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027-360-192
027-360-192 94-0795P,E(MH) S!4ITH,. DELBERT & SHIRLEY 45 FOUR JUNES WAY, OROVILLE MOBILEH.OME UTILITIES ELECjO' Can 4A) - GAS 1,PC, COMPACTION TEST RE SUPPORT STRUCT REQ 4a 027-360-192 P8RMIT#9A-9437. 'i. SMITH, DE _tRT L. 45 FOUR JUftS WAY; OROVILLE ti /z/ CONT: HUGHES FIRE PROTECTION WATER SUPPLY FOR FIRE SPRINKLERS/MH 027-360-192 PERMIT#94-2364. SMITH,.DELBERT L. 45 FOUR JUNES WAYjq,OROVILLE CONT: EXECUTIh HOMES MOBILEHOME INSTALLATION 027-360-192 04-0219 SMITH 45 FOUR JUNES WAY, OROVILLE Cont: OWNER XX MH PERM FND EX SITE -027-360-192 04-1467 SMITH. DELBERT 45 FOUR JUNES WAY, OROVILLE Cont: OWNER AG BUILDING + DEPARTMENT USE ONLY � Mate of California DEPARTMENT USE ONLY Department of Housing and Community Development . ' a Division of Codes and Standards DECAL NO. ` t 7s e, Manufactured Housino Section ' J - C Y• r`hn. TRANS, CODE .4 MCO CONTROL NO. ' M otc`if (D) DEALER NAME: -DEALER TRtPORT OF SALE SITUS COUNTY CODE TAX TYPE (CIRCLE ONE) t� d).�/( n rt ( {� 4, NEIN. MOBIL`HOME t (3T E)(7 CALIF. DEALER LICENSE NO. DATE OF TP.ANSSFER TO DEALER USE CODE.(CHECK C17 ORIGINAL SALE PRICE ORIG. CAST C • ,. ?� /'i..'Q.1 �. '7 _ , C� y SFD f4 MFD ❑ -f� 000.— VI✓ - NAME� - � � •1i NA~M�E OF MANUFACTURER MANUFACTURED. LICENSE NO. MANUFACTURER TRADE'.NAME �{ 9,5 34 A MFG. MODEL NAME NUMBER DATE OF MANUFACTURE - FOUNDATION TYPE (CHSECK'ONE)_ DATE FIRST SOLD NEW'' JORy l�. U q ` g - q 3'(( 1&x51 R, (PER" (8613 � MERI / � %- 99 UNIT (1-4) MANUFACTURER SERIAL NUMBERIS) HUD LABEL NUMBES) R `LENGSH (INCHES) WIDTH (INCHES) WEIGfdI _ (PouND: .A TA -1) -7 -7 7 -0, .22 .9 " T LT' 1 7 9, 1 "RA . -J) - g. -SoR7A t3 e'66- %17 70 ADDITIONAL UNITS❑. , RECEIPT NUMBER RECEIPT DATE CLERK REGISTERED OWNER(S) (PRINT TRUE NAMES): PPF V -. - LAST NAME - FIRST NAME - MIDDLE NAME OR INITIAL RF. ILT (2) `- is 7 . f . f 1 t F" �f a P! MRF t7n _ -- `fit. PEN t l3?• 11'.,APPUCAHLE CHECK ONE:OF THE FOLLOWING:❑ TENCOM OR JTRS ❑ .TENCOM AND ❑ COMPRO PEN 2 CURRENT MAILING_ ADDRESS: ',> .. '�," iit.rr �s'.�r�!�=', 1"J" er�rl��7r .f Q4 1, 9'1,4 TRF DUPT FUTURE MAILING . ADDRESS:. C '.r,f= DUPR LOCATION ADDRESS ' 11� �-^ OF UNIT:'!', �f � . 't•�}' 1 � � i t t : 4 -P 1,r(_i vl.'' t:` -SUED STREET t�1/ - 'CITY COUNTY STATE ZIP. SUBS GAL, OWNER. REPO' ('�r`r1�`itt.iy^,..�''7 AREG RSF: .- IF'APPLICABLE CHECK ONE OF THE FOLLOWING-© TENGOM. OR JTRS ❑ TENCOM AND ❑ COMPRO ' PLT MAILING ADDRESS:SIT STREET �' CITY ? 'STATE Z'P - .. UTP. . FIRST JUNIOR. UENHOLI)ER: c.• ASF I CCP IF APPUd CABLE, CHECK.ONE OF THE FOLLOWING ❑ TENCOM OR. ❑ JTRS ❑ TENCOM AND ❑ COMPRO 'MAILING ADDRESS: STREET CITY STATE ZIP70TAL "" ADD j.L- ❑, _'::., CERTIFICATIOtd ` `Tte:applicant;and dealer signing below slate to the best of their knowledge and belief that all statements made in this application are true and correct. The dealer further certifies that the described unit is in compliance with all provisions of the i. Health and Safety Code and the department regulations adopted pursuant to the`Health and Safety Code. SIGNATURES) OF NEW REGISTERED OWNER(S)--LINES A -C: i'�a1, ,1 _ l n C' • rL' t B, i (D) DEALER NAME: ,J -' (E)'DEALER ADDRESS: �7 a`ti ! sl' .� t� d).�/( n rt ( {� 4, SIGNATURE'OF AUTHORIZED AGENT IFI SALESPERSON NAME: (—rJa / � I t .�%vi7.T)rat SALESPERSON k0.: COPY 1=DEPARTMENT COPY ' COPY 2 ---CUSTOMER COPY COPY 3—ASSESSOR COPY COPY 4—BOOK COPY NO. 2 9 6 3: DATE STAMP ARE! yffGL?,r�• �r , �2 � a �4 i � r ' C f -7l �2U�l•GGL,y� G2 �Cr�iLt7l COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PFRMT NO. (Rev. 12/96) APPLICATION AND PERMIT Del, 0 7J!7 - ASSESSG6!ffEI,.t;6?l T192 ZONINq, � BUILDING PERMIT OWNER DELBERT SMITH 533-8554 TELEPHONE SO. FT. OCC. BUILDING VALUATION 1500 R 81 000.00 GWNEA4s�'�`T ESJUNES WAY OROVILLE CA 95966 �( CONTRAC�[R�S,�[( EE TELEPHONE . CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ 81 000.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 277.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING�pRE,OUR JUNES WAY OROVILLE CA LL�F �) Energy Plan Checking Fee $ $ PERMIT FEE S 320.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 1 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EX MH PERM FM EX SITE Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S50. 00 ELECTRICAL PERMIT I Fling Fee 20.00 "OOVOR LE Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER 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: 09 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. So OR ADDNS. ( a AOC. BUDS. 3.50FT. 1.10" N.RE IDS MULTI -OUTLET BRANCH ., @7,50 APPARATUS 8 SINGLE OUTLET CXR. Ex. OCCU OUTLET OR FIXTURES 20 Q 1.00 SAL Q .50 Ex. Occup. ourEttrs AF�s10°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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.) 91 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. r X Date!- Signature of Applicant - ❑ Owner 13 Contractor ❑ Agent / An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT PEP S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 370.00 HAZ D CDF PARCEL Po HD ISSU 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 0 PERMIT EXPIRES ON (Date) Receipt No. WHITE-D.D.S.- ANARY-ASSESSOR PINK-TNTPECTOR GOLDENROD -APPLICANT t t DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION COUNTY OF BUTTE - aftft7 Drive - Oroville.,California 95965 - PERMIT NO. Telephone (530) 538-754j, 41 PERM County Center [�'Y �s APPLICATICSNAND PERMIT ev. 96) zDMN BUILDING PERMIT AS11WAP.CELNUMBER KOQ TELEPHONE So. Fr. OCC, BUILDING VALUATION OW 1 OWRER'S LOAM ADDRESS � I TELEPHONE RS NAME QZ TOR ADDRESS ' DONS CTLDN LENDER Fire lace LENOU MA[LINGADDRESS Total Valuation S UCENSENO. Erin Fee li 20.00 ARCMIfECr OR ENGINEESi Permit Fee °d%Z-� 5 Yo AAcmrM= OR ENGWES:S WUUNG ADDRESS Pian Checldnq Fee /yC ADD 'Z Energy Pian Checking Fee $ gULMG J PERMIT FEE S CO PAReeL MAP PLUMBING PERMIT Filing Fee 20.00 LOT No. sueolvlsroNs NAME . Each Tr 7.00 USEOFSTRUCTURE Solar or heat pum water heater 23.00 Water piping 15.00 SF ❑ Duplex ❑ Mobilehome ❑ Other sPEc�T Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5-outlets 15.00 pO New ❑ Add❑ Remodel ❑ Uil�s ❑ 13 Other El Building sewer 15.00Addition S G W @20.00 Mobile Home I J I 1 Describe Work: t � ✓� � PERMIT FEE ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20AA OR LESS 23.00 Main Service 200A TO -DDA 46.00 NEW CONST. DWELLM OCCUP. 3.50 OR ADONS. ( a ACC. BLDS. cONs . MULTI.OLmFT @7.50 �� G � PERMIT FEE PAID $ - NON�Esm. CURS �°""°'"�"' G swsLE oun�T eIR zo @ 1.00 Ex. Occu ovnET OR FDfTURES BDL Iso • FDDiD APPLNS. OR 5.00 Ex. Occup. OUnEM ESID. EA. I SRA $�)CLSt1Yl01 Temporary Service 23.00 Mobile Home Facilities 20.00 Wisc. Wiring 23.00 SHERIFF $ PERMIT FEE 3 MECHANICAL PERMIT 1 Firing Fee 20.00 Heating OTHER $ Coofin Hood 6.50 Ventilation $ PERMIT FEE S Mobile Home Installation Fee 3 $ Energy Inspection Fee $ `'` DDS' TYPE TOTAL FEE S % `" HAL D_ FM IMP I FLOOD WF PARCEL AMOUNT RECEIVED $ �O• _ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work n /1�6 indicated above for which fees have been paid. DATE RECEIVED 1- 2 L04 v/ A^j )L4LZO By Date ti. r/': ,4 F. ,s . '"a ..�(' r, ..- . 1.. t..�.,:_. r .r ..''""•.... raP'i'3. , .r +. •?,�•� '°r+.nY„--[^TM".t.,."-vy •4'� �,.,-- _.•- ' � COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET i' OWNER:I 1P ��� -I ��n /r- ASSESSOR PARCEL NUMBER �'J Q 'J Proposed Building User X. m M I0/�r m fall erx S/ IF' Counter Technician: 7/0 Date: /-,oq -(J Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 5.0J 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. JEV 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (5,F)/fie down or fnd p na sl , all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 119. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ;. . ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ` ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ,,o 26. NPDES Form............................................................................................. �❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... 28. Pre -Inspection for P,,- r)n H required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ,I�DJ 31. Owner -Builder Verification (_6t'ven to owner, _Mailed to owner) ..................... -b 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... COD'35. Existing violations and/or expired permits......................................................... ❑ / 36. DeedRestriction......................................................................................Ir.. p/ 37.0 rant Deed, 11tN{.H. Title/Statement of Facts, gf,14iter from Legal Owner, L 'heck to H.C.D. $ 1- ° ❑ 38. Other: ❑ 39. Other: When issued Telephone,. 5� < rari;n o and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: L/ . //- 'L Y�_ Date 2 ,� 0� 1. Index permit application for the above it numbered:f Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owwa advised of the agov ata by phone, ❑ mail, ❑ counter, Date: Plans reviewed by: Date: j Plans approved by: Date: 00 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: N, Yellow: Building Division .0-R_ I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. ' I 1. I personally plan to provide the major'labor and materials for construction of the proposed property improvement: YES �1, NO ❑ 2. I HAVE_❑ HAVE NOT ❑ signed an application for a building permit for the proposed work - 3. I have contracted with the following person (fire to provide the proposed construction: NAME: r S A� ADDRESS:�_�—�=� �.1-- �Lir� S /��y CITY: PHONE: X33 - sIsS`� 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: PROPERTYOWNER: " ,v SOCIAL. SECURITY NUMBER: — — DATE: _ — �_ 0 y NOTE: This Owner -Builder Ver fwation is required by Section 19831 and 19832 of the California,Heailth and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER O.B.