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HomeMy WebLinkAbout027-230-10310-2 1 'r'r ".�^F ^3'a'" ��. " ' X027-230-103. r PERMIT#95-2618 : 1JONES;; Barbara OCCUPYING 1444VFour'.�Junes Way'; Orov lle }+� W/0 FINAL AND NSTALLED `" j 2ND-MII sMobilehome Utilities - 1/31/99 �JyA `TM'�'E'"a r, 4'+s+�':.x�,i� �r":`,+',�•'�"Cy'^�=t�i r•• ti.r, v ,,�'.� .;EIECTRICr �. .GAS LINE 1 1 ` ACOMPACTION TESTRE SUPPORT STRUCT RE v� ' Ak027-230-103: `Y;, : ,PERMIT#95- 842;I. Y�- JONES ,`Barbara.t&-MANN,.Micky ,�. �� 444 Four .'Junes •Wa""' .t p y,� Orovill Mobilehome Ins:' llafiori { 027 0��,«._ =23-0=1 96 17 B, JONES',- BarbaA,,'.' 444 Four Junes Way, -Oro 111e (f ire sprinkler/MH); `.027-230-103 r ti, 01-007 SMITH, ALAN & SHELLE X444 FOUR JUNES WAY:,.a CONTR: NA s `. ��a• VI t 'MH:ON PERM FND EX SI 027-230=103*• •-- SMITH, ALAN -7 -SHF -LLE 444 FOUR. JUNES :WY O 'CONT: WILGUS FIRE•C FIRE SPRINKLERS);!1 q r.: 0 - 19 - NOTES RiEs DENTIAL ` 027-230- 103 04-0073 i SMITH, ALAN & SHELLEY 444 FOUR JUNES WAY., OROVILLE CONTR:NA MH ON PERM FND EX SITE 1/7 F. l THE HM FURM 433A FOR THIS MH CANNOT BE REOORDED UNTIL ONE OF THE FOLLUOU I HAVE BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S) or DECAL(THE INSPECTOR NI)S'I' RETRIEVE) + (2) STATEVE f OF FACIS(ONLY ON NEW MH -S) INSPBCMR TO VERIFY SERIAL & LABEL #'S 1 SPECIAL CONDITIONS F t CHECKED I/ BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. OFFICE COPY Address — GAS l Meter By Date _ ELECTR Meter By 1 � _f OFFICE COPY Address { GAS 1 Meter By. Da��—� ELECTRIC' Meter By Date ' JOB FINALED (Date) Signature J = OK 0 = Not OK ' - = Not Applicable - MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or / /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance t Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. ootings; Size -Spacing -Marriage Line . Gas; MH Test -Demand -Valve -Connector 4. EI ctricity; MH Test -Crossovers -Breakers -Clearances 5. rain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Watgeand Sewer Connected -C/O to Grade -HD Approval 8. as and Electricity Tagged . Tie owns -Type -Installation Cert. zits; Insp.-Sketch 11. Cert. of Occupancy 1 .' Permanent Foundation Only; License Decal 4DateCard B-1 Date Card B-1 Date Card B-1 Date Card B-1 L • t 3q76-01 U/ I 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 8-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal W/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test. 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (S Date 23. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage, Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main, Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test_ Date 12. Electric Underground Date 13. Plenums & Ducts; Clearance -Material -Support -Ins. Date 14. Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies 15. Access & Ventilation 16. Insulation Date 37. Condensate Drain & Overflow, Size & Grade Date 38. Card B-1 Date Card B-1 Date 39. Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Date 18. Water Pipe; Test & Anchor -Nail Protection Date 19. D.W.V.; Test Fittings & Anchor -Nail Protection Date 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 42. Bearing Walls over Girders & Floor Nailing Date 43. Card B-1 Date Card B-1 Date 44. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 58. Glazing Area -Glass Protection -Skylights -Plastic Date 59. Card B-1 Date Card B-1 Date 60. Card B-1 Date Card B-1 Date 61. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation Date 37. Condensate Drain & Overflow, Size & Grade Date 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Date 39. Attic Access & Platform if Furnace in Attic 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector Date 65. Card B-1 Date Card B-1 Date 66. Card B-1 Date Card B-1 Date 67. FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49, Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls- Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic. 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION' DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE. X' 75 okh I T(4 Com/ -O o 7 .4. OWNER -PERMIT NO. ;i A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. if yq�p have any questions pertaining to this matter, or need additional explanation, please cont his office immediately. IPA A� 10A X g/o T- i ) A-11Y4,t U h c A.- f REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE y' . J� 6073 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, piese contact this office immediately. D M'6/,{ A f Ak COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER IT NO. (Rev.12/96) APPLICATION ANDPERMIT ASSESSOR PARCEL NUMBER 022-910-103 ZONXt BUILDING PERMIT OWNER SMITH ALAN & SHELLEY TELEPHONE 749-1213 SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS 167 VIA BIANCA MARYSVILLE CA 95901 1716 R 92 664.00 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fire lace Total Valuation 92.664.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 304.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $23-00 BUILDING ADDRESS 444 FOUR JUNES WAY OROVILLE CA Energy Plan Checking Fee $ $ PERMIT FEE $ 347.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome j? Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation IN Other ❑ Describe Work: MH ON PERM FND EXISTING SITE Gas piping sy2tern 1 - 5 outlets 15.00 15 nC) Building sewer 15.00 Mobile Home IS1 Gi W1 @20.00 PERMIT FEE S 50.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service o.OR.ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO tOtaA 46.00 WEE200A NEW CONST. DWELLING OCCUP. SO DR ADONs. a ACC. S. 3.5¢FT. NON-RESID. MULTI -OUTLET 97.50 P.0,7 APPARATUS 6 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURESBp �.w Ex. Occup. OUTLETS Es�iXi°eA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wth those provisions. `of X .� / Date Signature of Applica t - caner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 storie in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 397. 0 HAz. D. FEES IMP X X FLOOD X CDF X PARCEL X HD X ISSUE X This permit is hereby Issued under the applicable provisions the Butte County Code and/or Resolutions to do work In Indicated above for which fees have been paid. By > ENYate O PERMIT EXPIRES ON '7/ O� I IDwp Receipt No. 314431 cro WHITE-D.D.S.-B.D. ANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT aliF 1 'b? COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT "PLICA TION DATA SHEET OWNER: �tI�I�^ ASSESSOR PARC NUMBER:(.�–� Proposed Building Use: p r 1 �.�- �' Building Inspector: A Date: At time of permit applica—tions, I,was advised the following data must esu milted prior to permft processing anc /or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- /A- Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --=--------------- ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- ❑ 8. Hazardous Maferial Form. ----------------------------------------------------------------------------------------- / Manufactured Ho a data dan installation ' ctions inclu �7TieDown Specificatio �------------ Feeof $------------------------------,- -- - - -W-------------------------------- pact fees as shown on the attached schedule.= --1 �- ------------------------------------ �12. California Department of Forestry plan approval/fees. --------------------------------------------------------- 13. Flood elevation certificate. ---------------- --- ------------------------------------------------------------------ 14. Sanitation and plot plan approvalddealth Department. ------------------------------------------- 1 t� ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs.---------------------------------------------- 0 ------------------------------------- ------❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- El ________________________❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 1:119. ---------------------- ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. Workers' Compensation carrier and policy number.----------------------------------------------------------- 0123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 13) - ----------------------------------- E124. -------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- �. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------=---------------- - -------------'.---------------------------- El 27. Manufkant ut' ' clearance. --------------------------- -------------- 8. Existinand/o M29 ❑433 Other: ir. it p Title, ------------------------- --------------------- eck H.C.D$ ��''� When you issucythp permit, process as follows ❑ Mail to owner, ❑ a' t contractor. Telephone and hold for pickup at Mt office.. ❑ Deliver with inspector. Applicant:z�_/ I Date: � ` ' O Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items r Contractor, designer, owner as advised of the above required data by Yphriiie, ❑ mail, ❑ Building Division counter, byW Date: 3 Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by, Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildmi Division counter, by D t Plans reviewed by: Date: Plans approved by:Date: E,_ Sets of plans on hold in Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: TO: FROM: SUBJECT: V Building Department Environmental Health Sanitation Clearance E.H. E ONLY Plot Pian Attached Floo► Plan Attached Sant to 8.0. I G( 0(,D C-6 U V� Pj D'�, C, Owner Location App Plan Approved for: Sewage Disposal `' Water Su ply: Public Private Z11 Clearance for dwelling. Other 1 �E Ni1 ?" O P LLQ ,L2 8 —ibc I ACQ_Yy�l Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroville, California 95965 • Telephone (530) 538-7541. PERMIT NO. (RevAZ,96) ^ • APPLICATION AND PERMIT w.• , `�� J� m..Ne� �' BUILDING PERMIT "s 3 Sa. FT. OCC. BUILDING VALUATION fJC l l �She /\/�' //�� ' I ��T • Y /`� Y l. �V I t OOWAACTO T481gN! OOMIIACSORI MAlJMO ADORRa OONlT1MJCTWN u7D01 Fireplace LENOOM rAnsw AooRws Total Valuation = " 6T 0aO'01N� uWalNO. Filing Fee E 20.00 Permit Fee $ — AgcjgM T OR DgMUns WAUNO ADOR!'aa Plan Checking Fee e""DNO"DOR�° Energy Plan Checking Fee $ i PERMIT FEE s ' _ 3 LOT NO. su60NB10NIN" ►ARCEL IIA► S� PLUMBING PERMIT Fling Fee 20.00 Each Ira7.00 USEOFSTRUCTURE SF ❑ Duplex /Mobilehome 6/ Other sPWVV Solar or heat ump water heater 23.00 Water piping 15.00 J5 0:L) Each as water heater or vent 15.00 TYPE OF WORK f�Gas ' New O Addition O Remodel O Goes O InstallationCt9 Other 13/ Describe Work: piping system 1 - 5 outlets 15.00 Building sewer 15.00 Moble Home S G W @20.00 PERMIT FEES — S� ELECTRICAL PERMIT Filing Fee 20.00 Main Service poA o�R uss 23.00 *PERMIT FEE PAID � ¢%/�' l � SRA -- SHERIFF $ — OTHER $ _ AMOUNT RECEIVED $ *RECEIPT NUMBER * TO BE PUT INTO COMPUTER Service 200A TO 100AA 48.00 caar. owEui+o oecuv. 3.Sesa DONs, a ACC. eU)s. T. Fin Es�o.'Y-LT jM, T@7.50POWER APPARATIA a srx" Ounu Gti0. ® 1.000 Occup. OunEr OR Fo"Esew0 EX. OCCU OunETg es10. eA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.501 ventilation PERMIT FEE S Moble Home Installation Fee $ l U Energy Inspection Fee is 3017-0 "` `o�T' TM� TOTAL FEE $ This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON n RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 22 -Aug -2002 2002-0043657 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document iS.evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. ALAN W. AND SHELLEY R. SMITH REAL PROPERTY OWNER/LESSOR 444 JUNES WAY MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CRY COUNTY STATE ZIP UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 01-0073 530)538-7541 �AATITRE RMR' TELEPHONE NUMBER 8-2-02 F L5cALA Y OFFICIAL DATE NONE DEALER NAME (if not a dealer sale. write "NONE") NONE DEALER LICENSE NO. CRY COUNTY STATE ZIP UNIT DESCRIPTION SKYLINE HOMES 1991 WOODMANOR MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 34700101A/BE 66 X 26 ULI336005/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSORS PARCEL NUMBER A.P. # 027-230-103 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. RECORDING REQUESTED BY: WHEN RECORDED MAIL TO: Butte County Building Division 7 County Center Drive Oroville, CA 95965 COPY of Document Recorded 23 -Aug -2002 2002-0043906 Has not been compared with original BUTTE COUNTY RECORDER NOTICE OF MANUFACTURED HOME(MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION OF A FOUNDATION SYSTEM THE ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT AN ERROR IN THE MAILING ADDRESS ON NOTICE. OF MANUFACTURED. HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION OF A FOUNDATION SYSTEM, RECORDED ON AUGUST 22, 2002, UNDER SERIAL NUMBER 2002-0040598. THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION. r-1 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. ALAN W. AND SHELLEY R. SMITH REAL PROPERTY OWNER/LESSOR 444 FOUR JUNES WAY MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS. IF DIFFERENT CITY COUNTY STATE ZIP UNIT OWNER (if also property owner, write "SAME*) SAME MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 01-0073 (530)538-7541 BUPJRG PERMIT N TELEPHONE NUMBER 8-2-02 IGNATURE OF LOCAL AGE O LkL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE . DEALER LICENSE NO. SKYLINE HOMES 1991 WOODMANOR MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 34700101A/BE 66 X 26 ULI336005/6 SERIAL NUMBERS) LENGTH X WIDTH n INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIP'nON ASSESSOR'S PARCEL NUMBER A.P. # 027-230-103 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept BUILDING PERMIT NUMBER:, 01-0073 Address or location of unit: 444 FOUR JUNES WAY, OROVILLE, CA. 95966 Legal Description of Real Property: A.P.# 027-230-103 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: ALAN W. AND SHELLEY R. SMITH Owner's address: 444 FOUR JUNES WAY; OROVILLE, CA. 95966 INSIGNIA OR HUD NUMBER: ULI336005/6 ' SERIAL NUMBER OR V.I.N.: 34700101A/BE MANUFACTURER'S NAME: SKYLINE YEAR: 1991 OFFICIAL APPROVING INSTALLATION DATE: 8-2-02 PHONE: (530) 538-7541 H.C.D. 513C ORDER NO. BU -183783-3 DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL 'I PARCEL 18, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1992, IN BOOK 125 OF MAPS, AT PAGE(S) 50 THRU 52. AP#: 027-230-103-000 PARCEL II: THOSE CERTAIN RIGHT OF WAYS AND PUBLIC UTILITY EASEMENTS, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1992, , IN BOOK 125 OF MAPS, AT PAGE(S) 50 THRU 52. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. RECORDING REQUESTED BY: WHEN RECORDED MAIL TO: Butte County Building Division 7 County Center Drive Oroville, CA 95965 2002-0043906 Recorded 1 REC FEE .� Official Records I CONFORM . q County Of CANDACE J. BRUBBS I Recorder I ROSEMARY DICKSON i Assistant I Lisa 02:3U" 23 -Aug -2W 1 Page 1 of 3 NOTICE OF MANUFACTURED HOME(MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION OF A_ FOUNDATION SYSTEM THE ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT AN ERROR IN THE MAILING ADDRESS ON NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION OF A FOUNDATION SYSTEM, RECORDED ON AUGUST 22, 2002, UNDER SERIAL NUMBER 2002-0040598. THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. ALAN W. AND SHELLEY R. SMITH BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 444 FOUR JUNES WAY 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA 95966 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CITY . COUNTY STATE ZIP SAME 01-0073 (530)538-7541 INSTALLATION MAILING ADDRESS. IF DIFFERENT B G PERMIT N TELEPHONE NUMBER LENGTH X WIDTH (111JIL )1dj_,J 8-2-02 CITY COUNTY STATE ZIP'SIGNATURE OF LOCAL AGEPYOFOtIAL DATE NONE UNIT OWNER (if also property owner, write "SAME") DEALER NAME (if not a dealer sale, write "NONE") SAME NONE - MAILING ADDRESS DEALER LICENSE NO. CITY COUNTY STATE ZIP UNIT DESCRIPTION SKYLINE HOMES 1991 WOODMANOR MANUFACTURER'S NAME DATE OF MANUFACTURE MODELNAME/NUMBER 34700101A/BE 66 X 26 ULI336005/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P . # 027-230-103 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept DESCRIPTION ORDER NO. BU -183783-3 THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 18, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1992, IN BOOK 125 OF MAPS, AT PAGES) 50 THRU 52. AP#: 027-230-103-000 PARCEL II: THOSE CERTAIN RIGHT OF WAYS AND PUBLIC UTILITY EASEMENTS, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1992, IN BOOK 125 OF MAPS, AT PAGE(S) 50 THRU 52. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. %� DESCRIPTION ORDER NO. BU -183783-3 THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 18, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1992, IN BOOK 125 OF MAPS, AT PAGES) 50 THRU 52. AP#: 027-230-103-000 PARCEL II: THOSE CERTAIN RIGHT OF WAYS AND PUBLIC UTILITY EASEMENTS, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1992, IN BOOK 125 OF MAPS, AT PAGE(S) 50 THRU 52. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD MOBILEHOME ='' DECAL No: LAS5691 saaasammo MANUFACTURER NAME/ID TRADE NAME MODEL DOM DOT DFS SPC EXPIRATION SKYLINE M INC/90002 lowroNOR NW204A 06/07/91 06/07/91 06/10/91 U SERIAL NUMBER LABEL/INSIGNIA NUMBER WEIGHT LENGTH WIDTH ISSUED JSCC 1 347001018E ULI336005 018930 000792 000156 11/15/96 158 234700101M ULI336006 016930 000792 000156 TOTAL 4 FEES s PAID: 6 $35.00 A D D R E S S E R G I M S A TI E L R E D os W I N T E U R S L E G A L 0 N N E R JF UI NR I S 0 T R L I E S NE H C 00 LN DO STRIFLER SHELLEY RENE 167 VIA BIANCA MARYSVILLE CA 95901-0000 STRIFLER SHELLEY RENE 167 VIA BIANCA MARYSVILLE 167 VIA BIAHCk :ZF > € MARYSVILLE ' f 3 3 5 _ IV,— L9 CA,959.014000 r�'J4, • yta � r a,r+`tr fi _ dip 0 E x; R IMPORTANT THE OWNER.INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED.WITH:;THE DEPARTMENT OF ROUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED,UNIT.`-. .2 THE CURRENT•TITLE=-STATUS OF THE UNIT. MAY BE -CONFIRMED THROUGH THE DEPARTMENT. ij �. , Fr A- 01-317-1 010005 Ax iBi 4 go --- ;•�--= as; r `�{ rs � �3 �`_ P _- _c-• a 'r-rr.�-V�'' 0 E x; R IMPORTANT THE OWNER.INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED.WITH:;THE DEPARTMENT OF ROUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED,UNIT.