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027-120-037
g7- Wi ` 7 T2=,0=037" •.'.`, 93-2.11P;'l %i 7 AV r HALDEMAN, Dorothy 61' Tealbrook, Orovil-le inh .utilities ELEC �� h, t GAS COMPACTION TEST REQ c 1 SUPPORT STRUCT REQ r' •+027'120`037x'• �T 04 0278 ..THEVEOS,-NICK o , 61 TEALBROOK DR; PALERMO Cont:.OWNE #--8 3 ,`► .,ir+» . , NSF- 027-120-037' SF 027-120-037' .' 041069 { THEVEOS, NICK 61 TEALBROOK CT, OROVILLE ` CONT: FOX,COMPANY� , d' "FIRE SPg..INKLER/R20 SUPPLY,i1 al . y i , I I, r r; ; NOTES RESIDENTIAL, PERMIT NO.: -027 -120 -037.,'^~~x+•`~~ --w~04=0278 THEVEOS, NICK ti 61 TEALBR . C�OK DR; PALERMO:Cont: OWNER , NSF 04 -to(09 �d SPECIAL CONDITIONS 1.• - CHECKED ~'W BY • `- `� � .. SRA �-.:. . FLOODCERTIFICATE REQ. FIRE':SPRINKLERS REQ. s #, 'SPECIAL INSPECTION ITEMS —:VERIFY l USE PERMIT CONDITIONS i SUBSTANDARD HOUSING LETTER . --- OFFICE COPY �:,... Address H ' 7. y Eer By C p��`� ELECTRIC I , '+ '• Meter By Date t GAS Meter BD ate Date_ Meter By i Date` i�,p'lq/ =s JOB FINALED (Date) 4 • T•t q Tr /, / Signature J=OK' 0 = Not OK . = otReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete Footings; Soils -Size -Depth -Spacing -Connectors -Steel 4. Water; Location -Test -Easement Needed (Sketch) 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 4. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 8. Utility Clearance 6. Carports; Windows -Doors 7. Electric 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 Roof; Shthg-Roofing 2. Footings; Size -Spacing -Marriage Line 11. 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Braced Wall Panels 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector Date 7. Water and Sewer Connected -C/O to Grade -HD Approval Card B-1 Date Card B-1 8. Gas and Electricity Tagged - 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Setbacks -Easements 2. Soils; Compaction -Structure Stability Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 5. 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking "Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 4. Gas; MH Test -Demand -Valve 8. 5. Electricity; MH Test 6. Water; MH Test Health Department Approval 7. Water and Sewer Connected 10. 8. Gas and Electricity Tagged 9. Exits " Light Niche 10. License Decals 12. 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh' 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. "Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date - Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s - t ., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth tg., Garage; Soils-Steel-Elec. Grnd.-/ ' Ftg. Depth g., Porches & Decks; Soils -Steel-/ /" Ftg. Depth . St mwalls, Main; Steel-Blockouts-Wrapped 6a. Xold Downs and SDecial Anchors .V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Gas Pipe; Size Anchors -Yard Gas Piping; Size T6611 Water Pipe; Test -Anchors -Regulator -Service Test -4: uric Underground Plenums & Ducts; Clearance -Material -Support -Ins. rders-Sills-Anchor Bolts-Joists-Vents-Crippies 1 . Access & Ventilation 16. Insulation Date and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING.(Permit) OK except #'s ater Htr. ent-Access-Combustion Air Baffle ,oWatwPi e; Test & Anchor -Nail Protection 1 .V; Test Fittings & Anchor -Nail Protection 2V Show Pan; Test, First Floor -Tub Access 21. T Tub & Shower, Second Floor -Tub Access G Pipe; Sixe & Anchors ire Sprinkler; Test Date Card B-1 Date Card B-1 Date [ Or -Card B,.1 ( Date Card B-1 Date r ELECTRICAL (Permit) OK except #'s 24!TXure & Transformer Clearance -Ins. Protection I . Receptacles Spacing -Lights & Switches at Doors Date FRAMW(Permit) OK except #'s 44-o6il!,Proper Materials & Anchors 4 al Studs -Nailing Spacing & Braces -Plates -Sound . Bearing Walls over Girders & Floor Nailing 44.�Draft Stop in Walls (rat proof) 5. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46,1,1 aders & Beams -Size & Bearing Date $ding. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49./ Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50.. -Atli r ccess; Size & Romex Protection -Draft Stop -Ins. Baffles 53-45-drmAWInclows or Exitino Doors -Sill Ht. & Dimensions 52-�'rage Fire Protection Framing -RC Channel 53. Property`Line Firewall & Openings 54—F,xrpoors-One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs:-Width-Headroom-Rise-Run-Landino-Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers,. 57. Siding -Nailing Veneer „^ 15(StucS2Mesh-Drip Screed -Fd. Vents-Underflr. Access 5 g Area -Glass Protection -Skylights -Plastic 12 IV 1' ! Walls; Nailing -Bolts ace Interior/Exterior Wall Panel O Insulation -Walls -Ceilings 63. Infiltration-Walls-Wi ws Date �,,2- Card B-1 i Date Card B-1 Date Card B-1 Date Card B-1 Date FIN L (Plans) OK except #'s 64/ Ext. Steps -Door & Sidelight Protection -Landings 65 Smoke Detector 6. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa 6§, Elec. Trim & Subpanel, Breaker Sizes & Labels 7 Stairs & Rails ,7 Fireplace or Stove, Clearance -Hearth 7 lec. Outlets at Wood Panel, Int. & Ext. it. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 7-4-Elec. Outlets & Receptacles at Kit. Counter 7 . Garage Fire Door; Swing -Landing -Closure 7 . .C. Duct in Garage -Damper n. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 7 Qlb.; Elec. & Mech. Equip. Listed for Location 7e Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80' Insulation -Foam -Looked in Attic 8 . Guard Rails & Deck Construction -Post Caps 82,,,Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes . F owin Instld./Drive O Y D No/Walks Yes O No/Planters 0 Yes A<O 3 p 8 Stucco Brown -Finish /A.C. Unit Disconnect, Electrical -Plumbing 86. ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 7:, Water Well, Disconnect, Electrical, Plumbing AY Exterior Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throughout House /Glass Protection 9f. Corrections from Previous Inspections Gas Test -Meters Tagged, Gas -Electric 9 . ater & Sewer Connected -C/O to Grade -HD Approval . fnergy Compliance Certificate -Other Certificates dress Posted Be Fire Sprinkler Date Card B-1 Date Card B-1 Date 'y Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 2!'a!Si xes & No. of Conductors Stapled 27 a nstalled Close to Edge of Studs & C.J. 2 nd made up w/Mech Fasteners -Bond Gas & Water 29. iance Circuits in Kitchen & Conductor Size GFI 3 . ubfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. /(/ga C `r Al Ins la d Neutral Cl Yes Cl No 3, 7; prvice-Riser Conductors & Ground Main Disconnect (33.'fi4ui . learances Panels-Motors-Mech. Equip. es Closet Light -Shower Light -Spa Light 35-§moke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s /36y A.fd,6ucts Insulation & Support Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade Le�ur c4` --vent Access -Comb. Ait-Return Air Vent 115 Outlet 4G --Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMW(Permit) OK except #'s 44-o6il!,Proper Materials & Anchors 4 al Studs -Nailing Spacing & Braces -Plates -Sound . Bearing Walls over Girders & Floor Nailing 44.�Draft Stop in Walls (rat proof) 5. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46,1,1 aders & Beams -Size & Bearing Date $ding. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49./ Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50.. -Atli r ccess; Size & Romex Protection -Draft Stop -Ins. Baffles 53-45-drmAWInclows or Exitino Doors -Sill Ht. & Dimensions 52-�'rage Fire Protection Framing -RC Channel 53. Property`Line Firewall & Openings 54—F,xrpoors-One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs:-Width-Headroom-Rise-Run-Landino-Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers,. 57. Siding -Nailing Veneer „^ 15(StucS2Mesh-Drip Screed -Fd. Vents-Underflr. Access 5 g Area -Glass Protection -Skylights -Plastic 12 IV 1' ! Walls; Nailing -Bolts ace Interior/Exterior Wall Panel O Insulation -Walls -Ceilings 63. Infiltration-Walls-Wi ws Date �,,2- Card B-1 i Date Card B-1 Date Card B-1 Date Card B-1 Date FIN L (Plans) OK except #'s 64/ Ext. Steps -Door & Sidelight Protection -Landings 65 Smoke Detector 6. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa 6§, Elec. Trim & Subpanel, Breaker Sizes & Labels 7 Stairs & Rails ,7 Fireplace or Stove, Clearance -Hearth 7 lec. Outlets at Wood Panel, Int. & Ext. it. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 7-4-Elec. Outlets & Receptacles at Kit. Counter 7 . Garage Fire Door; Swing -Landing -Closure 7 . .C. Duct in Garage -Damper n. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 7 Qlb.; Elec. & Mech. Equip. Listed for Location 7e Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80' Insulation -Foam -Looked in Attic 8 . Guard Rails & Deck Construction -Post Caps 82,,,Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes . F owin Instld./Drive O Y D No/Walks Yes O No/Planters 0 Yes A<O 3 p 8 Stucco Brown -Finish /A.C. Unit Disconnect, Electrical -Plumbing 86. ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 7:, Water Well, Disconnect, Electrical, Plumbing AY Exterior Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throughout House /Glass Protection 9f. Corrections from Previous Inspections Gas Test -Meters Tagged, Gas -Electric 9 . ater & Sewer Connected -C/O to Grade -HD Approval . fnergy Compliance Certificate -Other Certificates dress Posted Be Fire Sprinkler Date Card B-1 Date Card B-1 Date 'y Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 7 ?P . INSULATION CRRTT>3ICA 1'E job Number: 4387 Theveos C:onstructj la 61 Tealbrook Palermo Contractor/Owner Name Job Address (street, city, state) Butte _ _ County Subdivisjolt Name Lot Number DESCRIPTION 1. ROOF Material: Brand Name - Thickness (inches): Thermal Resistance (R-Vstlue): 2. f CEILING Batt or Blanket Type: Fiberglass Brand blame: johns ManvilleXnatif Thickness (inches): 12 Loose Fill Type: Fiberclass Thermal Resistance (,R -Value): ` 8 Minimum Installed Weight/ft lb Brand Nage; johns Manville/Knauf Minimum Thickness; inches Installed weight per square foot to achieve Thermal Resistance (R -Value) of - 3. EXTERTOR WALL Frame Type: . A. Cavity Insulation _ Material: ber lass Thickness (inches): 3'/z Brand Name: Johns ManvillelK auf B. Exterior Foam Sheathing Thermal Resistance (R-Valuc): ` 13 Material: Brand Name. Thickness (inches): _ Thertnal Resistance (R -Value): 4, RAISED FLOOR,; . Material: Fibcradiss Thickness (inches): 6'/a Brand Name: ohnsManvill lherr" Resistance (R -Value): _ 19�� 5. SLAB FLO01UPERTMETER Material; 'Brand Name: Thickness (inches): :Thermal Resistance (R -Value): Perimeter Insulation Depth: e -- 6. FOU Nn N WALL Material: Brand Name: Thickness (inches):Thermal �. Resistance (R -Value): DECLARATION } I hereby certify that at thebove insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Reg tions) as indico on the Certificate of Compliance, where applicable. Chico Insulation Item Number's Signature and Date Installing Subcontractor (Co. Name) or- V 1 General Contractor (C:n. Name) or Owner Iter» Number's Signatw'e and tate Installing Subcontractor (Co. Norte) or General Contractnr (Co. Name) or Owner u'fi� APAA.r�►v Certificate of Conformance Certificate or, 4 0 9 2 collective TO CERT( h laminated pro ducts Identi Engineered Wood Sy8tms'EWS) were manufactured in with the applicable standards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood Products — Structural Glued Laminated Timber NER-486 Glued laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 — Manufacturing — Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked lar audistruts n�la Iccordanceued �d timber Englneer+ed were produced in a manufacturing facility subject reg Wood Systems (EWS) (Quality Assurance Pro QRoutine � w�h adequate (sampling to verify manufacturing process and evaluation of thein -plant conformance to industry standards.for lumber grade and glueline bond quality. 3�8� IZ 1& IS 116 I/a3 11.15 by Thomas G. VYilliamson Executive Vice President of APA —THE &4WEERED WOOD ASSWATM EIJpINEEAED WOOD SYSTEMS a related P.C. a 1 WA 9641t.0700 lot 1 scum 191n Street • P.d. soot F M 5.72es Telephone: (253) 56s860 T 4Z T T E{•EOES �o t o dm3 sPooB u.ua,4sa LB Q 0 t T i SO EZ Qaj 'd NOTES r , `� RESIDENTIAL 9PERMIT NO.--- 04106 027-120-037 • ' THEVEOS, NICK 61 TEALBROOK CT OROVILLE CONT: FOX COMPANY FIRE SPRINKLt,R/H20 SUPPLY N5F 6y -02"x$ 41r w Y • jy� - t• i. SPECIAL CONDITIONS CHECKED < BY SRA Y FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. - # SPECIAL INSPECTION ITEMS - �� VERIFY ? USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 1 OFFICE COPY •` ;. Address GAS -`Dale_ • _ Meter BY ELECTRIC Meter BY .. !',JOB FINALED,(Date) ,� Signature. - J=OK 0 = Not OK Not . NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 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 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 52. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Property Line Firewall & Openings 5. Stemwalls, Main; Steel-Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 6a. Hold Downs and Special Anchors 58. 7. Slab, Steel -Wrapped Glazing Area -Glass Protection -Skylights -Plastic 8. Piers -Fireplace Ftg.