-1 I OWNER BUIELDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourse14 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: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building Permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, d �� Mic 1 C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Bu0erinfOmwdon is required by Section 19830 of the California Health and Safety Code OVER Building Permit Number: (D4— o 2 l Owner Name: �yyt;t Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and.services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall sysiem with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate., 4. At.least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may lie screened or covered with other devices that will permit automatic entry and exit of floodwater. , s f� a Building Permit Number: (D4— o 2 l Owner Name: �yyt;t Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and.services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall sysiem with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate., 4. At.least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may lie screened or covered with other devices that will permit automatic entry and exit of floodwater. , �0 Page 2of 2 Building Permit_ Number: Owner Name: r" Parcel, lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and equipment including ov5#jangs shall- be clear of all easements. A setback of 2a feet from the side and 16 feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require.the• foundation to be designed by a California registered engineer or licensed architect. 0 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: �� L i 2. Installer's Name: LX .EC uli. VE P 3. Is the site currently under permit? Yes ® No (If yes, furnish permit number ) OR Is the site an existing site? Yes F-1 No (If yes,'furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No 11. What is the gas pipe length from meter or tank to the mobilehome?------------------==-----------------------=- (ft.) tk * 12. What is the mobilehome gas demand?s°-��-^��'�((BTU) L - *(This information not requiredpicpeo length less than 6 ft. on natural gas or less than;5O.�;ft.0 n P �) COUN BUIL P (If no, clarify 5. What is the mobilehome electrical rating? --------------- /�_ Amps 6. ,What is the mobilehome site service rating? ------------- �� Amps 7. What is the mobilehome site circuit breaker rating? ----- _ Amps 8. Is there any other electric load to be served by the ---------------------------------+ � mobilehome site service.? Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- �7" (in.) 10. What is the type of as service. YP g ? ------------------- Natural ❑ LPG Zj 11. What is the gas pipe length from meter or tank to the mobilehome?------------------==-----------------------=- (ft.) tk * 12. What is the mobilehome gas demand?s°-��-^��'�((BTU) L - *(This information not requiredpicpeo length less than 6 ft. on natural gas or less than;5O.�;ft.0 n P �) COUN BUIL P MOBILEHOME SUPPORT DATA If other than single wide // Mobilehome Mfr.,F// -_1,��E- 6 7C00626 furnish Setup Model No. -(p b year / / ! Width � '0 (ft.) Box Length(ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)1. Wood -pressure treated or foundation grade. 2. Other (specify) .SUPPORTS (check one)1. Concrete block.2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Piers: Size -Min. ------------ Spacing -Max- --------- „ From Ends -Max. ------- Line 2 Piers: Size -Min. ------------ , Spacing -Max. --------- From Ends -Max .------- Main Beams _Line i ine 2 Main Beams Line ne 1 -Line Tag or Triple kine 1 Openings: Size -Min. ------------------ „x „ Each Side of Openings With Width Over --------- " Line 3 Piers: (Under Bearing Wall Only) Size-Min------------------- Spacing-Max - ------------------Spacing-Max. _______________ From Ends -Max -------------- „ Line 3 Roof Loads Size -Min -------------x X „ „x „ ,x „ Location (From Front) 1/3--1 v Line 4 Piers: Line 5 Piers: (Under Bearing Walla Only) Size -Min.----- Size -Min.------------------ Spacing -Max.--------- r „ Spacing -Max.--------------- From Ends -Max.------- From Ends -Max.------------- Line 5 Roof Loads: Size -Min.------------ Location (From Front) H � UAL s� 4 J r r, t ^, `r. �: •�•' < s. . 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E00L/LZ/90 CN GENERAL NOTES GUS GUARD TUF-1 DRSICN LOAM: UVE LOAD - 30 LB_ 16_ FOUKIATION BLOCl;S 16-x 16-02- POURED IN PLACE AT GROUND LEVEL WAY v FLOOR LIVE LOAD - 40 PSF BE USED AT INSIALLFRS DISCRETION ALTERKATITE TO PADS - WIND LOAD - 80 MPH EXPOSURE "C" 2 SE ISUC ZONE -4" *SHOW LOAD 100 PSF (SEE NOTE /HS) SINGLE WIDE COACHES DOUBLE/MUL'OPLF COACHES 2. THIS FOUNDATION SYSTEM 15 DESIGNED TO BE CONSTRUCTED Ott E= 2' WIN. / 6' MAX E= V msN. / I t- MAX - A FAIRLY LEVEL SITE WffH NO [=TING SOIL PROSLEIM S= 6' WN. /U G' MAX S= 6' MHN_ / 22' MAX. 1. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AEC SIZFD foR THE (AADS VARIES 10'-70(SEE TABLE ON StICET IS) . AS SHO R4 IN THE -MWLE I101t£ INSTALLATION RtSIRUCTIONS". 4. tH AREAS WHERE DWTERENTIAL SETRfPENT (OS.) CAN OCCUR Nl4LwAcTURED HDPE SVALL 19E LRFJIO:Al51E0 WHEN OS I7LCCEDS 1/4 ( N a ❑ OR WHEN Ff ,vm L ADVERSE].*( AFFECT. UMLIE 1101E UNIT. L RIDGE BEAM SUPPORT AS S_ CARRY A1E"FOOTWS•DONNI.TO nlK UNDISTURBED SOIL. FOOTINGS ME. DES11311E0 -FOR 1,000 PSF TOTAL LOAD SALL PRESSURE. AND R£OL>rtREO BY WIWFACTURE,Z . _SHALL BE CONFATIBL.E IAtITH LOCM SOIL CD=TWNS OI'.NPACTED SAND WAY BE. USED TO fill LACAL VOIDS UNDIER-PADS., ;. -;STRUCTURAL STEL FABF6CATED .ACCORDING TO AlSC SPE�MN. � a { Km ACCORDide; To AWS SPECIFrA110NL- .ELEC1Rt bES-370 PLATES -ASTM A36 SAE GR �ASIM A4 9=ASIH NON. _ 1 : , BOBS- . c 1"� ,e :• 7_ THE- GUS GUARD ASSEYv1.IES SHO11N ON *(IMS PAUL SWAL BE tt= AND _ U7 + r LAS= BY =,AXG•ASSOCYOES FOR TM.fO(IDWI1G LWIQS:� �' pAJr 5 11 A#IY PAIR MAY BE . STANDARD. 9_!H_ FOI ON e^f s'„� AT�s11YAT3(J L11A[1S c T30@TI NTA Q�iFCAI. Re a zs y } . ROTATED 9O DEGREES OR PIERS AS RECOMMENDED FIT t PVC SERIES 1 - `GilARO TUF 1 .^� 600D#a o AYOUD OFFSET Td FARANCE PR08LEN5. E?i(xNFLR. o OTHM S" TO TW /4TYPICiLRT OR JIME PAD I7P) i �h •% xF' . x+ �4 , D MCP.,PAD -.r2 f : Li ♦ S s, K` k f lS GUARD E Z TE PA0 t60000 a+""r., t -+rt c, s a•.f S' - 4 r - :. a.'. L5 sn wri�iv T. ,y��rk.-..r++'T:S• •i:r,-, :• •y - -r •r x 4 Y - ., _ 7 y aDIIRAIC PREL IOUR1I IMSPECHOKOM UM*L ?OR Wt9l ! >♦fOBtE HOWL CHIl5S5 SFAIIS ARE CF STANDARD SECTION. y Q Y+wf STATE�APPR�VAL rLa t ip g ` £705iT11G COACHES MAY RE RETROiTT1ED TO RERST SEISMIC FORCES /T Q4 i S, r GISTALSIIEG GUS 4UARD TIF -4 U KTS AS WIDA"AGE OF TTPICJIL -y r N ; lI1 71>ZS P i � > t r i.FOoit�LT1oL't PUNS'. , 7 r `d . 10�1111E.GUS'CUAR'D IW -1 SYSIEIIS ARE SAFE FOR WMALLA71011 IN f10OD ' i2 YY w PLAIN AREAS WHM OEM OF FWWKG DOES NOT EUCLID I,EE IfE14iLT s 3 : �� . a• t t 11(ULTIPLE Uh'(T: iNSTALUlTiON R 1►CCFFTABIE, PROVIDED--- a s r THE,: NUIJBER OF, TUF-1 • LMIRS UNDER EACH -UNIT, tS m m} ATaE SAWE,.AS_.SHOWN _REQUIRED PER. -EA CH UpR_.; :f} 12 SIf1CLE--�E UNITS REQUW ABDn=AL RMVAW (SIE SLRFT Q ����� rC tS v 13 *7lAU IETAL C01�0lIfpT3 AMD AITALFLitE1fTS 11EMs SHALL K P1aTECTUIE COATTA pg P<y w ° � F S 9 CD0 ro 4_ `YVN£N COlLCR£7E SLAB H 17RSTl!N. PAD IS t1OT ^` O " ` O x`1 ? © z I ' R£1T111RED: A1Lt3HOR STAND To Cot1CRE1E�SLAB VATH 'TUF 1 PERMANENT - 8 ° _ (1} 3 1/2 EILPANSIOl1 J111CTi0Rs .;. su r .'FOUNDATION -SYSTEM o a o 4GUARDVTUF-1 FOUNDATION .SYSTEM PROVIDES tAlow S14OW LOAD TO 100 PSF WILFUL RWA1110 ABESCO-GUS GUARD COMPANY, t c'n' ` yr ";#,-,W Tl EtSTING STANDARDS REQUIRED BY COACH SESI FLORIDI- PERKINS ROAD. c i .`�uAltt 9XCTURER OR REPLACE THEM ON A ONE TO ` SACRAI�R O, CA 9S823.._,',;; • +, �' s 5 p+ AN . In r • r .r`?"+.., PH:: 800) „382-8831 m t 1 ? `� + WAYNE . T. ?OLVADO, PE -LISTING NO. F94249 SHEET 2 of 3 f r FAX: 916) 383-5207 m •.,. E.?:PAHSZOH ANCHOR ANCHOR SOLT 3/8' CAD WASHER IN CHOR 111.(4) REQUIRED • r BOTTOM , I l 11 U �t3• � I _l, trlt, i t�r't'�+• r• G� r i- rr,.��l�tl �� � l hill � ` u�t tt xtl � � �11�' iL�~It�� ��'�St.^i�_��"% 1[ti Glf►t f • 1 • POURED IN PLACE 16xl6xl2 CONCRETE FOUNDATION INSTALLATION i Ni� CHASSIS MME---, rl T 1/4 GRIPPER PLATE c (2) QEOIIIM • 1/4 CRtPPEit BASE i r 1/2-13UNd—A307 -ic 4" • {",'.BOLT WiTH'.IsiTS ., ri 1 J2. SCH '4O P;OE RISiR WITH "1/17 ADJUSTER HOLES AND 3/8 - THICK TOP PLATE y4i. ,--. 102 SCH. 40 PIPE STAND WITH TWO r1J2_AD;IUSTER HOLES- _.. . ABESCO A05PAO *303 _... STEEL FLAME LIGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATION 36' MAX ]t!]t.2f-RIDE UI�� S3N(22 IrTM ITINI" i 70 BOTTOM . OF PAD. -- 101/2"x 3" C.R. LENGTH OF HOME TA H 2C 1 26 44 UP 7T) 44 a 8 6 -1 M 12 1 12 -+- b 20 m 24 ICLA OF HOME 10 WIDTH OF HOME 12 ° 14 710 6 6 S 6 - b6c a e a a o •. r .toll •ar ..011%ish-mi-17mis APPROVAL STATE i� 37"TUF-1 PERMANENT oi: x c,L FOUNDATION SYSTEM z E < ,,.2 ABESOO OILS GUARD COb+lPA?dY y MI FGORIId-PERICM ROAD n ra q r Z " SACRAA+IERM, CA.95ffi3 PHi (800) 38.2-8831- FAX. (916) 383-5207 WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 3 of 3 Oft Vis: o -4--- 1328.95' —� OWNERS NAME DELBE RT SMITH PROPERTY ADDRESS 45 FOUR JUNES WAY PHONE NUMBER 533-8554 ASSESSORS PARCEL At 027-360-192 SCALE 114' Q ,. o ❑ as f n 0 -QVT O r 0 I I 0 ;well 0 ifr Q I 1< septic 65' c 112 Leach line 1 I =- I I rn I � 4O' w, d � 41 — —utility pole — — — — — — _ —---1328.95 — -- __——————.————————— — FOUR JUNES WAY Ob `� -y . %DING DEPART. BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING OWNER PHONE NO. _ OWNER'S ADDR S Jon le r e i JAz4 root l= �lcs ING LOCATION OF B91117119 USE OF BUILDI SIZE OF STRUCTURE V�j) SQL' X _ SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING.� ROO FLOOR TYP COVERING ESTI COST OF CONSTRUCTION 6Q10 - AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: ' FRONT SS��ry SIDES vim' / �' REAR�y AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Signature of Owner Permit Fee - X0'09 g.r The above described AG Building is exempt from a buil 'ng perm ``�� FLOOD P R .D. Receipt No. Hrst"1112- Manager Building Division By Grl�Dhi Date ��- White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant f PRE -INSPECTION REPORT OWNER: nelhal Sm I �h DATE: f - c-� ?; - ,!