`-. .2 THE CURRENT•TITLE=-STATUS OF THE UNIT. MAY BE -CONFIRMED THROUGH THE DEPARTMENT. ij �. , Fr A- 01-317-1 010005 LETTER OF LOST DECALS The decals for mobile home 1991 Skyline, serial #34700101 ABE, insignia/label #ULI336005/6*, at 444 Junes Way, Oroville, CA., have been lost. Owner Date g--a/-o 2 - RECORDING REQUESTED. BY MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: 1� ALAN AND SHELLEY SMITH 167 VIA BIANCA MARYSVILLE, CA 95901 ORO -C 2m00-01044733 Recorded Official Records Cou_nty Of CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 21 -Nov -2000 Above This Line for Recorder's Use Only REC FEE 10.00 TAX 63.25 Cindy Page 1 of 2 A.P.N.: 027-230-103 Order No.: 183783NUM Escrow No.: 183783MAM o- C___ - GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $63.25 [ X ]computed on full value of property conveyed, or [[ 1 computed on full value less value of liens or encumbrances remaining at time of sale, X ] unincorporated area; [ ] City of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, HENRY T. RUNGE, JR., TRUSTEE OF THE HENRY T. RUNGE, JR. AND CYNTHIA A. RUNGE LIVING TRUST hereby GRANT(S) to ALAN W. SMITH and SHELLEY R. SMITH, Husband and Wife as Joint Tenants the following described property in the unincorporated area of the, County'of Butte State of California; SEE ATTACHED LEGAL DESCREPTION THE HENRY T. RUNGE, JR. AND CYNTHIA A. RUNGE LIVING TRUST By: Q� / HENRY T. RUNGE, JR., TRUSTEE Document Date: November 17, 2000 STATE OF CALIFORNIA )SS COUNTY OF Butte ) On November 20, 2000 before me, Michelle A. Miller, Notary Public personally appeared Henry T. Rune, Jr.. Trustee 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 hand and official seal. - MICHELLE A. MILLER r official notarial seal. CO M bdori /1178414 Mir CPS 1. "a" peat Q+Aa Co>ledp, Caroero 1p CWA Mon Op. APR. % 2002 Mail Tax Statements to: SAME AS ABOVE or Address Noted Below ORDER NO. BU -183783-3 DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I• PARCEL 18, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1992, IN BOOK 125 -OF MAPS, AT PAGES) 50 THRU 52. AP#: 027-230-103-000 PARCEL II'- THOSE CERTAIN RIGHT OF WAYS AND PUBLIC UTILITY EASEMENTS, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1992, IN BOOK 125 OF MAPS, AT PAGES) 50 THRU 52. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. NOTES RESIDENTIAL --�--o Il 8 027-230-I03 ' , SMITH, ALAN SALLEY 444 FOUR JUNES WY OROVILLE j CONT: WIL•GUS FIRE CONTROL 3 FIRE SPRINKLERS vo73 11 SPECIAL CONDITIONS 11 SRA FLOG CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED t Signatur CHECKED BY 4 I f f f 3 i t. . f 7 1 RESIDENTIAL --�--o Il 8 027-230-I03 ' , SMITH, ALAN SALLEY 444 FOUR JUNES WY OROVILLE j CONT: WIL•GUS FIRE CONTROL 3 FIRE SPRINKLERS vo73 11 SPECIAL CONDITIONS 11 SRA FLOG CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED t Signatur CHECKED BY J = OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ PLPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Can. 7. 10. Exits; Insp.-Sketch 8. 11. Can. of Occupancy 9. 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 9 t 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 FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (� Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Ste el- Blockouts -Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24, Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or Al Insulated Neutral Q Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing dingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties- Purlin-Roff Brac.-Truss-Shting. -Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive J Yes J No/Walks D Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: OOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT t91 -:,_Z R 62 / sn,13� 163ER VSA/giH� A NTNG BUILDING PERMIT ALAN & SI�LLEY (916 TELESPHONE 425-5251 SO. FT. OCC. BUILDING VALUATION 1%7RW `ffffCA MARYSVILLE, CA 95901 CONT 10 00.00 ffMTS E CONTROL INC. LEP 241-2465 f %P3 TO960M ST•S REDDING, CA 96001 LIC# 462979 C-16 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 000 00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 25.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 444 FOUR JUNES WY. OROVILLE CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 61.25 LAT NO. SUBDIVISIONS MIME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IX Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation IR Other ❑ Describe Work: FIRE SPRTNKT.FRS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W (020.00 E PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 '00OR LESS Main Service 2001 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.P and License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors ' \ to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELUNG OCCUP. OR ADDNS. ( a ACC. Bin S. So 3.50FT: T.MULTI.OUTLET _=R (07.50 OWERAPPARATUS a SINGLE ourLET cIR. Ex. Occu OUTLET OR FIXTURES 20 @' 00 BAL O .SO Ex. Occup.. oirrLEtOrs(RRM) A. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wi those provis ris. X Date _ Signature of Applicant-- Owner b Contractor ❑ Agen An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP_ $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 61.25 HAZ D IMP FLOOD CDF PAR Po r HD LSSU Jr This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Dat PERMIT EXPIRES ON Ife provisions to do work paid. *10 .1. Receipt No. 331574 41.25 O5 aD" I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PI)IK-INSPECTOR GOLDENROD -APPLICANT �rw �'VTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 , w� s, PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PAR ER: Proposed Building Use:0il�ing Inspectors Date:al At time of permit application, I was Advised the following data mu be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted .------------------------ ------------------------------------------------------------ ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------ �---�.�'--- '-------------- Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------==Via'------------- ngineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 0 6. Energy)Design Compliance and supporting documentation.---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ 0. Manufactured Ho e data and nstallation instructions including Tie Down Specifications. ----------------- 10. Fees of $-:----------------------------------------------------------------------------------- -_ A/ :' ❑ 11. Impact fees as -shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- Ell 3. -------------------------------------------------------- ❑13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and: plot plan approval Health Department. ------------------------------------------- . ❑ 15. City of Chico plumbing permit. ------- --------------------------------------------------------------------------- hl 6. Plot plan and business license approval from the City of Biggs.------------------------------------------------ 1117. ------------------------------------------- ❑17. Planning appioval for (A) Use: (B) Parking: ------------------`- .--r---- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----- 1119. ----- ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑ 0. Pre -inspection for required Request to Building Inspector on Contractor's license information. (Number, Name Style, Classification). ------------------------- Workers' Compensation carrier and policy number.--------�' ------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 11) - --------------------------------- --- ❑24. Letter of signature authorization ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ❑ 26. Letter of intent on building use. ---------------------------------- 1'tilf- El27. Manufactured Home utility clearance. -------------------------- 028. Existing violations and/or expired permits. -------------------- ❑29. 0433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ (Date) 030. Other: ------- _ yu a �ss-s follows ']Mail to owner, n Et Aelepoho'se nhold for ffice. ❑ and pickup at D ver ta{ith inspector. Applicant:%�/�l,!?/J i2�%�� Date: t�,7 \ Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by o phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, ❑ Building Divi on counter, by Plans reviewed by: Date: Plans approved by:Date: Date: 3 D D Sets of plans on hold in ❑ Plan Cabinet, o A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION y 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 P (Rev.t�/96) APPLICATION AND PERMIT ASSESSOR PAFCEl NUMBER `�/tJ zoNNG n BUILDING PERMIT TlLFA1p oWS�LJ et y�r v = vg 4jf - CONSTRUCTION LENDER A LENDER'S MNUNO ADORESS Permit Fee S Plan Chocking Fee ARCNnECT OR ENGINEER Energy Plan Checking Fee $ AMCTECT OR ENGINEERS MAULING ADDRESS 13UILDNG ADDRESS / / i A-71_ LOT NO. I S USONN ON S NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other aPECLFT TYPE OF WORK New ❑ Addition4RemQ l.Jti hstapntion O OtherDescribe Work:, L)b�j *PERMIT FEE PAIb SRA -- SHERIFF OTHER AMOVNT RECEIVED NO. Fireplace Total Valuatlon E �fi Filing Fee S Permit Fee S Plan Chocking Fee b Energy Plan Checking Fee $ POWER APPARATUS SNOLE OUTLET CIF.EX. S PERMIT FEE S PLUMBING PERMIT Tem2orAy S e Each Trap Mobile Home Facilities Solar or heat pump water heater Misc. Wirino Water piping Each gas water heater or vent GasI in stem 1 - 5 eta Buildin "' Mobile Home S G W / PERMIT FEE ! ELECTRICAL PERMIT Main Service1=1Ce -GOV OR OR LLESSESS Main Service 200A TO 1000A NEW CONST. DWELLM OCCUP. OR ADONS. i ACC. BLDS. NON-RESID. MULTI -OUTLET POWER APPARATUS SNOLE OUTLET CIF.EX. OCCU . UTLET OR FIXTUA ��FIXED f EX.OCCU OR ESLD. EA Tem2orAy S e 1 Mobile Home Facilities Misc. Wirino 1 "RECEIPT NUMBER �I6W " TO BE PVT IIJTO COMPUTER 20.00 fling Fee 20.00 7.00 23.00 15 15.00 15,00 15.00 X20.00 ig Fee 20.00 23.00 48.00 3.5c, 5.00 23.00 20.00 23.00 PERMIT FEE S u MECHANICAL PERMIT Fling Fee 20.00 8.50 PERMIT FEtt Mobile Home Installation Fee b Energy Inspection Fee S 1 o1-1 cC CONST. TYPE TOTAL FEE $ NAZ• 1 D. FEES IMP I FLOOD I CDF I PARCEL I PD I NO I SSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON School District A.P. Number Property Owner Property Location/Address Subdivision BUTTE.COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) on, k Building Department No. Jurisdiction: CityQ County Sina'.�- sn', Residential Development No of Living Mobile Home Addition/ 'Supplemental to Units Installation Conversion Permit # '(No foundation inspection) Lot No. Commercial/Industrial New dditior Building Department Representative } opi,ocx). Sq. Footage ' (Group R) Sq. Footage (Including Exterior Roofed Areas) l salol Date (Floor Plans reviewed by School District Personnel) Distfict Identification No. 0120006 6hool Distinct certifies that (Applicant) (Stp_tAddress) C/ () (Phone Number) (City) (State) Q,\ has complied with the requirements of Resolution No. representing �� square feet. =FIG School District Representative Paid by Check # Remarks: (Zip Code) / by payment of $ �-✓ l� "`„""I"'' s $ 07- 24-01 Date !L Kkbbflt I Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.As (10/98)dmm Y 35989 ORDER NO. BU -150392-3 DESCRIPTION: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I• PARCEL 18, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1992, IN BOOK 125.OF MAPS, AT PAGE(S) 50 THRU 52.' PARCEL I THOSE CERTAIN RIGHT OF WAYS AND PUBLIC UTILITY EASEMENTS OVER PARCELS 2, 3, 5 THRU 17 AND 19 TFD2U 24 AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1992, IN BOOK 125 OF MAPS, AT PAGES) 50 THRU 52. FN•:) OF DOCUMFNT r t< RESIDENTIAL 027-230-103PERMIT#95-2618 w - ��',�: JONES, Barbara 444 Four Junes qday, Oroville Mobilehome Utilities / r I1L.'�s0}�" .Y g(.k . '� sT7" .. f• - - d «.,.. � r, i r , I r (y^ r 1a t A OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Date`s t i JOB FINALED (Date) Signature ti • -•7i{t�tjS.S ,�_-. 'i,'.'a['R"t'+r.1u 74, .,.f. .,,.mac; rsr: zg�"Fl 'VI 74tt•. 3 s ..p•.-r.r. - .. _; ;K; riPERMIT##95=2842 + A027-230'=103 , i--, •; JONES; Barbara. &.*-tIANN, Micky %t , • �* f4414iFour`.Junes°Wayl�Oroville' xI - m , Mobil3ehome Installation • t � S ''' .s': "1 lit i x r d +''� at y�� .,F2 { r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ►7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT �S" ASSESSOR PARCEL NUMBER 077_230--103 ZONING pay BUILDING PERMIT OWNER BARBARA JON ... , Y_'4J ., TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS ' 7325 %I UDINIARK V SITUIDAN, 95681 CONTRACTOR'S NAME Wl� 1M TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ LENDER'S MPJLING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. - Plan Checking Fee $ 23. Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILOINGADDRESS t 444 FOIJ� JIlA1T.S WAY PERMITFEE $ • GU - OkOVIlI3, PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNSION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑� Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation IN Other ❑ Describe Work: 3 BEDROW Mobile Home IS I GI W1 @20.00 H I PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service a OV OR LESS ( 2000A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class ILDE . OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: /11 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( ,. ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NOWRESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) b SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 @ 1.00 BAL SO Ex. Occup. ( OUFIXED TLETS(RES D.)EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is:: or work of a valuation of one hundred dollars ($100) or less.) E f 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 Califorpia, and agree that if I should become subject to the workers' coml%nsation provisions of section 3700 of the Labor Code, I shall forthwith co ply wlt,6 los provisions. X // � , / Date / —�2 —7,Y Signature of App I t - Owner ❑ Contractor ❑ Agent An OSHA permit is��rrequired for excavations over 5'0" deep and demolition or construction of structures overrb stories in height. Mobile Home Installation Fee Is IUO.UO Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. ...– D. FE IMP FLO D +. � CDF .PARCEL PD HD UE ..�_ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above fo'r which fees have been paid. BY / ,� Date '71 �/� G Z 1 PERMITEXPIRESON c l (Date) t/, Receipt No. t5t)JUU WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 ,,COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 11 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION•AND PERMIT 9-5-C210 IV ASSESSOR PARCEL NUMBER 027-230--103 ZONING BUILDINGPERMIT OWNER WIRM BARBARA JONFS TELEPHONE SO. Fr. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 7070 ANDRESON SHERIDA , CA 9Ji%l CONTRACTOR'S NAME ^T-��,,.,R TELEPHONE CONTRACTORS MAILING -ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ An Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty ti $ SUILDINGADDRESS 444 FOM JUNES WAY PERMITFEE $ Oxivzi:i..E PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT No. SUBDIVISIONS NAME PARCEL MAP ,Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Q Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 15 Installation ❑ Other ❑ Describe Work: 3 BEDROOM ,,,..,. Mobile Home Gy. 1T1j @20.00 .00 PERMITFEE $ 80,00 Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main ServiceOOOV OR LESS ( 200A OR LESS ) 1 23.00 23.00 Main Service ( 200A TO +000A ) 46.00 ' LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 'E f 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this ` reason NEW CONST. / DWELLING OCCUP. so OR ADDNS. \ a ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIS. Ex. Occup. (OUTLET OR FIXTURES 20 0 1.00 BAL .SO Ex. Occup. OUTLETS FIXED (RES D.)EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 0.00 . Misc. Wiring 23.00 PERMITFEE $ 63.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. (� I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I 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' compensatiori�provisions of section 3700 of the Labor Code, I shall fo _ with comply wit th se provisions. X t 4 ,,.,y Date '4Slgnature pplica wner ractor ❑ Age An OSHA permit is require • for excavations over 5'0' deep and demolition or construction structures over 3 stori s in height. Mobile Home. Installation -Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 166.00 HAZ. --,-_ D. FEES _/ GIMP FLOOD -- _ CDF V ARCEL ,'PD 11 r _ ✓ ` s9SSUE ' This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. r-- /Aep, �'� ��T Dateof BY ! PERMITEXPIRESON (Date) Receipt No. 0 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 RESIDENTIAL 027-23-0-103 96-1702 -B ------ z JONES, Barbara I444.Four Junes Way, Oroville !(fire sprinkler/MH) /'Y JOB FINALED (Date) 'Signature __ ; , "' .- .� y:,: l��^�-'t�7 . Ana av+at__ n-vYir,'VYt.'T'.e"7^ COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 . ounty Center: Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER , 027-23a-103 y ° ZONING As BUILDING PERMIT OWNER ARBAR4 JONES TELEPHONE SQ. FT. OCC. BUILDING VALUATION EST 3 500.00 OWNER'S MAILING ADDRESS �r a< I�� �: 4� •FaUR JUNES WAY OROVILLE. 95966 CONTRACTOR'S NAME 1 < [ . TELEPHONE (t,�LL BE G-16 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 444 FOUR JUNES WAY PERMITFEE $ 78.00 OROVILLE 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. S UBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ©, Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00, TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: FIRE SPRINKLER WATER SUPPLY Mobile Home I S I G W 1 920.00 PERMITFEES Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service 'S0OV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages astheir sole compensation, III do the work, and the structure is not intended or offered for sale. %M,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 NEW CONST. DWELLING OCCUP. SO. OR ADONS. ( & ACC. BUDS. ) 3.5¢ FT. NEW CONST. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FUTURES ) 20 Q 1.00 BAL 0 .50 Ex. Occup. (oFIIXETs (R S D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor, WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with tho provisions. X_ Date �77_ Signature of Applicant ❑ Owner ❑ Contractor ❑ Agent r An OSHA permit is required ?or excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 78.00 HAZ. I D. FEES I IMP FLOOD CDF PARCEL PD I HD I IS U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. /�) /(� B ,Date ! G/�/ / Y PERMITEXPIRESON Yo / f f i (ate) Receipt No. 202172 WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT V=OK O = Not OK `=NottRealdyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-Dep"pacing-Connectors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; location -Test -Wrap; / /'Uft. / /Nat. or/ /"L ft./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Fnng.; Sils-AnchorsStuds-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, Distance-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. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 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 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Dep"pacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/3 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 & Duplex) = Date UNDERFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; 'Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wra pped 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 rr's 16. Water Hir.: Vent -Access -Combustion Air-Baffle ----------------------------------------------------------------- 17. ----------------------- ----- - - - - - ----- 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. t --- TesTub -&-Shower.- Second-Floor-Tub Access ------------------------------------------- --------------- 21. Gas Pipe: Size & Anchors -------------- ------ -------------------------------------------------------------------------- Date Card B-1 DateCard B-1 -------------------- ---------------------- ----------- ---- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except Ws 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. _.26. Equip Ground made up wrMech. Fastners-Bond Gas & Water --- ------------------------------------------------- -------- --- --- -- 27 2 Appliance Circuts in Kitchen & Conductor SizerGFI --------------------------------------------- --- .._ - 28. Subfeed Wire Sizer 1 ga. Cu or AI-A.C. Wire Size • r ga. Cu or AI ------------------ - ------------------`------------------ ----------------- .. 29. Range Circ. r r ga. Cu or AI -Oven Circ. I r ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----- --- ------------------------------------------ .. 30. Service -Riser Conductors & Ground -Main Disconnect ---------------------------- -- --- _ ------------- -- 31. Equip. Clearances Panels-Motors-Mech. Equip. --- . ---------- ............... ....... .. 32. Clothes Closet Light -Shower Light -Spa Light --------------- ------------------------------------ 33. Smoke Detector -------------------------...--- --------- ------- - ... . .. . .. .... .. Date Card B-1 Date Card B-1 --------------- ....._..._.............. ....I----------..... ._. ... ... ... ... .. Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except Ws 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 # s 39. Sils. Proper Material & Anchors .... ... . ... ... ... ... ... ... ... ... 40 Walls Studs -Nailing. Spacing & Bracing-Plales-SOUnd ...... _.. ... .. ....--............. ...... . 41. Bearing Walls over Girders & Floor Nailing ... . .. ... ............ . .... ............ ... ... .. 42. Draft Stop in Walls (rat proof) -- ----__..... 43. Fire Stops: Furred Ceilings -Stags -Chases -Tub ----------------- 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. --------------- ------ 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 ---------------------------------- ___ _____ 51. Property Line Firewall & Openings 52. Ext. Doors -One 3=Check Garage -3rd Story, 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: Nailing -Bolts 59.- Insulation -Walls -Ceilings ------------------------------------------ - 60. Infiltration -Walls -Windows -------------------- .- I --------- -- - - -------------------------------- - Date Card B-1 Date Card B-1 .. - -- -------- ----- ----------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except fr's 61. Ext. Steps -Door & Sidelight Protection -Landings ------------- ------------- ----------- - --------------------- 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage. Above Floor -Ducts -Meth. Protection --------------------------------- 64. Bedroom Exiting - -- - -------------------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ...... ....... _. _. _.------------- P-------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels .. --- -- -------- ------------------ 67. Stags & Rails ---------------- 6d Fireplace or Stove: Clearances -Hearth --- ..---------------------------------- 69 Elec. Outlets at Wood Panel: Int. & Ext. ..--------------------------- ---------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance - - - - - - --------------- 71 - - - ------------------------------------ -- - 71 Elec. Outlets & Receptacles at Kit. Counter - - - ---------------------- 72. _.- -----------------72. Garage Fire Door: Swing -Landing -Closer - - - - - - - - - -- ------- ------ -- - 73. A.C. Duct in Garage -Damper --- ..... ------------------------------- ------ 74. Wir Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection ..... ------ -------------------- __---- 75. Plb.. Elec. & Mech. Equip. Listed for Location _ ---------------------------------- - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection .. . ----------------------------------------------------- 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 0 No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No --------------------- 81. ----------------- 81. Stucco: Brown -Finish ......... .._.._...------------------------------------ 82 A C Unit: Disconnect, Electrical, Plumbing . ... ... ... ...--------------------------- -- ----- 83. Vents Above Roof. Plbg.-Appliance-Fireplace.-Clearance to Openings _ ... _........ ------------------ 84 -- --------------84 Water Well: Disconnect. Electrical. Plumbing ----------------------------------------- d5 Exterior Elec Trim: G.F.I. Receptacle -Underground - - ------------------------------------- 86 ----------------------------------86 Ventilation Throughout House 87 Glass Protection 88. Corrections from Previous Inspections - - - -- - ----------------- 89 Gas Test -Meters Tagged: Gas -Electric ._..-...-------- ----------------------------- 90 Water & Sewer Connected -C/O to Grade -HD Approval . --- - - _ - - -- - -- ---------------------------- 91 Energy Compliance ante Cert ficate-Other Certificates __.....----- ------------------------------ Date Card B-1 Date Card B-1 ------------------------------------- Date Card B-1 Dale Card B-1 Date Card B-1 Date Card B-1 Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION ---7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: PERMIT NO.: Owner's: Name: Owners: Address: Mobilehome Year of / Manufacturer Manufacture: 6 Serial number SS q )c Insignia or A�7�52;*` or V.I.N. HUD number: Official approving installation: Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 5138 White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor R rt MOBILEHOME INSTALLATION ACCEPTANCE .: COUNTY OF BUTTE r rr r DEPARTMENT OF DEVELOPMENT. SERVICES BUILDING DIVISION - 7 COUNTY CENTER DRIVE OROVILLE; CA 95965 --PHONE .(916) 5387541 AW PERMIT NO.:jjj . •! Q } �. �i7`FF-.E L Y�= :"°'TiLrw Owhers Y,. .kF�M%(I+IM }}' .L _ Name: Owners: Address: Mobilehome '6 6 Year of A 1 Manufacturer ' V , Manufacture: ! .• i y�sw.rT' x Serial number �5 Insignia or orV.LN. ''" HUD number: r rt Offiicial"approving installation: ", : Date: •' �� `* If the mobilehome is moved or relocated, the mobilehome installation acceptance. shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 5136 White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION ---7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: PERMIT NO.: Name: Owners: 1 Address: Mobilehome j IZL46 6 Year of Manufacturer F"+ Manufacture: .., Serial number 41-1155q Insignia or or V.I.N. "`J HUD number: Official approving installation: Date: If the mobilehome is moved or relocated, the mobilehome Installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 5138 White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor ' 1/1, 71 �� t ,� � � . ::,�,- r✓#r r :i / � ,. Jif �ftc' , ; i! i' t � >r'�`�-..��', 7t. r MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION ---7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: PERMIT NO.: t x _....,� ,�-. •—+mom. P Name: Owners r Add/Oless: Mobilehome Year of Manufacturer } t"'Tt� U ,J Manufacture: i(` ((+' Serial number ^., ., _ Insignia or or V.I.N. HUD number: Official approving installation: Date: r= If the mobilehome is moved or relocated, the mobilehome Installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 15 , • 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor J. k INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . Service Size Other Load Type Pipe Size Len th YES NO .YES NO I n ' COUNTY OF BUTTE =' t" BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE z= -�nrye 15 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at _ the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ' to �G //wo " Date D' Inspectorop >° REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE" /(/ OWNER rtnmi 1. 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 wherf correction, of work is completed. If you have any questions pertaining to this matter, or need additional e-xplanation,1 please contact this office immediately. L ti f i r" AP OWljER PERMIT MH'UTIL.CLEARANCE DATE 4 INSPECTOR ' ELECTRIC GAS Support Struc. Compaction Test eq. Service Size Otheri Load T e Pipe Size Length YES NO YESI NO ". COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 :. CORRECTION NOTICE �,le- s OWNER rtnnni i rv�. A routine inspection indicates that the following violations of Butte County Ordinances exist at _ the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. t e ,L 4.1 Date y jb 9� Inspector Se� sr �• REV 10/92 MOBILEHOME INSTALLATION. ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION ---7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: PERMIT NO.: Owners: Name: Owners: Address: Mobilehome Year of // Manufacturer 6(. 1—.4jc?A_C/ Manufacture: Serial number Insignia or A- � or V.I.N. t HUD number: a. % Official approving installation: Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES r} APN: PERMIT. NO.: Owner's: Name: Owner's: Address: Mobilehome Year of ' Manufacturer x . �j d wCjf/ Manufacture: Serial number 5 / 55 y l% Insignia or or V.I.N. HUD number: A Official approving installation: Date:- ,. r If the.mobilehbme.is moved or relocated; the mobilehome installation acceptanceshall become'invalld. This •form shall; _ not be used.when themobilehome is installed on.a foundation, system. 5136-- ` White, -Owner, Yellow Installer Pink Bldg Gold Assessor � t I MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES R11II1fliNaTnr`/vgnN =Z.(-',ni.m Y.CF..NTFR MPRIF APN: PERMIT NO.: Owner's: Name: Owner's: Address: Mobilehome Year of / Manufacturer(faG ,`' e .1 Manufacture: Serial number 5 1,55-1 U Insignia or or V.I.N. �. c HUD number:• Official approving installation: Date: If the.mobilehorne.is moved or relocated,'the mobilehome installation acceptance shall,become invalid` This form°shall' not be used when the mobilehome is installed on a,foundation systern. r` '5138 White -Owner, Yellow Installer Pink -Bldg Gold -Assessor , �4':.�t.X.�+..v �,.i F # .r'"�k..f.t�:at:s'�9,��12:ar ,,,"�L�.:.^3. c.. ..: tw.: .t yn c. t.L��-F+..`: � ��! ^•v'>,.�r_ar�., ..a��1.� a ..._�a.,. yr�t7..'.i�•�•v. '', ... �..5_r x.... r._<, ...r _.rc _ �Fd a MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES t APN: PERMIT NO.: Owners: Name: Owners: Address: Mobilehome Year of Manufacturer ;�„l �j �. 1�� �v� Manufacture: Serial number ` 11 Insignia or or V.I.N. �. 9 �:,> c HUD number:'- Official approving installation: Date If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 5138 White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor M J=OK O =Not OK Not - = Not Ready MOBILE 1 MOBILE HOMES ' '-_ ", A - ° MISCELLANEOUS ; DateMOBILE HOME UTILITIES Plans OK"exce t #'s Date -� DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK•except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Special'MH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel •� e Sew r;'Locaiion-Test-Fall-C/O Concrete 3. Decks; Griders and/or Joists-Decking-Bracing-Stairs-Rails•- ater; Location -Test -Easement Needed (Sketch) { 4. Wood Awn.; Posts -Beam s-Rftrs.-,Connectors l ectri , Location-Clearences-Grnd-/ /Amp=Concrete Shthg.-Rfg.-Bracing 6. Location -Test -Wrap• / P' '`ft 1 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ 7. Well Clearance S Disconnect 4 Utility Clearance M 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 -t 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 �*_. Date Date t.ald B - Card B-tVC Date Card B -t I Date, vim•-. Card B -tom Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements v 2. Footings; Size -Spacing -Marriage Line MH Test-Demand-Valve—Connector Electricity; MH Test -Crossovers -Breakers -Clearances Dr 'r%Test-Fall-Flex Connector _MHa r; MH Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Approval Gas and Electricity Tagged Exits; Insp.-Sketch Cert. of Occuppancy C1 0 Date7—�?Q �� Card B-1 Date Card B-1 0 Date/tf�/� Card B-1 Date Card B-1 M 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 -t 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 V OK O=Not OK - = Not Applicable Not Ready RESIDENTIAL (� ' = Date UNDERFLOOR (Plans) OK except #'s" " 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-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/0 -Sewer -Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Watei 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 #'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 a'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. Ground made up wrMech. Fastners-Bond Gas & Water --------------------------------------------------------------- I ------------------- 27. 2 Appliance Circuts m Kitchen & Conductor S zerGFI ------------..--------------------------- ------------------------------------- 28. ----------------------------------28. Subfeed Wire Size ; , ga. Cu or AI-A.C. Wire Size ' ga. Cu or AI 29. Range Circ ' ' ga. Cu or AI -Oven Circ. ' r ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - --- ------------------ ------- ---------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect - ------- ----------------- ------------------------------- ----------- 31. Equip. Clearances Panels-Motors-Mech. Equip. ---- - - - -- --------------------------------------------------- 32 Clothes Closet Light -Shower Light -Spa Light -------------- 33. ------------ 33. Smoke Detector --------------------------------------- -----------------------..------------- Card B-1 Date Card B-1 - --------------- ..__...... _ _.._..... ------------------------------ ---------- Date ------- Date Card B -t 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 Drain & Overflow: Size & Grade --------------- -------------- --- -------------------------- -. ... _ ..._ 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---------------------- ----._. ..-- ------------------------------------ ----- - - 38 Attic Access & Platform it Furnance in Attic -------------- DateCard ------------ --- - - - - - - --- ----- ------.....- - B-1 Date Card B-1 ....-.......-- -- ----- - ----- ---------- .--. -------- Date Date __ .......... Card B-1 Date Card B-1 Date FRAMING (Plans) OK except Ws 39 Sits. 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 & Beim -Size & Bearing I T "ingle & Duplex) "'� ,,,:. • - Date FRAMING (Continued) I -INC +. `'"4 -bo" 45. Hangers -Post Caps -Anchors -Connectors , i4 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 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 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: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. 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 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------------- -- 62. Smoke Detector ------------- --------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above floor-Ducts-Mech. Protection ---------- ------------ --- ---------------- 64. Bedroom Exiting ---------------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------------I --- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --------------- ------------ 67. Stairs -&-Rai-Is 68. Fireplace or Stove: Clearances -Hearth ------------i --------------------------___ 6J. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt & Appliance: Grnd -Air Gap -Cooking Clearance - ----------------------------- - 7.. Elec. Outlets & Receptacles at Kit. Counter ---------- ---------------------- - 72. Garage Fire Door: Swing -Landing -Closer -------------------- 73. -----------------73. A.C. Duct in Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location ------------------------------------------------ - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;-.- Insulation -Foam -Looked in -Attic----- 11Yes ------------------------- - 78. Guard Rails & Deck -Const ruction- 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 ❑ Yes ❑ 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.. --- ------------------------------ ------ 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground - -- -------------- ----------- -------------------------- 86. Ventilation Throughout House .. ... ............... ----------------------------------- --- 87. Glass Protection - - ------------------------------------------------------- 88. 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 8-1 Date Card B-1 .