-Steel 61. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test-Anchors-Regulator-Seryice Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Date 78. Card B-1 Date Card B-1 Date 79. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Insulation -Foam -Looked in Attic 17. Water Htr.; Vent -Access -Combustion Air Baffle 81. 18. Water Pipe; Test & Anchor -Nail Protection 82. 19. D.W.V.; Test Fitti gs & Anchor -Nail Protection 20. Shower Pa est, First Floor -Tub Access 83. 21. Test T Shower, Second Floor -Tub Access 84. 2 G ipe; Sixe & Anchors 85. A.C. Unit Disconnect, Electrical -Plumbing ire Sprinkler; Test 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI Date 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral Q Yes O No Date 32. Service -Riser Conductors & Ground Main Disconnect Date 33. Equip. Clearances Panels-Motors-Mech. Equip. Comments at Final: 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. 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 (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.nelldds PERMIT NO. BP041069 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN' 027-120-037-000 the Business and Professions Code, and my license Is in full force and effect. se Class: X16 License Number. " �?j3�-a` L cen� Site Address: 61 TEALBROOK DR PAL Date: 6 Contractor. �ZL Map Index: Description: FIRE SPRINKLERS FOR BP 04-0278 - OWNERZUILDER DECLA ATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior Owner.. THEVEOS NICHOLAS J 8c KRISTINE L to its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 26 GLENESS DR the Contractor's Stale License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966-9423 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of properly who builds or Improves thereon, and who does Applicant: THEVEOS NICHOLAS J &KRISTINE L such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: FOX COMPANY ❑ 1 am Exempt under Article 3 of the Business and Professions Code . 3995 OLIVE HWY Date: Owner. OROVILLE, CA 95966 530-533-2730 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certiflcate of consent to self -insure for License #: 305365 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 Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation Engineer: Insurance carrier and policy number are: Carrier:Ti�r1- i�L�i Jai Policy #: Total Square Ft: 0 S. F. ❑ 1 certify that in the performance of the work for which this permit Is Valuation'' $0.00 issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. Date: Applicant: / X `1 WARNING: Failure to secure rk rs' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest, and attomey's fees. —�•- - - �— _ _ —+- .� _ 4 _ _ _ _ �, CONSTRUCTION LENDING AGENCY This permit Is hereby Issued under the applicable provisions of the Butte County Code nd/or I hereby affirm that there Is a construction lending agency for the of the work for which this permit Is Issued (Sec 3097 Civ.) Resolutions t_ o do work dic ed above for which fees have been paid. O performance By. ,;��rr Date: Name: n V PERMIT EXPIRES ON: Address: Daf facility with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, ❑ 1 hereby certify that the use of this shall comply handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health 8 Safely Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge it is unlawful to alter the substance of a (fici2formi;orocume f Butte County. I hereby authorize representati'v'es of Butte County to enter upon the above mentioned property for Inspection purposes. Print Name: /fo� i�/U G� Signature: Dale: 'VA -1 G ❑ Owner )i(Contractor ❑ Agent for Owner 0 Agent for Contractor i AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Illl llI 111 l llll I ll I'll I lI lII 11 llll z004—'�� 1 9575 Recorded Official Records I REC FEE 10.00 I COPIES County Of 2.50 I BUTTE CANDACE J. GRUBBS j Recorder ROSEMARY DICKSON j Assistant I Mark 10:28AM 07 -Apr -2004 I Page i of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this.property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: See, ata-tc.h ed Date / PROPERTY OWNE °f�yl ���'hP. L✓Ca 1VC;�Io�GiSy -S State State of California County of On ti/7/04/ before me, l�`Y -71 Qt'c we -/1 /No"Wl� personally appeared _Kk('S4i Ne ii• •Theveos ANsQ Ncc-hajAS T 711ieJ,BoS personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the persons) acted, executed the instrument. WITNESS my h and official seal. Signature Seal: KARYJ. BIDI ' Cl) Commission #1381097 ' n v Notary Public - Califomia v Butte County co A.P. # My Comm. Exp. NOV. 08, 2006 1 2 Order No. BU -208613-3 MAM Description The land referred to herein is situated in the State of Califomia,.County of Butte, and is described as follows: PARCEL I.- PARCEL : PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 6,199 1, IN BOOK 123 OF MAPS, AT PAGE(S) 34. CERTIFICATE OF CORRECTION RECORDED JULY 27, 1994, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 94-31850. APN 027-120-037-000 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. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: NON-EXCLUSIVE EASEMENT FOR INGRESS AND 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 TV: NON-EXCLUSIVE EASEMENT FOR INGRESS AND 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. 11 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP041069 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN: 027-120-037-000 the Business and Professions Code, and my license Is in full force and effec License Class : X16 License Nu r: 32S3C� Site Address: 61 TEALBROOK DR PAL Date: d Contractor. Map Index: Description: FIRE SPRINKLERS FOR BP 04-0278 p - OWNER -BUILDER DELLA TION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner.. THEVEOS NICHOLAS J &KRISTINE L permit to construct, alter, Improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 26 GLENESS DR the Contractor's Stale License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966-9423 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: THEVEOS NICHOLAS J &KRISTINE L such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor' FOX COMPANY ❑ 1 am Exempt under Article 3 of the Business and Professions Code 3995 OLIVE HWY Date: owner: OROVILLE, CA 95966 530-533-2730 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 305365 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 Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: JZWj-�r Policy #: 2 7.Z (Ai —73 Total Square Ft: 0 S. F. ❑ 1 certify that in the performance of the work for which this permit is Valuation: $0.00 Issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. Date: q Z Applicant: 11,-Y / �( WARNING: Failure to secure Urs, compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest, and attomey's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code nd/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Civ.) Resolutions to do work dic ed above for which fees have been paid. 6 Q By: Date: Name: PERMIT EXPIRES ON: Address: Daf ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the Califomia Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of a fficial form or docume f Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes. Print Name: Signature: Date: ❑ Owner Contractor 0 Agent for Owner 0 Agent for Contractor 's.'i o�UTD-F` BUTTE COUNTY PERMIT NO. o DEPARTMENT OF DEVELOPMENT SERVICES ° BUILDING PERMIT APPLICATION _ ° 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) c -- _ _ <�_ o OFFICE #: (530) 538-7541 c� ty UN , DATE: ZONING: NEAREST CROSS STREET: 6.P4)Au9-S .PoA.D TRACTA-OT#: SITE ADDRESS: TSG �10, CITY, ZIP: OWNER NAME: Nic rl T PHONE: 70 STREET ADDRESS: / FAX E-MAIL• CITY, ZIP: ZWD t - G 6 APPLICANT NAME.//`PHONE X533 2 730 STREET ADDRESS: i FAX: - vr33 -182-6CITY, ZIP: E-MAIL: CONTRACTOR NAME: x �l�i9iJ PHONE STREET ADDRESS: p - 2 7 O F— ZS� CffY, ZIP: disc �.a. 9.S9G 6 E-MAIL:- LICENSE NUMBER STXTS =ZIAIP 53� .S �i✓a!�(.Iv.�,v -.27.3 uv 23 LICENSE TYPE. — /6 ARCHITECT/ENGINEER NAME: 7 PHONE STREET ADDRESS: FAX CIN, ZIP: LICENSE NUMBER E.Mp IL; DESCRIPTION OR SCOPE OF WORK: ef- ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, pl_an:check,fees.for==work-plan_-,- checked and other department costs are not refundable.--------------, For office use only: Notes: ,e4 Application Received by: Date: Receipt number: Amount �, Received G 1 , � . � . � ��l�' � .+ r1 Y .r r . _ t. � . ..... _, a... i '.; F wr �lr. ,. ..,� r y •ti '"w+.}. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 / ,,\ J 1 PERMIT APPLICATION DATA SHEET OWNER�`-�,�' UCS �� / ASSESSOR PARCEL NUMBER Proposed Building Use: \ Y d l I C..Q_1�S Counter Technician: Date: I ( U Items required in order to apply for a per 't. All boxes MUST be checked OR marked NA in order to fly. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 91-11 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......... 0 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form..............................:................................... ....... ...... ............. . ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ...............:... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits.................................................:....... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: _ When issued Telephone and hold for pickup. I have been infor d o nth ' above items and requirements for obtaining a building permit. Applicant: _ Date: 1. Index permi pplication or the above items numbered: Plan Check Letter =n�signer, ems required owner, was advised of the above data by p one, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b. Date: Plans reviewed by: Date: Plans approved by: Date : U Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: / Yellow: Building Division 8 I� 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center DriveOroville, California 95965 • Telephone (530) 538-75A1 PERMIT NO. (Rev. 12/96) ; APPLICATION AND PERMIT D40 0 - ASSESSOR PARCELNUMBERO9i I , L, W D 060 ZONING BUILDINGPERMIT OWNER IN I Cho 10-10ve C D TEE TELEPHONE 7 0 Sa Fr. O C. BUILDING VALUATION .OWNERSREV MAILING DRESS I � � ��. O I � �- I � � , I V Dr - - CONTRACTOR'S NAME _ TELEPHONE I Orr I - - C�:ft CONTRACTO 5 MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit Fee $ ! U3 Plan Checking Fee $ BUILDING ADDRESS fal nr")�< r ),2. L) Energy Plan Checking Fee $ $ PERMIT FEE $ iLOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7 AP 2'q Solar or heat um water heater 23.00 Water piping 15.00 — Each gas water heater or vent 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00— Mobile Home ! S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service eoov oR LEss 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law ff the following reason: V1±8' 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation /of one hundred dollars ($100) or less.) In, 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' co ensation provisions of section 3700 of the Labor Code, I shall fort it cc ly with those provisions. X _ Date Lf ,! J 1 0 N Signature Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for xcavation er "deep and demol' n or constructi of structures e i r to 'o Receipt No. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ( & ACC. ZC' EW cors. TpµRESiD. U 97.50 POWER APPARATUS d SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 820 @ 1.00 Ex. Occup. orTx AE.ss OR EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 VentilationL ' PERMIT FEE S1 n— Mobile Home Installation Fee $ Energy Inspection Fee $ 4 co r r� U� TOTAL FEE $ 2©Scj. 02 - HAz. D FEES M oD I CDF PARC su This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have PERMIT EXPIRES the applicable provisions Resolutions to do work been paid. Da (Da te WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a COUNTY,OF BUTTE - DEPARTMENT OF DEVELOP County Center Drive • Oroville, California 9 12h 6� I ^jAPPLICATION AN ESSORPARCEL NUMBEI)"�/11' Q - �ZONING a V— LD ,(- CONTRACTOR'S MAIUNG ADDRESS RUCTION LENDER LENDER'S MAIUNG ADDRESS HITECT OR ENGINEER ECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS &ONESO. �. v11 /S9% Jam_ X—'- 1 l `L/ u UU 0 V vv LOT NO. SUBDIVZfp PARCEL MAP USEOFSTRUCTURE SOLI A e SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: .PERMIT FEE PAID SQA Cpq 8- -�(o SRA <g� SHERIFF OTHER � $ AMOUNT RECEIVED $ DATE RECEIVED RECEIPT # /--;qAq �< <aAu-moy P - BUILDING DIVISION (530) 538-7W� �IIT NO. BUILDING PERMIT r 0b -C. I BUILDING VALUATION Fireplace W ' BZ Q .SO Total Valuation $ 5.00 Filing Fee $ Permit Fee $ Plan Checking Fee $ Energy Plan Checking Fee $ $ PERMIT FEE S PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent ` Gas piping system 1 - 5 outlets Building sewer Mobile Home I S G I W PERMIT FEE $ ELECTRICAL PERMIT OOOV OR LESS Main Service zooA OR LESS Main Service 200A TO 1000A NEW CONST. DWELLING OCCUP. OR ADDNS. & ACC. BLOS_ 20.00 Filing Fee 20.00 7.00 _ 23.00 15.00 15.00 15.00 15.00 -� @20.00 ",a —r ig Fee 20.00 23.00SI 46.00 @7.50 EX. OCCU . OUTLET OR M(TURES@ W ' BZ Q .SO Ex. Occup. GL ° =°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 1 / / • Cp MECHANICAL PERMIT Fling Fee 20.00 Heating 6.50 cEf 77 J P RMIT FEE $ Installation Fee $ ,ti o Fee $ PE TOTAL FEE $ FEES I 17 I IOD I CP/I pT/qk I Y 110 ISSUE 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 pride,, a By Date PERMIT EXPIRES ON I® 3 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION f 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: I l l -P V -� C� Cj ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order teapply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. �1 6. ,Energy compliance design and supporting documentation in duplicate. 