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HomeMy WebLinkAbout030-250-0561Wm A JAWS WN N 11"OR 5- "KAM lot "'YnTw TA TTY low.yrti: 11"OR FOS Company 3995 Ol ive Hi�huray, Oro -v3 1 lc Ca_ 95966 530-533-2730_ / 530-534-1608 ( Fax ) Ca_Lic_ 305365 C-10, C-16, C-36 burr .E CO TY APR.0 8. 2010 DEVELOPMZNT r SERVICES Residential Fire: Sprinkler System Component List t 1 __ CAL`CULAT I ON S 2; _ SPRINKLER .HEADS 3 _ S PR I NG LOADED CHECK VALVE 4 _ WATER TF; ST GUAGE 5 _ 2 PULE FLOW SWI TCH ��'L�IN 3 D!V1ilIQ, APPROVED-.- -7 PPROVED . 7 _ SPARE HEAD CAIS I NET G16 IFORNIA * LICENSE N0. 305 RESIDENTIAL FIRE SPRINKLER SYSTEM DESIGN BY.FOX COMPANY C-16 LIC. # 305365 PER REQUIREMENTS OF NFPA 13D. 2002 EDITION -------------------------------------------------------------------------------- LANG CONSTRUCTION ROBISON ADDITION & REMODEL 2459 EL PASO WAY 515 LUDS WAY CHICO CA. 95926 OROVILLE CALCULATED FOR 2 HEADS 4/7/10 -------------------------------------------------------------------------------- WATER SOURCE IS WELL & HOLDING TANK WATER PRESSURE IN HOLDING TANK 45 DEDUCT PRESSURE LOSS FROM SOURCE TO SPRINKLER CONTROL VALVE MAIN SECTION `EQUIV.FT. PIPE = 0 FT. 0 GATE VALVE = 0 FT. 0 CHECK VALVE = 0 FT. 0 ELBOWS = 0 FT. 0 COUPLINGS = 0 FT. 0 TEES (RUN) = 0 FT. 0 TEES (BRANCH) = 0 FT. TOTALS = 0 FT. X .1067 - 0.00 45.00 DEDUCT HEAD LOSS FOR ELEVATION ( 10 FT. X 0.434 ) - 4.34 40.66 DEDUCT PRESSURE LOSS FOR PIPING FROM CONTROL.VALVE TO FARTHEST SPRINKLER PIPE SECTION ONE EQUIV.FT. 1'' PIPE = 85 FT.. 4 ELBOWS = 28 FT. 0 COUPLINGS _. 0 FT. 5 TEES (RUN) = 5 FT. 1 TEES (BRANCH).= 5 FT. TOTALS = 123 FT. X .1067 -13.12 27.54 BRAND OF HEADS = TYCO LF -II G.P.M. - P.S.I. CONVERSION FORMULA: K FACTOR OF HEADS USED.= 4.9 (G.P.M./ K FACTOR)2 = P0S.I. EQUIVALENT FEET CALCULATED @ 2 HEAD 2 HEAD = 26 G.P.M. FLOW ( 13 G.P.M. EA.) FRICTION LOSS °C' FACTOR = 150 MINIMUM PRESSURE REQUIRED = 7.04 P.S.I. PRESSURE AVAILABLE IN SYSTEM = 27.54 P.S.I. RESIDENTIAL FIRE SPRINKLER SYSTEM DESIGN BY FOX COMPANY C-16 LIC. # 305365 PER REQUIREMENTS OF NFPA 13D. 2002 EDITION LANG CONSTRUCTION ROBISON ADDITION & REMODEL 2459 EL PASO WAY 515 LUDS WAY CHICO CA. 95926 OROVILLE CALCULATED FOR 1 HEADS 4/7/10 -------------------------------------------------------------------------------- WATER SOURCE IS WELL HOLDING TANK WATER PRESSURE IN HOLDING TANK 45 DEDUCT PRESSURE LOSS FROM SOURCE TO SPRINKLER CONTROL VALVE MAIN SECTION EQUIV.FT. PIPE = 0 FT. 0 GATE VALVE = 0 FT. 0 CHECK VALVE = 0 FT. O E.LBOWS = 0 FT.' 0 COUPLINGS = 0 FT. 0 TEES (RUN) = 0 FT. 0 TEES. (BRANCH) = 0 FT. } TOTALS = O FT. X .0296 - 0.00 45.00 DEDUCT HEAD LOSS FOR ELEVATION ( 10 FT. X 0.434 ) - 4.34 40.66 DEDUCT PRESSURE LOSS FOR PIPING FROM CONTROL VALVE TO FARTHEST SPRINKLER PIPE SECTION ONE EQUIV.FT. ------------------------- I'' PIPE' = 85 FT. 4 ELBOWS = 28 FT. 0 COUPLINGS = 0 FT. 5 TEES (RUN) = 5 FT. 1 TEES (BRANCH) = 5 FT. TOTALS = 123 FT. X .0296 - 3.64 37.02 BRAND OF.HEADS = TYCO'LF-II G.P.M. - P.S.I. CONVERSION FORMULA: K.FACTOR OF HEADS USED = 4.9 (G.P.M./ K FACTOR)2 = P.S.I. EQUIVALENT FEET CALCULATED @ 1 HEAD 1 HEAD = 13 G.P.M: FLOW ( 13 G.P.M. EA.) FRICTION LOSS °C' FACTOR = 150 MINIMUM PRESSURE REQUIRED = 7.04 P.S.I. PRESSURE AVAILABLE IN'SYSTEM = 37.02 P.S.I. J i Fire & Building Products rapid response Technical Services: Tel: (800) 381-9312 / Fax: (800) 791-5500 NOME FIRE SPRINKLER SYSTEM Series LFII Residential Concealed Pendent Sprinkler, Domed Plate 4.9 K -factor General Description The Series LFII (TY2234) Residential Concealed Pendent Sprinklers are decorative, fast response, frangible bulb sprinklers designed for use in residential occupancies such as homes, apartments, dormitories, and hotels. 13R; or, wet pipe sprinkler systems for the residential portions of any occu- -`panty per NFPA 13. The cover plate assembly conceals the sprinkler operating components above the ceiling. The domed profile of the cover plate provides aesthetically appealing sprinkler design with lower flow rates than can be achieved by lower profile cover plates. The separa- ble two-piece design of the Cover Plate and Support Cup Assemblies al- lows installation of the sprinklers and pressure testing of the fire protection system prior to the installation of the ceiling or application of a finish coat- ing. Also, the separable "push -on and thread -off" two-piece design of the Sprinkler provides for 1/2 inch (12,7 mm ) of vertical adjustment. The Series LFII are to be used in wet pipe residential sprinkler systems for one- and two-family dwellings and mo- bile homes per NFPA 13D; wet pipe residential sprinkler systems for resi- dential occupancies up to and includ- ing four stories in height per NFPA IMPORTANT Always refer to Technical Data Sheet TFP700 for the "INSTALLER WARNING" that provides cautions with respect to handling and instal- lation of sprinkler systems and com- ponents. Improper handling and in- stallation can permanently damage a sprinkler system or its compo- nents and cause the sprinkler to fail to operate in a fire situation or cause it to operate prematurely. Page 1 of 4 The Series LFII (TY2234) has a 4.9 (70,6) K -factor that provides the re- quired residential flow rates at reduced pressures, enabling smaller pipe sizes and water supply requirements. The Series LFII (TY2234) has been designed with heat sensitivity and water distribution characteristics proven to help in the control of residen- tial fires and to,improve the chance for occupants to escape or be evacuated. The Series LFII (TY2234) Residential Concealed Pendent Sprinklers are shipped with a Disposable Protective Cap. The Protective Cap is temporarily removed for installation, and it must be replaced to protect the sprinkler while the ceiling is being installed or fin- ished. The tip of the Protective Cap can also be used to mark the center of the ceiling hole into plaster board, ceil- ing tiles, etc. by gently pushing the ceiling product against the Protective Cap. When ceiling installaticn is com- plete, the Protective Cap must be re- moved and the Cover Plate Assembly installed. The Protective Cap must be removed to ensure proper perform- ance of the sprinklers. WARNINGS The Series LFII (TY2234) Residential Concealed Pendent Sprinklers de- scribed herein must be installed and maintained in ,compliance with this document, as well as with the applica- ble standards of the National Fire Pro- tection Association, in addition to the standards of any other authorities hav- ing jurisdiction. Failure to do so may impair the performance of these de- vices. The owner is responsible for maintain- ing their fire protection system and de- vices in proper operating condition. The installing contractor or sprinkler manufacturer should be contacted with any questions. JANUARY, 2006 t„J. ... �._ .0a 4 1y BUiLDINC�*- DIVISION SprinklerlModel Identification Number SJN TY2234 Technical Data Approvals: UL and C -UL Listed. Maximum Working Pressure: 175 psi (12,1 bar) Discharge Coefficient: K = 4.9 GPI%4/psi112 (70,6 LPM/bars/2) Temperature Rating: 155°F/68`C Sprinkler with 135°F/57°C Cover Plate Vertical Adjustment: 1/2 inch (12,7 mm) Finishes: Cover Plate: Flat White, Bright White, Chrome, or Custom TFP45O Page 2 of 4 TFP450 (a) For coverage area dimensions less than or between those indicated, it is necessary to use the minimum required flow for the next highest coverage area for which hydraulic design criteria are stated. (b) Requirement is based on minimum flow in GPM (LPM) from each sprinkler. The associated residual pressures are calculated using the nominal Y. -factor. Refer to Hydraulic Design Criteria Section for details. TABLE A NFPA 13D AND NFPA 13R WET PIPE HYDRAULIC DESIGN CRITERIA FOR THE SERIES LFII (TY2234) RESIDENTIAL CONCEALED PENDENT SPRINKLER Physical Characteristics: Frame . . . .. ... . . . .. . Brass Button . . . . . ... .. Bronze Sealing Assembly . . Beryllium Nickel w/ Teflon' Bulb . . ... 3 mm dia. Glass Compression Screw .. ... . Brass Deflector ... .. Copper Button Ejection Spring . . . . . ... . . Stainless Steel Support Cup . ... ... .. . Steel Cover Plate ........... Brass Retainer .. . Brass Cover Plate Ejection Spring . . . . . . . .. . .. . . Stainless Steel "DuPont Registered Trademark Operation When exposed to heat from a fire, the Cover Plate, which is normally sol- dered to the Support Cup at three points, falls away to expose the Sprin- kler Assembly. The glass bulb con- tains a fluid that expands when ex- posed to heat. When the rated temperature is reached, the fluid ex- pands sufficiently to shatter the glass bulb allowing the sprinkler to activate and flow water. Design Criteria The Series LFII (TY2234) Residential Concealed Pendent Sprinklers are UL and C -UL Listed for installation in ac- cordance with the following criteria. NOTE When conditions exist that are outside the scope of the provided criteria, refer to the Residential Sprinkler Design Guide TFP490 for the manufacturer's recommendations that may be accept- able to the Authority Having Jurisdic- tion. System Type. Only wet pipe systems may be utilized. Hydraulic Design. The minimum re- quired sprinkler flow rate for systems designed to NFPA 13D or NFPA 13R are given in Table A as a function of temperature rating and the maximum allowable coverage areas. The sprin- kler flow rate is the minimum required discharge from each of the total number of "design sprinklers" as specified in NFPA 13D or NFPA 13R. For systems designed to NFPA 13, the number of design sprinklers is to be the four most hydraulically demanding sprinklers. The minimum required dis- charge from each of the four sprinklers is to be the greater of the following: • The flow rates given in Table A for NFPA 13D and 13R as a function of temperature rating and the maxi- mum allowable coverage area. • A minimum discharge of 0.1 gpm/sq. ft. over the "design area" comprised of the four most hydraulically de- manding sprinklers for'the actual coverage areas being protected by the four sprinklers. Obstruction To.Water Distribution. Locations of sprinklers are to be in accordance with the obstruction rules of NFPA 13 for residential sprinklers. Operational Sensitivity. The sprin- klers are to be installed relative to the ceiling mounting surface as shown in Figure 2. Sprinkler Spacing. The minimum spacing between sprinklers is 8 feet (2,4 m). The maximum spacing be- tween sprinklers cannot exceed the length of the coverage area (Ref. Ta- ble A) being hydraulically calculated (e.g., maximum 12 feet for a 12 ft. x 12 ft. coverage area, or 20 feet for a 20 ft. x 20 ft. coverage area). ir_J i : c r v Minimum Flow (b) and IMinimum Flow (b) and Minimum Flow (b) and Maximum Maximum Residual Pressure Residual Pressure Residual Pressure Coverage Spacing For Horizontal Ceiling For Sloped Ceiling For Sloped Ceiling Area (a) Ft. (Max. 2 Inch Rise (Greater Than 2 Inch Rise (Greater Than 4 Inch Rise Ft. x FL (m) for 12 inch Run) Up To Max. 41nch Rise Up To Max. 8 Inch Rise (m x m) for 12 inch Run) for 12 inch Run) , 155"F/68"C 155"FI68"C 155"F/68"C Sprinkler Sprinkler Sprinkler 12 x 12 12 13 GPM (49,2 LPM) 13 GPM (49,2 LPM) 19 GPM (71,9 LPM) (3,7 x 3,7) (3,7) 7.0 psi (0,48 bar) 7.0 psi (0,48 bar) 15.0 psi (1,03 bar) 14 x 14 14 13 GPM (49,2 LPM) 13 GPM (49,2 LPM) 19 GPM (71,9 LPM) (4,3 x 4,3) (4,3) 7.0 psi (0,48 bar) 7.0 psi (0,48 bar) 15.0 psi (1,03 bar) 16 x 16 16 13 GPM (49,2 LPM) 13 GPM (49,2 LPM) 19 GPM (71,9 LPM) (4,9 x 4,9) (4,9) 7.0 psi (0,48 bar) 7.0 psi (0,48 bar) 15.0 psi (1,03 bar) 18 x 18 18 17 GPM (64,3 LPM) 17 GPM (64,3 LPM) 19 GPM (71,9 LPM) (5,5 x 5,5) (5,5) 12.0 psi (0,83 bar) 12.0 psi (0,83 bar) 15.0 psi (1,03 bar) 20 x 20 ' 20 20'GPM (75,7 LPM) 21 GPM (79,5 LPM) • 24 GPM (90,8 LPM) (6,1 x 6,1) (6,1) 16.7 psi (1,15 bar) 18.4 psi (1,27 bar) 24.0 psi (1,65 bar) (a) For coverage area dimensions less than or between those indicated, it is necessary to use the minimum required flow for the next highest coverage area for which hydraulic design criteria are stated. (b) Requirement is based on minimum flow in GPM (LPM) from each sprinkler. The associated residual pressures are calculated using the nominal Y. -factor. Refer to Hydraulic Design Criteria Section for details. TABLE A NFPA 13D AND NFPA 13R WET PIPE HYDRAULIC DESIGN CRITERIA FOR THE SERIES LFII (TY2234) RESIDENTIAL CONCEALED PENDENT SPRINKLER Physical Characteristics: Frame . . . .. ... . . . .. . Brass Button . . . . . ... .. Bronze Sealing Assembly . . Beryllium Nickel w/ Teflon' Bulb . . ... 3 mm dia. Glass Compression Screw .. ... . Brass Deflector ... .. Copper Button Ejection Spring . . . . . ... . . Stainless Steel Support Cup . ... ... .. . Steel Cover Plate ........... Brass Retainer .. . Brass Cover Plate Ejection Spring . . . . . . . .. . .. . . Stainless Steel "DuPont Registered Trademark Operation When exposed to heat from a fire, the Cover Plate, which is normally sol- dered to the Support Cup at three points, falls away to expose the Sprin- kler Assembly. The glass bulb con- tains a fluid that expands when ex- posed to heat. When the rated temperature is reached, the fluid ex- pands sufficiently to shatter the glass bulb allowing the sprinkler to activate and flow water. Design Criteria The Series LFII (TY2234) Residential Concealed Pendent Sprinklers are UL and C -UL Listed for installation in ac- cordance with the following criteria. NOTE When conditions exist that are outside the scope of the provided criteria, refer to the Residential Sprinkler Design Guide TFP490 for the manufacturer's recommendations that may be accept- able to the Authority Having Jurisdic- tion. System Type. Only wet pipe systems may be utilized. Hydraulic Design. The minimum re- quired sprinkler flow rate for systems designed to NFPA 13D or NFPA 13R are given in Table A as a function of temperature rating and the maximum allowable coverage areas. The sprin- kler flow rate is the minimum required discharge from each of the total number of "design sprinklers" as specified in NFPA 13D or NFPA 13R. For systems designed to NFPA 13, the number of design sprinklers is to be the four most hydraulically demanding sprinklers. The minimum required dis- charge from each of the four sprinklers is to be the greater of the following: • The flow rates given in Table A for NFPA 13D and 13R as a function of temperature rating and the maxi- mum allowable coverage area. • A minimum discharge of 0.1 gpm/sq. ft. over the "design area" comprised of the four most hydraulically de- manding sprinklers for'the actual coverage areas being protected by the four sprinklers. Obstruction To.Water Distribution. Locations of sprinklers are to be in accordance with the obstruction rules of NFPA 13 for residential sprinklers. Operational Sensitivity. The sprin- klers are to be installed relative to the ceiling mounting surface as shown in Figure 2. Sprinkler Spacing. The minimum spacing between sprinklers is 8 feet (2,4 m). The maximum spacing be- tween sprinklers cannot exceed the length of the coverage area (Ref. Ta- ble A) being hydraulically calculated (e.g., maximum 12 feet for a 12 ft. x 12 ft. coverage area, or 20 feet for a 20 ft. x 20 ft. coverage area). ir_J i : c r v TFP450 SEALING FRAM= ASSEMBLY (112" NPT) WRENCH BUTTON FLATS SUPPORT CUP WITH DISPOSABLE i i ROLL FORMED SPRINKLER ®i i I THREADS STRAP (SEE INSTALLATION i i SECTION I BULB DEFLECTOR I COMPRESSION I SCREW SPRINKLER/SUPPORT CuP ASSEMBLY THREAD INTO I I RETAINER SUPPORT CUP THREAD UNTIL MOUNTING O 101WITH TABS SURFACE IS T- FLUSH WITH EJECTION CEILING SPRING SOLDE TABS(: COVER PLATE/RETAINER ASSEMBLY FIGURE 1 ' SERIES LFII (TY2234) RESIDENTIAL CONCEALED PENDENT SPRINKLER (Shown with Disposable Sprinkler Strap) 2-1/2' DIA. (63,5 mm) 1/2" NPT I 112' (12,7 mm) FACE OF THREADED SPRINKLER ADJUSTMENT FITTING �/32", GAP 1-3116-±1/4- (2,4 mm) (30,2 mm t6,4 mm) 1 MOUNTING SURFACE :OVER DLATE Page 3 of 4 WRENCH RECESS 4 PUSH WRENCH IN TO ENSURE ENGAGEMENT WITH SPRINKLER WRENCHING AREA FIGURE 2 W -TYPE 7 SPRINKLER WRENCH 0 SPRINKLER - S1 IPPOPT (9 IP SSE CO PL RET, y 14 1/4' (6,4 mm) COVER- SPRINKLER- 15/16' RETAINER. SUPPORTCUP (23,8 mm) 3/4' (19,1 mm) ASSEMBLY ASSEMBLY 3-5/16- DIA. DISPOSABLE (84,1 mm) TIP; PROTECTIVE CAP FIGURE 3 SERIES LFII (TY2234) RESIDENTIAL CONCEALED PENDENT SPRINKLER INSTALLATION DIMENSIONS /DISPOSABLE PROTECTIVE CAP OPERATED SPRINKLER Page 4 of 4 Installation The Series LFII (TY2234) must be in- stalled in accordance with the follow- ing instructions: NOTES Do not install any bulb type sprinkler if the bulb is cracked or there is a loss of liquid from the bulb. With the sprinkler held horizontally, a small air bubble should be present. The diameter of the air bubble is approximately 1/16 inch. (1,6 mm). A /eak'tight 112 inch NPT sprinkler joint should be obtained with a torqueof 7 to 14 ft. lbs. (9,5 to 19,0 Nm). A maxi- mum of 21 ft.lbs. (28,5 Nm) of torque is to be used to. install sprinklers. Higher levels of torque may distort the sprinkler inlet with consequent leak- age or impairment of the sprinkler. Do not attempt to compensate for in- sufficient adjustment in an Escutcheon Plate by under- or over -tightening the Sprinkler. Readjust the position of the sprinkler fitting to suit. Step 1. The sprinkler must only be installed in the pendent position and with the centerline of the sprinkler per- pendicular to the mounting surface. Step 2. Remove the Protective Cap. NOTE Do not remove the Sprinkler Strap (Fig. 1) until the sprinkler system is to be placed in service. Slep 3. With pipe thread sealant a;o- plied to the pipe threads, and using the W -Type 7 Wrench shown in Figure 2, install and tighten the Sprinkler/Sup- port Cup Assembly into the fitting. The W -Type 7 Wrench will accept a 112 inch ratchet