card B-1 to Card B-1 Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils;.CompactonStructure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Eke;.; Receptacles and Lighting, Distance -GR 5. Elec.;'Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards4ns. 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 O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except ft 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77.Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-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 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /` Ftg. Depth Date 4. Ftgq. Porches & Decks; SoilsSteel-/ I' Ftg. Depth Hangers -Post Caps -Anchors -Connectors 5. Stemwalls, Main; Steel-Blockouts-Wrapped Fireplace Ties or Type A Flue -Fireplace Throat clearance 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 51. 6a. Hold Downs and Special Anchors Property Line Firewall & Openings 7. Slab, Steel -Wrapped Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel Stairs; Width -Headroom -Rise -Run nding-Fire Protection 9. D.W.V.; Fall -Fitting -Test 2 Way C/0 -Sewer Test 56. Siding -Nailing Veneer 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 58. 11. Water Pipe; Test -Anchors -Regulator -Service Test 59. 12. Electric Underground 61. Insulation -Walls -Ceilings 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies Card B-1 Date Card B-1 15. Access & Ventilation Date 16. Insulation Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector Date Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection Card B-1 Date Card B-1 Date 67. Card B-1 Date Card B-1 Date Elec. Trim & Subpanel, Breaker Sizes & Labels PLUMBING (Permit) OK except #'s Stairs & Rails 17. Water Htr.; Vent -Access -Combustion Air Baffle Fireplace or Stove, Clearance -Hearth 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 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. ;'ire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77.Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-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 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purlin-raft 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 Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run nding-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-Conector- 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 & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77.Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-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 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OFBUTTE - DEPARTMENT OF C,AVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT o. (Rev. 12/96) ARPLI.GATION AND PERMIT ASSESSOR PARCEL NUMBER 027-12-0-034 ZONING A BUILDING PERMIT OWNER TE o E SO. FT. OCC. BUILDING VALUATION 7 00 OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE COM TORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ 99.00 ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checking Fee $ 23.00 BLIILDIG�DQfEALBROOK, OROVILLE Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PRI DET GARAGE SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New 00 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 20 X 20 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 oR LE Main Service OzoosOOv S9 oR LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business nd Professions Code, and my license is in full force and and effect. -'/-7 �� License Class SS(/O / 7 LIC. No. OWNER -BUILDER DECLARATION 7 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 I000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. B.S. So 3.50FT. 4.90 NEW CONST. MULTI -OUTLET NON-RESID. C @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @''50 BAL @ .50 FIXED APPLNS. OR Ex. Occup. o, ETS RESID.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. 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' coompensationianye carrier and policy number are: Carrier j� yyyyp ,,,��f// MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ FI Policy Number C Fy 3f® `!4 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) rO 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 I those provisions. Date Qn—Mure nt - ❑ Owne ❑Contractor ❑ Agent of App)stories An OSHA permit isuired for excavations over 5'0" deep and demolition or construction of structures over in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 176.00 HAZ. D. FEES IMP FLOOD CDF CEL PARPD HD ISS This permit is hereby issued under of the utte County ode and/or ind' ate for w icb fees have B PERMIT EXPIRES ON —4 the applicable provisions Resolutions to do work been paid. A22 Da i- 81e ReceiptNo. 