- ------------------------------ Date --- ------------------------Date Card B-1 Dale Card B-1 -..... ....... ----------------------------------------- - Date Card B-1 Date Card B-1 Comments at Final: �CNUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 APER O. APPLICATION AND PERMIT _ ASSESSOR PARCEL NUMBER 027-230-103 A5 ZONING BUILDING PERMIT OWNER BARBARA JONES -gg� SO. FT. OCC. BUILDING VALUATION EST 1,500.00 OWNERS MAILING ADDRESS 444 FOUR JUNES WAY OROVILLE 95966 CONTRACTOR'S NAME WILL BE C-16 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 444 FOUR JUNES WAY PERMITFEE $ 78.00 OROVILLE, 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome CX Other SPECIFY Water piping - 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ETRE CPRTNKT ER WATER SUPPLY Mobile Home I S I GI IN I @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, III do the work, and the structure is not intended or offered for sale. .0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADONS. ( 8 ACC. BLDS. ) SO. 3.5Q FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APOUTPARATUS ) & SINGLE LET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL 0 .50 EX. Occup. FIXEDAPPLN . OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE 3 Contractor 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.) �f I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply With tho provisions. X L Date K- Signature of Applicant - ❑ caner ❑Contractor ❑Agent r An OSHA permit is required or excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 78.00 [of HAZ. 1 D. FEES I IMP I FLOOD CDF PARCEL PD I HD U his permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date l/ PERMITEXPIRESON I ate) Receipt No. 202172 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSD r,� NUMBED, jO o� o� ZONING BUILDINGPERMIT OWNER T°Fw'DNE SO. FT. OCC. BUILDING VALUATION ) 'on on OWN MAILING ADDRESS CONfMCTOR/'$�� NAME /f [ U n1 Wa V T COMR'S RS rUNG ADDRESS ` I / Fireplace CONSTRUCTION LENDER U OWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS _ - Permit Fee - $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee. - $. Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS- r PERMITFEE S PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other r SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: (- W11 1 ct (F Mobile Home S G W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filino Fee 20.00 Main Service000v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: - ❑ I, as owner of the property, or my employees with wages as their sole compensation,. will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ( 8 ACC. BIOS. ) sO. 3.50 FT. NEW CCNS. ONST. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) @7.50 @D7. ( POWER APPARATUS ) d SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) @ 1.00BAL Ex. Occup. (GLFiIIXEDrs (R SESE I.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued. I shall not employ any person in'any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with t se provisions. — X Date Signature of App ican Owner ❑Contractor ❑ Agent ' An OSHA permit is re uired for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 11AZ. 1 O. FEES IMP FLOOD cDF PARCEL PO IN ISSUE This permit is hereby issued under the of the Butte County Code and/or in indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE -D.D.S.-B.D. C R •ASS SOR PINK -INSPECTOR GOLDENROD•APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Z4 110 r4. Jo;q C S A. P. No. 0�9 030-1,03 Proposed Building Use F i Ire- /''1,, 10, =nq Inspector Date yjra Ju At tim of permit application, I was advised the following data must be submitted p for to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted . ................... .......... ...... 2. Plot plans, 3/4 s s signed by preparer of plans. .... // 3. Complete plaqgY4 sets, signed by pre arer of lans .1 ....... ...... 4. Engineered pltLfis and calcs, 3/ se s, with wet si . ............ . 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). ..-. ' Preanspedion..req.ueis 20. Pre -inspection for required. . to Building inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner _). ......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. I 25. Letter of signature authorization . ........................................ t 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.4oning`aTea and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for p Tkup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant 'Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution ate Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to �rmitsuance: (Circle ne item clchecked above). 1. Index permit for above items No. 2. Additional items required: Contractor sign , owner, was advised of above required data by _ phone _ mail Counter Date Contract2. esigner, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by - Date - L Sets of plans on hold in File cabinet AP folder l Copy - Department of Public Works Barbara Jones 444 Four Junes Way ORoville, CA 95965 RE: Code Violations 444 Four Junes Way, Oroville Dear Ms. Jones: ..� suite co, L A N D O F NATURAL WEALTH A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 February 2, 1999 A.P. #: 027-23-0-103 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above referenced location: Failure to obtain approval of previous corrections and failure to obtain inspection prior to occupancy and permit expiration for installation of mobilehome. and firesprinklers. (A second mobilehome has been installed without a permit. A-5 zoning allows only one (1) living unit) Since permits and inspections are required for the above work, apply for the required permits to make corrections and complete project and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have questions concerning this matter, please contact Michael Vieira or Scott Rutherford in this office at the address or telephone number listed above. Yours very truly, MCV:dms Mic ael C. Vieira, C.B.O. cc: Assessor Man ger, Building Inspection ' � � [ M w�a.s vJ� j W January 27, 1999 Gill Smith Pacific Gas and Electric 350 Salem St. Chico, Ca. 95926 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Re: HAZARDOUS ELECTRICAL CONDITIONS 444 Four Junes Way Oroville, Ca. P# 021-23-0-103 Dear Mr. Smith This department received a complaint alleging health and safety hazards at the above referenced living unit. On January 27, 1999 an inspection was conducted by this department. The two Mobile homes and out building are unpermitted. The structures at this site have numerous electrical hazards including but not limited to open conductors and conductor splices, unprotected conductors, and a lack of proper grounding and bonding. As the Building Official for Butte County, I am requesting that the electrical to the structures referenced above not be reconnected until appropriate actions are taken to resolve the hazards. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira at the number above. Sincerely Michael C. Vieira Manager, Building Inspection LAND OF NATURAL WEALTH' AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Re: HAZARDOUS ELECTRICAL CONDITIONS 444 Four Junes Way Oroville, Ca. P# 021-23-0-103 Dear Mr. Smith This department received a complaint alleging health and safety hazards at the above referenced living unit. On January 27, 1999 an inspection was conducted by this department. The two Mobile homes and out building are unpermitted. The structures at this site have numerous electrical hazards including but not limited to open conductors and conductor splices, unprotected conductors, and a lack of proper grounding and bonding. As the Building Official for Butte County, I am requesting that the electrical to the structures referenced above not be reconnected until appropriate actions are taken to resolve the hazards. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira at the number above. Sincerely Michael C. Vieira Manager, Building Inspection PLOT PLAN FOUR e%UK i -c'h'i` _s - W4y W9LI- 3 ►. f ®ttr'a' E� aF t� sta ff aa�►-eE �' �� t aNEs ' � � O �RHA�'c S� pH®pf- �teSHAG 6 O o f �O��P►1`14' � � o z.; _4vri` 4 Pair&2 140011 1;7 P,4J1r`.= APPROVED Butte County Environmental Health. t =1L=D I ---- Date No(�' S)gnature g0IL f y d3 PkAN 1 r /k iry l j APPROVED Butte County Environmental Health t) INNIN(I Dat Si nature FAM14Y f 0 0.1v Mobilehome Manufacturer:- .l Manufacture Year. If other than single wide, famish Set p Model Number: Width: a p _--(ft.) Length: _(fi,) Tagalong or Expando Size.,,: ' :::: (R.) x=($,) On all mobiilehomes .wed after October 7, 1973, furnish mainrfacd rer's installation inanual and structural setup_sheets.:.-, .__ .. FOOTINGS:_Wood pressure treated or foundation grade[ ] Other SUPPORTS: Concrete block[ ' ]Other. Provide Tie Down Specifications for all MobBehomes: Line 1 Piers: Linel Openings Size minimum: r 1 x r i. Size minimum: [ ] x [ ]. Spacing maximum: I tEach side of openings From ends-maximumi 4with width over: I` Line 2 Piers: -dc) Line 4 Piers: Size minimum: Size minimum: x Spacing maximum: �6 "Spacing maximum: ` From ends-maximump From ends -maximum ` Line 3 Roof Loads: a9 X-30 Size minimum Location (from front'y Line 5 Roof Loads: Size minimum: Location (from front): OVER 0 V r Pier -Footings Sizes and Location MNGLswIDs -. t►i iiri-wIDs ' Lim .. .. .... .._ ......................................Mi.. ............... .Lme T .......................................•..........................i..........1 Line 1 e 3 2 J-L Main Elea= .............................................................................e2e1 - � 7 ...................................................s Tag or Triple 4 Line 1 Line 1 Piers: Linel Openings Size minimum: r 1 x r i. Size minimum: [ ] x [ ]. Spacing maximum: I tEach side of openings From ends-maximumi 4with width over: I` Line 2 Piers: -dc) Line 4 Piers: Size minimum: Size minimum: x Spacing maximum: �6 "Spacing maximum: ` From ends-maximump From ends -maximum ` Line 3 Roof Loads: a9 X-30 Size minimum Location (from front'y Line 5 Roof Loads: Size minimum: Location (from front): OVER 0 V r 1. • Owner's Name: /0/9 ..ato'. 2. Assessor's Paicel Number:.fv .--; _; _ - . _� `� � {,rx 'jy .7✓r ate/ ...- 3. Installer's Name: Y.:,., :� ,�=•• .F,�,z:t;�,�ri=r 4. Is the site cu:remly under permit?. Yes[ ] No] VPermit No. - j` =:•`r7 ? = 5. Is the site an existing site? Yes -;-..-Not - fiirnish two plotplans),.. 6. What is the electrical rating of the mobelioine? :l - •- - 7. What is the mobilehome site circuit breaker F. - 8. What is the el dhical rating of the mobilehome site? 9. Is the main service remote from the mobilehome site? Yes No[ ' ] If it is, what is f the rating?-.. 1. Amperes. 10. Is there any other electric load to be served by the mobilehome site._electcio service �.e. wella etc. Yes No If es, please ide the load and size: ,gas )• ] [ ]. Y.. y. . a) The mobile home site: Load -L 1i Amperes- b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[,,(] None[ -] 12. , Size of g pipe at the mobilehome site from the meter. : or tank: inches. _ 13. What is the gas pipe length from the meter or tank to the mobilehome? ' 40, M).. ' 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION r May 1995 8.5 3 S 9X ryZ • P f'l = r - 9M �D F� Mo O Z �p VIM. r n ro �q §OR C C fel WE w w w ^Y^ 11 w Y Y wY ww ww ww C C C C Y WAN 1 e +1 C = [yyy ZZZA MAX--L----90'.MAX1 - MU— • N 1 " 1 ea ,`�1 • DIY Qjox N"S X+0! o " 74 N it W AN r _ -I K n ,�W4 N. TwHORNE GEOTECHNICAL CONSULTANTS 6 r9 m% "n � �N• Z4�� F zh ori a 2� ppr tltl yt -4roP Z Z -1 O F • n .+ o eo %D n �� £ ,n m p • to N 0 C11 o A DIfi— , - TR L PIERS, INC. THARP &ASSOCIATES, INC. o " 74 N it Z I ,�W4 N. TwHORNE GEOTECHNICAL CONSULTANTS o �-► 'o D o FRESNO, CA. 93706 co .. rd y o X� W e o (559) 268-0828 Site Assessments En Ineerin *Cons Monitorin D o a o `O ID y W MOBILE HOME FOUNDATION SYSTEM 347 SPRECKEIS DRIVE, APTOS, CA. 95003 <831) 662-8590 LAND DEVELOPMENT BUILDING / ENVIRONMENTAL HEALTH --PERMIT CLEARANCE 14e -n- 6Cm-r , /den- li-r_wx co, -L. Building Permit No. 9 S — U NAMERS v Ores . �Q.y-Lo_y-r_c NUMBER: PRINT LAST NAME FIRS COUNTY ZONING DESIGNATION: Ia' -'� FLOOD ZONE: FLOOD MAP: 4�0 (� APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: MAP INFORMATION: DATE OF RECORDING 4e %y9Z- LOT �� BOOK Z PAGE S G/S Z COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PA ID TO THE BUIL DING DIVISION UNLESS 0THERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a ft.building setback from right-of-way/centerline of 3. Maintain a 100 ft. leachfield setback from all existing wells. X 4. Maintain a /00 ft. IeseFi#i setback from Use,a & Sewc cQ_ Pay water tender fees in the amount of $ 2 00 to Battalion Number of the Butte County Fire Department. Meet xhe Fire Safe Regulations of Butte County and P.R.C. 4290. 7. Connect to a public water supply. _ 8. Connect to a public sewer system. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $:. ;:,. -•; ; _ 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) _ 12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish &.Game at 916-355-7010. 13. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Plf&wdg Division. as stated. _ 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 15. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of -Supervisors. __?L166. Pay school impact mitigation fees. X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of.the Butte County Code. _ 18. 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. _ 19. If any cultural resources are encountered during ground. disturbing activities, all work shall cease in the area of. the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. X 20. Ha,fz dd u.�- ern �� 412AWCd ) s 419.isys'L �� S 6',-f4 S- �or� 21. ' 22 23 24 25 ^'Q JA3VYd013A30 GNVI 10 A.LNnOO 5661 £ Z 130 a3ni3a3a LD 9/95 - C:\WP51\FORMS.K\BLDGPERM.CLR And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 95-0383661' Rec Fee Recorded t Official .Records County of Butte Candace J. Grubbs Recorder 11:28am 31 -Oct -95 COP Cash PUBL AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT 9.00 1.00 10. 00 XX 2 Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including. but not limited to herbicides, pesticides, and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust.' smoke, noise, and odor. Butte County has established agricultural purposes and residents 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 Cr c � �d Date:1� ' ��,\–C\G, PROPERTY OWNERS: �c'Jra Z- xOe "-�' . State of California ) County of On C J\ 0�, before me, '(- personally appeared , )c� � ( (; F \ 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 hand and official seal. DENISE TERRIAH Commission .41073963 Mfr CPS) '`• Notary Public W ",b.�,. Butte y, California .`p,,..:,,,.•:,. Signature \ ��,(\ \ ��. Seal: My Commission Exp. SEPT. 10.19 A.P.# 0a (-03C--1p--:S TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance G� es*4-2 3 -/03` ' `-d AP# Owner Location Plan Approved tor: Sewaqe Disposal x Water Supply Hold final for: ^anal clearance O.K. for: . yr ^a.e- Clearance for -=L bedroom mobile home. Other Water Supply Water Supply NOTE Date Sanitarian �' ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■iIJK'�11��■■■i■�■����■■■■■�I COUNTY OF BUTTE - DEPARTINIENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 county center Drive, oroville CA 95965 Phone: 916-538-7541 BARBARA JONES 444 FOUR JUNES WAY OROVILLE CA 95966 RE: FIRE SPRINKLER PERMIT APPLICATION DATE: 8/28/96 A.P. # 027-23-0-103 #96-1702 With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engineered Calculations Typical Plan Sheet Owner -Builder Verification Fm List of Codes.Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. =Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and talcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Certificate of Wcrkmans Cc ensat=c^ :rs r- ance Owner -Builder Verification Form. Recordedccry of Agricultural Acknowledgement State_e t. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50t subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right-of-way to a public road. Other: PLEASE OBTAIN THE ABOVE ITEM AS SOON AS POSSIBLE. YOUR MOBILEHOME C Should you have any questions concerning the above, please contact f h'ffice MCV:ahb LINDA SEXTON Y rs very t ly, Mic ael C. Iieira, C.B.O. manager, Building Inspection COUNTY OF BUTTE- DEPARTMENT OF DtVELOPMENT SERVICES - BUILDING DIVISION 7County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT /1-) - ASSESSOR PARCEL NUMBER 027-230-103 ZONING A5 BUILDING PERMIT OWNER BARBARA JONES/MICKY IIANN TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 7325 MEADOWLARK LN SHERIDAN, 95681 CONTRACTOR'S NAME M-1NER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIO'JOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 444 FOUR JUNES WAY PERMITFEE S OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'SNAME PARCEL MAP ,Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome E7Y Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation EK Other ❑ Describe Work: 3 BEDROOM Mobile Home I S I GI W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Servicea OR LESS ( 20oA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing on ) with Section 7000 of Division 3 of the Business and Professions Code, ands my license is in full force and effect. License Class UI No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. / ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL SO Ex. Occup. OUTLEETS RESID.)ea ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc.Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation la s of Califor ia, and agree that if I should become subject to the worker ' Corn, om a sation p visions of section 3700 of the Labor Code, I shall forth co provisions. X _ Date ��= Sign f App L t - Owner ❑ Contractor ❑ Agent An Tpermit is equ ed for excavations over 5'0"deep and demolition or construction of structures ove} sto 'es in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. FEE IMP FXD X CDF ARCEL PD UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indic d above f which fees have been paid. BY ate 7 Zy 9� PERMITEXPIRESON % 2y (Date) Receipt No. 186300 WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t .. �. .., r+,, Y**.` J^TT�"i,,['7r •...f.r�nrrza+n�n..vNA..�..r9.'�l.n,�rr-. ,�.r+a--�T.��i'.fjb�t��'x'�i€��C(R�"'��;�Tj�.:,�a✓ r7.y'. ,.'iyi •�. . .. ' �bifa °COUNTYOF BUTTE - DEPARTMENT'FIVELOPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION. DATA SHEET ' OWNER CbO rO trOneL i Fc C Gh rl A. P N Proposed Building Use �%% �_. Building Inspector Date 7772? 9,3 - 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. 2. 3. 4. 5. 6. 7. 8. 9. 10. 1. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 334. All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans. ...... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ..............................:............ . Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). Mobilehome data and manufacturer's installation instructions, 2 sets. 9t--. Fees of $ .................................. 1571; . Impact fees as shown on attached schedule . .............................. California Department of Forestry plan approval/fees................. . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . ............ City of Chico plumbing permit . ......................................... Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). .. Pre-Insp.ection request Pre -inspection for required. .. to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .................. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner . .......... . Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ....................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... Documentation of legal access.. ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits. .. .. ........ ............ . Plan c ck list. . . /' � r e �,A � ; n �� 1�c ��' f'C- ��' ►v� ; "� 7'D l� .. W Oc l e �� � JHO�' /}�1�aS% ' When you issue the per it, process as follows: Telephone and hold for Other Parcel Creation Acreage Mail to owner at /� /I t'fill,1 Applicant Deliver with inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept. Air PiV o fution Date Copy of plans sent Health Dept. Fire Dept.Other Date By The following data must be submitted prior to permi c (Circe new item not checked above). 1. Index permit -for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by r__X 1�>, Date14 o Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 OWNER ✓1 a �' C- a Yl A.P. # PROPOSED BUILDING USE L DATE REC. # DATE REC SCHOOL DISTRICT FEES r p (�( v► : ©r/1 l Y� (paid at District Office) 2. SHERIFF FEES (paid at Building Division) '� l� ,,�� Residential......._x=$_s1'�� �/D�l 1 q'(z2 unit amt. Commercial (sq.ft.). x =$ 3. URBAN AREA FEES (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq.ft.). x =$ sq.ft. amt, 4. RECREATION DISTRICT FEES (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) 6. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 7. WATER`TENDER FEE (B ION # ) $200. aid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE 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: YESP] NO[ J. 2. I HAVFD] 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: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons -to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. rGIEVA37 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 tecord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. . If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 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. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 , For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department,of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. _ A frequent practice of unlicensed persons profe"§sing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincbrel ` Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER 0Y\ \ c i� COUNTY OF BUTTE -DEPARTMENT bF DEVELOPMENT SERVICES -BUILDING DIVISION., ^7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 " -'''PERMrr NO. ..* APPLICATION AND PERMIT Nu ASS3Q lO ZONINo • ' BUILDING PERMIT . owNER TELEPHONE SO. FT. OCC. BUILDING VALUATION " z ow MAUNo ?p e a ►^ t��gr`p CO R5 NAME CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MNLwO ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ .123_ d D Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ LwLLDINGADDREss,1 11 LJ f ©u S o PERMITFEE $ Q r PLUMBINGPERMIT Fling Fee 20.00 O tn® Each Trap 7.00 LOT NO. SUeONISKN'SHAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationX Other ❑ Describe Work: c�/�� � Mobile Home IS I GI W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filino Fee 20.00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 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 (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code. I shall forthwith comply with those provisions. X _ Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUR OR ( 6 ACC. ) SO. CNS. UTLEBLDS NEW CONST. MULTI -OUTLET NON•RESIO. ( BRANCH CIRCUITS ) @7.50 97. 0 POWER APPARATUS ( N. SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FDCTUREs) 20 Q I.50 SAL Se Ex. Occup. ( OUTLETSAESIO.)FR.n) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee $ 190. 67 Energy Inspection Fee Is ^ Occ CONST. TYPE TOTAL F $ 1 'FL HAZ. 1 O. FEES IMP D COF PARCEL I PD I HD I ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) rR7,ceiptNo. .O.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROO•APPLICANT Ri_s.�4 •�7:1�'r^'•i-'w :3�f' h-,.,�r.,*Trr �S�r:i"'T'i;""�'I�,;..'.-`57YbirY'11'ti•�i�*�*�r7'G`T.v�'"Yf"(+�."x�21'#•vP�er�'�'..y,.T•t,ir-+� �r��Y..�,�?r '^f�t�4�rk_""5::.+�"',. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District "O � p n / Y Building'Department No. .w A.P. Number 0fes Jurisdiction: 0 city., [ ] County rc Property Owner r ,b G Y'Q (J O n el _c lAie-kil evU n l? , Property Location/Address Subdivison Residential Development 0 No. of Living 1 Units _Lot No. Sq. Footage Addition (Group R) Commercial/Industrial 0 0 Sq. Footage w Addition (Including Exterior Roofed Areas) l11&AS_ Building Depa epresen tive Date t (Floor Plans reviewed by School District Personnel) District Identification No. 960078 School District certifies that 3" (244 (Street Address) D _- 41A Q A A, ( pplica �Nd ��lo.n �� • (Phone Number) (5iate) fup uoae) has complied with the requirements of Resolution No., J Td by payment of $ d representing square feet, ' AB 2926 $ FULL MITIGATION $ �• S hoot (31-ific0lepr6sentitive Date n M v�tv ,a� Paid by Check _�' Bank Number Paid by Cash 4 Remarks: - Certification Form, the School District is notified by the applicable3Local Planning Agency that this project is being reviewed under the California Environmental Quality Act. ,(WdA),••this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) teetormmk, (11/94)dmm r 8A ppo vpD env. Co .13 i r»e Unty J nta� N e ELECTRIC GAS. .Support Struc. Compactioi Test Re,. Service Size OtherPipe. Load T e Size.. , .'Length YESI NO YES NO i J COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION y, 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-75.41 I- t. -� Au.)Y1 A.P. # OWNER �a ✓� i� r-0)0 &S2 z'c;✓ (� PROPOSED BUILDING USE / DATE REC. # DATE REC 1 • SCHOOL DISTRICT FEES CJ r p (paid at District Office) SHERIFF FEES (paid at Building Division) Residential......._�x =$ 0 unit amt. Commercial (sq.ft.). x =$ 3. URBAN AREA FEES (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq.ft.). x =$ sq.ft. amt. 4. 5. 6. 7 'WATER TENDER FEE �LM ATTALION # ) $200. aid at Building Division) CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) RECREATION DISTRICT FEES (paid at District Office) THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 9. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 ERMI o. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-230-103 ZONING A5 BUILDING PERMIT OWNER ZXXHXS BARBARA JONES TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 7070 ANDRESON SHERIDAN, CA 95681 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 444 FOUR JUNES WAY PERMITFEE $ OROVIL•LE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 6 Other ' SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Yl Installation ❑ Other ❑ Describe work: 3 BEDROOM Mobile Home W @20.00 0.00 PERMITFEE S 80.00 Contractor ELECTRICAL PERMIT Filina Fee 1 2 0:0 0 oR LEss Main Service eozooAov -OR LEss ) ( 23.00 3.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing Section with 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 for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.s0- OR ADDNS. ( & ACC. BWS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES 20 @ 1.00 BAL .50 Ex. Occup. ouT s IAEs o.0ea ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMITFEE $ 63.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of C lifornia, and agree that if I should become subject to the workers' compensate provisions of section 3700 of the Labor Code, I shall forthwith comply wit th se provisions. Date L�Ature�pli caner ontractor ❑ Agoe An OSHA permit is requir for excavations over 5'0" deep and demoli ion or construction of structures over 3 stor- s in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 166.00 JDS HAZ. D. FEES M FLOOD CDF CE PD This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Dt • /� If �[o (dal.) Receipt No. 186075 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT s3+�""' �:+..�-�--�,,, .....�,r+,r*;ger,+1h,;.#�,,.t�a,y��'±r�;rYrrr^r � . r ; �s .. � a �.� , i • .:. � � +• ,� fr'` ^ \i • '���. (.Sl"�ti,'�e:A'r•�� f`,''w",.�..y., t' wa.. J a�� � ..d'r�.S' s C �, NTYOF BUTTE - DEPARTMENTOFDEVELOPMENTSERVICES -BUILDING DIVISION 7COUNTY,CENTERDRIVE - OROVIL+E, eALIFORNIA95965 - TELEPHONE (9 6) 538-7541 r / V PERMIT APPLICATION DATA SHEET OWNER A P No. C,6A Proposed Building Use Building Inspector Date n 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-subrnitted......................................... 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. . California Department of Forestry plan approva fees. ... . 1 Flood elevation letter (100 year floo by C fornia ngineer. .................. b�-�Q Sanitation and plot plan approval Yovi 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). .. .. . Pre-Inspecti.on requesi 20: Pre -inspection for required. .. to Building Inspector (Date)_ 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). ........ . 24. 'Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization. ........' ............................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public*road...... 27. 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. 34. When you issue the permitocess as follows: Mail to owner``. Mail to contractor. Telephone , p and hold for pickup at in tr-l!--) yi 1 �_ office. Deliver with inspector. Other 633 - Parcel Creati 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: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by 'Date Plans approved by G i R 6 o c, S Date Sets of plans on hold in File cabinet L' AP folder Copy - Department of Public Works TO: Building Department FROM: Environmental Health SUBJECT: ' Sanitation Clearance E.H. USE ONLY Plot Plan Anach d --j— Floor Plan Attached Sent to B.B:-- Taf'ce-s� Owner / Location C e3. Plan Approved for: Sewage Disposal ✓ Water Supply: Public _ Clearance fora bedroom mobile home. Other M Hfdrfinal for: Final clearance O.K. APS . Private Well Environmental Health 3/-�c7 9s Date man Attention Property Owner-.. • An "owner -builder" building permit has been applied for in your name and bearing your .::::w;.:�_: signature. •• .-:- ...:.: _.:-- •.• Please complete and return this information at your earliest opportunity to ' ' avoid .unnecessary delay in processing and issuing your budding 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'. _ proposedKrortyimprovement:YES] NO[2. I HAYSHAVE NOT[ ] sign an application for a building permit for the proposed 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: Com• PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the.following persons to provide'the work indicated: NAiTMM ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and SafetyCode. This verification must be completed and returned to our office before we are permitted to issue the permit. r Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder o Property improvements specified- should be aware that as "Dance -badder" you are the responsible party of record For your Building on, ex to be signed by property owners unless they are personally on such a permit Budding permits are not regained performing their own work- If your work is being performed by someone other than yourself you may p� yourself from passible 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. Theyare also required by law to put their license number on all permits for which they apply tion various trades that you plan to subcontract, you If you plan to do your own work, with the excep 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 5300 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 as 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 contnbutions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract -the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your nt of Benefit Payments and the Division of Industrial obligations under State Law, contact the Departme 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 "owne' materia building permit, erroneously implying that the property owner is providing his or her own labor and material uired to be signed by property owners unless they are performing their own personally. Building permits are not req work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sinc rel %. Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER© ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS WRACMWS NAME ELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ SUILDINGADDRESS /y / 1 / 1-Y " PERMITFEE$ / V't ( PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Neter piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome V, Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities K Installation 0 Other ❑ Describe Work: Mobile Home S YGD&920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service ( 20o0AORLEOR LESSSS ) 20A 23.00 3_ Main Service ( 200A TO 1000A ) 46.00 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 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. • ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUR SO. OR ADDNS. ( 6 ACC. BIDS. ) NEW CONST. MULTI -OUTLET NON•RESIO. ( BRANCH CIRCUITS ) 97.3.5c 0 @7.50 ( P APPARATUS ) 6 SINGLNGLE OUTLET CIR, 00 Ex. Occup. (ourtEr OR FIXTURES) 20 Q 1.00 SAL .50 EX. Occup. (oFIXED rs RES D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ '66 JA HAZ. 1 0. FEES I IMP FloOo COF PARCEL PO NO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date (Date) ReceiptNo. V&Q 7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT l J i :1 "/\ r'1 ' • L Y yf! �! aI yr..A,:r-ry7l%ll.. 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""'rZ. 4 t't s' i.s«..� r•-.'h— r. 1 _ . • -E' M- - ��F,�x .7. ��� d 4 M•S is � a��Q �t'4� 1'Y ':r 'Yw _?.• '� ' J i,Mr..l� � 3-T :TT r.• jj / r"� it 1t k}f r y��}r ,t �.+'t t ♦ f :� - � 'j� I ', jS1, ;1I(1 .1� S� .:la� Fro �wRreL _]IZ. "tet}slilt� _'� . ,•r� - � "F---- 60 `� '^�, , r , ��� �i�E?_ F,.'R�55� n • • f F F Ff Y' .. 1 P 4' + r tz wewctcl : FRr E'/2 ZX dcl 0 o The attact *4 Ftre Saf? J."' Arec�uiements frtust be cdmpleted.10 / r F ��lv spec}fted & d p rove,( � r Ts" 4� a.� l y !3'..-X �xr ]��..`2^^ tl+a�'-` r .i t-�'A •%1,�A a 1 ie r.i�f'�.. �C L � f{/'� �,x f' ;- rL ',r' A,ffx��-- ; i:v r'� ,C,'11�i` S.+�t l.it��. r x' � }{, • .rt� t,<1h� � ♦ 3�t { ri j/�'-� / ? ►> V .� f ., 4'LF'.Hirf••• 1 4,i = >t �4`. � �S �. '� .� yb. -i ; , _ Y .S' ..:_ �� .N_l.(_3C� ._�, w.b� .yf - K. fir+• 7- v _ `� - .i.. '4.{.ia.t. ' .. . . y�i+'^ y...1 ..t - F,I� �':{•� Y ., 1 '.moi , `,:Y�� +V/.-�... • •T. .fib. �. „? ^.11^. ' ����G:fJ • l ''Y! .... .[ r .y. y�.. /\ 'J ,'17yL:71 � ., • 'L! � F y� lt/IO- � �, _ l� � � 1 '�;1 r \ i �•L. ��(�� �jo J ' .+. r '.xi f•Z.FM; ti ',rr�'F �' A°• �. �. /xi% ! }.•. .� I �D r•ir'Aj3, �W ih ` c�W� `~ V����'�'i; �`:�r t � ., -( f' I fet•'J • cN�' �J V. I_���.vJ+(tytLJ .� • y\ Ger /.� ` �/ . poli CDF FIRE SAFE REQUIREMENTS hZ� -Z30 - I 3 X15 = Z(o (8' 1071t5, AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal .or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. to.. 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [x] 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app1rte-iant-structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. rL'If.11273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [ 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [`N 2. The length of vert -i,_ --,U curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [� 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [� 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 2. BUTTE C �IN fY APmRO ® 2-7-230- X03 q5-Z�rB J,Ori.eS,�b�� AP # PERMIT # NAME [x] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�] 1273.10 Turnaround. A turnaround shall be provided at.all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [�1 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic -lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [i(] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from u1] property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [�] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by -the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction Dr fi_ial inspection of a building permit. •age 2 of 3t•z , t "' :r. Z { .k AP # PERMIT # v NAME Other Requirements [ ] If Building.Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: Metal or no doors on side toward property line with insuffi- cient setback Class A or B roof with enclosed eaves Interior automatic sprinkler system per NFPA 13D Glass area not to exceed 10% of wall area toward property line with insufficient setback Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 BUTTE COUNTY 8 FYA 21MENT APP (� II,,,, 1. Owner's Name: L ? CJ%)-,�e_ 2. Assessor's Parcel Number: 3. ' Installer's Namej7 AIWI — -- 4. Is the site currently under permit? Yes No[ ] Permit No. 5. Is the site an existing site? Yes[ ] No (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? 10 Amperes. 7. What is the mobilehome site circuit.breaker.ratin Amperes. P 8. What is the electrical rating of the mobilehome site? 2 dIQ Amperes. 9. Is the main service remote from the mobilehome site? Yes] No�] If it is, what is r1� the rating? 2..' Amperes. F 10. Is there any other electric load to be rved by the mobilehome site electric service (i.e. well, garage.etc.)