drive. Step 4. Replace the Protective Cap by pushing it upwards until it bottoms out against the Support Cup. The Protec- tive Cap helps prevent damage to the Deflector and Arms during ceiling in- stallation and/or during application of the finish coating of the ceiling: It may also be used to locate the center of the clearance hole by gently pushing the ceiling material against the center point of the Cap. the Protective Cap and the Sprinkler Strap. NOTE Refer to Technical Data Sheet TFP700 regarding instructions for the removal of the Sprinkler Strap. Step 6. Push the Cover Plate/Retainer Assembly into the Support Cup, and as necessary, make the final adjustment of the Cover Plate with respect to the ceiling by turning the Cover Plate/Re- tainer Assembly clockwise until its flange just comes in contact with the ceiling. If it becomes necessary to remove the Cover Plate, it can be removed by un- screwing in a counter -clockwise direc- -1ion. If the Cover Plate/Retainer Assembly cannot be engaged with the Support Cup or the Cover Plate/Retainer As- sembly cannot be engaged sufficiently to contact the ceiling, the Sprinkler Fit- ting must be repositioned. NOTE As long as the Sprinkler Strap (Fig. 1) or the Protective Cap (Fig. 3) remains in place, the system is considered to be "Out Of Service". Step 5. After the ceiling has been com- pleted with the 2-112 inch (63 mm) diameter clearance hole and in prepa- ration for installing the Cover Plate/Re- tainer Assembly, remove and discard TFP45O Care and Maintenance The Series LFII (TY2234) must be maintained and serviced in accord- ance with the following instructions: NOTES Absence of an Escutcheon Plate may delay the sprinkler operation in a fire situation. Before closing a fire protection system main control valve for maintenance work on the fire protection system which it controls, permission to shut down the affected fire protection sys- tem must be obtained from the proper authorities and all personnel who may be affected by this action must be no- tified. Sprinklers which are found to be leak- ing or exhibiting visible signs of corro- sion must be replaced. Automatic sprinklers must never be painted, plated, coated, or otherwise altered after leaving the factory. Modi- fied or over heated sprinklers must be replaced. Care must be exercised to avoid dam- age - before, during, and after instal- lation. Sprinklers damaged by drop- ping, striking, wrench twist/slippage, or the like, must be replaced. The owner is responsible for the in- spection, testing, and maintenance of their fire protection system and de- vices in compliance with this docu- ment, as well as with the applicable standards of the National Fire Protec- tion Association (e.g., NFPA 25), in addition to the standards of any other authorities having jurisdiction. The in- stalling contractor or sprinkler manu- facturer should be contacted relative to any questions. NOTE The owner must assure that the sprin- klers are not used for hanging of any objects and that the sprinklers are only cleaned by means of gently dusting with a feather duster, otherwise, non- operation in the event of a (re or inad- vertent operation may result. It is recommended that automatic sprinkler systems be inspected, tested, and maintained by a qualified Inspection Service in accordance with local requirements and/or national codes. BU iY 1 r: -A't UNTY ` qC®Fire & Building Products Direct Sales (Central): Tel: (800) 523-6512 / Fax: (215) 362-5385 Distribution Sales (Gem/Star): Tel: (800) 558-5236 / Fax: (800) 877-1295 Technical Services: Tel: (800) 381-9312 / Fax: (800) 791-5500 Series LFII Residential Pendent Sprinklers 4.9 K -factor General Description The Series LFII .(TY2234) Residential Pendent Sprinklers are decorative, fast response, frangible bulb sprinklers designed for use in residential occu- pancies such as homes, apartments, dormitories, and hotels. When aesthet- ics and optimized flow characteristics are the major consideration, the Series LFII (TY2234) should be the first choice. The Series LFII are to be used in wet pipe residential sprinkler systems for one- and two-family dwellings and mo- bile homes per NFPA 13D; wet pipe residential sprinkler systems for resi- dential occupancies up to and includ- ing four stories in height per NFPA 13R; or, wet pipe sprinkler systems for the residential portions of any occu- pancy per NFPA 13. The Series LFII (TY2234) has a 4.9 (70,6) K -factor that provides the re- quired residential flow rates at reduced pressures, enabling smaller pipe sizes and water supply requirements. The recessed version of the Series LFII (TY2234) is intended for use in areas with finished ceilings. It employs a two-piece Style 20 Recessed Es- cutcheon. The Recessed Escutcheon provides 114 inch (6,4 mm) of recessed adjustment or up to 1/2 inch (12,7 mm) of total adjustment from the flush ceil- ing position. The adjustment provided by the Recessed Escutcheon,reduces the accuracy to which the pipe nipples to the sprinklers must be cut. The Series LFII (TY2234) has been designed with heat sensitivity and water distribution characteristics proven to help in the control of residen- tial fires and to improve the chance for occupants to escape or be evacuated. WARNINGS The Series LFII (TY2234) Residential Pendent Sprinklers described herein must be installed and maintained in compliance with this document, as well as with the applicable standards of the National Fire Protection Asso- ciation, in addition to the standards of any other authorities having jurisdic- tion. Failure to do so may impair the integrity of these devices. The owner is responsible for maintain- ing their fire protection system and de- vices in proper operating condition. The installing contractor or sprinkler manufacturer should be contacted relative to any questions. Sprinkler/Model Identification Number SIN TY2234 Technical Data Approvals: UL and C -UL Listed. Maximum Working Pressure: 175 psi (12,1 bar) Discharge Coefficient: K = 4.9 GPM/psil/2 (70,6 LPM/barl/2) Temperature Rating: 155°F/68°C or 175°F/79°C Finishes: White Polyester Coated, Chrome Plated, or Natural Brass Physical Characteristics: Frame . . . . . .. . . . . . . Brass Button .. .. . . . . . . . Bronze Sealing Assembly . . . . . .. . . . Beryllium Nickel w/Teflont Bulb - ..' . . 3 mm -dia. Glass Compression'. Screw . . . . Bronze Page 11 of 4 JULY, 2002 GARAGpe�_- Deflector . .. .. . Bronze Ejection Spring . .. Stainless Steel tDuPont Registered Trademark Operation The glass Bulb contains a fluid that expands when exposed to heat. When the rated temperature is reached, the fluid expands sufficiently to shatter the glass Bulb allowing the sprinkler to activate and flow water. I } ' ; TFP400f Page 2 of 4 (a) For coverage area dimensions less than or between those indicated, it is necessary to use the minimum required flow for the next highest coverage area for which hydraulic design criteria are stated. (b) Requirement is based on minimum flow in GPM (LPM) from each sprinkler. The associated.residual pressures are calculated using the nominal K -factor. Refer to Hydraulic Design Criteria Section for details. „ TABLE A :. NFPA 13D AND NFPA 13R HYDRAULIC DESIGN CRITERIA, . FOR THE SERIES LFII (TY2234) RESIDENTIAL PENDENT AND RECESSED PENDENT SPRINKLERS. Design Criteria The Series LFII (TY2234) Residential Pendent Sprinklers are UL and C -UL Listed for installation in accordance with the following criteria. NOTE When conditions exist that are outside the scope of the provided criteria, refer to the Residential Sprinkler Design Guide TFP490 for the manufacturer's recommendations that may be accept- able to the local Authority having Juris- diction. System Type. Only wet pipe systems may be utilized. Hydraulic Design. The minimum re- quired sprinkler flow rate for systems designed to NFPA 13D or NFPA 13R are given in Table A as a function of temperature rating and the maximum allowable coverage areas. -The sprin- kler flow rate is the minimum required discharge from each of the total number of "design sprinklers" as speci- fied in NFPA 13D or NFPA 13R. For systems designed to NFPA 13, the number of design sprinklers is to be the the four most, hydraulically de- manding sprinklers. The minimum re- TFP400 (2,4 m). The maximum spacing be- tween sprinklers cannot exceed the length of the coverage area (Ref..Table A).being hydraulically calculated (e.g., ;. maximum. 12: feet for a.1 2 ft. x 12 ft. .,--..coverage area, -or -20 feet for a 20 ft. x .:.;_20 ft. coverage -area). -:-.:Installation ,.:The Series LFII (TY2234) must be in stalled in accordance: with the follow- ing instructions: NOTES Do not install any bulb type sprinkler if the bulb is cracked or there is a loss of liquid from the bulb. With the sprinkler -held horizontally. -a'- small -air-bubble should be present.. The diameter of the air bubble is approximately 1/16 inch (1,6mm). - A leak tight 1/2 inch NPT sprinkler joint should be obtained with a torque of 7 to 14 ft.lbs. (9,5 to 19,0 Nm). A maxi- mum of 21 ft. lbs. (28,5 Nm) of torque is to be :used to install sprinklers. :Higher levels of torque may distort the sprinkler inlet with consequent leak- age or impairment of the sprinkler. ,..:Do not attempt to compensate for in- •. -::.sufficient adjustment in an Escutcheon -.Plate by under- or over -tightening the. S prrn U". 000 JUS a posraon o e .-•.quired discharge from each of the four "' ''sprinkler fitting to suit. " sprinklers is to. be the. greater of ;the. ;;..`:The; Series LFII Pendent'$prinklers following: must be -installed. in accordance with *'The flow rates given'ih Table A'for • the following instructions. NFPA 13D and 13R as a function of Step 1. Pendent sprinklers are to be temperature rating and the maxi- installed in the pendent position with mum allowable coverage area. the deflector parallel to the ceiling. • A minimum discharge of 0.1 gpm/sq. ft. over the "design area" comprised of the four most hydraulically de- manding sprinklers for the actual coverage areas being protected by the four sprinklers. Obstruction To Water Distribution. Locations of sprinklers are to be in accordance with the obstruction rules of NFPA 13 for residential sprinklers. Operational Sensitivity. The sprin- klers are to be installed with a deflector to ceiling distance of 1-3/8 to 4 inches or in the recessed position using only the Style 20 Recessed Escutcheon as shown in Figure 2. NOTE So as to help avoid obstructions to water distribution, a maximum 12 inch deflector -to -ceiling distance is permit- ted for NFPA 13D and NFPA 13R ap- plications where the sprinklers are Ic- cated in closets. Step 2. With pipe thread sealant ap- plied to the pipe threads, hand tighten the sprinkler into the sprinkler fitting. Step 3. Tighten the sprinkler into the -sprinkler fitting using only the W -Type 6 Sprinkler Wrench (Ret. Figure 3). With reference to Figure 1, the W -Type 6 Sprinkler Wrench is to be applied to the wrench flats. The Series LFII Recessed Pendent Sprinklers must be installed in ac- cordance with the following instruc- tions. Step A. Recessed pendent sprinklers are to be installed in the pendent posi- tion with the 'deflector parallel to the ceiling. Step B. After installing the Style 20 Mounting Plate over the sprinkler threads and with pipe thread sealant applied to the pipe threads, hand tighten the sprinkler into the sprinkler fitting. Sprinkler Spacing. The minimum Step C. Tighten the sprinkler into the spacing between sprinklers is 8 feet sprinkler fitting using only the W -Type BUIL_ t r„ t {L APPROVED Minimum Flow (b) and Minimum Flow (b) and Maximum Maximum . Residual Pressure Residual Pressure.. •. Coverage Spacing For Horizontal Ceiling . For Sloped Ceiling-..,.: Area (e) Ft (Max. 2 Inch Rise : (Max. 8 Inch Rise .. Ft x Ft. (m) for 12 Inch Run) for 12 Inch'Flun) " • (m x m) - 155°F/68°C or 175°F/79°C 155°F/68'C .12 x 12 12 :13 GPM (49,2 LPM) 13 GPM (49,2 LPM) (3,7 x 3,7) (3,7) 7.0 psi (0,48 bar) 7.0 psi (0,48 bar) .14 x 14 . 14 .... ._13 GPM (49,2 LPM) .. .13 GPM (49,2 LPM) (4,3 x 4,3) (4.3) . 7.0 psi (0,48 bar) .- 7.0 psi (0,48 bar).• . -16 x 16 ..16. _ .:13 GPM (49,2 LPM) :' .13 GPM (49,2 LPM) (4,9 x 4,9) (4,9) 7.0 psi (0,48 bar) -.7.0 psi (0,48 bar) . 18 x 18 18 17 GPM (64,3 LPM) 21 GPM (79,5 LPM) (5,5 x 5,5) (5,5) 12.0 psi (0,83 bar) 18.4 psi (1,27 bar) 20 x 20 20 20 GPM (75,7 LPM) 21 GPM (79,5 LPM) (6,1 x 6.1) (6,1) 16.7 psi (1,15 bar) 18.4 psi (1,27 bar) (a) For coverage area dimensions less than or between those indicated, it is necessary to use the minimum required flow for the next highest coverage area for which hydraulic design criteria are stated. (b) Requirement is based on minimum flow in GPM (LPM) from each sprinkler. The associated.residual pressures are calculated using the nominal K -factor. Refer to Hydraulic Design Criteria Section for details. „ TABLE A :. NFPA 13D AND NFPA 13R HYDRAULIC DESIGN CRITERIA, . FOR THE SERIES LFII (TY2234) RESIDENTIAL PENDENT AND RECESSED PENDENT SPRINKLERS. Design Criteria The Series LFII (TY2234) Residential Pendent Sprinklers are UL and C -UL Listed for installation in accordance with the following criteria. NOTE When conditions exist that are outside the scope of the provided criteria, refer to the Residential Sprinkler Design Guide TFP490 for the manufacturer's recommendations that may be accept- able to the local Authority having Juris- diction. System Type. Only wet pipe systems may be utilized. Hydraulic Design. The minimum re- quired sprinkler flow rate for systems designed to NFPA 13D or NFPA 13R are given in Table A as a function of temperature rating and the maximum allowable coverage areas. -The sprin- kler flow rate is the minimum required discharge from each of the total number of "design sprinklers" as speci- fied in NFPA 13D or NFPA 13R. For systems designed to NFPA 13, the number of design sprinklers is to be the the four most, hydraulically de- manding sprinklers. The minimum re- TFP400 (2,4 m). The maximum spacing be- tween sprinklers cannot exceed the length of the coverage area (Ref..Table A).being hydraulically calculated (e.g., ;. maximum. 12: feet for a.1 2 ft. x 12 ft. .,--..coverage area, -or -20 feet for a 20 ft. x .:.;_20 ft. coverage -area). -:-.:Installation ,.:The Series LFII (TY2234) must be in stalled in accordance: with the follow- ing instructions: NOTES Do not install any bulb type sprinkler if the bulb is cracked or there is a loss of liquid from the bulb. With the sprinkler -held horizontally. -a'- small -air-bubble should be present.. The diameter of the air bubble is approximately 1/16 inch (1,6mm). - A leak tight 1/2 inch NPT sprinkler joint should be obtained with a torque of 7 to 14 ft.lbs. (9,5 to 19,0 Nm). A maxi- mum of 21 ft. lbs. (28,5 Nm) of torque is to be :used to install sprinklers. :Higher levels of torque may distort the sprinkler inlet with consequent leak- age or impairment of the sprinkler. ,..:Do not attempt to compensate for in- •. -::.sufficient adjustment in an Escutcheon -.Plate by under- or over -tightening the. S prrn U". 000 JUS a posraon o e .-•.quired discharge from each of the four "' ''sprinkler fitting to suit. " sprinklers is to. be the. greater of ;the. ;;..`:The; Series LFII Pendent'$prinklers following: must be -installed. in accordance with *'The flow rates given'ih Table A'for • the following instructions. NFPA 13D and 13R as a function of Step 1. Pendent sprinklers are to be temperature rating and the maxi- installed in the pendent position with mum allowable coverage area. the deflector parallel to the ceiling. • A minimum discharge of 0.1 gpm/sq. ft. over the "design area" comprised of the four most hydraulically de- manding sprinklers for the actual coverage areas being protected by the four sprinklers. Obstruction To Water Distribution. Locations of sprinklers are to be in accordance with the obstruction rules of NFPA 13 for residential sprinklers. Operational Sensitivity. The sprin- klers are to be installed with a deflector to ceiling distance of 1-3/8 to 4 inches or in the recessed position using only the Style 20 Recessed Escutcheon as shown in Figure 2. NOTE So as to help avoid obstructions to water distribution, a maximum 12 inch deflector -to -ceiling distance is permit- ted for NFPA 13D and NFPA 13R ap- plications where the sprinklers are Ic- cated in closets. Step 2. With pipe thread sealant ap- plied to the pipe threads, hand tighten the sprinkler into the sprinkler fitting. Step 3. Tighten the sprinkler into the -sprinkler fitting using only the W -Type 6 Sprinkler Wrench (Ret. Figure 3). With reference to Figure 1, the W -Type 6 Sprinkler Wrench is to be applied to the wrench flats. The Series LFII Recessed Pendent Sprinklers must be installed in ac- cordance with the following instruc- tions. Step A. Recessed pendent sprinklers are to be installed in the pendent posi- tion with the 'deflector parallel to the ceiling. Step B. After installing the Style 20 Mounting Plate over the sprinkler threads and with pipe thread sealant applied to the pipe threads, hand tighten the sprinkler into the sprinkler fitting. Sprinkler Spacing. The minimum Step C. Tighten the sprinkler into the spacing between sprinklers is 8 feet sprinkler fitting using only the W -Type BUIL_ t r„ t {L APPROVED TFP400 7/16' (11,1 mm) 1/2' Components: NOMINAL MAVC-IM NPT 1 - Frame 2 - Button 3 - Sealing Assembly 1 , 4 • Bulb 5 . Compression 2 Screw 6 - Deflector' 3 7.