222044/87 _On 'r A a �. f'n .� 99• WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r ..A.•'r y+1.rr r�.. „r�..`w •i' F*rY r ,•� I/ .r ,COUNTY OF BUTTE DEPARTMENT OF DY "bPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE' CALIFORNIA 95965 - TELEPHONE (916) 538-7541 ry PERMIT APPI.�ICATION DATA SHEET OWNER: 06l'"w=� ASSESSORPARC ER: 03?:' 0 -- J Proposed Building Use: Building Inspector: Date: At time of permit applic , on, I v& advised the following data must be submitted prior to permit proessin and/or issuance: Date Received By ❑ 1. All items have been submitted.--------------------------- ' ------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. -- .------------------------------------------------------- 113. ------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- 115. 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.--------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardo Material Form. ------------------------------------------------------------------------------------------ actured Home data and installation instructions including Tie Down Specifications. ------------------ Feesof $ ---= -------------------------------------------------------------------------------- 1. Impact fees as shown on the attached schedule. -- -- --------,---- ---- ---- -- ------------------------ •9'1L. California Department of Forestry plan approv 1/fees. �+' -I- -, � 1------------------------ ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- OI 4. Sanitation and plot plan approval d Health Department. ---------------------------=--------------- ❑ 15. City of Chico plumbing permit. ------------------------------------------------------------------------------------ ❑ 16. Plot plan and'business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: --------------- ___________ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, 11Legal Parcel. ----------------------- El19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 0 20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ El 22. Workers' Compensation carrier and policy number. ---------------------------------------- 1123. Owner -Builder Verification (Given to owner ❑, Mailed -to owner 0) - -------------------------------------- 024. ------------------------------------- ❑ 4. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 1126. ------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- ❑30. Other: _______ _ ate) WZlephon'eqoq)741��WFG ou ss a the ocess as follows ❑ Mail to owner, ❑lMAail to contractor. and hold for pickup at Vovt ( office. ❑ Deliver with inspector. K` Not, I I Applicant: � � Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Po llu 'on D By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:. 1. Index permit application for the above items numb ❑ Plan Check List 2. Additional items required: G w z L N Contract9r, des owner, was advised of the above required data by ❑ p ne, ail, ❑Building Di ' ' n counte , ate: 5 Con tor, d er, 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 Divis' n counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building, �v'sion counter, by Da Plans reviewed by: Date: Plans approved by: /(/ Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Plan Approved for: Sewage Disposal Clearance for--dwettmU—.. "Other E.H. USE ONLY Plot Plan Attached Floor Plan Attached �( k. Sent to B.D. / r)rcnK- M-7- I -63LI Location AP# Water Supply: Public Private Well Hold final for: Final clearance O.K. for: NOTE: Envirodrmntafkealth Specialist Date RIM V COUNTY OF BUTTE BUILDING DIVISION 'DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, -CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 i. CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at r,. r.. the above address and shout,q be corrected. Please notify this office when correction of work s` is completed. If you have any'q esti ns pertaining to this matter, or need additional explanation, please contact this office imm iat ly. �Zxl I i Z.17 ff- r�4iTi'L%1.71►��r1:'Ia COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Orovtlle, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date /i J j' % \ Inspector REV 10192 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. FA Date REV 10/92 N lug. rr' F F, .. Date REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELQPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE �b�f-s�•�.I� � 97-59 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is you If completed. have an " p y y questions pertaining to this matter, or need addition`al'explanetion; please contact this office immediately. ti COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (9T6) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 A.: 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIl(NO. r A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work $: is completed. If you have any questions pertaining to this matter, or need additional explanation, Apleentact this office immediately. 