? Yes[ ] No(If yes, please identify the load and size: The r,�ob:;ic home --site: _4 Load asrpf�res- !' b) The main service: -- .,'Load- Amper•es- 11. Type of gas service at mobilehome site: Natural[ ] Propane( ] None[ 12. Size of gas• pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to' the mobilehome? (ft.). 14. What is the mobilehome gas ,demand? B.T.U. * *(This information is not required if the pipe length is•less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SID_ E OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION - • • �. s is � , f -� , _ May 1995 8.5 V ^9 Mobilehome Manufacturer: Manufacture Year: l If other than single wide, furnish etup Model Number: Width: 2t(ft.) Length:ft.) Tagalong or Expando Size On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets.u 0 - jr FOOTINGS: Wood pressure tre ted or foun ation gra [ °ther: X SUPPORTS: Concrete block[' Other: /1!(j( G Provide Tie Down Specifications for all Mobilehomes: /T� �[ 7 S /* G Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 1 Line 2 Line 2 ............................... ..............................:.................................. m Main Beas` Line 2 ............................................................................................. ine 2 Line 1 Line 3 Line 2 Main Beams Ix ml ............................................................................................ Line 2 Line 1 ................................................. ine 5 Tag or Triple ine 4 ................................................ L� .—kine 1• t Line 1 Piers- Line 1 Openings Size minimum: r 1 x r I Size minimum: [ ] x [ ]. `Spacing maximum: l` Each side of openings . From ends-maximumf with width over: ` Line 2 Piers: i� Line 4 Piers: Size minimum: [] x [ ]. Size minimum: [ ] x [ J. Spacing maximum: Spacing maximum: From ends -maximum: — From ends -maximum: ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): L� OVER -I,te r.1 I s SxNaxwoO UNH15 s UaS LIN 3NOHd s SS32IQQY A- �o'� 1f?� C"1 G1c�( ''� �3�Q 29�S�SSC9 1 "ZDaCL=ZNFtNZ�T'IdHOO 7-23 _ T 18 N. R.4 E. M. D. S. a M. z 1 3 -23 j Y 74 1 1 . 1 1 I O O t 1 z ( / t ' / t 320AC. 2- ItooA 73 �. 1 64DAct 0 _ ! r Q �/ ! / O/ �N 21 c LANE 10 N so 1660 , 1 0lN $ t / t 7 O r .. C. a 110 /AdGDA -_---- I �E •L2 + Co LA {, _ o A - 71 8 20AC 5 �oa.cs 92-6Ac- 3� 1 +fO 4 /0 ° 30 a ao,s Ra g07 QC, I /OAC. /se cox � � 27 LA04 Q 1 / t / r 77PM 3 I et .�.,�• • - BOOB *6.03 MA 27- 2 s _ - - 6t,,anr o a►o ,p r 1. /0.14ac 6l ' X09 - . A _ ., a 95 • ! _ 9 _ d , • 56 7 - - IQ _ ZZ Z. 10. l4 a .r, /OAc ,` I IQGnAc_ ' /O Ac Vit- - - �f11SnT2iV1N LAME IISN I 1304.16 O ` SLA Rs o6QA 17123 T' HeAov,,• 44 �A 5 = 13 srowE A D �OAC. N C57-1 W&OOr L1M — — — — — r ir 0 20 AC f .. ��� � - _ - - - - - j - " � � 105.2,44C" t •. - - - - - - . 2,956 + 9 20 AC111 14 s.a7 �Q. 0 , 9-"a �� 409AC. 03.35 'o 20 AC 38T. 4 ACI 14 P R ias -► PAR 2 .2 65.76 063.715 663.77 66178 GOR I �\ 2/ 2��gN1r �' ��y { o ` : I 96 e 0.30 232 a 2327 A 20.2J `• �~�i� : • w 3 rEoo 6627 "4. 2S W4.28 rour ,lunCS Way � - - - 5.56 Ac. = 48.49 AC •' (P:TN. PCL.9) r'4 �.�/, \a /AQ PrN PCL /pews 7' {,���-/// / wr •''��,,�.I°' z0.26 ?oz oO1 2a.z2.eA zo.zoso$ fipM 117-sI 4 g !t� 7 76 \ eKza p627 ?1 w O RS 110-47 _ eao9 •e + • R 74- 202YAC. t PM 125- /52 320AC.- RS96-47 e? A 66279 662 79 662.79 667. 79 !! BDO/C p INo. �2T 2.¢3 i � Assessor's Mo - t •� Ze-0/ NOTES These parcels are for assessment purposes OL1 A COLON? M. 0. R. BK. 3 pG� 99 COUf'ltY Of Butte, CO!/t only and may not constitute legal parcels. MA6N :: REVISED :_ 12 -93 1 -4 Residential Pendent and Recessed Pendent Sprinlders Mizaem S210 GENERAL DESCRIPTION The Star Mizar S210 Residential Pendent and Recessed Pendent Sprinklers are decorative glass bulb sprinklers designed for use in residential occupancies such as homes, apartments, dormitories, and hotels. They are to be used in wet pipe residential sprinkler sys- tems for one- and two-family dwellings and mobile homes per NFPA 130; wet pipe residential sprinkler systems for residential occupancies up to and including four stories in height per NFPA 13R; or, wet pipe sprinkler systems for the residential portions of any occupancy per NFPA 13. The Mizar S21 0 has 2 3.0 (43.2) K -factor which provides very low design flow rates at reduced residual pressures, enabling smaller pipe sizes and water supply require- ments. The 155*F/68*C recessed version of the Mizar S210 us- ing a #2085 Recessed Escutcheon provides 1/2 inch (12.7 mm) of recessed adjustment or up to 3/4 inch (19. 1 mm) of total adjustment from the flush pendent posi- tion. The 175*F/790C recessed version of the Mizar S21 0 using a #2084 Recessed Escutcheon provides 1/4 inch (6.4 mm) of recessed adjustment or up to 1/2 inch (12.7 mm) of total adjustment from the flush pendent posi- tion. The recessed adjustment substantially reduces the accuracy to which the length of fixed pipe drops to the sprinklers must be cut. The Miz2r S21 0 has been designed with heat sensitivity and water distribution characteristics proven to help in the control of residential fires to improve the chance for occu- pants to escape or be evacuated. However, residential fire sprinkler systems are not a substitute for intelligent fire safety awareness or fire safety construction required by building codes. WARNINGS The Mizar S210 Residential Pendent and Recessed Pendent Sprinklers described herein must be in- stalled and maintained in compliance with this docu- ment, as well as with the applicable standards of the National Fire Protection Association, In addition to the standards of any other authorities having jurisdic- tion. Failure to do so may Impair the integrity of these devices. Because of the above cited stipulations and the ver - led nature of residential type architecture, there will be some compartment designs which cannot be fully sprinklered in accordance with the recommendations of NFPA 13, 13D, or 13R. In the event of this condi- tion, consult the authorities having jurisdiction for guidance and approval. STAR SPRINKLER INC. 155*F/69*C #2320 Shown With #2085 Recessed Escutcheon it is the responsibility of the Installing contractor to provide a copy of this document to the owner or his representative, and in turn, It is the obligation of the owner to provide a copy of this document to a suc- ceeding owner. The owner is responsible for maintaining his fire pro- tection system and devices In proper operating condi- tion. The Installing contractor or sprinkler monufac- turer should be contacted relative to any questions. OPERATION The glass bulb contains a fluid which expands when ex- posed to heat. When the rated temperature is reached, the fluid expands sufficiently to shatter the glass bulb, which then allows the sprinkler to activate and flow water. TECHNICAL DATA Approv Is UL and ULC Listed. NYC Accepted (MEA 212-98-E). (The approvals apply only to the service conditions indi- cated in the Design Criteria section.) Maximum Working Pressure 175 psi 0 2.1 bar) Discharge Coefficient K = 3.0 GpM/pSil/2 (43.2 LPM/barl/2) Temperature Ratings 155*F/68*C or 1750F179*C Finishes Sprinkler: White Polyester, Chrome Plated, Natural Brass Recessed Escutcheon: White Coated or Chrome Plated (Colors other than white available on request.) Physical Characteristics (Ref. Figure 1) The Mizar S21 0 utilizes a dezincification resistant (DZR) bronze frame. The button is phosphor bronze, and the bushing is brass. The gasketed spring plate consists of a beryllium nickel disc spring that is sealed on both its in- side and outside edges with a Teflont ( gasket. The ejec- tion spring is stainless steel, the compression screw is phosphor bronze, and the deflector is brass. 1-3.2.30 Page 2 STAR SPRINKLER INC. DESIGN CRITERIA The Mizar S210 Residential Pendent and Recessed Pen- dent Sprinklers must only be installed and utilized in ac- cordance with the following described criteria which are provided by the manufacturer. NOTES Residential Fire Sprinkler Systems should only be de- signed and installed by those competent and com- plotely familiar with automatic sprinkler system de- sign, Installation procedures, and techniques. Several criteria may apply to the Installation and us- age of each sprinkler. Consequently, It is recom- mended that the sprinkler system designer review and develop a working understanding of the com- plete list of criteria prior to Initiating the design of the sprinkler system. Ouestions concerning sprinkler installation and us- age criteria which are not covered by the following in- structions should be submitted to Star Sprinkler Inc. Include sketches and technical details as appropriate. In some instances, the requirements of this docu- ment may concern specifications which are more stringent and which take precedence over those specified In NFPA 13, NFPA 13D, NFPA 13R, or by the authority having jurisdiction. The spray from the sprinkler is distributed radially outward and downward from the sprinkler deflector. Consequently, the sprinklers must be located such that there will not be any blind spaces shielded from spray by partitions, room dividers, overhangs or other parts of the dwelling structure. The number of sprinklers within each compartment (as defined by NFPA 13, 13D, or 13R), must be kept as few as possible. Do NOT use more sprinklers than necessary to cover & particular space. f Use only metallic sprinkler escutcheons that will not dislodge or deform at a temperature less than 1200OF16490C or that are UL Listed for fire protection service. Use only the #2084 or #2085 Recessed Es- cutcheons, as applicable, for recessed installations. The sprinkler must be secured in position by firmly fastening the sprinkler system piping to the struc- ture. If the sprinkler Is not property secured in posi- tion, reaction forces resulting from sprinkler opera- tion could alter its orientation and its water distribution pattern. The sprinkler escutcheon cannot be used to hold the sprinkler In position. General Service Conditions. The Mizar S210 must only be utilized in wet pipe sprinkler systems. Hydraulic Design Criteria. The minimum required single and multiple sprinkler flow rates for systems designed to NFPA 13D or NFPA 13R are given in Table A as a func- tion of temperature rating and the maximum allowable coverage areas. The single sprinkler flow rate is the mini- mum required discharge from the most hydraulically de- manding single sprinkler and, the multiple sprinkler flow rate is the minimum required discharge from each of the total number of "design sprinklers" as specified in NFPA 13D or NFPA 13R. The minimum required discharge from each of the 'de- sign sprinklers"for systems designed to NFPA 13 must be calculated based on delivering a minimum design den - 1 -3.2.30 sity of 0.1 gpm per sq. ft. for each of the listed coverage areas shown in Table A. For systems designed to NFPA 13, 13D, or 13R, consult with the local authority having jurisdiction with regard to the number of "design sprinklers" for sloped ceilings hav- ing a slope greater than a 2 inch rise for a 12 inch run. Spray Coverage Criteria. Figures 3 and 4 provide spac- ing rules that must be followed to assure that the Mizar S21 0 Sprinklers will provide their design distribution of water spray. Operational Sensitivity Criteria. For proper operational sensitivity, the MiUr S210 must be installed beneath 2 solid ceiling having 2 smooth or textured surface. The de- flector -to -coiling distance is to be 1-1/2 to 4 inches, vn- less a #2085 (155*F) or #2084 (1750F) Recessed Es- cutcheon is being utilized"per Figure 2A or 2B. The MiZ2r S210 must NOT be used above or below ' open- gridded type suspended ceilings; beneath soffits or beams resulting in a deflector -lo -ceiling distance (i.e., de- fiector-to-mounting surface plus depth of soffit or be2M) exceeding 4 inches; or, with beams, joists, or ducts hav- ing a height of more than 3 inches located within the sprinkler coverage areas. Beams having 2 height of more than 3 inches may be located with their centerlines along the boundaries separating adjacent sprinkler coverage ar- eas. Cold Soldering Criteria. Figures 3 and 4 provide the minimum spacing requirements necessary for preventing the wetting (i.e., cold soldering) of the heat responsive element (Bulb) of a non -operated Mizar S210, which is adjacent to one which has operated. Heat Source Criteria. Refer to NFPA 13D or NFPA 13R for the requirements relating to preventing the possible re- lease of a Mizar S210 heat responsive element (Bulb), due to exposure to heat sources other than abnormal fire. INSTALLATION The Mizar S210 must be installed in accordance with the following instructions: NOTES Do not Install any bulb type sprinkler If the bulb Is cracked or there Is a loss of liquid from the bulb. With the sprinkler held horizontally, a small air bubble with an approximate diameter of 1116 Inch should be pre- sent A leek tight 112 Inch NPT sprinkler joint should be ob- tsined with & torque of 7 to 14 ft.lbs. (9,5 to 19,0 Nm). A maximum of 21 ft.lbs. (28,5 Nrn� of torque Is to be used to Install sprinklers. Higher levels of torque may distort the sprinkler Inlet with consequent leakage or impairment of the sprinkler. An sprinklers installed within compartments in which the sprinklers are only located on a level ceiling must be installed with their frame arms parallel to a straight compartment wall. All sprinklers Installed within compartments having pitched ceiling with one or two parallel horizontal ceil- ing ridges must be Installed with their frame arms per- pendicular to the ceiling ridges. Failure to properly orientate the sprinkler frame arms r (a) For coverage area dimensions less than or between those indicated, it is necessary to use the minimum required flow for the next highest coverage area for which hydraulic design criteria are stated. (b) Requirement is based on minimum flow in GPM from each sprinkler. The associated residual pressures are calculated using the nominal K -factor. Refer to Hydraulic Design Criteria Section for details. TABLE A NFPA 13D AND NFPA 13R HYDRAULIC DESIGN CRITERIA I SINGLE MULTIPLE MAXIMUM SPRINKLER SPRINKLERS COVERAGE Minimum Flow (b) Minimum Flow (b) AREA (4) (Residual Pressure) (Residual Pressure) FT. x FT. SURFACE (38.1 mm) FITTING WRENCH FLATS 1551F 1751F 1551F 175*F 12x12 9 GPM 9GPM $GPM 9GPM (9.0 PSI) (9.0 PSI) (7.1 PSI) (9-0 PSI) 14x14 10GPM 11GPM $GPM 9GPM (11.1 PSI) (13.4 PSI) (7.1 PSI) (9-0 PSI) 16x16 11 GPM 11 GPM 11GPM 11GPM1 (13.4 PSI) (13.4 PSI) (13.4 PSI) (13.4 PSI) 18x18 13GPM 13GPM 13GPM 13GPM (18.8 PSI) (18.6 PSI) (Is.$ PSI) (18.8 PSI) 20 x 20 16 GPM 1 16 GPM 16GPM 16GPM F 1(28.4 PSI) 1(29.4 PSI) (28.4 PSI) (21.4 PSI) (a) For coverage area dimensions less than or between those indicated, it is necessary to use the minimum required flow for the next highest coverage area for which hydraulic design criteria are stated. (b) Requirement is based on minimum flow in GPM from each sprinkler. The associated residual pressures are calculated using the nominal K -factor. Refer to Hydraulic Design Criteria Section for details. TABLE A NFPA 13D AND NFPA 13R HYDRAULIC DESIGN CRITERIA I 112T* N 7/16'(11.1 mm) 5/9±1/4* NOMINAL MAKE -IN 3/4"(19.1 MM) T_ 2-1/4' DIA. 2-3/16" ESCUTCHEON E' (55.6 mm) PLATE SEATING PL SPRINKLER SURFACE (38.1 mm) FITTING WRENCH FLATS La (BOTH SIDES) FIGURE I MIZAR S210 RESIDENTIAL SURFACE PENDENT SPRINKLER may result In Impaired Hre protection due to cold sol- dering and(or Inadequate spray coverage. Do not attempt to compensate for insufficient adjust- ment In an Escutcheon Plaft by under- or over -tight- ening the Sprinkler. Readjust the position of the sprin- kler fitting to suit. 1. The sprinkler must only be installed in the pendent position and with the deflector parallel to the mounting surface. FIGURE 2A 155-F, MIZAR S210 RESIDENTIAL SPRINKLER WITH #2085 RECESSED ESCUTCHEON 2-7/r DIA. (73.0 mm) 112" (12.7 mm) (1 2.7±3.2 mm) 2-1/4" DIA. 114" (6.4 mm) FACE OF (57.2 mm) MOUNTING SPRINKLER PLATE FITTING 1/8" (3.2 mm) M'JUN ' PLAI 1'8' L3 __2 rr MOUNTING SURFACE 1-114" (31.8 mm) CLOSURE S210 1" (25.4 mm) FIGURE 28 175*F, MIZAR S210 RESIDENTIAL SPRINKLER WITH #2064 RECESSED ESCUTCHEON 2. After installing the #2084 or #2085 mounting plate (or other acceptable escutcheon, as applicable) over the sprinkler pipe threads and with pipe thread sealant applied to the pipe threads, hand tighten the sprinkler into the sprinkler fitting. 3. Wrench tighten the sprinkler using only a W -Type 7 Spfln- kler Wrench (Ref. Figure 5). The wench recess of the W -Type 7 is to be applied to the sprinkler wrench flats (Ref. Figure 1). 2-7/8"DIA. 5/9±1/4* (73.0 ff1m) 3/4"(19.1 MM) (15."- .4 mm) 2-1/4' DIA. 1/4- (6.4 Mm) FACE OF (57.2 MM) MOUNTING SPRINKLER PLATE FITTING (3.2 mm) -7- MOUNTING SURFACE CLOSURE S210 314"(19.1 mm) FIGURE 2A 155-F, MIZAR S210 RESIDENTIAL SPRINKLER WITH #2085 RECESSED ESCUTCHEON 2-7/r DIA. (73.0 mm) 112" (12.7 mm) (1 2.7±3.2 mm) 2-1/4" DIA. 114" (6.4 mm) FACE OF (57.2 mm) MOUNTING SPRINKLER PLATE FITTING 1/8" (3.2 mm) M'JUN ' PLAI 1'8' L3 __2 rr MOUNTING SURFACE 1-114" (31.8 mm) CLOSURE S210 1" (25.4 mm) FIGURE 28 175*F, MIZAR S210 RESIDENTIAL SPRINKLER WITH #2064 RECESSED ESCUTCHEON 2. After installing the #2084 or #2085 mounting plate (or other acceptable escutcheon, as applicable) over the sprinkler pipe threads and with pipe thread sealant applied to the pipe threads, hand tighten the sprinkler into the sprinkler fitting. 