• Ejection Spring 7 4 ' Temperature 5 rating is indicated on 6. Deflector. CROSS SECTION 7/16ti/8' (11.1t3,2 mm) FACE OF SPRINKLER FITTING MOUNTING SURFACE ESCUTCHEON PLATE SEATING 2.7/8' DIA. £•URFACE (73,0 mm) 2.1 (57,2 mm).: 'STYLE 20 ,3 mm) WRENCH'RECESSED FLATS ;'ESCUTCHEON RECESSED PENDENT . PENDENT Page 3of4 FIGURE 1 SERIES LFII (TY2234) RESIDENTIAL PENDENT AND RECESSED PENDENT SPRINKLERS _ 2.7/8' DIA. (73,0 mm) 1/2' (12,7 mm) _ 2.1/4' DIA. 1/4' (6,4 mm) (57,2 mm) /17 MOUNTING PLATE LL (3,2 mm) 1.3/8' (34,9 mm) CLOSURE TY2234 1.1/8' (28,6 mm) FIGURE 2 STYLE 20 RECESSED ESCUTCHEON FOR USE WITH THE SERIES LFII (TY2234) RESIDENTIAL PENDENT SPRINKLER WRENCH RECESS (END 'A' USED FOR TY2234) FIGURE 3 W -TYPE 6 ::'::SPR/NKLER.WREN'CH • .. WRENCH RECESS PUSH WRENCH IN TO ENSURE ENGAGEMENT WITH SPRINKLER WRENCHING AREA FIGURE 4 W -TYPE 7 RECESSED SPRINKLER WRENCH t_ - t Page 4of4 7 Recessed Sprinkler Wrench (Ref. Figure 4). With reference to Figure 1, the W -Type 7 Recessed Sprinkler . . Wrench is to be applied to the sprinkler wrench flats. authorities having jurisdiction. The in- stalling contractor or sprinkler .manu- facturer should be contacted relative to any questions. - TFP400 EQUAL TO THE SALES PRICE. THE FOREGOING WARRANTY IS MADE IN" LIEU OF ANY AND ALL OTHER WARRANTIES EXPRESS OR NOTE ' IMPLIED. INCLUDINGWARRANTIES Step D. After the ceiling has been in ::.The owner must assure that the sprin OF. MERCHANTABILITY •AND F/stalleT- plied, s e onor the lnish coat has been the Style 20 Closure klerare not used for hanging of any NPOSE' FOR A PARTICULAR PUR- over the Series LFII Sprinkler and objects and that the sprinklers are only push.the Closure over the Mounting cleaned by means o/ gently. dusting Plate until its flange comes in contact, with a feather duster: otherwise, non Ordering with the ceiling. operation in the event of afire or inad vertent operation may result. Procedure Care an Maintenance The Series LFII (TY2234) must be maintained and serviced in accord- ance with the following instructions: NOTES Absence of an Escutcheon Plate may delay the sprinkler operation in a fire situation. It -isz recommended .that automatic sprinkler -systems beinspected, tested, and maintained by a qualified Inspection Service. Limited Warranty When placing an order, indicate the full product name. Contact your local dis- tributor for availability.. Sprinkler Assembly: Series LFII (TY2234), K=4.9, Residen- tial Pendent. Sprinkler with (specify) temperature rating and (specify) finish,. P/N (specify). . Products manufactured by Tyco Fire Products are warranted solely to the 155°F/68°c or original Buyer for ten (10) years Chrome Plated .......... P/N 51-201-9-155 155°F/66"C ' Before closing a fire protection 'system • _ against defects in material and work- .manship when paid for and properly :: white Polyester......:.: P/N 51-201-4-155 155°F/68°c main control valve for maintenance 'system installed and maintained under normal Natural Brass.........:.'P/N 51-201-1-155 work .on the fire protection use and service. This warranty will ex 179°Fns°or which it controls,. permission to shut pire ten (10) years from date ofp- � chromee Plated ...:..... P/N 51-201-9-179 down the affected fire protection sys :. tem must be obtained from the proper .shi ; ment by Tyco Fire. Products.. No war-. 175°Fns°c white Polyester..:::..:: �. P/N 51 -tot a-1�, , .authorities and all personnel who may..,, - ranty. is :given .f0r:.products or. components manufactured by compa- ns°Fns°c Natural Bress.:.::::::.; P/N 51-201-1r;1.7.5. be affected by this action must. be no- : - nies not 'affiliated by ownership with tified. .-_Tyco Fire Products.er for products and ;I Recessed Escutcheon: Sprinklers which are found to be leak-�.:.='•:components which have been subject::.:.:, ;Specify:; Style 20.Recessed:Escutch- ing or exhibiting visible. signs of corro-:-:.<.:!.to misuse, improper installation 1 corro-_,�,­,=eon with (specify) finish; P/N (spec'ity). sion must be replaced. sion, or which have not been installed, Automatic sprinklers must never be maintained, modified or repaired in ac- cordance with applicable Standards of 1/2' 15 mm) y1 20 shipped or stored where the tempera- the National Fire Protection Associa- chrome Plated ......... P/N 56-705-9-010 lure will exceed 100°F/38°C and they tion, and/or the standards of any other 1/2 (15yle 20 ) must never painted, plated, coated, Authorities Having Jurisdiction. Mate- whae color r or otherwisea altered after leaving the rials found by Tyco Fire Products to be Coated ................ P/N 56-705-4-010 factory. Modified sprinklers must be re- defective shall be either repaired or 1/2' (15 mm) placed. Sprinklers that have been ex- posed to corrosive products of com- Tyco replaced, at T Fire Products' sole P style 20 Bright Brass bustion, but have not operated, should option. Tyco Fire Products neither as- r Coated ................. P/N 56-705-2-010 replaced if they cannot be com- sumes, nor authorizes any person to assume for it, any other obligation in y Sprinkler Wrench: pletbe y cleaned by wiping the sprinkler with a cloth or by brushing it with a softSpecify: with connection with the sale of products or W -Type 6 Sprinkler Wrench, bristle brush. parts of products. Tyco Fire Products P/N 56-000-6-387. shall not be responsible for sprinkler SW T 7 S ; WW h Care must be exercised to avoid dam- age to the sprinklers - before, during, and after installation. Sprinklers dam- aged by dropping, striking, wrench twist/slippage, or the like, must be re- placed. Also, replace any sprinkler that has a cracked bulb or that has lost liquid from its bulb. (Ref. Installation Section). The owner is responsible for the in- spection, testing, and maintenance of their fire protection system and de- vices in compliance with this docu- ment, as well as with the applicable standards of the National Fire Protec- tion Association (e.g., NFPA 25), in addition to the standards of any other system design errors or inaccurate or peclfye ype prin er renc incomplete information supplied by P/N 56-850-4-001. Buyer or Buyer's representatives. IN NO EVENT SHALL TYCO FIRE PRODUCTS BE LIABLE, IN CON- TRACT, TORT, STRICT LIABILITY OR UNDER ANY OTHER LEGAL THE- ORY, FOR INCIDENTAL, INDIRECT, SPECIAL OR GONSEQUENTIAL DAMAGES, INCLUDING BUT NOT LIMITED TO LABOR CHARGES, RE- GARDLESS OF WHETHER TYCO FIRE PRODUCTS WAS INFORMED ABOUT THE POSSIBILITY OF SUCH DAMAGES, AND IN NO EVENT SHALL TYCO FIRE PRODUCTS' Lt. - ABILITY EXCEED AN AMOUNT ". ,..... 1.,V�! Y e i u-. J .+ a •J �a L .� TYCO FIRE PRODUCTS, 451 North Cannon Avenue, Lansdale, Pennsylvania 19446 Bronze Spring Loaded Check Valve %"-2" Figure No. 3600 w/Teflon Disc. Figure No. 3600SJ w/Teflon Disc Figure No. 3.615 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, 011, or Gas Fluid Pressure, Non -Shock W.O.G. 25 ©� = Figure No. 3600 Figure No. 3615 Figure No. 3600SJ Threaded Figure No. 3615SJ Copper to Copper 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. : , w• :..gip,: r+. •� ;�"�., j'—'�'-;,.--a--•�,�'.r,r—r:. , w.-.... ... ; .. _ MA `�iiie+r;4 mak{ s>liid OI�c:M� '.: �� y(' �..R • T;\���•�S.i •'af: •.v �,.3'C`'•�I�"l n�.,!'�'��^�: ,'i�:;!r'::; .?��:r- - .• Ma,< �..: ,. ;�,��- sloits—Welghts �erliil t.�s� � . �... �<.: •;:.:: ;� ` � bltnen Q) 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 SA. Disc Buna-N, Fig. 3615 6. Seat Ring Teflon 7. Seat Screw Stainless Steel ASTM A-276 Alloy S43000 8. Body End Bronze ASTM B-584 Alloy C84400 Nominal Size Dimensions Approx. Net Wt. Fig. 3600 Approx. Net Wt. Fig. 360M A B C 21, 2 12/6 17/16 .4 .4 '12 2'116 13/8 13hr. .4 .4 31, 21/4 15/8 lsh6 .5 .5 1 25/8 2 1'/2 .8 .9 1'/, 2'sh6 23/8 V/I6 1.2 1.3 1'/2 35/16 23/4 2 1.6 1.9 2 3'/4 33/e 25/16 2.4 2.7 + L11 . 1; iiiGCO TRIMmLINEY cont'd. 1 800 854-1015 FIRE -SPRINKLER -PRESSURE GA U.S. GUAG L, AMETEK • Use on wet or dry sprinkler systems! • Solid brass backed! • 1/, " ANTP-LM brass fitting; 312 n diameter • 300 1b./sq. In. Capacity . o f�aGDiniG Tl9itll� S ySTL/�S . �D<.8 6vA6� t Z +VZO UG1.ES tioo s X240 15 !tl Its 5C. ' 2so ,25 s e 115 `.��,.. 300 OL_ ._ .. @LISTED rM APPROVEC VSR-SF FOR SMALL PIPE VANE TYPE WATERFLOW (,PO ALARM SWITCH WiTH RETARD Pyr Electric Signet Company potter Electric Signal & Mfg. LTD 2081 Craig Road • P.O. Box 28460 - 1967 Leslie Street St. Louis, MO 63148.4161 Don Mills, Ontario, Canada M382M3 (314) 8784321 6 (600) 325.3936 (416) 441.1633 1 . STK. NO.1113000 U.S. PAT. NO. 392`19890 CANADIAN PAT, NQ.:1009680 UL. ULC, CSFM LISTEb and NYMEA ACCEPTED Servloe Pressure: Up to 250 PSI Minimum Flow Rate (o Alarm: 10 GPM Maximum Sures: 18 FPS Enclosure: Dle-cast, red enamel finish. . Cover held In place with tamper resistant WOWS Contact Ratings: Two sets of SPDT (Form C) 15.0 Ampa at 1251250 VAC 2.0 Amps at 0-30 VDC Condult Entrances: Two Knockouts provided for 1/2' condult Usage: Usted Plastic, Copper and Schedule 40 Iron Pipe Fite pips sizes -1', 1 1/4', and 1 1/2' Note: 8 paddles are furnished 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 spooifleatlons: Suitable for Indoor or outdoor use wfth factory installed gasket and die -"M housing NEMA 4 Rated Enclosure • use with appropriate conduft Attlng Temperature Range: 40' F/120° F (4.5' 0/49' C) Caution: This device Is not Intended for applk:attone In amlosNe environments Service Use: NFPA-13 Automatic sprintder One or two family dwelling NFPA-130 Resldentlat occupancy up to four stones NFPA•13R National Fire Alarm Code NFPA-72 OTHER PATENTS PENDING. Optlorlal: Cover Tamper SvAtch, order Stk. No. WNW 18 The stem The Model VSA -SF is a vena type waterftow switch for use on wet sprinkler eystpme that use 11. 1 1/4', or 1 1/2" pipe size. The unit may also be ueod as a wilonal waterfiow detector on large systema. The unit contains two single pole double throw snap eotlon ewttchbs and an adtustable pneumatic retard. The switches are actuated when it flow of 10 gallons par minute or more occurs downstream of the devlo's. The flow condition must exist for a period of time necessary to overcome the selected ralard period. INSTALLATION: These devices may be mounted in horizontal Orvertfoal pipe. On horizontal pipe they should be Installed on the top side of the pipe where they VAI be acceaalble. The units should not be installed within 6' of &valve, drain or fitting which changes the direction of the watafflOW. The unit has a 1' NPT tushing for threading Into a noncorroslve TEE. See Mg. 2 for proper TEE size, type and installation. Screwthedev4ce into the TEE fitting asshown InFig. 2. Care must betaken to properly orient the device (or the direction of waterflow. . . The vane must not rub the Inside of the TEE or bind in any way. should move freely when operated by hand. The devlos can also be used in copper or plastic pip+ lnat&Udona with the proper adapters ea that the epeclW TEE ftttlnq may be imtalW on the pipe run. ✓� INSPECTION AND TESTING: Check ft operation of its unit by opening the Inspector' tail vaNs at the end of the aprinldsr lite or the drain end test oonnsctlort, If an Inspector's test valve Is not provlded. If there are no provisions f� testing the �s Of F Is notVA flow detection ended or device on the system, eppl 'advisable The Inquartoy of the Inspection and testing and its associated applicable protective ntonito*q system should be M socordanee w#th tote SNFA (manufacturer Codes and Standards and/or authority havirp lurtadictton recommends quarterly or more frequently). les ed that shows the CAUTION: There are 8 paddles fumished with each unit, used with The propertpaddleese ddil>�be used S7he screw hat holds he paddle size and type of TEE= that they are to be . must be securely tightened. MKT. #6411OW 1- REV t PAt3E 1 of 2 PRINTED IN USA- MFG. #940002 - 05 r t 1 :_ j vN-ryY p�! SELLS OPOTTER.® PBA -AC & PBD -DC Potter Electric Signal Company Potter Electric Signal & Mfg. LTD 2081 Craig Rd.JP.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 r 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 0 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 PBA248 1808024 .17A 94 75 10 24VAC PBA2410 1810024 .17A 94 75 6 120VAC PBA1206 1806120 .05A 92 82 8 120VAC PBA1208 1808120 .05A 99 82 10 120VAC PBA12010 1810120 .05A 99 85 Weatherproof backbox model BBK-1 Stk. No. 1500001. Notes: 1. Minimum d8 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. #8850001- REV K PAGE 1 OF 2 MFG. #5400776 - 4/94 1 Sprinkler Head kabinet Central Sprinkler Company 451 North Cannon Avenue, Lansdale, Pennsylvania 19446 ProductTechnical Description Data Central Sprinkler Head Cabinets are constructed of a metal enclosure 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. _Central Sorinkler_Head Cabinets are manufactured of heavy gauge 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. Model: Sprinkler Head Cabinet Style: 6 head or 12 head Standard Finish: Red enamel Mfgr. Source: Non-domestic Capacity: 6 sprinkler heads 12 sprinkler heads Dimensions: -6 head - 5" high x 14" long x 31/4" deep 12 head - 5" high x 14" long z —^ 4" deep Weight: 6 head - 2.3 lbs. 12 head . 3.5 lbs. ri APPROVED BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIAIE OF APPLICA TION Website: www.butte.county.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last NameFirst 1C. Name / ✓e Mailing Address 2gQhl / e ve City ©rOV //I e l l, State Zip 5-0 6 Phone 530 _ Fax 530 ✓r ,�t�� Z E-mail APPLICANT INFORMATION CONTRACTOR Name A Q bOv Address Zip City City State Zip Phone Phone EilEa Fax E-mail Lic. # License Number Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name ✓5 Yt/I,c/ S _Address Zip !~ City r State Zip Phone EilEa Fax License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X I PERMIT NO. BIN # PROJECT LOCATION AP# X30- o -05 Property Address 69 ! e— City Gfp ✓l WORKER'S COMPENSATION Policy Number 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: Sq FT- Living ZIC5 Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of.Occupancy ...I V I (Note previous use): V For office use only: Zoning Flood Zone SRA I Yes Occ. Type Const. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-0903 Location: 691 LUDS WAY Parcel Number: Owner Name: 030-250-056 DREW HENRY Date: 04/26/2007 By: KEJ Sub Type: Remodel Phone: (530)589-5355 Description: GARAGE CONVERSION- PORTION OF NEW GARAGE (465) The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 El ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS ❑ ❑ Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 El ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 1:1 ❑ Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS rr � Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 t;(n W,4l td, pp �cllf yedi_ Te Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 ❑ Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions ❑ E3 City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner: % Date: 04/26/2007 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds . NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at hqp://muniCipalcodes.lexisnexis.com/codes/butteco/ Reference Number: Location: Parcel Number: Owner Name: B07-0903 691 LUDS WAY 030-250-056 DREW HENRY Description: GARAGE CONVERSION- PORTION OF NEW GARAGE (465) Date: 04/26/2007 Phone: (530) 589-5355 Signature of Property Owne : • ��--� , Date: 04/26/2007 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds . OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the pnperty improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they. are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business Incense from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you shoulJ be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including :materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not cant' out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Serviee (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" buildin€. pen -nit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SC THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL'IHE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NC. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. Ol I PERSONALLY P TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTON OF THE PROPOSED PROPERTY IMPROVEMENT. YES R NO) 6 E�HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FW TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE - TYPE OF WORK Description: GARAGE CONVERSION- PORTION OF NEW GARAGE (46S) Reference Number: B07-0903 Applicant Name: DREW HENRY Owner's Name: DREW HENRY_ AP # : 030-250-056 Signature of Property Owner: Date: i :4. 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: 691 LUD'S WAY Owner: Permit NO: 06-1880 APN: 030-250-056 DREW PHILLIP HENRY Issued Date: 10/09/2006 By KEJ Permit type: RESIDENTIAL 280 HILLCREST AVE Subtype: NSF/GAR/DECK(COV) OROVILLE, CA 95966 Expiration Date: 10/09/2007 Description: NSF/GAR/DECK(COV) (530) 589-5555 Occupancy: R-3 Zoning: Contractor Applicant: Square Footage: OWNER DREW PHILLIP HENRY Building Garage Remdl/Addn 280 HILLCREST AVE 4,296 1,417 OROVILLE, CA 95966 Other Porch/Patio Total (530) 589-5555 1,600 7,313 FEE INFORMATION ;k County Impact - SFD $2,244.02 Drainage Fees $684.00 Dwelling - Custom, Model $2,607.67 Fund 10 BLDG $1,738.45 Impact Processing Auditor $50.00 Impact Processing DDS $50.00 Res Impact Fees - SFD $2,005.09 Total Charged: $9,413.11 Fees Paid: $9,413.11 SMTP - Residential $33.88 Balance Due: $0.00 Receipt No: B444 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 OWNER / / 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 pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) 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. 