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation Inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14 azardous Material Form 1 Sanitation and site plan approval from the Environmental Health Departmej in ❑ Chi ❑ Oroville, as applicable. ❑ 6. Other 0�4ng items needed to is r kir ire an revie u on rete! of the follo s.) 17. Fire Sprinklers...................................................................................... A] 18. Agricultural Buffer clr an, site plan apr from the Ag C missioner Sent by-.. O 19. Soils Report and/or Engineered Foundation required ........................................... ......,. 20. Erosion Control Plan Required........................................................................ ........ L� 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ' 22. City of Chico Plumbing permit ............................ qV� 23. California Department of Forestry plan approval. paid. Sent by:, ....... o= 1 l� 24. Planning approval (A) Use:a1<(B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, = Drainage ......................... 26. NPDES Form ................................. VA 27. Encroachment Permit for driveway from th6 Public Works Dept ........................... ' ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ........:.......... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification (Vdiven to owner, _Mailed to owner)... 32. Letter of Signature authorization ......................................:. 33. Recorded copy of Agricultural Acknowledgment Statement...j_�V...... 34. Manufactured home utility clearance...................................................... ..... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction...............................................................:�....................... ❑ 37. ❑ Gran eed�M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: Z -[D 39. Other:' �L hen issued Telephone �'>r- Z and hold r pickup. L� I have been informed of the Applicant: 4,( 1. Index permit applica 2. Additional items reqs Contractor, designer, Contractor, designeQoo Plans reviewed by: - Structural reviewed by: Note transfer /by: irements for obtaining a building permit. �I�ili'Ihw�,, ILFMFIF L . - .. l � I >r -was advised of the above da16 by GKphone, ❑ mail, '❑ counter, by Date: I., advised of the abc a ata by ❑ phone, ❑ mail, ❑ counter, Date:OV Date: Plans approved by: Date Date: Structural approved by: Date: D nate• L-e� Yel ow: Building Division E. U3E CAitd Flat Pian AttecMd r'Icay Man Attached S it B.o. ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance A> _ L lea �,�as 60 1 �,l �ti� y, t C L) 3—� Owner Location AP# Plan Approved for: Sewage Disposal, Water,Supply: Public Private Wel Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: 14 NS Environmental Health Specialist 8/96 Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 .V - BUILDING USE SCHEDULE OF RECEIPT OF FEES 1. BUILDING PERMIT FEES --- Balance Due ..................... --- Additional Fees Due........... $ - Revised Plan Checking Fee..... $$ �, l SCHOOL DISTRICT FEES(]' )'(paid at School District Office) (form availably^ 3. SHERIFF FEES (paid at Bu'lding Division)) Residential............ X $1 Urlits A.P. # X ' V ✓� DATE U RECEIPT # DATE REC. 5 .LTJ ChAe -� ®V�)4 QZN_ 00 =$10 Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) , Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X -=$ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE I I I LX $89 (paid at Building Division) ` 8. WATER TENDER FEES BATTALION #�U $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I as advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed durjp e ala checking process. APPLICANT DATE_/_,19 — () Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) u APPLICATION FOR Assessor's Parcel Number for Site: Street Address of Site: 6 / T-eK1 f3100k Applicant's Name: %`f r L 7:,6.=e o -eo Applicant's Address: 61 T& 1 &r—),c i iY� Applicant's Telephone Number: 3:2c) -- Building Permit Receipt Number: C) Lf Da % Q (Show Copy of Permit Signed and Issued) , ,� Date Sewage Disposal Permit Issued: (Show Copy of Permit Signed and Issued) I certify that the above information is correct and that I have read Butte County Code Section 24-300-C. On the reverse side of this application. Applicant's Signature: TO BE FILLED IN BY PLANNING DIVISION Date Application Received. 44P3 Zoning Verified By: ��'I�✓ fJ" ,,65co j, �� Permits Reviewed By: Associated Building Permit #: OL \ Planning Approval By:�7✓fit/ Date Approved: File: "Mobile Home Permits - Temporary" Chapter 24 of the Butte County Code 24-300 C. Temporary uses in zones permitting a residential use: 1. Temporary travel trailer as a dwelling unit during construction of a single family residence or the rehabilitation of a single family residence that has been damaged by fire, earthquake, tornado, other acts of nature, or has been deemed condemned or uninhabitable by the County, subject to the following requirements: A. The travel trailer may be placed for a period not to exceed one (1) year from the date of issuance of the Administrative Permit; provided however, the Planning Manager may extend such Administrative Permit for one six (6) month period. Such extension by the Planning Manager shall be done only upon a showing of physical or financial hardship by the applicant. B. That the occupant has secured a building permit for a residence. C. That the occupant has secured a sewerage disposal permit from the Butte County Environmental Health Division. D. That before six (6) months have elapsed from the date of the issuance of the building permit, the occupant shall have completed the foundation, rough plumbing, framing and the roof of the proposed residence; and E. That the house must be completed within the one-year period and the trailer dwelling must be abandoned. F. The applicant must obtain the necessary permits from the Butte County Building Division and Environmental Health Division for the travel trailer installation. 00-7 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) V School District �v ' Building Department No. A.P. Number V D` I L/� V U� Jurisdiction: County Property rtYOwner .--> Property Location/Address _T Q �' byay4L 6 ) Subdivision Lot No. ........................................ ...................... :...................................... Residential Development Q Q Q Sq. Footage p��d N*..,ing MobileHome Addition) 'Supplemental to Group R ( ) Units Installation Conversion Permit # '(No foundation inspection) .......................................................................1....................... _... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) ``"—Commercial/Industrial 0 Q Sq. Footage New Addition (Including Exterior URoofje'd� s) . Building Department Represent`tke Date District Identification No. 04-0t93, T-Ot93 VI(U1rl' 1 O141 School District certifies that t (Applicant) S110— (Street (Phone Number) Address) A (City) (State) (Zip Code) has complied with the. requirements of Resolution No. representing_ square feet. Representative Paid by Check 8 Cci?— Remarks: 1 �.J by payment of $ . � , 1 4 F 2926 =LL MRIGATION $ �W. O4 Date NoBce: You may protest the Imposition of the fess Monti Ned above by submitting a written protest to the District, In compliance with Gom - wrrt Code Section 66020(a), wdtfdn 90 days from the date fees are paid. Failure to submit a timely written protest wlll'iprohU* you from challerWrig the ImposMon of the fees In any court action. K, subsequent to the School District Representative signing this Butte County Schools Impact Fee CertlHatlon Fone, the School District Is On by the applkable Local Planning Agency that this project Is being rwlewsd under the CaiNomla Envirornrntal Quailly Ad (CEQA), thle p ni s r may be subjed to addhi nal school fees to hilly n0gate. its Impact on the school dl bkft schools. White (applicant), Yellow (building department), Pink (school district) feetomi.>ds (10/03)dmm April 12, 2004 Nicholas Theveos 61 Tealbrook Dr. Palermo, CA 95966 t Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 027-120-037 Building Permit Number: 04-0278 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: 1. Fire sprinklers are required in this house. Provide plans and calculations by a C-16 licensed contractor and apply for the fire sprinkler permit. STRUCTURAL COMMENTS: 1. Provide verification from the truss manufacturer that the A3 truss over the interior shear wall between the kitchen and living room has been designed to accommodate the intended drag load. 2. Truss A3 should be the same span as truss A2, not A4. Please provide a new truss detail. 3. Provide documentation from the truss company's engineer or the project engineer verifying that the trusses have been designed to accommodate the additional loading from the fire sprinkler system. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Linda. Philo will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data heet. 6a, t n Aa Simpson e Phil Hunt p o u t, P.E. Plans Examiner Plan Check Engineer cc: Jim Pursell, P.E. 1 of 1 Ovvner. Building Permit Number: /9- - '0,2, 7e Plans Examiner: ,L/A&A $1tn)c>6'n A. P. Number: -6 2 7- /,�D - /? 3 2 E" ER-- 'IL: Zoning requirements — (number of permitted living units). 1P --Plans signed by the designer. Proper description of work on the application. Existing violations on the property. Recorded notice of ,iolation. Building permit valuation. 'PLOT PLAN: Complete parcel size and dimensions. Setbacks, side yard, easements, etc. Other buildings or structures. Grading, fills andror drainage. Flood hazard. Special conditions on Parcel Map: Noise Cl SR -k ❑ Fire Sprinkler ❑ Water Tender ❑ Traffic and Drainage fees ❑ Federal :did Route and/or Federal Aid Secondary Route setback requirement. Building or utilities across lot lines (Lot merger approval by Butte County Land Development) LOOR PLA`: Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3). 104'0 of natural light and 5% of ventilation (Uniform Building Code section 1203). Escape or rescue windows shall have a minimum net clear operable area of 5.7 square feet The tnimimnm net clear openable height dimension shall be 24". The minimum net clear operable width dimension shall be 20". When %indo« s are prodded as a means of escape or rescue, they shall have a finished sill height not more than 44" above the flcor (Uniform Building Code section 310.4). Skylights (Uniform Building Code section 2409 & 2603.7). Glazing in Hazardous locations (Uniform Building Code section 2406). Habitable space shall have a ailing height of not less than 7 feet 6 inches except as otherwise permined in this section. Kitchens. halls, bathrooms and toilet compartments may have a ailing height of not kss than 7 feet measured to the lowest proiection from the ceiling (Uniform Building Code section 310.6.1 All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 facet is any dimension (Utriform Building Code section 310.6.2 & 310.6.3). GFCI in baths. garage, kitchen, wet bar, and exterior receptacles (NEC 210). `Fater heaters a hich depend on the combustion of fuel shall not be installed in a room used or designed to be used for sleeping purposes, bathroom. clothes closets or in a closet or other confined space opening Intp a bath or bedroom (Uniform Plumbing Code section 509.0). Fuel burning equipment shall not bensta installed in a closet, bathroom or a room readily suable as abedr+oom. of in a room. compartment or alcove opening directly into any of these (Uniform Mechanical Code stxdon 3044 Garage firewall separation - required on garage side including supporting walls and posts (MOM a8 Code section 302.4 exception #3). Under no circumstances shall a private garage have any opening into a room used for sleeping purposes (Uniform Building Code section 312.0. Wood store location - Alcove - UNIC section 205 confined space & 223 unconfined space & 304.2). Smok: detectors (Uniform Building Code section 310.9.1). Paget of 2 ° RESIDENTIAL PLAN C ° �== REVIEW GUIDE c SINGLE FAMILY, DUPLEXAND MISCELLANEOUS ONLY Ovvner. Building Permit Number: /9- - '0,2, 7e Plans Examiner: ,L/A&A $1tn)c>6'n A. P. Number: -6 2 7- /,�D - /? 3 2 E" ER-- 'IL: Zoning requirements — (number of permitted living units). 1P --Plans signed by the designer. Proper description of work on the application. Existing violations on the property. Recorded notice of ,iolation. Building permit valuation. 