� 4 LOCATION:10066. bJAL4 JEG A.P. # %- Zq,�,) CONTRACTOR: ZONING: REASON FOR PRE -INSPECTION f J± rl , (m 4?nd f°&C Ji DATE TO INSPECTOR: — $ PERMIT HISTORY ( ) NON("ATTACHED BUILDING INSPECTOR'S REPORT Building Description:- Commercial/Usage: escription:Commercial/Usage: Residential # of Units: Mobile home # of Units: Currently Occupied Q) s ( ) No LOO Abandoned/Vacant: Electric: Electric Currently ( ( ) Off Condition of Electric Gas: Currently ( ( ) Off Condition Sanitation: Plumbing Worldng ( Yes ( ) No Obvious Sewage Problems ( ) Yes ( No ACTION RECOMAMNDED: ISSUE ( • es Hold for permit o verify: Y� L/ 1 Inspector: ( ) No Date: SKETCH BUILDINGS ON REVERSE AND INDICATE LOCATION ON PROPERTY: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION PERMIT NO. 7 County Center Drive OrovilAPPLIllle, CaliforrnATION �95965 ER�AA� one (530) 538-754 /' 71 �I� (Rev.12196) 20NIN BUILDING PERMIT Asr's""ARGEiN "' 0 a �. TEtEP"o"E SQ, FT, OCC. BUILDING VALUATION OWNER OWNER'S MAILING ADDRESS C I V TEIF3HONE CONTRACTOR'S NAME _ _ _ CONST W=ON LENDER LENDER'S MAREJG ADDRESS ARcmn:r,T oR ENG04M ARCNTIECT OR SONEER'S UA G ADDRESS lDTN0. sueoNSIDNS NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPmFY TYPE OF WORK 1.ew ❑ Addition ❑ Remodel ❑ U6Bfles ❑ InstAllion ❑ Other ❑ Describe Work PERMIT FEE PAID SRA SHERIFF OTHER !CJ •GO Total Valuation $ Firing Fee S 20.00 Permit Fee- oej%'L�7,.�2_na Plan Checldn FeeEnergy Plan Checking Fee PERMIT FEEco PLUMBING PERMIT in Fee 20.00 Each Tr 7.00 Soler or heat um water heater 23.00 Water piping 15:00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 oe Building sewer 15.00.- .._t -n_ u.....s S G W @20.00 PERMIT FEE I S 03. &I ELECTRICAL PERMIT Fling Fee 20.00 Main Service =ooa LEn 23.00 Main Service ( --TO '*-A 46.00 [� NEw cDNs - MULs}oLmFr 1 1 @7.501 11 MON RESTD.cc POWER APPARATRRAMON us a SIN E omm d0. Ex. Oup. ( OvnEr oR Fw mm E;L. @ so Ck'LS it►'to► n 5.00 23.00 20.00 PERMIT FEE I S PERMIT I Firing Fee 20.00 6.50 I loble Home Installation Fee Energy Inspection Fee $ ` CONS' TTP£ TOTAL FEE $ v % 0 HAL D. p�5 IMP FLOOD CDF PARCEL P=_'_1 �j GQ AMOUNT RECEIVED $ u �D' This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do-work /►6 indicated above for which fees have been paid. DATE RECEIVED �— � ��$•��—� OWNERS NAME DELBERT SMITH ' PROPERTY ADDRESS A5 FOUR JUNES WAY PHONE NUMBER 533-6554 ' ASSESSORS PARCEL # 027-360.192 25 x60 SCALE EJ f 1 I ❑� 10 well .. -- septic 66' Leach line 1I Y„ 112' CD I . (Y 4Y. al 9 q 4 ,:,Zi 401 pole- - --� - — — — v 1328.95 FOUR JUNES WAY ———---———— T - _ — — - ——— 027-360-192 94-0795P,E(MH) SHITH, DELBERT & SHIRLEY 45 FOUR JUNES WAY, OROVILLE MOBILEHOME UTILITIES ELECQO GAS COMPACTION TEST RE o,ie r SUPPORT STRUCT RE Z 027-360-192 PERMIT#9 -2437, SMITH, DELBERT L. 45 FOft JUN$S WAY, OROVILLE CONT: HUGHES FIRE PROTECTION �3/ WATER SUPPLY FOR FIRE SPRINKLERS/MH 027-360-192 PERMIT#94-2364. SMITH, DELBERT L. 45 FOUR JUNE$ WAY,y OROVILLE�.r+�� CONT: EXECUTI4E HOMES f' MOBILEHOME INSTALLATION l9y f` t "7.- 36,; I k 0 f , y � r 1 S, , 1 f � a•; r c fl • r r �.FSIQENTIAL eAj1027-360-192 94-0795P,E(MH).. SMITH, DELBERT & SHIRLEY 45 FOUR JUNES WAY, OROVILLE MOBILEHOME UTILITIES OFFICE COPY Address GAS Meter By Datg� ELECT /% Meter Bi Date JOB FINALE6 (Date). Signature V= OK O = Not OK NotReeaady Applicable MOBILE HOMES HOME UTILITIES u i rements-Setbacks-Easements 2. Special MH Support Sketch 3_Sewer: Location-Teat-FaWC/O Concrete Gas; Location-TesUM / /"Net. or/ /" L"ft./ 7. Well Cleamno -1 DIscofi ect j 8. utility learan Aj Date/Initials MOBILE HOME INSTALLATION Plana OK except #'a oning-Elegvtrements-Setbacks Easements ootfgs; Size -Spacing -Marriage Line ee!as; MH Teat -Demand -Valve -Connector A-filoctri—city; MH Test -Crossovers -Breakers -Clearances rain; MF1 Test -Fall -Flex Connector meter and Sewer Connected -C/O to Grade -HD Approval ,fflga-s and Electricitv Taaaed of Y/C f " 57Y CAF�n-rte i t��FsN h MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plana)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg -Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 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 V=OK O=Not OK - = Not Applicable = Not Ready RESIDENTIAL f lnale & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd. / P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -teat 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials 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-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 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 w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'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 if Furnance in Attic _Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Ceps -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 T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Lending -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 Wells; Nailing -Bolts 59. Insulation -Wal Is -Cel lings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protectlon-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 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 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 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California.55965 - Telephone (916) 538-7541 PERMT NO. 'APPLICATION AND PERMIT 9g_02�._- ASSESSOR PARCEL NUMBER ZONING A5 BUILDING PERMIT OWNER . TELEPHONE 7 SQ. FT. OCC. BUILDING VALUAT N OWNER'S MAILING ADDRESS FOUR JUNFO) WAY OROVTT.T.-F., 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 45 FOUR JUNES WAY PERMIT FEE $ OROVILLE, 95965 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME p CEy.Mgp l� J 5Z Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome VX Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home G �1 ` 20.0040, 00 TYPE OF WORK New ❑ Addition EI Remodel ❑ Utilities M Installation ❑ Other O Describe Work: 1 BDRM 500 SQ FT MIN. PERMIT FEE $ nn Contractor ELECTRICAL PERMIT Filing Fee 20.00 /'�/h DOW -1 &169 A �� C.J �V 121 00V ORR LESS Main Service ( 200A OLESS ) 23.00 Main Service ( 200A TO t000A ) 46.00 NEW CONST. ( DWELLINGOCCUP. OR ADONS. & ACC. BLDS. ) 35C so' . FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. 15-1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20@1.00 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESIO.1 EA. ) ( O 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 63.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor 1 certifythat I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequencp of the granting of this permit. X�/y� Date c% '— Signature of Applicant rrT Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 0 HAZ- 1 D. FEES I IMP J FLOOD XX CDF PA_RC�E( PD I HD JASUE, 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. ,,a Q By r "'C^�v� "� Dat �� 7 PERMIT EXPIRES ON "y lDatel Receipt No. WHITE-D.D.S.-B.D.ism§.ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I -c.inh:..Y-.,.r-�,nth..M'-i".:r,_...�.(T�'�""„`:fa-ii'""`.'v.Nkiutr.a"',.,v....'1«yjr•:.ev,.1..�eN`n,'a>y,,'Yi4�w.�`�.•,-�-+•"*r�ry�n�•Rr'..%•�:c.a•:rr".m�Jil; '.-r�--!'j..,..:.,�,.,, r . ..... w COUNTYOF BUTTE - DEPARTMENT ORDEVELOPM ENT SERVICES -BUILDING DIVISION 7COUNTY CENTER'6RIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMITAPPLICATION DATA SHEET OWNER E P �1 f 3- A. P . o. ' 1300 Proposed Building Use t Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items h been submitted . ........................................ 2. Plot plans sets, signed by preparer of plans. . 3. Complete p ans, 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 $ .......................................... AA 11. Impact fees as shown on attached schedule. .... . .. } 12. California Department of Forestry plan approval/fees. %S ..s.....�OT:2t7 13. Flood elevation letter (100 yearfloodl by Cfornia Engineer. .. :: '14. Sanitation and plot plan approval r u : Health Department. .......... Z 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: 8. Contact Land Developmentalbout (A) Improvements (B) Drainage. ......... . IN 19. Driveway permit (construction approval required prior to occupancy). . . Fre-Inspection request 20. Pre-inspecfGn 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 permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for p ckup at office. Deliver with inspector. Other Parcel Creation Acreage ,Applicant �2� Date 3- Z y " % y 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 unter by _ Date Plans checked by Date Plans approved by Dat Sets of plans on hold in File cabinet AP folder ACopy - Department of Public Works a b 0 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance e -5 Cq -Zlr,e-s 0 'P7- 340 -1�� Owner Location 7— AP# Plan Approved for: Sewage Disposal water Supply: Public Private Well c ro , e . Other Hold Final for: hinal clearance O.K. for: NOTE Environment, Health Specialist 8/92 Date COU,iTY OF BUTTE - Decartmen; of Public Worcs 7 County Center Drive;' Oroviile, C.1 95965 _Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Pleasecomplete and return this information at your earliest opportunity to avoid unnecessary delay in processing and -issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I.(have/have not signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name* Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some, of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number - Date 3 — ct NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. CS!m0 33 cn 6]J!d for uh'3 Spzrofizd use on tho N4=han6caG Codes and 1'111100'lL� -�cc dcW Cifld-"-- /�GL�e��o ra=t ter.:' 1 Wks saof r �? s md c cffiZ�mtcns x� olce 1�1: yVc� cif bi Vmos and of iS UMMMLI to OVIO® lx�-So County of sui4 e. f-1o/7.c v I iqW OF BUTTE LQ9 -- 1 1994 `�,, •, 1J "v . Jf,1 �'� P,. ",u 1:j '���ti0 n•iJ•L �-- r� —_ Znu I �n OVER ANeS SHALL BE CLEARF &_ L EAZFp,,F — EMT M + OF BUTTE LQ9 -- 1 1994 `�,, •, 1J "v . Jf,1 �'� P,. ",u 1:j '���ti0 n•iJ•L �-- CC -DF - FIRE -/SAFE REQ�JIREMENTS `f_ -Oily S,,n 17-4- /L0 PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and..utiliLation of the defensible space provided for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000` pounds. ] 1273.03 Grade. Not to exceed.16.percent.unless paved. 1273.04 Driveway Rad?us..•__. l�(1 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. 2. The length of vertical curves in roadways exclusive of -gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. �C] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from center of the road. [] 1273.06 Turnouts. S: -all bea minimum of 10 feet wide and 30 feet long with a .mini.n.u,n 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 3 AP # PERMIT # NAME [ 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint -of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [x] 1273..10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall'be within 50 feet of the building. 