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 X • 10/09/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's 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 Contractors 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 ❑I 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. �prove for the purpose of sale.). HAVE ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 4I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED IIIIL���"''CCCCONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors 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 Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is oris or one hundred dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS 10/ .. X 10/09/2006 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date p�vsi X 10/09/2006_ 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 Sig ature 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 by, arising out of, or 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 that issuance of this permit 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 P owner or am,a orized to act a property owner behalf. CONSTRUCTION LENDING. AGENCY y 10/09/2006 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for of Permi eXpl% ] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor for Owner 11 OR: Agent Agent for Contractor FILE COPY Lenders Address City State Zip BUTT;? COUNTY 0 o DEPARTMENT OF Dt';VELOPMENT SERVICES o o { - BUILDING PER, MIT APPLICATION o_ o AND SUBMITTA'kL REQUIREMENTS O _,r. O 24 HOUR INSPECTION#: OROVIIi LE- (530) 538-7636 • CHICO: (530) 891-2834 O `—�=' ��' O OFFICE)1j- (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION UN yWebsite: www.b�uffecounty.net/dds **PLEASE PRIINT CLEARLY** OWNER INFORMATION R Last Name _� irst Name Address CONTRACTOR City //c, State 1p Phone S'� 9 y �-� S Fax S33 _ R&2� Eiriaif ,CPrrrtti'r�E4=�b�dl. Phone ARCHITECT/ENGINEER CONTRACTOR Name ` c� Address City /1 I, r City State A State Zip Phone Fax3y3 ^ 5 Fax E-mail State License Number 6S -30 -or. Lic. # Class ARCHITECT/ENGINEER Name APPLICANT INFORMATION Address PO 511 S City /1 I, r Address State A Zipy,59Z 7 Phone5Z - L6�( Fax3y3 ^ 5 E-mail, CGI a Phone �;� i State License Number 6S -30 -or. PERMIT NO PROJECT LOCATION AP# APPLICANT INFORMATION Name Yes „ Address '} If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. City ��C. State � Zip Fax Phone �;� i .� 5 �' E-mail PERMIT NO PROJECT LOCATION AP# Pr pe dd� s Lu4e, WIV CiOro J,1 I Yes WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Book LENDING AGENCY Name Address I Description or Scope of Work: n�z�J �il� e Co�SffuO I ✓i Sq FT- Living 4(296 Garagel1 "� Open Cove 6 ey ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): _ EXPIRATION OF APPLICATION ' IApplications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not APPLICANT SIGNATURE I refundable. For office use only: . - Zoning I A -1 Ci Flood Zone ' I X I SRA Yes No 0cc. Type Const. s Xj Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS - L K:IFORMS\BUILDING FORMS\BldgApplSu':)Rgmts.doc Page 1 of 2 Received by MAtou ntrt: /Bldg Receipt #:,/,� SRA Sheriff SMIP Other REV 8-12-05 COUNT'.-'OF BUTTE-DEPAPTMt:Nr OF DEVELOPMENT SERVICES -BUILDING DIVISION ! 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET 0 U OWNER 110n (L4 ASSESSOR PARCEL NUMBER J ( — Proposed Building Use: LS- Permit Technician: I JIP Date: — Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. .�r 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. O 7. Statement of Intent for Non-heated and A/C for Non-Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-signed by the engineer. ❑ 10. Flood Elevation Certificate, wet-stamped and signed, in duplicate. ❑ 11. Hazardous Material Form J- 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other e ai 'n ' ems needed to issue the permit. (May require additional plan review upon receipt of the following items.) anitation and site plan approval from the Environmental Health Department in ❑ Chicorrville, as applicable Fire Sprinklers............................................................................................ � 6. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required......................................... . rosion Control Plan Required........................................................................ City ees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ California Department of Forestry plan approval ❑ paid. Sent by: �7 Planning approval for (A) Use: (B) Parking: (C) Parcel Check: .... /..� ❑ Contact Land Development about _ Improvements, _ Drainage....................... % 25. F•Fe Marshall Review (commercial projects only). Sent by: .................... . PDESForm............................................................................................. j. Encroachment Permit for driveway from the Public Works Dept........................... ❑ Contractor's license information. (Number, Name Style, Classification)................... 404. er's Compensation Carrier nd Policy Number........ r-Builder Verification (�ven to owner, _ aile o �rt�r �e:' .D.''?�Y' of Signature authorization .......................-1.k�. ded copy of Agricultural Acknowledgment Statement ............................... ng violations and/or expired permits...............................................Restriction.......................................................................................... g descri tionp M.H. Titletitle search, registration..................:: When issued Telephone.)/—/ ,l i4O`r &Z JCt • 13pe4hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. p Applicant:Tal -- Date: 1. Index pern�iLapplcacation fo ve mb an Check Letter / 2. Additional items required / p�— Contractor, designer, owner; sed t e above da by o e, ail, 0-co nter,' ate: Contractor, designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by �� ' l mate: 4�� Contractor, designef, owner, was advised of the abo a to by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: l to �' oG Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: &A Date: L fo, Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 \ n f BUTTE I 1(` COUNTY SLP g 12006 BEVELO]r�VIENT TO: Building Division = Development ServicesvlcEs FROM: Environmental Health j E.M. USE ONLY Plot Plan Attached Floor Plan Altadied Sent to BD/DS I �q SU ECT: Sanitation Clearance l � Owner Location AP# Plan Approved for: Sewage Disposa Clearance for ' dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Building Clearance 9/2005 Supply:,) blic Private Well nh A(_ s '53 - 2, Date a BUTTE COUNTY DEPARTMENT OF -DEVELOPMENT SERVICES - BUILDING DIVISION 1 7 COUNTY CENTER DRIVE, ORUVILLE, CA 95965 www.buttecounty.net/6ds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF, FEES SCHEDULE - RESIDENTIAL Owner HENRY, DREW APN No: 030-250-056 Permit Type: Subtype: App Date: 8/4/2006 Permit No: BP 06-1880 Permit Desc: 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $4,346.12 Plan Check portion of Permit Fee $1,738.45 $2,607.67 Balance of Building Permit Fee 2 FEMA Byes Flood Elevation Review $109.98 0 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 0$204.98 (State Responsibility Area) Building Inspection $109.98 0 NON-REFUNDABLE portion of fees due at application $1,738.45 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $1,738.45 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $7,674.66 $2,607.67 $33.88 RECEIPT DATE Tech/Asst 456526 8/4/06 Tammie 4 5 6 7 7a Balance of Building Permit Fees (from No. 1 above) SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) Additional Plan Check Fees (NON-REFUNDABLE) Other*: Other*: 8 IMPACT FEES - RESIDENTIAL* Applications After 04115106 Per Dwelling Per Dwelling MFD CHICO STORM DRAINAGE MASTER PLAN Per Dwelling 771 Comanche Creek $8,341 New construction, vacant land, on 1 acre or less - Enter 1 or less acre value County 1 4249.11 3183.54 3238. 775 SUDAD Ditch $1,211 Chico Urban Area 6146.23 4538.82 5648. THERMALITO DRAINAGE AREA 1 1 $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid EI Medio Fire District 3249.97 2385.76 2422. Biggs 057j North Chico Specific Plan 9 10 10a 11 11a °i SR -1, SR -3, SR-1/PD 8801.091 7395.041 8486.40 �c R-1 8897.09 7491.04 8582.40 °c R-2 8390.09 6984.04 8075.40 R-3 7604.09 6198.04 7289.40 RECEIPT DATE Tech/Asst $4,349.11 , RECEIPT DATE Tech/Asst $684.00 Processing Fee is automatically added to impact fee total 1 $100.00 WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# $200,00 DRAINAGE FEES* CHICO STORM DRAINAGE MASTER PLAN 770 Butte Greek $7,997 771 Comanche Creek $8,341 New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek $9,088 773 Big Chico Creek $6,776 774 Lindo Channel $8,267 775 SUDAD Ditch $1,211 776 Mud -Sycamore Creek $6,275 777 PV Ditch $8,893 More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW THERMALITO DRAINAGE AREA 1 1 $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid Temporary Dwelling 1 $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* 12a RECREATION DISTRICT FEES* Biggs 057j At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: / Date: j it — ab Pursuant to Gover nt code Section 6602O&Auwerl5ereby notified those Items followed by an "" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 R. ._. -�— �� .r -...-.,..- .�y.�w� rs .�._�,,.e.s-..�.V i'�' a -y r;r 70.-'•- ��'i"�1'rn-....�1.:y'.. wi o � ,...-r � � -.-.:n��.e. .. r ti.. L .. -. BUTTE COUNTY SCHOOLS IMPACT -FEE CERTIFICATION FORM (One form per Building). School District Buildings Department No. U )yy A.P. Number UKf Juris diction: City County Property Ownery Property Location/Address Subdivision Residential Development &7 Q . No of Living Mobile Home Units Installation New Addition Jing Department Lot No. Sq. Footage_ 4 (Group. R) ' Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) Date District Identification No. 0(0 District certifies that << i—SchoolT (Applicant) (Street (City) Number) (Zip Code) has complied with the requirements of Resolution No. by payment of $ ,2. c,,I,,' representing square feet. B 2926 $ ' ULL MITIGATION f District Representative Paid by Check # Remarks: h1nY�I g zs1 Date Notice : You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Cods 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 In of the fees In any court action. K, subsequent to the School District Representative signing ".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 Quagty Act (CEQA), this project may be subject to additional school Bass to fully ndflgab Its Impact an the school d"Ws schools. White (school district), Yellow (building department), Pink (applicant). teulorm xis (3F05)dhim Bulge COUIICyDepartme.i2t O.f Develop171eiit Se17/IGeS 0 .11 0 7 County Center Drive - Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES 1 request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all. necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I -hereby acknowledge: 0 I need to submit applications for septic andlor well to Butte County Environmental Health immediately. I an: required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. I. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: �f �Le 1'r Applicant Name: Building site address: Lyd 5 1,cJ i PermitIIS 1 have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: S NATURE OF APPLICANT DATE Order No. i _ ! Escrow No. Loan No. WHEN RECORDED MAIL TO: Drew Henry 280 Hillcrest Ave Oroville Ca 95966 DOCUMENTARY TRANSFER TAX $� .....Computed on the consideration or value of property conveyed; OR .....Computed on the consideration or value less liens or encumbrances remaining at time of sale. X006-0048249 Recorded I REC FEE 10.00 Official Records I County of I Butte I CNWI CE J. GRUBBS I County Clerk—Recorderl I I MZ 012:42N 18—Sep-2M IIt Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER'S USE Signature of Declarant or Agent determining tax - Firm Name GIFT DEED IN CONSIDERATION of the love and affection which the grantor(s) bear(s) to the grantee(s), Kimberly Ann Sanders 4°s..veye$;..iR-vAt.^..Yii'a•�ti4.•.r`�:�.�iiv'.". wtx..l9.i.•Q� do(es) hereby give, grant ani con'to 1. 'F Drew Phillip Henry „, r:• .,k �,• the real property in the City of @, Counfy„ of @,., State, of California, described as „`�^e.'•a+"" v+.a�aeva;...nyp=-,�;:.x�,:. -:vis•—. ;g,., •�...�+� Parcel I: LOT 5, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "HIGH SIERRA ESTATES", WHICH MAP WAS RECORDED N THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 27, 1994, N BOOK 135 OF MAPS, AT PAGE(S) 45,46, AND 47. CERTIFICATES OF CORRECTION RECORDED SEPTEMBER 6, 1995, UNDER.BUTTE COUNTY RECORDER'S SERIAL NO. 95-30526 AND NOVEMBER 12, 1998 UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 9849095. AN EASEMENT FOR INGRESS, EGRESS, SUPPORT, STORM DRAM, AND PUBLIC UTILITY EASEMENT OVER ALL ROADS, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "HIGH SIERRA ESTATES", WHICH MAP WAS RECORDED N THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 27, 1994, N BOOK 135 OF MAPS, AT PAGE(S) 45,46, AND 47. CERTIFICATES OF CORRECTION RECORDED SEPTEMBER 6, 1995, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 95-30526 AND NOVEMBER 12, 1998 UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 98-49095. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED THEREIN. t BUTTE COUNTY SEP 18 2006 DEVELOPMENT C) O _ 1150 — D,5(n SERI/ICES i 1088(1/94) I :l Dated STATE OF CALIFORNIA COUNTY OF On i 2 Z� (� before me, a notary public, personall appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(o whose name() is/ace subscribed to the within instrument and acknowledged to me that .ke/she/tte�r executed the same in .his/her/their authorized capacity(iO, and that by his/her/their signature(ytj. on the instrument the person(} or the entity upon behalf of which the person() acted, executed the instrument. WITNESS my h d and officia deal. f , Signature MAIL TAX STATEMENTS -TO: @��-s� 74 61e. 01-0vr CA c(s } )ss } Kirnb�✓l� vlv� Sade rs (AURA CHRISTENSEN Commisslon # 1645972 lie Notary Publb . Calitornlo Yob County My Comm. Expires Mot 15, 2010 (This area for official notarial seal) 0 1088(1/94) V � 6u T TF II III OGs_ �= p I O U N.�-1 A�Qtic WOP�S Department C o u n t 1, J. Michael Crump, Director - of Public f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530)538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN I ACRE1 Project Description: Project Location and/or Parcel Number: By signing below, I, the project owner/owner-'s agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: -- Less than 1 Acre NPDES & SWPPP Compliance Certifi=tion 6u T TF II III OGs_ �= p I O U N.�-1 A�Qtic WOP�S Department C o u n t 1, J. Michael Crump, Director - of Public f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530)538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN I ACRE1 Project Description: Project Location and/or Parcel Number: By signing below, I, the project owner/owner-'s agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: -- Less than 1 Acre NPDES & SWPPP Compliance Certifi=tion ti BUTTE COUNTY AUG 0 9 2006 DEVELOPMENT SERVICES August 7, 2006 RE: Parcel # 030250056, Luds Way, Oroville, CA To Whom It May Concern: I hereby authorize Drew Henry to build on my property located on Luds Way in Oroville, CA. If you have any questions regarding this authorization, you can reach me at 916.564.4555 6r 916.213.4806. Thank you for your consideration. Sincerely, Kimberly Sanders C 0 i Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-5366 Facsimile ADMINISTRATION * BUILDING * PLANNING August 8, 2006 Drew Henry 280 Hillcrest Ave. Oroville, CA 95966 Subject: Building Permit 06-1880 (APN 030-250-056); New House Dear Mr. Henry, The. Butte County Department of Development Services, Planning Division, has reviewed the submitted permit application, and requires the following information in order to continue the Y�l//P•Il• ❑ Creation Deed ❑ Site Plan Resubmit — Follow Requirements ❑ Erosion Control Plan ❑ Setback Conformance ❑ Watershed Protection Zone ❑ Front Yard ❑ Cohasset Specific Plan ❑ Side Yard .❑ Subdivision Map Note ❑ Rear Yard ❑ Off -Street Parking; Development Standards ❑ Special Setback or Parcel Limitation ❑ Parking for Specified Use ❑ Federal Aid Road/Arterial ❑ Lot & Landscaping Requirements ❑ Easement ❑ Oak Tree Plan ❑ Subdivision Map Condition/Note ❑ SRA Setback* ❑North Chico Specific Plan — Erosion Control ® Fire Sprinklers* ❑ Notification Only — No Action Required Other: * Fire sprinklers, and the SRA setback are not requirements for the Planning Division approval, and this notification is for informational purposes, however, will be requiredprior to the issuance of building permits. The requested information, or notification, is described on the included hand-outs. You will also -be given some brief direction, * on the following page, . of how the information should be submitted or returned to the County. Should you have further questions please contact the Building Division between the hours of 7:30 a.m. and 4:30 p.m. Monday through Friday at (530) 538-7601, or the appropriate Department/Division identified in the handout. S' rely, el 6�lran�a Adler onract Planner r Fire Sprinklers A requirement to install fire sprinklers in your home comes from your parcel or subdivision map, or another discretionary permit. The systems are intended to provide any occupants more time to escape during a fire. Plans must be prepared by a C-16 licensed contractor, and submitted to the Building Division at: Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 Mitigation/Condition Notes: ® Fire suppression sprinkler systems shall be installed in all new 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 parcels. I, oI e,.,�9s- 30.tu Cad /998- 00gjo95 11/1z/98 NATES + ).) NO WATER WELL NCV RE L1 71M' W/TN/N /Lr• Cc n/E USARLE SEWAGE n/SPOSAL AeE4 CN AN✓ P4RCE4. I.) AM SIRLCTURES, DUMP/WG, F/LL o-,rc-OL, CQ BXCAVAVOA/ JNALG .91.4"OWCD /N THE Ab n/STURR4ACE SETR4CK. ,t) ORA/ALOOB FROM R04n5, CR/✓SWAYS, "n QESIOEUT/AL 4RC49 J✓ia NOT RC CLWCENT.2lT6C A</n /RR rg" n/SCK4f ED —N AAV VERNAL FCtY CR ARA/LAOdE T)/4T FSEn5 4 VERNAL MCL. 0.1 AU n w4 Mew JUPPRESJ/ON JP 4cru ar SYf'TCMJ JN4LL RC A/ST4LLEn /N 4LL NEW of .VAIT/AL JTe(KTURES /NACCCRn4AC! W//U NE NO%ONd[ F/eE PROTECT/CN 4fSOC/4'I/CN STANC4Rn FOR Tf/E, y /NSTALLRT/G5V OF JPR/NKLBRApJYf TCMs /W CU6 4Un TwO FAM/L ✓ AWFGt/NGS ANn A'IM/LE MES, N. f.P 4. STANn4Rn LJ 0, UNLESS A IREfSU4/rCn WOTBR JYJTBN W/fN FR6 A/MRANTS /J /A/JTALLED. SJ WATC fn ARfAJ 4RE SCR AM OEVCLCPMfA? XCAMV FCR RURRCW/NO CW4 ,U44/TAT ANC MAY CR MAYAALT GCU/TA/.0 VERNAL MPLS. GJ CROS" NAMVW0 4RE49 ARE VERNAL IOCLJ, 4PPROY/M:0 E /AJ S/IC ANA LOCAT/ON, W/TN/N THE 1>6V6LOP ARLE ARE4. T) 4LL AREAS NOT /NCLVn 0 /N 7+/E VERNAL POC' CernR`CA' L/W!r Y•'RUKC/A4' SETBACK L/NES, RCAAk/4 YS, A.