41 ' / ^4 T -11&g 4& q e Date Inspector zjg= C NJ REV 10/2 ' S�COUNTY OF BUTTE -, BUILDING DIVISION Al DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 E '77 -. CORRECTION NOTICE 97- /3� OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. �r . 4A j5 3 _ 1y Date inspectorjTC `� q !�-2� ed 8 REV 10/92 MAY -30-97 FRI 11:35 PM ld i 05-30-97 Go: 29 YAU l Y' l L% CONSULT I NG FNG I NEERS _S 2 7$7 �����. CYC ^~YO wna•aGt"� . der-ek i �Q QG"Z" ry 4>..•,,. i I D^�31 FsSii�16©25 k-� o f A-rvc uo I -L 16 o /& R 40-a `.D I4 --r D e �- cvit� Z�f r� S� tit,�G 'G7 �Gv+•v� Fes- ���.'� %�- 6 .c,t/ z.�• >r•,� L/ PL �� u�3 c. z.� � /� � e5:Lth+i Ccs - co t/-L,r w�-o il,uc.-Amc i3 c,4&5 .�---� PACIFIO CONSULTING ENGINEERS 2160 BELL AVE., SUIT2 IAS �• SACRAMENTO, CA bZ8-s3 BUTTE COWNTY BUILWNG DEPAR'TINEAIi 4PPROVED 0 MAY -30-97 FRI 11:36 PM 05-Lju J -f 00:%9 PACIFIC Go �r IS-- ttY�� Isis A CC9k�7 CULTING ENUINEERS P. 03 I D=91 F�56•LG929 P . 92 uamo�o �NAf j/ t °M Aj �oct d� 4c4plwc �. ` Ji 19. .� /� .4� b t7'" /C� •cf �• �� 7'S /g'�Gf� R Fr.Ei2 c,ll.�d �s� Y O � Gd /J Co 47l_)c oVo o: C t� /NSTi3 l%•D A --r`- TN -,5z1Yo ,2.mv 7760 KG s P. CM0 CONSUL71P7G Ei1a'I\Z!:r- 2ssv sELL'AY „ 5ulTc !rj BUTTE COUNTY BUILDING DEPARTMENT, 4 P P R 0 V -Oza& >4291 J: -rw� %My, Alb, 0-,f,9SCW r,2o,9)74S-4,986' g� 00,9.)74S -4,98,5 - ✓l y28, a97 .,k G�ntion • oaae V"a6, 7 Oomn p O&M &- Olyuv& (9ry W, le-, 6'a/�, forn q.9 ,9CS K2Q9%74S -4986' MAY -21-97 WED 10:53 PM QUALITY COMMUNITIES, INC. 14091 S. LINCOLN WAY GALT, CA 95632 FAX COVER SHEET ATE: l CV �'1 ( 19-7 TIME: S- GLfv1 TO: '4APHONE- .'q I LI' FAX: t 1p� s3g - 2. j FROM: 4 i t ONE: l lO`i `14 S-- t --I Number of pages including cover sheet: Message - `- 11 ! i c),v 1. 12rAl l S -+I,- je-_ THANK YOU. /-EL P.01 Vr bljpj��kj d IAT QCVT, LOO. BiIDi=F''GG GD C-C•S � i 3/�'' /�-P!1 Sc�l F1�TTi/�X. � 2.1, cL C1G A) ML d ® q' E-0619-5 ' 4 t2" U, Glc. Lo r-2ro71�n�tnm5 i�'1 � _ lilt 3,-3X9 KiNS �� 1 WDK .0MA1114 Iljl I l{ I I cont S4AO t Fno'n)tk 6AR p0 _ is i gid Pl eiz wfl: Li..._ �•o L OE-rA r L urs —�, N 7,7 • G� Q� �f �.-RA n� r nk� DELS eK-SC �( C i'D M ftA Q e 1 } paC1Et� Cmullin ExcpIEEPS 116 L) rtl- EiY 1 0M rK (JAXrfGS LUQ [,tEYsfk{ L,C.I&V e �'��. �• 9 � • dS:� � � � f � 97 Permit Applicant: Date: . . I '51001q-7 Permit #;, The above referenced building plans were reviewed by this office. Provide addi-tional.informatl'on and/or make appropriate revisions to plan -s, specifications".,, and.-ca.1culations as follows: - � �-�5�16 �C,�S' ,u�r: IoM pL�r u/� r-�6" sC-c: 2`sZ� . � / vB� . -. /lilt 60 ar� A FIRE SPRINKLER SYSTEM ' Plans and Specifications Champion Home Builders Co. Model# 636 , M.H.S./Oberschlake AS *This is a Factory Installed -; Fire Sprinkler System Lic#533455 C-16/C-47 TABLE OF CONTENTS PAGE 1- NOTES AND SPECIFICATIONS PAGE 2- HYDRAULICS CALCULATION REPORT PAGE 3- FIRE SPRINKLER SYSTEM PLAN ` PAGE 4= ISOMETRIC, CROSS SECTION, RISER DETAIL PAGE 5 INSTRUCTIONS FOR FIRE SPRINKLER SYSTEM SITE CONNECTION PAGE 6- CARE AND MAINTENANCE Hydro Fire Systems, Inc. P.O. Box 161 • San Juan Capistrano, CA 92693-0161 • (714) 496-3475 0HFS1 n NOTES AND SPECIFICATIONS All materials shall meet and be installed in accordance with N.F.P.A. 13D standards, and where applicable, the local jurisdiction having authority.. Water Supply data is the responsibility of others and shall be supplied to the reviewing agency with the enclosed plans and specifications. 5 GPM domestic has been included in calculations. Tee for domestic, shown on riser detail and node position, are for calculation purposes only. Actual location is the responsibility of others. All valves are indentified with metal signs at handles designation the purpose and the position to be maintained. Signaling device (bells, horns, strobes) to be audible in all living areas, over background noise with intervening doors closed. 