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HomeMy WebLinkAbout027-360-201,0*360-201 "EMllMIT#95-13,1&- Mo ISRAELSKY, Merle & WID IT .--ley 135 Four Junes Way, Orovi e Mobilehome Utilities ELECTRIC GAS LINE COMPAC N TEST REQ SU ORT ST RUCT REQ 027-360-201p� 5-X73 ISRAELSKY, Merle 135 Four Junes Way, 0lle Cont; Chuck's.Electric Ele for Well 027-360-201 PERMIT#97-2173 ISRAELSKY, Merle 135 Four Junes Way, Oroville Cont: Quality Const. New Single Family 411-41- 1�440 027-360-201 PERMIT#97-2382 ISRAELSKY, Merle 135 Four Junes Way, Oroville Cont: Fox Company Fire Sprinklers/SF "clAo& B07-0735 027-360-201 MISCELLANEOUS Siding/Stucco INSTALL VINYL SIDING 135 FOUR JUNES WAY ISRAELSKY, MFRLF C III - c - L'�" BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 1 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-76.36 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0735 Issued: 04/09/2007 Address: 135 FOUR JUNES WAY Area: PALERMO Owner: ISRAELSKY, MERLE C IAPN: 027-360-201 Applicant: BRANDON STEADMAN Map Page: Permit Type: Siding/Stucco Description: INSTALL VINYL SIDING Flood Zone: None SRA Area: Yes SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING i Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 r Finals Inspection Type 1 IVR I INSP I DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool Elec/Bonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 801 -rrolecr rmai is a q-ernncare or occupancy for (xesiaennal only) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 135 FOUR JUNES WAY Owner: Permit NO: B07-0735 APN: 027-360-201 ISRAELSKY, MERLE C III Issued Date: 04/09/2007 By GLB Permit type: MISCELLANEOUS 135 FOUR JUNES WAY -Subtype: Siding/Stucco OROVILLE, CA 95966 Expiration Date: 04/08/2008 Description: INSTALL VINYL SIDING Occupancy: Zoning: Contractor Applicant: Square Footage: SEARS HOME IMPROVEMENT PRODUCT BRANDON STEADMAN Building Garage Remdl/Addn 1200 DEL PASO RD # 100 5915 LUCINDA LN SACRAMENTO, CA 95834 CARMICHAEL, CA 95608 Other Porch/Patio Total (916)419-7703 (916)275-7632 FEE INFORMATION DBMSC Stucco/Siding-StoneBric $110.00 Total Charged: $110.00 Fees Paid: $110.00 Balance Due: $0.00 Receipt No: B2547 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License SEARS HOME IMPROVEMENT 721379 / D41 C-6 C-61 C-20 / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, , also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 04/09/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑1 HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED COMPENSATION INSURANCE, as required by ❑ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Cartier: ACE AMERICAN INSpolicy Number: WLRC44340860 Exp. Date:04/0112007 's ContractorLicense Law.). (This section need not a competed if the permit is or ons dollars ($100) or less.) ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 04/09/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X /09/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the prope owner or am authorized to a9t on the roperty owners behalf. CONSTRUCTION LENDING AGENCY 04/09/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR; DAgent for OwneroAgent for Contractor FILE COPY +�� . Lenders Address City State Zip t' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Nam,!J�,6g19 A' s C•t First Namg� Mailing Address 1 our )ie5 w aq City Dt 111� Statef 1� ZipA"66, 6 Phon 30 3-7p _6 Fax E -mai CONTRACTOR Name fS olmr- Name Addressl ry DO 7 d City 5rac f4wMA0 State Zip S$� Pho �b �� D3 Fax E-mail Lic. # 7-;l 079 Class 0 APPLICANT INFORMATION ARCHITECT/ENGINEER Name City C,, rC Address ' Zip`–OC& City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name i✓�AYI�O►� s• Address L u rinZ4(,vt City C,, rC State Zip`–OC& Phon rc 75-- -7 Fax E-mail APPLICANT SIGNATURE X PERMIT NO. '0 S BIN # PROJECT LOCATION AP# 15 . C�oj Property Address /3517 3$ FDL4/ —Ju>e.5 -1 Li c City pfCV11l WORKER'S COMPENSATION Policy Number ��C D � Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Zi LJ >` D032( �mz Sq FT- Living Garage Open Cov ❑ Structure Built without PerA) ElProposed Change of OccuAvy 111 (Note previous use): zr _v For office use only: Zoning Flood Zone SRA I Yes I No Occ. I Type Const. II �`F'�R.. %Yb�w`' :'_'_."c•"'�L }'i 'T{�„!.il�`'s�'•-if^ r#` � �6.,�]c`.��t}y-t +nt+s.. ,� �,x T-a..F^'^' � J �✓ '.6177 tPERMIT#95-2973, ISRAEL -SKY, .Merle' i 135 Four JunesO Wa y , y; roville Cont;.=Chuck!§),,Electric; ;w Ele. for Well : 7 i i Ae • a } COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION �,.,,• 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 gs_ �-p "-7 APPLICATION AND PERMIT `� ASSESSOR PARCEL NUMBER 027-360-201/ f , ZONING AS BUILDING PERMIT OWNER r,SKY ► 1%E= ISRA.zL TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAKING ADDRESS 180 RUSSELL LOS ALTOS, 9402. CONTRACTOR'S NAME CHUCK ' S EI.ECTP.IC TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER'.. NOiJE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDINGADDRESS 135 FOUR JUPtES WAY PERMITFEE $ OROVIJ.,LE PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNIS ION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other t7ELL SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ELECTRIC FOR U.TELL Mobile Home IS I GI W @20.00 PERMITFEE ; Contractor ELECTRICAL PERMIT Filina Fee 20.'00 _ Main Service EOOV OR LESS 23 ( zooA OR LESS ) 23.00 J • Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm -under penalty of perjury that I am exempt from the Contractors License Law for the,following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. -41 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO OR ADDNS. a. ACC. BUDS. 3.50 Fr.. ( ) NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL .50 FIXED APPLNS. OR Ex. Occup.— p• ( OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPECT 23.00 PERMITFEE $ 66.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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. 1Q r X n _ Date _ I a�c�_ Signature p cant -FEr Owner ❑ Co/ri actor O Agent An OSHA permit is required for excavations oyJr 5'0" deep and demolition or construction structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. I D. FEES I IMP I FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated'above for which fees have been paid. / f Ji , BY !/i1 F t AAA ttt �ff Date �/f �of PERMITEXPIRESON (Date) Receipt No. ayv J WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t RESIDENTIAL { 027-360-201 PERMIT#97=2382 ISRAELSKY, Merle 135 Four Junes Way, Oroville Cont: Fox Company PERMIT P, _ �Fire Sprinklers/SF' j /� V;v— PERMIT EXPIRES ` ,_ OWNER CONTR. ASSESSOR PARCEL LOCATION s, w y-' t CTemp. Power Pole t r � � Called PG&E t• Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Dat) Signature V=OK O = Not OK " `=Not t Applicable NoReadyMOBILE HOMES _ Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; SoilsSize•Depth-Spacing-Connectors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer, Location -Teat -Fall -C/O -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-mfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures 5. Electricity; LocabonClearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / MIt / /Nat. or/ /"L'Yt./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Fnng.; Sils-AnchorsStuds=Rttrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line - POOLS (Plans) OK except #'s 3. Gas; MH Test-DemandVaKe-Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pok Structure; Steel -Connections -Thickness Dead Men -Lining . r 6. -Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance -GR 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater .10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip, w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 12. Permanent Foundation Only: License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 TT . . MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize•Depth-Spacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-mfg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds=Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall,Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pok Structure; Steel -Connections -Thickness Dead Men -Lining . r 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL4SingleA Duplex) Date UNDERFLOOR (Plans) OK except ft 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / / Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ /' Ftg. Depth 5. Stemwalls, Main;'Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors . 7. Slab, SteelaMrapped 8. Piers -Fireplace Ftg.-Steel D.W.V.; F I-Fitting-Tes Way C/0 -Sewer Test 0. UF. s Pipe; Si chors - Yard Gas Piping; Size Test J�L1 er Pipe; to -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders.Sills-Anchor Bolts -Joists Vents-Cdppies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. W r Htr.; Vent -Access -Combustion Air Baffle JJPOVater Pipe; Test & Anchor -Nail Protection 4 " a 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date - Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Band Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / /ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower UghtSpa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Puriin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic • 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Card B-1 Date Card B-1 Date Date Card B-1 Date l Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps - 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Ddve 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION V 7 .County, Center Drive - Oroville, Califolflia 95965 - Telephone (916) 538-7r,41, ., 7�R NO. (Rev. 12/96) APPLICATION AND PERMIT 7��7`}�J ASSESSOR PARCEL NUMBER 027-360-201 ZONING A5 BUILDING PERMIT OWNER MERLE ISRAELSKY TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 480 SILVERLEAF DR CONTRACTOR'S NAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAJUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDING ADDRESS 135 FOUR JUNES WAY Energy Plan Checking Fee $ $ OROVILLE PERMIT FEE S 109.10 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF i Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ emodel ❑ Utilities ❑ Installation ❑ Other ) Describe Work: Ire S.t7 /` i'I1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ioon oa '.ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 016 Lic. No. .3 0.!T S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLos. SO 3.50' U1 CETITS NON•RESIIDT BRANCH @7,50 FowER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURESx'.00 BAL .50 Ex. Occup. ouTLEEDrs Es o.DE AA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number 27Z U f/�t i Z3 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the worke compensatio provisions of section 3700 of the Labor Code, I shall forthwi comply wit h e provisions. X Date /O _ O Contractor ❑ Agen CA Signature of A icfin An OSHA permit is requirr excavations over 5'0" deep and demolition or construction of structures over 3 stori height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 109.10 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD Iss This permit is hereby issued under of the Butte County Code and/or Indic above `which fees have t By �y� PERMIT EXPIRES ON j the applicable provisions Resolutions to do work been paid. Date l� Date Receipt No. /� j E% WHITE-D.D.S.-B.D. C NARY•ASSESSOR PINK -INSPECTOR GOLDENROD—L-M&T -APPLICANT II COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive - Oroville, Califor"hia 95965 - Telephone (Rev. 12/96) APPLICATION AND PERMIT BUILDING DIVISION (916) 538-7541 PERMIT NO. ASSESSOR PARC NUMBFp �© l CC �JJ � I ZONING BUILDING PERMIT OWNER S /MAILING TELEPHONE SQ. FT. BUILDING VALUATION /OCC. / �%" / 60 OWNER'S ADDRESS µ r ►^ Oro lr ; 9,5 9 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ S41. 0Q ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ S / BUILDING ADDRESS', I / W'I Energy Plan Checking Fee $ 0 rO v J A PERMIT FEE t 10 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF,k Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: i i^ >_ S ✓ j yt F S � Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE i ELECTRICAL PERMIT Filing Fee 2 0. 00 Main Service ioon oa .'ss 23.00 LICENSED CONTRAe'fOR'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 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 Ate, gLpS. so 3.52FT; NEW NON -R ON -RESOD. MULTI.00IRCUITS T @7.50 APPARATUS 8 SINGLE OtlT. CR. Ex. Occup. OUTLET OR FIXTURES 00 sn� @':50 Ex. Occup, OUT�rs(REEso.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Dere Receipt No. Z3 - WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT FOX Company 3995 Olive Highway, OrovMe CA 95966 -91&533-7--n- 18?5 FAQ Lic. #305365 C-10, 046, C 20, C-36, C-43 - Residential Fire Sprinkler with Pump &Holding Tank 1. Sprinkler Head 2. Spring Loaded Check Valve 3. Gate Valve 4. 3 -Way Globe Valve 5. 3001b Gauge 6. 