* L64C//FREE WELL AR44 AC /N NOTE- /ARC .!Y//TARGE FOR JL T/C LEACa/ONES. jr.) /X 6LOP4#NT M ram AOACELS AWY RE sURJECT TC P4YHlNT N BUTTE CCU TY FIRE /AEW—MCNT WATER TCNCER FEES. SCALf /JCC' mm T//d enC/T/ONIG MAn J//66T JUO4L34nC/TIONAt /NFCRNATK•N, /d I RW /N � eT/LWAL M/RPCd69 ONGV, nGSLP/R/NC LCNn/T/ONS d9 OF 7✓6 neTE CF FRIA/C ANn /J NCT /NTEANfl1 TC dFFECT iK'CCRn TiTL6 /NTER6JT. HIGH SIERRA ESTATES I'M7/"-Or , SOUTi/ri CF TIDE 5ouniE45T Yq CFSECT/ON /741Jn.4 /VeMA-1 0F7/-/ENC/1721C45T A4 06SECT/CNZO, ALG /N TCWAAS1//P/9A1,0--77% --4AXC 3 E4ST, M. n. M. A/ WC uvic/coeFOP4rBC 4/PE4 CF FiUTTE COUM"V, CDLIAOP/V/4. SITE PLAN REVIEW APPLICATION Date: AP9 030 a2 5-0 -0574 Permit Number (if applicable) &- / d Bin Number / APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: .2T-0 /4& ritL St— a6,( Jliai Telephone No.: Site Address: A/ Proposed Use: Zone:' Ak- `0 Residential GP: A-9— New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family ! ' Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building Other: ; ` Brief Explanation/Issue:� ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form DEVELOPMENT SERVICES LYFORMA TION (For Staff Use 1® Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval I ❑ Resolved By Date rl ild� 1 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: • Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: A-2 -lo Applicable Building Setbacks: General Plan: 4 e— ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side l Side Street Rear v o Height Zr/Y�2- Waterway N/A N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Parcel Created By: ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ ,Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Subdivision Map/Parcel Map: Map Date of Recording:L.�-7 q Lot: Book: �� S Page: ,S' LI 7 3 R / AAAI6.h/r/c�R AXA DOAI M/EGFR AS OIJNCR OLT✓E LANs AS J DOWN CN N6 NNE'X M4 CL N/GM SIERRA CSTAT6S ANS A3 TRUSTEE UNSER SEES CF TRUST, R6GOROEn UNnBR RUTr6000NTY REGCQnERS SEB/dL NUMRER/K'NERE9✓CEQT/PVT✓4T / qM T✓E ONE✓ PER60N WJOBE CCN56NT /d NECEBd4RY TO /Md9 CC6O0 T/TLE TO B4/n L4Nn 4Nn / CCN9GNT JO i ✓E PRCRO¢4T/ON ONS REGOKn4T/OA/ C<Jq/O MAP 43 SA AI" /J/T✓/N WC CCLOPEO AJOPOER LINES. / OFLsR l0¢ OEOK4TICN OA/n x NE@ERV O6O/G4JE, FCR DUAL/G USC FLOP 9 F/G A'.(PPC56d, R.VNTd CL k/4V ANS EASEM6A?S FO@ k/4TE@ U✓ES, 36WEP L/N66,OR4/Ng66 F/A6d dNO O/TGNES, 648 LINES INO LCR ELECTR/CAL .WO T6L6/Y/CA/E SEP✓ICE reacr✓6R w/T✓ONVONO4LL 4PPUQTFA•/4.VCE APP6@TA% /AKi n/CRCM C✓eP 4NO UN060 rAA7JC4TRIR OF 4-4 S//OwN 0A/ Sd/O MOP 4Nn SES /GN4TfO •PURL/C Ur",T/6J 64se-c-T- P. u. E. •. C S6Me.NT3 FCR L/6JT ANn 4/R C✓eR TJCJf sreiP CL 4—n LV/AA9 Acrw, N T✓E iRGNT ANn10.¢ e/S011N's OL Lons 4Nn TJE L/N6J JNCwN CN d4/n MOP dNn OEs,e—rT -se TA4GK LWed " 'In s TR/P9 CF" 4N JC RE KEPT FREE FROM RIIILn/N65. / ER FAP nEn/C4T/ON,4NS n0 NERERY nCOKd TE,fOP PORu/ NSE A7R SAfWJ IC /i/R/K'SES, R/6✓TS CFW f'AN0 EA3EMEA/TJ FOR PR4WA6.1 PIPE5 ANn DIrCAICS rC CTJER --M ANV 4NO ALL 4PPU.PTf,U4AKES—W&rA/N/AA; TN6RETo OVER 4A/n UN/16R WOOS aTR—ff Ci L4NO d✓OWN ON 34/n MAP 4N1) ns"Ai TEn 'ORA/NAsc E46EM6"T'. AU EASEMENT FOR INGRESS, EGRESS, SOP, -CRT, —0 STORM GRAIN OYER, AC4bSS ONO elVWR ALL INTERICR RCgOS AS SHOWN ✓EReC/ U FCR USE RY ALL PL/RL/L UT/L/T/ES, LAr/ENFCRCEMENT F/RE PROTECTION, WELFARE AND OTLIER .0.L4TEOiY/RI/C ANn CCUNrV 46E1JC/ES, TUE/R ✓EN/CLES 4ND PERSONNEL ANO TO ALL LOT OWNERS W/TN/N MIS SUROIV/S/ON ANO 4140E 4P1'URTCV4NT M SAM LOTS. ,dC KiVCA1L EU6EME/c/T STeTE OF COL/� N/A CLY/NTV L'l 9NTT6 5.9. ON Q�REFCRE H6, S✓6.UNnERS/6NES,4 Alcmev /wRLIc INdNn O 6dln TO R6 STATE,/Y¢SCrL✓ePEll PPE4REO�¢dE M:/�rq,krt /]TI M:/ P6RSCA/4LLV KNOT✓.[/ Tb ME R60N9 X/✓LJf.VIME94¢E 3U81C@/g EO TD ✓E¢ECN 4Nn dCKLbNLEM6O rC ME RIOT n/EYEXEcaren RIE SANE /N I11S R7T/fo¢?ED CAPAL/TI; ,IND r,V,17 R1' A/S SASNAMRE ON 77/6 LAM'W44MA17' T/ 16 -haCEON OR TATE E,VT?Y UPON AEfIA(F OF WN/CN TAE fLaRSUc/ Li6p,E1'ECU7Ep TAE WCREMENT. W/7NESS MYNA✓DA✓DOFFWAL SEAL t9/6 N4TUPE i.f�.- 1//jT�I�i' SOC,./ YIf� c.-1;ptt jd4CC. of bua/nca s- B ffc GuAfil D Kr; $p/4•hEA•IRnd I— ••// /NAMf T6n1 Noraty/ G/K /Diss/oA/E/1//caT/(w/1w71s AA&".'Lv, 1994 ' („par (�plvt.c.C�.er+. -15 - "J d G Le't, -4 00,1909S ///12-148 a dC/CF cA/LrnevEMENT STATE Of COC/FC N/O 7 - COUNT✓Cc AufTE 1 4'S. ON AEFCR6 ME, T✓E-UN/A6R6/ONeo, d NOT4RV ~sur /"4Nn FCR JA /n ST4T6, PCRSCNOLLV APPfd@EO - /dRSONALL✓MAMwA/TOMETORET✓E OF Ti./E T✓E CORAOROT/OA! 71OT EX6C✓TES 7}/E ST4TEMfAT UEREQN OA/ RE✓," Ol T✓E CCR—Wrl N, uOeel" N4ME0, 4U1? dG✓NOWLE/X,En TOME 7N4T 9uC✓cCRPORa7iON EXEcuTEn TNEs4ME. A MIOSS MY ✓ANn SIGNATURE NAME Prz/A?En 1 CLERIC Ci' 7di, sowl) CF 5 ERVISCRS CE?7-IFIC471E /, JO✓N 9. RC ACKLOCK, CLERK Oi T✓E ROORn CFJUPERV/SORS nC Nf¢CAY NEPEA✓CERT/FY TKOTCN (O -2.S -A . Wr R04Rn OGJUATP✓/SO.PS OF RUTTE LOUA/Ty Cif/LOLL ✓ OPPRO✓En T✓E 1V:ln/✓/S/CN MOP OF Ii ialO S[ Trn ES Tcr�S TN06E lPEC/F/C PKUTS Cf/LMV4Nn EOHEMENTS k¢ W4 L/A/E6, 8Eh/FQ UAIES, 41,7 T6Z.6PAA NO Se"leENO n/TC✓EB, 645 L/A/Es, dNn FCR w/RES FOPEGECTRK4L K//T✓ON✓4NO T✓`G URTENA4PRERT4/N/NG ER6TC OV— /Nn UNnBR T✓096 8T /PJ CF Latin OAB/hWN CN S4/O MOP dNn 1165/6N4T6n OS '/URL/C UT/L/T/ES 6OSf,MEUT-/: U.E. � AUn "S`41"466 ,WMM6Nr-4Nn CFFEREn FOR IAS /-4T/CA/f RSPECIF/C USES VIEREAC ePTEn ON RE✓OLE CF nlOdr 4LEUG/E6 1/9T6n. _.i"UN s. RLACKLOCK ccf¢rOi TLE ACA¢n of 6UPc¢vieo@s HIGH SIERRA ESTATES 215 s4myoryale-'s STATEMENT ' /,@ON4Ln L.6Rd VEB, ✓E¢ERY STATE 71I4T /4Md L/CE JEn lAun Su¢✓EYCQ OF T✓E ST TE CF L4L/FORN/47L07 TJ6 ANNEX6n MOP Cf NIGH SIERRA L5T4TES L04¢ECTL✓ RfPR66ENTBA 3UP✓6Y Man6 UNnEQ MV SUP6R✓/1/CN /N T!/4Ti✓E SLDII$✓/! 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ASSCC/OYES -NL$ TN DA, cio(JOB6R rov3L dr.•/ M/A�uT69 iaTsr :oo CC401-e� /N 56P/4L- Ce.vn4C6 JLR AS J S✓Rn/✓/S/CNS �s� COUNTY Ile— -RECO¢nER Ar. tL�Purv1 _ __ •/�/�/��/�����/% 9l/6ET ICF 3 f✓EET3 P ,iNI Sot53D R15 -lV�■ CIVIL ENGINFENS LAND &associates SURVEYORS P.O. BOX 986 OROVILLE, CAL. 95965 W Ph. (916) 534.9587 a 92 -op E. 34 CCRAKR��� r 4pS.M •pu - 9(CT/CN LO /9/T• />'MI YLIO.'!O/C) nz•T4o Rsx/nY ,E ,a` 3 z )� NA90840440C /PI/R, J. aV COR. SECT CNM GNn. t,Y'/.R /RYl,1 O9S 305-24 C Co�+4 /9Re- oo y9oq� E. 14 GCRN6R 8(CT/CN (O .WN/h.H fN7 CR 6eT COLCUL4Tbn RV 8/.VOLE RPr-yore. 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Gun.oR der. /RY e9 LR 5G4L6 /DCO' _ 40"rIOAC0"Ae _ EGEA/n o _C4LCL//Aren /v Te GY, monwAx JET • -9ET Yf•'PELid�P T4GGEn C.S.40RS y-FCY/Nn 45 .VCTEn O-9 CO3PNEP45 MOTEn O -.SECT/4'.V "A CP4s 1JOTEn lC �-C4ECUL4TEn (AI-ME4SUPE0 (?)-n.W.O ,P/N/ M4P 006007-04-5`5 (?d-/zo Al n /n)- /44 / C. e.. /Ro - HIGH SIERRA ESTATES lWl"a,4 •1W5e-1XW 4'F WE SOW IJ )4r OF TWE 501-17-LIEQ57- s'4 CFSECr/CAJ 1741-/n4 IVR71 / OF icJE NC,erAJE4ST A OFSECT/O.c/ CN,, 44L /N 7-Ckh _15Allp /9Lc/neW, P "E 3 E45T, Al. A Al /LV TL/E 41.0/,VCO/1Mwr6l) APE4 OF RUTTE CCuAvTs, C4u.-PPA l4. Mn%nISd66T P Cs 9 duEETa IV �/ CIYII ENGINEERS &associates LAND SURVEYORS P.O. BOX 986 OROVILLE, CAL. 95965 - _ Ph. (916) 534-9587 :eve -civ y16gt �9S- 3oSZG L' Pt7 ° (:e� /7TV - Leoy7cY5 ///17-/78 G v 0 NATES �. /,� n/n WATEP W[LL M4Y AE LLG47En W/>3//U /0.^' CF IY/E I/SARLE - SEWACE n/sPY`sAL A¢EA ON 4N✓ r4A!CEG: 7.)/C J ATRLCT&OeS, /R/ RWI;, F/LL ~Me/AL,OR CXCAVAT/C/J JN4LL RE ALLOWEn /N TNG A MS—R4AMM S5M IC/C. 9.) nR0/A1406 FACM aai4nS, nR/✓EW4VS, In ¢FSInEUT/AL 4REA5 SA/4LG A/OT RE CCWCENTAd4TEn 4Un GVRECTL✓ n/SC4/4RV^En /NTO AAN VERNAL'. OR ned1-l" Tl/AT FEEOS 4 11"14LPOOL. 4) 4UTOM4TAC i/RE SUPPRESS/ON JP --c- SYfTEMs 'W'u RL /N5T4LLEn /N4LL NEW PES/nfNT/dG Jr¢ WR" /N/CCCR Ae-. L/TU TVf N4 /OAJAL F/ef PROTTCT/CA/ dss.—rloN STdNnd Rn ioR THE WSMUAr/CN OF JPR/NICL PR SYSTEMS /N CUE 4Nn TWO FAH/LY nWE 4L v ANn MLialLL AVA4Wr' N. F. P 4. STAN04R0 /9 D, UNLESS 4 PRESSUR-En W4TE0 —574" W/>A F/RE //MR.Als /J /N rwten. - AK' nE✓ELCPMfA? ZCAASS FCR .�I9URRCW/NO CWL t/4A/TdT 4Nn MAY CR MAYA r CONTA/A/ 'I\ VEe.V4G MOLS. G.) CWSS AATCNEn ARE4C ARE ✓ERN4L. POG S, 4PP,POY/M4 E /A/ S/ZE 4,U/ 4QC4T/ON, PJMHW TAE nEVEGCPARLE AREA. >) 4LL JPEAS NOT WCWU 0 /N TVE VERNAL POCL SCrRA l "'fr. Y"RU/Ln/Ad JTTRACA L/NES, RV4nW4✓S, A— LE4CMFW-r WELL APIA /K /N Avm> l ARE SU/TAR!£ FCR SEPTK LEAW UNES. R.) n VXZCPMENT C TAEJE —US MAY Rf SV4 ECT >C PAYMENT C✓ RN t COU TY F/eE /KRORTMfNT WATER rr-MR FEES. JCAGE /900' AS SII �14I ��7I�'�4F -• T//3 dnplT/ON4L MAP JNEET SU04tl Ann/TIONdC At/fCRMA>/C✓ /4 I A'iP /Nf� dTroANt AVa/ti5E4 ONGV, nGdCe/R/NC mNMTIONS ds CF 71/E n4TE CF F/URIC d./n /9 MOT /NTEAMEn TC dFFECT AYCCRn T IT(6 /MTEREST. HIGH SIERRA ESTATES RE&W.4 /'O/PT/O Z',cWESOUTAJ4 C6 TIJE 5O41Yt/E4ST Yq CFSECT/CN /7.4ti/04 PO.PMAJ OFT,L/ENO/eTYIE4ST %4 0FSECTIOAIZO 444 1N Tz7x1A4sA11p1gA1Oz77%0,44VE 3E4S7, M.0. M. /N TIJE U/L//41COP1-We4TE0 4,ee4 OF RUTTB COUh/TV "41,r0PA144. R°n 91'M'a:2:s:::s::noVi�M�ENGINEERS LAND SURVEYORS P.O. BOX 986 OROVILCE, CAL. 95965 Ph. (916) 534-9587 T�qz-av Ttvf EN j- TrF°� 0 , 'Department. ®f' -P �bllc Works p d p C o u n t y o f B u t t e 0 p 7 County Center Drive Oroville, CA 95965 p yp J. Michael Crump, Director (530)538-7681 CQ O N`( (FAX) 538-7171 p�'etrc w°F�y Shawn H. O'Brien, Assistant Director Assessors Parcel Number: 0 7,0' ZSR Or5` Building permit # Owners Name: Owners Mailing Address: Property Address: ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: ENCROACHMENT PERMIT EXEMPTION:. Reason for exemption: Not a County maintained road F] Existing driveway conforms to County S-31 standard F Other Approved by Printed Name Title xi•' zi Date CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT 1. An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage. F-DUTTE 2. An existing home with only minor remodeling or repairs. COUNTY LEP I 1 r i gs h�_. SERVICES AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ;w 2006-0042481 Recorded I REC FEE 10.00 Official Records I County of I COPIES 2.50 But I CMCE J. GRUBBS I County Clerk-Recorderl I. JC 09:16AN 17 -Aug -26M I Page 1 of 2 f AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date Os- le -1 0 C PROPERTY OWNERS: ' C L' vt ✓ State of Cali rnia ) County of 15C& +C- ) On ff tacctjs't I'4,7 -00(o before me, personally appeared e L }ly -kne+wo4e-me (or proved to me on the basis of sati factory evidence) to be the perso (s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that heisbe/they executed the same in hisAmr/their authorized capacity(ies), and that byJti&Aer/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 h nd and official seal. Signature y Seal: JAMES LAMAR KINSER COMM. #1377185 NOTARY PUBLIC • CALIFORNIA A.P.# 630 ZSO -OS6 `I ° BUTTE COUNTY F p My Comm. Expires Sept. 28, 2006 t `he following described property in the unincorporated area of , County of Butte, State of California: PARCEL L• r LOT 5, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "HIGH SIERRA ESTATES", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 27, 1994, IN BOOK 135 OF MAPS, AT PAGE(S) 45, 46 AND 47. CERTIFICATES OF CORRECTION RECORDED SEPTEMBER 6, 1995, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 95-30526 AND NOVEMBER 12, 1998, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 98-49095. PARCEL II: AN EASEMENT FOR INGRESS, EGRESS, SUPPORT, STORM DRAIN AND PUBLIC UTILITY EASEMENT OVER ALL ROADS, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "HIGH SIERRA ESTATES", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 27, 1994, IN BOOK 135 OF MAPS, AT PAGE(S) 45,46 AND 47. CERTIFICATES OF CORRECTION RECORDED SEPTEMBER 6, 1995, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 95-30526 AND NOVEMBER 12, 1998, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 98-49095. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. Mail Tax Statements To: SAME AS ABOVE a • OWNER -BUILDER VERIFICATION�/� RJu (�tv G Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I. I personally plan to provide them�jor labor and material for construction of this proposed property improvement: YES [�V j NO [ J. 2. I HAVE [ HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan,to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME I ADDRESS PHONE TYPE OF WORK SIGNED: } PROPERTY OWNER: DATE: (9— 9— do r NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Deveiogment Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.netldds OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person -applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. , o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "own er-builder" =building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to -be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321-CSLB (2752) or by accessing their website at www.CSLB.ca.gov. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Manager, Building Division NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. September 5, 2006 Kim Sander 320 Truxel Road #320 Sacramento, CA95833 Department of Development Services P P Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcei Number: 030-250-056 Building Permit Number: 06-1880 Thank you for submitting the plans for your building project. The plans have been reviewed and comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. CONIMENTS: 9/ �G �rovide enlarged plot plan of the area around the house/garage and sewage disposal area. Show // breezeway anddimension the structure, septic tank and leach area from at least two adjoining property Sr' ines and distance from each other. Provide this scaled to 1"=20' and submit 2 copies of each. 2. fire sprinkler permit is required. Please submit plans and'apply for this permit. 3 Provide a copy of your grant deed. ' j/ G?- de-e"'� �4 nclosed is an Agricultural Acknowledgment Statement with instructions on how to complete and cord this form for the owner of record of the parcel. Enclosed is an Owner -Builder Verification to be completed by the owner of record of the parcel. If you wish to discuss any ofthese requirements, please call (530) 538-754:1. Refer to the Data Sheet for remaining non -plan check items. (You should have received this- form .when you applied for the permit) The counter staff will answer any questions concerning the Data Sheet. • 64' • i Carl Nelson' Plans Examiner r Cc Drew Henry, applicant r `, 1 of 1 4 w COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 RETURN SERVICE REQUESTED CoDON ly SEP • i "za" DEVELOPM3NI SERVICES Kim Sander 320 Truxel Road #320 Sacramento, CAT -93-833 9596SO3397 W XxTe, ........... RETURN TO SENDER NOT DELIVERABLE AS ADDRESSED UNABLE TO FORWARD 9C: 9596-S339799 *2372-04927-33-46 "4 012H16205578 W$00.37 tu 09/06/2006 w (a x Mailed From 95965 a PEA US POSTAGE U) L 012HI6205578 $00237 to 09iO6/200b— lu U) lz x Mailed From 95965 US POSTAGE W XxTe, ........... RETURN TO SENDER NOT DELIVERABLE AS ADDRESSED UNABLE TO FORWARD 9C: 9596-S339799 *2372-04927-33-46 "4 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM ` A (One form per Building) t School District ,� j j �) Building Department No. Tax ate Area No. A.P. Number Y� �1�( .'( �(A Jurisdiction: City County Property Owner Property Location Subdivision Residential Development = No of Living Units 'N, r Commercial/Industrial New Mobile Installation 0 Addition Lot No. ............. . .......... Sq. Footage Addition/ *Supplemental to Conversion Permit # Cr. Demo - �— i Alit ' t _& *(No foundation inspection) existing sq. ft. (Group R) ( see attached ) Net total sq. ft. Deed Restricted Sq. Footage C (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) r Sq. Footage -14-01 Date s (Including Exterior Roofed Areas) District Identification No. /ryil A r •- l �� `—ter • , -, L -PA School District certifies that r Qy 'C kv­c (Payor) i,G 1 i \'Z �1� 1 oa 1 rl�rt� �1 (t r, f� Q 9 o � (Ci � S � (StreettAddr�ess) ) u (State. I ) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. j '� ty payment of $ f B 2926LL MITIGATION $ a - i Date " representing (�jI(/-) square feet. Paid by Check # ,.� Remarks: 0 0 r -A \(',(JIV , c Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental (CE Quality Act QA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeforrn.xls (tvos)dmm lir cur (dvvu I Dl/ , JU rAA JOU 004 11404 ALL lItSIA) NMI I�UUI/UU5 '-44NEIL O. ANDERSON AND ASSOC I A T E S GEOTECHNICAL ENVIRONMENTAL INSPECTIONS ► TESTING LABORATORY SERVICES POOL ENGINEIRING POST TENSION DESIGN ..s ar6Ml..v.1IWR3 twr (See QW200.1, Section K ASM Boiler and Pressure Vessel Code) Welding Procedure Specification Date No. BC- 66 sch 80 5/27/05 Supporting PQR No.(s) Revision No. none Date N/A Name of welder. Emily Mc Creary Stamp ll: Ern 9250 Welding Process(es) (Automatic, Manual, Machine, or Semi Auto) SMAw TYPe(s) Manual Joint Design BU -2 Backing (Yes) No_ (No) Backing Material (Type) (Refer to Doth backing and retainers) N/A a, Nonfusing Metal ° Metal o Other ° Nonmetallic Sketches, Production Drawings, eld Symbols or Written Description should show the general arrangement of the parts to be welded. Where applicable, the root spacing and the details of weld groove may be specified.' (At the option of the Mf9r, sketches may, be attached to Illustrate joint design, weld layers and bead sequence, e.g., for notch toughness procedures, for multiple procedures, etc.) or P•No. to Group No. to P -No. . 