1273.11 Gates , 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3.. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from all 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 .)r fi_ial inspection of a building permit. Page 2 of 3 I AP # ca 7 PERMIT # Other Requirements [ ] If Building Setback is,15 to 30 Feet: - Class A or B roof - Enclosed eaves AME [ } 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 [ l L/ Date Signature Page 3 of 3 AP' OWNER PERMIT lk 7 MH UT IL . CLEARANCE DATE O `. INSPECTOR ELECTRIC GAS. Support Struc. Compaction Test eq. rvice ze Other Load Type Pipe Size Length YES NO YES NO ,/ National Pollutant Discharge Elimination System (NPDES) Phase II 'Construction , Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Title: Bp*,[� 'Y -"aC � 101 By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965--P$ ONE (916) 538-7541 APN: 001 I Pq % RMIT NO.: Owner's: Name: Owners - Address: Mobilehome Year of Manufacture: anufacture: Serial number' Insignia or orV.I.N. HUD ...... Official approving installation: Date: If the ;,,bil.home 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 systemn" 513B 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.: f Owner's: I " Name: Owner's: ✓ �� - - - _ ar Address: Mobilehome 4 Year of Manufacturer Manufacture: - Serial number k /��" nia or ED, or V.I.N. C / umber: Official proving installation: Date: If 1:6 mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall` }r' not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor f,. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES �.:-BUILDING DIVISION 7 County Center Drive - Oroville, California' 95965 - Telephone (b) 6) 538-7 41 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-360-192 ZONING BUILDWG PERMIT OWNER delbert 1. smith M!"t,870 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 45 JUNES WAY OROVILLE CONTRACTOR'S NAME EXECUTIVE HOMES MO—U92 CONTRACTOR'S MAILING ADDRESS 3042 ESPLANADE CHICO Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 45 JUNES WAY PERMIT FEE $ OROVILLE, 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF O_ Duplex O Mobilehomeb Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition O Remodel O Utilities O Installation Other O DescribeWork: /�/ ��� / 7 / —0�7�� PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V OR LESS ) 2ODA OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8& ACC. BLDS. )I3.5C So. FT. CONTRACTORS LICENSE LAW I d, glare under penalty of perjury (check one) 'Pam a licensed under provisions of Chapter 9, Division 3 of the Business and Professions od and m license is in full forgeand a fect. License No. Classification (( _ % O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) 8 SINGLE OUTLET CIR. J Ex. Occup. (OUTLET OR FIXTURES ) 20 @ 1.00 RAL. 50 Ex. Occup. ( FIXED APPLNS. OR ) OUTLETS 1RESID.1 EA. - 5.00 Temporary Service H 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O,.This permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said C y iUons1iencehe granting o thi permit. X Date �. G Si nature of pplicant - O Owner O'Contractor Agent I An OSHA permit is required for/excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC "'s" "'TOTAL FEE $ JISSUE HAZ- D. FEES IMP FLOOD COFPARCEL PD -- This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Da f� (De tel Receipt No. 167516 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 6M ,. .y., .,, -"ter .::;F`�:r-*.7.•.-.-�F•y-"'i�l'"'{.�"'3i"--�.�.`�"e""��''.+1°,�i.r-�i��:'',�}+�::,p�E[+='p'3�7'9'�,:;�}5crti}'}"`�-_ .. w 1 COUNTY OF BUTTE - DEPARTMENTO.KJQR Vy OPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (91� 38-7541 PER IT APPLICATION DATA SHEET '..OWNER A. P. No.o., / Proposed Building Use Building Inspector d Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4, Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... Ik 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10' Fees of $ .......... 1. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/ ees. ...... .�.. . 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). . ry+ Pre Inspedion reque� - 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. ..... Letter of intent on building use.......................................... 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 . ...................................... When you issue the permit, process as follows: Mail to ow er. Mail to contractor. Telephone q� I—6,99�2.and hold for pickup at office. Deliver with inspector. Other Parcel Creation d 5, Acreage Applicant Date O 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 prioerrnit issuance: (Circle new item not checked above). 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, o er, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Dat Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPAR'IMENT,GF- DFVEIAPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER PROPOSED BUILDING USE SCHOOL DISTRICT FEES D/zO (paid at District Office).. .................... SHERIFF FEES (paid at Building Department) Residential...... x = �� unit amt. Commercial (sgft) x =$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 7. 8. A. P. # 7 DATE REC. # DATE REC a /� e(- 2 -'? f�i — (��z 6 - - r7 6 -T36 - At 36 - At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE -t: :�:<<. g.. .—a wwec^..wf .,,:.«.—. ,;,.. .:. :, '�^!+K-rp .,_:: .;.,. ..r '.+.. ,•rr.?....�: ^.'�..'r,..•:o c-we-'awq,• BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) 070L 00/ School District Oroville Union Hiph School District Building Department No. A.P. Number 027-360-192 Jurisdiction ❑ City F)�] County Property Owner Delbert and Shirley Stnith Property Location/Address 45 Four Junes Way Oroville, CA 95966 Subdivison Lot No. Residential Development ❑1 ❑ ❑ Sq. Footage 1540 No. of Living MHI Addition (Group R) Units Commercial/Industrial ❑ 0 Sq. Footage New Addition (Including Exterior oofed Areas) 114 LI 1, C:).42 Building epartment 5- presentative Date (Floor Plans reviewed by School District Personnel) District Identification No. 950016 1 School District certifies that (Applica t) (Street Address) (City) (Phone Number) (Zip has complied with the requirements of Resolution No. XK— Lq) by payment of $ representing square feet. ❑ Check here if fee received represents "Full Mitigation". r, Ckl�f, ID � ILqVft�- ) Ok School Dis rict Wepresentat a Date Paid by Check # Bank Number Paid by Cash To be paid at close of escrow at Bidwell Title Remarks: Escrow M.67619 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) feeformmkl (4/84) OWNER'S NAME:_DF_ LBS&T L, :5 M IT PROPERTY ADDRESS: QURSuNES ZL4 t4 PHONE NUMBER:9U,-5;Z0-(h8'70 ASSESSOR'S PARCEL #: 01�t-_7_s(�10_ 19;11 SCALE: p 0 OUIpMEt4T INCLUDOG ST1SUCTUFiES' AND E! ALL . ' BE CLEAR Or: ALL EASEMENT& Fa S g OVEM , SME AND FT. FRO ::'ZckK OF p kz 0,pp,eY ONES ANQ : BFM ROAD GFaNTI; tLSHALt FT 6 - FRO drURES AM) EQUIPMENT EXOEP'V r� �F�n --c OL - - FOR A 2 FT. SAVE OVER"ANG' - Ip Shall so r4icos GPM atertal & Good Pra" -coo, VzcQ r' c - d use I f i . specMa, AccMdance, cal C00�1 Ires-c6b & Mecilam quality 1, . Pig; 0ecirj^al -Ode U spz PTA CP a1 210 gyp, A1C E. Co 1210 E: L L BUILp N'� COIJIV. V,Z 0 0" 4p 1210 E: L L BUILp N'� COIJIV. V,Z BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Orovillea. CA's r PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1: Owner's Name- -In'staller's ame:-Installer's Name: EX E.0 u Tt V a P �s 3. Is the site currently under permit? Yes ® No (If yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes ® No (If no, clarify 5. What is the "mobilehome electrical rating? -------------- -- Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the.mobilehome site circuit breaker rating? ----- M—D_ Amps 8'. Is there any other electric load to be served by the `.. ------------ _ mobilehome site service. -------------------- Yes No El � 3 (If yes, identify the load and size: (Load) "r7 _(Amps) 9. What is the mobilehome site gasipipe size? in 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the A., mobilehome?-------------------------------------------- _ (ft.) * 12. What is the mobilehome gas demand? ----------------------( '(/ (BTU) *(This information not required if pipe length less than 6 £t..on, natural gas or less than 50 ft. on LPG.) r BV�E Coum-N�ENT 8v� 0.\J MOBILEHOME SUPPORT DATA If other than single wide �/ Mobilehome Mfr. �a��©� furnish Setup Model No. (p 63 C7 year ! A Width oU `o(ft.) Box Length(ft.) Tagalong or Expando Size ft, x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) n 1. Wood -pressure treated or foundation grade. a 2. Other (specify) SUPPORTS (check one)1. Concrete block.2. Other -(specify) Pier Footing Sizes,and Locations SINGLE -WIDE MULTI -WIN Line 1� L na 1 Line _ _ r Main Beams Line 2 Main Beams Ine — . . . in. Tag or Triple Line 1 Piers: Size -Min -------------- k ' Spacing -Max. --------- From Ende-Max.------- Line 2 Piers: Size -Min .------------ „ Spacing -Max.--------- 4 From Ende-Max. ------ Line 3 Roof loads: Size -Min. Location (From Front) 2F-15711 A;� Line 1 Openinaa: Size -Min. ------------------ „x „ Each Side of Openings With Width Over--------- '� Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ ux u Spacing -Max•--------------- From Ends -Max .------------- �. n Line 4 Piero: Line 5 Piers: (Under Bearing Wa11e Un1y7 Size -Min.------- ---- ,k „ Size -Min.------------------ „x u Spacing -Max.--------- , Spacing -Max.--------------- From Ends-MexZ------- ,_ „ From Ends -Max -------------- Line 5 Roof Loads:` t Size -Min -------------- x„x k „x „ k Location (Prom Front) S. lis ' • f.':, �I: [ :_�:,=moi$ ` . _. Z.a Psr aoor Lorn Ptaw1•_ 1`7 1 .-• . SEE PEi;IMjTERPit RIh•G SEE 1'41II:G UI;E PARING ?At.-[ �--- —t -- _ i Y - • • — F RDNT OF SEE Mum-EtER UNIT PIERII�G REDUIREMENIS 7ASL.t 1�D'. E: SE S F:E RING PLJ Ml I f.D PIER LO1.7 CRP/.CITY D1�WIt:GS FOR REO'JIREI1.Eti'TS'0) I'l,It� FAIL SUPPORT CAPACITY 1,1%'DFDDTING SIZE. 1'OING VIA IrIEWNG 1;,ELE• • i -�=I Fit �'• IA:TIJ;: T2,q 1F5. 6 z -e y8713 66� u'tiIti!JN (`NE FIL:.F c cOl n: s ":2 E ;74 i.:,.;�ii� i �i� ri �� Ul,r 6le G�•ud�e Ad Da C, Posit ra 6-0 U? -3- X/ 1.;, i c: F ;,�;;��-• s'iEs b�e� 1 or► lU�:►FS� 't-:6nr, VLI�E. It S,�:I COroditi�ns ito t = � d• a S?E LhE Pa., LOB Cc �F Gty D!