2 Pole Flow Switch 7. Alarm Bell 8. Drain Ball Valve 9. Spare Head Cabinet 10. Booster Pump 11. Pressure Switch 12. Pump Control / Low Water Control 13. Holding Tank GQMPA,,V - �0�3d/qy C-16 CALTORMA * LICENSE N0. Residential Pendent Automatic Sprinkler Manufactured by: Central Sprinkler Company 451 North Cannon Avenue, Lansdale. Pennsylvania 19446 Product Description The Omega Model R-1 M Residential Pendent Automatic Sprinkler is a low profile, aesthetically pleasing, ceiling mounted sprinkler that operates five to six times faster than a standard sprinkler. It offers a high degree of protection for human life and features a spray pattern that has been shown to be effective in the control or extinguishment of fire. The Model R-1 M is Listed' by Underwriters Laboratories as a Residential Sprinkler with a K -factor of 3.9, a temperature rating of 1600F/71 "C, and a maximum working pressure of 175 psi. It qualifies for installation in residential occupancies in accordance with current NFPA 13, NFPA 13D and NFPA 13R. The Model R-1 M Residential Pendent Sprinkler is available in three standard finishes, brass, chrome plated and white painted. Its mating escutcheon plate is available in three standard finishes, brass, chrome plated and white painted with additional special finishes available. Operation: A fusible alloy pellet is compressed with a bearing disc into a copper housing by a ball plunger. Heat is absorbed by the heat collecting fins and conducted to the 'For specific listing requirements see the appropriate information contained in this brochure. alloy pellet. At the rated temperature, the alloy melts, causing the ball plunger to drop, freeing balls from the retaining groove. This movement allows system water pressure to force the orifice sealing mechanism and deflector assembly open. Water is then discharged in a pre -designed flow pattern. Technical Data Model: R-1 M Style: Pendent (Adjustable) Escutcheon: Model R-1 A Note: Only the Model R-1 A Residential Escutcheon may be used. Substitution of other escutcheons may impair the operating sensitivity and dis:dbution pattern. The R-1 M may be -installed below a ceiling with the deflector up to the maximum allowed by NFPA of 4". Wrench: Model R-1 Approvals: U.L, U.LC. Orifice Size: 318" (9.5 mm) K -Factor: 3.9 (55.71) Thread Size: 1/2" (127mm)N.P.T. Temperature .Rating: 160°F/71 °C Adjustment Range: Flush to Extended Maximum Working Pressure: 175 p.s.i. Factory Hydro Test: 100% at 500 p.s.i. Standard Finishes: Sprinkler: brass, chrome plated and white painted Escutcheon: brass, chrome plated and white painted Highest Allowable Ambient Tempera- ture: 100°F/380C Field Adjustment Range: 5/8" (15.9 mm) Length: 2 1/8" (54mm) Width: 1 1/4" (31.6 mm) (Dust Cover) Weight: 3.2 oz. (90.7grams) No. 1.18.0 Figure 1 Omega R-1 M I I I I Pipe Drop I I I I I I Reducing Coupling 2' Dia. Max. r "�— 13/4' Dia. Min. Note: Use this flange for field installation. DO NOT HOLD by deflector. — J !Dust Cover 1 1/16' Max. 7/16' Min. 1 R -1A Ceiling Escutcheon 2 7/8' Dia. rAInstallation The Model R-1 M Sprinklers must be installed according to current NFPA 13, NFPA 13D or NFPA 13R Standards. Deviations from these Standards or any alteration to the sprinkler itself will void any warranty made by Central Sprinkler Company. In addition, installation must also meet local government provisions, codes, and standards as applicable. The system piping must be properly sized to ensure the minimum required flow rate at the sprinkler. Prior to installation, check for the proper model, style, orifice size, and temperature rating prior to installation. Install sprinklers after the piping is in. place to avoid mechanical damage; replace any damaged units. The Model RAM Pendent Sprinklers are not listed for use in dry systems. Wet pipe systems must be protected from freezing. Upon completion of the installation, the system must be tested per recognized standards. In the event of a thread leak, remove the unit, apply new pipe joint compound or tape, and reinstall. Installation Sequence Step 1. The unit must be installed in the pendent position. The R-1 M may be installed below a ceiling with the deflector up to the maximum allowed by NFPA of 4". Step 2. The face of the sprinkler fitting should be installed a nominal 7/16' minimum to 1 1/16° maximum behind the finished ceiling line. Adjustments may be.made via the push -on escutcheon plate to compensate for variations in the fittings. Do not use the push -on escutcheon plate to hold the unit in position. The sprinkler will function properly, only when the system piping is anchored " to the building structure. Otherwise, Sprinklers must .be installed only after the inside of the sprinkler drop and reaction forces from system initiation associated fittings have been wire brushed to remove any flux. Residual flux could alter the sprinkler alignment can cause corrosion and in extreme cases can impair proper sprinkler and disrupt the distribution pattern. operation. Step 3. Use only a non -hardening pipe joint compound or Teflon' tape. Apply only to the mate threads. Step 4. Hand tighten the sprinkler into the fitting. Use a Central Sprinkler Omega Model R-1 Sprinkler Wrench to tighten the unit into the fitting. The wrench attaches easily to any 1/2" socket drive rachet. A leak tight joint requires the application of only 7-14 ft. -lbs. of torque. A tangential force of 14-28 lbs. delivered through a 6" handle will deliver adequate torque. Torque levels over 21 ft. -lbs. may distort the orifice seal, resulting in leakage. Omega Model R-1 Sprinkler Wrench (Part#15674100) Step 5. To install the Model R -1A Escutcheon Plate, align it with and press it over the sprinkler body until the outer edge of the escutcheon meets the mounting surface. Do not over or under tighten the sprinkler to compensate for inaccurate escutcheon plate adjustment. Readjust the sprinkler fitting as required. Caution: Special care must be taken when installing with a CPVC system. Sprinklers must be installed after the CPVC manufacturer's recommended setting time for the primer and cement to ensure that neither accumulate within the sprinkler. Special care must be taken when installing with a copper system. -ration is 2 traerar"w on 0~ Coro. Design In Data Design Requirements — Residential Applications Maximum Spacing Maximum Distance Minimum Design Flow (pressure) Between from Any Two or Sprinklers Wall I One Sprinkler I More Sprinklers 12 feet (or less) 6 feet (or less) 110 GPM (6.6 psi) 9 GPM (5.3 psi) 14 feet 7 feet 10 GPM (6.6 psi) 9 GPM (5.3 psi) 16 feet 8 feet 14 GPM (12.9 psi) 11 GPM (8.0 psi) 18 feet 9 feet 14 GPM (12.9 psi) 12 GPM (9.5 psi) 20 feet 1 10 feet 16 GPM (16.8 psi) 116 GPM (16.8 psi)] Care & MainteRan Sprinklers must be handled carefully. They must not be transported or stored where ambient temperatures may exceed 100°F/ 38°C. For best results, store them in cool, dry location in the original shipping package. Do not install sprinklers that have been dropped or visibly damaged. Sprinklers must never be painted, coated, plated, or altered in any othe way from manufactured condition or they may not function properly. Any sprinklers altered in such manner must be replaced. The owner is responsible for the proper operating condition of all fire protection devices and accessories. The NFPA Standard 25 entitled, 'Inspection, Testing and Maintenanci of Water -Based Fire Protection Systems', contains guidelines and minimum maintenance requirements. Furthermore, the local Authority Having Jurisdiction may have additional regulations and requirements for maintenance, testing and inspection that must be obeyed. It is recommended that sprinkler systems be inspected regularly by a qualified inspection service. Length of time between such inspections can vary due to accessibility, ambient Ce atmosphere, water supply and site activity. Do not attempt to re -assemble or otherwise reuse a sprinkler that has operated. Replace any sprinkler exhibiting corrosion or damage; a always use new sprinklers of the same type and temperature rating as replacements. Because the discharge pattem is critical to protection of life and property, nothing should be hung or r attached to the sprinkler unit that would disrupt the pattern. Such obstructions must be removed. In the event that construction has altered the original configuration, additional sprinklers may need to be installed to maintain the protection level. Do not attempt to replace sprinklers without first removing the fire protection system from service. Be certain to secure permission from all Authorities Having Jurisdiction, and notify all personnel who may be affected during system shutdown. A fire watch during maintenance periods is a recommended precaution. To remove the system from service mode, first refer to the system operating guide and valve instructions. Drain water and relieve pressure in the pipes.. Remove the existing unit and install the :2placement, using only the special prinkler wrench. Be certain to match model, style, orifice and temperature -ating. A fire protection system that has -jeer: shut off after an activation should be returned to service immediately. Inspect the entire system for damage and replace or repair as necessary. Sprinklers that did not operate but were subjected to corrosive elements of combustion or excessive temperatures should be inspected, and replaced if need be. The Authority Having Jurisdiction will detail minimum replacement requirements and regulations: Guarantee: Central Sprinkler Company will repair and/or replace any products found to be defective in material or workmanship within a period of one year from the date of shipment. Please refer to *he current Price List for further details of the warranty. Ordering Information Ordering Information: When placing an order, indicate the full product name. Please specify the quantity, model, style, orifice size, temperature rating, type of finish, escutcheon plate finish and sprinkler wrench. For special painted escutcheon finishes, the customer must provide quick -drying or lacquer -based paint to ensure proper color duplication. Without such a guide, Central Sprinkler Company cannot be responsible for acceptable color matching. Availability and Service: Central sprinklers, valves, accessories, and other products are available throughout the U.S. and Canada, and internationally through a network of Central Sprinkler distribution centers. You may write directly to Central Sprinkler Company, or call (215) 362- 0700 for the distributor nearest you. Central Sprinkler Company 451 N. Cannon Avenue, Lansdale, PA 19446 01993 Central Sp nkler Company Phone (215) 362-0700 Printed in U.SA FAX ' (215) 362-5385 Patents: Patents are pending. Conversion Table: 1 inch = 25.400 mm 1 foot = 0.3048 M 1 pound = 0.4536 kg 1 foot pound = 1.36 Nm 1 psi = 6.895 kpa = 0.0689 bar = 0.0703 kg/cm2 1 U.S. gallon = 3.785 dm3 = 3.785 liters Conversions are approximate. R-1 M.1 Grinnell C4 W J Q W N Z • .0 25 Bronze Spring Loaded Check Valve %'#-2" Figure No. 3600 w/Teflon Disc. Figure No. 3600SJ w/Teflon Disc Figure No. 3615 w/Buna-N Disc Figure No. 3615SJ w/Buna-N Disc 125 PSI Saturated Steam, with TFE Disc Buna-N Disc Rated at 250 PSI 250 PSI Non -Shock Cold Water, OII, or Gas Fluid Pressure, Non -Shock W.O.G. Figure No. 3600 Figure No. 3615 Threaded Grinnell check valves may be installed in vertical lines with upward flow or In any intermediate position. Do Not Use For Reciprocating Air Compressor Service. Do Not Use as a Footvalve. Q) Figure No. 3600SJ Figure No. 3615SJ Copper to Copper •,=ci3��+`v.''lv�__ .= f: _.�_... __ --_ .r, :�:. mow.._ .` `` ... ,. , � ._ _. _. - . . 41 aw �'T" e>�s�l>i Lfs� ': Ulinensfons — Weights Nominal Size Part Specification 1 • Body -Bronze ASTM B-584 Alloy C84400 2. Stem Stainless Steel ASTM A-582 Alloy S30300 3. Spring 316 Stainless Steel 4. Disc Holder Stainless Steel Type 301 S. Disc Teflon, Fig. 3600 5A. Disc Buna-N, Fig. 3615 6. Seat Ring Teflon 7. Seat Screw Stainless Steel ASTM A-276 Alloy S43000 S. Body End Bronze ASTM B-584 Alloy C84400 Nominal Size Dlmensions Approx. Net Wt. Fig. 3600 i pprox. NNat Wt. Fig.3600SJ A B °/a 2 13/8 17/1 r, .4 .4 1!: 21/16 13/e 13/,6 .4 .4 3/4 21/4 1% 15/16 .5 .5 1 25/e 2 11/z .8 .9 114 215/16 23/e 1"116 1.2 1.3 11h 35/16 23/4 2 1.6 1.9 2 33/4 33/a 25hr, 2.4 2.7 Unnneu Figure No. 3010 125# Bronze Gate Valve 1/4"-311 Figure No. 3010. SJ 1.25# Bronze Gate Valve 1/2"-3'r 125 PSI Saturated Stedm,- 200 PSI Non -Shock Cold water, Oil, or Gas t I i Rifing Stem, open t 1-1gure no. juju Threaded Cohlorms to kederal Specification: WW -V-54 Class A, Type 11 & MSS -SP -80 Screwed Rising S -Sol id Wedge.Disc,r ' Materla List Part Specificallon 1. Han wheal Nut Zinc Plated Steel with Approx.Approx. Net VA. Flt..101j .7 Clear Ch?omate A a 2. Idenlift,tion Plate Aluminum 3. Han wheel Aluminum ASTM 845 ill/or, Alloy A038M 4. Steril Silicon Bronze ASTM B-371 314 Alloy C69400 or B-99 Alloy 065100 HD4 5. Packing Nut Bronze ASTM B-62 or 1 13116 1'14 16/'6 1131's 1 "As A.7 2.4 3.3 5.0 j0.5' 15 .0 ASTM B -SM Alloy 084400 S. Packi, g Gland Bronze ASTM B-62 or 31he, I I ght, ASTM B-$84 Alloy C84400 41/s 148/1s 161/2 or ASTM B-292 or 13-16 T. Pacldng S. Bonnet 9. Body, 10. Wedge Bronze A$TM B-82 Bronze ASTM B-62 Bronze ASTM B-62 ite/ Figure No. 3010SJ Copper to Copper tem.. Dime s1i0-n­i---_Wtel'9fi1h Nominal Size 1/4t Dimensions Approx.Approx. Net VA. Flt..101j .7 %pt wt. fO.