1 1 Group No. - 1 1 Specficatton type and grade ASTM A 53 to A53 to Specification type and grade OR e B . Chem. Analyses and Mech. ,Prop. N/A bD Chem. Analysis and Meds. Prop w.m speclrwatlon Thickness Range. Schedule 80 Groove 3/16" up to 2r Base Metal. A 53 Fillet llet N/A Spec. No. (SFA) AWS No. (Class) SFA 5.1 SFA 5.1 F -No. E6010 E7018 A -No.. 3 F4 Sin` of Mier Metals 1 /8^ 4 Weld Metal Thickness 1/8" 1/9- 6'. Groove Std 80 'Up to 2 Fillet X Elecwode•Rux (Class All All Rux Trade Name N/A N/A Consumable N/A N/A Insert Other N/A NIA base iiiliitul• filler metal canlbhrotlan should be thickness of test recorded rndiNAuald .•T• coupon LOW . SACRAMENTO ■ MODESTA CORPORATE OF&jUqpWnduat6aI Way. Lodi. California 9S240 209.367.3701 ■ FAX 209.333.8303. Page COUNTY www.neaadersou.coa / of 2 FEB 0 7 2007 DEVELOPMENT e SERVICES I 1 1Z/ZU/ZUUU WPll 9:36 IAA 530 533 3453 ALL WALS SUPPLY "44 NEIL O. ANDERSON AN D ASSOCIATES QW -482 4002/005 IGEOTECHNICAL ENVIRONMENTAL INSPECTIONS E TESTING I LABORATORY SERVICES POOL ENGINEERING POST TENSION DESIGN POSITIONS (QW -405) POSTWELD NEAT TREATMENT (QW -407) Positions of Groove 6G Temperature Range N/A Welding Progression: Up X Dawn Time Range N/A Position(s) of Filter. None —` GAS lQ1 Percent Composition PREHEAT (Qw-406) Preheat Temp. Min. 50° Gas(es) (Mixture) Flow Rate Interpass Temp. Max. 45(r Shielding None Preheat Maintenance Trailing None (Candnuom or special hearing where aWica(rie should be rr ) Backing None ELFCTRICAL CHARACTERISTICS (QW -409) Test Data (QW402) NDT Yes a No ■ Current AC or DC DC Polarity EP 'Visual inspection acceptable to ASME sec. IX Amps (Range) 95-145 Volts (Range) 16-24 (Amps and Volts range should be recorded for each electrode Am, Bend Test Results position, and thkknom, etc. This information may be listed in a tabular form similar to that shown below.) 4 side bends Gaiter all bends found to be Acceptable to ASW Sec D( QW 463.2 Tungsten Electrode Size and Type N/A (Pure Tungsten. 2% Thoriated, etc.) Mode of Metal Transfer for GMAW N/A (spray arc, short cirxvtting arc, etc.) Electrode Wire feed speed range . N/A TECHNIQUE (QW -410) ' String or Weave Bead Stnigger beads Orifice or Gas Cup Size N/A Initial and Interpass Cleaning.( Brushing, Grinding, etc.) Wire brush no grinder used Method of Back Gouging N/A Oscillation :, 2 x electrode thickness Contact Tube to work Distance As needed Multiple or Single Pass (per side) multiple Multiple or Single Electrodes rnu tiple Travel Speed (Range) See below Peening Not allowed Other - Fitter Metal Current Other Weld Travel(e•s. Remarks, Comments, riot wire Layer(s) Process Class Dia. Type Polar. Amp. Range Volt Range Speed Range Addition, Tedhnique, Torch Angle, etc. Root 2 SMAW SMAW E6010 0018 1/8" its" DCEP DCEP 95-155 95-155 16.24 As needed Up progression 3 SMAW E7018 1 /8" DCEP 95-155 16.24 16-24 As needed As needed Up progression UP Peron 4 SMAW E7018 .1/8" OCEP 95.155 16-24 As needed up progression 5 6 SHAW E7018 1/8" DCEP 95.155 16-24 As needed up Progression 7 SMAW E7018 118" DCEP 95-155 0 16-24 As needed Up Progression SMAW E7018 1/90 DCEP 95-155 16.24 As needed Up progression 8 SMAW E7018 1/8" DCEP 95-155 16.24 As needed Up progression Page 2 of 2 1Z/ZU/ZUU6 WEE E35 PAI M 533 3453 ALL lfflUS JUYYLT NEIL 0. ANDERSON A N D A S S O C I A T E S WELDER QUALIFICATION Igman an GEOTECHNICAL ENVIRONMENTAL INSPECTIONS a TESTING LABORATORY SERVICES POOL ENGINEERING POST TENSION OESIGH Name: Emily Mc Creary Welding Procedure Specification No. BC -6G Identification No. EM 9250 Rev N/A Date: 5/27/05 Acceptable YES or NO Yes Record Actual Values Guided Send Test Results (4.30.5) T Variables Used in Qualification Acceptable side Acceptable Qualification Range Process/Type [Table 4.10, Item (1)] SMAW Fillet Test Results (4.30.2. and 4.30.4.1) Appearance Electrode (single or multiple) (Table 4.10, Item (8)) Current/Polarity multi OCEP Macro SMAW of any crack or tearing of the specimen.) 6G Position (Table 4. 10, Item (4)] 6G All Position Weld Progression [Table 4.10, Item (6)] Vertical up U Backing (YES Or NO) [cable 4.10, Item (7)) Material/Spec. Base Metal No A53 to A53 pipe Thiclown: (Plate) N/A Groove Fillet N/A N/A Thickness: (Pipe/Tube) Groove Fillet Diameter:.(Pipe) Bowe Fillet Filter Metal [Table 4. 10, Item (3)j No. Schedule 80 Grove No 6" Yes AWS 5.1 1/8" up to 16" 4" u to 24" Yes Yes Qualified an Qua Class F -No. [Table 4. 10, Item (2)] Gas/FLux Type (Table 4.10, Item (3)] Other E6010 root/ E7018 fill, Ca F3 ft F4 N/A WA 1/8" electrode --- ----- -� Icy% f�unloer Organization Date RADICIGGRANIC TEST RESUL S (4.30.3.1) Fltnt Identification. Results Remarks Film Identification Number Ntunber Results Remarks /A N/A Interpreted /A Test Number Organization Date We, the undersigned, certify that the statements in this record are correct and that the test weldspre idea, 'and tested in accordance with the requirements of section 4 of ANSI/AWS DIA, (_Y004___) Structuval W in �L (Year) Manufacturer or Contractor butte College Authorized By: Lone Grimes Form E-4 Date: 5/27/05• • LODI • SACRAMENTO • RENO • MODESTO w CORPORATE OFFICE 902 Industrial Way • Lodi, Califm& 95240 e 209.367.3701 • FAX 209.333.8303 9 Enviro Fax 209.369.4228• VISUAL INSPECTION (4.8.1) Acceptable YES or NO Yes Guided Send Test Results (4.30.5) T Result Type Result side Acceptable side Acceptable side. Acceptable Side Acceptable Fillet Test Results (4.30.2. and 4.30.4.1) Appearance Fillet Size Fracture Test Root Penetration Macro (Describe the location, nature, and size of any crack or tearing of the specimen.) --- ----- -� Icy% f�unloer Organization Date RADICIGGRANIC TEST RESUL S (4.30.3.1) Fltnt Identification. Results Remarks Film Identification Number Ntunber Results Remarks /A N/A Interpreted /A Test Number Organization Date We, the undersigned, certify that the statements in this record are correct and that the test weldspre idea, 'and tested in accordance with the requirements of section 4 of ANSI/AWS DIA, (_Y004___) Structuval W in �L (Year) Manufacturer or Contractor butte College Authorized By: Lone Grimes Form E-4 Date: 5/27/05• • LODI • SACRAMENTO • RENO • MODESTO w CORPORATE OFFICE 902 Industrial Way • Lodi, Califm& 95240 e 209.367.3701 • FAX 209.333.8303 9 Enviro Fax 209.369.4228• 1L/LU/�UUO IIBll 9;31 PAA 03U 033 3403 ALL IEMO oUPCLI l�JUU4/VU0 Acceptable YES or NO Yes Guided Bend Test Results T4.30. 5) Result Type Result GEOTECHNICAL NEIL O. ANDERSON Appearance Acceptable Fracture Test Root Penetration 1/ 16" Describe the location, nature, and size Insnarrad Av I mre [:ranee Fillet Test Results (4.30.2.3 and 4.30.4.1) Fillet Size 5/16" Macrotech acceptable of any crack or tearing of themen. .� - -� ENVIRONNFENTAL AND ASSOCIATES INSPECTIONS a TESTING LA80IATORY SERVICES POOL ENGINEERING POST TENSION DESIGN WELDER QUALIFICATION Name: Emily McCreary Identification No. Fan 92SO WetftS Procedure Specification No. BC- T1 04 bar Rev N/A Date: 6/10/05 Record Actual Values Variables Used In Qualification Qualification Range Process/Type [Table 4. 10, Item (1)] FLAW Electrode (single or multiple) (Table 4. 10, Item (8)] single FCAW Current/Polarity DOSP Position (Table 4.10, Item (4)) , 4F 4F overhead Weld Progression (Table 4.10, Item (6)] overhead overhead Backing (YES or NO) (Table 4.10, Item (7)) No None Material/Spec. N/A Base Metal Thickness: (Plate) ASTM A706 #4 to A 36 N/A Groove Fillet Thickness: (Pipe/Tube) Ves 4F overhead Groove N/A N/A Fillet N/A Diameter. (Pipe) Groove N/A N/A Fillet N/A Filler Metal (Table 4. 10, Item (3)) Spec. No. AWS 5.20 Qualified on Class E 1 -11 -045 F -No. (Table 4.10, Item (2)] F6 electrode //Rux Type [Table 4.10, Item (3)] � N/A N/A N /A nization HOA Dale 5/27/05 RADIOGRAPHIC TEST RESULTS (4.30.3.1) F1trn Identification Results Remarks Film Identification Number . Number Results Remarks N/A N/A Interpreted by N/A Test Number urgamzation I Date We, the undersigned, certify that the statements in this record are correct and that the test welds were prepared, welded, and tested in accordance with the requirements of section 4 of ANSUAWS D1.4, (-7996_) Structural Welding Code -Steel. (Year) Manufacturer or Contractor Butte College Authorized By: Lone Grimes Form E•4 Date: 6/10/05 LODI • SACRAMENTO • RENO a MODESTO CORPORATE OFFICE 902 Industrial Way • Lodi, California 95240. 209.367.3701 0 FAX 209.333.8303 0 Enviro Fax 209.369.4228 VISUAL INSPECTION (4.8.1) Type Acceptable YES or NO Yes Guided Bend Test Results T4.30. 5) Result Type Result Appearance Acceptable Fracture Test Root Penetration 1/ 16" Describe the location, nature, and size Insnarrad Av I mre [:ranee Fillet Test Results (4.30.2.3 and 4.30.4.1) Fillet Size 5/16" Macrotech acceptable of any crack or tearing of themen. .� - -� nization HOA Dale 5/27/05 RADIOGRAPHIC TEST RESULTS (4.30.3.1) F1trn Identification Results Remarks Film Identification Number . Number Results Remarks N/A N/A Interpreted by N/A Test Number urgamzation I Date We, the undersigned, certify that the statements in this record are correct and that the test welds were prepared, welded, and tested in accordance with the requirements of section 4 of ANSUAWS D1.4, (-7996_) Structural Welding Code -Steel. (Year) Manufacturer or Contractor Butte College Authorized By: Lone Grimes Form E•4 Date: 6/10/05 LODI • SACRAMENTO • RENO a MODESTO CORPORATE OFFICE 902 Industrial Way • Lodi, California 95240. 209.367.3701 0 FAX 209.333.8303 0 Enviro Fax 209.369.4228 1Z/ZU/ZUUU WEV U:41 1'AL M M. 3453 ALL IIlSIAW nrnl wunma ' GEOTECHNICAL NEIL O. ANDERSON ; EHVtRONMENTAL AND ASSOC I A T, E S INSPEtTiONS ► TESTING LABO.RATORY SERVICES i POOL ENGINEERING POST TENSION OESIGN Name: Emily McCreary Welding Procedure Specification No. BC- Tt A4 bar Variables Process/Type (Table 4.10, Item (1)) Electrode (single or multiple) (Table 4. 10, Item (8)] Current/Polarity Position [Table 4.10, Item (4)] Weld Progression (Table 4.10, Item (6)) 8adting (YES or NO) (Table 4.10, Item (7)] Material/Spec. Base Metal Thickness: (Plate) Groove Fillet Thickness: (P(pe/Tube) Groove FiRLet ' Diameter. (Pipe) Groove Fillet Filler Metal [Table 4.10, Item (3)) Spec. No. Class F -No. (Table 4.10, Item (2)) Gas/Flux Type ITable 4.10, Item (3)) Other WELDER QUALIFICATION Identification No. EM 9250 Rev N/A Date: 6/10/05 Record Actual Values Used in Qualification FCAW pNalification Range FCAW (e DCSP 1 F,2F.3F uphill 3F Vertical ue Up No None N/A N/A ASTM A706 #4 to A 36 ves 1F,2F,3Fu ill N/A N/A N/A N/A N/A N/A AWS 5.20 Qualified an '045 electrode E71T-11 F6 N/A N/A /A VISUAL 1 SP (4.8. 1) Acceptable YES or NO Yes Guided Bend Test Results (4:30.5) Type Result Type Result Fillet Test Results (4.30.2.3 and 4.30.4.1) Appearance Acceptable Fillet Size 5/16" Fracture Test Root Penetration 1 /8" Macrotech acceptable (Describe the location, nature, and size of any crack or tears of the Test Number N/A Organization NOA Date 5/27/05 RADIOGRAPHIC TEST RESULTS (4.30.3.1) Film' Number �tion Results Remarks Film identification Results Remarks Number N/A N/A Interpreted by N/A Test Number organization Date We, the undersigned, certify that the statements in this record are correct and that the test welds were prepared, welded, and tested in accordance with the requirements of section 4 of ANSUAWS D1.4, (1996_.,.) Structural Welding Code -Steel. (rear) Manufacturer or Contractor Butte College Authorized By: lode Grimes Form E•4 Date: 6110/05 LODI • SACRAMENTO a RENO a MODESTO CORPORATE OFFICE 902 Industrial Way 9 Lodi, California 95240 9 209.367.3701 a FAX 209.333.8303 • Enviro Fax 209.369.4228 12/20/2006 WED 9:36 FAI 530 533 3453 ALL METALS SUPPLY NEIL O. ANDERSON A N 0 A 5 5 0 C I A T E S X001/005 GEOTECHNICAL ENVIRONMENTAL INSPECTIONS a TESTING LAOORATORY SERVICES POOL ENGINEERING POST TENSION DESIGN (See QW200.1, Section IX, ASME Boiler and Pressure Vessel Code) Welding Procedure Specification Date Supporting PQt No.(s) No. BC- 66 sch BO 5/27/05 Revision No. none Date N/A Name of welder. Emily Mc Cneary Stamp It: Em 9250 Welding Process(es) (Automatic, Manual, lune, or semi Auto) Type(s) Manual SMAW (Automatic, Manual, Mad Joint Design BU -2 Backing (Yes) No _ (No) Backing Material (Type) (Refer to both backing and retainers) N/A o Nonfusing Metal o Metal o Other o Nonmetallic 71 Sketches, Production Drawings, Weld Symbols or Written Description should show the general arrangement of the parts to be welded. Where applicable, the root spacing and the details of weld groove may be specified. (At the option of the Nlfgr, sketches may be attached to Illustrate joint design, weld layers and bead sequence, e.g., for notch toughness procedures, for multiple procedures, etc.) P -No. to Group No. to P -No. 1 � I 1 1 Specification type and grade ASTM A 53 to A53 to Specification type and grade OR e 6 Fillet Chem. Analysis and Mech. Prop. NIA to Chem. Analysis and Mech. Prop. ASTM sWification Thickness Range: Schedule 60 Groove 3/16" up to 2r Base Metal: A 53 Insert Other .. Spec. No. (SFA) AWS No. (Clan) F -No. A -No. SFA 5. EW F3 3 Size of Filler Metal) 1 /8" Weld Metal Thickness Range: 1/8" 6" Groove Scd 80 Fillet All Electrode-F1ux (Ctas N/A Flux Trade Name NIA Consumable Insert N/A Other -T- thickness of test coupon or Fillet LORI • SACRAMENTO • MObESTA SFA 5.1 N/A N/A Z4 Ifto 1 o' CORPORATE OFFICE 902 industrial Way; Lodi. California 95240 • 209.367.3701 a FAX 209.333.8303 ■ www.onan&moa-com Page 1 of 2 �tU1'TE i COUNTY FEB 0 7 2007 DEVELOPMNT SERVICES 12/20/2006 WED 9:36 FAX 530 533 3453 ALL METALS SUPPLY '004 NEIL O. ANDERSON AN D ASSOCIATES QW -482 2002/005 GEOTECHNICAL ENVIRONMENTAL INSPECTIONS & TESTING LABORATORY SERVICES POOL ENGINEERING POST TENSION DESIGN POSMOKS (QW -405) POSTWELD HEAT TREATMENT (QW -407) Positions of Groove 615 Temperature Range N/A Welding Progression: Up X Down Time Range N/A Position(s) of Filter. None GAS (Q ) Percent Composition PREHEAT (QW -406) Preheat Temp. Min. 5(r Gas(es) (Mixture) Flow Rate Interpass Temp. Max. 450° Shielding None Preheat Maintenance Trailing None (Continuous or sperfaf heatfnq where appfioabfe dmdd be —MW RW)— Backing None ELECTRICAL CHARACTERISTICS (QW -409) Test Data (Q 402) NDT Yes o No ■ Current AC or DC DC Polarity EP Visual inspection acceptable to AWE sec. IX Amps (Range) 95-145 Volts (Range) 16-24 (Amps and Volts range should be recorded for each electrode Stas, Bend Test Results position, and thickness, etc. This Information may be listed in a 4 side bends taken all bends found to be tabular form similar to that shown below.) Acceptable to ASME Sec D( QW 463.2 Tuangsten Electrode Size and Type N/A (Pure Tungsten, 2% Thoriated, etc.) Mode of Metal Transfer for GMAW N/A (Spray arc, short circIrlting arc, cu.) Electrode Wire feed speed range . N/A TECHNIQUE (QW -410) ' String or Weave Bead Strin r beads Orifice or Gas Cup Stze N/A Initial and Interpass Cleaning (Brushing, Grinding, etc.) Wire brush no grinder used Method of Back Gouging N/A Oscillation > 2 x electrode thickness Contact Tube to Work Distance As needed Multiple or Single Pass (per side) multiple Multiple or Single Electrodes mu tiple Travel Speed (Range) See below Peening Not allowed Other Fitter Metal Current Other Travel (e.g. Remarks, Weld Type Amp. Volt Speed Comments, Mot wire Addition, Technique, Layer(s) Process Class Dia. Polar. Range Range Range Torch Angte, etc. Root SHAW E6010 1/8" DCEP 95.155 16.24 As needed Up progression 2 SMAW E7018 1181, DCEP 95-155 16.24 As needed Up progression 3 SMAW E7018 1/8" OCEP 95.155 1644 As needed Up progression 4 SMAW E7018 1/8" DCEP 95.155 16-24 As needed Up progression 5 SMAW E7018 118" DCEP 95-155 16-24 As needed Up progression 6 SMAW E7018 ila" DCEP 95-155 16-24 As needed Up progression 7 SMAW E7018 1/a" DCEP 95-155 16.24 As needed Up progression 8 SMAW E7018 118" DCEP 95-155 16.24 As needed Up progression Page 2 of 2 1 12/20/2006 WED 9:36 FAI 530 533 3453 ALL ETALS SUPPLY NEIL O. ANDERSON A N D A S S O C I A T E S Name: Emily Mc Creary BC -6G Variables Process/Type [Table 4.10, Item (1)) Electrode (Single or multiple) (Table 4.10, Item (8)] Current/Polarity Position [Table 4.10, Item (4)] Weld Progmssion (fable 4.10, Item (6)] Backing (YES or NO) [fable 4.10, item (7)) Matledal/Spec. Base Metal Thickness: (Plate) Groove Fillet Thickness: (Pipe/Tube) Groove Fillet Diameter: (Pipe) Groove Fillet Filler Metal (Table 4.10, Item (31] Spec. No. Clan F -No. [Table 4.10, Item (2)] Gas/Flux Type [Table 4.10, Item (3)] Ocher 9003/005 GEOTECHNICAL i ENVIRONMENTAL INSPECTIONS a TESTING LABORATORY SERVICES POOL ENGINEERING POST TENSION DESIGN WELDER QUALIFICATION Identification No. EM 92W Rev N/A Date: 5/27105 Record Actual Values Used In Qualification Qualification Range SMAW side multi SMAW DCEP 6G 6G All Position Vertical up U Macrotech No A53 to A53 ' NIA N/A N/A Schedule: 90 Open Grove up to %' AWS 5.1 Qualified on E6010 root/ '7018 fill, Ca 118" electrode F3 & F4 inspected by Test Number Organtzatton trate - RADI IRK TEST RESULTS (4.30.3.1) Film Identification Film Identification Number Results Remarks Number Results Remarks N/A N/A Interpreted by _-N/A Test Number Organization Date We, the undersigned, certify that the statements in this record are correct and that the test welds prepa Wed, and tested in accordance with the requirements of section 4 of ANSI/AWS 01.1, "OD4--j Structuval W ding L (Year) Manufacturer or Contractor Butte College Auttlortzed J '• Form E-4 By: Lone Grimes �l Date: 5/27/05 �K -'lgt5 LODI a SACRAMENTO a RENO 9 MODESTO CORPORATE OFFICE 902 Industrial Way a Lodi, Wifosnia 95240 a 209.367.3701 a FAX 209.333.8303 • Enviro Fox 209.369.4228. VISUAL INSPECTION (4.8.1) Acceptable YES or NO Yes G(4uided Bend Test Results .30.5) Type Result Type Result side Acceptable side Acceptable side Acceptable Side Acceptable Fillet Test Results (4.30.2.3 and 4.30.4.1) Appearance Fillet Size Fracture Test Root Penetration Macrotech (Describe the location, nature, and size of any crack or tearing of the spec(men.) inspected by Test Number Organtzatton trate - RADI IRK TEST RESULTS (4.30.3.1) Film Identification Film Identification Number Results Remarks Number Results Remarks N/A N/A Interpreted by _-N/A Test Number Organization Date We, the undersigned, certify that the statements in this record are correct and that the test welds prepa Wed, and tested in accordance with the requirements of section 4 of ANSI/AWS 01.1, "OD4--j Structuval W ding L (Year) Manufacturer or Contractor Butte College Auttlortzed J '• Form E-4 By: Lone Grimes �l Date: 5/27/05 �K -'lgt5 LODI a SACRAMENTO a RENO 9 MODESTO CORPORATE OFFICE 902 Industrial Way a Lodi, Wifosnia 95240 a 209.367.3701 a FAX 209.333.8303 • Enviro Fox 209.369.4228. 