'PLOT PLAN: Complete parcel size and dimensions. Setbacks, side yard, easements, etc. Other buildings or structures. Grading, fills andror drainage. Flood hazard. Special conditions on Parcel Map: Noise Cl SR -k ❑ Fire Sprinkler ❑ Water Tender ❑ Traffic and Drainage fees ❑ Federal :did Route and/or Federal Aid Secondary Route setback requirement. Building or utilities across lot lines (Lot merger approval by Butte County Land Development) LOOR PLA`: Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3). 104'0 of natural light and 5% of ventilation (Uniform Building Code section 1203). Escape or rescue windows shall have a minimum net clear operable area of 5.7 square feet The tnimimnm net clear openable height dimension shall be 24". The minimum net clear operable width dimension shall be 20". When %indo« s are prodded as a means of escape or rescue, they shall have a finished sill height not more than 44" above the flcor (Uniform Building Code section 310.4). Skylights (Uniform Building Code section 2409 & 2603.7). Glazing in Hazardous locations (Uniform Building Code section 2406). Habitable space shall have a ailing height of not less than 7 feet 6 inches except as otherwise permined in this section. Kitchens. halls, bathrooms and toilet compartments may have a ailing height of not kss than 7 feet measured to the lowest proiection from the ceiling (Uniform Building Code section 310.6.1 All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 facet is any dimension (Utriform Building Code section 310.6.2 & 310.6.3). GFCI in baths. garage, kitchen, wet bar, and exterior receptacles (NEC 210). `Fater heaters a hich depend on the combustion of fuel shall not be installed in a room used or designed to be used for sleeping purposes, bathroom. clothes closets or in a closet or other confined space opening Intp a bath or bedroom (Uniform Plumbing Code section 509.0). Fuel burning equipment shall not bensta installed in a closet, bathroom or a room readily suable as abedr+oom. of in a room. compartment or alcove opening directly into any of these (Uniform Mechanical Code stxdon 3044 Garage firewall separation - required on garage side including supporting walls and posts (MOM a8 Code section 302.4 exception #3). Under no circumstances shall a private garage have any opening into a room used for sleeping purposes (Uniform Building Code section 312.0. Wood store location - Alcove - UNIC section 205 confined space & 223 unconfined space & 304.2). Smok: detectors (Uniform Building Code section 310.9.1). Paget of 2 Water closet clearances (Uniform Plumbing Code 408.5). Shower compartment minimum 1024 sq. in & 30" circle (Uniform Plumbing Code 412.7). ' Bearing walls shall be supported on masonry or concrete foundations that shall be of sufficient size to support . all loads (Uniform Building Code section 1806.3). STRUCTURAL DETAILS: —;%Braeed wall panels shall start at not more than 8 fea from each end of a braced wall line. Braced wall panels must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shall not eyed 34 feet on anter in both the longitudinal and transverse directions (UBC section 2320.4.1.) Braced call lines must be continuous throughout the structure. A California licensed architect of registered engineer must prepare a lateral analysis for the areas of the btulding that do not oomph with the Uniform Building Code. This must include the designer's `vet" stamp, signature, registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. Clerestory requiring balloon framing and/or engineering. A!'Faundation plans complete enough to construct building (Uniform Building Code Table 18-I-C�. Floor construction details complete enough to construct building. Elevations and wall construction details compleu enough to to building Roof construction details complete enough to construct building. Fireplace construction details and calculations if necessary. Garage door header size(s). . Porch header size(s). ,pical header size(s). Stud heights. . High expansive soil — special foundation design required. . Retaining walls requiring design. GG �*= wallboard nailing inspection required. If the area below the lowest floor .is fully enclosed, than a minimum of two openings are required with a total net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no more than one foot above grade. Alternatively. certification may be provided by a registered professional engineer or architect that the design will allow equalization of hydrostatic flood forces on exterior walls. Building must be designed and anchored to prevent floatation, collapse or lateral movement Construction design requirements must be shown on the building plans. eetric, heating, ventilation, plumbing and air conditioning equipment and other ser.ice facilities shall be designed and/or located so as to prevent water from entering or accumulating with the components during conditions of flooding. MISCELLANEOUS ITEMS: J;Stairway details — landings, rise and run head clearance, handrails (Uniform Building Code section 1003). Guardrails (Uniform Building Code section 509). Bride or stone veneer (Uniform Building Code section 1403). ';! Exterior plaster— weep screeds (Uniform Building Code section 2506.5). - Roof pitch for roof covering (Uniform Building Code Table 15-B-1 & 2, 15-D-1 & 2). Foam insulation — protection. 36" halls and stairways (Uniform Building Code section 1004.3.3.2). Twro exits on three — stor)• dwellings (Uniform Building Code section 1004.2.3.2). Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). Attic access and ventilation (Uniform Building Code section 1505). Sound requirements. iU-ELDING Energ)• design compliance and supporting documentation. CDF responsible area requirements. PERMIT REQUIREMENTS: 1. ❑ SRA. 2. ❑ Flood elevation certificate. 3. ❑ Fire Sprinklers required. 4. ❑ Special Inspection requirements. 5. ❑ Use Permit conditions. 6. ❑ Sub -Standard Housing lener. Pzee -- 'nf = PLAN REVIEW RESPONSE FORM fn.order to expedite the review of your plans, please complete the following information and return flus form «ith your re-SUbmitta (his form is not complete, as to all correction items, we vtiill not be able to accept your re -submittal for review. 'There must be a i response ,to every,item requested in our plan correction letter. "By others" is not considered a valid response. Please indicate response to each item and the location where the information can be found on the plans/calcs. ATTACH THIS FORM TO A COPY OF YOUR PLAN REVIEW LETTER AND RETURN WITH REVISED AND ORIGINAL PLAN' OWNERS NAME DATE: f ASSESSORS PARCEL NUMBER PERMIT NUMBER PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: 'PLAN 4 COMMENTS: r I/I-& -%%J !; -C ea / e- < [PLAN CHECK ITEM #. RESPONSE BY: LOCATION ON PLANS/CALCS: RESPONSE FOR PLAN CHECK LETTER DATED: CYZ/ 3o aM G ccs _ A:r I 1 4.S SPP, /.A).S S l S.. PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/ALC P IRESPONSE BY: ILOCATION ON PLANS/CALCS: COMMENTS: 60924 sT�Tclo-\i�; PLAN CHECK ITEM # RESPONSE!BY: LOCATION ON PLANS/CALCS: S7R>r� P' ivy v��>�L COR11,1ENTS: Siz �. RSV 1 S-iA `7'•{�1 K S r"L1 r .r••' � PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: 'PLAN 4 COMMENTS: r I/I-& -%%J !; -C ea / e- < COMMENTS a [PLAN CHECK ITEM #. RESPONSE BY: LOCATION ON PLANS/CALCS: OMMENTS: T� 3o aM G ccs _ A:r I 1 4.S SPP, /.A).S S l S.. A,L) �K4,S P IRESPONSE BY: ILOCATION ON PLANS/CALCS: COMMENTS a AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVI LLE, CA 95965 A, � 1 vV 204--00 1 '`.3575 Recorded Official Records I REC FEE 10,00 I COPIES County Df 2.50 I BUTTE I CANDACE J. GRUBBS I Recorder ROSEMARY DICKSON j Assistant I Mark 10:28AM 07 -Apr -2004 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this.property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: See. a.-Ua-t cA ed Date / PROPERTY OWNE N1C'kaIZ V eveaS State of California County of '15 u'T"T-6-:�-' On Y/7/U /-/ before me, -a-- Aja i-9Ce,1 personally appeared_ j-jR i• 5 J i NFA L Th ,(:,YeC)S A v,,F IU C c.�n t�1 �4S .T T�� v e' a s personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my "atfand official seal. Signature Seal: KARYJ: BIDWELL a Commission #1381097 n A.P. # =- W6 G S 1 U Notary Public-Calftnlia v Butte County co My Comm. Exp. NOV. 08, 2006 M'�/ Order No. BU -208613-3 MAW Description The land referred to herein is situated in the State of.Califomia,.County of Butte, and is described as follows: PARCEL I: PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 6,199 1, IN BOOK 123 OF MAPS, AT PAGE(S) 34. CERTIFICATE OF CORRECTION RECORDED JULY 27, 1994, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 94-31850. APN 027-120-037-000 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. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: NON-EXCLUSIVE EASEMENT FOR INGRESS AND 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: NON-EXCLUSIVE EASEMENT FOR INGRESS AND 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 2,198 1, IN BOOK 83 OF MAPS, AT PAGE(S) 34 AND 35. t"* r J�r SITE PLAN REVIEW APPLICATION Date: `Z� — ®�-I AP# O 2-) -) 20 03-j Permit Number (if applicable) o �') X27 Bin Number ( ) D APPLICANT INFORMATION Parcel Size: `� 4 C Owners Name: H , N I C_ 1-10 Owners Address: DtR " LA C) 59 &10 Telephone No.: Situs Address: S �-,E Proposed Use: Residential 13 New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel , ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) J§ Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date 2--1 2 — e) Page 1 of 5 A ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: 0 cL Index Date: Ll ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) ❑ Oroville Enterprise Zone Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------------------------------------------------------------------ ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 4 — G - Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 5 /� / Side 2-10 Side Street Rear 3� Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 <01 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chicb Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required. ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements - Page 3 of 5 12 Subdivision ME/Parcel M R: Map Date of Recording: b— C — Lot: -L- I F] ot:L- ❑ Use Permit/Minor Use Permit Permit Number: Book: 1 2-3 Date of Approval: Page: 3 Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached gff None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. FOR Page 4 of 5 2) Butte County Department ofDevelopment Services YVONNE CHRISTOPHER, DIRECTOR •7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING April 2, 2004 Mr. Nicholas Theveos 61 Tealbrook Drive Palermo, CA 95966 RE: Site Plan Review for APN 027-120-037 (Building Permit No. 04-0278) Dear Mr. Theveos, Upon review of the submitted site plan for Building Permit No. 04-0278, it was determined that following conditions were applied to the approved parcel map -(TPM 90-58, Becker; recorded 6/6/91): 1. There is a 50 foot building setback line from the centerline of Tealbrook Drive. 2. Development of these parcels may be subject to watef tender fees. 3. Automatic Fire Suppression Sprinkler Systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standards. Prior to issuance of the building permit, all conditions must be satisfied. It has also been brought to my attention that an administrative permit for a temporary use of a travel trailer while building the new home was applied for by never issued. In order for us to move forward we need to clarify what type of structure you are living in while building your new home. Should you have any questions please feel free to call me between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-6572 Sincerely, J seph Baker Planning Manager Attachment KOT cbMA Aq—D 1N� ORIGINAL DOCUMENt A. P. a /-�� ��� NAME JUN 1991 91_022356 JOB# OWNER'S STATEMENT: d _.. as and 7�7-1 C-- 'S A D,Q�DT7lJ.c� as Trustee ( s ) under Deed (s) of ' Trust, dated i9sD _ Aeb•%5, �� g!� and recorded,__ under r 7 ;serial number %D G07/,G 90-/�_pF0fficial Records, do hereby state that ( rt) (We are) the only part/e's having any record dtitle interest in the Rea.1 Property•Subdivided, and (X) (We) hereby ,consent t.o the preparation and recordation of the Parcel Map being concurrently recorded under Book /r_3 of Maps at Page 3V in accordance with Sec_,.ion •20-1 10 of the Butte County Subdivision Ordinance. STATE OF CALIFORNIA }ss COUNTY OF . BUTTE ...... } On this 17TH . day of ... APRIL,, , , , , .. in the year ....1991.. before me, JESSIE HART .a Notar Public State of California, duly sworn, personally appeared . EDWIN, A ; YBECKER, Mo KAREN F; ,BECKER , , , , , , , , , , , , , , , , , personally known to me (or proved to me.on the basis of satisfactory evidence) , to be the person A .whose name s.AR-Fubscribed to the within instrument and acknowledged to me that..The Y..executed the same. IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal in the County of. ..QQM ....the day and year this state- ment first above written. , ..`'' Q'��%�.:� ...