-3010si .6 .6 1.5 2.1 3.1 4.7 9.4 13.3 A a C "he I'V16 45/9 019 ,/at ill/or, Il't 11,116 47/6 314 I 2"ilo 73/j2 1 13116 1'14 16/'6 1131's 1 "As A.7 2.4 3.3 5.0 j0.5' 15 .0 11/' V/2 25/o 271a 81/* 91311, 2 31he, I I ght, 2111 3 41/s 148/1s 161/2 41/a a i 0 Z N r 3 -Way Globe Valves 1/4 1 nch Central Sprinkler Company 451 North Cannon Avenue, Lansdale, Pennsylvania 19446 Product Description The Central Model F17 3 -Way Bronze Globe Valves are designed for general service as shut-off, throttling, or drain valves. The Central Model F17 3 -Way Bronze Globe Valves provide positive shut-off under normal operating conditions. They are recommended for water service only. The Central Model F17 3 -Way Bronze Globe Valves are of cast bronze construction in strict accordance with ASTM B-62 specifications 85-5-5-5 for superior 2.45 corrosion resistance. The hand wheel is manufactured from cast iron materials to meet or exceed the requirements of Underwriters Laboratories, Inc., Factory Mutual, The American Water Works Association C-509 and ASTM A-126, Class B Standards. The Central Model F17 3 -Way Bronze Globe Valves are rated with cold water at 200 psi, non -shock for cold water service, and are tested twice, air under water for consistent quality. The Central Model F17 3 -Way Bronze Globe Valves have a soft rubber seat for tight shut-off under all operating conditions. (Mfg. Source: Non -Domestic) • 1.69 Bill of Materials Item Description Material Specification 1 Body Bronze ASTM B-62 2 Hand Wheel Cast Iron ASTM A -126-B 3 Hand Wheel Nut Steel Commercial 4 Packing Non -Asbestos Commercial 5 Packing Gland Brass ASTM B-16 6 Packing Nut Brass ASTM B-16 7 Stem Brass ASTM B-16 No. 27.3.0 mur rn T`RUW LINH. cant �d. 1 800 854-1015 FIRE SPRINKLER PRESSURE GAUGES US QUAGE, AMETEK • Use on wet or dry sprinkler systems! • Solid brass backed! • 114.E A .NTP -LM brass fitting; 3'/z" diameter • 300 lb./sq. in. Capacity ... @uSTED 'M APPROVEC VSR-SF (POTTER VANE TYPE WATERFLOW A FOR SMALL PIPE ALARM SWITCH WITH RETARD Patter Electric Signal Company Potter Electrlc Signal S Mfg. LTD 2081 Pralg Road • P.O. Sox 28480 1967 Leslie Street St. Louis, MO 63146.4161 Don Mills, Ontario, Canada M382M3 (314) 8784321 • (800) 325.3936 (416) 441.1833 STK. NO.1113000 io U.S. PAT. NO. 3921989, CANADIAN PAT, NO. 1009680 OTHER PATENTS PENDING. The Model VSR-SF is s vans type waterfiow switch for use on wet sprinkler systems that use 1". '1 1/44, or 1 1/2" pipe size. The unit may also be used as a sectional waterflow detector on large systems. The unit contains two single pole double throw snap action switches and an ad)ustable pneumatic retard. The switches are actuated when a now of 10 gallons per minute or more occurs downstream of the device. The flow condition must exist for a period of time necessary to overcome the selected retard period. i I INSTALLATION: These devices may be mourned In horizontal or ver" pipe. On horizontal pipe they should be installed on the top side of the pipe where they will be accessible. The units should not be Installed withln 8' of evolve, drain or fining which charges the direction of the waterflow. The unit has a 1" NPT tushing for threading Into a noncorrosive TEE. See Fig. 2 for proper TEE size, type and installation. ScrewthedeviceInto the TIRE fining asshown InFig. 2. Core mustbe taken to property orient the device for the direction of waterflow. UL. ULC, CSFM LISTED and NYMEA ACCEPTED Service Pressure: Up to 250 PSI Minimum Flow Rate for Alarm: 10 GPM Maximum Surge: 18 FPS Enclosure: Die-cast, red enamel flnish. Cover held In place with tamper resistant saraws Contact Ratings: Two sets of SPDT (Form C) 16.0 Amps at 12&250 VAC 2.0 Ampe at 0-30 VDC Conduit Entrances: Two Knockouts provided for tn" oonduh Usage. Usted Plastic, Copper and Schedule 40 Iron Pipe Fits pipe sizes - 1% 1 114', and 1 1/2' Note: 8 paddles are fumished with each unit. one for each pipe size of threaded or sweat TEE, one for 1" CPVC, and one for 1 1/2' polybutylene (CTS -Copper tubing size) Environmental Specifications: Suitable for Indoor or outdoor use with factory Installed gasket and die-cast housing NEMA 4 Rated Enclosure - use with appropriate eondufl flttng Temperature Range: 40' F/120' F (4.5' C/49' C) Caution: This device Is not intended for applications In expbaNs envlrommnts Sertvies Use: Automatic sprinkler NFPA-13 One at two family dwelling NFPA-130 Residential occupancy up to four stories NFPA-13R National Fire Alarm Code NFPA-72 Optional: Cover Tamper Swlbch, order Stk. No. 0090016 The vane must not rub the Inside of the TEE or bind In any way. The stern should nave freely when operated by hand. The device can also be used In copper or plasne pipe Installations with the proper adeptsts so that the specified TEE tilting may be Installed on the pipe run. INSPECTION AND TESTING: Check the operation of" unit by opening the Inspector test valve at the end of the sprinkler tine or the dram and test connection, If an Inspector's test valve Is not provided. If there are no provisions for testing the operation of the flow detection device on the system, spplleation of the VSR-9F Is not recommended or 'advisable The it"usnoy of the inspection and testing end he associated protective merit Wq system should be In accordance with the applicable NFPA Codes and Standards and/or authority hew4g lurtadt ton (manufacturer recommends quarterly or more frequently). CAUTION: There are 8 paddles furnished with each unit. These paddles have raised lettering that shows the pipe size and type of TEE that they are to be used with. The proper paddle IDu93 be used. The screw that holds the paddle must be securely tightened. SNOW PRINTED IN USA MKT. N00000a - REV I PAGE 1 CW 2 MFO. 09400M - W VSR-SF - POTTER e VANE TYPE WATERFLOW FOR SMALL PIPE SWITCH WITH RETARD FIG. 1 DO NOT LEAVE COVER I FIG. 2 OFF FOR EXTENDED RETARD ADJUSTMENT:TO PERIOD OF TIME CHANGE TIME. TURN KNOB (EITHER DIRECTION) FOR DESIRED TIME DELAY. USE THE MINIMUM AMOUNT OF RETARD NECESSARY TO PREVENT FALSE ALARMS. 0 A 'B' SETTING IS USUALLY ADEQUATE FOR THIS. FAC. TORY SET AT'S'.' DIRECTION OF I cWATERFLOW V \'moi OW0.164400737-31 CAUTION: THERE ARE B PADDLES FUR- NISHED WITH EACH UNIT. ONE FOR EACH SIZE OF THREADED, SWEAT OR PLASTIC 'TEE' AS DESCRIBED IN FIG. 2. THE PROPER PADDLE MUST BE USED. THE PADDLE MUST BE PROPERLY ATTACHED (SEE DRAWING THIS FIG.) AND THE SCREW THAT HOLDS THE PADDLE MUST BE SECURELY TIGHTENED. DIRECTION OF WATERFLOW O MOUNT SO ARROW ON BUSHING POINTS IN DIRECTION OF WATERFLOW 1' NPT THREADED FITTING ON ALL SIZES \ RUN OF THE TEE MAY BE �J1 THREADED OR SWEAT TYPE DWG. 15400802-30 CAUTION TO PREVENT LEAKAGE APPLY TEFLON TAPE SEALANT TO MALE THREADS ONLY. DO NOT USE ANY OTHER TYPE OF LUBRICANT OR SEALANT. IAPPROX RETARD SETTINGS ON SEC.) I 0 A B C D E 0 10-25 20-40 3S45 5C 70 60 GO FIG. S SWITCH TERMINAL CONNECTIONS CLAMPING PLATE TERMINAL ,NGOtA1NG OVA GOtNGd - DWG.15400710.31 SCREW THE DEVICE INTO THE 'TEE* FITTING AS SHOWN BELOW. CARE MUST BE TAKEN TO PROPERLY ORIENTATE THE DEVICE FOR THE DIRECTION OF THE WATER - FLOW. APPROX. 1 11/16" DWG. DWG. 16400735-33 IMPORTANT THE DEPTH TO THE INSIDE BOTTOM OF THE "TEE' SHOULD HAVE FOLLOWING DIMENSIONS: APPROX. DEPTH REQUIREMENT "TEE"SIZETHREADED DEPTH SWEAT CTS, POLYBUTYLENE CPUC 1' X 1' X 1' 2 1/18' 13/4' DWG. DWG. 16400735-33 IMPORTANT THE DEPTH TO THE INSIDE BOTTOM OF THE "TEE' SHOULD HAVE FOLLOWING DIMENSIONS: APPROX. DEPTH REQUIREMENT "TEE"SIZETHREADED SWEAT CTS, POLYBUTYLENE CPUC 1' X 1' X 1' 2 1/18' 13/4' WA 21/4* 1 1/4' X 1 1/4' X 1' 2 7/18' 2 7/16' WA WA 1 1/2' X 1 1/2' X 1' 2 11/18' 2114" 2 1/2' WA__f— I CAUTION AN UNINSULATED SECTION OF A SINGLE CONDUCTOR IS NOT PERMITTED TO BE LOOPED AROUND THE TERMINAL AND SERVE AS TWO SEPARATE CONNECTIONS. THE WIRE MUST BE SEVERED TO SERVE AS TWO SEPARATE CON- NECTIONS, THEREBY PROVIDING SUPERVISION OF THE CONNECTION IN THE EVENT THAT THE WIRE BECOMES DISLODGED FROM UNDER TERMINAL FIG. 4 TYPICAL ELECTRICAL CONNECTIONS LOCAL BELL TRANSFORMER OR BATTERY POWERED STYLE B / CLASS B (END OF LINE RESISTOR) CKT. (SEE NOTE) OPEN ON ALARM CLOSE ON ALARM OPEN ON CLOSE ON ALARM ALARM END OF LINE RESISTOR NOTE: FOR SUPERVISED Clq- SIGNALING DEVICE CUITS SEE *SWITCH TERMINAL SUPERVISED LOOP CONNECTIONS' DRAWING AND (SEE NOTE) CAUTION NOTE (FIG. 3). TYPICAL SWITCH ACTION / OPEN ON `fesJCLOSE ON ALARM r � ALARM FROM OPEN ON CLOSE ON CONTROL ALARM ALARM PA14EL i TO ADDT DEVICES OR RETURN TO CONTROL DWG. /6400761-15 NOTE: The Model VSR-SF has two switches, one can be used to operate a central station, proprietary or remote signaling unit, while the other contact is used to operate a local audible or visual annunciator. .k TESTING The Frequency of testing for the model VSR-SF and its associated protective monitoring system should be in accordance with applicable NFPA Standards and/or the authority having jurisdiction, but under no circumstances less than bi-monthly. BULLETIN 802 PAGE 2 OF 2 PRINTED IN USA P -QELLS ® �._ , PBA AC &PBD -DC Potter Electric Signal Company Potter Electric Signal & Mfg. LTD 2081 Craig Rd.,/P.O. Box 28480 1967 Leslie Street St. Louis, MO 63146 Don Mills, Ontario, Canada M3B2M3 (314)878-4321 / (800) 325-3936 (416) 441-1833 UL LISTED, FM APPROVED 6" BELL SHOWN Sizes Available: 6", 8", and 10" Voltages Available: 24VAC 120VAC 12VDC (10.2 to 15.6) Polarized 24VDC (20.4 to 31.2) Polarized Service Use: Fire Alarm General Signaling Burglar Alarm Environment: Indoor or Outdoor Use (See Note 1) -400 to 150°F (outdoor use require weatherproof backbox) Termination: 4 No. 18 AWG stranded wires Finish: Red powder coating Optional: Model BBK-1 weatherproof backbox These vibrating type bells are designed for use as fire, burglar, or general signaling devices. They have low power consumption and high decibel ratings. The unit mounts on a standard 4" square electrical box for indoor use, or on a model BBK-1 weatherproof backbox for outdoor applications. ALL DC BELLS ARE POLARIZED AND HAVE BUILT-IN TRANSIENT PROTECTION: SIZE VOLTAGE MODEL NO. STOCK NO. CURRENT (MAX) TYPICAL dB ® 10 FT. MINIMUM dB @ 10 FT. 6 12VDC PBD126 1706012 .12A 85 75 8 12VDC PBD128 1708012 .12A 90 75 10 12VDC PBD1210 1710012 .12A 92 75 6 24VDC PBD246 1706024 .06A 87 75 8 24VDC PBD248 1708024 .06A 91 79 10 24VDC PBD2410 1710024 .06A 94 79 6 24VAC PBA246 1806024 .17A 91 75 8 24VAC PSA248 1808024 .17A 94 75 10 24VAC PBA2410 1810024 .17A 94 75 6 120VAC PBA1206 1806120 OSA 92 82 8 120VAC PBA1208 1808120 .05A 99 82' 10 120VAC PBA12010 1810120 .05A 99 85 Weatherproof backbox model BBK-1 Stk. No. 1500001. Notes: 1. Minimum dB ratings are calculated from integrated sound pressure measurements made at Underwriters Laboratories as specified in UL Standard 464. UL temperature range is •30° to 150°F. 2. Typical dB ratings are calculated from measurements made with a conventional sound level meter and are indicative of output levels in an actual installation PRINTED IN USA MKT. 88850001- REV K PAGE 1 OF 2 MFG. 85400776 - 4/94 Ball Valves Standard Port 150 PSI Saturated Steam 400 W.O.G. Central Sprinkler Company 451 North Cannon Avenue, Lansdale, Pennsylvania 19446 E� Product Description The Central Model F19 Ball Valves are recommended primarily for shut- off service or throttling flow where desired. Central Ball Valves are of high-quality construction and are rated at 150 psi with saturated steam, 400 psi with water, oil or gas, non - shock, well in excess of normal operating requirements in fire protection service. The Central Model F19 Ball Valves are constructed of forged brass which ensures that there are no pin holes which may occur in alternate processes. A large port size ensures good flow characteristics. Teflon' seats ensure smooth operation under normal operating conditions. Each Ball Valve is tested twice with air under water to assure consistent quality. Central Ball Valves include a vinyl covered handle for a comfortable, smooth grip. (Mfg. Source: Non - Domestic) fall Valves. Dimensions (inches) Nom. Size A B C Bore ,Size (D) '/<" 1.65 ' 1.50 3.31 0.320 '/z" 1.90 :1.60 3.31 0.396 3/<" . 2.20 ' 1.70 3.31 0.591 1. 2.64 2.01 4.65 0.787 1'/<" 3.00 2.17 4.65 1.050 1'/i" 3.35 ; 2.60 5.28 1.260 2" 3.82 :2.80 5.28 1.500 `Teflon is a trademark of the DuPont Corp. No. 27.4.0 Sprinkler Head Cabinet Central Sprinkler Company 451 North Cannon Avenue, Lansdale, Pennsylvania 19446 ProductTechnical Description fla Data Central Sprinkler Head Cabinets Model: Sprinkler Head Cabinet are constructed of a metal enclosure Style: 6 head or 12 head with a triple -hinged cover designed to provide on-site storage of an emergency supply of sprinkler heads and a sprinkler head wrench. NFPA 13 requires a representative number of each type of sprinkler head used in a sprinkler system to be stored in a cabinet on-site to allow for immediate removal and replacement of sprinklers which may have operated or become damaged. Standard Finish: Red enamel Mfgr. Source: Non -domestic - Capacity: 6 sprinkler heads 12 sprinkler heads Dimensions: —6 head - 5" high x 14" long x 3 114" deep 12 head - 5" high x 14" long z 4" deep _Central S�rinkler_Head Cabinets Weight: 6 head - 2.3 lbs. are manufactured of heavy gauge 12 head - 3.5 lbs steel with knock -outs to accommodate either 1/2" or 3/4'_ N.P.T. threaded sprinkler heads and are painted an attractive red enamel. They are available in six (6) or twelve (12) head capacity. is � ......