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ANDERSON 1 ENVIRONMENTAL AN D ASSOCIATES INSPE{TIONS 1 TESTING LABO.RATORY SERVICES i POOL ENGINEERING POST TENSION DESIGN Name: Emily McCreary Welding Procedure Specification No. BC- TA #4 bar Variables Process/Type (Table 4.10. Item (1)] Electrode (single or multiple) (fable 4. 10, Item ()] Current/Polarity Petition [Table 4.10, Item (4)1 Weld Progression (fable 4.10, Item (6)) Baciting (YES or NO) [Table 4.10, Item (7)] Material/Spec. Base Metal Thickness: (Plate) Groove Fillet Thickness: (Pipe/Tube) Groove Fillet Diameter. (Pipe) Groove Fillet Filler Metal [fable 4. 10, Item (3)) Spec. No. Class F -No. [Table 4.10, Item (2)] Gas IFlux Type (Table 4. 10, Item (3)] Other WELDER QUALIFICATION Identification No. EM 9250 Rev N/A Date: 6110/05 Record Actual Values Used in Qualification qualifkation Range FCAW - FCAW DCSP 3F I 1F,2F,3F uphill NO I None ASTM A706 #4 to A 36 AWS 5.20 N/A N/A N/A N/A Qualified an .045 electrode N/A VISUAL INSPECTION (4.8.1) Acceptable YES or NO Yes Guided Bend Test Results (4.30.5) Type Result Type Result Fillet Test Results (4.30.2.3 and 4.30.4.1) Appearance Acoeptable Fillet Size 5/16" Fracture Test Root Penetration 1 /8" Macmtech acceptable (Describe the location, nature, and size of any crack or tearing of the specimen.) Inspectee Dy Lorne Gomes Iest Number N/A Organization NOA Date 5/27/05 RADIOGRAPHIC TEST RESULTS (4.30.3.1) Film Identification Results Remarks Film identification Results Remarks Number Number N/A Organization Date We, the undersigned, certify that the statements In this record are correct and that the test Welds were prepared, welded, and tested 1n accordance with the requirements of section 4 of ANSI/AWS D1.4, (—.1996--j Structural Welding Code -Steel. (Year) Manufacturer or Contractor Butte College Authorized By: lone Grimes Form E•4 Date: 6/10/05 LODI • SACRAMENTO a REND • MODESTO CORPORATE OFFICE 902 Industrial Way 9 Lodi, California 95240 9 209.367.3701 9 FAX 209.333.8303 • Enviro Fax 209.369.4228 Report 0. J---- ------ j Page Ofi inspection. Date qa4 0,,Ij 0 -I Permit ; ADHESIVE ANC'140R A (. F; OF R0ng1Rn1.T.(Z Project Address: LU a ut: ---- � - -� azu LLLE , l4 block: i Development Name: 2J�lirle.? _'!t �v�-`! 14 " fv_Cs=- --- -- I ualit AssuranceA snc : u5mo El\)fA(Z_ t7wnerlAaent: £tel - OwnerlA ent S1 naltlYe: Evaluation Report No. chi: Date: 07 --- -- ----_- --j iNSPEMON SUMMARY Plan Approval Date: Evaluation Report No. chi: Date: 07 --- -- ----_- --j Hole Derth&Diameter: yrg,, a', Cleanliness of Hole: Anchor Diameter, Tv & Grade: uanii ofRodsll3olts Installed: , wm 3u_1 3/ rr _ ----...--- -- —-------� Anchor Embedment Depth: gr, _-._---------------- ----. J PRODUCT DESCRIPTIM RMSIMMMOUMMM Adhesive Product Name: j Adhesive Expiration Date: Concrete Type and Strengt -- Drill Bit Compliance: INSPECTION SUMMARY Tr ( Product Installation Complies with requirements Yes No I hereby ac:knowiedee that I have reviewed the approved p9ans, applicable evaluation report, and. manufacturers' installation instructions. D inspected the products and observed the product installation. The anchor installation has been verified to be in accordance with the manufacturer's published instructions, ; l,`r-I C_ J\V 6 VY -,O S oisTmBu now, 69.167/0 7 ENGINFER STAMP It ; E 4LA8� Nm 65286 CMV- OFCA1. 1. JOB RLE 2. OWNER I . COUNTY o'� Report Page Of �. Inspection _ Late — _ Q 1'/ 0 ? 67 Permit [No. Project Address: Development Name:_ ��,'�-�L__�_____ ualit Assurance Agency: %51M\j5 _��3�e1t��L. OwnerlAgent: - 4wner/A rent Ss mature: ^._ - Date: R INSPECTION SUMMARY I 'Plan Approval Date: e�■�q livalttistton Report No. &lluiU: l.iole'De th & Diameter: M v �n — Cleanliness of Hole: Anchor Diameter, T uanti ofRodstDaits Installed-, A W-1 - --_T PN4. 2- --- - Anchor Gmbedme.nt De tlx: _ _._....-__ - ----- — - - ------ $�� --- INSPECTION SUMMARY I hereby acknowledge that I have reviewed the approved plans, applicable evaluation report, And manufacturers' installation instructions. I inspected: the products and observed the product installation. The anchor installation has lwn verified to be in accordance with the manufttcturer's published instructions, - ' L at r- Nis v" us 070-7 "n-rFDISTRIBUTIOW 1. JOB FILE 2. OWNER ENG111HER AMPHIC E �oa�y(3I.A8 ti V W No. e5288 OF GAL 3. .COUNTY 0'] When recorded return to: County of Butte Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965-3397 COPY �-Iy-off P� Owner Name: Drew Phillip Henry Building Permit No: 06-1880. Attic storage area Caped OwQr -� K6 above for Recorder's Use DEED RESTRICTION AND NOTICE OF LIMITED USE FACILITY I. WHEREAS, on this 9th day of February 2006, Drew Phillip Henry, hereinafter referred to as owner(s), are the record owners of the following real property: 691 Lud's Way, Oroville, California, A.P.N. 030-250-056 , and as further set forth in Exhibit "A" attached hereto and hereby incorporated by reference, hereinafter referred to as "the subject property"; and 11. WHEREAS, the Building Division of the Butte County Department of Development Services is acting on behalf of the People of Butte County; and III. WHEREAS, the owner applied to the Building Division for a building permit in order to develop the subject property described above; and IV. WHEREAS, Building Permit No. 06-1880 was applied for on 08/04/06 by the owner in accordance with the provisions of the Butte County Code and the California Building Code; and V. WHEREAS, the use allowed by Building Permit No. 06-1880 has been reviewed and approved for only the limited purposes set forth below; and VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited Use Facility shall constitute an, enforceable restriction and remain in effect until a new application for a different use has been approved; and �/07 VII. WHEREAS, Owner acknowledges that Owner will comply with the limited use restrictions that were incorporated in reviewing and approving Building Permit No. 06-1880 which enabled Owner to undertake the limited use authorized by this permit. NOW, THEREFORE, with the issuance of Building Permit No. 06-1880 to Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility, as set forth below, which establishes restrictions on the use and enjoyment of this limited use facility. The undersigned Owner, for himself/herself and for his/her heirs, assigns, and successors in interest, acknowledges and agrees to those restrictions. This limited use facility shall be utilized in compliance with those limitations prescribed by the California Building Code occupancy classification assigned by the building official, except the following uses are not allowed: The Attic Storage Area will not be used for living, eating or sleeping. No heating or cooling of this area. If any provision of these restrictions is held to be invalid or for any reason becomes unenforceable, no other provision shall be thereby affected or impaired. This deed restriction and notice of limited use facility shall remain in full force and effect during the period that this permit, or any modification or amendment thereof, remains effective, and during the period that the development authorized by this permit, or any modification of this development, remains in existence in or upon any part of, and thereby confers benefit upon, the subject property described herein, and to that extent, this deed restriction and notice of limited use facility is hereby acknowledged and agreed to by Owner to restrict the use and enjoyment of this limited use facility and shall be binding on Owner and all his/her assigns or successors in interest. Owner agrees to record this Deed Restriction and Notice of Limited Use Facility in the Recorder's Office for the County of Butte as soon as possible after the date of execution. This document shall be recorded and returned to the Butte County Department of Development Services, Building Division prior to the issuance of Building Permit No. 06-1880 DATE: Owner Signature: 20 Print or Type Name of Above Owner Signature: Print or Type Name of Above NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat (acknowledgment) as explained in your Notary Public Law Book. STATE OF CALIFORNIA ) SS. COUNTY OF BUTTE ) On before me, , Notary Public, 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 STATE OF CALIFORNIA SS. COUNTY OF BUTTE (Seal) On before me, , Notary Public, 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, jp k (Seal) This is to certify that the Deed Restriction set forth above is hereby acknowledged by the Director of the Department of Development Services and that Butte County consents to its recordation thereof. Dated: ~� Scott Ruth o anager Building Division STATE OF CALIFORNIA SS. COUNTY OF BUTTE On ir512uA�R 9 moo before me, —T ''�I " �'^� , Notary Public, personafly appeared SOT* 2u7�+9-9.F;00210 , personally known to me tlyertzrs-i-s--or-s-a-fi-sTaLtoTTevtdepGo to be the personXwhose name(s) is/att subscribed to the within instrument and acknowledged to me that he/sly/they executed the same in his/hof/thi& authorized capacity(i,%), and that by his/hdr/ther signatures on the instrument the person(sl, or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Odom "51 Nosy wac - C *wnm �cashr CmvvL E�ta�Apr 6. .,�. ti ature (Seal) X H1, vF A Parcel I: LOT 5, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "HIGH SIERRA ESTATES", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 27, 1994, IN BOOK 135 OF MAPS, AT PAGE(S) 45,46, AND 47. CERTIFICATES OF CORRECTION RECORDED SEPTEMBER 6, 1995, UNDER.BUTTE COUNTY RECORDER'S SERIAL NO. 95-30526 AND NOVEMBER 12, 1998 UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 98-49095. AN EA$) MENT FOR INGRESS, EGRESS, SUPPORT, STORM DRAIN, AND PUBLIC UTILITY EASEMENT OVER ALL ROADS, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "HIGH SIERRA ESTATES", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 27, 1994, IN BOOK 135 OF MAPS, AT PAGE(S) 45,46, AND 47. CERTIFICATES OF CORRECTION RECORDED SEPTEMBER 6, 1995, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 95-30526 AND NOVEMBER 12, 1998 UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 9849095. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED THEREIN. Win- �nG-D'�(o 1088(1/94) a ✓ Order No. Escrow No. Loan No. WHEN RECORDED MAIL TO: Drew Henry 280 Hillcrest Ave Oroville Ca 95966 DOCUMENTARY TRANSFER TAX $� .....Computed on the consideration or value of property conveyed, OR .....Computed on the consideration or value less liens or encumbrances remaining at time of sale. 2006-004824} 09 Recorded I PEC i -EE 10. E ifriciat Records I County or I Butte I UR410ACE J. GRTB-BBS I County Clerk-Recorderl I I RI: 012:42pm ln-Seg-26 I Page 1 of 2 101 1"1111111111111111114111 1 SPACE ABOVE THIS LINE FOR RECORDER'S USE Signature of Declarant or Agent determining tax - Finn Name j GIFT DEED IN CONSIDERATION of the love and affection which the grantor(s) bear(s) to the grantee(s), Kimberly Ann Sanders do(es) hereby give, grant;an4 convey to Drew Phillip Henry - the real property in the Cit of @1 County Qf @, State of California, described as Parcel I: �-�:..._,,..•,�--�....,.,�.,�;.w}.�.;�.- „ -� ��.: .. LOT 5, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "HIGH SIERRA ESTATES", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 27, 1994, IN BOOK 135 OF MAPS, AT PAGE(S) 45,46, AND 47. CERTIFICATES OF CORRECTION RECORDED SEPTEMBER 6, 1995, UNDER.BUTTE COUNTY RECORDER'S SERIAL NO. 95-30526 AND NOVEMBER 12, 1998 UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 9849095. AN EA.$EMENT FOR INGRESS, EGRESS, SUPPORT, STORM DRAIN, AND PUBLIC UTILITY EASEMENT OVER ALL ROADS, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "HIGH SIERRA ESTATES", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 27, 1994, IN BOOK 135 OF MAPS, AT PAGE(S) 45,46, AND 47. CERTIFICATES OF CORRECTION RECORDED SEPTEMBER 6, 1995, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 95-30526 AND NOVEMBER 12, 1998 UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 98-49095. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED THEREIN. 0 n C, 1088(1/94) J Dated I STATE OF CALIFORNIA .1'e— COUNTY OF On before me, notary public, personall appeared a Personally known to me (or proved to me on the basis of satisfactory evidence) to be the`person(� whose name() Ware subscribed to the within instrument and acknowledged to me that -he/she/thep executed the same in *is/hedtl; > authorized capacity(ies), and that by bis/her/lheir signature(y) on the instrument the person($ or the entity upon behalf of which the person(?) acted, executed the instrument. WITNESS my h dand officia all Signature f I MAIL TAX STATEMENTS -TO: Z=80 A'i. 'i�� 01 OVI iC rA c } )ss } IC i rex 6,e ✓l� vl t1 SaivkCCe +rS LAURA CNRISTENSEN Commisalon # 1645912 "m a Notary Public . Calltornlo Yob County MyComrn Exp kes Mar 15, 201 i (This area for official notarial seal) 1088(1/94) t .,. • BUTTE COUNTY I DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 89142834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 691 LUD'S WAY Owner: PeInnit NO: B06-2272 APN: ' 030-250-056 DREW PHILLIP HENRY Issued Date: 10/09/2006 By KEJ Permit type: MISCELLANEOUS 280 HILLCREST AVE Subtype: Fire Suppression OROVILLE, CA 95966 Expiration Date: 10/09/2007 Description: FIRE SPRINKLERS FOR BP06-1880 (530) 589-5555 Occupancy: Zoning: Contractor Applicant: Square Footage: DREW PHILLIP HENRY Building Garage Remdl/Addn 280 HILLCREST AVE OROVILLE, CA 95966 Other Porch/Patio Total (530)589-5555 FEE INFORMATION i Fire Protection Engineer $219.96 Total Charged: $219.96 Fees Paid: $219.96 Balance Due: $0.00 Receipt No: B230 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 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 X 10/09/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's 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 I 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 3100 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 ❑ I, 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 Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section nee not be completed if the permit rs oror one dollars ($100) or —less-F— ess❑ F-1I 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 10/09/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 10/09/2006 ` 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, inducting death, and property damage caused arising out of, or 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 permit 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 property owner or am authorized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY 10/09/2006 1 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) ElOwner ❑ Contractor OR. Agent for Owner Agent for Contractor APPLICANT COPY Lender's Address City State Zip Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive . Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecou'nty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal n income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. 1 PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES OR NO) 2. I (HAVE/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: FIRE SPRINKLERS FOR BP06-1880 Reference Number: B06-2272 Applicant Name: DREW PHILLIP HENRY Signature of Property Owner: Date: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buftecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Nameirst —I I—VI v Name N Mailing AddreN � I l City 0"'o State Zp ,9s5 C(L Phone o_ss!! _ Fax 5-3-3 3 /s E-mail U ✓G� jiff d Dl� — /3 �GGr H 0 P. COQ ARCHITECT/ENGINEER CONTRACTOR Name n (_ Wer Address fnlc c7bc)t/ City zip 51J9 State Zip Phone State License Number 8Z Fax E-mail Lot # Lic. # Class ARCHITECT/ENGINEER Name Lc� Cra LI�r� ,'��2i hir Address 614S.7 Address // City f8: (/G°/(C l State C A zip 51J9 Phone5�0 Z7U �1 y00 Fax E-mail State License Number 8Z APPLICANT SIGNATURE X For office use only: APPLICANT INFORMATION Name S l�/aL Address SRA City Occ. State Zip Phone LENDING AGENCY Fax E-mail Lot # APPLICANT SIGNATURE X For office use only: AP# o -zso - 0 S 6 Zoning S l�/aL Flood Zone SRA I Yes No Occ. Policy Number Type Const. Subdivision Name LENDING AGENCY Map Book Page Lot # Planner Date Approved: e(5 I �� PERMIT NO. BIN # PROJECT LOCATION AP# o -zso - 0 S 6 0 dress S l�/aL City , t�Ia�l ie Cross Street w� lC WORKER'S COMPENSATION Policy Number 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: Sq FT- Livingy 2 Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made pfior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. R ceived b . Amount: ' Bldg SRA ReceipG�� Sheriff SMIP DateeiZ 6k Other Total BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B06-2272 Job Address: 0 WILBUR RD . Contractor: Printed: 09/22/2006 12:33 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt Fire Protection Engineer 0010-440001-4210500-1010 $219.96 09/22/2006 $219.96 219.96 $219.96 Printed By: Karen Jones Balance Due: $0.00 At the time of permit application, I was advised the above fees are required prior ro issuance of the permit. These fees may be changed during the plan checking process. Signature: Date: 09/22/2006 Pursuant to Government code Section 66020, yo re herby notified those items listed above may been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). r IN Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PL, N TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. QISPR NO) 2. I QLA�VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. 