�L ........... . ■�EBmBB,H,,,BE,Bu„gBBNBBEBBEFBEEt„F.BFBBBnE� Notary Public, State of Calif. OFFICIAL SEAL My commission expires....N 1991.. JESSIE HART NOTARY PUBLIC - CALIFORNIA COUNT! OF BUTTE - Comm. Exp. August 26, 1991 Y Owners Statement Page 2 of 2 Becker A.P. T27-12-11 ptn. 1.) There is a 50 foot building setback line from the centerline of Tealbrook Drive. 2.) There is a 50 foot building setback line from the centerline of Grubbs Road. 3.) Development of these parcels may be subject to water tender fees. 4.) Automatic Fire Suppression Sprinkler Systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standards. STATE OF CALIFORNIA COUNTY OF Butte Iss. I 9 On April 24, 1991 before me, the undersigned, a Notary Public in and for 01 said State, personally appeared **Roger Button** and E I personally known to me to be the persons who executed the within instrument as CL ii E C- o Vice President on behalf of 0 -mid Valley Title and Escrow ca�any CO ............................... ..■.■■...■. o the corporation therein named, and acknowledged to me that OFFICIAL SEAL ■ o N such corporation executed the within instrument pursuant to its ?�_ GLORIA WORMAN C by-laws or a resolution of its board of directors. _ _- NOTARY PUBLIC — CALIFORNIA ; PRINCIPAL OFFICE IN ; coco WITNESS my hand and official seal. ; BUTTE COUNTY - ; My Commission Expires August 26, 1991 ; N .■■u.■■u.■..■.■■....u■■......■....■..■.a� O q Signature y/�`'�' C���i�'7/1�)Lj-� , (This area for official notarial sea[) TEAS TPM, AP 27-12-11 ptn., 4 parcels located on the south side of Grubbs, Road approx. 800 ft. west of Lagrone Way. Palerm area. �, Engineer: Ron Graves Y� 9, Public Works conditions: Provide two-way traversable access RS -8 -LD -II to each parcel from �Q a county maintained road or state highway. ��.U. Access to be reserved in deeds as per county ordinance and offered for dedication on the final map. Show 50 ft. building setback line measured from centerline of access easement. /9C__ S/ham Provide road maintenance agreement. e 50 Indicate a 50 ft. building setback from the centerline of Grubbs Road. S'z OShow all easements.of record on the final map. Provide street name signs per requirements of the Department of Public Works prior to recordation of the final map. own a', 57-1-w r Provide cul-de-sac at the end of the street. Pay any delinquent taxes or current taxes as required. 1;,..:10 Meet the requirements of the Butte County Fire Department . &-v oo, /1//,, 4-, Off[ 0 Meet requireemnts of PG&E re P.U.E. easement. Health Dept. condition: 12 Prove that the required quantities of domestic water are available to parcels 1 thru 4. The following mitigation measures are required: 7_a_�41 13 Establish a 200 ft. development free setback zone from the centerline of all drainage swales. 14 Automatic Fire Suppression Sprinkler Systems shall be installed J in all residential structures in accordance with the National Fire Protection Association Standards as outlined by Article 13d to aid in \� the detection and control of residential fires and thus provide improved �✓` protection against injury, life loss, property damage and reduce the demand for Count Fire Protection Services. County .� t National Pollutant' Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACREI Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware tha submitting false and/or inaccurate information may result in q► revocation of gradingd� or o%r permits or other sanctions provided by law. Signed: Title: NR Date: O.B.-1 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. �--Y. I personally plan to provide the or labor and materials for construction of the proposed property pnpr went : YES NO 13CC?I HAVE ® HAVE NOT ❑ signed an application for..a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: / ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY. PHONE: CONTRACT'OR'S LICENSE NO. 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: PROPERTYOWNER:" DATE:X /— ��- C) NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Codes This verification must be completed and returned to our office before we are permitted to issue the permit OP._I I OWNER BUILDER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yoursehy 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: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building Permit, 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 guilder 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. /G!% Mic 1 CZidira, C.B.O. ger, lding Inspection NOTE. Y71 is Owner-BuilderbtformadPn is required by Section 19830 of the California Health and Safely Code OVER s _)3ESIDENTIAL 027-12-0=037 93=2-11P—E I HALDEMAN, Dorothy W. 61 Tealbrook, Oroville mh utilities i Adam PI'RJ, CtJ - p- 0, N30X JOB FINALED (Date) Signature J=OK O = Not OK Not Ap = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements-Setbacks-Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location-Test-Fall-C/O Concrete 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 4. Water; Location-Test-Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearences-Grnd-/ /Amp-Concrete 6. Carports; Windows -Doors 6. Gas; Location-Test-Wrap: / /"L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements-Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size-Spacing-Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test-Demand-Valve-Connector 1. Setbacks -Easements 4. Electricity; MH Test-Crossovers-Breakers-Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test-Fall-Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test-Regulator-Connector 4. Elec.; Receptacles and Lighting, Distances-GFI 7. Water and Sewer Connected-C/O to Grade-HD Approval 5. Elec.; Pool Lighting; 15 volts-GFI 8. Gas and Electricity Tagged 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 9. Exits; Insp.-Sketch 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Cert. of Occupancy 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes- Enclosures-Panelboards-Ins. to Main in Conduit Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 :M MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes- Enclosures-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 B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single ' = Date UNDERFLOOR (Plans) OK except N's - Date 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit).OK except u's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection --------- ------ ----------------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection -------- --------------- -- ------------------ 19. Shower Pan: Test, First Floor -Tub Access 20, Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors -------------------------------------------------------------------- Date Card B-1 Date Card B-1 --------- -------------------- - - --------------- -- -- -------- ------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22.- Fixture & Transformer Clearance -Ins. -Protection ------------------------------------------------------------ --- - - 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------- ------------------------------------------ 24. Size Boxes & No. of Conductors -Stapled ------- ------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. --------- ---------------------------------------------------------------- 26. Equip. made Lp w!Mech. Fastners-Bond Gas & Water -------- - - - - ------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI -----------------------------------'------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ! / ga. - Cu or At -------------------------------------- - - ------------------------------------------- 29. Range Circ / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect ---------- - ------------------------------------------ 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light --- - ------------- ------- --- -------- --------- ------------------- 33. Smoke Detector ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------- ------ ----- -- -- -------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support ------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ------------------------------ ------------------------------------------------ 36. Condensate Dram -& Overflow. Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------ --------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic -------------------------------------------------------------------------------- Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except k's 39. Sils. Proper Material & Anchors --- -- -------- -------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------ ------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ---------------------------------- 42. Draft Stop in Walls (rat proof) ---- ----- ----------- --------------------------------------------------- 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing & Duplex) FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garaoe-3rd Storv. 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer -------------------------- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailinq-Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows --------------------------- B-1 --D-ate --------------Card Date Card B-1 ------------ Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except It's 61. - Ext. Steps -Door & Sidelight Protection -Landings ----------------------- --- 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garaoe: Above Floor -Ducts -Meth. Protection ------ ----------- 64. Bedroom Exi 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit Fixt_& Appliance_Grnd._Air Gap -Cooking Clearance 71----Elec.-Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer --------------------------------- 73. A.C. Duct in Garage -Damper ----------------------------------------- - -- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage: Above Floor -Meeh. Protection 75. Plb. Elec. & Mech_Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ---------------- 77. ---------------7 . Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked -under Floor- ❑ Yes -- --- - -- ---------------------------------------- - - 80. Following instld.'Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters EIYes ❑ No ------------------ 81. ------- 81. Stucco: Brown -Finish ------------ --- 82. A.C. Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House - --- --- - - - -. -- ------------------------------------------------- 87. Glass Protection -------------------------------- 8a. Corrections from Previous Inspections -------------------------------------------- 89. Gas Test -Meters Tagged: Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval - -- - - - -- -- ---- ---------------------- ----- 91. 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 BUILDING DIVISION ,DEOARTMENT 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 NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be correc a when correction of work is completed. If you have any ons pertaining to this matter, or need additio xplanation, please co cqt this off mmediately. T e3— 9U— Z -I f Date 2/4VInspector REV 10/92 .......... ..... ........... COUNTY OF BUTTE j BUILDING DIVISION' _ DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 I 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NC TICE 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 conta"is office immediately. eo3 Date %— Z- In ,pector REV 10192 ., COUN OF BUTTE - DEPARTMENT OF PUBLIC WORKS is ERMIT NO. • 7 Count Center Drive - Oroville, Cali_fornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER V, 027-120-037 ZONIN A -- BUILDING PERMIT °V46ROTHY HALDEMAN TES °'�E419 SO. FT. OCC. BUILDING VALUATION Oyp6R'AdM LI tOVRESS AUBURN 95604 - CQtJTptyOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ X%IXOX Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 0•00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BFi1DITEA� ES DR OROVILLE Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 L Oif O. SUBDIVISION NAME 1/2-3— ARCEL MAP 3 Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeEJ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities L"_I" Installation❑ Other ❑ Describe work: MHU 2BDRM Permit Fee $ 60-00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bubiness and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A)37.50 NEW CONST. ( DWELLING OCCUP.8d) OR ADDNS. ACC. BLDGS. // 3.6asq.ft. NEW CONSTR. MULTI -OUTLET NON .RESID BRANCH CRC" TS @ 5.00 POWER APPARATUS IN) (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20L. 76 dA FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. LodI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X �u�/�tl�r��2c� Date Signature of Applicant — Owner Q Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or Construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $ 128.50 HAz 0FEES IMP I FLOG CDF PARCEL 1,PD I Ho ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated a ve f which fees IR UBLIC.WORKS BY PER E) PIRES Date applicable provi- resolutions to do have been paid. DateZr/ Receipt No. 130471-128.50 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT a pll�r, e I , ...r 1 •V�"' t- .. .: ,.. , j -'. i... !1?