3. Wrench tighten the sprinkler using only a W -Type 7 Spfln- kler Wrench (Ref. Figure 5). The wench recess of the W -Type 7 is to be applied to the sprinkler wrench flats (Ref. Figure 1). Page 4 MAINTENANCE AND SERVICE STAR SPRINKLER INC. The Mizar S21 0 must be maintained and serviced in accordance with the following instructions: NOTES wet pipe sprinkler systems must be maintained at a minimum temperature of 40OF140C to prevent freezing and bursting of the pipe andlor sprin- klers. Automatic sprinklers are not to be tested with a heat source. Operation of the heat responsive ele- ment (bulb) con result. Absence of an Escutcheon Plate may delay the time to sprinkler operation in a fire situation. Before closing a fire protection system main con- trol valve for maintenance work on the fire protec- tion system which it controls, permission to shut down the affected fire protection system must be obtained from the proper authorities and all per- sonnel who may be affected by this action must be notified. Do NOT enclose sprinklers within drapes, cur- tains, or valences. Do NOT hang anything from the sprinklers. Do NOT cleanse the sprinklers with soop and water, detergents, ammonle, cleaning fluids, or other chemicals. Remove dust, lint, cobwebs, co- coons, insects, and larvae by gently brushing with a feather duster or gently vacuuming with a soft bristle (i.e., dusting) brush attachment. Exercise suitable safety precautions in the use and storage of highly flammable materials. The rapid rate of fire development and spread of which can be caused by such materials can re- duce the ability of the sprinkler system to aid In the control of a fire In which they are Involved The minimum vertical clearance between the tops of free standing partitions, room dividers, cab- inets, storage racks, stock plies, etc., and the sprinkler deflector is NOT to be less than the clearance given in Table B. It is recommended that automatic sprinkler sys- tems be Inspected and maintained In accordance with the advice and suggestions given in NFPA 25. Automatic sprinklers must never be shipped or stored where its temperature will exceed 1 006F/386C and they must never be painted, plated, coated, or other- wise altered after leaving the factory. Modified sprin- klers must be replaced. Sprinklers that have been ex- posed to corrosive products of combustion, but have not operated, should be completely cleaned by wip- ing the sprinkler with a cloth or by brushing it with a soft bristle brush. Care must be exercised to avoid damage - both be- fore and after installation. Sprinklers damaged by dropping, striking, wrench twist/slippage, or the like, must be replaced. Also, replace any sprinkler that has a cracked bulb or that has lost liquid from its bulb (Ref. Installation Section). (Continued on Page 7) FYI INCHES MIN. ffim* MIN. i Figure 3-1 (Plan View) MIN. Figure 3-3 (Plan View) 1-3.2.30 S12 MAX. 4 INCHES MIN. MIN. L Figure 3-3 (Plan View) MAX.j S MAX 4 4 ICHES 4 FEE MIN 4 INCHES (SEE NOMTE MIN MIN. I -7- (SEE NOTEI Figure 3-4 (Plan View) Figure 3-5 (Plan View) y .1 s2m" i A INCHES MIN Figure 34 (Plan View) S-2 MAX 112 MAX hICHES + 4 INCHES ON Figure 3-6 (Plan View) �_40XHESMN MIN. T4 �WCS MIN St2MAX. 4 W.MES MIN. Figure 3-7 (Plan View) SEE SEE GIIIAPH A ISPAPH A T 11-011STRUCTON Figure 3-9 (Elevation View) S . THE LENGTH OF THE COVERAGE AREA BEING HYDRAULICALLY CALCULATED (REF. TABLE A). NOTE: The 8 toot minimum spacing shown in Figures 3-3 through 3-6 applies to adjacent sprinklers installed with their frame arms either in line or parallel with each other; otherwise, 10 feet is the minimum required spacing. FIGURE 3, SPACING RULES UNDER LEVEL CEILINGS . 1-3.2.30 STAR SPRINKLER INC. Page 5 0 ( _c' A Figure 4.1 (Elevation View) S 2 MAX. sEE GRAPH I - FE'r A 14 Figure 4-3 (Elevation View) 2A 7 A Figure 4-6 (Elevation View) MAX. 4A G WSEEH rE Figure 4-7 (Elevation View) 00 44, 3 FEET MAX. r �F&_ 4% RAW Figure 4-2 (Elevation View) MAX,:L�� 44 A Figure 4-4 (Elevation View) Figure 4-6 (Elevation View) 4 3 FEET MAXIMUM S12MAX.--4. to FE Figure 4-8 (Elevation View) M Figure 4-10 (Elevation View) Figure 4-9 (Elevation View) S/2 . ONE-HALF THE LENGTH OF THE COVERAGE AREA BEING HYDRAULICALLY CALCULATED (REF. TABLE A). S - THE LENGTH OF THE COVERAGE AREA ISEING HYDRAULICALLY CALCULATED (REF. TABLE A). NOTE: Figures 4-1 through 4-9 only apply when: (a) the coiling ridge is horizontal; e (b) the compartment openings to adjoining spaces have minimum lintel depths of I inches below th lowest sprinki r; (c) any adjacent sprinklers in the direction of the ceiling fidge are to be in a row which runs parallel to the ridge, and the sprinklers are to be spaced a minimum of S feet apart; (d the sprinklers are installed with their frame arms perpendicular to the coiling ridge; and, ane which Is perpendicular to the coiling ridge, (a) the sprinklers shown in Figures 4-1 through 4-8 are located in a pi and the ceiling angles are within the specified range. FIGURE 4, SPACING RULES UNDER PITCHED CEILINGS AND/OR OVERHANGS Page 6 STAR SPRINKLER INC. OBSTRUC7M BELOW SPRW.LER DEFLECTOR Horizontal Vertical Distance from Clearance Sprinkler to Below Obstruction Sprinkler Below Sprinkler Deflector, In. Deflector, ft. More than 6 24 From 3 to 6 is Between 2 and 3 16 From I to 2 13 Less than 1 10 TABLE B MINIMUM VERTICAL CLEARANCE BETWEEN TOP OF FREE STANDING OBSTRUCTION AND SPRINKLER DEFLECTOR 27 24 21 WZ � -?I- 7ct UJ 15 Cc WZ nT 12 Lt W > 6 MAX.) 3 H Ljv (MAX.) WRENCH RECESS PUSH WRENCH IN TP ENSURE ENGAGEMENT WITH SPRINKLER WRENCHING AREA FIGURE 5 W -TYPE 7 SPRINKLER WRENCH 1-3.2.30 0 1 2 3 4 5 6 7 DISTANCE TO OBSTRUCTION H' OR -E, FEET 8 9 10 PLUS NOTES: 1. CEILING OBSTRUCTIONS MUST BE SPACED ON THE BASIS OF USING THE MAXIMUM RESIDUAL PRESSURE WHICH WOULD BE PRESENT FOR A SINGLE SPRINKLER OPERATION. 2. BEAMS AND/OR OTHER CONTINUOUS OBSTRUCTIONS ARE NOT TO EXCEED A VERTICAL DEPTHAr OF MORE THAN 3 INCHES WITHIN THE SPRINKLER COVERAGE AREA. GRAPH A MAXIMUM PERMITTED VERTICAL DISTANCE BETWEEN THE SPRINKLER MOUNTING SURFACE AND THE BOTTOM OF CEILING MOUNTED OBSTRUCTIONS SUCH AS BEAMS, OVERHANGS, AND LIGHT FIXTURES WITHOUT UNDULY OBSTRUCTING THE WATER SPRAY DISTRIBUTION 1-3.2.30 STAR SPRINKLER INC. Page 7 Uj U.J at UP WW Z z 50 N amedlism Mr. ass Mll assea-M! EUR Um —s—WRAFF"!"! M."saw—wasna- 1105 �= 5 04 go. ae. r asse. 0 5 10 15 20 25 30 35 40 45 50 65 CEILING ANGLEA*. DEGREES H (MIN.) NOTE: SPRINKLERS MUST BE INSTALLED WITH THEIR FRAME ARMS PERPENDICULAR TO THE CEILING RIDGE. GRAPH B MINIMUM REQUIRED HORIZONTAL DISTANCE BETWEEN A SPRINKLER LOCATED ON A LEVEL CEILING AND AN INTERSECTING PITCHED CEILING WITHOUT UNDULY OBSTRUCTING THE WATER DISTRIBUTION W W uj % 8L'U VI #j 0 5 10 15 20 25 30 35 40 45 60 55 90 CEILING ANGLE'A7. DEGREES 3 FEET MAXIMUM WHEN THERE ARE NO SPRINKLERS ON THE LEVEL CEILING y (M I N.) A COVERAGE AREAS: (a) 20'x 20' (c) 16'x 16' (b) 18'x It' (d) 14� x 1,V & 12'X 12' NOTE: SPRINKLERS MUST BE INSTALLED WITH THEIR FRAME ARMS PERPENDICULAR TO THE CEILING RIDGE. GRAPH C MINIMUM REQUIRED SLANT DISTANCE BETWEEN A LEVEL CEILING AND A SPRINKLER LOCATED ON A PITCHED CEILING WITHOUT UNDULY OBSTRUCTING THE WATER DISTRIBUTION LOCATED ON AN INTERSECTING PITCHED CEILING It is recommended that automatic sprinkler systems be in- spected quarterly by a qualified Inspection Service. The Mizar S21 0 must only be replaced with pendent sprinklers which are listed for residential fire protection service and which have the same nominal K -factor, the same overage area, and the same or lower flow ratings (as indicated under "Hydraulic Design Criteria"). When remodeling, such as by adding false beams or light fixtures or changing the location of compartment walls, first verify that the new construction will not violate the in- stallation requirements stated under WARNINGS. Alter the new construction and/or the sprinkler system to suit the requirements of this document. ORDERING PROCEDURE Please Specify: 1 Mizar S210, 3.0 K -Factor, Residential Pendent Sprinkler (*2320) 2. Recessed Escutcheon(#2084 or *2085, as applicable) 3. W -Type 7 Sprinkler Wrench (#2349) Refer to Price List for a complete listing of Part Numbers with respect to temperature ratings, finishes, etc. AVAILABILITY AND SERVICE Star Sprinkler Inc. products and devices are available worldwide through a network of independent distributors. Please contact Star Sprinkler Inc. for information and the name and address of the Star distributor in your area. LIMITED WARRANTY The manufacturer warrants for a period of one year from the date of sale (warranty period) that the product(s) sold hereunder are free from defects in material and workmanship. Our obligation un - dor this warranty is limited to repair or replacement, or, at our op- tion, we will repay the price paid for the product(s), plus any trans- portation charge paid by the purchaser. In the case of replacement, we will pay the transportation charges to the loca- tion of the defective product. We must be given the opportunity to inspect any product you believe to be detective. To make a claim under this limited warranty, you should contact our Sales S*rv- ices Manager at (800) 558-5236. THERE ARE NO OTHER WRITTEN OR ORAL WARRANTIES. ALL IMPUED WARRANTIES OF MERCHANTABILITY AND FIT- NESS FOR A PARTICULAR PURPOSE AIRE LIMITED IN DURA- TION To THE DURATION OF THE LIMITED WARRANTY SET FORTH ABOVE. The manufacturer does not assume any other obligation in con- nection with the sale of the product(s) by purchaser. This warranty shall not apply to any product(s) which have been installed in violation of written instructions furnished by the manu- tacturor, repaired or altered, misused or damaged, or not properly maintained. The manufacturer is not liable for indirect, incidental or conso- quential damages in connection with the use of the product(s). Some states do not allow limitations an how long an implied war- ranty lasM or exclusion or limitation of incidental or consequen- tial damages, so the above limitations or exclusion may not apply to YOU. THIS WARRANTY GIVES YOU SPECIFIC LEGAL RIGHTS, AND YOU MAY ALSO HAVE OTHER RIGHTS WHICH VARY FROM STATE TO STATE. .../..■H. 1... H.H .........0 . ,1H ■///!.l1.. H.H ■....H...CW H1H■..1.H11. ../..../!.!/!. H.Hmum" ..... N1.a \111111 111N►��N NW1\1mN NN. Y�.� N11/ NN.1N11 Y0. NS 111.N ONN1111N0 11/Y 1011.�N1 NNN N1M td b �O NN11101 /NO NO N\ A N0110.1 11N111� N1► -111111111. 1N11 N01 ON. YO..NN !NO � 1N0..N. /.01 1.01 N111 Na 11.1N1 N011111.111► � 1101 ■ 1A1111111111\1/111 1110011111 N111 \ hN1 111110.1. /. 11 .111/ 10M.N..011..1. In Residential Horizontal Sidewall and Recessed Hor. Sidewall Spriniders Mizem S215 GENERAL DESCRIPTION The Star Mizar S215 Residential Horizontal Sidewall and Recessed Horizontal Sidewall Sprinklers are decorative glass bulb sprinklers designed for use in residential occu- pancies such as homes, apartments, dormitories, and ho- tels. They are to be used in wet pipe residential sprinkler sys- tems for one- and two-family dwellings and mobile homes per NFPA 1313; wet pipe residential sprinkler systems for residential occupancies up to and including four stories in height per NFPA 13R; or, wet pipe sprinkler systems for the residential portions of any occupancy per NFPA 13. The Mizar S215 has a 3.5 (50.4) K -factor which provides very low design flow rates at reduced residual pressures, enabling smaller pipe sizes and water supply require- ments. They are designed for installation along a wall or lintel and just beneath a smooth and level ceiling. Side- wall sprinklers are generally used in lieu of ceiling sprin- klers because of either aesthetic or building construction considerations. The recessed version of the Mizar S215 using a #2084 Recessed Escutcheon provides 1/4 inch (6.4 mm) of recessed adjustment or up to 1/2 inch (12.7 mm) of to- tal adjustment from the flush sidewall position. The Mizar S215 has been designed with heat sensitivity and water distribution characteristics proven to help in the control of residential fires to improve the chance for occu- pants to escape or be evacuated. However, residential fire sprinkler systems are not a substitute for intelligent fire safety awareness or fire safety construction required by building codes. WARNINGS The Mizar S215 Residential Horizontal Sidewail and Recessed Horizontal Sidewall Sprinklers described herein must be Installed and maintained in compli- snce with this document, as well as with the applica- ble standards of the National Fire Protection Associa- tion, In addition to the standards of any other authorities having jurisdiction. Failure to do so may impair the integrity of these devices. Because of the above cited stipulations and the var- ied nature of residential type architecture, there will be some compartment designs which cannot be fully sprinklered in accordance with the recommendations of NFPA 13, 13D, or 13R. In the event of this condi- tion, consult the authorities having jurisdiction for guidance and approval. STAR SPRINKLER INC. It is the responsibility of the installing contractor to provide a copy of this document to the owneror his representative, and in turn, It Is the obligation of the owner to provide a copy of this document to a suc- ceeding owner. The owner Is responsible for maintaining his fire pro- tection system and devices in proper operating condi- tion. The installing contractor or sprinkler manufac- turer should be contacted relative to any questions. OPERATION The glass bulb contains a fluid which expands when ex- posed to heat. When the rated temperature is reached, the fluid expands sufficiently to shatter the glass bulb, which then allows the sprinkler to activate and flow water. TECHNICAL DATA Approvals UL and ULC Listed. NYC Accepted (MEA 212-98-E). (The approvals apply to the service conditions indicated in the Design Criteria section.) Maximum Working Pressure 175 psi (12.1 bar) Discharge Coefficient K = 3.5 GpM/pSil/2 (50.4 LPM/barl/2) Temperature Ratings 1550F/68*C or 175"F/79*C Finishes Sprinkler: White Polyester, Chrome Plated, Natural Brass Recessed Escutcheon: White Coated or Chrome Plated (Colors other than white available on request.) Physical Characteristics (Ref. Figure 1) The Mizar S215 utilizes a dezincification resistant (DZR) bronze frame. The button is phosphor bronze, and the bushing is brass. The gasketed spring plate consists Of 2 beryllium nickel disc spring that is sealed on both its in- side and outside edges with a Teflont gasket. The ejec- tion spring is stainless steel, the compression screw is phosphor bronze, and the deflector is brass. 1-3.3.20 Pag*2 STAR SPRINKLER INC. 1-3.3.20 COVERAGE AREA x L(a) W W x (.) T x FT F x T 12x1 - 2 TEMPERATURE RATING *F 155 SINGLE SPRINKLER minimum Flow (Residual Pressure) 12GPM MULTIPLE SPRINKLER Minimum Flow (b) (Residual Pressure) 11 GPM 0) INCHES 5 MET 4 to 12 6 (11.8 PSI) (9. PSI) 175 13GPM 11GPM 4 to 12 6 (13.8 PSI) (9.9 PSI) 1404 155 13GPM 12GPM 4 to 12 7 (13.8 PSI) (11.6 PSI) — 1404 — 175 14GPM 12GPM 4 to 12 7 (16.0 PSI) 0 1 1606 155 16GPM �_&Psl) 14GPM (16.0 PSI) 4 to 6 8 (20 9 PSI) _ 1606 16GPM 14GPM PSI) 4 to 6 8 (20.9 PSI) (16.0 I - CENTERLINE OF SPRINKLER WATERWAY L A C- 9 FEET �D- 14 FEET NO MINIMUM LIMIT MINIMUM ------------- 7L ----------- *DEFLECTOR-TO- L ITS OF SINGLE CEILING DISTANCE S INKLER COVERAGE AREA (a) For coverage arsa dimensions less than or between those indicated, it is necessary to use the minimum required flow for the next highest coverage area for which hydraulic design criteria. are stated. 5 are calculated using the (b) Requirement is based on minimum flow in GPM from each sprinkler. The associated residual pressure nominal K-f&ctor. Refer to Hydraulic Design Criteria section for details. nterlin* of sprinkler waterway (Ref. Fig. 1) must be 4-5/16 to 6-5/16 inches below the coiling for a (c) To meet this requirement, the ce' -to coiling distance Of deflector -to-ceiling distance of 4 to 6 inches, or 4-5/16 to 12-5/16 inches below the coiling for a deflector 4 to 12 inches. TABLE A NF1PA 13D AND NFPA 13R HYDRAULIC DESIGN CRITERIA DESIGN CRITERIA The MiZ2r S215 Residenti2l Horizont2l Sidew2ll and Re- cessed Horizontal Sidewall Sprinklers must only be in- stalled and utilized in accordance with the following de- scribed criteria which are provided by the manufacturer. NOTES Residential Fire Sprinkler systems should only be de- signed and installed by those competent and com- pletely familiar with automatic sprinkler system de- sign, installation procedures, end techniques. Several criteria May apply to the Installation and us- age of each sprinkler. Consequently, It Is recOm- mended that the sprinkler system designer review and develop a working understanding of the com- plete list of criteria prior to initiating the design of the sprinkler system. 