1 HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO_ 5. 1 WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: FIRE SPRINKLERS FOR BP06-1880 Reference Number: B06-2272 Applicant Name: DREW PHILLIP HENRY Signature of PropertyOwner: Date:gl ZZ—QC, Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. O Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new :full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codesibutteco/ Reference Number: B06-2272 Location: 0 WILBUR RD Parcel Number: 030-250-056 Date: 09/22/2006 Owner Name: DREW PHILLIP HENRY Phone: (530) 589-5555 Description: FIRE SPRINKLERS FOR BP06-1880 <]Signature of Property Owner: Date: 09/22/2006 FILE a 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.neVdds , "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name / 1 n First Nam Zip Mailing Address 2AO ✓ f �e State City✓t '�� / Phone State � .4 Fax E-mail Phone _ Lic. # Fafo x ;�30 '✓� j�6 Z Email /0-4744 APPLICANT INFORMATION Name n Address Zip City /) / , L [� State Zip Phone Fax E-mail Open Cov Lic. # ky TT , Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name n Address Zip City /) / , L [� Sta Q .p q,J 5 7 I Phone Fax E-mail Open Cov State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X / >.` L 0 - c PERMIT NO. W BIN # PROJECT LOCATION AP# _ 2 Property Address city 062011(r. A 6 WORKER'S COMPENSATION t Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuince. LENDING AGENCY Name Address DESCRIPTION OR'SCOPE OF WORK: a r ✓e _IiTS .. LOGrxr C I No Occ. Type Const. Sq FT- Living Garage Open Cov ❑ , Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): ky TT , For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: • Make sure your application is complete. • Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this :permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-0256 Location: 691 LUD'S WAY Parcel Number: 030-250-056 Date: 02/09/2007 Owner Name: DREW PHILLIP HENRY Phone: (530) 589-5555 Description: STAIRS TO STORAGE Signature of Property Owner: Date: 02/09/2007 LE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-0256 ate: 02/09/2007 Location: 691 LUD'S WAY By: GLB Parcel Number: 030-250-056 Sub Type: Stairs Owner Name: DREW PHILLIP HENRY Phone: (530) 589-5555 Description: STAIRS TO STORAGE The above permit application has the following Clearances requiredpr' r to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your pe it application. Yes El No Thermalito Irrigation District, 410 Grand Avenue, LOAPUD, 1960 Elgin Street, Oroville CA 95966 -„(630) 533-2000 - (530) 895-4711 CA 95965 - (530) 533-0740 City of Chico, 545 Vallombrosa, Chico CA Chico Area Recreation District, 545 Val mbrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation DisV6Skyway, 447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Ptrict, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation; 6 Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School Distri - 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School Dis ict, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified Schoo District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School istrict, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Eleme ary School District, 2795 Yard Street, Oroville CA 95966- (530) 532-3000 Oroville Unio High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise U ified School District 6696 Clark Road Paradise CA 95969 - (530) 872-6400 ❑ Recorc ❑ cit OTHER copy of Agricultural Acknowledgment Statement- See Attached Instructions Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 ❑ Other: ❑ Other: ❑ Other: Signature of Property Owner: /— Date: 02/09/2007 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds O 0 0 0 0 ^(4qN1ffUb5r $ tic W '� National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-0256 Location: 691 LUD'S WAY Parcel Number: 030-250-056 Owner Name: DREW PHILLIP HENRY Description: STAIRS TO STORAGE Date: 02/09/2007 By: GLB Sub Type: Stairs Phone: (530) 589-5555 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: 1 �.--- Title: FILE Date: 02/09/2007 BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Permit Number: B07-0256 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Job Address: 691 LUD'S WAY Contractor: OWNER Printed: 02/09/2007 11:50 am Fee Description Account Number Fee Amount Paid Date Pmt Amt DBMSC Stairs 0010-440001-4210500-1010 $110.00 02/09/2007 $110.00 110.00 $110.00 Printed By: Gwyn Benedict Balance Due: $0.00 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature:. Date: 02/09/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perforin their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is . providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PTO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. YE OR NO) e--,\ I `./ VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY. PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: STAIRS TO STORAGE Reference Number: B07-0256 Applicant Name: DREW PHILLIP HENRY Owner's Name: DREW PHILLIP HENRY AP # Signature of Property Owner: Date: 030-250-056 2-q-©7 Order No. Escrow No. Loan No. WHEN RECORDED MAIL TO: Drew Henry 280 Hillcrest Ave Oroville Ca 95966 r, 2006-0048249 DOCUMENTARY TRANSFER TAX g - .....Computed on the consideration or value of property conveyed; OR .....Computed on the consideration or value less liens or encumbrances remaining at time of sale. Recorded I RSC FEE 10.00 Official Records I County of I Butte I C41NDACE J. 6R'dBBS l County Clerk-Recorderl I I MZ 012:42PM 18 -Sep -2005 I Pace I of 2 SPACE ABOVE THIS LINE FOR RECORDER'S USE i Signature of Declarant or Agent determining tax - Firm Name GIFT DEED IN CONSIDERATION of the love and affection which the grantor(s) bear(s) to the grantee(s), Kimberly Ann Sanders do(es) hereby give, grant=a`ni) convey,to' Drew Phillip Henry the real property in the City of @, County, of @,. State of California, described as Parcel I: LOT 5, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "HIGH SIERRA ESTATES", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 27, 1994, IN BOOK 135 OF MAPS, AT PAGE(S) 45,46, AND 47. CERTIFICATES OF CORRECTION RECORDED SEPTEMBER 6, 1995, UNDER. BUTTE COUNTY RECORDER'S SERIAL NO. 95-30526 AND NOVEMBER 12, 1998 UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 9849095. AN EASEMENT FOR INGRESS, EGRESS, SUPPORT, STORM DRAIN, AND PUBLIC UTILITY EASEMENT OVER ALL ROADS, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "HIGH SIERRA ESTATES", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 27, 1994, IN BOOK 135 OF MAPS, AT PAGE(S) 45,46, AND 47. CERTIFICATES OF CORRECTION RECORDED SEPTEMBER 6, 1995, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 95-30526 AND NOVEMBER 12, 1998 UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 9849095. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED THEREIN. 00, 15 �Y '1 1088(1/94) Dated STATE OF CALIFORNIA Ole_ }ss COUNTY OF On 11 Z -t0 O (o before me, a notary public, personall appeared Ki ✓Y& Ir22i LA it Y, A aw (� personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(o whose name(j) is/= subscribed to the within instrument and acknowledged to me that _Wshe/ther executed the same in his/her/their authorized capacity(ies), and that by his/her/lheir signature(7) on the instrument the person(o or the entity upon behalf of which the person(y) acted, executed the instrument. WITNESS ;hidd and official al.�'` ff , Signature MAIL TAX STATEMENTS -TO: /-' �� cc 01-1()/i I C ; c A �5l4a Kirnb�✓l� vl� S��e rS LAURA C""""NSEN C©mMISsIon # 1645972 i�*_ NWory Publk - CaHfornlo Yob County - MyComm. ExPUes Mar 15, 2010 (This area for official notarial sea]) 1088(1/94) When recorded return to: County of Butte Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965-3397 2007 — 001 4'932 Recorded I REC FEE 22.00 Official Records I County of I Butte I C4NM J. 6RUBBS I County Clerk-Recorderl I I SA 010:11AN 27 -Mar -2(t<07 1 Page 1 of 6 0 Space above for Recorder's Use Owner Name: Drew Phillip Henry Building Permit No: 06-1880. Attic storage area , DEED RESTRICTION AND NOTICE OF LIMITED USE FACILITY I. WHEREAS, on this 9th day of February 2006, Drew Phillip Henry, hereinafter referred to as owner(s), are the record owners of the following real property: 691 Lud's Way, Oroville, California, A.P.N. 030-250-056 , and as further set forth in Exhibit "A" attached hereto and hereby incorporated by reference, hereinafter referred to as "the subject property'; and II. WHEREAS, the Building Division of the Butte County Department of Development Services is acting on behalf of the People of Butte County; and III. WHEREAS, the owner applied to the Building Division for a building permit in order to develop the subject property described above; and IV. WHEREAS, Building Permit No. 06-1880 was applied for on 08/04/06 by the owner in accordance with the provisions of the Butte County Code and the California Building Code;.and V. WHEREAS, the use allowed by Building Permit No. 06-1880 has been reviewed and approved for only the limited purposes set forth below; and VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited Use Facility shall constitute an enforceable restriction and remain in effect until a new application for a different use has been approved; and VII. WHEREAS, Owner acknowledges that Owner will comply with the limited use restrictions that were incorporated in reviewing and approving Building Permit No. 06-1880 which enabled Owner to undertake the limited use authorized by this permit. NOW, THEREFORE, with the issuance of Building Permit No. 06-1880 to Owner by- Butte County, Owner hereby affirms Owner's desire to develop a limited use facility, as set forth below, which establishes restrictions on the use and enjoyment of this limited use facility. The undersigned Owner, for himself/herself and for his/her heirs, assigns, and successors in interest, acknowledges and agrees to those restrictions. This limited use facility shall be utilized in compliance with those limitations prescribed by the California Building Code occupancy classification assigned by the building official, except the following uses are not allowed: The Attic Storage Area will not be used for living, eatin4_or sleeping. No heating or cooling of this area. If any provision of these restrictions is held to be invalid or for any reason becomes unenforceable, no other provision shall be thereby affected or impaired. This deed restriction and notice of limited use facility shall remain in full force and effect during the period that this permit, or any modification or amendment thereof, remains effective, and during the period that the development authorized by this permit, or any modification of this development, remains in existence in or upon any part of, and thereby confers benefit upon, the subject property described herein, and to that extent, this deed restriction and notice of limited use facility is hereby acknowledged and agreed to by Owner to restrict the use and enjoyment of this limited use facility and shall be binding -on Owner and all his/her assigns or successors in interest. Owner agrees to record this Deed Restriction and Notice of Limited Use Facility in the Recorder's Office for the County of Butte as soon as possible after the date of execution. This document shall be recorded and returned to the Butte County Department of Development Services, Building Division prior to the issuance of Building Permit No. 06-1880 DATE: 3 -- / q , 20 07 Owner Signature: — d NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat (acknowledgment) as explained in your Notary Public Law Book. STATE OF CALIFORNIA COUNTY OF BUTTE On Mcml,, t Public, personally appeared SS. before me,-Tc,~c6 LCA W r KW,3er , Notary personally known to me (n�„r_pm�iari to mP nn tho haj� .+f +iefar+nni A�iirl����) to be the persons) whose name(s) is/afe subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(iss), and that by hisAw/their signatures) on the instrument the personal, or the entity upon behalf of which the person(s) acted, executed the instrument. LIJO JAMES IAMAR KINSER my hand and official seal. COMM. #1695391 / gOTARWM CCO•uNTY�1 .�/li. r< �i �..y� �✓�1-V�— * ft0n bON Sept 2% 2010 Sidhature STATE OF CALIFORNIA SS. COUNLY OF BUTTE On 1%7b07 before Public, personally appeared (Seal) Notary personally known to me to be the person(*whose name(* is/afe subscribed to the within instrument and acknowledged to me that licqshe/they executed the same in -his/her/th& authorized capacity(ies), and that by i`tf5'/her/their signature(s) on the instrument the person(4, or the entity upon behalf of which the personal acted, executed the instrument. WITNESS my hand and official seal. Sig ture JAMES LAMAR KINSER COMM. #1695391 NOT%WY PUBLIC - CAUFORNA • BUTTE COUNTY V1 CWM- Expires Sept 2& 2010 (Seal) yy op //rim�gp' iMR d17SMt'iJ�+� aa� VfMM MRS om At Z8 Sha3 n r3 feEaeoltAiMoo APAOIIJA3 - NAM YNATC41 �� �. • �i m n M This is to certify that the Deed 'Restriction set forth above is hereby acknowledged by the Director of the Department of Development Services and that Butte County consents to its recordation thereof. Dated: Scott Ruthejo anager Building Division STATE OF CALIFORNIA ) SS. COUNTY OF BUTTE ) V On F:�-eaLtA,R - moo before me, M �''� "- ^� , Notary Public, personafly appearedJcorr personally known to me sis of -saMsf9Cturyvvtdene0 to be the personXwhose name(s) is/aF6 subscribed to the within instrument and acknowledged to me that he/sly/they executed the same in his/hef/tWir authorized capacity(i�, and that by his/her/thp* signatureA on the instrument the person(,4, or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal.111111COMM, �1 "Ifty rdft •COMOMM g ature (Seal) T EX HIRIT A Parcel I: LOT 5, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "HIGH SIERRA ESTATES", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 27, 1994, IN BOOK 135 OF MAPS, AT PAGE(S) 45,46, AND 47. CERTIFICATES OF CORRECTION RECORDED SEPTEMBER 6, 1995, UNDER.BUTTE COUNTY RECORDER'S SERIAL NO. 95-30526 AND NOVEMBER 12, 1998 UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 9849095. AN EA$) MENT FOR INGRESS, EGRESS, SUPPORT, STORM DRAIN, AND ?UBLIC UTILITY EASEMENT OVER ALL ROADS, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "HIGH SIERRA ESTATES", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 27, 1994, IN BOOK 135 OF MAPS, AT PAGE(S) 45,46, AND 47. CERTIFICATES OF CORRECTION RECORDED SEPTEMBER 6, 1995, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 95-30526 AND NOVEMBER 12, 1998 UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 9849095. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED THEREIN 02)C)- I5_0-o5(p 1088(1/94) q 3o- 2 -t -0-0S"6 k(tG ITSMUsINRLR111:+nMM MM Civil Engineering and Drafting 3115 Johnny Lane Chico, CA 95973 (530) 521-2648 Fax: (530) 343-5320 eda@ausmusengineering.com TRANSMITTAL PQ% �,410-4s January 16, 2007 Blueline Technologies, LLC Drew Henry President Drewh(a,,blue-linetechnolo eies.com 265 Burns Drive Yuba City, CA 95991 tel: (530) 671-5060 fax: (530) 671-5208 (530) 533-3462 mobile: (530) 301-1383 RE: Revision to Shearwall (walline 6) for Stairway modification Dear Mr. Henry Please allow this letter to serve as agreement to allow revisions to the Shearwall along walline 6 in order to modify your stairway. The original length of the Shearwall was 2l'- 6" and will be reduced to 11'-0" minimum provided the following measures are competed: 1. Use MST60 for any top plate splices along the length of this Shearwall 2. Verify 14/SD has been competed for shear xfer at roof truss 3. Use 5/8" epoxied anchor bolts (7" embedment). Install bolts between the existing '/2" anchor bolts at mudsill. 4. Install 3/8" OSB each side of Shearwall. Use 3/12 8ds. 5. Use 3x min studs at abutting panel joints 6. Install PHD6 holdowns at ends of new Shearwall. Epoxy 7/8" diameter x 14" all - thread in 1" diameter x 8" drilled hole using Simpson SET epoxy - these were inspected by Ausmus Engineering. The location of this Shearwall can be seen on the attached Exhibit "A'.' date&01/17/07. . Q�OFESS/®�Y nA �►�ODVGLASgG � � W to No. 65286 ^' �U � I- kD.Ausmus, P.E. � � ZO Ausmus Engineering P UIP DING DIN11 ? 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TYPICAL THROUGHOUT. PIPE IS PROJECT > > • -s-Y5 Im SUPPORTED ON ROOF TRUSSES ON 24 CENTERS. 1 01&1-50A1 XW1770�i (° I_ Q-11' •-011 pac4f=, � L' ------- PIPE IS STRAPPED FOR LATERAL MOVEMENT PER ADDRESS A1,41 COMP OCCUPANCY I+p a 1 �I _ �u 5, SEC. 7-4 . 2 ON 6' CENTERS AND WITHIN 12'' CITY d,QQ V14Z, HiQ 9s96.r" Oy` '4N-.�/,GT6t'JTl.GG OF HEADS. TITLE PIPING PLAN and DETAILS DRAWN _ SOLID LINES SHOW PIPI.IG ABOVE CEILING.®" COMPANY * r O x SE /O G 3 SE NET ` 3995 Olive Highway jos No. Oroville, California 95966 (916) 533-2730 Lic. No. 305365 �IFCppNCO�`' / oT L ,r- I