3 spare sprinkler heads, Omega R-1 M, Omega sprinkler wrench, Key for Test Valve (If Equipped), Key for Flow Switch Box, to be located in Red Metal Box at the Riser location. Pipe clamps to be Tolco for CPVC pipe, double fastner and shall be installed in accordance with applicable standards. ISM6111 i. ll l 9 ■ i . Permits and Site related inspections are the responsibility of others. Installation of Source Line and Hookup to Sprinkler System at Site is the responsibility of others. See enclosed instructions for Site Connection of system. Size, location, type and elevation of water tank or other water source (if applicable) is the responsibility of others. A site plan showing underground pipe, size, type, length, location, and depth below grade from water source to Point of Connection to Sprinkler System is to be provided by and installed by others and site plan shall be submitted to the local jurisdiction having authority, with the enclosed plans and specifications. Hydro Fire Systems, Inc. s P.O. Box 161 • San Juan Capistrano, CA 92693-0161 • (714) 496-3475 HFS1 HYDRO FIRE SYSTEMS, INC. P.O. BOX 161 SAN JUAN CAPISTRANO, CA 92693 RESIDENTIAL SPRINKLER SYSTEM HYDRAULICS CALCULATION REPORT FOR CHAMPION HOME BLDRS. MODEL#636 M.H.S./OBERSCHLAKE Date: 02/27/1997 File No: CHBO10 Data File Name: CHB010.RDF SPRINKLER SPACING 256.0 sq. ft./spklr.(max) Max. Dist. Bet. Spklrs: 16.0 ft. Min. Dist. Bet. Spklrs: 8.0 Max. Dist. Spklr. to Wall: 8.0 ft. SPRINKLER SPECIFICATIONS Mfr: Central Descr: R -1M Pend.(16xl6) K=3.90 Calculated K Factor for Arm -Overs & Drops: 1.0 ft. x 1.109 in. Drop: K=3.87 (Incl. 1 Tee) 0.0 ft. x 1.109 in. Arm -Over: K=3.86 (Incl. 1 Tee & 1 Ell) PIPE SPECIFICATIONS Type: BlazeMaster HWC: 150 WATER SUPPLY Source: TANK Test Date: By: DATA BY OTHERS Static: 0.0 psi Resid: 0.0 psi Flow: 0.0 gpm Public Main Size: 0 in Domestic Demand: 5.0 gpm at node number 1 SPRINKLER DEMAND No.Spklrs. Min Spklr. Press. Node Total Avail. Req'd Flowing Flow (psi) No. Flow Press. Press. 1 14.0 12.9 6 19.0 0.0 25.4 2 11.0 8.0 6 27.6 0.0 28.6 REVIEWING AUTHORITY C.D.F. i CHAMPION HOME BLDRS. Date: 02/27/1997 File No: CHBO10 RESULTS OF ANALYSIS Page 2 PIPE & NODE DATA * FLOW ANALYSIS * 1 sprinkler flowing *2 sprinklers flowing* FIXD P # LEN ALBRFSU LOSS END EL SP *DISCH FLOW PF PT *DISCH FLOW PF PT HWC DIA EQV.LN PUMP NOD (FT) (K) *(GPM) VEL PE (PSI)*(GPM) VEL PE (PSI) --------------------------------------------------------- --------------------- 1 0.0 -11---- ---- 1 0.0 -5 5 -5.0 0.06 25.4 5 -5.0 0.06 28.5 150 1.109 12.0 ---- 2 0.0 SRCE ---- 1.7 0.00 25.4 ---- 1.7 0.00 28.6 2 8.0 -1-311- ---- 2 0.0 SRCE ---- 14.0 1.09 25.4 ---- 22.5 2.62 28.6 150 1.109 24.0 ---- 3 12.0 ---- ---- 4.6 5.20 19.1 ---- 7.5 5.20 20.8 3 12.0 -3-1--- ---- 3 12.0 ---- ---- 14.0 1.15 19.1 ---- '22.6 2.79 20.8 150 1.109 22.0 ---- 4 12.0 ---- ---- 4.7 0.00 18•.0 ---- 7.5 0.00 18.0 4 50.0 -633--2 ---- 4 12.0 ---- ----- 14.0 3.80 18.0 ---- 22.6 9.19 18.0 150 1.109 62.0 ---- 5 12.0 3.90 ---- 4.7 0.00 14.2 11.6 7.5 0.00 8.8 5 14.0 -22---- ---- 5 12.0 3.90 ---- 14.0 1.29 14.2 11.6 11.0 0.83 8.8 150 1.109 24.0 ---- 6 12.0 3.90 14.0 4.7 0.00 12.9 11.0 3.7 0.00 8.0 Fitting Code Letters: A=AngVly, L=90 Ell, B=TeeBch, R=TeeRun, F=FSwth S=SwgChk, U=Union Sprinkler system has been hydraulically calculated with the HASS HOUSE 1.8.0 computer program (License No. R074G9991 ) to provide.an average imbalance of 0.017 gpm (one sprinkler flowing), and 0.018 gpm (2 sprinklers flowing) in accordance with NFPA 13, 13D, or 13R. HRS Systems, Inc. 2193 Ranchwood Dr., N.E. Atlanta, GA 30345 (770) 934-8423 CHAMPION HOME BLDRS. Date: 02/27/1997 File No: CHBO10 30+ 28+ WATER SUPPLY CURVE IN Page 3 r 25+ 22+ P 20+ R E S S 18+ U R E 15+ 10+ 7.5+ LEGEND Static = 0.0 psi (fixed pressure) 5.0+ (1 sprinkler flowing) (2 sprinklers flowing) " 2.5+ B = Required Water Supply D = Required Water Supply 25.4 psi @ 19.0 gpm .28.6 psi @ 27.6 gpm 8 12 16 20 24 28 32 36 40 FLOW (GPM) • FIRE SPRINKLER CONNECTION CROSSOVER PIPE —SITE INSTALLED— MLETA -SHIPPED LOOSE - TOP VIEW ALL 1m AM WIN= FRONT VIEW 'OCCEPP SER PTFE — ARE FiCTWf NSTKIM W — FIED CLUE OR PRUM Rao+nm FACTORY INSTALLED UNION NUT AND 0— RING W/TEMPORARY END CONNECTION AND — r� 14XI2 ROOF I ACCESS CAP 1 �� i 4Xt2 ROOF iACCESS CAP K I GAP. INSURE O—RING IS IN PLACE WHEN REMOVING TEMPORARY (AP. DISCARD CAP. INSURE O—RING INSURE O—RING IS IN PLACE RIDGE BEAMS •/ IS IN PLACE RIDGE eFAu / ISOMETRIC VIEW HOLE CM-t/ETAl 14X12 ROOF ACCESS / IN RIDGE BEAM ,! FOR PIPE UNION NION FINISHED ROOF x ss RIOCE BERIPE �FACTDRRY�INS PE ED FIRE SPRINKLER SYSTEM CROSSOVERCOWECTTON. 