� .. .... ...::......:: _`�::.- . Close -Coupled pelf -Priming APPLICATIONS . Specifically designed for the fallowing uses:. • Lawn Sprinkling`'== • irrigation - Air Conditioning Systems - Heat Pumps �'- - Water'Transfer SPECIFICATIONS �. R - ties ..0 4`GPM %Pleads: to 127 feet •' Reprime capabilities: to 25' suction lift • Pipe connections: MODEL SUCTION DISCHARGE XSH07 1,A• XSH10 XSH15 1 %:- XSH2O T XSH30 • Temperature: 160' F, (71 g C) maximum. • Rotation: right band ie; clockwise when viewed from motor end. Motor. • NEMA Standard, Open Drip Proof • 60Hz,3500 RPM • Stainless Steel Shaft Single Phase: %-2 HP, 115/230 V; 3 HP, 230 V only. Built-in overload with Automatic Reset. • Capacitor Type - • Three Ph;be: 2 and 3 HP, 230/460 V. Overload protection must be provided in starter unit. Starter and Heaters (3) must be ordered separately. FEATURES Self -Priming Design: Water is retained in the casing while the pump dispels air. Once primed, this pump stays primed. Impeller: 20% glass filled thermo- plastic (Norylr) on 3/.-2 HP Models. Bronze impeller on 3 HP Models. Enclosed design for high efficiencies. Threaded directly on motor shaft: Casings: Cast iron construction. 4 bolt, back pull out design. Tapped openings provided for vacuum gauge and casing drain. Pumps XS,H Mechanical Seal: Carbon/ ceramic faces, BUNA elastomers, 300 Series stainless steel metal parts. Exclusive casing design prevents the seal from running dry. Motor: Designed for continuous operation. All ratings are within the working limits of the motor. Corrosion -resistant Coating: "Electro -coat paint process applier inside and out, and baked on. SELF -PRIMING water recircutates out outing re -priming Arrows snow lio. operation only water after an nil tAir is ennausteo from 11 peen e[nauaen i, suction line tnru suction tine oiscnarge nice 0 1991 Goulds Pumps, Inc. Effective A: I METERS FEET 35 30 25 D Q W -J 20 O H 15 10F uGOULDS PUMPS. INC. 5EN6ce FALLS NEW vOar :31/ MODEL XSH10 S(7F 11/9 x I% 5 L u 4 is 1Z lb 20 24 28 32 36 40 44 48 52 56 60 G PM I i , 0 2 4 6 8 10 12 M3 /h m1WS Goulds Pumps. Inc. CAPACITY Effective January 15. 1985 JUNE, 1980 Supersedes page P3 PUMPTROLO PRESSURE SWITCHES Dated 3176 TYPE FSG ' I . MORE ABOUT THE PUMPTROL PRESSURE SWITCH WITH FORM M4 LOW PRESSURE CUT-OFF. ?� The Class 9013 type FSG Form M4 switch includes all the features of the standard type FSG Pumptrol pressure switch. In addition, the Form M4 low pressure cut-off. feature aids in preserving the life of the pump. When pressure in the system drops to approximately 10 P.S.I. below the set cut -in point for any reason, such as a low water condition, the switch will open to tum off the pump. * When the condition has been relieved. the manual lever is turned to the start position and, if pressure is restored while holding there, the switch resumes normal operation.. The Form M4 manual lever also has an off position for com- plete pump shutdown. 1 ,-OFF IMPORTANT: The cut -in point must not be set lower than 19 P.S.L. consequently. the cut-out point on rising pressure must not be lower than 30 P.S.I. Electrical Rai ' trngs — See preceding page. 1 NOTE: Form M4 is not available on FYG types. * Example: Switch set 20-40, low water cut-out = 10 approx. TYW FSG. Fom GS tae (show.,to comontatfon of Pitot Ugta and Switch set 30-50: lows water cut-out = 2(1 approx Low Pressure cut -oft f toctit"mm) Switch set 40-60. low water cut -rut = lff appiox FOR PRICES AND ORDERING INFORMATION SEE PRECEDING PAGES =ICY 3.93 0 100 2. 711 14-O CID I Z z o. LJ Z a o rl C U I. i + CVF J1 I � f 30 1.19 a SWNG RADWS IS 228 N. It"m FS62.Fmm 44 UNDERWRITERS LABORATORIES LISTED f eounaaD Coaonar I 2.0511.39 52 � 35 y' Mechanically -,activated switch designed to directly control pumps and activate pump control panels, alarn)s, solenoids, and relays. us. n,me t+.& seneot a s,twta e © � _ _ 0 ...r� rr.r tti.ert Applications SJE PumpMaster• pumpicontrol switch provides automatic control of pumps in water and sewage applications: Because this switch is not sensitive to rotation or turbulence, it can be useti in both calm and turbulent applications. The WE PumpMastel'a can also be used as a pilot duty control switch to reliably monitor liquid levels in sewage and water applications. Contact WE regarding specific intrinsically safe applications. Cable: flexible 16 gauge, 2 conductor SJOW A (UL), SJOW (CSA), water-resistant, neoprene (CPE) Floats 3.05 inch diameter x 3.56 inch long (7.75 cm x 9.07 cm), impact resistant, non -corrosive, PVC plastic for use in liquids up to 140°F (6( C). Pump switch Electrical: Voltage 60RZ, Maaiasam Pomp Locked Rotor$ Rtenmmandsd Single Phase Running Current Amps pump HP 120 VAC 13 amps 43 amps Ill tell or less 230 VAr. 13 am 83 amps 1 err at leg '7istal sa (JL30o end,uvid Caawl Pq�iymMt Control Switch Electricals Maximum Cnrrene 13 Ampa Lower Ludt: 12 VAC / 30 milliamps Note: This Switch must be uycd with pumps that provide integral thermal overload protection. 0.SJE 273/ Features • Heavy-duty contacts • UL Listed for use in water and sewage • CSA Certified • Two-year limited warranty Pump switch: • Controls pumps up to 1/2 HP at 120 V and 1 HP at 230 V • Adjustable pumping range of 7 to 36 inches Central Switdks • Provides pilot duty action with on-off differential as low as 3.5 inches above or below horizontal Options This switch is available: • in standard cable lengths of 10, 15, 20, or 30 feet Pump switch: • for pump down or pump up applications • with a 120 V or 230 V piggy -back plug • without a plug for direct wiring in 120 V or 230 V applications • with standard mounting strap Control Swlteh: (order without plug option) • for normally open or normally closed applications • with two mounting options (mounting strap or cable weight) Pump Down / Normally Open / OFF position contacts open c steel iiaII :: �-,;:�..1•y <,►x.Lai `;.• r `Qlt/.�Pi•ramp Pump Vp / Normally Open / ON posiilon contacts closed oNofE ramp - 7 - ; �� eteel.ball ROTOTECH lmdmstrirss 201 CARLISLE COOS BAY, OREGON 97420 (503) 267-4804- (800) 67-4804(800) 835-0652 FAX (503) 267-4848 500 PREMIUM 500 HEAVY DUTY This model is being offered in Premium Grade and Heavy Duty Grade. It comes with four 1 �" pipe thread fittings for inlet and discharge needs. It has a 20" manhole with a removable cover for maintenance needs. It has built-in U.V. stabilizers to protect against sunlight rays. It is a dark color to control algae growth. It also is made with FDA material for potable water and food handling needs. This tank is free standing. It need, no support system. 20" Manhole Diameter CAPACITY: 500 gallons INSTALLATION INSTRUCTIONS: Read carei.011. ! FEATURES: • THE RTI 500 HAS A LIFETIME WARRANTY. SHE RT! 500 IS EASY TO CLEAN - ,.NOTHING STICKS TO POLYETHYLENE". • THE RT! 500 IS A ONE-PIECE LEAKPROOF TANK. • THE RTI 500 CAN BE TRANSPORTED IN ANY FULL SIZE PICK-UP. • THE RTI 500 IS LIGHTWEIGHT AND EASY TO INSTALL. The ROTO TECH potable water tank can be installed either above or below ground. = • ' • AS WITH EVERY INSTALLATION, IT IS IMPORTANT TO PLACE THE TANK ON A LEVEL, W: COMPACTED SURFACE. IN ALL CASES THE TANK BASE MUST BE PROTECTED FROM EROSION BY WATER 1" WIND. A SHADY LOCATION IS BEST TO PREVENT UNNECESSARY WATER WARMING BY SUNLIGHT. • ' •� IT IS NOT RECOMMENDED THAT THE TOP OF THE TANK BE INSTALLED LOWER THAN GROUT. EVEL. MAKE SURE THE HOLE IS LARGE ENOUGH 10 BACKFILL soi IF.)LY WITH GRANULATED MATERIAL.(I. '-)IDS). YOU MUST FILL THE TANK WITH WATER BEFORE BACKFILLING.,. TO PREVENT ACCIDENTAL DAMAG: ". LOW GROUND TANKS CAN BE BURIED TO THE RIM. DO NOT BACK FILL OVER THE DOME. IT IS W �IF:c;OMMENDED THAT THIS TANK BE INSTALLED UNDER VEHICULAR TRAFFIC AREAS. • • • z •fici.• SPECIFICATIONS: • DIAMETER = 46 INCHES • MANHOLE DIAMETER = 20 INCHES • HEIGHT = 79 INCHES • WEIGHT (EMPTY) • PLUMBED WITH FOUR -I� INCH PIPE FITTINGS PREMIUM = 100 LBS HEAVY DUTY - 150 LBS For,ill your plastic tan►. „, J:.1: INt)liti'CKI1:S. RESIDENTIAL 027-360-201 PERMIT#97-2173 PERMIT No,' ISRAELSKY, Merle 135 Four Junes Way, Oro ville PERMIT EXPI ,Cont: Quality Const. New Single Family // Zo P 8� ' OWNER CONTR. ASSESSOR PARCEL - -—LOCATION y k C L • r 46, 1Nsp 4r {tA.d i,rof, arree ,ti,, 'Temp. Power Pole OFFICE COPY Called PG&E j. Address Temp. Elec. Seryl` GAS 2 Meter By Date�� Called PG&E EL I Meer By Date - Temp. Gas Servic( ri Called PG&E JOB FINALED (Date) ✓ �� �� �- '� Signature V=OK O = Not OK Not '=Not Realdyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) 0'- K1. Cana B-1 Date Cana B-1 1.Zoning Requirements - Setbacks - Easements MOBILE HOME INSTALLATION (Plans) OK except #'s 2. Soils; Special MH Support Sketch - 1. Zoning Requirements- Setbacks Easements .� 3. Sewer Location -Test -Fall -C/O -Concrete w' 2. Footings; Sbe.Spacng-Marriage Line 4. Water; Location -Lest -Easement Needed (Sketch) 3. Gas; MH Test-Demand-ValveConnector 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 4. Electricity; MH Test-Crossovem-Breakers-Clearances 6. Gas; Location -Test -Wrap; / /'LYL / /Nat or/ /°L'tL/ /LPG 5. Drain; MH Test -Fall -Flex Connector 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Data Card B-1 Date Cana B-1 Date Cana B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements .� 2. Footings; Sbe.Spacng-Marriage Line 3. Gas; MH Test-Demand-ValveConnector 4. Electricity; MH Test-Crossovem-Breakers-Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SCIsSize-DepthSpacng-ConnectorsSteO 3. Decks; Girders and/or Jcsts4)ecking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplic Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frn g.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing-VeneerStucco-Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps-Doors-t-andings 12. Braced Wall, Panels Date Card B-1 Date Cana B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/8 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pod Lghtg. Bams-EnclosuresPanelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test -, 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = Or, r O = Not OK - = Not Applicable = Not Ready X. Date UNDERFLOOR (Plans) OK except 1. ZoningSetbacks-Easments-FloodSlope F., Main; Soils-Elec. Gmd. / C Ftg. Depth L.-T-Ftg. Garage; SoilsSteel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ i Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts- Wrapped RESIDENTIAL (Single & Duplex) #s I Date -�-AMII 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Fjo d Downs and Special Anchors ;J'�Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel tj/9. D.W.V.; Fall -Fitting -Test 2 Way Sewer Tid 12.,okfrGas Pipe; Size Anchors -Yard Gas Piping; Size Test hater Pipe; Test Anchors-AnchorsTest 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Orippies 15. Access & Ventilation 16. Insulation Date ./Y- J Card B- Date Card B-1 Date Card B-1 Date Card B-1 Date' PLUMBIN P r excepts _ iter Htr; V �s ustion _1fW^,0W Pipe; 20.'Shower Pan; Test, First Floor -Tub -Access 21. �ub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors Date / Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date _,000' ELECTRICAL (Permit) OK except #'s 23. Fixk1re & Transformer Clearance -Ins. Protection & Switches at Doors & No. of Conductors 26lRopeft 1lnstalled Close to Edge of Studs & C.J. WoTgyi round made up w/Mech Fastners-Bond Gas & Water AoDliance Circuts in Kitchen & Conductor Size GFI `,WC29.;&bfeed Wire Size / /ga. Cu or AI-A.C. Wire Size/ / ga Cu or Al i 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Cloth Closet Light -Shower Light -Spa Light moke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date JWCHANICAL• (Permit) OK except #a JC�B6cts Insulation & Support Vent Fan, Exhaust above insulation 'Je37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access-C9mb. Air -Return Air Vent 115 outlet it Furnace in Attic Card B-1 MJ-/_ Date Card B-1 Date SpAds-1_ Date 1-1 Card B-1 Date _ FRAMING (PI OK exc #is ells S ds -Nailing Spacing & Braces -Plates -Sound B ng Walls over Girders & Floor Nailing Dra top in Walls (rat proof) 0.1fire StoDS. Furred Ceilings -Stairs -Chasers -Tubs Headers & Beamsaze & Bearing Joist-Rftr. ice Ties or 38�!gw. Windows or Exiting Doors -Sill Hgt. & Dimensi8fis ,Garage Fire Protection Framing e irewall & Openings 9W'Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits n ling -Fire Protection on Roof Overhang -Attic Vents -Rafter Outriggers $ iding-Nailinq Veneer Vents-Underflr. Access 59. Shear VOM Nailing -Bolts l 60. Ek Interior / ExtehoIVVIATI Panels Date( Card B-1 iI?,* Date ,--9 Q! j qr-C66 B-1 Date rd B-1 Date A Card B-1 Date FINAL (Plans) OK except #'s i t Steps -Door & Sidelight Protection -landings Smoke Detector Furnace; Vents -Clearance -Comb, Air-Conector- [. Garage; Above Floor -Ducts -Meeh. Protection y6ed'room Exiting 0.1. & Bath Fixtures & Tub Access -Spa \.A'$. Elec. Trim & Subpanel, Breaker Sizes & Labels -4tp8 airs & Rails _ f Weplace or Stove, Clearance -Hearth .i�lec. Outlets at Wood Panel, Int. & Ext. 172 JOCIFixt. & Appliance; Ground. -Air Gap -Cooking Clearance Outlets & Receticales at Kit. Counter age Fire Door; Swing -Landing -Closure 1,7ie' A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. I I )-Garage; Above Floor-Mech. Protection yRltr-Elec. & Mech. Equip. Listed for Location 7. Receptacles in Garage (G.F.I.)