� Y; iM o' V` t KD'nE TE;hrrm! I!L;211EUC)1': n;,E1IDT mc;'�A o' PERIMETEF, I'llRII;G rlDUIREI'EI:1S 1AE,E _ r . � .. r _ ;> C•D. z c ��E 1'; � I l • F.;Jt,DS:�E 1'; t,:: • JF.1.'t. i 11:J: t.1 rIF•EF1�.:Is 1�; C'A'E''•=•'�: t f LOM /.1 Fit- �.: l S. •': C. i �•�a.'. ' i✓I'.' [ I.�:U:: i 64,Lt FLOW. I LDNll Of U!:Il. 4 ---------------- --- S COU14TY of SU BUILDING DEPT OWNER'S NAME: -DE E?Z , SM IT. PROPERTY ADDRESS: oL4 R-TLaNEs PHONE NUMBER: 91(,-520- ( S'70 ASSESSOR'S PARCEL =: 0 �L _ o- SCALE:or gyp, A1C S,E,C.drz.NrrZ. I . ' !q� 120--------� Iq5 I �-) V x-. COUNTY OF BUTTE BUILDING'DIVISION DEPARTMENT OF DEVELOPMENT SERVICES �- 1469 Humboldt Road, Chico, CA - (916) 891-2751 i — 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Ellintt Road. Paradisa. CA - 19161 R79-8307 w. CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is complete . If you have any questions pertaining to this matter, or need additional explanation, please ntact this office immediately. `�L Ie--�' Date / Inspector REV 10/92 t COUNTY OF BUTTE BUILDING DIVISION FFPWDEPARTMENT 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 T)q CORRECTION NOTICE /ct_ 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 mat rx t e dditional explanation, please contact s office immediately. / r 7-<6111 /-L O/U 6VAIA& ZJA1W o�vJ�. �45 . l 'Iyv�iildU,i (-v /7W '/4- -�Pn I I . Date Inspector 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 S�/7 -9 OWNER $/ 6-;,�7S--" 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, plea .e_ ontactRfi' office immediately. J h, `r ' Date t' / 7 Inspector REV 10/92 AP # OWNER PERMIT NiI-I UT IL. CLEARANCE DATE ' INSPECTOR EhECTRIC. GAS Support Sttuc. Compaction Test Re . ► Service Size. Other Load. Tvpe Pipe Size Length ' YES NO YES NO Y �. RESI 9NTIAL 027-360-192 PERMIT#94-2437 SMITH, DELBERT L. 45 FOUR JUNES WAY, OROVILLE CONT: HUGHES FIRE PROTECTION WATER SUPPLY FOR FIRE SPRINKLERS/MH 4 7 - g -/ i -o V=OK O = Not OK ' NotApplicableMOBILE HOMES Date/initials MOBILE HOME UTILITIES (Pians) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Locatlon-Teat-Fall-C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Nat. or/ P'L"ft./ /"LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -Flex Connector 6. Water; MH Test -Regulator -Connector .7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKB, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials 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- Enclosu res -Panel boa rds- Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL'("Sirgle & Duplex) D_ ate/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Mein; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil 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/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'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 if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials 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 -Wells -Windows Date/Initials 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 -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. • Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. KIt.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Yes 80. Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 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 Comments at Final: Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 94 ! S 7 6 8 135 W-IdUpg Division FOR RESIDENTIAL DEVELOPMENT 'Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. i 94-0157681 Rec Fee 9.00' The property described herein is adjacent to land or included I Cash 9.00 Recorded I within an area zoned for agricultural purposes, and residents Official of this property may be subject to inconveniences or Records I discomfort arising from the use of agricultural chemicals, County y of I I Butte I including, but not limited to herbicides, pesticides, and ' Candace J. Grubbs I fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, Recorder I 11 : O g a m 11 -Apr -94 I P U B L XX 2 pruning, and harvesting which occasionally generate dust,smoke, noise, and odor. Butte County has established - - agricultural zones which have as a priority use for productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: ro-b -,&� Date: TY OWNERS: State of California ) `" County of ) On �'- I / - / �efore me, O- i e A0 1-- k personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose names) 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 instrum& ��on sg, or the entity upon behalf of which the person(s) acted, executed the instrument. ®IMOMMU ®®®pIpons WITNES y d and offici seal.®O®iE HUL.R s NOTARY PUBLIC -CALIFORNIA ® CMq MyCommissbtterest Feb. 3,1995 a Signatur A.P. f/ 9.4 4- 157 6 ORDER NO. BU -128461-3 DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS. FOLLOWS: PARCEL I' PARCEL 2, AS. SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN'THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1992, IN BOOK 125 OF MAPS, AT PAGE(S) 50 THRU 52. RESERVING THEREFROM THOSE CERTAIN, RIGHT- OF WAYS AND PUBLIC UTILITY EASEMENTS AS SHOWN ON THE ABOVE PARCEL MAP. SUBJECT TO COVENANTS, CONDITIONS AND RESTRICTIONS, RECORDED MARCH 3, 1992, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 92-9036. 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. END OF-DOCU ENT . eivo OF' 006WENT n © n ���9/9 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' 9� ���-/ ASSESSOR PARCEL NUMBER 027-360—M 192 ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 49 FOUR .111NES WAY OROVTTJ,F,- 959L6 EST 1,200.00 CONTRACTOR'S NAME HUGHES FIRE PROTECTION TELEPHONE Igg 1-0110 CONTRACTOR'S MAILING ADDRESS 1900 PARK AVE CHICO, 95998 Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 29.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 23-00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 72.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 s Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 1J.UU Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome)d Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities ❑ Installation El Other Describework: WATER SUPPLY FOR FIRE SPRINKLERS PERMIT FEE $ r, Inn Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOv OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. (8 ACC. ) OR ADDNS. 3.5so- FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ® I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 50 Ex. Occu FIXED APPWS. OR Occup. (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self-insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor 1 certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequ nce of theRanting of this permit. X 7� r Date g—,7 Z-5? Signature of Applicant Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ O HAZ. I D. FEES IMP I rLo00 I CDF PARCEL I PD I HO I;y �j// 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 Dat PERMIT EXPIRES ON g'J� (Date) Receipt No. 167666 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 ASSESS.OH ARCEL:UMBERo /'� Y IONINGn c J BUILDING PERMIT OWN©���^r TELEPHONE SO. OCC. BUILDING VALUATION OWN SMsAILI DDRESS / ���� uv— ung ct Or yr `FT, CON TOR' NAME S %/.r r c� 'o ELEPHONE //O CONT C 'SMAILIN DDRES �� O r l/e v Fireplace CONSTpUq�ON LENDER UNKNOWN Total Valuation $ LEND�/IERR/'SS//MAILING ADDRESS Filing Fee $ '20.00 Permit Fee $ ARCH( fC� ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDI G ADDRESS / ,.� r PERMIT FEE $ '� V,\eq 'V r PLUMBING PERMIT Filing Fee 1 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome gy Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities G Installation ❑ Other cContractor Describe Work: VL�Q� f Vet L I �d r` PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 21u oQ r in It f3 Main Service soot/ OR LESS ( zooA OR LEss ) 23.00 Main Service ( zona to I000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( 8 ACC. BLOS. ) 3.50 'FT'. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET j -NON-RESIO ( BRANCH CIRCUITS ) @7.50 row ER APPARATUS ) s SINGLE OU rLET r.IR. Ex. Occup. ( OUTLET OR FIxIURES ) 20 @ 1.00 BAL. 50 Ex. Occup. ( FIxEDAPPLNS.Oft OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 _ Mobile Home Facilities �— 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - IJ Owner LJ Contractor ❑ Agent An OSHA permit is required for excavations Over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC :.,NSI. IY11: TOTAL FEE $ l .00 IIA(. D. FEES IMT FLOOD I CUF I PARCEL PO HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions t ) do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON IDA rel Receipt No. V/ �d 41 �/ ty `r' bVHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER A9 htIrf SM v ( I A. P. No. Proposed Building Use ✓ u 42,0 ZobwLiqing Inspector Date 9 LF At time of p Ftnit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ..................... . .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............ . 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. . • Pre -Inspection req ue 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 Statemeni . .................. 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 . .............................. 0 .......... 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal access . ..................... :....... 0 .......... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . Existing violations/expiredpermi� / ...... . Plan checklist. .1i .....4 . .. v. '7. .... I . . . . . . . . . . . . . . . . . . . . . . . . . . 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. '( Telephone and hold fok pickup at �'�� „ P office. Deliver with inspector. Other o Parcel Creation ,�/�(XJ���% z% Acreage Applicant , l/ 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 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 b Date 6D o Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works =Eat& - A �l-0 S= NATURAL WEALTH AND 3 A U T BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: 19161 538.7541 FAX: (916) S38-21 40 .DELBERT SMITH DATE: 9/21/94 45 FOUR. JUNES WAY OROVILLE, CA 95966 RE: PROPOSED SPRINKLER WATER SUPPT,Y A.P: 027-360-192 B.P.# 94-2417 With reference to the above subject, attached is.