�,�.•+f'tf� il�iti i' ��'.'.�� .r�«t•\ �x,.i ",,$ � �, .'��t. y lt•�r,�i�..r7 � -4, i� ;_. _,� •.r i n"`.. f� .� ": , COUNTYOF BUTTE - DEPARTMENT OF DE4E' LORMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 61 h 1 i°0,4 A. P. No. - Di�l Proposed Building Use A Y- ( Building Inspector FlitQ Date A 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 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 documentation . .................. 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 approvaltfees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer.. . 14. Sanitation and plot plan approval 040L,111e 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.a bout (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. . toBuild g 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 . ......... . r,K-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 . .......................................... 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 . ............ . ,raFl— When�rou issue the permit, process as follows: Mail to owner. Mail to contractor. c/ Telephone e/' Y/ and hold for pickup at O(Zooi 1 I P, office. Deliver with inspector. Other Parcel Creation �, f�✓Q�a�ir/p�v Date I ),2 5) �3 Acreage Applicant �� Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designs , own � , was advised of above required data by _4L_phone _ mail Counter �_• Date �3 Contractor, designer, owner, was advised of above required data by _ phone _ mail Count r y —Date Plans checked by Date Plans approved by Date 2 19 - Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works , 1 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone,: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in.processing and issuing your building permit. No building permit will be -issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a: building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors 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 Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property OwnerL,. , z ,raw Social Security kumber Date Ay�i NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 -of -the-.California- Heal-th and Safety Code. This verification must be completed and.returned to our office before we are per- mitted to issue the permit. Return to DPW AGRICULTURAL -STATEMENT OF AMMOWLEDGFr`= 9 3- 0 4 2 4 9 1� FOR RESIDENTIAL -DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. AM that real property situate in the County of Butte, State of California, described as Z ollows: PARcci_ iv: Noal-EXCI.UStVc EAS61n&1V-r F04 /,4/6RtS5 /SND «KESS A iu D PL)Ri,/c ui ii-lTy PuRPos,�Es oVElc P/;R c« 4 J AS Stlownv oN Ti4il-r eGR7-A tn/ PRRec,c MR P, REea2 DcD' „v n4e O FIC C of Vic Rcco2.DcR of TWE e o.,;uN T Y o r Rt)7TE; '97ATr- n F 0 R k1 ra RN i A, o N X04 -V �� 1981, /nJ ,h !300/ 8a o F MR PS A i PA,:�c- Csa/UD C Bup0 1tMMUI 3 Date: FEB 0 3 1993 PROPERTY OWNERS: State On this theor day of L494t,-1. 19±3_1 before me, the SS. undersigned Notary Public, personally -appeared County of)64 ) �/ �] Personally known to me. E� Proved to me on the basis of satisfactory evidence. �FI���o_ to a the person(s) whose name(s) j JAM ��aD�p sub cribed to the within instrument and acknowledged that.s "� -� a INaxtery ��� -G ti roMe uted the same for the purposes therein contained. IN WITNESS R DUTTEICOUNTY WHE OF, I hereunto set my hand and official seal. Comm. Exp. Jv! 23, 1M Present A.P. No. icy& - /�- 3+r% Notary Public END OF 1DOCUMENT The property described herein is adjacent 93-0042491' Ree Fee 5.00 to land or included within an area zoned I Caeh 5.00 for agricultural purposes, and residents Recorded I of this property may be subject to incon- Official Recorde I veniences or discomfort arising from the County of I use of agricultural chemicals, including, Butte I but not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers; and from the pursuit Recorder I of agricultural operations including, .1:51pm 29 -Jan -93 I PU BL X 1 but not limited to cultivation, plowing, spraying, pruning, and 'harvesting which occasionally generate dust, smoke, noise, and odor. Butte Countv has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adiacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. AM that real property situate in the County of Butte, State of California, described as Z ollows: PARcci_ iv: Noal-EXCI.UStVc EAS61n&1V-r F04 /,4/6RtS5 /SND «KESS A iu D PL)Ri,/c ui ii-lTy PuRPos,�Es oVElc P/;R c« 4 J AS Stlownv oN Ti4il-r eGR7-A tn/ PRRec,c MR P, REea2 DcD' „v n4e O FIC C of Vic Rcco2.DcR of TWE e o.,;uN T Y o r Rt)7TE; '97ATr- n F 0 R k1 ra RN i A, o N X04 -V �� 1981, /nJ ,h !300/ 8a o F MR PS A i PA,:�c- Csa/UD C Bup0 1tMMUI 3 Date: FEB 0 3 1993 PROPERTY OWNERS: State On this theor day of L494t,-1. 19±3_1 before me, the SS. undersigned Notary Public, personally -appeared County of)64 ) �/ �] Personally known to me. E� Proved to me on the basis of satisfactory evidence. �FI���o_ to a the person(s) whose name(s) j JAM ��aD�p sub cribed to the within instrument and acknowledged that.s "� -� a INaxtery ��� -G ti roMe uted the same for the purposes therein contained. IN WITNESS R DUTTEICOUNTY WHE OF, I hereunto set my hand and official seal. Comm. Exp. Jv! 23, 1M Present A.P. No. icy& - /�- 3+r% Notary Public END OF 1DOCUMENT t 3 .E TO: FROM: SUBJECT r Building Department Environmental Health Sanitation Clearance F. 1.1 i.ISE O\I.v . Plot Han Auach,d Ploia Phn Aua-6cd _ o?)9-la -3�i AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for pO bedroom mobile home. Other Lti Hold final for: Final clearance O.K. for: NOTE: y 0Q, Y2 Lv `t,1 -Environ ntal Heal tl-O Specialist Date t 8/92 I la' P 3Y) APPROVED Butte County Environmental Health -1 ate Sig at k 1 r, -t t Irl: X66! 6 Z N �i �n8 �v►a��e �o'Nno,7 Fl IL99- TT I 1-T] I- I 'T FI- TI "T COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER DC7 -HA'1De-. AA A. P. No. OZ7- /LO Proposed Building Use M jy __T7 Building Inspector Rn Date 2.1d 93 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 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 documentation. 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. Pre -inspection for required. 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. 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. Existing violations/expired permits. 32. Plan check list. 33. cr 34. Pe rA4oY- t 4 fbr Etgg 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 n Applicant EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant . 4 . 1 -, .Y, - ..T •-.tom `rY� - J� Y ' _ �''.. ^Y v.. .... t f COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 - r PERMIT APPLICATION DATA SHEET OWNER DCS In -HA IDS A A A. P. No. 0-7 /ZO Proposed Building Use A 81,_ Building Inspector f�o Date 2.1/!v q3 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 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 documentation . .................. 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: ......... t 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . - 20. Preanspection requeess Pre -inspection for required. . to Building Inspector (Date) w 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. x'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. 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. Existing violations/expired permits . ...................................... 32. Plan checklist . ............................................. Z 33. - 6Uter- : G _ 34. Re✓M) Y- SOP S O r E �df 11 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 �,�yc% 2 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 The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional, items required: (Circle new item not checked above). 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 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works T : ? 10/5/92. ^ r SUBJECT: RESIDENTIAL SPRINKLERS 1. Residential sprinkler systems require plan checks, permits, and inspection by Butte County. 2. The water supply and fire sprinkler systems `must' comply -with- NFPA 13 D and be designed and installed by a,C-16 contractor. F 3. The.. permit may be issued 'to the owner if a C-16 contractor. , has provided....' . the design, installs the system, and is listed on the permit application. 4. When sprinklersare required by the County as a condition :of a parcel or .'• sub map or for some other Planning approval, the ..complete application for sprinkler systems must be made and _plans submitted'Fprior to issuance of the building permit for the structure: 5. LWY -en-sprinklers,,, area requir;ed'C -er item, 4, and a4 mobile.,is beih ...installed_ e d.o not r.egulat theacactualVsprinkler,Zinstallation•-with - the-mobtle hbme`--.=-iPermits" are equired"from the State Departmen7of-Housing and::Commun -ty Develo-pment;=_Theesupply system is regulated`by.-Bufte�County�; .with ap:proprlate; perip: t_t app - cation and pYans f.or the supply, yst—eemi7rWeLL ado � �"require that 'either CDF or HCD ,p o de written n�7ve iFficat of "`that the=instal-1-. -mak--� - - .. -- atio"n';�'in the inobillehomewas approvedby their a enc 2.32 July 31, 1997 Dorothy Haldeman P.O. Box 33563 Reno, NV 89533 -=Eatte Count L A N D O F NATURAL WEALTH A N D B E A U T Y PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (9161538-7601 FAX: (916) 538-7785 Re: Non -HUD approved mobile home on APN 027-120-0371 Dear Ms. Haldeman, I talked with the Senior Planner regarding your uninstalled non -HUD approved mobile home on your property. He stated that the mobile home currently located on the property can be. installed after obtaining the necessary permits from. the Building Division. Howevr, the mobile home must be installed within a year of the date of this letter, which would be July 31, 1998. Failure to do so may result in you, or any future owner of the parcel, from installing a non -HUD approved mobile home on the property. If you have any questions regarding this matter, please contact this office between the hours of 9:00 a.m. and 4:00 p.m., Monday through Thursday. Sincerely, Stephen Betts Assistant Planner cc: Building Divisio p. ri K:\PLANNING\LETTERS\HALDEMAN.LET w Y/�• 7r 14si Tj J.P a• _ .. .. - 71. tea.:, t PROJECTSYSTEM C21 �31�-1f�E� t ADDRESS dol 7�Ls!�/QDDI� C7 FQX �% CITY ' adoViLLE 9_- 9r. . /,+' OCCUPANCY OCCUPANCY TITLE PIPING PLAN and DETAILS * Gi6 DRAWN,�- 14 FOX COMPANY � ��"°. � �rs.�� 3995 Olive Highway s ,i v° O�FCr/pN JOB NO. Oroville, California 95966 (916) 533-2730 Lic. No. 305365 / Of *yan'tf, k ; 1• ,, , , , ..: ., ;., . � , - X s - -, - - - �-.-..--••---^-,-------•—: - � - - - '�'R'�'.r"?T z?'�a" Y_.. � ,., < � ,.: •,. DRAWN~ CHECKED DATE BCALIH JOB NO. 6Hit�T a F t! M Li � tL- T, I� tqCaFire & Building Products Direct Sales (Central): Tel: (800) 523-6512 / Fax: (215) 362-5385 Distribution Sales (Gem/Star): Tel: (800) 558-5236 / Fax: (800) 877-1295 Technical Services: Tel: (800) 381-9312/ Fax: (800) 791-5500 Series LFII Residential Pendent sprinklers 4.9 K -factor General Description The Series LFII (TY2234) Residential Pendent Sprinklers are decorative, fast response, frangible bulb sprinklers designed for use in residential occu- pancies such as homes, apartments, dormitories, and hotels. When aesthet- ics and optimized flow characteristics are the major consideration, the Series LFII (TY2234) should be the first choice. The Series LFII are to be used in wet pipe residential sprinkler systems for WARNINGS The Series LFII (TY2234) Residential Pendent Sprinklers described herein must be installed and maintained in compliance with this document, as well as with the applicable standards of the National Fire Protection Asso- ciation, in addition to the standards of any other authorities having jurisdic- tion. Failure to do so may impair the integrity of these devices. The owner is responsible for maintain- ing their fire protection system and de- vices in proper operating condition. The installing contractor or sprinkler manufacturer should be contacted relative to an uesHi one- and two-family dwellings and mo- o bile bile homes per NFPA 13D; wet pipe residential sprinkler systems for resi-SPrinkler/Modelr ; n dential occupancies up to and include Identification fid, ing four stories in height per NFPA 13R; or, wet pipe sprinkler systems for Numberg;," Y the residential portions of any occu- y S pancy per NFPA 13. The Series LFII (TY2234) has a 4.9 SIN TY2234 (70,6) K -factor that provides the re- quired residential flow rates at reduced Technical ' pressures, enabling smaller pipe sizes Data and water supply requirements. The recessed version of the Series Approvals: LFII (TY2234) is intended for use in UL and C -UL Listed. �w W areas with finished ceilings. It employs a two-piece Style 20 Recessed Es- Maximum Working Pressure: cutcheon. The Recessed Escutcheon 175 psi (12,1 bar) provides 1/4 inch (6,4 mm) of recessed adjustment or up to 1/2 inch (12,7 mm) Discharge/pSi2 Coefficient:70,iiz Deflector . . . Bronze Ejection Spring . . . Stainless Steel of total adjustment from the flush cell K = 4.9 GPM/psi (70,6 LPM/bar ) ing position. The adjustment provided Temperature Rating, tDuPont Registered Trademark by the Recessed Escutcheon reduces 155°F/68°C or 175°F/79°C the accuracy to which the pipe nipples Finishes: Operation to the sprinklers must be cut. White Polyester Coated, The Series LFII (TY2234) has been Chrome. Plated, or Natural Brass The glass Bulb contains a fluid that designed with heat sensitivity and expands when exposed to heat. When water distribution characteristics Physical Characteristics: the rated temperature is reached, the proven to help in the control of residen- Frame . . . . . . . . . . . . Brass fluid expands sufficiently to shatter the tial fires and to improve the chance for Button . . . . . . . . . Bronze glass Bulb allowing the sprinkler to occupants to escape or be evacuated. Sealing Assembly . . . . . . . . . . . activate and flow water. . . . . . . Beryllium Nickel w/Teflont Bulb .. ... . 