1. DO NOT CONNECT WATER SUPPLY UNE TO SPRINKLER SYSTEM UNTIL CROSSOVER CONNECTIONS ARE MADE • SEVERE DAMAGE MAY RESULT.. - 2. REMOVE ROOF ACCESS CAP FROM EACH SIDE OF UNIT. REMOVE TEMPORARY SIDE OF UNION W/CPP AND DISCARD. USE CARE TO INSURE O-RING REMAINS I1 NICE . 3. ITAIRE THAT O-RING 6 W .PLACE IN IKON THEN CONNECT CROSSOVER PIPE PROVIDED AND TIGHTEN. 4, CONNECT WATER SUPPLY TO SPRINKLER SYSTEM AT THE @Q£T/14APNIFOLD LOCATION NOTED ON PLAN. 5: OPEN MAIN VALVE FROM WATER SUPPLY. THIS VALVE IS SUPPLIED AND LOCATED BY OTHERS. 6. FLUSH SYSTEM BY EITHER OPENING THE INSPECTORS TEST VALVE LOCATED AS NOTED ON PLAN (IF EQUIPPED), OR THE TEST/DRAIN VALVE LOCATED AT THE MANIFOLD TO RE34OVE ANY AIR IN SYSTEU OR UNTIL A CONSTANT FLOW OF WATER IS MAINTAINED. THEN CLOSE INSPECTORS TEST VALVE OR TEST/DRNN VALVE 7. WITH SYSTEM UNDER PRESSURE. CHECK CROSSOVER CONNECTIONS FOR LEAKS. B. REPLACE ACCESS CAP AND SECURE TO PREVENT RFJ40VAL OR LEAKAGE FROM WIND AND RAIN. The owner is responsible for the proper operating condition of all fire protection devices and accessories. The N.F.P.A. standard 13A entitled "Care and Maintenance of Sprinkler Systems" contains guidelines and minimum maintenance requirements. Furthermore, the local authority having jurisdiction may have additional. regulations and requirements for maintenance, testing, and inspection that must be followed. In areas subject to FREEZING, it is the owners responsibility to keep the Fire Sprinkler System from FREEZING. It is advisable to have the sprinkler system inspected regularly by a qualified inspection service. Replace any sprinkler exhibiting corrosion or damage; always use new sprinklers of the same type and temperature rating as replacements. Sprinklers should never be painted, coated, plated or altered in any other way from manufactured condition or they may not function properly. Nothing should be hung or attached to the sprinkler head that would disrupt the designed discharge pattern. In the event that subsequent construction may alter original design pattern, additional sprinklers may be required to maintain proper levels of protection. DO NOT attempt to replace sprinklers without first removing the fire protection system from service. To remove system from service, close main control valve (location to be noted by others), open Main Drain Valve and Inspectors Test Valve (if equipped), and drain water from system. Replace sprinkler heads with special sprinkler wrench provided. Never connect any device or hose to the Inspectors Test Valve (if equipped). This valve is for inspection and drain purposes only. Always return key to Red Metal Boz after operating test valve. A fire protection system that has been shut off after activation should be returned to service immediately. HFSI Hydro Fire Systems, Inc. P.O. Box 161 • San Juan Capistrano, CA 92693-0161 • (714) 496-3475 FIRE SPRINKLER SYSTEM Plans and Specifications Champion Home Builders Co.. Model# 636 MHS/Ob ki 6 *This is a Factory Installed Fire Sprinkler System PAGE 1- NOTES AND SPECIFICATIONS Lic#533455 C -16/C-47 TABLE OF CONTENTS PAGE 2- HYDRAULICS CALCULATION REPORT PAGE 3- FIRE SPRINKLER SYSTEM PLAN PAGE 4- ISOMETRIC, CROSS SECTION, RISER DETAIL 'PAGE 5- INSTRUCTIONS FOR FIRE SPRINKLER SYSTEM SITE CONNECTION PAGE 6- CARE AND MAINTENANCE Hydro Fire Systems, Inc. OHFSI P.O. Box 161 • San Juan Capistrano, CA 92693-0161 • (714) 496-3475 i� i, 77, NOTES AND SPECIFICATIONS i All materials shall meet and be installed in accordance with N.F.P.A. 13D standards, and where applicable, the local jurisdiction having 1 authority. Water Supply data is the responsibility of others and shall be supplied to the reviewing agency with the enclosed plans and specifications. 5 GPM domestic has been included in calculations. Tee for domestic, shown on riser detail and node position, are for calculation purposes only. Actual location is the responsibility of others. All valves are indentified with metal signs at handles designation the purpose and the position to be maintained. Signaling device (bells, horns, strobes) to be audible in all living areas, over background noise with intervening doors closed. 