-Romex Protection ���fnsulation-Foam-Looked in Attic 80. Guard rails & Deck Construction -Post Caps BfF�n-VBents 8 Crawl Hole Door Drainage &Wood -Earth Clearance Looked under Floor 0 Yes _�� Following Instld./Drive 0 Yes B99o/Walks Q Yes g+ t'To/Planters 0 Yes Bio -ceO Brown -Finish 84. _ .0 Unit Disconnect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Wel isconnect, Electrical, Plumbing Exteri lec. Trim, G.F.I. Receptacle -Underground lation Throught House §a,.4151ass Protection i 90. Corecti0from Previous Inspections 91. GasQ st-Meters Tagged, Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval I nergy Compliance Certificate -Other Certificates .r- Date Card B-1 Date Card B-1 Date 9� �$ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: R e _ COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMEW SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE PERMIT NO. A routine inspec ' vindicates that the following violations of Butte County Ordinances exist at the above ress and should be corrected. Please notify this office when correction of work is comp ed. If you have any questions pertaining to this matter, or need additional explanation, p eas fo�ntaact%Jthis office immediately. Date ,`7�,�� Inspector REV 10/92 ti R Date ,`7�,�� Inspector REV 10/92 i COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES * 411 Main Street, Chico, CA - (916) 891-2751 e 7 County Center.Drive, Oroville, CA - (916) 538-7541 3 CORRECTION NOTICE ' O NER PERMIT NO. )` A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date— f f —9V Inspector REV 10/92 r � �= COUNTY OF BUTTE BUILDING DIVISION ' DEPARTMENT OF DEVELOPMENT SERVICES - 411 Main Street, Chico, CA - (916) 891-2751 -' 7 County Center Drive,`Oroville, CA - (916) 538-7541 t CORRECTION NOTICE 73 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. F f Date e REV 10/92 V J r00 -&W/ rC aTs D/ OwU a- �_�/- n ,nn � r �t D+ r c& a d 1"D i" e x w i f 6i:4/ 6� eA114- L ac e ,PSS e//lLliv�a�� c-VQru 4*r./.1.� ..� t 7 Inspector &S51f ( Y7 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754t-���/P�gJvJNO. (Rev. 12/96) APPLICATION AND PERMIT //// ASSESSOR PARCEL NUMBER 027-360-201 ZONING A5 BUILDING PERMIT OWNER MERLE ISRAELSKY TELEPHONE SO. FT. OCC. BUILDING VALUATION 1487 80, 298.00 OWNERS MAILING ADDRESS 480 SILVERLEAF DR OROVILLE 484 U 8,712.00 CONTRACTOR'S NAME QUALITY CONSTRUCTION 534 TELEPHONE 6J489 169 C 2 ,197.00 CGNTRACTORS_�.4A-11J ADDRO�K VALE CONSTRUCTION LENDER Fireplace A 1,500.00 LENDER'S MAILING ADDRESS Total Valuation $ 92,707.00 ARCHITECT OR ENGINEER LICENSE NO. -FilingFee $ 20.00 Permit Fee $ 608.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 395.20 BUILDING ADDRESS LEEPARCEL Energy Plan Checking Fee $ 23.00 PERMIT FEE $ 1046.20 LOT NO. SUBON,S11P!Mi MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other ( SPECIFY Each Trap 81 7.00 56.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 15.00 TYPE OF WORK New JDX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 3 RFT)RnnM HOME.Mobile Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 1,5.00 15.00 Home S G W @20!00 PERMIT FEE $ 136.00 ELECTRICAL PERMIT Fling Fee 20.00 LEs Main Service zooseoov, oR s oR LEss 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In II force and effect.2 License Class Lic. No. 3�� a OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service To 46.00so WEE200A CCU000A NEW CONST. DWELLING OCCUP. SO (� OR ADDNS. ( a ACC. BLDS. 3.50,T.NEWCONS 68.9. NON•R SIDT gUCI OCUT UMTS 97.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES zo p ,.00 BAL Q .50 Ex. Occup. ouiELETS RES,D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ $$.99 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating15 , QQ Coolin 15.00 Hood 6.50 0 Ventilation 9.00 PERMIT FEE $ 65 90 Policy Number 5 5;f , - (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the compen w kers' sation provisions of section 3700 of the Labor Code, I shall f hwi h comply i those provisions. G (21tX _ Date _% _ Signatureof App Icant - ❑Owner Contractor ❑AgentAn OSHA permit is required for excava ons over 5'0"deep and demolition or constructionof structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46,00 occ CONST. TYPE OTAL FEE $ 1382.69 HAZ. p. F IMP F PARC Pp ISSUE This permit is hereby issued under the applicable provisions y Code and/or Resolutions to do work o*eve inwhich fees have been paid. BD e 7 PERMIT EXPIRES ON I fDe Receipt No. 224$17 - 6$3.50 % WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT z (Rev. 12/96) �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 97 2L -7 � ASSESSOR PARCEL NUMB Ei D ^ U �+ ZONING BUILDING PER IST Z • OWNER TELEPHONE SO, FT, OCC. BUILDING VALUATIO OWNERS MAILING ADDRESS L U Ll 9 V 714a� CONTRACTOR'S NAME TELEPHONE .� t O 7. Li V' CONTRACTORS MAID ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 12 tX'$ 1 ,5 ARCHITECT OR ENGINEERS MAKING ADDRESS Plan Checking Fee $ 0415 BUILDING ADDRESS . �-� ` , 12 Energy Plan Checking Fee $ 23- ^ PERMIT FEE PLUMBING PERMIT $ Fling Fee 20.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other • SPECIFY Each Trap 7.00 S Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New 12/Addition ❑ Remodel ❑ LIfilifiesA0 Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 / Building sewer 15.00 / Mobile Home I S I G W @20.00 PERMIT FEE S / (o d ELECTRICAL PERMIT Filing Fee 20.00 Main Service noon OR mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter , 9 (commencing wrth Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project.91 ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60• deep and demolition or construction of structures over 3 stories in heig . Main Service 200A TO IOOOA 46.00 NEW CONST. DWELLING OCCUP. °. OR ( & ACC. SMS.3.5¢s cDNS. WEW NOWRESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FD=RES eAL a �.w Ex. Occup.GFuc�E�°TS N ' o2, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT 'FEE MECHANICAL PERMIT Filing"Fee- 20.00 Heating / Cooling/ Hood 6.50 (o g Ventilation () O PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE OTAI- FEE $ "Az FEES IMP D DF . pgRC pp ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable pr sions Resolutions to do work been paid. Date _ /Date) , ReceiptNo. 3 WHITE-D.D.S.-B.D. C ARY- ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i 0 COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATASHEET A.,P. . No:9 -2 _2Z.,0 ^�t, Building Inspector e' Date/ ""7 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. F 2 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 . ......................1 Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehom"adanuf c re�r s i tallation instructions, 2 sets. . 10. Fees of`1, 7 .................................. . 11. Impact fees as shown on attached schedule. . 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood d) ba{ California Engineer. .. 14. Sanitation and plot plan approval dv Health Department. ........... f� 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). . . Pre4nspedion request 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 . . . d4. 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. Pla check list. ... ................................................. . 34. Whenyou issue the ermit, proFe�-s as follows: Mail oy;�ner Mail to contractor. t/ Telephone [Q�{ 7and hold for pickup at �,�. er office. Deliver with inspector. Other Parcel Creation 9,7 Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior o it iss an &Ie nwit not checked above). 1. Index permit for above items No. 2. Additional items required: - Q 1;>_ s Cn v�GKrr t�r'I C ntractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date c Contractor, designed of above required data by _ phone _ mail ou ter by _ Date Plans checked by Date /0"13'9 Plans approved by Date _n7= owner a e'ZD Sets of plans on hold in File cabinet AP folder -4- "' ' Copy - Department of Public Works qw: _r / J'de7nt A01: TO; Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location Plan Approved for ewa Qj,* " s a I Water Supply: Public Clearance for dwe iN rig. Other Environmental Health Sr ist E.H. USE ONL Plot Plan Attached Floor Plan Attached Sent to B.D.— AP# • Private Well Date ���^'7•'3lP`\1�''st�'�ii{yy.t`�'4�'Ary'>.`7�e'+.�MgwrSe'f,n9"'�s�°+`7"+..:w»:uphl'LPi.':rvrr *eit�..1.w-,. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOS D BUILDING USE J9 1. BUILDING PERMIT FEES -- Balance Due ................$ -- Additional Fees Due .......... `. $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ...... Q L 2. SCHOOL DISTRICT FEES U L (paid at District Office) ' 3. SHERIFF FEES (paid at Building Division) Residential ......... x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK 89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # 7 -- 3�D DATE `' l REC # DATE REC 7 le -7 At time of permit application, I was advised the above fees are required to be paid prior to issuance of. the . building permit. Rese fees m y be changed during the plan checking process. APPLICANT DATE Original -Owner Copy -Building Div. (Rev. 12/96) 0 0 —V•:,.�'--.�rr,.^rfi-�Y-�.,�c-w--�:ti��, �:�i�.,!'._. � ;ww•;:.-cr:.r;-.:+t.-.,., �: ;.�r.„r:..�,i.,--"h.?.r.,.�,,�.a�r.,.'--��--�-/�:.�;""'--- ----_ .fir ., 10 1 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM Q a 7 _ � ; a - 13F (One form per Building)J� aha- School District/ l/!) �( Building Department No. A.P. Number Dc -7 360-' r Jurisdiction: City County Property Owner e L C_ �- s Property Location/Address �_ �-Q U Subdivision Lot No. Residential Development F 1_1 Sq. Footage No of Living - Mobile Home Addition (Group R) Units Installation Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) 7 -- 7 Buil ing Department Representative Date (Floor Plans reviewed by School District Personnel) is rict Identification No. 980058 . _ , 6StreeAd ress) (City) has c mplied with the representing School District Repres Paid by Check # School District certifies tha(/ .XJ[ /�(/J ��[/,(j plicant) (Phon Number) tate) (Zip Code) of Resolution No. /(/� a by payment of $ ol/ square feet.Jw• B 2926 $ ULL MITIGATI S Date Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the Distri , in compliance with Government Code Section 660201x), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) ,ti feeform.xis (2/97)dmm IT LAND DEVELOPMENT - BUILDING PERMIT CLEARANCE Building Permit No. l 3-- /5 5y OWNERS ' 1 A.P. _ NAME: ' �rQ �I rS II l/v V1'VO r14 NUMBER: c�69O a© 1 PRINT LAST NAME FIRST COUNTY ZONING�/ DESIGNATION: FLOOD ZONE: ✓� FLOOD MAP: APPROVED: CONDITIONALLY APPROVED: X RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS DATE OF CREATION: LEGAL ACCESS PROVIDED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION COMMENTS/CONDITIONS: DEED REFERENCE: LEGAL ACCESS REQUIRED: YES NO YES NO PARCEL CREATION BY MAP ' Zn, 3 A,—,tL'E5 - DATE OF RECORDING Z Z�3�5Z LOT BOOK / S— PAGE v�0 "S2 COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. X1. Maintain a 50 ft. building setback from centerline of road. (Foule �Tjl-&s 2. Maintain a building setback from right-of-way/centerline of 3. Pay water tender fees in the amount of $ to Battalion Number 3 of the Butte County Fire Department. X4. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. _( 5. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ !� 6. Maintain a 100 ft. leachfield setback from all existing wells. 1 X 7. Maintain a ft. leachfield setback from Q %ZAr-/ IV A-4- 6 INA -,--S 61:!- 8. /C 8. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. 9. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. 10. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 1 1. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. 412. 50 ' No o6yel oPAJ,6NT Z -otie A-2oy1,jP? Fg ROT11/2-6S SWV tdAl !AI 1, > 4 A-EvL�oGr M L -V rE - 112 80 7. 1127 - CHECK APPROPRIATE REQUIREMENTS YES OR NO OR CONDITION NUMBER. LD 12194 - CAWP51\F0RMS.K\BLDGPERM.CLR er 13• &©° PIw 4 ro gr"���rS Nor�T L4� (oDl l°/�'92C�C. .off .juqjudol9 LOERKE INSULATION CO., INC. INSULATION CERTIFICATE 135 Four Junes Way Oroville um ber and btreet- City County Subdivision Lot Number DESCRIPTION OF INSTALLATION r 1. ROOF Material Brand Name Thickness (inches) r Thermal Resistance (R -Value) 2. CEILING Batt or Blanket Type Fiberglass Batts Brand Name Schuller Int. Thickness (inches) 13" Thermal Resistance (R -Value) R38 Loose Fill Type Fiberglass Brand Name Schuller Int Contractor/s min. installed weight/ft sq. .659 Jb. Minimum Thickness 16.25 inches. Manufacturer's installed weight per square foot to achieve Thermal Resistance (R Value) R38 3. EXTERIOR WALL Material Fiberglass Batts Thickness (inches) 3.5"/6.75" 4. RAISED FLOOR r. Material Fiberglass Batts Thickness (inches) 5. SLAB FLOOR / PERIMETER Material Thickness Perimeter Insulation Depth (inches) 6. FOUNDATION WALL Material Thickness (inches)— DECLARATION Brand Name Schuller Int Thermal Resistance (R -Value) R15/R19 Brand Name Schuller Int Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thermal:Resistance (R -Value) I hereby certify that the above insulation was installed in the building'at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24,Part 6, California Code of Regulations) as indicated on the certificate of compliance, where applicable. C.L.