3 mm dia. Glass Compression Screw . . . Bronze Page 1 of 4 JULY, 2002 TFP400 . N n� hY(lri II� i 11 1111111 .t;'f� (.1.1 , a „ I' I ; ►3{ir .�+' r .. { 1,.' It ; ' , 1 Page 2 of 4 Design Criteria The Series LFII (TY2234) Residential Pendent Sprinklers are UL and C -UL Listed for installation in accordance with the following criteria. NOTE When conditions exist that are outside the scope of the provided criteria, refer to the Residential Sprinkler Design Guide TFP490 for the manufacturer's recommendations that may be accept- able to the local Authority ha ving Juris- diction. System Type. Only wet pipe systems may be utilized. Hydraulic Design. The minimum re- quired sprinkler flow rate for systems designed to NFPA 13D or NFPA 13R are given in Table A as a function of temperature rating and the maximum allowable coverage areas. The sprin- kler flow rate is the minimum"required discharge from each of the total number of "design sprinklers" as speci- fied in NFPA 13D or NFPA 13R. For systems designed to NFPA 13, the number of design sprinklers is to be TFP400 (2,4 m). The maximum spacing be- tween sprinklers cannot exceed the length of the coverage area (Ref. Table A) being hydraulically calculated (e.g., maximum 12 feet for a 12 ft. x 12 ft. coverage area, or 20 feet for a 20 ft. x 20 ft. coverage area). Installation i The Series LFII (TY2234) must be in- stalled in accordance with the follow- ing instructions: NOTES Do not install any bulb type sprinkler if the bulb is cracked or there is a loss of liquid from the bulli. With the sprinkler held horizontally, a small air bubble should be present. The diameter of the air bubble is approximately 1/16 inch (1,6 mm). I A leak tight 1/2 inch NPT sprinkler joint should be obtained with a torque of 7 to 14 ft.lbs. (9,5 to 19,0 Nm). A maxi- mum of 21 ft.lbs. (28,5 Nm) of torque is to be used to install sprinklers. Higher levels of torque may distort the sprinkler inlet with consequent leak- age or impairment of the sprinkler. Do not attempt to compensate for in- sufficient adjustment in an Escutcheon Plate by under- or over -tightening the quired discharge from each of the four sprinklers is to be the greater of the following: • The flow rates given in Table A for NFPA 13D and 13R as a function of temperature rating and the maxi- mum allowable coverage area. • A minimum discharge of 0.1 gpm/sq. ft. over the "design area" comprised of the four most hydraulically de- manding sprinklers for the actual coverage areas being protected by the four sprinklers. Obstruction To Water Distribution. Locations of sprinklers are to be in accordance with the obstruction rules of NFPA 13 for residential sprinklers. Operational Sensitivity. The sprin- klers are to be installed with a deflector to ceiling distance of 1-3/8 to 4 inches or in the recessed position using only the Style 20 Recessed Escutcheon as shown in Figure 2. NOTE So as to help avoid obstructions to water distribution, a maximum 12 inch deflector -to -ceiling distance is permit- ted for NFPA 13D and NFPA 13R ap- plications where the sprinklers are lo- cated in closets. Sprinkler. Readjust the position of the sprinkler fitting to suit. The. Series LFII Pendent Sprinklers must be installed in accordance with the following instructions. Step 1. Pendent sprinklers are to be installed in the pendent position with the deflector parallel to the ceiling. Step 2. With pipe thread sealant ap- plied to the pipe threads, hand tighten the sprinkler into the sprinkler fitting. Step 3. Tighten the sprinkler into the sprinkler fitting using only the W -Type 6 Sprinkler Wrench (Ref. Figure 3). With reference to Figure 1, the W -Type 6 Sprinkler Wrench is to be applied to the wrench flats. The Series LFII Recessed Pendent Sprinklers must be installed in ac- cordance with the following instruc- tions. Step A. Recessed pendent sprinklers are to be installed in the pendent posi- tion with the deflector parallel to the ceiling. Step B. After installing the Style 20 Mounting Plate over the sprinkler threads and with pipe thread sealant applied to the pipe threads, hand tighten the sprinkler into the sprinkler fitting. the the four most hydraulically de- Sprinkler. Spacing. The minimum Step C. Tighten the sprinkler into the manding sprinklers. The minimum re- spacing between sprinklers is 8 feet sprinkler fitting using only the W -Type =. Minimum Flow (b) and Minimum Flow (b) and Maximum Maximum Residual Pressure Residual Pressure Coverage Spacing For Horizontal Ceiling For Sloped Ceiling Area (•) Ft. (Max. 2 Inch Rise (Max. 8 Inch Rise Ft. x Ft. (m) for 12 Inch Run) for 12 Inch Run) (m x m) 155'F168'C or 175'F/79'C 155°F/68'C 12 x 12 12 13 GPM (49,2 LPM) 13 GPM (49,2 LPM) (3,7 x 3,7) (3,7) 7.0 psi (0,48 bar) 7.0 psi (0,48 bar) 14x 14 14 13 GPM (49,2 LPM) 13 GPM (49,2 LPM) (4,3 x 4,3) (4,3) 7.0 psi (0,48 bar) 7.0 psi (0,48 bar) 16 x 16 16 13 GPM (49,2 LPM) 13 GPM (49,2 LPM) (4,9 x 4,9) (4,9) 7.0 psi (0,48 bar) 7.0 psi (0,48 bar) 18 x 18 18 17 GPM (64,3 LPM) 21 GPM (79,5 LPM) (5,5 x 5,5) (5,5) 12.0 psi (0,83 bar) 18.4 psi (1,27 bar) 20 x 20 20 20 GPM (75,7 LPM) 21 GPM (79,5 LPM) (6,1 x 6,1) (6,1) 16.7 psi (1,15 bar) 18.4 psi (1,27 bar) Design Criteria The Series LFII (TY2234) Residential Pendent Sprinklers are UL and C -UL Listed for installation in accordance with the following criteria. NOTE When conditions exist that are outside the scope of the provided criteria, refer to the Residential Sprinkler Design Guide TFP490 for the manufacturer's recommendations that may be accept- able to the local Authority ha ving Juris- diction. System Type. Only wet pipe systems may be utilized. Hydraulic Design. The minimum re- quired sprinkler flow rate for systems designed to NFPA 13D or NFPA 13R are given in Table A as a function of temperature rating and the maximum allowable coverage areas. The sprin- kler flow rate is the minimum"required discharge from each of the total number of "design sprinklers" as speci- fied in NFPA 13D or NFPA 13R. For systems designed to NFPA 13, the number of design sprinklers is to be TFP400 (2,4 m). The maximum spacing be- tween sprinklers cannot exceed the length of the coverage area (Ref. Table A) being hydraulically calculated (e.g., maximum 12 feet for a 12 ft. x 12 ft. coverage area, or 20 feet for a 20 ft. x 20 ft. coverage area). Installation i The Series LFII (TY2234) must be in- stalled in accordance with the follow- ing instructions: NOTES Do not install any bulb type sprinkler if the bulb is cracked or there is a loss of liquid from the bulli. With the sprinkler held horizontally, a small air bubble should be present. The diameter of the air bubble is approximately 1/16 inch (1,6 mm). I A leak tight 1/2 inch NPT sprinkler joint should be obtained with a torque of 7 to 14 ft.lbs. (9,5 to 19,0 Nm). A maxi- mum of 21 ft.lbs. (28,5 Nm) of torque is to be used to install sprinklers. Higher levels of torque may distort the sprinkler inlet with consequent leak- age or impairment of the sprinkler. Do not attempt to compensate for in- sufficient adjustment in an Escutcheon Plate by under- or over -tightening the quired discharge from each of the four sprinklers is to be the greater of the following: • The flow rates given in Table A for NFPA 13D and 13R as a function of temperature rating and the maxi- mum allowable coverage area. • A minimum discharge of 0.1 gpm/sq. ft. over the "design area" comprised of the four most hydraulically de- manding sprinklers for the actual coverage areas being protected by the four sprinklers. Obstruction To Water Distribution. Locations of sprinklers are to be in accordance with the obstruction rules of NFPA 13 for residential sprinklers. Operational Sensitivity. The sprin- klers are to be installed with a deflector to ceiling distance of 1-3/8 to 4 inches or in the recessed position using only the Style 20 Recessed Escutcheon as shown in Figure 2. NOTE So as to help avoid obstructions to water distribution, a maximum 12 inch deflector -to -ceiling distance is permit- ted for NFPA 13D and NFPA 13R ap- plications where the sprinklers are lo- cated in closets. Sprinkler. Readjust the position of the sprinkler fitting to suit. The. Series LFII Pendent Sprinklers must be installed in accordance with the following instructions. Step 1. Pendent sprinklers are to be installed in the pendent position with the deflector parallel to the ceiling. Step 2. With pipe thread sealant ap- plied to the pipe threads, hand tighten the sprinkler into the sprinkler fitting. Step 3. Tighten the sprinkler into the sprinkler fitting using only the W -Type 6 Sprinkler Wrench (Ref. Figure 3). With reference to Figure 1, the W -Type 6 Sprinkler Wrench is to be applied to the wrench flats. The Series LFII Recessed Pendent Sprinklers must be installed in ac- cordance with the following instruc- tions. Step A. Recessed pendent sprinklers are to be installed in the pendent posi- tion with the deflector parallel to the ceiling. Step B. After installing the Style 20 Mounting Plate over the sprinkler threads and with pipe thread sealant applied to the pipe threads, hand tighten the sprinkler into the sprinkler fitting. the the four most hydraulically de- Sprinkler. Spacing. The minimum Step C. Tighten the sprinkler into the manding sprinklers. The minimum re- spacing between sprinklers is 8 feet sprinkler fitting using only the W -Type =. CROSS SECTION PENDENT f FIGURE 1 SERIES LFII (TY2234) RESIDENTIAL PENDENT AND RECESSED PENDENT SPRINKLERS 2.7/8' DIA. 7/1611/8" (73,0 mm) 1/2" (12,7 mm) (11,113,2 mm) 2.1/4" DIA. 1/4" (6,4 mm) FACE OF SPRINKLER MOUNTING FITTING I PLATE MOUNTING SURFACE 1/8" (3,2 mm) CLOSURE TY2234 1.3/8" (34,9 mm) 1.1/8" (28,6 mm) FIGURE 2 STYLE 20 RECESSED ESCUTCHEON FOR USE WITH THE SERIES LFII (TY2234) RESIDENTIAL PENDENT SPRINKLER Page 3of4 WRENCH RECESS (END -A- USED FOR TY2234) FIGURE 3 W -TYPE 6 SPRINKLER WRENCH IN TO ENSURE ENGAGEMENT 7/16 Components: N 1 - Frame 2- Button 3- Sealing Assembly 1 , 4- Bulb 5 - Compression 2 ; Screw 6 - Deflector* 3 7- Ejection Spring 4 * Temperature 5 rating is indicated on 6. Deflector. CROSS SECTION PENDENT f FIGURE 1 SERIES LFII (TY2234) RESIDENTIAL PENDENT AND RECESSED PENDENT SPRINKLERS 2.7/8' DIA. 7/1611/8" (73,0 mm) 1/2" (12,7 mm) (11,113,2 mm) 2.1/4" DIA. 1/4" (6,4 mm) FACE OF SPRINKLER MOUNTING FITTING I PLATE MOUNTING SURFACE 1/8" (3,2 mm) CLOSURE TY2234 1.3/8" (34,9 mm) 1.1/8" (28,6 mm) FIGURE 2 STYLE 20 RECESSED ESCUTCHEON FOR USE WITH THE SERIES LFII (TY2234) RESIDENTIAL PENDENT SPRINKLER Page 3of4 WRENCH RECESS (END -A- USED FOR TY2234) FIGURE 3 W -TYPE 6 SPRINKLER WRENCH IN TO ENSURE ENGAGEMENT Page 4 of 4 agar.. e ec s I. ma erta an -1 manship when paid for and properly TFP400 7 Recessed Sprinkler Wrench (Ref. authorities having jurisdiction. The in- EQUAL TO THE SALES PRICE. Figure 4). With reference to Figure 1, stalling contractor or sprinkler manu- THE FOREGOING WARRANTY 13 the W -Type 7 Recessed Sprinkler facturer should be contacted relative to MADE IN LIEU OF ANY AND ALL Wrench is to be applied to the sprinkler any questions. OTHER WARRANTIES EXPRESS OR wrench flats. Hies not affiliated by ownership with IMPLIED. INCLUDING WARRANTIES Step D. After the ceiling has been in NOTE The owner must assure that the sarin- OF MERCHANTABILITY AND F1 stalled or the finish coat has been ap- plied, slide on the Style 20 Closure klers are not used for hanging any NESS FOR A PARTICULAR PUR- POSE, over the Series LFII Sprinkler and objects and that the sprinklers aree only eon with (specify) finish, P/N (specify). push the Closure over the Mounting cleaned by means of gently dusting With a feather duster; otherwise, non- Ordering Plate until its flange comes in contact with the ceiling. operation in the event of a fire or road 1/2si Grinnell Bronze Spring Loaded Check Valve %"-2" Figure No. 3600 w/Tellon Disc. M ure No 360OSJ g w/Teiion Disc Figure No. 3615 w/Buna-N Dist; Figure No. 3615SJ w/euna-N Disc 125 PSI Saturated Steam, with TFE Disc Buna-N Disc Rated at 250 PSI 250 PSI Non -Shock Cold Water, 011, or Gas Fluid Pressure, Non -Shock W.O.G. t 2 3 4 A C _+,.:; " 6 Cn W 9 Figure No. 3600 8 Q r, Figure No. 3615 Figure No. 3600SJ Threaded Figure No. 3615SJ Copper to Copper j Grinnell check valves may be installed in vertical lines with N upward flow or in any intermediate position. ; Z Do Not Use For Reciprocating Air Compressor Service. QDo Not Use as a Footvalve. m �� f,• �st� t�: w'! RAU �m�{l� IIhn1 aQ�I .L{>l� Type •je�a YIi4 t 4 . ^Ya(r ���y j�a ��8�!"S• �7,'c�'�,y''���'�ifyy.l�.'