3 spare sprinkler heads, Omega R-1 M, Omega sprinkler wrench, Key for Test Valve (If Equipped), Key for Flow Switch Box, to be located in Red Metal Box at the Riser location. Pipe clamps to be Tolco for CPVC pipe, double fastner and shall be installed in accordance with applicable standards. MOTU fttgih -01 161D • ■_• Permits and Site related inspections are the responsibility of others. Installation of Source Line and Hookup to Sprinkler System at Site is the responsibility of others. See enclosed instructions for Site Connection of system. Size, location, type and elevation of water tank or other water source (if applicable) is the responsibility of others. A site plan showing underground pipe, size, type, length, location, and depth below grade from water source to Point of Connection to Sprinkler System is to be provided by and installed by others and site plan shall be submitted to the local jurisdiction having authority, with the enclosed plans and specifications. Hydro Fire Systems, Inc. P.O. Box 161 9 San Juan Capistrano, CA 92693-0161 • (714) 496-3475 HFSI HYDRO FIRE SYSTEMS, INC. P.O. BOX 161 SAN JUAN CAPISTRANO, CA 92693 RESIDENTIAL SPRINKLER SYSTEM HYDRAULICS CALCULATION REPORT FOR CHAMPION HOME BLDRS. MODEL#636 M.H.S./OBERSCHLAKE Date: 02/27/1997 File No: CHBO10 Data File Name: CHB010.RDF SPRINKLER SPACING 256.0 sq. ft./spklr.(max) Max. Dist. Bet. Spklrs: 16.0 ft. Min. Dist. Bet. Spklrs: 8.0 Max. Dist. Spklr. to Wall: 8.0 ft. SPRINKLER SPECIFICATIONS Mfr: Central Descr: R -1M Pend.(16xl6) K=3.90 Calculated K Factor for Arm -Overs & Drops: 1.0 ft. x 1.109 in. Drop: K=3.87 (Incl. 1 Tee) 0.0 ft". x 1.10.9 in. Arm -Over: K=3.86 (Incl. 1 Tee & 1 Ell) PIPE SPECIFICATIONS Type: BlazeMaster HWC: 150 WATER SUPPLY Source: TANK Test Date: By: DATA BY OTHERS Static: 0.0 psi Resid: 0.0 psi Flow: 0.0 gpm Public Main Size: 0 in Domestic Demand:. 5.0 gpm at node number 1 SPRINKLER DEMAND No.Spklrs. Min Spklr. Press. Node Total Avail.. Req'd Flowing Flow (psi) No. Flow Press. Press. 1 14.0 12.9 6 19.0 0.0 25.4 2 11.0 8.0 6 27.6 0.0 28.6 REVIEWING AUTHORITY C.D.F. CHAMPION HOME BLDRS. Page 2 Date: 02/27/1997 File No: CHBO10 RESULTS OF ANALYSIS PIPE & NODE DATA * FLOW ANALYSIS * 1 sprinkler flowing *2 sprinklers flowing* FIXD P # LEN ALBRFSU LOSS END EL SP *DISCH FLOW PF PT *DISCH FLOW PF PT HWC DIA EQV.LN PUMP NOD (FT) (K) *(GPM) VEL PE (PSI) * (GPM) VEL PE (PSI) --------------------------------------------------------- --------------------- 1 0.0 -11---- ---- 1 0.0 -5 5 -5.0 0.06 25.4 5 -5.0 0.06 28.5 150 1.109 12.0 ---- 2 0.0 SRCE ---- 1.7 0.00 25.4 ---- 1.7 0.00 28.6 2 8.0 -1-311- ---- 2 0.0 SRCE ---- 14.0 1.09 25.4 ---- 22.5 2.62 28.6 150 1.109 24.0 ---- 3 12.0 ---- ---- 4.6 5.20 19.1 ---- 7.5 5.20.20.8 3 12.0 -3-1--- ---- 3 12.0 ---- ---- 14.0 1.15 19.1 ---- 22.6 2.79 20.8 150 1.109 22.0 ---- 4 12.0 ---- ---- 4.7 0.00 18.0 ---- 7.5 0.00 18.0 4 50.0 -633--2 ---- 4 12.0 ---- ---- 14.0 3.80 18.0 ---- 22.6 .9.19 18.0 150 1.109 62.0 ---- 5 12.0 3.90 ---- 4.7 0.00 14.2 11.6 7.5 0.00 8.8 5 14.0 -22---- ---- 5 12.0 3.90 ---- 14.0 1.29 14.2 11.6 11.0 0.83 8.8 150 1.109 24.0 ---- 6 12.0 3.90 14.0 4.7 0.00 12.9 11.0 3.7 0.00 8.0 Fitting Code Letters: A=AngVly, L=90 Ell, B=TeeBch, R=TeeRun, F=FSwth , S=SwgChk, U=Union Sprinkler system has been hydraulically calculated with the HASS HOUSE 1.8.0 computer program (License No. R074G9991 ) to provide an average imbalance of 0.017 gpm (one sprinkler flowing), and 0.018 gpm (2 sprinklers flowing) in accordance with NFPA 13, 13D, or 13R. HRS Systems, Inc. 2193 Ranchwood Dr., N.E. Atlanta, GA 30345 (770) 934-8423 CHAMPION HOME BLDRS. Date: 02/27/1997 File No: CHBO10 WATER SUPPLY CURVE 30+ 28+ 25+ 22+ P 20+ R E S S 18+ U R E 15+ P S I 12+ 10+ 7.5+ Page 3 LEGEND -------------------- Static = 0.0 psi (fixed pressure) 5.0+ (1 sprinkler flowing) (2 sprinklers flowing) B = Required Water Supply D = Required Water Supply 25.4 psi @ 19.0 gpm 28.6 psi @ 27.6 gpm 0.0* 11 8 12 16 20 24 28 32 36 40 FLOW (GPM) 0 FIRE SPRINKLER CONNECTION CROSSOVER PIPE —SITE INSTALLED- -SHIPPED LOOSE - TOP VIEW ALL PIPE N0 rnTV= FRONT VIEW ISOMETRIC VIEW — CXCEPr ��• N — ORY INSTALLED ' HOLE FXW cux OR pet" t NUT AND O— W RfDCE BEAM W/TEMPORARY FOR PIPE CONNECTION AND �� r—� INSURE O—RING —14Xt2 ROOF PLACE WHEN AC CCESSR JC-A ACCESS CAP IDISCARD %ANG TEI PORARY CAP. INSURE O—RING INSURE O—RING IS IN PLACE IS IN PLACE ON FlNISHED ROOF / RIDGE BEAu� =r / RIDGE BENS TIRE SPMHKLER SYSTEM CROSSOVER . CONNECTION I. DO NOT CONNECT WATER SUPPLY LINE TO SPRINKLER SYSTEM UNTIL CROSSOVER CONNECOONS ARE MADE. SEVERE DAMAGE NAY RESULT.. . 2. REMOVE'ROOF ACCESS CAP FROM' -EA H SIDE OF UNIT. REMOVE TEMPORARY SIDE OF UNION W/CAP AND DISCARD. USE CARE TO INSURE 0—RNG REMNKS IN PLACE 3. ICSLW THAT O—RING LS II.PLACE IN UNION THEN CONNECT CROSSOVER PIPE PROMOED AND TIGHT 4, CONNECT WATER SUPPLY TO SPRHQ.ER SYSTEM AT THE PQiT/MANIFTHD LOCATION NOTED ON PLML 5. OPEN MAJN VALVE FROM WATER SUPPLY. THIS VALVE 6 SUPPUED MID LOCATED BY OTHERS. . 