#499150LOERKE INSULATION CO., INC. Its— ignature, ate �p Installing Subcontractor Co. Name) Or J"� General Contractor (Co. Name) Or Owner Item #s Signature, Date Installing Subcontractor Co. ame Or General Contractor (Co.Name) Or Owner Item #s Signature, Date Installing Subcontract (Co. Name Or General Contractor Co. (Name Or Owner `'.+,j�+u`: 1..'a,tt ,.� i�r=��"�`��,+`a`1+.'�i�+""'"ti„"S"�".i%[Fr�"""�-•:�ftv.wr*�:.;«�..'rr•r.•.+w,�e^,k+�.:p^"!vr:lx7 h�«^ti-r�..F�F:,r•'�-�, �.,� � � BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Building Department No. A.P. Number 4() –2–Of Jurisdiction: City County Property Owner A A _ k `/ Property Location/Address Subdivision Lot No Residential Development No of Living Mobile Home Addition Units Installation Commercial/Industrial New Addition Building (Floor Plans reviewed by School DistNct Identification School,,District certifies that :4,, JUA (City) has complied with the requir-enTe—nts of Resolution No. representin square feet. School District Paid by Check # Remarks: Personnel) Sq. Footage G ( roup R) Sq. Footage (Including Exterior Roofed Areas) Dat LT Lai I (Applicant) (Phone Number) .eri (State) (Zip Code) Di (� by payment of S i F15i26 $ ULL MITIGATION $ Date ' r W Notice: You may protest the imposition of the fees identified above by submitting a written protesVo the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQAI, this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm 1 5ZZ P` X, a J17 1, ' FIRE SPRINKLER INSTALLATION AND SUPPLY SYSTEM SHALL COMPLY WITH NFPA-13D. 2. TANK FLOAT SWITCH MUST BE SET TO MAINTAIN /0 GALLONS MINIMUM USEABLE WATER STORAGE IN TANK. 3: P ��1�"1yy//'',,��//V�(I /D/E AN ALARM TO SOUND WHEN USEABLE WATER STORAGE IN TANK FALLS BELOW GALLONS. 4. THE FI. E SPRINKLER SUPPLY PUMP PRESSURE SWITCH SHALL BE SET TO ACTIVATE THE PUMP AT -1 -5 --'SI. 5. PROVIDE ADEQUATE PROTECTION AGAINST FREEZING FOR SYSTEM COMPONENTS OUTSIDE OR IN UNCONDITIONED SPACE. 6. THE FIRE SPRINKLER SYSTEM SHALL BE TESTED FOR LEAKEAGE AT NORMAL OPERATING PRESSURE. 7. THE C-16 CONTRACTOR IS REQUIRED TO PERFORM AN OPERATIONAL TEST OF THE SYSTEM AND CERTIFY IN WRITING TO BUTTE COUNTY BUILDING DIVISION THAT THE SUPPLY SYSTEM OPERATED PROPERLY. 8. SEE PLANS AND SPECIFICATIONS FOR OTHER REQUIREMENTS. ............. PERMIT APPLICANT MERLE ISRAELSKY ASSESSOR PARCEL NO. 027-360-201 PERMIT NO. 97-2173 DATE 10/13/97 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: 1. PLOT PLAN IS TO SHOW ALL SETBACKS & EASEMENTS. INCLUDE 60 FOOT EASEMENT FOR UTILITY RIGHT OF WAY. SHOW ALL STRUCTURES ON PLOT PLAN. 2�FIRE SPRINKLERS ARE REQUIRED IN ALL RESIDENCES PER PARCEL MAP. PROVIDE PLAN & SPECIFICATIONS FOR SPRINKLERS PREPARED BY LICENSED C-16 CONTRACTOR. THIS PERMIT CANNOT BE ISSUED BEFORE FIRE -SPRINKLER PERMIT. WATER TENDER FEES IN THE AMOUNT OF $200.00 ARE REQUIRED FOR THIS PARCEL. v PROVIDE LOCATION OF FURNACE. IF LOCATED IN ATTIC PROVIDE SPECIFIC TRUSS SIZED FOR MECHANICAL LOAD. GARAGE DOOR HEADER REQUIRES A 4X14 DF#1. REMOVE NOTATION FOR GLU-LAM OR PROVIDE SIZE'OF GLU-LAM & REMOVE 4X14. PLAN SHALL NOT CONTAIN "OPTIONS". EVERYTHING IS TO BE SPECIFIC TO WHAT YOU ARE BUILDING. 2X6 WALLS WILL REQUIRE ENERGY CALCS TO BE REVISED. REMOVE NOTATION FOR TRUSSES TO BE USED AT OVER BUILD.. ENERGY CALCS. 7.1 SQUARE FOOTAGE IS 1476. REVISE & RE -RUN ENERGY CALCS AT CORRECT SQUARE FOOTAGE. ALTERNATE BRACED WALL PANEL DETAIL YOU HAVE PROVIDED DOES NOT CONTAIN REQUIRE- MENT FOR STEEL IN FOOTING. PROVIDE REQUIREMENT ON DETAIL. ADDITIONALLY, STEEL WOULD BE REQUIRED ALONG ENTIRE LENGTH OF BRACED WALL LINE. SHOW ON PLAN. ALSO SHOW LOCATION OF HOLD DOWNS & SSTB ANCHORS ON FOUNDATION PLAN. HOUSE IS NOT BRACED CONVENTIONALLY IN THE FOLLOWING AREAS 9.1 ALONG REAR WALL - 4 FOOT PANEL NEXT TO DINING ROOM WINDOW IS NOT 4 FEET UNLESS YOU MOVE GARAGE DOOR. THIS WOULD BE AN ALTERNATE BRACED WALL PANEL IN PRESENT.CONDITION. SO NOTE ON PLAN OR MOVE GARAGE DOOR. 9.2 INTERIOR BRACING REQUIRED AT INTERVALS OF 34 FEET -PROVIDE BRACING WHERE THIS OCCURS THRU MIDDLE OF HOUSE OR PROVIDE LATERAL ANALYSIS. — 9.3 BRACING ALONG WALL AT BATHS & BEDROOM 2 IS SPACED FURTHER THAN 25 FEET CENTER TO CENTER. AN ADDITIONAL PANEL IS REQUIRED. I PLACED A "D" PANEL HERE. If .you wish to discuss any requirements, you may contact me at (916) 538-7541 between 1:00p.m. and 4:00 p.m., Monday through Thursday. -1- } ;,,nom fw PERMIT APPLICANT MERLE ISRAELSKY ASSESSOR PARCEL N0. 027-360-201 PERMIT NO. 97-2173 DATE 10/13/97 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: 9.4 TRUSSES EXTEND MORE THAN 6 FEET BEYOND A BRACED WALL LINE. PROVIDE LATERAL ANALYSIS. 9.5 REMOVE "LET -IN DIAGONAL BRACING" OR NOTE THAT THIS IS TEMPORARY BRACING ONLY. If you wish to discuss any requirements, you may contact me at (916) 538-7541 between 1:00p.m. and 4:00 p.m., Monday through Thursday. -2- zo „y:.r a..., ,. ♦i;a} tit A 10/13/97 MERLE ISRAELSKY 480 SILVERLEAF DR OROVILLE, CA 95966 Re: B.P.#97-2173 LAND OF NATURAL W E A L T H AND BEAUT"Y r BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965.3397 TELEPHONE: (916) 538-7541 FAX: (916) 533.2140 With reference to the above subject, attached is: [xA Plan Check List [ ] Red Marked Calculations [ ] Red Marked Plans [ ] Other A.P.# 027-360-201. Action Required: [XA Comply with Plan Check List [ ] Resubmit Plans with Revisions As Required [ ] Return All Original Materials and Revised Plans to the Building Department [ ] Other t! Should you have any questions, please contact this office at the listed above. Sincerely, MARTHA WHITNEY or phone number - PLAN CHECKER L PERMIT APPLICANT MERLE ISRAELSKY .PERMIT NO. 97-2173 ASSESSOR PARCEL NO. 027-360-201 DATE 10/13/97 The above referenced building plans "were reviewed by thtoffice. Provide additional information and/or .make appropriate rev ions to plans, specifications, and calculations as follows: 1. PLOT PLAN IS TO SHOW ALL SETBACKS & EASEMENTS. INCLUDE160 FOOT EASEMENT FOR UTILITY RIGHT OF WAY. SHOW ALL STRUCTURES ON PLOT'PLAN 2. FIRE SPRINKLERS ARE REQUIRED IN ALL RESIDENCES PER-PARC4L MAP. PROVIDE PLAN & SPECIFICATIONS FOR SPRINKLERS PREPARED BY LICENSED C-16 CONTRACTOR. THIS PERMIT CANNOT BE ISSUED BEFORE FIRE -SPRINKLER PERMIT. 3. WATER TENDER FEES IN THE AMOUNT OF $200.00 -ARE REQUIRED FOR THIS PARCEL. 4. PROVIDE LOCATION OF FURNACE. IF LOCATED IN ATTIC PROVI E SPECIFIC TRUSS SIZED FOR MECHANICAL LOAD. 5. GARAGE DOOR HEADER REQUIRES A 4X14 DF#1.. REMOVE NOTATION FOR GLU-LAM OR PROVIDE SIZE OF GLU-LAM & REMOVE 4X14. 6. PLAN SHALL NOT CONTAIN "OPTIONS". EVERYTHING IS TO BE SPECIFIC TO WHAT YOU ARE BUILDING. 2X6 WALLS WILL REQUIRE ENERGY CALCS TO BE REISED. REMOVE NOTATION FOR TRUSSES TO BE USED AT OVER BUILD.. ` 7. ENERGY CALCS. 7.1 SQUARE FOOTAGE IS 1476. REVISE & RE -RUN ENERGY TALCS AT CORRECT SQUARE FOOTAGE. 8. ALTERNATE BRACED WALL PANEL DETAIL YOU HAVE PROVIDED DOES NOT CONTAIN REQUIRE- MENT FOR STEEL IN FOOTING. PROVIDE REQUIREMENT ON DETAIL. ADDITIONALLY, STEEL WOULD BE REQUIRED ALONG ENTIRE LENGTH OF BRACED WALL LINE. SHOW ON PLAN. ALSO SHOW LOCATION OF HOLD DOWNS & SSTB ANCHORS ON FOUNDATION"PLAN. 9. HOUSE IS NOT BRACED CON-VENTIONALLY IN THE FOLLOWING AREAS: 9.1 ALONG REAR WALL - 4 FOOT PANEL NEXT TO DINING ROOM WINDOW IS NOT 4 FEET UNLESS YOU MOVE GARAGE DOOR. THIS WOULD BE AN ALTERNATE BRACED WALL PANEL IN PRESENT CONDITION. SO NOTE ON PLAN OR MOVE GARAGE DOOR. 9.2 INTERIOR BRACING REQUIRED AT INTERVALS OF 34 FEET -PROVIDE BRACING WHERE THIS OCCURS THRU MIDDLE OF HOUSE OR PROVIDE LATERAL ANALYSIS. 9.3 BRACING ALONG WALL AT BATHS & BEDROOM 2 IS SPACED FURTHER THAN 25 FEET CENTER TO CENTER. AN ADDITIONAL PANEL IS REQUIRED. I PLACED A "D" PANEL HERE. If you wish to discuss any requirements, you may contact me* at (916) 538-7541 between 1:00p.m. and 4:'00 p.m., Monday through Thursday. ray` -So'SZ -1- PERMIT APPLICANT MERLE ISRAELSKY ASSESSOR PARCEL. N0. 027-360-201 PERMIT NO. 97 -2173 - DATE 10/13/97 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: 9.4 TRUSSES EXTEND MORE THAN 6 FEET BEYOND A BRACED WALL LINE. PROVIDE LATERAL ANALYSIS. 9.5 REMOVE "LET -IN DIAGONAL BRACING" OR NOTE THAT THIS IS TEMPORARY BRACING ONLY. 0 If .you wish to discuss any requirements, you may contacl between 1:00p.m. and 4:00 p.m., Monday through Thursday. -2- at (916) 538-7541 RESIDENTIAL PLAN CHECKING GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY OWNER: AtAe, BUILDINGPERMITNUMBER: PLAN CHECKER: 1- �J w A. P. NUMBER: 02 -7- _j' b a- ZO 1 GENERAL: Ir I Zoning requirements: (side yards and number of permitted living units). Valuation. Plans signed by designer. Proper description of work on application. - 5. Existing violations on property. ? ®. Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.). Recorded notice of violation. PLOT PLAN:' IV' Complete parcel size and dimensions. ' � Setbacks, side vards, easements, etc. C � Other buildings or structures. Grading, fills and/or drainage. Flood hazard. Special conditions on creation map (Noise, SA.A Fire S�irik�aterTender, rees, etc.). F.A.U. & F.A.S. road setback. Building or utilities across lot lines (Record form). FLOOR PLAN: Complete to scale plan with dimensions. Required windows for light and ventilation (Section 1203). Required windows for second exit (Section 310.4). Skylights (Section 2409 & 2603.7). Glazing in Hazardous Locations (Section 2406). Required room sizes, ceiling heights (Section 310.6). G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210). Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. lLocation of water heaters, heating and cooling equipment, other electrical or gas equipment. 10. Garage firewall, door size and closer (Section 302.4). -N'. Minimum of one 3'0" exterior door (Section 1004.6). .e Fireplace and wood stove location, alcoves and clearance. Smoke detectors (Section 310.9.1). y�. Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS: QConventional Construction - Unusually Shaped Buildings (Section 2326.5.4). Standard bracing or engineered design(Section 2326.11.3). Clerestory requiring balloon framing and/or engineering. fl! Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Rafter ties or bearing ridge beam. Fireplace construction details and calc. if necessary. Garage door and/or porch header sizes. Stud heights. Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection requirements. Header size. June 1997 3.2 SCELLANEOUS ITEMS TO LOOK OUT FOR: Stairway details: landings, rise and run, head clearance, handrails (Section 1006). 2! Guardrail details (Section 509). 3' Brick or stone veneer (Section 1403). 4-. Exterior plaster - weep screeds (Section 2506). -k Proper roof pitch for roof covering (Section 1501). .6- Roof covering type - (fire hazard). , R' Foam insulation - protection -w 36" halls and stairways. A' Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts. 16, Two exits on three - story dwellings (Section 1003). N'. Underfloor access and ventilation (Section 2317.7). A. Attic access and ventilation (Section 1505). I -Y.. Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. ' 1 0 Energy design. ,Wr Flashing at all exterior openings. 17. C.D.F. responsible. area requirements. Automatic Fire Sprinkler Systems (Section 310.10) For Inspection Jacket: - -- Flood Hazard/Elevation Certificate SRA Requirements - Special Inspection Requirements Automatic Fire Sprinklers h. • x,81. June 1997 3.2 �s And when recorded mail to: Building Division ' #7.County Center Drive 'Oroville, Ca. 95965 97-0385241 Rec Fee I IHF Recorded I COP Official Records I Check County of Butte Candace J. Grubbs Recorder 1:46pm 14–Oct-97 PUBL 8.00 1 2.00 1.50 E 11.50 1 i XX 2 0 �- AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of zthe Butte County Code requires this acknowledgment to be' recorded prior to' issuance of a building permit. The property described herein is adjacent to land or. included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences, or discomfort from the use of agricultural chemicals, including. but not limited to herbicides. pesticides, and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke. noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal. necessan farm operations. -1 qq All that real property situate in the County of Butte. State of California, described as follo�P��–�� O�OI Date: ) PROPERTY O RS: (7 V/" lutes tm L -J V b ME) 7— State of California ) Countv of L;64 r6_ ) , On, ,>/OWbefore me, personally appeared --A" V_ off" ersonalh- knaw*4& M (or proved to me on the basis of satisfacto evidence) to be the erson(s) whose name(s) jdare subscribed to the within instrument and acknowledged to me that heAhekhey executed the same in hisAw/their authorized capacity(ies), and that by 464"their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, s' executed the instrument.` WITNESS my hand and official seal. tuott►tM y c«nmes'A 1 • unoerl Notay PNble—C�foRito �� Seal: - 8uttetasMy Signature Mycommt l�ttNar89 i99lt r , r x+ . A.P. # NOTE TO RECORDER: DO NOT RECORD THIS SIDE A.A. - I °AGRLC'U.'T' URAL , T VIE:'' EJB<:.'C)V LE]lit1NT Instructions for recording Agricultural Statement of Acknowledgement: 1. Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. ( The description may be handwritten or typed in the space provided or attached on a separate sheet if more space is required). 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $6.00 - 1st. Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00a.m. - 3:00p.m. (Monday - Thursday). OVER DESCRIPTION 0. 2 9.8 7 �y ORDER NO. BU -128333-3 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL It PARCEL 11, AS SHOWN ON -THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1992, IN BOOK 125 OF MAPS, AT PAGE(S) 50 THRU 52. RESERVING THEREFROM THOSE CERTAIN RIGHT OF WAYS FOR ROAD AND PUBLIC UTILITY EASEMENTS, AS SHOWN ON THE ABOVE PARCEL -MAP. SUBJECT TO COVENANTS, CONDITIONS AND RESTRICTIONS, RECORDED MARCH 3, 1992, UNDER BUTTE COUNTY RECORDER'S SERIAL NO.,92-9036. PARCEL II: THOSE CERTAIN RIGHT OF WAYS FOR ROAD AND PUBLIC UTILITY EASEMENTS, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1992, IN BOOK 125 OF MAPS., AT PAGE(S) 50 THRU 52. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. a END OF DOCUMENT `r THar '?5,98 10:41 No .033 P.01 ' 13 1 31 • .((�v�w�..Fi- �+...+..w. .4H! , !.` w'„•..x-'r «.r&1iii,i:.irl:tf0bl AN a U(BrLtu « Certificate,_ 4 TMB UNDERSIGNED MANUFACTUMM MZRESY CERTIFIES that the structural wood products Identified below and marked with a coilt�c'tive mark of American Woad 'ftate gas (AW$),". were manufactured In accordance with the speolfieations indicated below. ( ANSI Standard A190.1-190,1or.Structural Clued Laminated Timber ` LJ © Proof Iuadr.rj end OoInl;5 ' Job NarnO WESTERN V,'OOUS (CHZCLI ) C'11 I Use , CA ' Job LOQ=on Owtomer•c Ordar No.(�d2� 0�-fl 57-9379 D&te__L Mt r a anter NO,,,, ftnat&o 1i •Wit' `i. � � T1tl�O ?I Cil 7. D1rectoI' compa�l7,12 lelat :f n . Vaughn , Ora'gon AddrOss_. .. t � r ,. .; i. ••o/..1': "rr l••e. ,`'. ,. V� . , . { :1 • I j (j` '4�' - `n1• r«nr..,�.+..• ..n,.. IT IS HEREBY CERTIFIED that the, structul°al glued laminated timber production of the alt ove_ named manufacturer which carries a collective mark of Ar►ierloan Wood Systems (AWS)i� subject to regular audit by American Wood Systems, such audit consisting of, the Inspeo'6with reasonat�le frequency of the manufacturing process, With adaquate sampling to verify. the tioplity Of glulam construction and the ad®quacy of 'giue bond, Mao #*,t •� - Thomas ,��� .,•� �•�,,� ��� Executivo Vlcs IN Rrt7slcfer9i' F %1k91�o�4 ti si:P. i •e«.e...�yy�•mou�...`s.rw �..._qq ...r.......�..s ', l4'i'. i. i, ' R Y' AMERICAN WOOD SYSTEMII•.:A A MATED OORpOFtATioN OP APA "I E060 .FEATHER RIVER BV. DIVISION OF COLLINS PINE CO. OROV ILLE, CA 95960 PHONE: 916-534- 4 '242 S O QUALITY CONSTRUCTION D 009 OAKVALE OROViLLE. CA iT 90960 d!lNiV'(j)I Lid, DATE j INVOICE NO. 111 /07/98 G 45+ �08� QUAL50 I CUSTOMER IJO.-- .00 ' -29?.25 i 1.19 1;3.44 27110 I 313.44 NON -TAX MDSE. ! TAXABLE MDSE. f SALES TAX MISC CHARGE f MISC. CREDIT I GRAND TOTAL CASH RECD.ICHF)RGC ACCOUNTS ARE DUE AIJD PAYABLE ON THE 1DTH AND PAST OUE ON THE 11TH OF THE MONTH FOLLOWING OATF OF PURCHASE. IF NOISf-TTLED BY THE 15TH OF TERMS: hc� T CASH. NO OISCOUN'( THE MONTH A LATE CHARGE FCUAL TO 1%% OF THE PASTOUF BALANCE SHAti BE ADDEO TOTHE ACCOUNT EACH AND EVERY MONTH UtJTtt: THE ACCOLMIT IS PAIp. THIS LATE CHARGE tS LIOUIDATFO DAMAGES MFASURED BY THE TIM' THC MONEY IS WRONGFULLY WTi HHEI.D. PLUS ADMINISTRATIVE COST RELATED TO COLLECTING AND ACCOUNTING FOR THE LATE PAYMENT. SINCE IT WOULD BE IMPRACTICAL TO ESTABLISH ACTUAL DAMAGES BY ACCOUNTING PROCEDURES, ACCEPTED AND GOODS RECEIVED BY � BUILDERS SUPPLY AND THE BUYER HAVE AGREED IN ADVANCE THAT 1Y4w IS FAIR COMPENSATION FOR LATFPAYM?Euvf. 1F LEGAL ACTION IS INS'!TLJf�,D FOR i COLLECTION, BUYER AGR cS TO PAY REASONABLE ATTORNEY FEES .AND COSTS INCURRED. ALL MERCHANDISE RETURNED FOR CREDIT MUST BE pCCO:APANIED RETURNS ALLOWED ON SPECIAL ORDERED ITEMS. BY THE ORIGINAL INVOICE. NO E7tCFPTIONS. RETURNS WILL BE SUBJECT TO A MINIMUM 1514 RESTOCKING CHARGE, NO RETURNS ALLOWED AFTER 30 DAYS. NO /{ _ TIME: LOADED: DEL: DATE: _ I SALESMAN I CUSTOMER ORDER NO. DATE ORDERED DATE DELIVERED 1 DELIVERY ADDRESS J� 8 003 I I- 01/07/93 j01/07/98 I QUANTITY I ITEM NUMBER i UNIT L— I DESCRIPTION -- PR.ICE _j" I OUNT (FUOR JONES vS l 2'5 10SE►716 IEA 7/1'6X4K3 OS$, .F5.`.'0, 1 1/3 X 12X 18 GLU. LAM, ;0 i .'�'ZI!ZI � 1 iZ+1 aVF � r. I I i .00 ' -29?.25 i 1.19 1;3.44 27110 I 313.44 NON -TAX MDSE. ! TAXABLE MDSE. f SALES TAX MISC CHARGE f MISC. CREDIT I GRAND TOTAL CASH RECD.ICHF)RGC ACCOUNTS ARE DUE AIJD PAYABLE ON THE 1DTH AND PAST OUE ON THE 11TH OF THE MONTH FOLLOWING OATF OF PURCHASE. IF NOISf-TTLED BY THE 15TH OF TERMS: hc� T CASH. NO OISCOUN'( THE MONTH A LATE CHARGE FCUAL TO 1%% OF THE PASTOUF BALANCE SHAti BE ADDEO TOTHE ACCOUNT EACH AND EVERY MONTH UtJTtt: THE ACCOLMIT IS PAIp. THIS LATE CHARGE tS LIOUIDATFO DAMAGES MFASURED BY THE TIM' THC MONEY IS WRONGFULLY WTi HHEI.D. PLUS ADMINISTRATIVE COST RELATED TO COLLECTING AND ACCOUNTING FOR THE LATE PAYMENT. SINCE IT WOULD BE IMPRACTICAL TO ESTABLISH ACTUAL DAMAGES BY ACCOUNTING PROCEDURES, ACCEPTED AND GOODS RECEIVED BY � BUILDERS SUPPLY AND THE BUYER HAVE AGREED IN ADVANCE THAT 1Y4w IS FAIR COMPENSATION FOR LATFPAYM?Euvf. 1F LEGAL ACTION IS INS'!TLJf�,D FOR i COLLECTION, BUYER AGR cS TO PAY REASONABLE ATTORNEY FEES .AND COSTS INCURRED. ALL MERCHANDISE RETURNED FOR CREDIT MUST BE pCCO:APANIED RETURNS ALLOWED ON SPECIAL ORDERED ITEMS. BY THE ORIGINAL INVOICE. NO E7tCFPTIONS. RETURNS WILL BE SUBJECT TO A MINIMUM 1514 RESTOCKING CHARGE, NO RETURNS ALLOWED AFTER 30 DAYS. NO /{ _ D DIVISION OF COLUNS PINE CO. 2560 FEATHER RIVER BV. OROVILLE, CA 95965 ,PHONE: 916-534-12422 S o QUALITY CONSTRUCTION L D 559 OAKVALE OROVILLE, CA T 95965 O TIME: LOADED: DEL: DATE: c ONVOCE DATE INVOICE NO. 3/02/98 P 458575 QUAL50 CUSTOMER NO. SALESMAN CUSTOMER ORDER NO. * DATE ORDERED DATE DELIVERED DELIVERY ADDRESS 8 0222 03/02/98 03/02/98 QUANTITY ITEM NUMBER UNIT DESCRIPTION PRICE AMOUNT FOUR JUNES W. 1 31/8 X 9 X28FT. G. L. 128.950 128.95 350 P212FJ LF 2 1/4" REV BASE FJ 350.00LF @ 97/LF 103.95 32 MDF376 FT 5 1/4" MDF SILL .586 18.75 32 P238FJ LF 1 5/811 COL CASING FJ 32.00LF @ 40/LF 10.88 100 MDF305 LF 3 1/4" MDF HOOKSTRIP , 100.00LF @ 82/LF 38.2220 5 1212 EA 1X12X12 PART BD SHELVING .046 30.23 CONTINUED* 11 NOAI-TAX MDSE. TAXABLE MDSE. SALES TAX MISC. CHARGE MISC. CREDIT GRAND TOTAL CASH RECD. ACCOUNTS ARE DUE AND PAYABLE ON THE 10TH AND PAST DUE ON THE 1ITH OF THE MONTH FOLLOWING DATE OF PURCHASE. IF NOT SETTLED BY THE 15TH OF THE MONTH A LATE CHARGE EQUAL TO 1%% OF THE PAST DUE BALANCE SHALL BE ADDED TO THE ACCOUNT EACH AND EVERY MONTH UNTIL THE ACCOUNT IS PAID. THIS LATE CHARGE IS LIQUIDATED DAMAGES MEASURED BY THE TIME THE MONEY IS WRONGFULLY WITHHELD, PLUS ADMINISTRATIVE COST RELATED TO COLLECTING AND ACCOUNTING FOR THE LATE PAYMENT. SINCE IT WOULD BE IMPRACTICAL TO ESTABLISH ACTUAL DAMAGES BY ACCOUNTING PROCEDURES, BUILDERS SUPPLY AND THE BUYER HAVE AGREED IN ADVANCE THAT 1%% IS FAIR COMPENSATION FOR LATE PAYMENT. IF LEGAL ACTION IS INSTITUTED FOR COLLECTION, BUYER AGREES TO PAY REASONABLE ATTORNEY FEES AND COSTS INCURRED. ALL MERCHANDISE RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THE ORIGINAL INVOICE. NO EXCEPTIONS. RETURNS WILL BE SUBJECT TO A MINIMUM 159 RESTOCKING CHARGE. NO RETURNS ALLOWED AFTER 30 DAYS. NO RETURNS ALLOWED ON SPECIAL ORDERED ITEMS. I EHMS: NET GASH. NO DISCOUNT ACCEPTED AND GOODS RECEIVED BY L v COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 IT NO. APPLICATION AND PERMIT g 77--S ASSESSOR PARCEL NUMBER 027-360-201 ZONING A5 BUILDING PERMI OWNER MERLE ISRAELSKY TELEPHONE SO. FT. OCC. BUILDIN LUATION OWNER'S MAILING ADDRESS 180 RUSSELL LOS ALTOS, 94022 CONTRACTOR'S NAME CHUCK'S ELECTRIC TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNq+OWN Total Valuation $ LENDERS MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER ONE 1DDRESS LICENSE NO. Plan Checking Fee $ g%' Ener Plan CheckingFee $ ADDRESS ARCHITECT OR ENGINEERS MAILING A Penalty $ BUILDING ADDRESS 135 FOUR JTJIdES WAYPLUMBINGPERMIT PERMITFEE $ OROVILLE Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other WELL SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ELECTRIC FOR WELL Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 2 R LELESSSS ) Main Service ( eo0V00A OOR 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. \ OR ADDNS. ( & ACC. BUDS. / SO. 3.50 FT. NEW CONST. MULTI -OUTLET NOWRESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) zo p 1.00 BAL Q .SO Ex. Occup. OUTLETS RESID.OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPECT 123.00 PERMITFEE $ 66.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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. e X 00 _Date _ aZ� _ Signat a plicant - Owner ❑ Co actor ❑Agent An OSHA permit is required for excavations r 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ coNsr. TYPE TOTAL FEE $ 66.00 HA2. I D. FEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica bove for which fees hav b en paid. Bi Date PERMITEXPIRESON l�/lj /9� (Date) 190454 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �. --c ; i�'=•Fy?4i� r'��ss.�Crtuw w:�n-'a:r � V �;` • CfOUNTYOF BUTTE - DEPARTMENT ENT SERVICES - BUILDING DIVISION `-TCOUNTYCENTERDRIVE - OROVILLE, CALIFORNIA 95965-- TELEPHONE (916) 538-7541 �r PERMIT APPLICATION DATA SHEET lv " OWNER Ar, l &[ S )-1 A. P. No. d to Proposed Building Use P JC- Budding Inspector 426 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). .... 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. I 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 (constru�t ion pproval re uired p i to occupancy). . 2p: Pre -inspection for (Cs c I' ; r GCl fL required. .. o s� �d �9 i�gPeao S (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: X_ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other- Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent -,Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health. Dept. Fire Dept. Other Date By The following data mush be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. i 2. Additional items required: f Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy Department of Public Works COUNTY OF BUTTE -DEPARTMENT OF DtVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. Assesso PARS UMBER ®� a� ) ZON1NO /J� BUILDINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER MAIUNG ADDRESS/? -!f IoO� CONTRA R'S NAME //�� f TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace. CONSTRUCTI. NLENDER lorle, UNMOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHRE dR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILLNG ADDRESS Penalty $ BUILDING ADDRESSPERMITFEE LOU N G $ 'S C� O v` C15, PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE % SF ❑ Duplex ❑ Mobilehome ❑ Other 1i�JP ( / SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Ot/her� ❑ Describe Work: [, (e C- 1 f Y- , C' �0 r //> JC— Mobile Home S G W (—W20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service a00Y OR LESS ( 200A OR LESS ) 77 23.00 d ,� Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR AD DNS. ( & ACC. BUDS. ) SO. 3.50 Fr. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( d POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 00 20 Q 1.00 SAL .50 FIXED Ex. Occup. (OETS (RES . OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 c. Wiring 23.00 re- K .d If PERMITFEE $ Q Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. D. FEES I IMP FL CDF PARCEL PD I HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Dare) Receipt No. J� WHITE-D.D.S.-B.D. CANARY -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT //I -2 -P -`s T©r12n07 ✓civ-� ,74 G2� COB WY OFUILDNG p VE NOV 2 a 1995 Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Building Division FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for produc- tive 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. f � ..t l.�: rf j'• 'All that real property situate in the County of Butte, State of California, described as follows: Date: PROPERTY OWNERS: State of California ) County of ) On before me, personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature Seal: A.P. # CA k 'S [� o - ZONING: CONTRACTOR: u� PRE -INSPECTION FOR G L c c r✓ ��r DATE TO INSPECTOR �lb� � AS FOLLOWS: PPERMITHISTORY: [ ]NONE [)OAS ver r a S i /e r o � V © 2o v % o r f� u5e. On Te� TYPE OF OCCUPANCY: �[� c r c O W BUILDING IN9PECTOW S REPORT Building Description: # [ ] Commercial/Usage- [ ] ResidentiaU# of Units:Mobile Home: Yes[ ] No[ ] A . [ ] Currently Occupied. [ ] Abandoned/Vacant. lectric: [ ] Yes [ ] No Electric is currently :[ J On [ ] Off Condition of electrical? t Natural [ ] Propane[ ]• None[ ] Obvious problems: Non: Plumbing working Yes[ ] No[ ] Well: Yes[ ] No[ ] Obvious Sewage Problems: +Currently On[ ] Off[ ] Potable water � Yes[ ] No[ ] I Action Recommended: [ ]Issue [ Mold for: Tit' a / /Vo `772 t1 coti-r�,��,�d H��� 3 az 'i y l 7�f v s P > 0 iv LJ J u ,. ,rz _85 / W6 1-1 v .'� i /v `/0 Q�'_xiI It A vYLO N 7 ?