- (X s. - [X ] Plah check list [ J Red marked calculations j Red marked plans Other: ACTION REQUIRED: [X ] Comply with plan check list [X ] `Resubm-it plans with revisions as required [ ] Resubmit calculations with revisions as required. Remarks: Should you have any questions, please call (916) 538-7541, between 3:00 & 5:00. CC: HUGHES FIRE PROTECTION Very truly you 1900 PARK AVE CHICO, CA 95928 Michelle Weigel Plan Checker II Permit Applicant: DELBERT SMITH Date: 9/21/94 Permit 1 94-2437 The above referenced building plans were reviewed by this office.. Provide additional information and/or make appropriate revisions to plans, specifications, and calculations as follows: THE LICENSED C-16 CONTRACTOR IS REQUIRED TO WETSIGN THE PLANS FOR THE SUPPLY SYSTEM. THE C-16 CONTRACTOR IS REQUIRED TO PROVIDE MANUFACTURER'S SPEC'S FOR THE TANK,.PUMP, PIPING, CHECK VALVES AND FLOAT SWITCH. PROVIDE DESIGN CALC'S TO JUSTIFY MINIMUM PUMP REQUIREMENTS. 1 920 VAC, (T"YP) mop M Dale and Shirley Smith . 45 Four Junes Way Palmero, CA 95966 FS• Contractor: Hughes Fire Protection, Inc. MR171 '1900 Park Avenue Chico-, CA 95928 5.1; (916)893-0110 zz Ir License No. 482869 Af './ Mf -TO DOM FS T/G W.P.or PIT C. V• CIV.*G.Y. . S a. P. � �GcSTFRp:iNp �K,'.0/IHv,N�: WP• — �JFl.l- NJ''•1' • G.V. — SW�N�r G.Y,�G�G-ti/Al•VC, F/Civ 3S GP. N. '*T FZOA7' SI)ITC// T. — STAR"" r TAvK A. P, GSTFe PL1MP t ?�c F r��1x c�P�oLrTY-r+»u 3_.�&r4ts. p. s• — r.e� s��,� IV 1 7tH 7. KFV1 ✓d.N (f A rFIRE SPRINKLER NOTES: 1. FIRE SPRINKLER INSTALLATION AND SUPPLY SYSTEM SHALL COMPLY WITH NFPA-13D. 2. TANK FLOAT SWITCH MUST BE SET TO MAINTAIN 286 GALLONS MINIMUM USEABLE WATER STORAGE IN TANK (110% X 260). 3. PROVIDE AN ALARM TO SOUND WHEN USEABLE WATER STORAGE IN TANK FALLS BELOW 286 GALLONS. 4. PROVIDE ADEQUATE PROTECTION AGAINST FREEZING FOR SYSTEM COMPONENTS OUTSIDE OR IN UNCONDITIONED SPACE. 5. THE FIRE SPRINKLER SYSTEM SHALL BE TESTED FOR LEAKEAGE AT NORMAL OPERATING PRESSURE. 6. THE C-16 CONTRACTOR IS REQUIRED TO PERFORM AN OPERATIONAL TEST OF THE SYSTEM AND CERTIFY IN WRITING TO BUTTE COUNTY BUILDING DIVISION THAT THE SUPPLY SYSTEM OPERATED PROPERLY. 7. SEE PLANS AND SPECIFICATIONS FOR OTHER REQUIREMENTS. RN all.'Val.ves Standard .Port .150 PSI Saturated.Steam .400 W.O.G. Central Sprinkler Company 451 North Cannon Avenue, Lansdale, Pennsylvania 19446 Product The Central Model F19 Ball Valves are constructed of forged brass which ensures that there are no pin holes Description. which may occur in alternate processes. A large port size ensures good flow The Central Model F19 Ball Valves characteristics. Teflon* seats ensure are recommended primarily.for shut- smooth operation under normal off service or throttling flow where operating conditions. _desired. Central'Ball Valves are of Each Ball Valve islested twice with high-quality construction and are air under water.to assure consistent rated at 150 psi with saturated steam, quality. 400 psi with water, oil or gas, non- Central Ball Valves. include a vinyl shock, well in excess of normal covered handle for a comfortable, Operating requirements in fire'smooth grip. (Mfg. Source: Non - protection service. 'f Domestic) �. c Dimensions (inches) A 'Teflon is a trademark of the DuPont Corp. Noma Size A B C = Bore Size (D) 1/4"' 1.65- 1.50 3.31 0.320 1/2"-,. 1.90 1.60 3.31 0.396.. 3/4"..* 2.20 1.70 3.31 0.591. 1 " 2.64 2.01 4.65 0.787 11/4", 3.00 2.17. 4.65 1.050 1 1 /2" 3.35 2.60 5.28 1.260 2" 3.82 1 2.80 5.28 -1.500 Bill of Materials No. Description Material Specification 1 Nut Brass ASTM B -16-C36000 2 Handle Steel ASTM A7283 -D 3 Stem Gland Screw Brass ASTM B -16-C36000 4 Stem Packing Teflon* PTFE 5 Thrust Packing Teflon* PTFE 6 Stem Brass ASTM B -16-C36000 7 Body Forged Brass ASTM B -124-C37700 8 Ball Disc Packing Teflon* PTFE 9 Ball.Disc Brass. ASTM B -16-C36000 10 End Plug Forged Brass ASTM B -124-C37700 *Teflon is a trademark of the DuPont Corp. ©1992 Central Sprinkler Company Printed in U.S.A. 4,. CENTRAL Central Sprinkler Company 451 N. Cannon Avenue, Lansdale, PA 19446 Phone (215) 362-0700 FAX (215) 362-5385 Bulletin F19.1 B Z 200 tb. wwp bronze check Horizontal Swing • Regrinding Type • Renewable Disc 200PSI Non -Shock Cold Water Conforms to Specification_ MSSSP-80 MATERIAL UST PART SPECIRCATION 1. Bonnet OmMe ASTM U-62 Z Body. Braze ASTM B•62 3. Hinge Pin Bronze AMM B•140 Alloy 031400 or 8-134 Alloy C2= 4, Disc Hanger Bronze ASTM 8-62 S. Hanger Nut Bronze ASTM &977 Alloy C6M 6. Disc Holder . Bronze ASTM B-62 T_ Seat Disc Rubber (TFE 7'+4' 8 3') a. Seat Disc Nut Brome ASTM &16, or B-97 Alloy 065500 9. Hinge Pin Plus Bronze ASTM 8-140 Alloy 032000 (Not Shown) '10. Seat Disc washer ASTM 8-124 Alloy C65500 'was 1', 1W' and 114' only. KTA03-w NPT to NPT DIMENSIONS -- WEIGHTS -- QUANTITIES 1-5 5 30 . ty. Master Rominal Qlmensioas Approx. Boz Carton SbR A B Net Wt. Quantity Quantity yi 21/a 1% S 10 50 'h VA ..6 10 50 3. 2's/,o 1% 02 .10 5o KT -403=W• threaded 15 1-5 5 30 . ty. 0% . 2'"ir6 •2-1 5 20 11h 41h Mi6 3.0 2 10 2 5y; 49 Z 10 •29i 8 5t/is 12 0 1 S 4 :.... :. _ •• .. ... ... • QtferOd as c Y only.. • KT 33 ' N1RC0 d1ECit vatvEs may be inatailed in , both horizonril'and ve.Klcal lines.with up- viard flow or In 2rry intermediate position. r.u�r-n tntr. P1 KHART. INDIANA 15 Tank Alert ®1 Alarm System - Indoor GENERAL DESCRIPTION The Tank Alert I is an easy -to -install NEMA 1 (indoor) liquid level alarm system designed specifically for lift pump chambers, sump pump basins, holding tanks, and water and sewage systems. The Tank Alert I alarm system Includes an alarm panel, alarm float and splice kit. APPLICATIONS The Sensor Float® control switch is lowered into the tank and secured at the desired alarm level. When the liquid ORDERING INFORMATION level rises (high level alarm) or lowers (low level alarm), the Sensor Float tips and activates a loud horn on the alarm panel. In addition, a red, solid-state warning light is activated. The horn can be turned off, but the warning light will remain on until the condition is reme- died. An added green "power on" light assures you that there is power to the alarm panel. When used with a pump application, the Tank Alert I should be connected to a circuit breaker other than the pump cir- cuit. This allows the Tank Alert I to oper- ate even if the pump circuit should fail. Part No. Voltage Descrlption Ship Wt. (Ibs.) PW217-115 120V Primary/12V Secondary Tank Alert I Alarm System - Indoor 4 6 FEATURES ■ Can be used with any UL Listed switching mechanism rated 1 amp, 24 VAC minimum. ■ System operates, when properly installed, even if pump circuit fails. ■ Switching mechanism operates on low voltage and is isolated from the 120V power line to reduce the possibility of shock. i Direct wire option (knock out holes provided on panel back and bottom) ® Entire unit — alarm panel and float switch — is UL Listed and CSA Certified. 0 Alarm Panel — This NEMA 1 metal panel features a red warning light, a green "power on" light, push -to -test alarm button, and a horn silence switch. ■ Alarm Float — SJE's Sensor Float control switch (Model 15SWI). ■ Splice Kit — This UL Listed splice kit provides a cafe means to make a strong, waterproof splice connection if additional cable length is required. ■ Two-year limited warranty SPECIFICATIONS Voltage: Primary 120V 60Hz. Secondary 12V 60Hz. Watts: 5 watt alarm condition Alarm Panel: 6 in. (15.24 cm) x 4 in. (10.16 cm) x 2.5 in. (6.35 cm) NEMA 1 metal enclosure with 6 ft. line cord and . electrical knock outs for direct wire options. Alarm Switch Connection Terminal: 1 Amp, 24 VAC. Alarm Float: S.J. ELECTRO SYSTEMS, INC., Sensor Float Control Switch (Model 15SWI). Housing: 3.38 in. (8.58 cm) diameter x 4.55 in. (11.56 cm) long, high -impact - resistant, non -corrosive PVC plastic with internal stabilizing weight. For use in liquids up to 140°F (600C). Mercury Tilt Switch: Hermetically sealed steel capsule features mercury - to -mercury contacts. f, Cable: 15 ft. (4.57 m) long, 16 -gauge, 2 -conductor, SJOW-A (UL), SJOW (CSA) water resistant, Neoprene. UR Wa��,cl� — 19 v� (eve.l Q_en-A ('VO I . The basic cont 1 o tro s s rne y t e The typical Warrick conductance probe -type liquid level control system consists of three major components: 1) the control, 2) the electrode fitting and 3) one or more electrodes. The fixed, level -sensing electrodes are installed vertically with their lower ends positioned at the levels at which the control is to be actuated. Electrodes of '/a" rod are typically used when electrode lengths do not exceed eight feet. Wire -suspended electrodes, short metallic bars mechanically connected to the fitting with insulated wire, are recommended in applications where electrode length exceeds eight feet:- . A.C. SUPPLY:UgE;: The electrode fitting is generally mounted on top of the vessel and. performs several functions: • Mechanically supports the electrodes. • Insulates the electrodes from the vessel wall. • Provides terminals which accommodate wiring from the control. Electrode fittings are provided in a variety of designs, pressure and temperature ratings, materials, etc. A control rounds out the typical Warrick system. It is an electrical device equipped with contacts which open and close in response to liquid levels sensed by the tips of the electrodes. Controls are available in varying designs and sensitivity ratings to accommodate a variety of application requirements. *METALLIC TANK USED FOR GROUND The drawing illustrates a typical control system installation handling a pump up operation. In this arrangement the pump starts at a low level and stops at a higher level for the purpose of replenishing liquid drawn from the vessel. Although the level varies, it STOP FITTING is always maintained within the limits established by the tips of the two electrodes. A pump down operation is similar. However, the pump starts at a high level and stops at a low level in order to remove liquid which is entering the vessel from some source. 8'7i�rwtul:u'`o�`iuti4c:E.Cf.S-�.aJ:,....:'�:.a.,,.