6. FLUSH SYSTEM BY EITHER OPENING THE INSPECTORS TEST VALVE LOCATED AS NOTED ON PLAN (IF EOUPPEO). OR THE TESTAWAN VALVE LOCATED AT THE MANIFOLD TO REMOVE ANY AIR IN SYSTEM OR UNTIL A CONSTANT FLOW OF WATER IS MA ET'NNED. THEN CLOSE INSPECTORS TEST VALVE OR TEST/DRAIN VALVE.. 7. WITH SYSTFJA UNDER PRESSURE. CHECK CROSSOVER CONNECTIONS FOR LEA16. 8. REPLACE ACCESS CAP ANO SECURE TO PREVENT REMOVAL OR LEAKAGE FROM WINO AN0 RAIN ISOMETRIC VIEW 14X12 ROOF ACCESS ' HOLE `+_ /CAP—METAL W RfDCE BEAM FOR PIPE /�G/�! UNION ON FlNISHED ROOF I X PIPE ,SPRINKLER PIPE RIDGE BEAM FACTORY W5TAL1ID TIRE SPMHKLER SYSTEM CROSSOVER . CONNECTION I. DO NOT CONNECT WATER SUPPLY LINE TO SPRINKLER SYSTEM UNTIL CROSSOVER CONNECOONS ARE MADE. SEVERE DAMAGE NAY RESULT.. . 2. REMOVE'ROOF ACCESS CAP FROM' -EA H SIDE OF UNIT. REMOVE TEMPORARY SIDE OF UNION W/CAP AND DISCARD. USE CARE TO INSURE 0—RNG REMNKS IN PLACE 3. ICSLW THAT O—RING LS II.PLACE IN UNION THEN CONNECT CROSSOVER PIPE PROMOED AND TIGHT 4, CONNECT WATER SUPPLY TO SPRHQ.ER SYSTEM AT THE PQiT/MANIFTHD LOCATION NOTED ON PLML 5. OPEN MAJN VALVE FROM WATER SUPPLY. THIS VALVE 6 SUPPUED MID LOCATED BY OTHERS. . 6. FLUSH SYSTEM BY EITHER OPENING THE INSPECTORS TEST VALVE LOCATED AS NOTED ON PLAN (IF EOUPPEO). OR THE TESTAWAN VALVE LOCATED AT THE MANIFOLD TO REMOVE ANY AIR IN SYSTEM OR UNTIL A CONSTANT FLOW OF WATER IS MA ET'NNED. THEN CLOSE INSPECTORS TEST VALVE OR TEST/DRAIN VALVE.. 7. WITH SYSTFJA UNDER PRESSURE. CHECK CROSSOVER CONNECTIONS FOR LEA16. 8. REPLACE ACCESS CAP ANO SECURE TO PREVENT REMOVAL OR LEAKAGE FROM WINO AN0 RAIN The owner is responsible for the proper operating condition of all fire protection devices and accessories. The N.F.P.A. standard 13A entitled "Care and Maintenance of Sprinkler Systems" contains guidelines and minimum maintenance requirements. Furthermore, the local authority having jurisdiction may have additional regulations and requirements for maintenance, testing, and inspection that must be followed. In areas subject to FREEZING, it is the owners responsibility to keep the . Fire Sprinkler System from FREEZING. It is advisable to have the sprinkler system inspected regularly by a qualified inspection service. Replace any sprinkler exhibiting corrosion or damage; always use new sprinklers of the same type and temperature rating as replacements. Sprinklers should never be painted, coated, plated or altered in any other way from manufactured condition or they may not function properly. Nothing should be hung or attached to the sprinkler head that would disrupt the designed discharge pattern. In the event that subsequent construction may alter original design pattern, additional sprinklers may be required to maintain proper levels of protection. DO -NOT attempt to replace sprinklers without first removing the fire protection system from service. To remove system from service, close main control valve (location to be noted by others), open Main Drain Valve and Inspectors Test Valve (if equipped), and drain water from system. Replace sprinkler heads with special sprinkler wrench provided. Never connect any device or hose to the Inspectors Test Valve (if equipped). This valve is for inspection and drain purposes only. Always return key to Red Metal Box after operating test valve. A fire protection system that has been shut off after activation should be returned to service immediately. HFSI Hydro Fire Systems, Inco P.O. Box 161 9 San Juan Capistrano, CA 92693-0161 • (714) 496-3475 05— 1 9-97 IS..: 41.1` ' ID= Pacific Consulting Engineers 2150 Bell Ave, Suite 145 A Sacramento, CA 95838 0 (916) 564-6028 a Fac (916) 564-029 May 7, 1997 Mr. Harry Harris Quality Communities, Inc. 14091 S. Lincoln Way Galt, CA RR: Manufactured Home Foundation 46 Tealbrook Dr. Palermo, CA Dear Mr. Harris; Per our telephone conversation regarding the framing for the wood pony wall at the foundation for the manufactured home at the above captioned location, the top plate of the pony wall can be eliminated and the studs fastened directly to the rim joists of the home's floor, provided the sheathing placed on the pony wad is extended onto and fastened to the rim joist of the home floor framing. See sketch below. BUTTE COUNTY B!!1! D�PAf�TME�V'1 incerely, APPROVE. -V David A. ,Dahmen P.E. -$-K Wren& s rues ry f= -,,r r/W Hr A-rr AIM JVr sr ACAJ A Q o IrO M .,RIM ,oesr zx 14 8tUPS f-It>"Y y� /yr i� B3y FRo Nt OF ROWSE BUTTE COUNT -Y R�'hP B ILE' EPARIME I �RPROVEP 0, I .F- 54'-81 ---_ --------- .-..— - ------------- --- -� r s 5'-4' 8'-9 9/16' — 9'-11 1/2' — 11'-11 1/2 5'-3' 13'-4 7/16' INLET/RISER 10, iO W UTILITY L�L�; 00' j Y(� BEDROOM#3 r.0,DINING AREA3� At 0� 31 I N I M/BATH CD 1i bCi d � � s 24042 i i m N I I; I 1 -� 4 �{ KITCHEN { I BATH ?