4c - Questions concerning sprinkler installation and us- age criteria which are not covered by the following in- structions should be submitted to Star Sprinkler Inc. Include sketches and technical details as appropriate. In some instances, the requirements of this docu- ment may concern specifications which are more stringent and which take precedence over those specified In NFPA 13, NFPA 130, NFPA 13R, or by the authority having jurisdiction. The spray from the Mizar S215 Is distributed radially outward and downward from the sprinkler deflector. Consequently, the sprinklers must be located such that there will not be any blind spaces shielded from spray by partitions, room dividers, overhangs or other parts of the dwelling structure. The number of sprinklers within each compartment (as defined by NFPA 13, 13D, " 13R), must be kept F -FIA 1-33.20 STAR SPRINKLER INC. WRENCH FLATS 1/2* NPT (BOTH SIDES) FIGURE 1 MIZAR S215 RESIDENTIAL HORIZONTAL SIDEWALL SPRINKLER s few as possible. Do NOT USO more sprinklers than 'secessarY to cover a particular space. Only use metallic sprinkler escutcheons that will not dislodge or deform at a temperature less then 1200*FI649*C or that are UL Listed for fire protection service. Only use the #2084 Recessed Escutcheon for recessed installations. The sprinkler must be secured In position by firmly fastening the sprinkler system piping to the struc- ture. If the sprinkler is not properly secured In posi- tion, reaction forces resulting from sprinkler opera- tion could alter its orientation end Its water cannot distribution pattern. The sprinkler escutcheon be used to hold the sprinkler in position. General Service Conditions. The Mizar S215 must only be utilized in wet pipe sprinkler systems. Hydraulic Design Criteria. The minimum required single and multiple sprinkler flow rates for systems designed to NFPA 13D or NFPA 13R are given in Table A as a func- tion of temperature rating and the maximum allowable coverage areas, The single sprinkler flow rate is the mini- mum required discharge from the most hydraulically de- manding single sprinkler and, the multiple sprinkler flow rate is the minimum required discharge from each of the total number of "design sprinklers* as specified in NFPA 13D or NFPA 13R. The minimum required discharge from each of the "de- sign sprinklers" for systems designed to NFPA 13 must be calculated based on delivering a minimum design den- sity of 0.1 gpm per sq. It. for each of the listed coverage areas shown in Table A. Spray Coverage Criteria. Each Mizar S215 must only be FACE OF SPRINKLER FITTING 2-7/8- DIA. (73.0 MM) 2-1/4" DIA. (57.2 MM) MOUNTING PLATE sm (3.2 MM) 8. MAX. (203.2 MrT FOR SOFFi i MOUNT ONLY Page 3 1/2±1/1" CEILING (I 2.7±3.2 mm) 5/16" DEFLECTOR (7.9 MM) j DEFLEC TO CEILING CLOSURE DISTAf4CE PER T I ABLE A S215 ERLINE I L CENTERLINE OF SPRINKLER WATERWAY 4"MAX. (101.6 mm) FOR SOFFIT MOUNT ONLY L/r (3 1_8 M n 1" (25.4 MM) L2 (I _2.7m M 114r (6.4 MM) MOUNTING SURFACE FIGURE 2 MIZAR S215 RESIDENTIAL HORIZONTAL SIDEWALL SPRINKLER WTT'H #2064 RECESSED ESCUTCHEON used in accordance with one of the designated width by length (W x L) coverage criteria specified in Table A. Ceiling mounted obstructions such as heating or air condi- tioning diffusers, overhangs, and light fixtures must be lo- cated above an elevation, as shown in Figure 3, where they will not interfere with the proper distribution of water by the sprinkler. The Mizar S215 may be installed along overhangs or sof- fits that are a maximum of a inches wide (distance from wall); with a maximum vertical distance of 4 inches from the centerline of the sprinkler waterway to the bottom Of the overhang/soffit; and, with a deflector -to -soffit sur- face distance of 1-1 /2 to 3 inches, or with the #2084 Re- cessed Escutcheon as shown in Figure 2. NOTE Use of overhangs or soffits with dimensions exceed- ing the above specified criteria is permitted it addl- (38.1 MM) CENTERLINE 5/16" ESCUTCHEON OF SPRINKLER WATERWAY PLATE SEATING (7.9 MM) SURFACE �13F� (38.1 MM) 7116' (11.1 MM) 4MAKE-IN NOMINAL 1 2-3/16" 3/4" (19.0 MM) (55.6 MM) FIGURE 1 MIZAR S215 RESIDENTIAL HORIZONTAL SIDEWALL SPRINKLER s few as possible. Do NOT USO more sprinklers than 'secessarY to cover a particular space. Only use metallic sprinkler escutcheons that will not dislodge or deform at a temperature less then 1200*FI649*C or that are UL Listed for fire protection service. Only use the #2084 Recessed Escutcheon for recessed installations. The sprinkler must be secured In position by firmly fastening the sprinkler system piping to the struc- ture. If the sprinkler is not properly secured In posi- tion, reaction forces resulting from sprinkler opera- tion could alter its orientation end Its water cannot distribution pattern. The sprinkler escutcheon be used to hold the sprinkler in position. General Service Conditions. The Mizar S215 must only be utilized in wet pipe sprinkler systems. Hydraulic Design Criteria. The minimum required single and multiple sprinkler flow rates for systems designed to NFPA 13D or NFPA 13R are given in Table A as a func- tion of temperature rating and the maximum allowable coverage areas, The single sprinkler flow rate is the mini- mum required discharge from the most hydraulically de- manding single sprinkler and, the multiple sprinkler flow rate is the minimum required discharge from each of the total number of "design sprinklers* as specified in NFPA 13D or NFPA 13R. The minimum required discharge from each of the "de- sign sprinklers" for systems designed to NFPA 13 must be calculated based on delivering a minimum design den- sity of 0.1 gpm per sq. It. for each of the listed coverage areas shown in Table A. Spray Coverage Criteria. Each Mizar S215 must only be FACE OF SPRINKLER FITTING 2-7/8- DIA. (73.0 MM) 2-1/4" DIA. (57.2 MM) MOUNTING PLATE sm (3.2 MM) 8. MAX. (203.2 MrT FOR SOFFi i MOUNT ONLY Page 3 1/2±1/1" CEILING (I 2.7±3.2 mm) 5/16" DEFLECTOR (7.9 MM) j DEFLEC TO CEILING CLOSURE DISTAf4CE PER T I ABLE A S215 ERLINE I L CENTERLINE OF SPRINKLER WATERWAY 4"MAX. (101.6 mm) FOR SOFFIT MOUNT ONLY L/r (3 1_8 M n 1" (25.4 MM) L2 (I _2.7m M 114r (6.4 MM) MOUNTING SURFACE FIGURE 2 MIZAR S215 RESIDENTIAL HORIZONTAL SIDEWALL SPRINKLER WTT'H #2064 RECESSED ESCUTCHEON used in accordance with one of the designated width by length (W x L) coverage criteria specified in Table A. Ceiling mounted obstructions such as heating or air condi- tioning diffusers, overhangs, and light fixtures must be lo- cated above an elevation, as shown in Figure 3, where they will not interfere with the proper distribution of water by the sprinkler. The Mizar S215 may be installed along overhangs or sof- fits that are a maximum of a inches wide (distance from wall); with a maximum vertical distance of 4 inches from the centerline of the sprinkler waterway to the bottom Of the overhang/soffit; and, with a deflector -to -soffit sur- face distance of 1-1 /2 to 3 inches, or with the #2084 Re- cessed Escutcheon as shown in Figure 2. NOTE Use of overhangs or soffits with dimensions exceed- ing the above specified criteria is permitted it addl- Page 4 STAR SPRINKLER INC. .' . I . tional sprinkler protection is provided for the area be- low the overhanglsoffit. The Mizar S215 must NOT be located 1. Along a wall/partition having a recessed range oven, countertop, or alcove. 2. Along a walVpartition having an adjoining wood or coal burning stove. 3. Along a wall/partition containing a fireplace or wall oven. Operational Sensitivity Criteria. The Mizar S215 must only be installed 1. Beneath level ceilings. 2. Beneath solid ceilings having a smooth or textured sur- face. � 61 3r 4' 2' �_ +4" 0. L_ 1 1 +4' NOTES: 1. 3. With a deflector -to -wall surface distance of 1-1/2 to 6 inches or a deflector -to soffit surface distance of 1-1./2 2. to 3 inches, unless the #2084 Recessed Escutcheon is being utilized as shown in Figure 2. 4. With a deflector -to -Ceiling distance per Table A. 5, At least 4 inches away from an inside or outside comer. The Mizar S215 must NOT be used 1. Beneath soffits or overhangs, unless they are only pro- viding protection for the area underneath the soffit/over- hang and additional sprinkler protection is provided for the area in front of the soffit/overhang. 2. Above or below open-gridded type suspended ceilings. 3. With beams, joists, ducts, or other continuous obstruc- bons located within the sprinkler coverage areas. Beams, joists, or ducts may be located with their centerli- nes along the boundaries separating adjacent sprinkler coverage areas. Cold Soldering Criteria. With reference to Table A, the Mizar S215 must be located such that 1. The minimum lateral distance *C" between adjacent sprinklers is a feet. 2. The minimum distance "D" between sprinklers located opposite or with their waterway centedines at W to each other is 14 feet, except where a portion of the dwelling structure or a partition will shield the spray of one sprinkler from the other. Heat source Criteria. Refer to NFPA 13D or NFPA 13R for the requirements relating to preventing the possible re- lease of a sprinkler heat responsive element (Bulb), due to exposure to heat sources other than abnormal fire. 0'\ 2' 4' SPRINKLER 1-3.3,20 SDEWALL 6' 3' 10' 112' 14' .16' CENTERLINE OF COVERAGE AREA PLAN VIEW For a given position within the coverage area, coiling mounted obstructions must not hang below the elevation dimension given in the graph. Elevation dimensions are with respect to the top of the Deflector Hat (Rot. Figure 1), wh ir* positive (+) dimensions are above the Oefloctor Hat and negative (-) dimensions are below. (Reference: the 0ofloctor Hat is 5/16" above the sprinkler conterline of waterway.) FIGURE 3 ALLOWABLE ELEVATION FOR CEILING MOUNTED OBSTRUCTIONS SUCH AS HEATING OR AIR CONDITIONING DIFFUSER, OVERHANGS, AND LIGHT FIXTURES 1-3.3.20 WRENCH RECESS PUSH WRENCH IN TO ENSURE ENGAGEMENT WITH SPRINKLER WRENCHING AREA STAR SPRINKLER INC. MAINTENANCE AND SERVICE FIGURE 4 W -TYPE 7 SPRINKLER WRENCH INSTALLATION The Mizar S215 must be installed in accordance with the following instructions: NOTES Do not Install any bulb type sprinkler if the bulb is cracked or there is a loss of liquid from the bulb. With the sprinkler held horizontally, a small air bubble with an approximate diameter of 1116 Inch should be pre- sent. A leak tight V2 inch NPT sprinkler joint should be ob- tained with a torque of 7 to 14 ft.1bS. (9.5 to 19.0 Nm). A maximum 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 leakage or impairment of the sprinkler. Do not attempt to compensate for Insufficient adjust- ment in an Escutcheon Plate by under- or over -tight- ening the Sprinkler. Readjust the position of the sprin- kler fitting to suit. 1. The sprinkler must only be installed with the centerline of the waterway horizontal and perpendicular to the backwall surface. 2. After installing the #2084 mounting plate (or other ac- cept2ble escutcheon, as applicable) over the sprinkler pipe threads and with pipe thread sealant applied to the pipe threads, hand tighten the sprinkler into the sprinkler fitting. 3. Wrench tighten the sprinkler using only the W -Type 7 Sprinkler Wrench (Ref. Figure 4). The wrench recess of the W -Type 7 is to be applied to the sprinkler wrench flats (Ref. Figure 1). The word "TOP" on the Deflector is to face towards the ceiling. Page 5 The Mizar S215 must be maintained and serviced in ac- cordance with the following instructions: NOTES Wet pipe sprinkler systems must be maintained at a minimum temperature of 40*FI4'C to prvvent freezing and bursting of the pipe andlor sprinklers. Automatic sprinklers are not to be tested with a heat source. Operation of the heat responsive element (bulb) can result. Absence of an Escutcheon plate may delay the time to sprinkler operation in & fire situation. Before closing a fire protection system main control valve for maintenance work on the fire protection sys- tem which It controls, permission to shut down the af- fected tire protection system must be obtained from the proper authorities and all personnel who may be affected by this action must be notified. Do NOT enclose sprinklers within drapes, curtains, or valences. Do NOT hang anything from the sprinklers. Do NOT cleanse the sprinklers with soap and water, detergents, ammonia, cleaning fluids, or other chemi- cals. Remove dust, lint, cobwebs, cocoons, Insects, and larvae by gently brushing with a feather duster or gently vacuuming with a soft bristle ().*., dusting) brush attachment Exercise suitable safety precautions In the use and storage of highly flammable materials. The rapid rate of fire development and spread of which can be caused by such materials can reduce the ability of the sprinkler system to aid In the control of & fire in which they are Involved. The minimum vertical clearance between the tops of free standing partitions, room dividers, cabinets, stor- age rsck.4, stock piles, etc., and the sprinkler deflector Is NOT to be less than the clearance given below. Horizontal vertical Distance From Clearance, To In. �Sprinkler Ft. _Item, More than 9 32 Between 6 and 9 26 Less than 6 it is recommended that automatic sprinkler systems be inspected and maintained in accordance with the advice and suggestions given In NFPA 25. Automatic sprinklers must never be shipped or stored where its temperature will exceed I 000F/380C and they must never be painted, plated, coated, or otherwise al- tered after leaving the factory. Modified sprinklers must be replaced. Sprinklers that have been exposed to corro- sive products of combustion, but have not operated, should be completely cleaned by wiping the sprinkler with a cloth or by brushing it with a soft bristle brush. Page 6 STAR SPRINKLER INC. Care must be exercised to 2VOid damage - both before and after installation. Sprinklers damaged by dropping, striking, wrench twlst/slippage, or the like, must be re- placed. Also, replace any sprinkler that has a cracked bulb or that has lost liquid from its bulb (Ref. Installation Section). It is recommended that automatic sprinkler systems be in- spected quarterly by a qualified Inspection Service. The Mizar S215 must only be replaced with horizontal sidewall sprinklers which are listed for residential fire pro- tection service and which have the same nominal K -fac- tor, the Same coverage area, and the same or lower flow ratings (as Indicated under "Hydraulic Design Criteria"). When remodeling, such as by adding false beams or light fixtures or changing the location of compartment walls, first verify that the new construction will not violate the in- stallation requirements stated under WARNINGS. Alter the new construction and/or the sprinkler system to suit the requirements of this document. ORDERING PROCEDURE Please Specify: 1 Mizar S215, 3.5 K -Factor, Residential Horizontal Sidewall Sprinkler (#2330) 2. Recessed Escutcheon (*2084) 1-3.3.20 3. W -Type 7 Sprinkler Wrench (#2349) Refer to Price List for a complete listing of Part Numbers with respect to temperature ratings, finishes; etc, AVAILABILITY AND SERVICE Star Sprinkler Inc. products and devices are available worldwide through a network of independent distributors. Please contact Star Sprinkler Inc. for information and the name and address of the Star distributor in your area. LIMITED WARRANTY The manufacturer warrants for a period of one year from the date Of Sale (warranty period) that the product(s) sold hereunder are free from defects in material and workmanship. Our obligation un- der this warranty is limited to repair or replacement, or, at our op- tion, we will repay the price paid for the product(s), plus any trans- portation charge paid by the purchaser. In the case of replacement, we will pay the transportation charges to the loca- tion of the defective product. We must be given the opportunity to inspect any product you believe to be defective. To make a claim under this limited warranty, you should contact our Sales Serv- ices Manager at (800) 559-5236. THERE ARE NO OTHER WRITTEN OR ORAL WARRANTIES. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FIT- NESS FOR A PARTICULAR PURPOSE ARE LIMITED IN DURA- TION TO THE DURATION OF THE LIMITED WARRANTY SET FORTH ABOVE. The manufacturer does not assume any other obligation in con- nection with the sale of the product(s) by purchaser. This warranty shall not apply to any product(s) which have been installed in violation of written instructions furnished by the manu- facturer, repaired or altered, misused or damaged, or not properly maintained. The manufacturer is not liable for indirect, incidental or conse- quential damages in connection with the use of the product(s). Some states do not allow limitations on how long an implied war- ranty lasts, or exclusion or limitation of incidental or consequen- Vial damages, so the above limitations or exclusion may not apply to you. THIS WARRANTY GIVES� YOU SPECIFIC LEGAL RIGHTS, AND you MAY ALSO HAVE OTHER RIGHTS WHICH VARY FROM STATE TO STATE. 7071 S. 13th Street - Suite 103 PRINTED IN U.S.A. 10-00 twolFlo- CO -W-1 / S*- Oak Creek, WI 53154 SW&M- 414-570-5000 - 800-558-5236 RESIDENTIAL FIRE SPRINKLER SYSTEM Alan and Shelly Smith 444 Four Janes Way. Oroville, California ITEM LIST I Riser 2 Main Supply Line - 1 1/4 inch Type M Copper with I inch branches 3 Main valve 4 Pressure gauge 5 Flow Switch for electric bell 6 Side wall sprinkler head - 155 F - S215 by Star Sprinkler, Inc. It total 7 Pendent sprinkler head - 155 F - S210 by Star Sprinkler, Inc. I total 8 10 inch Alarm Bell - 110 VAC 9 1/2 inch Type M Copper: Main Supply Line to water closet (under floor only) Main Supply Line to drain outside 10 Inspector's Test Valve zqf:(� Minimum water requirements to building: 50.2 psi at 33 GPM Star Residential Horizontal Side Wall Sprinkler head - 155 F K-3.5 Coverage per head: 161 x 161 Star Residential Pendent Sprinkler Head - 155 F K=3.0 Coverage per head: 169 x 161 All pipe and fittings for type M copper Water demand - (Two sprinkler demand plus domestic demand) = 33 GPM Spare sprinkler heads to be provided in approved box Design as per NFPA 13D PRESSURE LOSS CALCULATIONS Pressure loss for 121 elevation 5.2 psi Pressure loss for pipe & fittings to furthest head 13.0 psi Pressure required for two sprinkler flow 32.0 psi Total Pressure required at building PS ��*l lift -S orag . 01 -tank 00491'u—r'li�.&vikfablet 60 pst'frim Prepared by: V C, k WILGUS FIRE CONTROL, INC. co 1703 Sonoma Street -J 482979 0 C-16 Reddin lifornia 96001 (5310) hic-2a465 CA LIC 462S79 C-16 i REVISIONS BY ,Co 462979 A f-16 To W.C. 1 9 X 24 P M = ON NO. I4N1 CLURMMKr • , DRAIN Sheet Of Sheet* < LJJ >—. < 3 oc w0 L`- C) w Z Q LLL �w = O J U— � / v) tfi' O 2001 Dat. JULY Scale Drawn Wilew Job Sheet Of Sheet* RESIDENTIAL FIRE SPRINKLER SYSTEM Alan and Shelly Smith 444 Four Janes Way Oroville, California ITEM LIST I Riser 2 Main Supply Line - 1 1/4 inch Type M Copper with I inch branches 3 Main valve 4 Pressure gauge 5 Flow Switch for electric bell 6 Side wall sprinkler head - 155 F - S215 by Star Sprinkler, Inc. 11 total 7 Pendent sprinkler head - 155 F - S210 by Star Sprinkler, Inc. I total 9 10 inch Alarm Bell - 110 VAC S 1/2 inch Type M Copper: Main Supply Line to water closet (under floor only) Main Supply Line to drain outside 10 Inspector's Test Valve NOTES Minimum water requirements to building: 50.2 psi at 33 GPM Star Residential Horizontal Side Wall Sprinkler head - 155 F K=3.5 Coverage per heads 169 x 169 Star Residential Pendent Sprinkler Head - 155 F K=3.0 Coverage per head: 161 x 161 All pipe and fittings for type M copper Water demand = (Two sprinkler demand plus domestic demand) = 33 GPM Spare sprinkler heads to be provided in approved box Design as per NFPA 13D PRESSURE LOSS CALCULATIONS Pressure loss for 121 elevation 5.2 psi Pressure loss for pipe & fittings to furthest head 13.0 psi Pressure required for two sprinkler flow 32.0 psi Total Pressure required at building ran-1000!"jal Ion -_-storage --tank Prepared by: WILGUS FIRE CONTR6L, INC. co 462979 1703 Sonoma Street C -m Redding, California 16,001 (530) 241-2465 CA LIC 462971 C-16 11 x is PAWTM ON NO. 19W CLEANMgNT • To W.C. j TLOOR_ -PLS V% r, i— a 0% IL Akl i 1.703 SONOMA STREET REDOING, CALIFORNIA 241-.2465 462979 C-16 462979 G16 OF �&O� S+t v ` � a� ir DRAIII REVISIONS BY W w W .y X Z U- Cr 0- W U W >< U Qz LiJ 00 W lig z C1) Q Lv -5 c v W 0LL d' 0 U) q4- 0 Date JULY 2001 Scale Drawn iy: v Job Shest Of Shoats