$�L m o /Zan i � Date: / / - C-)— —9 S— Inspector: COUNTY OF BUTTE- DEPARTMENT.OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oro ville, California 95965 - Telephone (916) 538-7541 PERMIT NC. APPLICATION AND PERMIT ASSESS=MBER , m / ZONING BUILDING PERMIT OWNER _ E1 f i T�P"ONE SO. FT. I OCC. BUILDING VALUATION DDRESS ` ]J 2 OWNER MAILING ADDRESS,/j- . . CONTRACaOR's NAME i TELEPHONE CONTRACTORS "UNG ADDRESS Fireplace CONSTRUCTION LENDER Y7 e= UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDERS MAILING ADDRESS Permit Fee $ ARCHRE . dR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ S ARCHITECT OR ENGINEERMAILING ADDRESS Penalty $ SUIDINGADDRESS— /1S ' ^ U vt S ' PERMITFEE $ /w`a L ro v` PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'SNLME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other I.' : F l / SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities Installation ❑ Other ❑ Describe Work: ( (c Ci r �(� L UlJ)f- Mobile Home S G W @20.00 PERMITFEE _ Contractor ELECTRICAL PERMIT Filino Fee 20.00 Main Service000v OR LESS ( 200A OR LESS ) 23.00�- Main Service ( 200A To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this P reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NEW CONST. OWELUNG OCCUR OR ADONS. ( a ACC. BLOS. ) so. 3.5¢ Fr. NEW CONST. MULTI -OUTLET NON•RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES 20 @ 1.00 BAL 30 FIXED APLNS. OR Ex. Occup. ( OUTL.ETS(RES D.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 "e, - r [,I,:; i PERMITFEE $ C — Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $�'^ — HA2. D. FEES I IMP FLOOD cDF PARCEL PO Ho 6suE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-O.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: MERLE TSROR SKY ADDRESS: 180 -RUSSELL' CITY & STATE: LOS ALTOS_; _CA 94022 - IMPORTANT: 7/12/95 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OWNER DECIDED TO CANCEL PROJECT AT THIS TIME. (A.P.#027-360-201, B.P.#95-1338, RECEIPT 4180317 DATED 6/19/95, OWNER:MERLE ISROELSKY). TOTAL AMOUNT PAID: ------------------------------ $255.00 RETAIN REFUND PROCESSING FEE .......... $25.00 RETAIN PLUMBING & ELECT. FILING FEES..$40.00 RETAIN SEA PLAN CHECK FEES ............ $89.00 TOTAL AMOUNT TO BE RETAINED .......... $154.00 TOTAL AMOUNT TO BE REFUNDED.............$101.00 TOTAL $101 00 I, the undersigned. declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this /claim la true and correct as stated. ✓ Dated this . ........................... day of . Y.j.! ......... 199rJat................................ Calif. LiGGC« Slgnsture of Claimant I, the undersigned. hereby certify that. to the best of my knowledge. the services or mrtieleva !fl4ab &hseen "ormed or de. livered and that there is a Budget Appropriation ❑ or Specific Board ApDDprrovTTalTT TQC� (Check one for mDated this...... 12.M .................. day of......ML•Y.............19.....9-5t .....QA»,lV.l.J.L7.�i:�.. Cout. ... ...tS.f�... fir-.—........ ... .. D artment Head or Authorised Deputy .t Dept. Esp. Code ........ ............... Code ...... 112]D5()Q...................... PAYABLE FROM .........�iS����i.J ......................... FUND DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. I FOR BUILDING DIVISION O.SE. - - Receipt Information: Number: Date: /9 S— —Issued I s S'u e dTo • �"� Amount: $ o�sscao ESQ f} 8 9 • °Q� Fees Retained: Processing Fee:. . $ 02�� 00 Bldg• Filing Fee $ ✓P1bg Filing Fee $ a -O' OO ✓E1ec Filing Fee $ oZ0 • D 0 n. Mech Filing Fee $ Energy P/C Fee ✓ S2A i PlanCheck Fee $ !• �� Inspection Fee $ Total Amount Retained D %" ea TOTAL REFUND DUE $ / ' 1 e r 1 .. • • 1 4 t 7 r. • REFUND CLAIM APPLICATION CLAIMANT'S NAME MAILING ADDRESS ASSESSOR PARCEL # O o? % ` :540 c2..0/ PERMIT # 9S-- RECEIPT S—RECEIPT NUMBER (S) Request a refund of fees paid on the above receipt number(s) for the following reasons:. w• imme;l SCP j Please refund any applicable fees in the following categories: (Check,•those categories which you wish to have refunded.) [ uilding Permit Fees [ ] Sheriff Fees [ SRA Fee (CDF Fire Planning) [ ] Urban Area Fees Disposition of plans: i [ ] Plans returned to me at counter: [ ] Please mail plans to me at above'addreis'.. [ ] Please dispose of plans. _ S-NATURcEa n DATE ay June ��q5 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 P RMIT NO. APPLICATION AND PERMIT 319 ASSESSOR PARCEL NUMBER 027-360-201 ZONING BUILDING PERMIT OWNER MERLE � D SHIRLEY ISROELSKY-tiJIDi`10NT TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 180 RUSSELL LOS ALTOS, 94022 CONTRACTOR'S NAME UNKNOWNTELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 135 FOUR ,JUNES [JAY PERMITFEE S OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IN Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities D1 Installation ❑ Other O Describe Work: 2 BEDROOM Mobile Home X )Pgw 920.00 60.00 PERMITFEE S 80.00 Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service OOOV OR LESS ( zoOA OR LESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLDS. ) SO. 3.52 FT. NEW CONST. MULTI -OUTLET NON-RESID.( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIA. Ex. Occup. ( OUTLET OR FIXTURES ) 20 ® 1.00 BAL 0 .SO PLNS OR Ex. Occup. (oURES D.) Ea ITLETs() 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 ' ou Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Lbor Code, for the performance of work for which this permit is issued. My workers' dompensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 laws of California, and agree that if I should become subject to the workers' compensation provision f section 3700 of the Labor Code, I shall forthwith co ply i th provis n, . X / 'I Date _ -� _ Ignature of Applicant - ❑ Owner O'ilntra or ❑ Agent An OSHA permit is required for excavations ov '0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 114.00 HA2. D. FEES IMP FLOOD CDF CE PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 180317 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .... . w. ' 't',' "�'41��r�',�'"'.,' .r' •.»:1�;.�"� � �.r..:,:rc'..i�%�;�:-:iii • . h . -" _ � �. �, v'.�r� - ! � "q�*.'.xti ..COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916)538-7,541 PERMIT APPLICATION DATA SHEET OWNER braoflsP. No. Oa -7 - 5(v D " .3 % Proposed Building Use ! Building Inspector Date Lo 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 hqye been submitted . ........................................ . 2. Plot plans 3!/ 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 approv 1/fees. 13. Flood elevation letter (100 year flood) by Ca{ifo gineer. ................. . 6L 14. Sanitation and plot plan approval Y, (' d V (`` � 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 request 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner_ Builder Verification (Given to owner , Mail to owner _). .......... . •✓ 24. Recorded copy of Agricultural Acknowledgement Statement . ................. . 25. Letter of signature authorization . .......................... . ............ . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. PIT check list. .... ........... .................. ' ✓ 33. -k t re TS pr ✓L2 r� �2y� Vyt, �- 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation C Acreage Applicant <_`�%% �1 Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 0 I J'J t,! 2 2 IM COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541�, _.. ` P RMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-360-201 ZONING BUILDING PERMIT OWNER MERLE &' SHIRLEY ISROELSKY-WIDMONT TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNERS M0U0.1NG ADDRESS 180 RUSSELL LOS ALTOS 94022 CONTRACTOR'S NAME UNKNOI>n+1 TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total valuation $ LENDER'S MAILING ADDRESSrU-�`i•' FA'uP� Fling Fee $ 20.00 Permit Fee $ V ARCHITECT OR ENGINEER GO.`��O�Nktl ��� LICENSE NO. Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS + I� v Energy Plan Checking Fee $ Penalty $ SUILDINGAODRESS 135 FOUR ,JUNES WAY PERMITFEE $ OROVILLE PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT No. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IS Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities M Installation ❑ Other ❑ Describe Work: 2 BEDROOM Mobile Home I X IV xW @20.00 60.00 PERMITFEE $ 80.00 Contractor ELECTRICAL PERMIT Filinci Fee 20.00 Main Service 800V OR LESS ( 2o.A OR LESS ) 23.00 2-3.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ' ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' dompensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' laws of California, and agree that if I should become subject to the workers' compensation provision"f section 3700 of the Labor Code, I shall forthwith cor�IpI 1F� those proves ns. �Date ['-ZSlgnatureof Applicant - ❑ Owner fft tra or ❑ Agent An OSHA permit is required for excavations ov '0' deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUP. SO, OR ADONS. ( d Acc. BIDS. ) 3.52 FT. NEW CONST. MULTI -OUTLET NON-RE910. ( BRANCH CIRCUITS ) 97.50 / POWER APPARATUS l 8 SINGLE OUTLET CIR, ) Ex. Occup. () Q I.ao OUTLET OR FD(TURES BALIL 50 Ex. Occup. oui�is (RESIOOEA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 2U. UU 20.00 MiscWiring . g 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST.TYPE TOTAL FEE $ 166.00 HAZ. 1 0. FEES I IMP I FLOOD CDF I PARCEL PO HO I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code end/or Resolutions to do work indicated above for which fees have been paid. By Date PERMITEXPIRES ON (Dare) Receipt No. 180317 WHITE-O.O.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLOENROD•APPLICANT REVIEWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY ❑ approved as submitted XZ approved with conditions per i�attached sheets LLignature ALL HANGS SHAA� BE CLEAR OFA L EASEMENTS- OF ASEME INCLUDING EQUIPMENT 7S. OVERHANGS A' ET HACK OF �--FT. FROM THE SIDE AND ..-�" F90M THE R`EAI=i PROPERTY LINES AND 3p '- ._ FT" FROM rHr ROAD CENTERLINE SHALL BE .. 5 CSAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 Ff. AVE OVERHANG. mo>3(e N BFQ�_". CA►-i� DEPT. of FORE'rRY ❑ aprov?d a56 s submitted approved viith conditions pqr attach03' "'ect.S. , /' n T r 9 gEM Nr, EQUigM�'N �ur,TU R dP ALL t -AA QS 5NA 1_8E CLEA ���A TNS SjCF- AND HAN �,tNES A ov�F gACK aF E R ppCPE E SVA,4 a® ACQT '�D� VT. FRpti1 Vlog) C'E�+TERL� PRni THE EQUIP�NT ' 4�TRv ®VERH`iC1• eA P®R A 2 N CDF FIRE SAFE REQUIREMENTS 17 3 L —2.o /s --r3 3S /s119VELSKY - GyI D Vh6 AI'l— AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local' regulations which equal or exceed these standards. Field inspections will be made by the Butte' County Building Department for compliance. 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards I�(] 1273.02 Surface. All driveway surfaces and structures (bridges, \\ 1273.07 ' culverts and other app irte7iant 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. [YJ 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [�] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [�] 2. The length of ver-:i^.�U curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�l 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of : 2. , /54,0 r --CS O 7 AP # PERMIT # NAME y [X� 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of'the driveway. Where a driveway exceeds 800' feet, turnouts shall be provided no more than 400,feet apart. C� 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. [X-) 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 411 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. [�C] 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 2?_ 3(' ,20( AP # PERMIT # Other Requirements [ ]- If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves NAME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side -toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal, Other Butte County Fire Department approved materials Date Signature Page 3 of 3 CDF FIRE.SAFE REQUIREMENTS Z-7 3 L -2z t GVi AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte ICounty 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.utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. .Driveway Standards., 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app.irteaant 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 Radius 1. No roadway.shall,have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet .to those from -100-200 feet. 2. The length of ver':i=::.a curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. ,Ifj 1273:05 Turnarounds. If required, will have a minimum turning ,radius of 40 feet from the center of the road. L 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. '[ 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page ' 1 of . 3.-, i v- AP # 10 gs -i3 3t /5,0,0 r -_Ls lCy W 10 V"6e / T PERMIT # NAME [X� 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway.' Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. L 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. DC) 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 ul] property lines and/or the center of the road. [ ] 2. For parcels less than l acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [�C] 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. AP # PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A *or B roof - Enclosed eaves 1'541_0E45KY—wrDrh&AI/ - NAME [ ] 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 I Date Signature Page 3 of 3