� 0 ad i N �r I CL („' O �� . cod d� cu I 96 0.---- - L'-� — 6.Q---_Ny-_ 120 12 102 --- -- ` -- o c O O � i VALK-IN I MASTER BEDROOM 15'-9' E I 72 168 NOTES n a� LIVING -ROOM Iu au `" ! SKYLITE { CL 0- j DORMER {_ i 120 — d 5 a� N ❑ N' O O +I BEDROOM#2 °DI 3.I 4' OUTSIDE WALLS _11b� 21'-10' - 54'-8' ----- t ..-- ---- ---- - ----._—....-------- �' CENTRAL -OMEGA R -IM ACCESS FOR O NODE POINT' ® 3/8 ORIFICE K-3.90 rL_] FIRE SPRINKLER --- 160 DEGREE PEND. CONNECTION ❑ PIPE NO. SYSTEM PIPING, ONE INCH BLAZEMASTER CPUC RISER PIPINGi ONE INCH BLAZEMASTER CPUC PIPE AND FITTINGS PIPE AND FITTINGS EXCEPT WHERE NOTED ON RISER DETAIL U H LWI AZ ! W 0-4 i __ V U � J� z -i ; Z) Q cv) FIRE SPRINKLER PLAN lb F !� OBERSCHLAKE--�°"�'�' TJR ar"°TALO'MFG. HOME SYS. N HOME BUILDERS CO. MGDEL#636 FM 3YY=S. INC. T CHB010 DRAIN O2 VALVE,-,. POINT OF CONNECTION 7" HYDRAUILIC NJ 0 0 E PIPE :40- L — LOCATED IN SM WALL SW BAT wrm an=E ACCESS — P -r CKC SGML AT TOP OF fa%Rl CZTIRE CAAMPLJOE OW-UPCREM 0 00 , "MMAEM MML UI aciwii I.1' CAC -lm7q N7 7 1 V? WA VJLVE &=4MftV rFMRlFDVWRA$= XPIMORVIlk- smiamimom ITMANLIE FACED GW&K VALVE 5 GPM oat= FM OF OCWN $I= FOR CJILOUTION Fulmom aLT AV 15 I'FEMALE ADAPT opmo or nLw I r cpvc I ADAISTA13LE TO XV Nrs=lm ORIFICE -KEY TO BE 901 ADM YZE LOCATM IN IED MAL RUX AT RIM LOCATION FOR NM%CtM AND =a Fir"B ONLY " ISOMETRIC AND CROSS SECT !ON MEW :NOm2,,'24/ -?00"� OBERSCHLAKE : 9 i TJR wAm MFG. HOME SYSTEMS CHAMPION HOME BUILDERS CO. MODEL#636 ------ HYDRO - . F . IRE --.. SYSTEMS. . .. INC. ...... T -"C -'-H'-8-0-1 10--D i TEST NSPE VALVE CROSS SECTION V I FEE w C 0,%/i NA 0 N ARE;S CEILING OMEGA R—" OMEGA R—lM UNIT 8 04 UNIT A 'JV!,NG ROOM DINING AREA 3/12 PITCH 3/l 2 PITCH ... OUTSIDE WALLS 4 OUTSOE WALLS I — LOCATED IN SM WALL SW BAT wrm an=E ACCESS — P -r CKC SGML AT TOP OF fa%Rl CZTIRE CAAMPLJOE OW-UPCREM 0 00 , "MMAEM MML UI aciwii I.1' CAC -lm7q N7 7 1 V? WA VJLVE &=4MftV rFMRlFDVWRA$= XPIMORVIlk- smiamimom ITMANLIE FACED GW&K VALVE 5 GPM oat= FM OF OCWN $I= FOR CJILOUTION Fulmom aLT AV 15 I'FEMALE ADAPT opmo or nLw I r cpvc I ADAISTA13LE TO XV Nrs=lm ORIFICE -KEY TO BE 901 ADM YZE LOCATM IN IED MAL RUX AT RIM LOCATION FOR NM%CtM AND =a Fir"B ONLY " ISOMETRIC AND CROSS SECT !ON MEW :NOm2,,'24/ -?00"� OBERSCHLAKE : 9 i TJR wAm MFG. HOME SYSTEMS CHAMPION HOME BUILDERS CO. MODEL#636 ------ HYDRO - . F . IRE --.. SYSTEMS. . .. INC. ...... T -"C -'-H'-8-0-1 10--D • • 10 54'-8'it -- 5r-4'. 8'-9 9/16' 9'-11 1/2' 11'-11 1/2' 5'-3' 13'-4 7/16' INLET/RISER 81 __-EXT. BELL O W UTILITY D ALARM d1 � � • cv _ALM/BATH - 0 m 0� �1 U .24042 %oE • N t0 J M � 114 It 2 RJ • C I �Z,� N a, MRS '-6'k 96 WALK-IN KITCHEN DINING AREA 101 BATH a. BEDROOM#3 CLI 4 72 168 96 120 ICL a LIVING ROOM a a O 4 i i SKYLITE DORMER TER BEDROOM Is) ¢I BEDROOM#2 3 4' OUTSIDE WALLS SnISP� .5'-9' - - - 21'-10' 17'-1' - 54'-8, r NOTES CENTRAL -OMEGA R -IM ACCESS FOR O NODE POINT ® 3/8 ORIFICE K-3.90 L" FIRE SPRINKLER 160 DEGREE PEND. CONNECTION ❑ PIPE NO. SYSTEM PIPINGi ONE INCH BLAZEMASTER C_PVC RISER PIPING; ONE INCH BLAZEMASTER CPUC PIPE AND FITTINGS PIPE AND FITTINGS EXCEPT WHERE i NOTED ON RISER DETAIL -f O2 lqra - ' 3'=8' U J 0.. Q OC l7 W ►Z-� F- mVU cu z J ~ Dace 11 FIRE SPRINKLER PLAN To 02/19/97 a OBERSCHLAKE TJR 3/16 { °i1° MFG. HOME SYS, CHAMPION HOME BUILDERS CO. MODEL#636 RYDRO FIRE SYSTEMS, MCI I CHBO10 s� .• .0 ISOMETRIC VIEW r INSPECTORS TEST VALVE CROSS SECTION VIEW COMMON AREAS F-- CEILING LINE I OMEGA R-1 M ---{--t OMEGA R -11A F i JJ �- 6'-10" -— -- 9' —- 6'--10' a 6 UNIT 6N UNIT ACD II LIVING ROOM { DINING AREA p. (, 3/12 PITCH_ I 3/12 PITCH I 4OUTSIDE WALLS 4 OUTSIDE_ WALLS �-8" MAN�OLDlR15�R D�tAIL — LOCATED IN GIVE WALL SW DAY WN OWtSIVE ACCESS z -r CINC WELL AT TCF OF faSER C901TPEE �.. rc�rc>'IFEratla�t �u� a OmmAmallL 0 wlx-dYPmwA oOcaaoe>e EMWAV m -j row aunt �t�taH MCWC1ff RN VT WA VALVE 1119014AIM'JD I'FbI1R2�DY3dPfiAiSY1Ql sNoaNaoa�>�aetna+ wimatEm- cpctR:Rm Yl ORIW LIE 1 c l PI {IE 18� VALVE - 50F -I WWXWRL r ROM FACED "ll VALVE at9oltQlc i�@t 5 WM Va ESM PbBif GF CGNEGTION SIM FGR CALaLATION I' FEMALE ADAPT SIPmo � Ot1ER6 Kirom MY AD � Ircwc I IN KEYLESS NOSE 55 ADMADLE TO 3V r 6ctoRs test MqM-IET TO ',iKil ADoyE VALVE LOCATED N IED METAL DOX AT F4M LOCATION - FOR MPEiGfloM AND PPAN FJWVSE S ONLY ISOMETRIC AND CROSS SECTION \Apfl"TJ 02/24/971 aAo� OBERSCHLAKE 1I8 wmm MFG. HOME SYSTEMS CHAMPION HOME BUILDERS CO. MODELf63HYDRO FIRE SYSTEMS. INC. . . . . ... . . . il -klir . . . . . . .. . . -7 7 7 HI; IN F, Il- 177 -77M