.�' S���{j� � � ,r r u�.,.5 .. I a erl i Lis4 Diti ei' 616hs — Wdl ht§ Part Specification Nominal Dimensions �lpproX. Ap prox. 1. ,Body :Bronze ASTM B-584 Size A B Net Wt. Net Wt. Alb C84400 Fig. 3600 Fig.3600SJ Alloy 3/a 2 13/8 V/16 .4 .4 2. Stem Stainless Steel ASTM A-582 Alloy S30300 'h 2'h6 13/a 13/16 .4 .4 I 3. Spring 316 Stainless Steel 3/4 21/4 15/a 15/16 .5 .5 i; 4. Disc Holder Stainless Steel Type 301 1 25/a 2 1'/z 8 9 S. Disc Teflon, Fig. 3600 1'/4 2/5/16 23/a 111/16 1.2 1.3 �:. 5A. Disc Buna-N, Fig. 3615 1'/2 35/,6 23/4 2 1.6 1.9 ;. 6. Seat Ring Teflon 2 3314 33/a 25/16 2.4 2.7 k'` 7. Seat Screw Stainless Steel ASTM A-276 Alloy S43000 ` 8. Body End Bronze ASTM B-584 Alloy C84400 i Q) FIRE SPRINKLER PRESSURE GAUGES ��)Mti[ttw'� 3 1 y • li:,- it i � I ,; : I y. VS -SF u FOR SMALL PIPS VANE TYPE WATERFLOWPOTTER x. s _ ALARM SWITCH WITH RETARD Petit Eitcttie7 signal Company potter Electric Signal A M19. LTD 2051 tatig Road • P.O. Box 284813 1987 Leslie Street St. Louis, MO 63146.4161 Don Mills, Ontario, Canada M302M3 (314) 6784321 1 (800) 325.3936 (416) 441.1833 t: UL, ULC, CSFM LISTED and NYMEA ACCEPTED M, Service, Pressure: Up to 250 PSI Minimum Flow Rate for Alarm: 10 GPM Maximum Burg*: 18 FPS Enclosure: Die-cast, red enamel Ankh, I Cover held In place with tamper resistant snows Contact Rungs: Two seta of SPDT (Form C) 15.0 Amps at 12=50 YAC l 2.0 Amps at 0.30 VDC Consult Entrances: Two Knockouts provided lot 112" conduit Usags• Listed Plastic, Copper and Schedule 40 Iron Poe sh Fits PIP4 sizes 1 ", 1 1/4', and i 1 /2" Nou: 8 paddles are furnished with each unit one for each pipe alze of threaded or sweat TEE, one for V CPUC, and one for 1 1/2" polybutylene (CTS -Copper tubing size) Envlronrnsntal8 cifications: Suitable for indoor or outdoor use with factory inabdisd gasket and die-cast housing NEMA 4 Rated Enclosure - use with.appropriwts conduit fitting Tsmpsrturo Range: 40' F/120' F (4.5• C/48' C) Caution: This d+lvice Is not Intended for applications In omlo&* onvircrxnents Service Use: Automatic Sprinkler NFPA•13 NFPA-130 Ono or two family dwsiling Residential occupancy up to four stories NFPA-13R STK. NO 1113000 CANADIAN PAT. NO. 1009880 National Fire Alarm Code NFPA-12 k. U.S, PAT. NO, 3921989, Optional: Cover Tamper Swib�, order Stk. No. 009001a OTHER PATENTS PENDING. k for use on w4t sprinld*r The vans must not rub the Inside of the TEE or bind in any way. The atom The Model Vt3fi•t3F Is a vane type Wilt switch id a kill when operated by hand. systems that use 1 ",1 1/4', or 1 1/2" pipe size. The unit may also no used ou tttov Y as a sections) wnterflow detector on Targe syst.ms. The dsvioe can also be used in copper or pl*stie pipe InetaM6ms with the o that the ified TEE fltting may be Inetalied on the The unit contains two single pole double throw snap action switches and proper adapiete # l an ad}ustable pneumatic retard. The switches are actuated when a How of pips. 1 o gallons per minute or more occurs downstream of the device. The flow , _Check the opffAtr0n of �" unit by condition must exist for a period of time n#c*wary is ovsroome the t o PSE ��e���e at end of Me sprinkler #ons or the drain and teat ' ssleoted retard period. pp{�tfpn, M an Inspector's test valve Is not provided. T IN$CALI JI�TION: These devices may be mounted in horizontal or vertical r*Krn of pips: On horizontat pipe they should be installed on the top side df the pips d there ars no atom.proOlip f� tw of �S Is not rt rocornmended or where they will be w=assible. The units should not be Installed Wid11n Be advice l* the system, app► of a valve, drain or fitting which changes the direction of the waterftow. Th 'advlsabls unit has a 1"NPT tushing for threading Into a non-cortosive TEE, Sea Fig, The �ue� of the (nspectlon and testing and � yted Protective 2 for proper TEE size, type and Installation. 111cnitarWq system should be in ficMdance Wh the applicable NFpA 3ctewthedevtcsInto the TEEtfttingaashown tnFig. 2. Car#mustbeiak#t1 Codes and Standards and/or authorityhov" iurk*Wn (manufaoturer to property orient the device for the direction of Watsrflow. tecommsnds quarterly or more frequently). CAUTION: There are a paddles furnish with each unit. These paddies have rais�;�eettce�n�gh { holds the addt shows the le size and type of TEE that they are to be used with. The proper paddle 1�3 be us must be recur* tightened. pRINTED IN USA BELLS 1(® PBA -AC & PBD -DC Potter Electric Signa t Company Potter Electric Signal &Mfg. LTD 2081 Craig Rd.,/P.O. Box 28480 1967 Leslie Street St. Louis, MO 63146 Don Mills, Ontario, Canada M3B2M3 (314)878-4321 / (800) 325-3936 (416) 441-1833 UL LISTED, FM APPROVED Sizes Available: 6", 8 and 10" Voltages Available: 24VAC 120VAC 12VDC (10.2 to 15.6) Polarized 24VDC (20.4 to 31.2) Polarized Service Use: Fire Alarm General Signaling Burglar Alarm Environment: Indoor or Outdoor Use (See Note 1) -400 to 150°F (outdoor use require weatherproof backbox) Termination: 4 No. 18 AWG stranded wires Finish: Red powder coating 6" BELL SHOWN Optional: Model BBK-1 weatherproof backbox These vibrating type bells are designed for use as fire, burglar, or general signaling devices. They have low power t consumption and high decibel ratings. The unit mounts on a standard 4" square electrical box for indoor use, or on a model BBK-1 weatherproof backbox for outdoor applications. ALL DC BELLS ARE POLARIZED AND HAVE BUILT-IN TRANSIENT PROTECTION: >x SIZE VOLTAGE MODEL NO. STOCK NO. CURRENT (MAX) TYPICAL dB @10 FT. MINIMUM d6 'Q10FT. 6 12VDC PBD126 1706012 .12A 85 75 8 12VDC PBD128 1708012 .12A 90 75 10 12VDC PBD1210 1710012 .12A 92 75 6 24VDC PBD246 1706024 .06A 87 75 8 24VDC PBD248 1708024 .06A 91 79 10 24VDC PBD2410 1710024 .06A 94 79 6 24VAC PBA246 1806024 .17A 91 75 8 24VAC PBA248 1808024 .17A 94 75 10 24VAC PBA2410 1810024 .17A 94 75 6 120VAC PBA1206 1806120 .05A 92 82 8 120VAC PBA1208 1808120 05A 99 82 10 120VAC PBA12010 1810120 .05A 99 85 i Weatherproof backbox model BBK-1 Stk. No. 1500001. Notes: 1. Minimum dB ratings are calculated from integrated sound pressure measurements made at Underwriters Laboratories as specified in UL Standard 464. UL kv temperature range is -30' to 150'F. IK 2. Typical dB ratings are calculated from measurements made with a conventional sound level meter and are indicative of output levels in an actual installation. j i PRINTED IN USA MKT. #18850001- REV K PAGE 1 OF 2 MFG. #5400776 - 4/94 -jam, ,'�a-�,S�at,,�:ai..�� may++ qty- _ 7k! •*�i�>:'�,,a� pri nkler r Head l r Central Sprinkler Company 451 North Cannon Avenue, Lansdale, Pennsylvania 19446 Product Technical R: Description Data Central Sprinkler Head Cabinets Model: Sprinkler Head Cabinet are constructed of a metal enclosure Style: 6 head or 12 head IT with a triple-hinged cover designed to provide on-site storage of an Standard Finish: Red enamel emergency supply of sprinkler heads. Mfgr. Source: Non-domestic and a sprinkler head wrench. Capacity: 6 sprinkler heads- NFPA 13 requires a representative 12 sprinkler heads'' E. number ofeachtype of sprinkler t Dimensions: v� head used in a sprinkler system to be , stored in a cabinet on-site to allow for 6 head - 5" high x 14" long x� immediate removal and replacement 3 1/4" deep of sprinklers which may have 12 head - 5" high x 14" long z — operated or become damaged. 4" deep 27"7#d: _ _ _Central Sp,rinkler_Head Cabinets Weight: 6 head - 2.3 lbs. are manufactured of heavy gauge 12 head - 3.5 lbs. steel with knock-outs to accommodate either 1/2" or 3/4 --- N.P.T. threaded sprinkler heads and H ead are painted an attractive red enamel. They are available in six (6) or twelve Ca"", b1fie., t N (12) head capacity. l 3 3. 1. "i t Item -No. Descrl tion GT07 . GT10 'GT15 GT20 `3*� Sealrinp4 N�. GT103 Diaphragm 5 Machine scre 6 Diffuser 7 Impeller 8 Mechanical seal 9 Foot 10 Bolt — foot to adapter 11 1 Motor adapter 12 Bolt — casing to adapter 13 Bolt —. adapter to motor 14 Deflector Madel.. GT07 . GT10 'GT15 GT20 GT30 GT073 GT103 GT153 GT203 GT303 ":.:HP:.-.:;.. •'/,". .. :'1... 1'/s: 2 3 40 110 4 Lo 0 0 1%z 2 :3 H;agb -L- . 19'/..,., 30 43 41 38136 32 20'/1 20'%{ 1 21'/: 20 63 59 54 49 39 GT151 30 60 55 51 46 37 GT153 Height 40 45 38 33 20 14 9% 86 77 70 59 46 GT20/ 30 80 72 67 57 44 Wt. (lbs.) 48 52 60 65 76 49 52 55 69 1 71 Phase Single 40 73 67 62 55 50 Three ,(All dimensions are in inches { weights in lbs. 10 not use forp. DISCHARGE 31/2 1v2 SUCTION - t.r, x`.• ..v�.t tri\.ti1,'.. t. �>L y.•'AY..u�.a_, 9,4 KKIs .��'���'�;.L{�tF♦~ `}���'='''i• byr`-�:>'%�'+4at�"i . `.If�:,` f. .�•� � �.1�'.iyV�i�.• i�1 •.:.• {C�t�• •' :1'1 .SL�;sL.�..� 'Y34"V"�. _• •.• '•• i/� 4,,, .1''`Y, 'f•: ����t t•i1 t �Jt �.�•'�13;1'! •i' . , •'�:''v4 ;'r �%.s'A .ii�:b�.�f�.--"'4`x,.1 "1►._Jt __ .. f 81/4 PERFORMANCE RATINGS PZ'RFORMANCE CURVE i I / C;tQ— GT15 I I I GT 0 s E 0 00 10 20 30 40 50 60 70 80 90 100 110 120 U.S.GPP.1 F Performance ratings arQ in GPM. 0 5 10 15 20 25 m3/hc I E' �1SiGALLONS PER MINUTE (,0 ) ngle and three phase have same per(ornance. eca Falls, NY 13140 i�gll f Water ,I Technologies PUMPS Sen 7 PfDdqu.s9es, SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. MINI ED IN U.S.A t CfI ---- PSI suction Lift Model Disch. ` In Feet Pressure 5 10 15 20 25 20 44 41 36 31 24 GT07/ GT073 30 34 31 26 22 14 40 110 4 Lo 0 0 20 53 51 49 46 41 GT10/ 30 43 41 38136 32 GT103 40 29 22 16 8 0 20 63 59 54 49 39 GT151 30 60 55 51 46 37 GT153 40 45 38 33 20 14 20 86 77 70 59 46 GT20/ 30 80 72 67 57 44 GT203 40 65,60 571501431 20 105100 88 176 1601. GT301 30 92 90 841751571 GT303 40 73 67 62 55 50 C;tQ— GT15 I I I GT 0 s E 0 00 10 20 30 40 50 60 70 80 90 100 110 120 U.S.GPP.1 F Performance ratings arQ in GPM. 0 5 10 15 20 25 m3/hc I E' �1SiGALLONS PER MINUTE (,0 ) ngle and three phase have same per(ornance. eca Falls, NY 13140 i�gll f Water ,I Technologies PUMPS Sen 7 PfDdqu.s9es, SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. MINI ED IN U.S.A t CfI ---- I JUNE, 1980 i Supersedes page P3 PUMPTROLc PRESSURE SWITCHES Dated 3/76 TYPE FSG �.� 1 f a MORE ABOUT THE PUMPTROL PRESSURE SWITCH WITH FORM M4 LOW PRESSURE CUT-OFF. 4 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 turn off the pump.* When the condition has been relieved, the manual lever is turned to the start position and, if pressure \i R. is restored while holding there, the switch resumes normal operation. The Form M4 manual lever also has an off position for com- plete pump shutdown. IMPORTANT: The cut -in point must not be set lower than 19 P.S.I.; consequently, the cut-out point on rising pressure must _ - Sri" 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 a rox. Type FSG, Form G5 Ma (srw.•nnc Combination of Pilot tight and pp Low Pressure Cut -on Modiftcations) Switch set 30-50, low water cut-out = 20 approx Switch set 40-60, low water cut -tout = if; appfux FOR PRICES AND ORDERING INFORMATION SEE PRECEDING PAGES -- I N w 3.93 � 27 0 100 8 LL 100 I it i z z 01 a O G' U i I + NI I. 1.19 a 30 �^ C26 i 2.34 1,1.59 ' 2.05 f � 1.39 59 40 52 35 �. SWING RADIUS LS 2.25 W. Type FSG-2,Forrn ►L4 UNDERWRITERS LABORATORIES LISTED r 0 t D .. hLU k sauRRejl COMPFINY I Manufacturers of Pumps and Supplies - I /� 2081 Frontier Trail PIPE, VALVES & FITTIt':,S Anderson. CA 96007 �. (916) 365-2555 Sheen No. 1211.01 Effective 2-15 Supersedes 0-00 ORDER DESK: CALIFORNIA (800) 446-4800-- h BALL FLOAT VALVE I: P � VALVES ONLY ORDER NO. SIZE WEIGHT I.B. LIST PRICE NET 1-10 NET 11 & UP R400-1/2 1/2' 1 $23.10 511.55 $10.78 R400-3/4 3/4" 1 29.74 14.87 13.88 R400-1 1" *R440-8 46.80 23.40 21.84 R600-1-1/4 1-1/4" 1 107.14 53.57 50.00 R600-1-1/2 1-1/2" 4 107.14 513.57 I 50.00 8610-2 2" 3 113.90 56.95 ( 53.16 COPPER FLOATS �. ORDER SIZE WEIGHT LIST NET NET Ill NO. NO. PRICE 1-10 & UP 8440-5 5" PF5 524.58 512.20 511.47 R440-6 6" 1 28:£30 1.4.401 13.44 *R440-8 8" 1 79.83 :3O.9'1 ! 3 7.2 7 I v�,�VE v y *FOR THRU-HOLE ADD 41 TO NET ;c �s ;F POLYPROPYLENE -FLOATS ORDER SIZE WEIGHT LIST NET NET NO. PRICE 1-10 11 & UP PF5 ' 5" 1 $9.32 54.66 54.35 PF6 6" 1 11.02 5.51 5.14 *PF8 8" 1 12.92 6.46 6.03 * FOR THRU-HOLE ADD $4.03 EACH TO NET • (G.P.'�1-� S.T `1.f IhJI _ If 1 ifI P S,,URLS 125 105 85 65 55 - VALVE GALLONS PER MINUTE G.P.M. R400-1/2" 36.0 30.2 25.8 I '22. 7 '!'.8 R400-3/4" 64.:3 56.5 I 47.1 R400-1 82.5 76.4 1 8600 ALL 160 144. 12i SIZES 267. 241.I.610 I l I9 21 8. 3 ;t 1. . ALL PRICES AND SPECIFICATION'S ARE: SUBJECT TO CHAN(;E: WIT IK)t); r: >IICI. - j HAYS PUMPS' INC. 1990) _ .. I V -h E V/."4 tj V NN f Ir N w. • jut 77 41 4,o, ", 7i . rl Ao 4 jr,". 7�l 1 f 7HUCKNO op. 0144tott 4, Pli,�;�- jr,". 7�l 1 f 7HUCKNO op. 0144tott