•: i:��.,...... .., _ ... ...... r, t Principles'of Operation. Electromechanical Controls. As with solid state controls, electromechanical units convert electrical current to mechanical motion. A transformer and relay are connected to one or more insulated electrodes positioned to contact the liquid at a predetermined level, activating the opening or closing' of the relay contacts. In electromechanical systems, the electrode circuit is a simple series circuit including the transformer secondary coil, relay coil, two electrodes, and liquid. When the liquid is below the electrode tip, the electrode circuit is open. No current flows in the circuit so the relay coil is . de -energized. When the liquid reaches the electrode tip, the electrode circuit is closed via an electrically SINGLE LEVEL SERVICE: POWER POWER O SUPPLY SUPPLY FIG.1 r a 11 a i i RELAY r ---- - SINGLE LEVEL SERVILE The liquid completes the path between 9 to probes at 9 & 10• thus energizing the relay. This changes the state of the ELERROMfCPuwCAL RELAY , Contacts as shown in Fig. 2. POWER POWER O SUPPLY SUPPLY RG. 2 © a i REIAr T ° i ------------- ELECTROMECMANCAL RELAY conductive path through the liquid. The relay coil is energized and the relay contacts transfer position. This arrangement is called a single level service because the contacts transfer position at the same single elevation for both rising and lowering levels. While this is satisfactory for many uses, it is unsuitable for pumping applications. In a pumping application it is desirable to start the pump at one level and stop it at another level. This type of operation is known as differential level service because the contacts transfer position at one elevation as the level rises and then transfer again at a lower, different elevation as the level recedes. DIFFERENTIAL SERVICE POWER PEPMA SUPPLY SUPPLY L O FIG.3 ■ ■ ■ ■ MOTOR STARTER i OIFFEREfiT1Al SERVICE i For Pump Up or Pump Down applications, uur T e ; a second long probe is used and tied to _---- the shoe probe on 10, thru "holding" Is contacts 7.8. When the liquid touches the y to short probe, the control is energized, thus ELECTROMECPnAPKA1 °Eur changing the state of the contacts (Fig. 4), until the liquid leaves the long probe. FIG. 4 IEOTEO: If electrical characteristic NOTED: If tank is metallic, ground of the ksad and the control are the probe can be replaced by direct same. power can be tapped from connection to tank. Points I and 2. POWER POWER O _ SUPPLY SUPPLY MOTOR STARTER Current Flowing W3WZ= WA'0== Voltage Potential But No Current Flow Water 10 C Nm c HMS Series pumps are available in 1/2, 3/4,1 and 1-1/2 HP models for a wide range of applications in deep or shallow wells. In shallow wells (to 25 ft.). sp if -priming jet pumps develop pressures exceeding 60 PSI and offer capacities to 57 GPM. Deep well applications accom- modate (to 160 ft.) single or double pipe installation — 2", 3" and 4" piping. These develop pressures to 130 PSI and offer capacities to 26 GPM. Trouble-free automatic pressure regulator is available for deep well applications. Pump may also be operated as a self -priming centrifugal (to 25 ft.) to provide a wide range of high pressure pumping capabilities ... with heads I. to 167 feet... capacities to 62 GPM. Applicatiors Water systems and sprinkling for homes, farms and cottages Materials Body — one-piece rugged cast iron Pump and motor shaft — stainless steel Impeller — Lexan' Diffuser — corrosion -resistant cast iron Ordering Information HP Catalog No. Pipe Tapping Sizes Sucl. Drive Disch. Stages Motor Voltage Approx. Wt. Lbs. 1/2 HMSC 1-1/4" 1" 1" 2. 115/230 46 3/4 HMSD 1-1/4" 1" 1" 2 115/230 50 1 HMSE 1-1/4" 1" 1" 2 115/230 80 1-1/2 HMSF 1-1/4" 1" 1" 2 115/230 85 AUTOMATIC PRESSURE REGULATOR — DEEP WELL Catalog Approx. No. Description Application Wt. Lbs. Pkg. 107 Regulator, tubing, Required for ALL 4 pipe plug and deep well installations. compression fitting. Order pump and pressure regulator if required, from ordering information tables above. A jet package and the automatic pressure regulator described above, are required on all deep well installations. Automatic Pressure Regulator — Faster -acting and quieter, design eliminates "hunting" for correct drive pressure. New improved stem and guide are precisely molded to assure efficient, trouble-free performance on all deep wells. See ordering information (Deep Well only). Quality Construction — Close - grained cast iron pump body is rugged, one-piece unit, specially treated to resist corrosion. Drain port provided for easy winterizing. Precision -machined Diffusers — assure faster priming. Mechanical Shaft Seal — Precision lapped and highly polished carbon - ceramic, stainless steel construction. Internal design guarantees continuous water lubrication for maximum protection. Lexan" Impellers -- Precision molded for perfect balance, and ultra -smooth for highest performance and efficiency. Motor Windings — Superior insulation materials protect against excessive moisture and contaminants to ensure prolonged motor life. Dustproof Cover —All electrical components are protected from dirt, dust and insects by a dustproof canopy. Ventilating air cannot contaminate vital switching components. This eliminates the most common cause of motor failure. Balanced Rotor — Rotor is die cast under high pressures for uniform performance and greater efficiency; dynamically balanced. Heavy-duty Ball Bearings — Shielded, permanently lubricated bearings are extensively tested to ensure extended life and smooth, quiet operation. Pump.and Motor Shaft — One piece threaded shaft for positive impeller drive and alignment. Shaft is stainless steel for maximum corrosion resistance. e Lexan is a registered trademark of General Electric Co. STA—RITE. Built On Commitment. Horizontal Multi -Stage Jet/Centrifugal Pumps Centrifugal 'Performance NOTE: Dotted lines indicate performance c reduction at high suction lift. Pkg. #107 and Jet not required for shallow well . installations. NOTE: Pumps installed with a CON-AIRE® tank require a 100# relief valve. Pumps installed with a conventional tank require a 75# relief valve. Relief valve must be capable of relieving entire flow of pup.at relief pressure. 0N 0 10 20 70 40 so 60 70 CAPACITY U.S. GALLONS PER MINUTE Pump Performance- Centrifugal Application HP Cat. No. Press. Switch Setting Total Suct. 20 Discharge Pressure - PSI 30 1 40. 1 50 60 Shut Off Pressure Lift Ft. Capacity - Gallons Per Minute PSI 1/2 HMSC 20-40 5- 19 0 14.0'8.5 :, 50 ^I 10 18.0 13.0 7.0 48 15:`-11.5°""'%` 5.5 ° 46 20 16.3 10.5 4.0 44 25 14.5 9.0..-,:.. :, 2.0 42 3/4 HMSD 30-50 5 34.0 28.5 22.0 13.5 60.5 10 32.7.:. :27.0: ' . 20.0 11.5 58.5. 15 31.0 25.5 18.5 9.0 56.5 20 28.5 24.5. 17.0 6.5 54 HMSE 30-50 25 24.5 22.5 15.0 52 5 44.5 38.5 -3, 31.0 22.5 .10.5. 65 10 43.3 36.5 29.5 20.5 7.0 63 15 42.0 35.0 27.5 18.0 60.5 20 39.3 33.5 25.8 15.5 58.5 25 34.0 31.0. 23.5. 12.5 56. 1-1/2 HMSF 30-50 5 57.0 50.5 43.0 34.5 23.0 70 10 55.0 49.0 41.0 32.0 20.0 68 15 53.0 '17.5 39.3 29.5 16.5 66 20 50.7 45.5. 37.5 27.5 12.0 63.5 25 42.0 40.0 35.5 25.0 61.5 2 STA -RITE. Built On Commitment. J iI Horizontal. Multi -Stage Jet/Centifugal Pumps design series Pump Performance Deep Well 3" Single Pipe (CP) & 4" Double Pipe (EP) D.P. =Minimum Drive Pressure S.O. = Shut Off Pressure in PSI. Tested and rated in accordance with Water Systems Council standards. . NOTE: Pumps installed with a CON-AIRE® tank require a 100# relief valve. Pumps installed with a conventional tank require a 75H relief valve. Relief valve must - be capable of relieving entire flow of pump at relief pressure. 1NPT DISCHARGE i-- 6 --1-3 -10-1/2- - 0-1/2- -A 1-15/16 1 NPT DRIVE LINE 1-1/4 NPT SUCTION 171/4 5-3/8 3-3/8 DIA. 1 (4) HOLES 1/8 I Dimensions (in inches) are for estimating purposes only. 1-1/4 NPT tl:: F--7-7/8 --I Cat. No. A 8 C HMSC Well Size Disch Pumping Depth in Feet HMSD 17-7/8 9-1/2 5-1/8 HMSE 18-3/4 Cat. 3" 1 4:. Press. 20' 1 30' 1 40' 50' 1 60' 1 70' 1 80' 1 90' 1 100' 1 110' 1 120' 1 .130' 1 140' 150' 160' HP No. Jet No. PSI Capacity -Gallons Per Minute 20 6.9 6.1 5.3 1 4.6 4.1' 30 6.9 6.1 5.3 4.6 4.1 40 6.9 ' 6.1 5.3 4.6 .4:1` 1-1/2 HMSF 19CP 4EP 50 6.9 6.1 5.3 4.6 4.1 60 . .. ..; ,:°:',:: ' :;,;:.,, ::.. .::. ::... ...:.. ' 6.0'' 5.3 4.7 4.0 3.3y:, D.P. 0.9 0.9 0.9 0.9 0.9 S.O.' :::<.;, •,::•:;: :......:. 1.9 1.8 1.7 1.6' 1.5:' D.P. =Minimum Drive Pressure S.O. = Shut Off Pressure in PSI. Tested and rated in accordance with Water Systems Council standards. . NOTE: Pumps installed with a CON-AIRE® tank require a 100# relief valve. Pumps installed with a conventional tank require a 75H relief valve. Relief valve must - be capable of relieving entire flow of pump at relief pressure. 1NPT DISCHARGE i-- 6 --1-3 -10-1/2- - 0-1/2- -A 1-15/16 1 NPT DRIVE LINE 1-1/4 NPT SUCTION 171/4 5-3/8 3-3/8 DIA. 1 (4) HOLES 1/8 I Dimensions (in inches) are for estimating purposes only. 1-1/4 NPT tl:: F--7-7/8 --I Cat. No. A 8 C HMSC 17-7/8 9-1/2 5-1/8 HMSD 17-7/8 9-1/2 5-1/8 HMSE 18-3/4 9-1/2' 5-1/8 HMSF 19-1/4 10 5-5/8 Printed In U.S.A. STA -RITE /a WICOR company 1991, Ste -Rite Industrlee, I.., Deleven. WI S4511WS (Rev. 4/91) RIARR.,-W PRECHARGED TANILS . Product Comparisons i IMI oiie I 100 T'P ; ' 3001ji '�M420ita:CM(ld" 056 60" �&17 M 2050!;ii;, 66:;�, �C MARK IV Size In. 8 x 13 11 x 15 11 x 25 16 x 27 16 x 31' 20 x 34 20 x 40 24x3 / 24 x 55 8 x 52 Weight (Lbs.) 5 9 14 30 35 58 67 114 1 j 169 90 (Clayton Mark) Capacity (Gal.) 2 4.4 8.6 16 20 33 41 58 kj 88 09 Draw -Down at 30/50 (Gal.) 0.6 1.4 2.7 4.9 6.3 110.1 12.6 17.8 27.4 133.8 §0W Mk WELL-X-TROL Size In. 8 x 13 11 x 15 11 x 25 - 15 x 24 15 x 32 15 x 47 22 x 36 22 x 47 26 x 47 26 x 62 Weight (Lbs.) 5 -9 14 25 33 43 69 92 123 166 (Amtrol) Capacity (Gal.) 2 8.6 14 20 32 44 62 86 119 Draw -Down at 30/50 (Gal.) 0.6- 1.4 2.7 4.3 6.2 9.9 13.6 19.2 26.7 36.9 (M661-) E4.41 V -t5P W40 AQUA -AIR Size (in.), 8 x 12 11 x 14 11 x 23 15 x 25 15 x 32 15 x 47 22 x 37 22 x 49 22 x 61 26 x 61 Weight (Lbs.) 8 12 21 23 34 52 64 89 113 161 (Goulds Pump I Capacity (Gal.) 2 4.5 8.2 13.9 19.9 31.8 45.2 65.1 84.9 115.9 A.C. Smith) Draw -Down at 30/50 (Gal.) 0.6 1.4 2.6 4.3, 16.1 9.9 13.9 20 26.2 35.9 N Nkil 9,0,A220 CON-AIRE Size (in.) Weight (Lbs.) (Sta-Rite) Capacity (Gal.) Draw -Down at 30/50 (Gal.) NIA N/A 12 x 16 N/A 20 x 23 120 x 34 24 x 36 24 x 54 72 110 135 35 N/A 50 85 N/A 10.7 15.5 26 20 57 6 19_ .1.8 5.8 LC5 Pkb!'20 s 10'AbP3 W,*&%,,1 PERMA-AIR Size (in.) Weight (Lbs.) (State) Capacity (Gal.) Draw -Down at 30/50 (Gal.) 8 x 13 11 x 15 11 x 21 15 x 25 15 x 33. 20 x 33 23 x 39 23 x 63 23 x 76 45 77 ill 144 36 N/A 52 96 119 11.1 1 16.1 29.7 37, 5 7.5 10.5 25 30 - 2 4.6 7.3 14 20 0.6 1.4 12.1 4.3 6.2 0&664 *�OM RMN IWM-'� Att.' WO'Z*M'215WE•I i.WW-36WBj-', WELL-MATE Size (In.) Weight (Lbs.) (Structural Capacity (Gal.) Fibers) Draw -Down at 30/50 (Gal.) N/A 9 x 18 N/A N/A. 16 x 32 16 x 44 16 x 57 22 x 41 24 x 56 24 x 75 8 19 23 30 37 58 112 4 20 30 40 47 87 120 2 5.9 8.9 12.1 14.1 26 35.9 �"J ktOiWO� j fJlFti5=Wsfww Q mwv f 1., 066 W_ WELL -RITE Size In. 8 x 15 12 x 15 13 x 19 16 x 22 16 x 29 21 x 28 21 x 36 26 x 35 26 x 44 26 x 62 1 Weight (Lbs.) 7 10 15 24 30 50 62 91 110 185 (Flexcon) Capacity (Gal.) 2 4.5 9.2 14 20 32 44 _62 85 119 Draw -Down at 30/50 (Gal.) 0.7 1.4 2.9 4.3 6.2 - 9.9 13.6 19.2 26.4 36.8 W60*,Tft�, , i".1WF. ., -�, Wl� 11 t F "-,*F140':a2 *F260* e�WK260';," W F 3 66--" WEL-FLO Size In. 8 x 13 11 x 15 11 x 25 16 x 27 16 x 31 20 x 34 20 x 40 24 x 39 24 x 55 28 x 52 Weight (Lbs.) 5 9 14 30 35 58 67 114 169 190 (American Capacity (Gal.) 2 4.4 8.6 16 20 33 41 58 88 109 Granby) Draw -Down at 30/50 (Gal.) 1 0.6 1 1.4 2.7 4.9, 16.3 10.1 12.6 A 7.8 27.4 33.8 Draw -downs are based on . Boyle's Law in keeping with present industry practice. CLAYTON MARK INC. j c cl ROGERS, AR 72756 U.S.A. SINCE 1888 P H 0 N E: - (800) 622-6275 Section 6 -Page 8 FAX: (800) 544-2426 ATC Poly an s Low Cost Alternative or Water Storage STANDARD FEATURES: • 10 YEAR WARRANTY -FDA APPROVED • DARK FOREST GREEN • 1-1/2" INLET / 2" OUTLET MEETS CDF GUIDELINES • SMOOTH - NOT CORRUGATED • U.V. STABILIZED • FACTORY HYDRO -TESTED ATC poly tanks are ol'cxccptional quality and the best choice for low cost water storage. Color: ATC poly tanks come standard in dart: forest green. Unlike black poly tanks, ATC poly tanks blend in with the envi- ronment and do not absorb aS 1111IC11 Ileat. These tanks are totally opaque, allowing no sunlight to pass through. Please note that some poly tanks are only available in a white transparent color. White poly tanks are designed for agricultural/in- dustrial applications :md are not intended for outdoor residential use. PDA Approved: All ATC poly tanks are constructed entirely from 1'DA approved raw materials. Smooth walls - not corrugated: ATC poly tanks have smooth walls on the top, sides and bottom. Many other poly tanks are built with corrugated walls, which make them extremely difficult to clean. ATC poly tanks have smooth walls thus making cleaning a breeze. Hydro -Tested: Every ATC poly tank is factory water tested for 100% reliability. 10 Year Warranty: All ATC poly tanks carry a ten year warranty covering work manship and materials. O • 1-800-479-8265 Applications: Drinking Water Storage • Fire Protection - Irrigation ATC POLY TANKS MODEL'NO. GALLONS DIAMETER .' HEIGHT VT65 65* 23 41 VT125 125* 29 48 VT200 200* 36 50 VT300 300 47 50 50 550. 47 76 VT600 600** 72 43 VT710 710** 47 103 VT750 750 72 48 VT1000 1000 72 64 VT1100 1100 90 47 VT1225 1225** 60 115, VT1500 1500 72 92 VT1600 1600 90 66 VT2300 2300 90 91 VT2500 2500 90 100 VT3000 3000 90 118 VT3800 3800 118 86 VT4000 4000 102 124 VT5000 5000 102 152 VT6500 6500 118 140 *WHITE **DARK BROWN HYDRO FIRE SYSTEMS, INC.. P.O. BOX 161 SAN JUAN CAPISTRANO, CA -92693 RESIDENTIAL SPRINKLER SYSTEM HYDRAULICS CALCULATION REPORT FOR FLEETWOOD HOMES,INC. MODEL# 5603B EXECUTIVE/SMITH Date: 08/29/94 File No: FLEETW17 Data File Name: FLEETWI7.RDF SPRINKLER SPACING 256.0 sq. ft./spklr.(max) Max. Dist. Bet. Spklrs: 16.0 ft. ' Min. Dist. Bet.•Spklrs: 8.0 Max. Dist. Spklr. to Wall: 8.0 ft. SPRINKLER SPECIFICATIONS Manufacturer: Central Descr: R71M Pend.(16x16) K Factor: 3.90 Calculated K Factor for Arm -Overs & Drops: 1.0 ft. x 1.109 in. Drop: K=3.87 (Incl. 1 Tee) 0.0 ft. x 1.109 in. Arm -Over: K=3.86 (Incl. 1 Tee & 1 Ell) PIPE SPECIFICATIONS Type: B1azeMaster HWC: 150 WATER SUPPLY. Source: TANK Test Date:. By: DATA BY OTHERS Static: 0.0 psi Resid: 0.0 psi Flow: 0.0 gpm Public Main Size: 0 in Domestic Demand: 5.0 gpm at node number 1 SPRINKLER DEMAND No.Spklrs. Min Spklr. Press.''' Node Total Avail. Req'd Flowing Flow (psi) No. Flow Press. Press. 1 14.0 12.9 _ 6 19.0 0.0 2 11.0 8.0 6 27.6 0.0 CIL.8 REVIEWING AUTHORITY CDF O • .eco �� .,. . 9 ,,. "- FLEETWOOD HOMES,INC. e 2 Pa .. g Date: 08/29/94 :.: File No: FLEETW17 RESULTS OF ANALYSIS PIPE & NODE DATA * FLOW ANALYSIS * 1 sprinkler flowing *2 sprinklers flowing* FIXD P # LEN ALBRFSU LOSS END EL SP *DISCH FLOW PF PT *DISCH FLOW PF PT HWC DIA EQV.LN PUMP NOD (FT) (K) *(GPM) VEL PE (PSI)*(GPM) VEL PE (PSI) ------------------------------------------ ----- - --------------------- 1 0.0 -11---- ---- 1 0.0 -5 5 -5.0 0.06 25.9 5 -5.0 0.06 29.8 150 1.109 12.0 --- 2 0.0 SRCE ---- 1.7 0.00 25.9 ---- 1.7 0.00 29.8 2 8.0 -1-311- ---- 2 0.0 SRCE•---- 1.4.0 1.02 25.9 ---- 22.6 2.46 29.8 150 1.109 22.0 ---- 3 12.0 ---- ---- 4.6 5.20 19.7 ---- 7.5 5.20 22.2 3 12.0 -3-1--- ---- 3 12.0 ---- ---- 14.0 1.15 19.7 ---- 22.6 2.79 22.2 150 1.109 22.0 ---- 4 12.0 ---- ---- A.6 0.00 18.6 ---- 7.5 0.00 19.4 4 60.0 -733--2 ---- 4 12.0 ---- ---- 14.0 4.38 18.6 ---- 22.6 10.58 19.4 150 1.109 69.0 ---- 5 12.0 3.90 ---- 4.6 0.00 14.2 11.6 7.5 0.00 8.8 5 14.0 -22---- ---- 5 12.0 3.90 ---- 14.0 1.29 14.2 11.6 11.0 0.83 8.8 150 1.109 24.0 ---- 6 .12.0 3.90 14.0 4.6 0.00 12.9 11.0 3.7 0.00 8.0 Fitting Code Letters: A=AngVly, L=90 Ell, B=TeeBch, R=TeeRun, F=F1Swth, S=SwgChk, U=Union Sprinkler system has been hydraulically calculated with the HASS HOUSE 1.5.0 computer program (License No. R074G9991 ) to provide an average imbalance of 0.015 gpm (one sprinkler flowing), and 0.026 gpm (2 sprinklers flowing) in accordance with NFPA 13, 13D, or 13R. HRS Systems, Inc. 2193 Ranchwood Dr., N.E. Atlanta, GA''. 30345 (404) 934-8423 FLEETWOOD HOMES,INC. "f -Dater 08/29/94 File No: FLEETW17 WATER SUPPLY CURVE Page 3 • 60+ 55+ 50+ 45+ P 40+ R E. ' S ' S 35+ U , R ' E ' 30+ D P ' S ; B I 25+ 20+. , 15+ ____________________________ LEGEND Static = 0.0 psi.(fixed pressure) " 10+ (1 sprinkler flowing) (2 sprinklers flowing) " 5+ B =Required Water Supply Requi_r�d—F�a y D�t29.8 " 25.9 psi @ 19.0 gpm psi @ 27. �6p�.u' " 8 12 16 20 24 28 32 36 40 FLOW (GPM) '-9 Vd' —9'-3 V4 '-3 ol'-d Q�.ET1R15ER EXT EEII AAM O W - � 0D 77- LlYM a � ROOM UTILITY KItc�IEN []77 OM'S 4 o M/5AT1I ALAR~ O 102,8 96 It 11024 R nI r O 16 •..• 140 .10a h1AStER. $EDROOh1 LLZ 1'-d' WALK -W al UNIT A ALL CATHEDRAL 4/12 CEILING PITCH " ---------- V'*"�, 114 no PA 102 0 UNIT B 's ALL CATHEDRAL vow 4/12 CEILING PITCH LIVWG ROOM BEDROOM. , U up DQNCs ROOM NOT 0 INCEED 76' NOTES CENTRAL -OMEGA R -TI ACCESS I`OR O NODE POW m 3/8 ORIFICE K=3.W FIRE SPRW UR PEND>^NT GaiNECTION ❑ PIPE No SYSTEM PIPWG: ONE NCH R46 SLOANE CPVC PIPE BSER PIPM ASND C14 R4i ICFVC ARE fFE AND PITTINCsS OTED ON MANFoLDj%SER DETAIL NSPECTORS 0' TEST VALVE'_0, J GENERAL NOTES 1. Fire system hydraulic requirements: - 30 GPM @ 30 psi 2. Booster pump: --� - HMSE (1) HP STA RITE 33 GPM @ 30' psi 3. Low level sensor to activate alarm when water level Ofalls below 286 Gallons. • 4. Storage tank should have 4" sand, pea gravel or ® ® Sc concrete base. Firm level surface is adequate. V V 5. All pipe and fittings to be 1 1/4" galvanized schedule 40. A.0 v��tQ O 6. All components to be new, U.L. listed and/or F.M. - Iapproved, some components (bolts, nuts etc.) may .7p r1ar SPS /NK LEn not be listed due to their applicability. /s 7. 7. All components specified may be interchanged with ALJ G� I similiar quality components, keeping in mind all listings and special applications. Dorm FB ` 8. C-16 contractor to verify flush before hook-up •• - IIP✓.vr� Z �� to fire sprinkler system. Contractor (C-16) _._ to certify fire system by flow and alarm test _._ after system hook-up. - I ® 9. Mobile home is less than 10' from water supply. -- - Co roc R. --T c�ot)rcrroA, f- PROTFc Coy -44 X10 2869 ' r io/-7/9V E37�L-/1•✓/e' c� (�. SFr' % EGEY< �7dn1 Jlgj C-16 E 4F CA��E SALES & SERVICE • AUTOMATIC FIRE SPRINKLERS ANSUL RESTAURANT FLRE SUPPRESSION SYSTEMS HALON -CO2 DRY CHEM SYSTEMS LEGEND FIRE PROTECTION ---- 1. - 550 Gallon ATC poly tank, model VT550 _ 2. - 1/4 turn ball valve ` 7-�% ^��5 •1 ,42zl2 '7 3. - Check valve GOG�q� a�J; cJ Y 7t�MR cJ 4. - Booster pump, STA RITE (1) HP HMSE - 5. - Pressure relief valve V (eo ji Lt.•i C/4. � S Y 6 ` Q��''� 6. - Pressure switch / OU"n- 7. - Pressure tank, CLAYTON MARK INC. CM17002 88 Gallon 8. - Float switch, WARRICK conductance probe -type �� JET j� 9. - Low level sensor, Tank Alert I 8� � - 10. - Main control valve, 1 1/4" 1900 PARK AVENUE DEPARTMEW 11. - 0-100 psig water pressure gauge 8 12. - 1 1/4" galvanized pipe. CHICO, CA 9592 1 -800 -228 -FIRE FAX (916) 893-0466 APPROVED/ F,1 L E�_ - CksCl< • @ RlSC(L ! � ALJ L� �i✓��- �va,I � P�K I B,nsrcl' Co ric R.'6�_ i o'r— i I I , �pi� ES77L LEGEND 1. - 550 Gallon ATC poly tank, model VT -550 2. - 1/4" turn ball valve 3. - Check valve. 4. - Booster pump, STA RITE (1) HP HMSE 5. - Pressure relief valve 6. - Pressure switch 7. - Pressure tank, CLAYTON MARK INC. CM 17002 88 gallon 8. - Float switch, WARRICK Conductance probe -type 9. - Low level sensor, Tank Alert I 10. - Main control valve, 1 1/4" 11. - 0-100 peig water pressure gauge 12. - 1 1/4" PVC pipe. GENERAL NOTES 1. Fire system hydraulic requirments: - 30 GPM ® 30 PSI - 2. Booster pump: - HMSE (1) HP STA RITE 33 GPM ® 30 psi 3. Low level sensor to activate alarm when water level falls below 286 gallons. 4. Storage tank should have 4" sand, pea gravel or concrete base. Firm level surface is adequate. 5. All pipe and fittings to be 1 1/4" PVC 6. All components to be new, U.L. listed and/or F.M. approved, some components (bolts, nuts etc..) may not be listed due to their applicability. 7. All components specified may be interchanged with similiar quality components, keeping in mind all listings and special applications. 8. C-16 contractor to verify flush befor hook-up to fire sprinkler system. Contractor to (C-16) to certify fire system by flow and alarm test after system hook-up 9. Mobile home is less than 10' from water supply. it SALES & SERVICE • AUTOMATIC FIRE.SPRINKLERS ANSUL RESTAURANT FIRE SUPPRESSION SYSTEMS HALON -CO2 DRY CHEM SYSTEMS FIRE PROTECTION -saw 1*-p,V4OTECrjo q1��PE PRO TFc 00 z Z � W n H ic.482869 0 0 1900 PARK AVENUE j// elf CHICO, CA 95928 C-16 Q- 1 -800 -228 -FIRE FAX (916) 893-0466 l9jE OF CA������